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Sample Work: Dry Eyes—A Roadblock to Refractive Surgery
After LASIK surgery, common complaints early in the postoperative period for 95% of patients are dry eye symptoms such as a gritty sensation, eye fatigue, vision changes, and eye redness. The postoperative dry eye rate is less in cataract patients, yet still experienced by the majority. Upwards of 87% of cataract patients use artificial tears one month postoperatively. The type of cataract surgery may also impact the extent of dry eye symptoms experienced. The type of intraocular lens (IOL) chosen can affect dry eye rates, too. Patients getting multifocal IOLs may experience a higher risk of dry eye development, leading to IOL exchange in extreme cases. Preoperative dry eye is also a prospective cause of postoperative complications after pterygium surgery. Methods To Minimize Dry Eye Severity There are steps eye doctors can take to reduce the effect of dry eye through refractive surgery, consisting of creating smaller, thinner flaps through LASIK, which will reduce the number of nerves affected. The depth of laser ablation also impacts dry eye advancement. The deeper the ablation, the more probable the patient will be to develop dry eyes. Hyperopic LASIK also increases the risk of dry eye development due to the larger flap and treatment area. For cataract surgery patients, it is of extra concern to fix any existing dry eye symptoms before planning surgery. Patients with aqueous deficient dry eye should be recommended cyclosporine ophthalmic solution 0.05% eye drops two to four weeks before cataract surgery. The eye surgeon should see adequate improvement in order to take precise IOL computations after that period. SMILE could be suitable for contact lens users with dry eyes who are poor candidates for LASIK or those that are particularly concerned about irritating dry eye effects postoperatively. People with meibomian gland disorder (MGD) or blepharitis are recommended by doctors to use warm compresses, maintain hygiene, and take oral supplements such as flaxseed oil and fish oils to increase the health of their glands prior to proceeding with surgery. At Our Vision Institute, we are dedicated to assisting every one of our patients in identifying the most effective treatment for dry eyes.
Lazy Eye Syndrome in kids
For kids, it is advisable to have an extensive eye examination a minimum of once a year. If any kind of discrepancy is seen, then a referral to an eye specialist would be necessary.
The lazy eye syndrome, or amblyopia, is a common problem that develops from early youth. While the eye may show up normal, the vision suffers. For the most part, lowered vision is seen among children as well as young people. It is seen in two to three out of every 100 cases. Amblyopia is a difficult condition to treat once the child is above 7 years old. Hence, it is necessary to have full eye examinations done at an earlier age if any issues with eyesight are noticed.
According to one doctor, "Sometimes, the child's eyes turn in or out and do not align as they should. This non-alignment results in a failure in focusing on an object, and the child frequently sees objects doubled. In other instances, the kid is not able to see well because of something blocking the light from getting through. This could be a clot of blood or a cataract. Any one of the above reasons might result in amblyopia."
There are three kinds of amblyopia:
- Strabismic amblyopia: when one eye may turn in or out, up or down.
- Deprivation amblyopia, in which the child is deprived of the visual experience due to a blockage that stops light from getting through. This blockage may be in the shape of cataracts or similar blockage/s to cataracts.
- Refractive amblyopia, where one eye is seeking more visual support, like eyeglasses or contacts, as compared to the other eye. It causes hazy or fuzzy vision and can impact both the eyes in many cases
When diagnosing amblyopia, it is critical to check for the below-listed conditions:
- Vision in both eyes ought to be fine without any issues that remain undiagnosed
- There needs to be no obstruction for light going through to the eyes and to the retina at the back of the eye.
- Both the eyes must move equally without any restrictions.
If any inconsistency is seen, an eye specialist needs to be consulted. For children, it is advisable to have a detailed eye examination at least yearly.
Dealing with Amblyopia
In order treat lazy eye, it is important for the brain to begin using the affected eye more than usual. The ophthalmologist will initially correct the underlying problems of sight. To improve focus, some children need eyeglasses. If a cataract is obstructing the flow of light, cataract surgery might be needed.
The doctor might advise covering the normal eye with a patch. Initially, it will be tough to effectively see through the affected eye, yet at some point, it will certainly help increase and restore vision. This procedure might take a long period of time; in some cases it may take years.
The doctor's advice is to be religiously followed, and regular check-ups need to be done. As soon as the vision becomes near normal in the impacted eye, the patch can be removed. In many cases, the doctor suggests using an eye drop that helps blur the vision in the normal eye, thus avoiding patching of that eye.
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