What Is Diabetic Retinopathy?

Diabetic Retinopathy (DR) is one of the most prevalent eye diseases affecting the working age population. It is thought to be caused by high blood sugar levels which, over time, damage the tiny blood vessels of the retina at the back of the eye, making them swell and leak. Left untreated, DR can lead to vision loss and eventually blindness.

Since diabetic eye disease is typically painless and shows no symptoms until its advanced stages, it’s critical to get your annual eye evaluation, as an optometrist can detect the developing signs early enough to prevent vision loss.

Symptoms of Diabetic Retinopathy 

Diabetics may not realize they have diabetic retinopathy, because it develops silently. As the condition worsens, it may cause: 

• Blurred vision
• Poor night vision
• Colors to appear faded or washed out
• An increased presence of floaters
• Vision loss
• Blank or dark areas in your field of vision

Diabetic retinopathy symptoms usually affect both eyes.

Risk Factors

If you are diabetic, caring for your eyes by undergoing routine eye exams and taking care of your body by controlling blood sugar levels are critical to preventing vision loss. There are several risk factors associated with diabetic eye complications, including: 

• Poor blood sugar control
• Smoking
• High cholesterol 
• High blood pressure
• Pregnancy
• Excess weight/obesity

Are There Any Treatments for Diabetic Retinopathy?

Today’s treatment options may improve your vision, even if you feel your eyesight has begun to deteriorate. Medications can be injected to reduce swelling, and laser surgery can be used to shrink and seal off swollen and leaking blood vessels — preserving and, in many cases, even improving vision. 

While certain treatments may work, frequent monitoring of your eyes coupled with managing your blood sugar levels can go a long way toward preventing or reducing diabetic retinopathy complications. 

If You Have Diabetes, Make Sure to: 

• Control blood sugar and blood pressure to prevent long-term damage to the fine blood vessels within the retina.  
• Keep a healthy lifestyle routine, especially during stressful times such as the COVID-19 pandemic. (Plus, while diabetics are in the high-risk category, your chances of developing serious COVID-19 related complications is lower if your diabetes is under control.)
• Maintain a steady diet and exercise regimen to help the body and mind feel better. 
• Quit smoking, if applicable; you can reach out to a medical professional for guidance.
• Get yearly diabetic eye exams.

Preventing and managing diabetic retinopathy require a multi-disciplinary approach involving your eye doctor and other medical professionals. Your eye doctor will perform a comprehensive eye exam to determine whether you have diabetic retinopathy, assess its severity, and discuss preventative strategies as well as the latest treatment options. 

Contact Progressive Family Eye Care, PLLC at 734-404-7740 to schedule your diabetic eye exam today, and to learn more about what you can do to protect your vision and general health.

Most people who wear glasses are familiar with the excitement and confidence boost that accompanies wearing new specs for the first time. But sometimes there is an adjustment period before your vision is fully comfortable. Things may look blurry, or you may notice feeling dizzy after prolonged wear. Some of these symptoms can be a normal part of the adjustment period, but sometimes they’re a reason to contact your eye doctor. If your new glasses are giving you trouble, speak with Dr. Sarah DiPonio-Tulchinsky about ensuring that your eyesight is both clear and comfortable. 

When Will My Eyes Adjust to My New Glasses?

It can take a few days to a few weeks for your eyes and brain to fully adjust to your new eyewear, whether you are increasing your prescription or wearing eyeglasses for the first time.

Even if you are getting new glasses with the same prescription, different frames or lenses can alter your vision until you get used to the new frame style or lens type. The complexity of your prescription and whether you buy a lens with premium optics versus basic spherical lens or polycarbonate material all can affect the adjustment time. 

Progressive lenses tend to be the most difficult to adjust to. This is related to the peripheral soft focus zones, which are much less blurred for customized lenses prescribed by your local optometrist. 

What Are Some Possible Visual Symptoms I Could Experience?

Some common experiences shared by those adjusting to new eyewear include:

• Eye strain, headache
• Blurry vision
• Trouble with depth perception, nausea and dizziness
• “Barrel distortion” — objects appear distorted, for high plus lenses
• “Fishbowl effect” — the feeling that your visual field is being bent along the edges, as if you’re looking through a fishbowl, common in high minus prescriptions 

Why Do My New Glasses Give Me a Headache? 

Fatigued eye muscles can cause headaches. But your eyes aren’t the only things adjusting to your new lenses. Your brain is also working hard to create a clear picture of the messages it’s receiving from your eyes. This extra brain activity can sometimes bring on a headache, which should only last about a day or so. 

Why Do I Feel Dizzy With My New Glasses?

Dizziness and nausea can be caused by problems with depth perception, similar to motion sickness. With motion sickness, you feel uneasy because your brain is having difficulty understanding the position of your body in relation to the space surrounding it. So when you wear your new glasses, your brain may need some time to understand how to interpret the new images it’s receiving, causing you to feel disoriented or dizzy. 

When Should I Call My Eye Doctor?

When the adjustment period extends beyond a few weeks, there is a possibility that there was an error in the manufacturing of the lenses. Many people purchase eyewear from somewhere other than their eye doctor or order glasses online, and some studies have shown that up to 40% of online eyewear is made incorrectly or inaccurately. 

It’s important to note that many offices may charge fees to check eyewear that is not made by them and that there may be fees for rechecking a patient’s refraction when glasses are made by another source.

Discomfort that lasts longer than a couple of weeks means it’s time to call your optometrist. Persistent symptoms like headaches, dizziness, or blurry vision can indicate that your glasses aren’t well suited to your eyes and need adjusting. Your optometrist will double check the prescription of the glasses among other things to ensure that the new glasses are right for you. 

If you need new glasses or are having a hard time adjusting to a new pair, don’t hesitate to contact Progressive Family Eye Care, PLLC to schedule an appointment with the Plymouth eye doctor. 

Playing outside in a snowy winter wonderland can be magical. Under clear skies in the sunshine, the soft white landscape becomes just about irresistible, whether at home or travelling on a winter-weather get-away. 

Before you let your children run outside to build the most adorable snowman or fling themselves onto the ski slopes, make sure their eyes are well protected. Sun and snow can be a dangerous combination for both the eyes and skin. 

Sunlight Reflected in the Snow

We all know why we need to wear sunglasses and sunscreen in the summer. Winter, however, can be deceiving. It’s an illusion to assume that we are safe from sunburns during the colder season. 

Snow acts as a powerful mirror for sunlight and magnifies the effects of UV rays which would otherwise be absorbed by the ground. As a result, the eyes are exposed to both the UV radiation bouncing back from the snowy carpet and the rays shining down directly from the sun. 

If your family is skiing or snowboarding up in the mountains, you need to be even more careful! UV rays are more powerful at higher altitudes. Another important factor to remember is that ultraviolet radiation penetrates through clouds, so even if the sun is hidden behind them, it can still damage your eyes.

Can I Get Sunburned Eyes?

As you may have already guessed, yes —it is possible to get sunburned eyes. The condition is called snow blindness, or photokeratitis. Although most people do not actually experience permanent vision loss, photokeratitis is usually painful, causes extreme sensitivity to light, and can take up to two weeks to fully heal. 

A single day of playing outside in the snow and being exposed to intensive sun glare can be enough to cause snow blindness— though usually with a delay of several hours following sun exposure. What’s worse, if the eyes are repeatedly sunburned there is a risk of long-term damage. 

Symptoms of Snow Blindness

Just like a typical skin sunburn appears only after having been exposed to the sun’s rays, the same is true for the eyes. One sign of overexposure to UV is a stinging or burning sensation in the eyes, or a feeling of having sand in your eyes after a day spent in the snow. 

When eyes are sunburned, they become highly sensitive to light, making it difficult to be outside. Other symptoms include blurred vision, watery eyes, and swollen eyelids. In rare cases, photokeratitis can even cause temporary vision loss, but it doesn’t usually last longer than a day or two.

How Do I Protect My Eyes From Sunburn?

Prevent overexposure to sunlight by wearing sunglasses that absorb at least 95% of ultraviolet radiation when you go outside, no matter what time of year it is. An even more effective solution for winter activities is to strap on a pair of well-fitting UV protective sports eyewear, such as ski goggles. Wrap-around styles are ideal because they stay on even when you’re active, and block the sun’s rays from entering your eyes from the sides too. 

For winter sports lovers, there are plenty of good reasons to wear protective eyewear, and what works well in sports can be good for play as well. 

How Can I Treat Sunburned Eyes?

It’s after the fact, and you’re suffering from photokeratitis… now what? Give your eyes a rest. 

• Stay out of the sun for a few days until the symptoms die down. 
• You may find it comforting to wear sunglasses even when indoors. 
• For additional relief, place a cool, damp cloth over the closed eyelids while resting.
• Don’t wear contact lenses until the eyes return to normal. 
• Artificial tears can help keep the eyes moistened, soothe discomfort and promote healing. However, it’s important to consult an eye doctor before running to the pharmacy, since some eye drops are not well-suited for this condition. You can give us a call at 734-404-7740.

Now that you know the risks and precautions to take, you’re all set to enjoy the winter wonderland! Dr. Sarah DiPonio-Tulchinsky at Progressive Family Eye Care, PLLC is happy to help you protect yourself and your family from snow blindness, and offers expert treatment for sunburned eyes. 

Swimming in a pool with your contacts on or topping off your solution may seem harmless, but they could compromise your contact lenses and your vision.

Below are daily habits to adopt for optimal contact lens care:

Wash Your Hands Regularly

Whether you use daily or monthly contact lenses, make sure to first wash your hands. Placing your finger on some clear tape and seeing the mark you leave will give you some indication of what you’re putting on your contact lenses if you don’t wash and dry your hands beforehand. Avoid using scented or oily soaps, as their residue might stick to the lens surface. Similarly, avoid creams and lotions prior to inserting contacts into your eyes. 

This one simple and easy habit can make a massive difference in your eye health and can potentially prevent eye irritation and infections. 

Clean Your Contacts Daily

You must clean and disinfect your contact lenses on a daily basis, unless you use daily disposables, of course. There are several cleansing systems and solutions available — the choice depends on the type of lens you use. Speak with Dr. Sarah DiPonio-Tulchinsky to determine the best cleaning solution for your lenses and eyes.

Avoid Contact with Water

It might seem harmless, but we advise against using tap water, as it contains impurities and microorganisms that can cause infections. Furthermore, tap water can lead your contacts to swell and change their shape. If you must swim with your contact lenses on, make sure to wear protective goggles and clean them with solution when you come out of the pool.

Never Ever Use Saliva 

Your mouth is filled with germs, which are fine for your teeth but not for your eyes. Avoid using saliva to “clean” or moisten your contact lenses.  

Do Not Top off Solution

Just as you shouldn’t mix spoiled food with fresh foods, you should not top off yesterday’s solution in your contact lens case with fresh solution. The concoction might not contain enough disinfectant to kill off organisms and clean your lenses. 

Routinely Change the Contact Lens Case

Many people don’t know about this one, but it’s recommended to change your contact lens case every 2-3 months, as microscopic dirt may linger in the case, leading to contamination and eye infections. 

Don’t Sleep with Your Lenses On

It’s important to give your cornea a chance to breathe; sleeping with your contacts may cause redness, soreness and infections. So make sure to remove your contact lenses before you get some shut-eye, unless they’re specialty lenses which are intended to be worn overnight. 

If you’re using orthokeratology (ortho-k) lenses to reshape your cornea, do wear them at night or as instructed by your eye doctor. 

Get That Annual Eye Exam

Don’t forget to book your yearly eye exam at Progressive Family Eye Care, PLLC in Plymouth, as your vision can change. You can’t purchase new contact lenses with an expired prescription anyway, so you’ll need an updated one when your contact lens supply is running low. Furthermore, getting an exam is also an excellent opportunity to ask Dr. Sarah DiPonio-Tulchinsky any questions you may have.

April is Parkinson’s Awareness Month in the USA and Canada, a time when those living with the disorder, their family members, friends, and community come together to raise awareness and share helpful information. People with Parkinson’s Disease (PD) and their loved ones are encouraged to share their stories, struggles, and successes in order to educate and support others.

The Parkinson’s Foundation has announced this year’s theme: #KeyToPD and Parkinson Canada advocates the same involvement. What is the key to living a high quality of life while living with Parkinson’s? Patients, doctors, caregivers, and families are encouraged to use this hashtag on social media to give of their knowledge and experience.

In order to successfully manage the disorder, it’s essential to understand the disease, symptoms, and treatments. After all, knowledge is power.

What is Parkinson’s Disease?

Parkinson’s Disease is a neurological disorder that affects the brain’s ability to control physical movement. It typically affects middle aged people and the elderly. Parkinson’s causes a decrease in the brain’s natural levels of dopamine, which normally aids nerve cells in passing messages within the brain. According to The Parkinson’s Foundation and Statistics Canada, the disorder affects an estimated 1 million people in the United States, 55 000 Canadians, and 10 million globally.

What Causes Parkinson’s Disease?

Although much research has been done on the subject, the exact cause of the disease isn’t really known. What doctors and scientists do know is that certain nerve cells located in the brain somehow break down. This damage interferes with both motor and non-motor functions.

How Does Parkinson’s Affect Vision?

Parkinson’s can have a significant impact on vision and ocular health. Patients with PD often find themselves unable to control blinking. Blinking is good for the eyes as it moisturizes the surface and clears it from foreign substances. Less blinking can cause Dry Eye Syndrome, resulting in itchy, red, or gritty-feeling eyes. Other people blink too much or can’t keep their eyes open. 

In more serious cases, Parkinson’s affects the nerves that help us see. Someone with PD may experience blurry vision, double vision, difficulty seeing color and contrast, problems with focus, and other visual symptoms. 

In addition to the inherent impact of the disease, some of the medications used to treat Parkinson’s symptoms have known side effects including dry eyes, blurred eyesight and even hallucinations in advanced PD.

Common Visual Symptoms of Parkinson’s

Although the most recognized physical symptom is uncontrollable tremors, patients can experience other symptoms that affect their vision. These typically include:

• Apraxia (inability to open the eyelids) 
• Blurry or double vision
• Difficulty with balance
• Dry eyes
• Eye twitching
• Focusing problems

Parkinson’s Patients and Eye Exams

Eye exams can be particularly challenging for a PD patient, so choosing the right doctor is essential. Make sure your eye doctor regularly treats patients with PD. They’ll understand your or your loved ones’ unique needs and will take the time needed.

Common Non-Visual Symptoms of Parkinson’s

PD affects other areas of the body that may or may not – depending on each patient – be related to their eye health and visual needs. 

Some of the most common non-visual symptoms are:

• Depression
• Excessive saliva
• Loss of smell
• Moodiness
• Muscle cramps
• Sleep disturbance
• Slow movement (bradykinesia)
• Stiff limbs
• Tremors

Coping With Vision Problems From Parkinson’s

Despite the struggles caused by this degenerative disease, there is hope. Talk to your eye doctor. He or she may recommend medicated ointments or drops, injections, therapeutic lenses, visual aids, vision therapy, or a combination thereof. Additionally, a Neuro-Optometric Rehabilitation doctor can provide comprehensive eye care specifically designed for neurological disorders like PD.

Treatment for Parkinson’s Disease

There is currently no cure for the disease itself, but there are options to treat the symptoms of PD. A combination of medications, physical and/or occupational therapy, support groups, and of course, top-quality vision care can give a PD patient relief for some of their symptoms and tools to help cope with the condition.

Research and clinical trials are continuing as doctors and others in the medical community work towards the goal of finding a cure for PD.

No two patients are alike, and each can experience PD differently from the other, so finding what works for you or your loved one is key. During this Parkinson’s Awareness Month, share your #KeyToPD and give your loved ones hope for a healthy and high quality of life.

March 8th is International Women’s Day, a day when women are honored and their accomplishments celebrated worldwide. From medicine to law, entrepreneurship to corporate leadership, education to the military, women are achieving great strides in areas of business like never before.

In addition to professional achievements, International Women’s Day is a time for women to focus inwards on their personal goals, relationships, and health. From the adolescent years to pregnancy, childbirth, and menopause, women’s bodies go through some major changes that can affect many areas of their health, especially their vision.

Age Is Just a Number, But Not For Your Vision

They say that ‘age is just a number’, but when it comes to women’s health, it’s essential to pay close attention to any signs of changing vision as we get older.

Women over 40 have a higher risk of developing eye disease, impaired vision, and blindness than men. They are more likely to develop eye conditions such as Cataracts, Diabetic Retinopathy, and Dry Eye Syndrome. In fact, 61% of Glaucoma patients and 65% of Age-Related Macular Degeneration patients are female, so it’s crucial that women know the risk factors and signs of developing these conditions.

Put Your Needs First

Women are typically the family caretakers, running a spouse, children, or elderly parents to the doctor, putting their own healthcare needs last. It’s time to put your eye care needs first. Don’t ignore symptoms or push them off for another day. Take care of yourself, and you’ll be able to continue being there for others.

Signs and Risk Factors of Vision Problems

Knowing what to look out for is a crucial step in keeping your eyes healthy and enjoying great vision.

Genetics often play a key role in many health issues. Just like people inherit eye color and shape, hair color and texture, and facial features from parents, vision difficulties or diseases can also be hereditary. If something runs in the family, you may be more susceptible to developing it and passing it on to your children, as well.

Pregnancy can temporarily affect a woman’s vision. This is due to the hormonal changes in the body, which typically stabilize after breastfeeding has stopped. A pregnant woman with diabetes must be closely monitored, since diabetic retinopathy (swelling or leaking of blood vessels in the retina) can progress more quickly during the pregnancy.

Climate and environment are also important factors when it comes to eye health. Extremely cold or hot climates can cause dry eye symptoms. A healthy amount of sun exposure is good for the skin, but an excessive amount can harm your eyes and even lead to vision loss. Smoking dehydrates the skin and can lead to eye bags and dark circles, not to mention a whole slew of serious eye diseases like cataracts, macular degeneration, glaucoma, and diabetic eye disease. 

Symptoms of Declining Vision and Eye Conditions

Some of the most common signs of declining vision or eye disease include:

• Blind spots
• Blurry or distorted vision
• Burning sensation
• Gritty feeling
• Itchy eyes
• Redness
• Shadows or dark spots on an image
• Stinging
• Swelling or soreness in the eye
• Watery eyes

If you or a loved one experiences any of these symptoms, or if you feel like something just isn’t right with your eyes, speak with your eye doctor right away. Mention any other conditions or medications you may be taking, including birth control pills (a known contributor to Dry Eye Syndrome), and even natural supplements or vitamins. Other factors such as an irregular menstrual cycle, fertility treatments, or cosmetic procedures may impact your vision in ways you may be unaware of, so disclosing this to your doctor is important.

What Can You Do to Improve Your Eye Health?

There are some preventative measures that women can take to ensure their eye health and overall vision are at their best.

1. Keep that body hydrated! Mothers always say it, doctors remind us too, and they’re right. Drinking 8 glasses of water daily is great for your skin and can prevent dry eye symptoms from forming.
2. Quit smoking. Not only is it bad for your lungs, but it can cause eye problems, like dryness, itchiness, and swelling, as well as more serious eye diseases associated with vision loss.
3. Love the outdoors? Wear UV-blocking sunglasses when you’re at the beach or even hanging out in your backyard, to protect against harmful sun rays. Polarized lenses are a great way to shield your eyes from strong glare.
4. Eat healthy. A balanced diet including a variety of vitamin-rich fruits and vegetables may help protect you from several eye conditions including dry eyes, macular degeneration, and even diabetic retinopathy.
5. Try to get more shut-eye. A healthy amount of sleep ensures your eyes are rested and clear the next day.

On this International Women’s Day, let’s work together to keep the women in our lives healthy for many years to come.