FAQs - Optometrist, Dr. Alfano of Freelton Eye Care
Q: How do allergies directly affect the eyes?
A: Chronic allergies may lead to permanent damage to the tissue of your eye and eyelids. If left untreated, it may even cause scarring of the conjunctiva, the membrane covering the inner eyelid that extends to the whites of the eyes. Ocular allergies can make contact lens wear almost impossible and is one of the many causes of contact lens drop-out. Most common allergy medications will tend to dry out the eyes, and relying on nasal sprays containing corticosteroids can increase the pressure inside your eyes, causing other complications such as glaucoma.
Q: Why does allergy season affect my eyes?
A: It’s that time of the year for allergies, and for those who suffer, it’s more than just sneezing. It can mean months of itchy, watery, and puffy eyes. Because many of the allergens are in the air, they easily get into the eyes and cause problems. For many people, a sudden case of red and watery eyes can feel like an infection when really it’s just allergies. Eye allergies, known as “allergic conjunctivitis”, can often be treated with over the counter medication, but for some, it is not enough. Let us help you manage your allergies this season.
Q: Why is my child having trouble reading and concentrating on schoolwork?
A: Your child may have an underlying refractive issue, such as farsightedness, nearsightedness or an astigmatism that maybe be causing blurred vision, thus making it hard for your child to concentrate and focus. There may also binocular issues, which is how well the two eyes work together, and focusing issues, that may affect a child's schoolwork. When working with your child, we will evaluate the child's visual system including their binocular systems and accommodative systems to determine if his/her vision may be playing a role in their academic performance or sports performance.
Q: My child is struggling in school. Should I have his/her eyes examined?
A: A comprehensive eye examination by an optometrist can often determine if there are visual issues interfering with a child’s ability to perform in school. Many visual symptoms, some obvious, others less so, can contribute to a child’s poor academic achievement. The most common symptoms to watch out for: Blur at distance or near Skipping or re-reading lines or words Reduced reading comprehension Difficulty shifting focus from near to far or far to near Difficulty copying from the smart board Double vision Closing or covering an eye when working at near Headaches; especially in the forehead, temple, or eyebrow regions Difficulty attending to near work or an avoidance of reading Poor spelling Misaligning numbers in math Unusual head or body posture when working at near Some of these issues can be alleviated with a good pair of eyeglasses while others may require vision therapy. Vision therapy, like occupational therapy or physical therapy, is a systematic program where the body, in this case the visual system, can be retrained and strengthened to improve it’s ability to function.
Q: How can a child's learning in school be affected by their vision?
A: A child's ability to learn is strongly dependent on having a normal visual system. Having clear vision is only one aspect of 17 visual skills that are required for reading and learning. In certain vision disorders, some of the visual skills required for efficient learning are mal-developed. Vision therapy is a treatment program that can remediate mal-developed visual skills, and help children reach their maximum learning and reading potential.
Q: What are cataracts and how do they affect my vision?
A: A cataract is a gradual clouding of the crystalline lens, located inside the eye, causing decreased vision. Cataracts most commonly occur with aging, and are a normal part of the aging process. Other causes of cataract development include ocular trauma/surgery, radiation, smoking, systemic disease (metabolic and genetic conditions), and certain medications (particularly corticosteroids). Symptoms of cataract vision loss depend on the type, location, and severity of the cataract. Cataracts may cause gradual blurry vision, halos around lights, poor night vision, prescription changes, and glare symptoms. A cataract is treated with outpatient surgery, in which the crystalline lens is removed and replaced with a clear lens implant. Surgery is typically done with local anesthesia, with minimal or no complications. Nearly all patients achieve improved vision and often do not require glasses post surgery. Cataract surgery is one of the safest and most common surgeries performed in the United States. Your optometrist will evaluate your eyes for cataracts at each comprehensive eye exam. Please let your optometrist know if you experience any of the above symptoms.
Q: What is a cataract? How will I know when I have one? What can be done to fix it?
A: A cataract is a clouding of the crystalline lens. The crystalline lens sits behind the iris, or the colored part of the eye. Its function is to fine tune our focusing system by changing shape as we view objects at different distances. Our lens eventually loses its ability to change shape; this is when we require reading glasses or bifocals. In addition, the crystalline lens can become cloudy or yellow as a part of normal aging. This is also known as an age-related cataract. Normal, age-related cataracts are unavoidable and everyone will develop them at some point if they live long enough. The discoloration of the lens leads to an overall blur, a decrease in contrast sensitivity, and a worsening of glare, especially at nighttime. Because they tend to develop gradually, the symptoms are often unnoticed by the patient. A yearly eye exam will allow your optometrist the opportunity to identify the cataracts and advise on how to proceed. When your optometrist decides your cataracts are affecting your vision and are advanced enough to remove, you will meet with an ophthalmologist. Cataract surgery is a safe and effective out-patient procedure that will reverse any vision loss caused by the cataracts; and it is usually covered by your medical insurance.
Q: My doctor says I have a cataract, but he wants to wait a while before removing it. Why?
A: A cataract usually starts very small and practically unnoticeable but grows gradually larger and cloudier. Your doctor is probably waiting until the cataract interferes significantly with your vision and your lifestyle. You need to continue to visit your eye doctor regularly so the cataract's progress is monitored. Some cataracts never really reach the stage where they should be removed. If your cataract is interfering with your vision to the point where it is unsafe to drive, or doing everyday tasks is difficult, then it's time to discuss surgery with your doctor.
Q: What are the advantages of daily disposable contact lenses?
A: Daily disposable contact lenses are great for many reasons. The chance of infection decreases because a new sterile lens is used everyday and there is no need to clean the lens or the case. This is also a great option for patients that have allergies, contact lens solution sensitivities and dry eye as it eliminates the buildup of contaminants on the lenses that can exacerbate those problems. Dailies make for a low maintenance and comfortable option for any patient!
Q: Why are one-day disposable contact lenses becoming so popular?
A: One day lenses are discarded each evening so that each day you’re starting with a fresh pair of clean lenses. This is why they are so popular with my patients. Other reasons for the shift to single use lenses is that the cost is about the same as two week or one month lenses, they’re the healthiest option for your eyes and you don’t need to purchase contact lens solutions.
Q: I keep hearing more and more about contact lenses that are thrown away every day. What is the advantage because it seems more expensive to me?
A: One day disposable contact lenses have several advantages over traditional lenses. They are the healthiest way to wear contact lenses because all lenses get dirty over time with a biofilm of protein and lipids that are part of our tears. These lens deposits are what cause eyelid irritation, redness, and reduced wearing time. One day lenses greatly reduce the effect of deposits on contact lenses. The other advantage is the low maintenance required since you do not have to clean and soak your lenses overnight. This is especially helpful for children and teenagers who may not take care of their lenses well. Another advantage is that when you travel, you can just take some strips of contact lenses with you and do not have to carry solution or cases. One day disposables do cost more than traditional lenses, however the cost difference can sometimes be as little as $30.00 per month. In this day and age, that is the cost of a few cups of coffee at your favorite coffeehouse. In addition, one day lenses now have expanded their parameters so they are now available for astigmatism and multifocals as well. One day lenses are ideal for part time contact lens wearers who wear lenses occasionally. The percentage of one day disposable wearers is increasing rapidly in the United States and will likely become the predominante way that people wear contact lenses in the near future.
- Monday: 8:30 AM - 4:30 PM
- Tuesday: 8:30 AM - 4:30 PM
- Wednesday: 11:00 AM - 7:30 PM
- Thursday: 11:00 AM - 7:30 PM
- Friday: 9:00 AM - 1:00 PM
- Saturday: Closed
- Sunday: Closed
In case of emergency, please phone our office at the number listed above. After hours, please visit your nearest emergency room.