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Protect Your Eyes From Harmful Wildfire Smoke

wildefireWildfires, including those still devastating parts of the western United States and Canada, can harm your health, including your eyes. The hot smoke, ash, and soot billowing into the air contain a mixture of noxious gases and fine particles of burned vegetation that spread with the winds, sometimes hundreds of miles from the fire.

Wildfire smoke is made up of thousands of compounds, including those used in plastic, dry-cleaning solutions, and solvents. Asbestos, a toxic air contaminant, is also released into the air when buildings burn.

These pollutants can harm your eye’s surface, causing blurred vision and redness, and may also cause y a burning sensation leading eyes to become watery, dry, or itchy. Wildfire smoke also aggravates pre-existing health conditions like dry-eyes and ocular allergies and may make wearing contact lenses uncomfortable—even impossible—to wear.

In extreme cases, wildfire smoke may even lead to scarring of the conjunctiva, the thin membrane covering the white of the eye and the eyelids’ underside. Scarring damages the conjunctiva and its protective mucous layer.

The American Academy of Ophthalmology suggests the following steps to keep your eyes healthy when smoke is in the air:

  • Double the quantity of over-the-counter artificial tears you use to address eye conditions and cool the artificial tears’ vials or bottles in a refrigerator before using
  • Apply cool compresses to your eyelids
  • Stay indoors and close the windows to reduce smoke’s effects
  • Use an air purifier or air filter in your home or office
  • Refrain from drawing outside air into your air conditioner
  • Refrain from wearing contact lenses, which attract wildfires’ dust particles
  • Wear eyeglasses, sunglasses, or specialty goggles if you are outdoors

Continue observing these precautions even after the smoke has cleared as particles can linger in the air for up to two weeks.

If smoke-related symptoms or discomfort persist, please contact Advanced Eyecare & Therapies. We will examine your eyes and prescribe the appropriate treatment. We treat patients with wildfire-related vision challenges from Spokane, Post Falls, Coeur d'Alene, Sandpoint, and throughout Washington.

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Signs That You Might Have Cataracts

Middle Aged Couple Multifocal ContactsThe crystalline lens, which sits inside the eye, allows us to focus on objects near and far. The lens is thin, soft, and clear throughout our youth, but the gradual buildup of protein that begins in our 40s or 50s makes the lens thick, rigid, and opaque. Left untreated, the cataract will disrupt vision, and can eventually cause blindness.

Symptoms of cataracts include:

  • foggy or blurred vision, with less light reaching the retina
  • sensitivity to light, especially strong sunlight
  • difficulty seeing at night, especially while driving, when the headlights of approaching cars appear dispersed
  • frequently needing to update your eyeglass prescription
  • colors becoming less vivid and more yellow
  • images appearing in duplicate, even with only one eye open
  • halos around lit objects

Besides aging, cataracts can develop due to

  • genetics
  • medical conditions, such as diabetes
  • head trauma
  • eye injuries
  • excessive smoking and drinking
  • Poor nutrition

What Can be Done About Cataracts?

Wearing sunglasses, ingesting Vitamins C and E, and eating antioxidant-rich fruits, vegetables, and nuts can delay the onset of cataracts.

If you suspect you may have cataracts, the first step is to contact , where will conduct a thorough examination, including dilating your pupils to check for possible protein buildup on your crystalline lens. If you have cataracts but can still see well, you might benefit from a strengthened eyeglass prescription.

When updating your prescription ceases to help, cataract surgery is the best solution. In that case, will speak with you about the advantages of cataract surgery. If the examination finds cataracts in both eyes, the procedures will almost certainly be performed on separate days to allow each eye to recover independently.

During cataract surgery, will replace the affected lens with an artificial lens. It is done on an outpatient basis, is virtually painless, and has a very high rate of success.

At , we care for patients with cataracts from Spokane, Post Falls, Coeur d'Alene, Sandpoint, and throughout Washington.

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Patient with Sensory Confusion Testimonial

This new patient to our office has 20/20 eyesight in each eye and requires no prescription for nearsightedness, farsightedness or astigmatism. Yet, for years she had experienced sensory confusion… Until looking through 0.25 units of vertical prism in each eye. “I still marvel every day at our incredible eye/brain connection!”

Dr. Wylie July 2020

 Why a New Pair of Glasses Is NOT the Best Holiday Gift for Your Child

girl hugging her present 3154363If your child is nearsighted (myopic), it may seem like a great idea to get him or her a new pair of glasses. They will surely improve how well your child sees but, unfortunately, will do nothing to slow myopia progression. You can offer your child MUCH more than a pair of specs — something that will ensure long term vision health care and quality of life: Myopia Management.

Myopia Management is made up of several treatments designed to slow down how quickly myopia, or shortsightedness, progresses. In other words, their prescription will remain the same as they grow older. The treatments include uniquely designed multifocal contact lenses, atropine eye drops, and orthokeratology (“ortho-k”). Evidence suggests that myopia management can reduce the progression of myopia by up to 60% after two years of treatment.

What Makes Myopia Management An Excellent Gift?

Currently, myopia is among the leading causes of permanent vision loss and legal blindness.

As a child quickly develops and their nearsighted vision worsens, the child is at a higher risk of developing dangerous eye diseases later in life, such as retinal detachment, macular degeneration, glaucoma, and cataracts.

To thwart any of these sight-robbing conditions, Advanced Eyecare & Therapies offers evidence-based treatment to prevent the onset or reduce the progression of myopia in our pediatric patients.

Myopia management enables your child to experience a more mild form of myopia than he or she would have otherwise had without treatment. Having mild-degree myopia means that your child’s likelihood of developing retinal detachment or macular degeneration is dramatically reduced.

So why don’t you make this holiday gift a particularly special one by protecting your child’s precious gift of sight. And the best part? It will pay off well after the holidays are over.

On behalf of Dr. Wylie and the staff at Advanced Eyecare & Therapies in Spokane, we’d like to wish you all the best for the holiday season and the New Year!

Request An Appointment
Call 509-213-1144

woman holding eyeIs It Eye Allergies or Dry Eyes?

Eye Allergy and Dry Eye symptoms tend to be very similar. They both include redness, itchiness, tearing, and a gritty or burning sensation in the eyes.

 

Is it really an allergic reaction, or could it be Dry Eyes? Before running to the pharmacy for some antihistamines, it would be worth digging into the cause of these reactions in order to assure that you’re choosing the right treatment option.

If you’ve been using artificial tears, prescription allergy medication, or other over the counter medicine to relieve the itchy, dry feeling, but see no improvement— it may be worth visiting the Advanced Eyecare & Therapies and speaking with Dr. Wylie, who can provide a diagnosis and solution for your condition.

What’s the Difference Between Eye Allergies and Dry Eyes?

Eye allergies, also known as allergic conjunctivitis, occur when the eyes react to elements that irritate them (allergens). One can develop eye allergies from pet dander, dust, pollen, smoke, perfumes, or even certain foods. To fight off the allergen, the eyes produce a substance called histamine, which causes the eyelids to become red, swollen and itchy — and at times to tear and burn. Those with eye allergies tend to experience nasal allergies as well, which include an itchy, stuffy nose, along with frequent sneezing.

People with Dry Eyes suffer from eyes that feel dry, itchy, swollen, irritated, and at times very painful. Dry eye syndrome can be developed as a result of genetics, age, environment, lifestyle, medications, and the overall health of your eyes. When one has dry eyes, the eyes are either not producing enough tears to keep your eye lubricated, or the tears are not composed of the correct balance of water, lipids, and mucous to maintain proper lubrication.

How Are Eye Allergies and Dry Eyes Treated?

eye drops

Eye allergies can be treated using artificial tears, medicated eye drops, decongestants, antihistamines, or anti-inflammatory medications. Depending on your specific case, Dr. Wylie may recommend a combination of treatments.

However, if it is determined that you have dry eyes, Dr. Wylie may suggest artificial tears or lubricant eye drops to alleviate the discomfort, and in some cases, may even prescribe drops or steroids. For patients with more acute cases of dry eyes, the doctor might suggest alternative treatment options, such as LipiFlow, True Tear, TearCare or scleral lenses.

If you’re suffering from any of the above symptoms, speak with , who will examine and thoroughly assess the source of these reactions, determine whether they are caused by allergies or Dry Eyes, and provide the right treatment.

The Advanced Eyecare & Therapies services patients from Spokane, Post Falls, Coeur d'Alene, Sandpoint, and throughout Washington.

Request An Appointment
Call 509-213-1144

Spring Dry Eyes

woman applying eyedroppers, close upSpring is a time of renewal, when the harsh winter is just a memory and the outdoors seem to beckon us to go outside. While spring may be in the air, so are allergens. Allergies during the spring season can cause dry eyes and have a particularly severe effect on people with Dry Eye Syndrome.

During the spring months, pollen, pet dander, mold, and dust can be found in the air. These airborne allergens can trigger uncomfortable reactions like itchy, red, and watery eyes, as well as sneezing and sinus congestion. At The Practice Name Dry Eye Center, we can offer you long-term relief for your seasonal dry eyes.

How Do The Seasons Affect Dry Eyes?

Although certain people with sensitivities to allergens may be more prone to allergic reactions, the seasons of the year can trigger these responses, too. In the winter, for instance, dry eyes can develop in people who live in climates with a lot of dry, cold air or strong winds. Sitting in direct aim of a heater may feel wonderful when it’s cold, but it can also dry out the eyes. In the summer when the heat is intense and people run their air conditioning systems regularly, dry eyes can develop from being in the direction of cold air.

A 5-year study found that 21% of the 3.4 million visits to an eye doctor during that time were related to dry eyes. Each year, there was a peak during April, proving that there is a likely correlation between allergens and dry eye cases.

Common Symptoms Of Seasonal Dry Eyes

The most common symptoms of dry eyes in the spring are:

  • Blurry vision
  • Burning
  • Gritty feeling
  • Itchiness
  • Redness
  • Stinging
  • Soreness
  • Watery eyes

It may seem odd, but watery eyes are a frequent symptom of dry eyes. It’s the body’s way of trying to self-heal the dryness by releasing excess tears, a condition called Keratoconjunctivitis Sicca (KCS). This condition gives some relief, but because these tears contain an inadequate amount of water, the relief is temporary and more long-lasting options are needed.

If you’re experiencing any of these symptoms, schedule an appointment with The Practice Name Dry Eye Center. We have the knowledge, years of experience, latest technologies, and effective solutions to give you relief for your dry eyes this spring season.

Relief For Dry Eyes In The Springtime

Close up of blue eyeDry Eye Doctor Name treats patients from all over CITY 1, State who are suffering from seasonal dry eyes. Depending on your specific case and the intensity of your symptoms, the doctor may recommend daily artificial tears or lubricant eye drops to alleviate the pain. These can stimulate your eye’s natural tear production to moisturize the eyes and provide comfort. In some cases, prescription drops or steroids can produce similar results.

For patients with severe types of dry eyes, the doctor may talk to you about punctual plugs. These are tiny devices that are inserted inside the tear duct. They block your tears from draining out, which forces them to stay in your eye, coating and moisturizing the area.

Have you heard about scleral lenses? These are contact lenses that are made from rigid materials and contain a tiny pool of water, which provides moisture to dry eyes. Scleral lenses have a large diameter that covers the entire sclera (white part of the eye) without touching the cornea, so they can fit more comfortably. Because each person’s eye is unique, scleral lenses must be custom-fitted for each patient.

When It’s More Than Allergies

If your symptoms persist long after spring is over, and especially if they worsen, this may indicate signs of a more serious eye condition.

Examples can include any of the following:

  • Blepharitis (inflamed eyelids)
  • Conjunctivitis (pink eye)
  • Corneal Abrasions
  • Dry Eye Disease
  • Styes (an oil gland infection that causes a bump in the eyelid

We hope you take the time to enjoy this spring season. Should you experience any visual discomfort or are naturally prone to dry eyes, contact Dry Eye Doctor Name and the caring staff at The Practice Name Dry Eye Center. We’ll examine your eyes and discuss your personal needs to create an action plan that’s right for you.


Request An Appointment
Call 509-213-1144

8 Tips to Relieve Winter Dry Eyes

Whether you live in a climate with cold winter weather or you are planning a ski trip up north, winter can be a challenge if you suffer from dry eyes. Dry, cool air, cold winds and even drier indoor heating can cause eye irritation, burning, itchiness and redness, and sometimes even excessively watery eyes as more tears are produced to compensate for the dryness. Many people have a chronic feeling that they have something in their eye and some even experience blurred vision. These symptoms can be debilitating!

Dry eyes is one of the most common complaints eye doctors get from patients during the winter season, especially in the cooler climates. That’s why we’d like to share some tips on how to relieve dry eye discomfort, and how to know when your condition is serious enough to come in for an evaluation.

Tips to Relieve Winter Dry Eyes:

  1. Keep eyes moist using artificial tears or eye drops. You can apply these a few times each day when the eyes are feeling dry or irritated. If over-the-counter drops don’t help or if you have chronic dry eyes, speak to your eye doctor about finding the best drops for you. Since not all artificial tears are the same, knowing the cause of your dry eye will help your eye doctor determine which brand is best suited for your eyes.
  2. Use a humidifier to counteract the drying effects of indoor heaters or generally dry air.
  3. Point car vents or indoor heaters away from your face when the heat is on. Try to keep your distance from direct sources of heating, especially if they blow out the heat.
  4. Drink a lot! Hydrating your body will also hydrate your eyes.
  5. Protect your eyes outdoors with sunglasses or goggles – the bigger the better! Larger, even wrap-around glasses as well as a hat with a wide brim will keep the wind and other elements out of your eyes. If you wear goggles for winter sports, make sure they fit well and cover a large surface area.
  6. Soothe dry eyes using a warm compress and never rub them! Rubbing your eyes will increase irritation and may lead to infection if the hands are not clean.
  7. Give your eyes a digital break. People blink less during screen time which is why extensive computer use can lead to dry eyes. Follow the 20/20/20 rule by taking a break every 20 minutes to look 20 feet away for 20 seconds and make sure you blink!
  8. For contact lens wearers: If you wear contact lenses, dry eyes can be particularly debilitating as the contact lenses can cause even further dryness and irritation. Contact lens rewetting drops can help your eyes feel better and may also allow you to see more clearly. Not all eyedrops are appropriate for use with contact lenses, so ask your optometrist which eyedrop is compatible with your contacts and cleaning solution. If rewetting drops don’t help, consider opting for glasses when your dry eyes are bad, and speak to your optometrist about which brands of contact lenses are better for dry eyes. Many people find dry eye improvement when they switch to daily single use contact lenses.

Chronic Dry Eyes or Dry Eye Syndrome

Dry eye syndrome is a chronic condition in which the eyes do not produce enough tear film, or do not produce the quality of tear film needed to properly keep the eyes moist. While winter weather can make this condition worse, it is often present all year round. If you find that the tips above do not alleviate your discomfort or symptoms, it may be time to see a optometrist to see if your condition requires more effective medical treatment.

Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million.

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring.

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes.

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy.

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness.

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages.

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy.

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision.

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss.

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes.

April is Women's Eye Health and Safety Month

Hey women! Did you know that women are more likely to suffer from vision problems and are at higher risk of permanent vision loss than men? Well 91% of the women surveyed recently didn’t know that, which means that many of them aren’t taking the necessary precautions to prevent eye damage and vision loss.  

According to a recent study, the statistics for many of the major vision problems show that women have a higher percentage of incidence than men. These include:

  • Age-related Macular Degeneration 65%
  • Cataracts 61%
  • Glaucoma 61%
  • Refractive Error 56%
  • Vision Impairment 63%

Women are also more susceptible to develop chronic dry eye, partially because it is often associated with other health issues that are more common in women such as ocular rosacea which is three times more prevalent in women.  Hormonal changes during pregnancy and menopause can also contribute to dry eye.  

It’s important for women to know the risks for eye-related diseases and vision impairment and the steps they can take to prevent eventual vision loss.  Here are some ways that you can help to protect your eyes and save your eyesight:

  • Find out about family history of eye diseases and conditions.
  • Protect your eyes from the sun by wearing 100% UV blocking sunglasses when outdoors.
  • Don’t smoke.
  • Consume a healthy diet with proper nutrition and special eye health supplements as prescribed by an eye doctor.
  • Adhere to contact lens hygiene and safety.  
  • Adhere to cosmetic hygiene and safety precautions. 
  • Protect your eyes against extended exposure to blue light from computers, smartphones and LED lamps. 
  • If you are pregnant or planning to become pregnant and have diabetes, see an eye doctor for a comprehensive eye exam. In women who have diabetes, diabetic retinopathy can accelerate quickly during pregnancy and can present a risk for the baby as well. 

Mothers are often charged with caring for the eye health of the entire family, but too often their own eye health needs fall to the wayside. It is critical that mothers take care of their eyes and overall health so that they can be in the best condition to care for their families. 

Speak to your eye care professional about your personal eye health and vision risks and the precautions and measures you should take to protect your eyes.  Encourage the other women in your life to do so as well.  Once vision is lost, it often can’t be regained and there are many steps you can take to prevent it with proper knowledge and awareness.  

The most important way to prevent vision loss is to ensure you schedule regular eye exams. Don’t wait for symptoms to appear as many eye issues are painless and symptomless, and sometimes by the time you notice symptoms, vision loss is untreatable.