Two Patients With Macular Degeneration Get Artificial Retinas

LYON, France — A 72-year-old woman with dry age-related macular degeneration (AMD) was the first patient to receive an artificial retina implant as part of the multicenter PRIMAvera clinical trial, which is looking at the safety and efficacy of the PRIMA system.

“Her vision was severely impaired by this condition. We used the ETDRS chart to assess her visual acuity, as this is the current method in ophthalmology. She was able to read only nine letters,” said Laurent Kodjikian, MD, PhD, from Hôpital de la Croix-Rousse in Lyon, who is a former president of the French Society of Ophthalmology. To put that in perspective, a person with normal vision can make out 85 letters, he explained.

“The goal is to get her reading another ten letters,” he told Medscape Medical News.

The hospital where Kodjikian works is one of six centers in France selected to take part in the ongoing AMD clinical trial; other study sites are in Germany, Italy, the Netherlands, and Spain. The 38 study participants will be followed for 12 months after implantation to assess visual acuity and adverse events, and outcomes will be monitored for 3 years. Investigators hope that the findings will lead to the device receiving authorization to enter the market.

The PRIMA artificial retina system has three elements: a tiny wireless retinal implant; a pair of glasses with a camera and digital projector; and a portable processor connected to the projector. The camera captures visual scenes from the surrounding environment. The processor uses algorithms to process and simplify the images, which are then sent back to the glasses. The digital projector uses pulses of infrared light to project the processed images onto the retinal implant’s photovoltaic receptors. These receptors then convert the optical information into electrical stimulation, which excites the nerve cells of the inner retina, allowing them take in the information and transmit it, via the optic nerve, to the brain. This then induces visual perception.

A Delicate Operation

To implant the chip, Kodjikian made a rather large incision — 3.5 mm — and then peeled off the retina, all while looking through a surgical microscope.

“It’s easy to peel off the retina in a healthy eye. However, the procedure becomes more difficult in an eye affected by dry AMD, where the retina tissue is not only very thin and firmly attached to the back wall of the eye, but is also very fragile. A lot can go wrong during this step, so we have to really take our time,” he said. “You can’t go too deep, and if you go too close to the surface, you risk perforating the retina. Like walking on a very thin tightrope, there’s danger all around, and very little room for error.”

After the chip was inserted under the retina, Kodjikian put the retina tissue back into place. “This was the first time I’d ever done this kind of procedure, and it was quite a challenge,” he told Medscape.

The operation took 2.5 hours, which is much less time than the 4 to 5 hours estimated by the manufacturer.

The patient will undergo rehabilitation for 12 months to help her adapt to the system. “Our hope is that this patient will be able to see better with the implant. She probably won’t get to the point of being able to drive a car. And while reading novels in small print may not be possible, it’s quite likely that she’ll be able to read large-print editions,” Kodjikian explained.

Upon activation of the retinal prosthetic, the patient experienced visual impressions that she couldn’t see before the surgery. And 1 month after the procedure, things seem to be on track, according to a press release. “The postoperative result is excellent. There are no complications, the chip is perfectly in place and the vision has not been degraded by the operation. She should now start to improve thanks to rehabilitation,” said Kodjikian.

“Of the various artificial retina systems out there, this one is the most sophisticated because it has the most pixels. The technology will certainly continue to advance. But for the time being, the clinical study should allow us to show that it does work,” he concluded.

In December 2021, he implanted an artificial retina in a second patient, and it took him 50 minutes less than the first one.

This article originally appeared in the French edition of Medscape.

The authors have disclosed no relevant financial relationships.

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Eye care and safety

Your eyes are an important part of your health. Most people rely on their eyes to see and make sense of the world around them. But some eye diseases can lead to vision loss, so it is important to identify and treat eye diseases as early as possible. You should get your eyes checked as often as your health care provider recommends it, or if you have any new vision problems. And just as it is important to keep your body healthy, you also need to keep your eyes healthy.

Eye Care Tips

There are things you can do to help keep your eyes healthy and make sure you are seeing your best:

  • Eat a healthy, balanced diet. Your diet should include plenty or fruits and vegetables, especially deep yellow and green leafy vegetables. Eating fish high in omega-3 fatty acids, such as salmon, tuna, and halibut can also help your eyes.
  • Maintain a healthy weight. Being overweight or having obesity increases your risk of developing diabetes. Having diabetes puts you at higher risk of getting diabetic retinopathy or glaucoma.
  • Get regular exercise. Exercise may help to prevent or control diabetes, high blood pressure, and high cholesterol. These diseases can lead to some eye or vision problems. So if you exercise regularly, you can lower your risk of getting these eye and vision problems.
  • Wear sunglasses. Sun exposure can damage your eyes and raise your risk of cataracts and age-related macular degeneration. Protect your eyes by using sunglasses that block out 99 to 100% of both UV-A and UV-B radiation.
  • Wear protective eye wear. To prevent eye injuries, you need eye protection when playing certain sports, working in jobs such as factory work and construction, and doing repairs or projects in your home.
  • Avoid smoking. Smoking increases the risk of developing age-related eye diseases such as macular degeneration and cataracts and can damage the optic nerve.
  • Know your family medical history. Some eye diseases are inherited, so it is important to find out whether anyone in your family has had them. This can help you determine if you are at higher risk of developing an eye disease.
  • Know your other risk factors. As you get older, you are at higher risk of developing age-related eye diseases and conditions. It is important to know you risk factors because you may be able to lower your risk by changing some behaviors.
  • If you wear contacts, take steps to prevent eye infections. Wash your hands well before you put in or take out your contact lenses. Also follow the instructions on how to properly clean them, and replace them when needed.
  • Give your eyes a rest. If you spend a lot of time using a computer, you can forget to blink your eyes and your eyes can get tired. To reduce eyestrain, try the 20-20-20 rule: Every 20 minutes, look away about 20 feet in front of you for 20 seconds.

Eye Tests and Exams

Everyone needs to have their eyesight tested to check for vision and eye problems. Children usually have vision screening in school or at their health care provider’s office during a checkup. Adults may also get vision screenings during their checkups. But many adults need more than a vision screening. They need a comprehensive dilated eye exam.

Getting comprehensive dilated eye exams is especially important because some eye diseases may not have warning signs. The exams are the only way to detect these diseases in their early stages, when they are easier to treat.

The exam includes several tests:

  • A visual field test to measure your side (peripheral) vision. A loss of peripheral vision may be a sign of glaucoma.
  • A visual acuity test, where you read an eye chart about 20 feet away, to check on how well you see at various distances
  • Tonometry, which measures your eye’s interior pressure. It helps to detect glaucoma.
  • Dilation, which involves getting eye drops that dilate (widen) your pupils. This allows more light to enter the eye. Your eye care provider examines your eyes using a special magnifying lens. This provides a clear view of important tissues at the back of your eye, including the retina, macula, and optic nerve.

If you have a refractive error and are going to need glasses or contacts, then you will also have a refraction test. When you have this test, you look through a device that has lenses of different strengths to help your eye care professional figure out which lenses will give you the clearest vision.

At what age you should start getting these exams and how often you need them depends on many factors. They include your age, race, and overall health. For example, if you are African American, you are at higher risk of glaucoma and you need to start getting the exams earlier. If you have diabetes, you should get an exam every year. Check with your health care provider about if and when you need these exams

Computer Vision Problems

Computer vision problems or Digital eye strain is a group of eye and vision problems. The problems can include eyes that itch and tear, and are dry and red. Your eyes may feel tired or uncomfortable. You may not be able to focus normally. These problems are caused by lots of computer or digital device use. Using e-readers and smartphones may also cause these problems.

These problems have been increasing in frequency over the past few decades. Many people have some symptoms if they use a computer or digital device for long periods. Most computer or digital device users have symptoms at least some of the time. Digital eye strain is very common in both children and adults.

What causes digital eye strain?

For many reasons, reading text on a computer screen or digital device is often harder for the eyes than reading printed text. This is why working on a computer for a few hours may cause symptoms of digital eye strain, but reading a book may not.

Several factors help to cause digital eye strain, such as:

  • Screen glare
  • Poor lighting
  • Poor posture while using a computer
  • Viewing a computer at the wrong distance and angle
  • Uncorrected vision problems
  • A combination of many of these factors

People often blink less when using a computer than when reading printed text. This can cause dry eye, This may contribute to digital eye strain.

Who is at risk for getting digital eye strain?

You may be at greater risk for digital eye strain if you:

  • Spend a few hours or more a day at a computer or on a digital device
  • Are too close to your computer or digital device screen
  • View your computer or digital device at the wrong angle
  • Have bad posture while using your computer or digital device
  • Have eye problems (even minor ones) not corrected with glasses or contact lenses
  • Have a pair of glasses that is not suitable for viewing the distance of your computer
  • Don’t take breaks while you are working

You may have an underlying problem with dry eye. This may make digital eye strain worse, or more likely to occur. Dry eye is more common in women than in men. It also becomes more common with age. Some medicines and health problems make dry eye more likely. For example, if you use antihistamines, you may be at greater risk of having dry eye. If you have thyroid disease or certain autoimmune diseases, you are also at greater risk of having dry eye.

What are the symptoms of digital eye strain?

Digital eye strain can cause many symptoms, including:

  • Blurred vision
  • Double vision
  • Dry eye
  • Eye discomfort
  • Eye fatigue
  • Eye itching
  • Eye redness
  • Eye tearing
  • Headaches
  • Neck and shoulder pain

Most of these symptoms are short-term (temporary). They often lessen or go away when you stop using your computer or device. But symptoms may continue for a longer time.

The severity of symptoms may vary depending on:

  • How long you have been using the computer or digital device
  • Your underlying eye problems
  • Other factors that cause digital eye strain.

Symptoms may get worse if you don’t resolve the problem.

Using a computer or digital device for a long time can also lead to other symptoms. This includes neck and shoulder pain. This is often due to poor alignment and posture when using the computer or digital device. Some healthcare providers call these symptoms part of digital eye strain as well.

How is digital eye strain diagnosed?

Your eye care provider will make a diagnosis with a health history and complete eye exam. They will assess if any health problems, medicines, or environmental factors might be adding to your symptoms.

Your eye care provider may test the sharpness of your vision and how well your eyes focus and work together. For a more detailed exam your provider may want to dilate (enlarge) your pupils. Then they will use a device (ophthalmoscope) to look at the back of your eye. In some cases, you may need to get follow-up blood tests for healthcare problems that might be helping to cause your digital eye strain.

How is digital eye strain treated?

Treatment includes creating a better work environment.

  • Rest your eyes at least 15 minutes after each 2 hours of computer or digital device use.
  • Every 20 minutes, look into the distance at least 20 feet away from the computer or digital device. Do this for at least 20 seconds.
  • Enlarge the text on your computer screen or digital device.
  • Reduce glare from the light sources in your environment.
  • Think about using a screen glare filter.
  • Place your screen so that the center of it is about 4 to 5 inches below eye level (about 15 to 20 degrees from the horizontal).
  • Place your screen about 20 to 28 inches from your eye.( About arm’s length.)
  • Remember to blink often.
  • Fix your chair height so your feet can rest comfortably on the floor. Don’t slump over the computer screen.

Making these changes may help eliminate digital eye strain in many people.

Your eye care provider will also need to treat any hidden health problems that may be adding to your digital eye strain. For instance, you might need a new pair of glasses. If you have an underlying dry eye problem, your eye care provider might advise the following:

  • Using lubricating drops
  • Treating allergies, if you have them
  • Creating a more humid work environment
  • Drinking more fluids (staying hydrated)
  • Taking a prescription medicine to increase tear production

What can I do to prevent digital eye strain?

Create a better work environment to help prevent digital eye strain. If you use glasses or corrective lenses, see your eye care provider at least once a year or as advised for a checkup. Also see your healthcare provider regularly. This can help prevent and treat health problems that can help cause digital eye strain.

Key points about digital eye strain

  • Digital eye strain is a group of related eye and vision problems caused by extended computer or digital device use.
  • Symptoms include eye discomfort and fatigue, dry eye, blurry vision, and headaches.
  • Uncorrected vision problems are a major cause.
  • Sometimes hidden health problems help to cause it.
  • Having a better computer work environment may help improve symptoms.
  • Resting your eyes regularly is one of the best ways to prevent and treat digital eye strain.

Next steps

Tips to help you get the most from a visit to your healthcare provider:

  • Know the reason for your visit and what you want to happen.
  • Before your visit, write down questions you want answered.
  • Bring someone with you to help you ask questions and remember what your healthcare provider tells you.
  • At the visit, write down the name of a new diagnosis, and any new medicines, treatments, or tests. Also write down any new instructions your healthcare provider gives you.
  • Know why a new medicine or treatment is prescribed, and how it will help you. Also know what the side effects are.
  • Ask if your condition can be treated in other ways.
  • Know why a test or procedure is recommended and what the results could mean.
  • Know what to expect if you do not take the medicine or have the test or procedure.
  • If you have a follow-up appointment, write down the date, time, and purpose for that visit.
  • Know how you can contact your healthcare provider if you have questions.

Uveitis

Overview

Uveitis is a form of eye inflammation. It affects the middle layer of tissue in the eye wall (uvea).

Uveitis (u-vee-I-tis) warning signs often come on suddenly and get worse quickly. They include eye redness, pain and blurred vision. The condition can affect one or both eyes, and it can affect people of all ages, even children.

Possible causes of uveitis are infection, injury, or an autoimmune or inflammatory disease. Many times a cause can’t be identified.

Uveitis can be serious, leading to permanent vision loss. Early diagnosis and treatment are important to prevent complications and preserve your vision.

Symptoms

Uvea where uveitis occursEye with uveaOpen pop-up dialog box

The signs, symptoms and characteristics of uveitis may include:

  • Eye redness
  • Eye pain
  • Light sensitivity
  • Blurred vision
  • Dark, floating spots in your field of vision (floaters)
  • Decreased vision

Symptoms may occur suddenly and get worse quickly, though in some cases, they develop gradually. They may affect one or both eyes. Occasionally, there are no symptoms, and signs of uveitis are observed on a routine eye exam.

The uvea is the middle layer of tissue in the wall of the eye. It consists of the iris, the ciliary body and the choroid. When you look at your eye in the mirror, you will see the white part of the eye (sclera) and the colored part of the eye (iris).

The iris is located inside the front of the eye. The ciliary body is a structure behind the iris. The choroid is a layer of blood vessels between the retina and the sclera. The retina lines the inside of the back of the eye, like wallpaper. The inside of the back of the eye is filled with a gel-like liquid called vitreous.

The type of uveitis you have depends on which part or parts of the eye are inflamed:

  • Anterior uveitis affects the inside of the front of your eye (between the cornea and the iris) and the ciliary body. It is also called iritis and is the most common type of uveitis.
  • Intermediate uveitis affects the retina and blood vessels just behind the lens (pars plana) as well as the gel in the center of the eye (vitreous).
  • Posterior uveitis affects a layer on the inside of the back of your eye, either the retina or the choroid.
  • Panuveitis occurs when all layers of the uvea are inflamed, from the front to the back of your eye.

When to seek medical advice

Contact your doctor if you think you have the warning signs of uveitis. He or she may refer you to an eye specialist (ophthalmologist). If you’re having significant eye pain and unexpected vision problems, seek immediate medical attention.

Causes

In about half of all cases, the specific cause of uveitis isn’t clear, and the disorder may be considered an autoimmune disease that only affects the eye or eyes. If a cause can be determined, it may be one of the following:

  • An autoimmune or inflammatory disorder that affects other parts of the body, such as sarcoidosis, ankylosing spondylitis, systemic lupus erythematosus or Crohn’s disease
  • An infection, such as cat-scratch disease, herpes zoster, syphilis, toxoplasmosis or tuberculosis
  • Medication side effect
  • Eye injury or surgery
  • Very rarely, a cancer that affects the eye, such as lymphoma

Risk factors

People with changes in certain genes may be more likely to develop uveitis. Cigarette smoking has been associated with more difficult to control uveitis.

Complications

Left untreated, uveitis can cause complications, including:

  • Retinal swelling (macular edema)
  • Retina scarring
  • Glaucoma
  • Cataracts
  • Optic nerve damage
  • Retinal detachment
  • Permanent vision loss

Headaches and your eyes

How a Headache Can Affect Your Eyes and Vision

By Troy Bedinghaus, OD  Medically reviewed by Diana Apetauerova, MD on September 08, 2020

Have you ever had a headache that affected your vision? Sometimes a headache can cause pain around your eyes, even though the headache is not associated with a vision problem. On the other hand, a headache may be a sign that your eyes are changing and that it’s time to schedule an eye exam. Although headaches are rarely a medical emergency, a severe one should not be ignored or minimized.

headaches and vision
Verywell / Luyi Wang

Headaches That Affect Vision

Vision problems can sometimes be the consequence of a headache. This is especially true with migraines and cluster headaches.

Migraine Headache

A migraine headache can cause intense pain in and around your eyes. A migraine aura resembling flashing lights, a prismatic rainbow of lights or a zig-zag pattern of shimmering lights often precedes the actual headache. The aura typically lasts around 20 minutes.

Some people who experience a migraine aura never develop the actual headache, making the diagnosis of the visual disturbances difficult.1 Migraines can also cause tingling or numbness of the skin. People with severe migraines may experience nausea, vomiting, and light sensitivity. Medications, certain foods, smells, loud noises, and bright lights can all trigger a migraine headache.An Overview of Migraine With Aura

Cluster Headache

Cluster headaches are severe headaches that occur in clusters and typically cause pain around the eyes. The pain often radiates down the neck to include the shoulder. Other symptoms include:

Cluster headaches may occur daily for several months at a time followed by a long period with no headaches. It is not known what causes cluster headaches, but they are clearly one of the most severe headaches one can experience.

Vision Problems That Cause Headaches

On the flip side, vision problems can cause headaches when you either overwork the eyes or struggle to maintain focus. By correcting the vision problem, you can often resolve the headache.

Eye Strain

Simply overusing the focusing muscles of your eyes can cause eye strain and headaches. This is an increasing problem in our high tech world

Small-screen texting and web browsing can easily cause eye strain, in part because the words and images on a computer screen are made up of pixels and do not have well-defined edges. The eyes cannot easily focus on pixels, so they must work harder even if an image is in high-resolution.2 When the eye muscles become fatigued, a headache can develop around or behind the eyes.

Farsightedness

Adults and children with uncorrected farsightedness (hypermetropia) will often experience a frontal headache (also known as a “brow ache”). If you are farsighted, you may find it difficult to focus on nearby objects, resulting in eye strain and headaches. As you subconsciously compensate for your farsightedness by focusing harder, the headaches can become worse and more frequent.

Presbyopia

Around the age of 40, people begin to find it difficult to focus on nearby objects. Near point activities, such as reading or threading a needle, are often difficult to perform because of blurring. This is an unavoidable condition known as presbyopia that affects everyone at some point. Headaches develop as you try to compensate for the lack of focusing power. Reading glasses can often relieve the underlying eye strain.

Occupations requiring close-up work, exposure to sunlight for longer periods of time, and farsightedness were the most common risk factors for presbyopia.3Presbyopia: Close-Up Vision Loss and What to Do About It

Giant Cell Arteritis

Also known as temporal arteritis, giant cell arteritis (GCA) is an inflammation of the lining of the arteries that run along the temple. GCA usually creates a headache that causes constant, throbbing pain in the temples. Vision symptoms occur as a result of a loss of blood supply to the optic nerve and retina. Other symptoms include:

  • Fever, fatigue and muscle aches
  • Scalp tenderness
  • Pain while chewing
  • Decreased vision​

GCA is considered a medical emergency. If left untreated, the condition may cause vision loss in one or both eyes. A delayed diagnosis is the most common cause of GCA-associated vision loss.42:18

What Is a Retinal Migraine?

Acute Angle-Closure Glaucoma 

Acute angle-closure glaucoma (AACG) is a rare type of glaucoma that causes a sudden onset of symptoms, including headaches. Eye pressure rises quickly in AACG causing increased eye redness, eye pain, and cloudy vision. A mid-dilated pupil (in which pupil dilation is sluggish and incomplete) is one of the most important diagnostic features of AACG.5

Ocular Ischemic Syndrome

Ocular ischemic syndrome (OIS) is a condition that develops due to a chronic lack of blood flow to the eye. This condition often causes a headache, decreased vision, and a host of other signs, including cataracts, glaucoma, iris neovascularization (the development of new weak blood vessels in the iris), and retinal hemorrhage. White spots on the retina indicate a lack of blood flow and oxygen to the retinal tissue.2:18

What Is a Retinal Migraine?

Herpes Zoster

Also known as shingles, herpes zoster is known for causing headaches, vision changes and severe pain around the head and eye. Herpes zoster is a reactivation of the chickenpox virus and affects a single side of the body. A headache usually precedes an outbreak of painful skin blisters.

Herpes zoster around the eyes is serious and requires immediate medical attention (including antiviral medication) to prevent damage to the ocular nerves and eyes. Complications include corneal clouding, glaucoma, and optic nerve atrophy (deterioration).6

Pseudotumor Cerebri

Pseudotumor cerebri is a condition that occurs when the pressure within the skull increases for no apparent reason. For this reason, pseudotumor cerebri is also referred to as Idiopathic Intracranial hypertension (“idiopathic” meaning of unknown origin and “hypertension” meaning high blood pressure).

Pseudotumor cerebri often causes a headache and changes in vision. If left untreated, pseudotumor cerebri can lead to vision loss as the pressure places strain on the optic nerves. Fortunately, while 65% to 85% of people with pseudotumor cerebri will experience visual impairment, the condition is usually transient and will normalize when the hypertension is controlled.

Eye Diseases in Africa

Blindness is a major public health problem in African because of the sheer number of people so afflicted. Economic survival is a struggle for the average, non-handicapped person in a developing country. The burden of blindness is therefore a major added frustration to the individual’s economic independence and social development.

Eye care delivery has not received much attention in many African countries. Although the need for eye care cannot be denied, it is competing for scarce resources with more compelling problems like high maternal and infant mortality and acute medical and surgical problems.c Ophthalmologists are few and tality and acute medical and surgical problems. Ophthamologists are few and the traditional hospital-based curative ophthalmic practice is expensive to run.

By and large, ophthalmologists, optometrists and hospitals are situated in big cities and towns while more than 80% of the population lives in rural areas and villages.The majority of the population is therefore underserved or not served at all. For every patient who attends the hospital, there are  probably 4-5 needy patients who have not visited the doctor because they are too poor, too far from the hospital or just ignorant of what can be done. Besides, taboos and sociocultural attitudes often discourage patients from using existing modern facilities. Consequently, diseases are usually seen at an advanced stage. These factors, contributing to late presentation, together with inadequate facilities lead to a pool of curably blind as is seen in the cataract backlog in Africa.

The eye diseases seen in Africa are often no different from those encountered in Europe; most of them are treatable or preventable, but their neglect has a devastating effect on vision.

Cataracts are very commonly seen in Africa, accounting for approximately 50% of all cases of blindness. They may be congenital in origin; often due to intrauterine infection like rubella, or metabolic diseases in the child like galactosaemia. Cataracts may also complicate injuries to the eye; but more commonly they are seen in the elderly.

Senile cataracts are known to occur at an earlier age in the tropics, and recent work suggests that severe diarrheoal diseases early in life may be a contributory factor. It will be interesting to see in a few year’s time the effect of oral rehydration therapy on the prevalence of cataracts. The surgical treatment of cataracts is very rewarding, but advantage of this fact is often not taken, due mainly to inadequate facilities and ignorance. Mobile eye units being operated by various non-governmental organizations are now unable to afford the cost of corrective glasses, as is often the case, the improvement in vision is often adequate to enable him to look after himself and move around, thereby ceasing to be a burden on family and friends. Although more cataract operations are now being done, contact lenses and intraocular lens implantations, which have become routine in developed countries, are not usually available in Africa.

Infections of the external eye are very common, notably among which are trachoma, conjuctivitis of the newborn, epidemic haemorrhagic keratocon-junctivitis, corneal ulcers, measles, Keratoconjunctivitis and leprosy. The infection may spread to the inner eye and lead to loss of the eyre. Eye infections may be responsible for up to 25% of all cases of blindness in Africa.

Glare Reducing Lenses: Understanding Their Uses

Glare Reducing Lenses: Understanding Their Uses

There are two main types of glare reducing lenses for eyewear: lenses with an anti-reflective coating and polarized lenses. Both help to prevent glare in their own way. Glare reducing lenses can improve vision clarity, help people see better while driving at night, reduce annoying glare from water or other horizontal surfaces, and eliminate noticeable reflections on a lens itself.

What is glare?

Glare is caused by light bouncing off of a reflective surface. When talking about eyewear, people are most likely referring to lens glare or environmental glare. Lens glare is caused by the reflection of light off the surface of a lens. Whether it belongs to a camera, telescope, binoculars, or even just glasses, all lenses have some level of reflection with the lowest amount of reflection being less than 0.1%. Eyeglass lenses without a glare-reducing coating typically allow around 90% of light to pass through, depending on the lens material. The other 10% of the light reflects off the surfaces of the lens. The glare caused by this 10% reduces vision clarity, causes people to see halos around headlights and street lamps at night, and creates bright, almost white reflections on the lens itself.

Environmental glare is caused by light waves reflecting off of flat surfaces like water or the highway. It becomes focused and travels in a uniform direction parallel to that surface, creating a bright and intense reflection that we call glare. This type of glare affects everyone, regardless of whether or not they wear glasses.

glare reducing lenses

Outline, in Black

How do glare reducing lenses work?

While it may be impossible to eliminate 100% of the glare on glasses lens, technology has helped to get the number as close to 0 as possible. While both anti-reflective coatings and polarized lenses help to reduce glare, the technology behind these two is quite different. An anti-reflective coating (also known as AR or anti-glare coating) actually encourages more light to pass through a lens. When more light passes through, less light reflected off its surfaces, and thus, less glare.

Polarized lenses, on the other hand, reduce glare by absorbing light waves from a certain orientation. Most polarized lenses for eyewear are oriented to absorb horizontal light waves reflected off of flat surfaces like a lake or the snow-covered ground.

When it comes to eyewear, AR coatings are applied both eyeglass lenses and sunglass lenses. Anti-glare coating is applied to both sides of a lens to prevent light from reflecting off the back of the lens as well. Polarized lenses are typically used for sunglasses since the nature of its glare reducing technology is to block light instead of letting more through.

The benefits of glare reducing lenses

Many people question whether or not it’s worth it to get glare reducing lenses. The short answer is: while not everyone may need sunglasses with polarized lenses, lenses with an anti-reflective coating will vastly improve the quality of life for a glasses wearer.

Lens glare is a major source of eye strain since it reduces vision clarity, forcing your eyes to work harder to focus. People who work with computers are especially susceptible to this type of eye strain since illuminated screens act as a direct and constant source of glare on lenses. Adding AR coating to your lenses significantly lessens this glare, helps you see more clearly, and reduces eye strain caused by computer screens.

Glares called “halos” can be seen around the headlights of cars and street lamps. These halosare a great source of discomfort and distraction for glasses wearers who drive at night. They reduce visibility and make nighttime driving difficult. Anti-glare coating prevents these halos and helps to make driving at night safer for glasses wearers.

If you’re someone who is both literally and figuratively in the spotlight a lot, anti-reflective coating is a must. Glare caused by bright lights reflecting off a lens can be distracting. It also obscures your eyes, making it harder for people to find direct eye contact with you. So if you have a client- or customer-facing job, make sure to consider getting glare reducing glasses.

Finally, if you’re someone who spends a lot of time out on the water or working in the snow, you’re well aware of how much glare can reduce visibility and make it a literal pain to be outside. The tint on sunglasses with polarized lenses helps to reduce that all around brightness, while the polarization helps to save your eyes from blinding glare.

So for the best comfort while wearing glasses or sunglasses, consider glare reducing lenses. Not only will they help you see better, but they’ll also help you get the most out of life. At EyeBuyDirect, you can find affordable glare reducing lenses for any of our great styles.

Coined from eyebuydirect.com

Eye care tips

Your eyes are an important part of your health. Most people rely on their eyes to see and make sense of the world around them. But some eye diseases can lead to vision loss, so it is important to identify and treat eye diseases as early as possible. You should get your eyes checked as often as your health care provider recommends it, or if you have any new vision problems. And just as it is important to keep your body healthy, you also need to keep your eyes healthy.

Eye Care Tips

There are things you can do to help keep your eyes healthy and make sure you are seeing your best:

  • Eat a healthy, balanced diet. Your diet should include plenty or fruits and vegetables, especially deep yellow and green leafy vegetables. Eating fish high in omega-3 fatty acids, such as salmon, tuna, and halibut can also help your eyes.
  • Maintain a healthy weight. Being overweight or having obesity increases your risk of developing diabetes. Having diabetes puts you at higher risk of getting diabetic retinopathy or glaucoma.
  • Get regular exercise. Exercise may help to prevent or control diabetes, high blood pressure, and high cholesterol. These diseases can lead to some eye or vision problems. So if you exercise regularly, you can lower your risk of getting these eye and vision problems.
  • Wear Transition lenses. Sun exposure can damage your eyes and raise your risk of cataracts and age-related macular degeneration. Protect your eyes by using sunglasses that block out 99 to 100 percent of both UV-A and UV-B radiation.
  • Wear protective eye wear. To prevent eye injuries, you need eye protection when playing certain sports, working in jobs such as factory work and construction, and doing repairs or projects in your home.
  • Avoid smoking. Smoking increases the risk of developing age-related eye diseases such as macular degeneration and cataracts and can damage the optic nerve.
  • Know your family medical history. Some eye diseases are inherited, so it is important to find out whether anyone in your family has had them. This can help you determine if you are at higher risk of developing an eye disease.
  • Know your other risk factors. As you get older, you are at higher risk of developing age-related eye diseases and conditions. It is important to know you risk factors because you may be able to lower your risk by changing some behaviors.
  • If you wear contacts, take steps to prevent eye infections. Wash your hands well before you put in or take out your contact lenses. Also follow the instructions on how to properly clean them, and replace them when needed.
  • Give your eyes a rest. If you spend a lot of time using a computer, you can forget to blink your eyes and your eyes can get tired. To reduce eyestrain, try the 20-20-20 rule: Every 20 minutes, look away about 20 feet in front of you for 20 seconds.

Eye Tests and Exams

Everyone needs to have their eyesight tested to check for vision and eye problems. Children usually have vision screening in school or at their health care provider’s office during a checkup. Adults may also get vision screenings during their checkups. But many adults need more than a vision screening. They need a comprehensive dilated eye exam.

Getting comprehensive dilated eye exams is especially important because some eye diseases may not have warning signs. The exams are the only way to detect these diseases in their early stages, when they are easier to treat.

The exam includes several tests:

  • A visual field test to measure your side (peripheral) vision. A loss of peripheral vision may be a sign of glaucoma.
  • A visual acuity test, where you read an eye chart about 20 feet away, to check on how well you see at various distances
  • Tonometry, which measures your eye’s interior pressure. It helps to detect glaucoma.
  • Dilation, which involves getting eye drops that dilate (widen) your pupils. This allows more light to enter the eye. Your eye care provider examines your eyes using a special magnifying lens. This provides a clear view of important tissues at the back of your eye, including the retina, macula, and optic nerve.

If you have a refractive error and are going to need glasses or contacts, then you will also have a refraction test. When you have this test, you look through a device that has lenses of different strengths to help your eye care professional figure out which lenses will give you the clearest vision.

At what age you should start getting these exams and how often you need them depends on many factors. They include your age, race, and overall health. For example, if you are African American, you are at higher risk of glaucoma and you need to start getting the exams earlier. If you have diabetes, you should get an exam every year. Check with your health care provider about if and when you need these exams

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