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Diabetic Retinopathy

What You Should Know About Night Blindness

Our Optometrist in Oakville, explains About The Causes of Night Blindness

Our eye doctor can help diagnose, manage and treat your night blindness so that you can enjoy being out at night again.

Here are 4 things you should know about night blindness:

The inability to see well at night can be the result of a condition such as:

  • Vitamin A Deficiency Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness.
  • Cataracts
    A buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.
  • Diabetic retinopathy
    Damage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.
  • Glaucoma
    This group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both Glaucoma and the medications used to treat it can cause night blindness.
  • Myopia
    Also called nearsightedness, Myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.
  • Keratoconus
    An irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.
  • Retinitis Pigmentosa (RP)
    A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.
  • Usher Syndrome
    This genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors.

Symptoms of Night Blindness Include:

  • Reduced contrast sensitivity
  • Difficulty seeing people outdoors at night
  • Difficulty seeing in places with dim lighting, like a movie theater
  • Trouble adapting to the dark while driving
  • Excessive squinting at night
  • Trouble adjusting from bright areas to darker ones

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; Myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery.

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision.

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness.

If you experience poor vision at night or in dim lighting, we can help. Contact Dr. Robert J. Pachler in Oakville to schedule your appointment today.

Book an eye exam at an eye clinic near you to learn more about your candidacy for contact lenses and which type is right for you.

Dr. Robert J. Pachler, your Oakville eye doctor for eye exams and eye care

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Frequently asked questions answered by our Eye Doctor in Oakville, Ontario:

  • What are the reasons for Cataract Removal?

    Cataracts can interfere with your ability to live normally. They may make it impossible to drive, read, use a computer, watch TV, climb staircases, or identify faces. Cataracts can also get in the way of medical treatment for other eye diseases, such as macular degeneration or diabetic retinopathy because they prevent your eye doctor from inspecting the back tissues of your eye thoroughly. These are all reasons why your eye doctor may recommend cataract surgery.

  • Why Diabetic Eye Exams are Essential?

    At present, one in 10 Americans has diabetes – and the trend is continuing upwards. While routine comprehensive eye exams are important for diagnosing the early signs of diabetes, that doesn’t mean eye exams become insignificant after diagnosis!

  • What is glaucoma?

    Glaucoma describes a type of ocular disease that causes damage to your optic nerve and destroys your quality of vision. With no early symptoms, glaucoma can only be detected by a complete eye examination. When left untreated, glaucoma can result in detrimental vision loss. When treated early by one of our professional, knowledgeable eye doctors, we can help preserve your healthy eyesight.

  • What is Myopia?

    Cataracts can interfere with your ability to live normally. They may make it impossible to drive, read, use a computer, watch TV, climb staircases, or identify faces. Cataracts can also get in the way of medical treatment for other eye diseases, such as macular degeneration or diabetic retinopathy because they prevent your eye doctor from inspecting the back tissues of your eye thoroughly. These are all reasons why your eye doctor may recommend cataract surgery.

Does Obesity Impact Eye Health?

Nation-wide awareness about the vast dangers of obesity is at an all-time high, with TV shows like “The Biggest Loser” and health initiatives such as Michelle Obama’s “Let’s Move!” campaign shining a spotlight on the importance of fitness and good nutrition. However, despite the public’s knowledge of obesity’s effects on hypertension, stroke, and diabetes, many are not aware of how it damages eye health and vision.

Increasing evidence shows that people who are clinically obese have an elevated risk of developing serious eye diseases. It is widely known that expanding waistlines place people at a higher risk of getting diabetes, heart disease, and cancer — but researchers say the link between obesity and deteriorating vision is the “risk factor that no one talks about”. Professor Michael Belkin and Dr. Zohar Habot-Wilner, from the Goldschleger Eye Institute at the Sheba Medical Center, found a consistently strong correlation between obesity and the development of four major eye diseases that may cause blindness: 

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Glaucoma
  • Diabetic retinopathy

The researchers said that although the evidence was out there suggesting a link between obesity and these conditions, their study emphasizes the optometric risks of obesity which can help motivate people to shed those extra pounds.

How Obesity Contributes to Eye Disease

A Body Mass Index (BMI) of 25 is considered overweight and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Recent research indicates that a handful of ocular diseases can now be added to that list. 

Serious eye conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss. 

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair! 

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts result when the focusing lens in the eye becomes cloudy and requires surgery to be replaced. In addition to age, cataract development is associated with obesity, poor nutrition, gout, diabetes and high blood sugar levels, though the exact cause isn’t clear.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases. 

We Can Help Keep Your Eyes Healthy in Oakville

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams with Dr. Pachler can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, don’t hesitate to call Dr. Robert J. Pachler — we’re here for you. 

3 Ways Diabetes Can Affect Your Vision and Eyes

Did you know that people with diabetes are 20 times more likely to get eye diseases than those without it? There are three major eye conditions that diabetics are at risk for developing: cataracts, glaucoma, and diabetic retinopathy. To prevent these sight-threatening diseases, it’s important to control your blood sugar level and have your eyes checked at least once a year by an eye doctor.

But First, What Is Diabetes?

Diabetes is a disease that is associated with high blood glucose levels. Insulin, a hormone produced by the pancreas, helps our cells get energy from the sugars we eat. Diabetes develops when the body doesn’t produce or respond to insulin effectively, leaving too much sugar in the blood stream instead. Over time, diabetes can lead to potentially irreversible ocular damage and poor eyesight. However, by taking care of your blood sugar levels and your eyes, you can prevent vision loss.

Annual eye exams are recommended for everyone, but routine screenings are even more important for diabetics. Eye doctors may send diabetic eye health reports to a patient’s primary care physician or internist to adjust medication as needed to prevent complications.

Dr. Robert J. Pachler Eye Clinic and Diabetes in Oakville, Ontario

Many eye diseases can be quickly and easily diagnosed during a comprehensive eye exam. If you were diagnosed with an eye disease, such as Cataracts, Glaucoma, Macular degeneration, Diabetic retinopathy, or Dry eye, you may be overwhelmed by the diagnosis and confused about what happens next. Will you need medications or surgery – now or in the future? Our Oakville eye doctor has prepared the following answers to your questions about eye disease.

What’s the Link Between Vision and Diabetes?

Blurred vision or fluctuating eyesight clarity is often one of the first noticeable signs that diabetes has begun to affect your eyes. Sometimes, fluid leaking into the eye causes the lens to swell and change shape. This, in turn, makes it difficult for the eyes to focus, resulting in fuzzy vision. Such symptoms can indicate that an eye disease is developing, or may simply be due to imbalanced blood sugar levels which can be rectified by getting your blood sugar back to healthy levels.

If you start to notice blurry vision, make an appointment with Dr. Pachler as soon as possible.

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The 3 Ways Diabetes Impacts Vision

Cataracts

While cataracts are extremely common and a part of the natural aging process, those with diabetes tend to develop cataracts earlier in life. Characterized by a clouding or fogging of the lens within the eye, cataracts impede light from entering the eye, causing blurred vision and glares. The best treatment is cataract surgery, which is very safe and effective.

Glaucoma

Glaucoma refers to a group of eye diseases characterized by optic nerve damage. Since it tends to impact peripheral vision first, glaucoma often goes unnoticed until significant damage has occurred. However, routine glaucoma screenings can detect warning signs; early treatment can prevent disease progression and vision loss.

Although there is no true cure for glaucoma, most glaucoma patients successfully manage it with special eye drops, medication, and on occasion, laser treatment or other surgery. The earlier glaucoma is diagnosed and managed, the better the outcome.

Diabetic Retinopathy

Diabetic retinopathy occurs when the small blood vessels on your retina (capillaries) become weakened and then balloon (microaneurysm) due to poorly controlled blood sugar levels. The resulting poor blood circulation in the back of the eye causes more abnormal blood vessels to grow, which also bleed or leak fluid, and can lead to scar tissue, retinal detachment and even blindness, over time.

Often there are no symptoms until the advanced stages of diabetic retinopathy, where patients may begin to see spots and missing patches in their vision. Retinopathy can be treated through surgery and eye injections, but the best way to prevent this disease from progressing is to regularly have your eyes screened.

The good news is that diabetic eye disease can often be prevented with early detection, proper management of your diabetes and regular diabetic eye exams. Contact Dr. Robert J. Pachler in Oakville to set up your eye doctor’s appointment today.

Call Dr. Robert J. Pachler on 1-833-497-3542 to schedule an eye exam with our Oakville optometrist.

Alternatively book an appointment online here CLICK FOR AN APPOINTMENT

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Just in case you missed them, here are some of our previous blog posts :

Warning Signs of Poor Vision

5 Reasons Why Sclerals Are the Top-Performing Contact Lenses for Keratoconus

8 Tips to Beat Winter Dry Eyes

Top 5 Tips for Managing Eye Allergies This Spring