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Q: I can
see clearly; why do I need an eye exam? |
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A:
A complete eye exam is more than just updating
your prescription for glasses or contacts.
Your eye examination by an ophthalmologist
consists of a series of tests to assess
the overall health of your eyes. Your doctor
also checks for eye conditions such as glaucoma,
cataract,
diabetes,
hypertension, retinal
detachments, etc. |
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Q: How long does an
eye exam take? |
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A:
It depends on the patient. A young, healthy
person with no apparent problems will take
about 20 minutes. Someone older, perhaps
with high blood pressure, diabetes, glaucoma
or other ailments can take much longer.
Your eye doctor will determine what tests
are needed to provide the correct information
for new glasses or contact lenses. |
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Q: What does "20/20"
vision mean? |
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| A:
It is a measurement of sight. "20/20"
vision refers to 8.7mm tall letter that
a person with "average" or "normal"
vision can see at 20 feet. Someone with
20/40 vision can only be 20 feet away from
an object to see what a person with normal
vision can see at 40 feet. Similarly, the
person with 20/400 vision can only be 20
feet away from an object to see what a person
with 20/20 vision can see at 400 feet. Most
states require 20/40 or better in at least
one eye to get a driver's license without
glasses or contact lens restriction. Note
that the term “20/20” does not
reveal the quality of vision. |
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Q: What is refraction? |
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A:
Refraction is the process of measuring your best
corrected vision through various lenses. This
measurement is part science and part art and utilizes
a number of objective and subjective testing methods.
It is common to have slightly different measurements
in your refraction depending on factors such as
examiner, type of tests used, time of the day,
lighting conditions, and the use of dilating drops.
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Q: What is anisometropia? |
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A:
Anisometropia is a condition
where there is a significant difference in the
refractive errors of the two eyes. If this condition
is present in infancy and is undetected or untreated,
it often results in the development of lazy
eye or amblyopia in the weaker eye.
The greater the amount of the difference, the
more likely the development of lazy eye will be.
Another problem can occur when glasses are made
for an anisometropic individual. The difference
in the powers of the lenses induces a prismatic
difference that can cause double vision in off-center
areas of the lens, which can be compensated for
by the use of slab-off prism. |
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Q: What do you mean by "best
corrected" visual acuity? |
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A:
This refers to the best vision that your
eyes are capable of seeing with the best
corrective glasses and / or contact lenses.
It is generally a reflection of the health
of the eyes such as with nearsightedness,
farsightedness,
or astigmatism.
Best corrected vision is measured on the
same eye chart as the visual acuity without
correction. |
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Q: What test is used to check
a person’s depth perception (3-D vision)?
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A:
The test is called stereopsis. |
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Q: Is it true that I need both
eyes (binocular vision) for depth perception?
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A:
Yes. If you cover your one eye, you will lose
depth perception. For the same reason, people
with one lazy eye (i.e. poor vision in one eye)
do not have good depth perception. |
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Q: I’m diabetic. Do I need
regular eye exams by an ophthalmologist? |
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A:
Yes. Diabetes can cause severe
problems with your sight. It
is very important that your eyes are checked
every year, preferably with drops to dilate
the pupil, so that the retina (back of the
eye) can be examined thoroughly. |
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Q: How often should people have
an eye exam? |
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A:
It depends on your age. Annual comprehensive
eye examinations are recommended
for adults, contact lens wearers and children
starting as early as age two. It is very
important that children be examined before
preschool since a visual condition could
exist that could eventually impair a child's
vision if not detected early and treated.
In addition to routine eye exams, you should
have your eyes examined by an ophthalmologist
if you have:
- Decreased vision, even if temporary
- New floaters
(black “strings” or specks in the
vision)
- Flashes
of light
- Curtain or veil blocking vision
- Haloes (colored circles around
lights)
- Significant eye injury or eye
pain
- Bulging of one or both eyes
- Crossed eyes
- Double vision
- Loss
of peripheral vision
- Diabetes mellitus
- Thyroid disease-related eye problems
(Graves’ disease)
- Family history of eye disease
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Q: Are my children likely to
inherit my need for glasses? |
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| A:
Probably yes. If both the biological parents
wear glasses / contacts, your children are
likely to need glasses / contacts as well.
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Q: At what age(s) should children
have their eye exam? |
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A:
Parents should have their children’s
eyes checked at three important stages during
their early development: (1) when the infant
is about 6 month old. A pediatric ophthalmologist
makes sure that the eyes are working well
together and there are no rarely occurring
but significant defects, such as cataracts
and tumors that could threaten the child’s
vision; (2) between the ages of 2 and 3,
before child enters preschool. A pediatric
/ general ophthalmologist at this time checks
for any signs of developmental disorders,
including lazy
eye, crossed
eyes (strabismus),
nearsightedness,
farsightedness, and
astigmatism.
If a problem is found, effective therapy
can usually begin immediately; (3) between
the ages of 5 and 6, before the child enters
kindergarten. Eye doctor now tests for sharpness
of vision and corrects deficiencies by prescribing
eye glasses. A child’s eyes finish
developing by the age of 8-9 years.
Early detection of eye problems can sometimes
prevent significant damage to the eye
or to vision. If any member of your family
has eye problems, then it is important
to have your child’s eyes tested
at an early age.
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Q: When should I consider a comprehensive
eye exam for my child? |
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A:
If your child shows
ANY sign from the list below, you should
consider a comprehensive
eye exam by an ophthalmologist.
1.
Misaligned, crossed, or wandering eyes
2. Squints or blinks excessively
3. Frequently closes one eye or covers
one eye with hand
4. Turns or tilts head in order to use
one eye
5. Holds the book or object unusually
close
6. Rubs eyes frequently
7. Has burning or itching eyes
8. Complains blurry vision
9. Notices double vision
10. Suffers from headaches in forehead
or temples
11. Suffers from nausea or dizziness |
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Q: Will sitting
too close to TV hurt my child's eyes? |
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| A:
No, there is no scientific evidence that TV
sets emit rays that are harmful to the eyes.
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Q: What is night
blindness? |
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A:
Night blindness is more appropriately called
as “impaired dark adaptation.”
People with night blindness see poorly in
the darkness but see normally when adequate
amounts of light are present. The condition
does not actually involve true blindness,
even at night. |
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Q: What is color
blindness? |
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| A:
Color blindness, more accurately called
color deficiency, is a term used for a deficiency
in recognizing certain colors. Most color
perception defects are for red or green
or both. Another form of color blindness;
yellow-blue is the second most common form,
but it is rare and could be a result of
some optic nerve disease. Complete color
deficiency, where all colors are seen as
varying shades of black and white is almost
unknown. About 10% of males have a color
perception defect, but this is rare in females. |
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Q: Why are females
less likely to be color blind than males? |
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| A:
Color deficiency is a sex linked character.
Females are either not affected or they
are the carriers with a normal vision. The
males within the same family are affected.
There is only a 50/50 chance that sons of
carrier mothers will have altered color
vision.
A
female can inherit defective color vision
gene either from her color deficient father
or her carrier mother. Since the pattern
of inheritance is known, future generations
of color blind individuals can be easily
predicted.
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Q: If I inherited
color deficiency, will it change with my age? |
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| A:
No. The inherited color deficiency does not
change with age. |
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Q: Apart from
inheritance, what else can cause color deficiency? |
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| A:
Color Vision deficiency could be acquired
too. Certain drugs prescribed for arthritis,
depression, heart disease, high blood pressure,
diabetes, multiple sclerosis, and some liver
diseases can significantly affect color
vision either temporarily or permanently.
Continued use of aspirin can also alter
color perception. Excessive use of tobacco
and alcohol can have similar effects. Many
industrial chemicals can permanently alter
your color vision.
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Certain
eye diseases such as glaucoma,
cataract
and most eye problems affecting the retina
or nerve pathways to the brain can give
gradually impair your appreciation for colors.
Overall blurring of near or distance vision,
or gaps in the field of vision may also
alter color vision perception.
Since
color vision changes can be an early sign
of a disease or a side effect of prescribed
medication, it is important that you consult
an ophthalmologist if you are experiencing
any changes in your color vision. It is
noteworthy that unlike inherited color deficiency,
both men and women are at equal risk for
the acquired color vision problems and only
one eye is affected at a time.
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Q: Can color deficiency
affect my performance at job? |
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| A:
It depends upon the kind of job you do.
Certain jobs, such as printing inks, textiles,
and paints etc. require a precise perception
of color. Because of your limited ability
to recognize colors accurately, your performance
at these jobs may be affected. |
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Q: Can color deficiency
affect my driving privileges? |
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A:
Generally, color deficient people are not
denied a driving license. However, remember
that a person with color blindness may drive
through a red traffic light and cause a
fatal accident. Driving laws in certain
places are more strict and may limit color
blind people from driving heavy commercial
machinery. |
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Q: Can color deficiency
affect my child’s performance at school? |
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A:
Possibly yes. Colored objects are frequently
used in teaching and learning processes.
If you know that your child has difficulty
in identifying certain colors, it will be
a good idea to inform your child’s
teachers accordingly. |
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Q: Is there any
treatment available to correct inherited color deficiency? |
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A:
No, there are no treatments available to
correct your inherited color vision problems.
Nothing can be done to replace a defective
mechanism in your retina. Many color defective
people learn how to compensate for this
defect in their vision. It is important
that good lighting is always available.
Many people find limited help in identifying
certain colors with the help of a small
red or red-mauve filter held in front of
the eye. |
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Q: How can I get
my color vision tested? |
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A:
Schedule a comprehensive
eye exam with an ophthalmologist.
There are simple in-office tests that can
screen for defective color vision. These
tests typically involve reading colored
numbers from a book or arranging colored
papers in order, or naming colored lights.
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Q: What is legal
blindness? |
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| A:
You are legally blind when the best corrected
central acuity is less than 20/200 in your
better eye, or your side vision is narrowed
to 20 degrees or less in your better eye.
Even if you are legally blind, you may still
have some useful vision. |
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Q: What is visual
impairment? |
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| A:
If neither of your eyes can see better than
20/60 without improvement from glasses or
contacts, you may be defined as visually impaired.
In addition, poor night vision, limited side
vision, double vision and loss of vision in
one eye may also determine visual impairment.
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Q: What is low
vision? |
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A:
Low vision is a term describing a level
of vision below normal (20/70 or worse)
that cannot be corrected with conventional
glasses. Low vision is not the same as blindness.
People with low vision can use their sight.
However, low vision may interfere with the
performance of daily activities, such as
reading or driving. |
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Q: Can eyes be
transplanted? |
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A:
No. Currently, there is no way to transplant
a whole eye. However, corneas have been
successfully transplanted for many years.
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Q: How often do
I need to get my prescription checked? |
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A:
There is no predetermined schedule for changing
glasses or contacts. It is necessary to
check your prescription when it no longer
provides adequate correction. However, it
is a good idea to have regular eye exams. |
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Q: When will my
prescription for eye glasses stabilize? |
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A:
Typically a person's vision will fluctuate
from birth through childhood and up to approximately
eighteen years of age before it stabilizes.
At forty years of age, difficulty with near
vision will occur and continue to progress
up to approximately sixty years of age. |
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Q: I get tired
when I use the computer. Is this normal? |
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A:
Many people use the computer 8 or more hours
every day. There is no way to eliminate
eye fatigue, but we can check for several
conditions that may be making your eye strain
problems worse. Uncorrected hyperopia
(farsightedness) and / or astigmatism
may contribute to eye fatigue. Also, if
you are in your forties, you may be experiencing
a focusing problem called presbyopia.
Dry eyes
can also make the eyes feel more tired when
doing extended computer work. Glasses that
correct farsightedness, astigmatism, and
presbyopia may allow you to use the computer
with less eyestrain and more comfort. |
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Q:
Changes in what part of an eye cause presbyopia?
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A:
Unlike other refractive
errors (myopia, hyperopia, and astigmatism), presbyopia
is caused by changes in the optical lens. |
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Q: How do I know
that I need reading glasses? |
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A:
If you find out that your arms are not long
enough to look at the book or newspaper
text and you are nearing forty, you may
be ready for reading glasses. You're not
alone. This loss of focusing ability can
start as early as 35 or as late as 50. It
usually stops progressing at about age 60. |
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Q: When do I need
bifocals? |
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A:
By age 45, almost everyone notices a decline
in close vision. While some people may choose
to go without eyeglasses if their lifestyle
doesn't require a lot of reading, that solution
doesn't work for most people. When you begin
to notice problem in reading clearly, you
should have your eyes examined. |
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Q: Can eye exercises
improve my vision? |
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A:
You can train your eye muscles to work better
together and correct problems like strabismus
crossed eyes which involves training the
muscles that align the eye. |
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Q: I have a perfect
20/20 vision. Can I get glasses as a fashion accessory? |
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A:
If you’ve had your eyes checked and
they are as good as you think, then your
doctor will have no objection to you having
plain or tinted
lenses in a frame of your choice,
or contact lenses that can enhance or change
the color of your eyes. |
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Q: My child likes
to sit very close to the television. Is this harmful? |
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A:
Children have a much better ability to focus
close at a younger age than adults. They
get a much bigger picture at this distance.
In general viewing anything close will not
have any effect on physically changing the
eyes on anyone. However, get your child’s
vision tested by an eye doctor to make sure
that he / she does not have a problem seeing
far objects clearly. |
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Q: My child likes
to read in the dark or near dark. Is this harmful? |
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| A:
No. Reading or working under low light does
not have a physical effect and is not harmful. |
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Q: Will wearing
eyeglasses make me dependent on them? |
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A:
No. Glasses and contact lenses allow you
to see comfortably. When you remove them,
you see less comfortably. This contrast
is what makes some people believe their
vision is worse for wearing glasses. Corrective
lenses won’t make your vision problems
go away, nor will they worsen them. They
only correct the symptoms. |
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Q: Can my eyes
get sunburned? |
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A:
Yes! “Snow blindness” and a
welder’s flash are examples of “sun
burned” eyes. Outdoor enthusiasts
and those with sensitive eyes should always
wear sunglasses with an ultraviolet filter
to block harmful UV
radiation from the sun. Contact
lens wearers are especially sensitive to
bright light. You should always wear a good
pair of non-prescription sunglasses with
the contacts when outside. |
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Q: I want to get
a complete medical eye exam, what is the next step? |
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A:
Schedule an appointment at NeoVision Eye Center
by calling toll free at:1-877-NEOVISION
(1-877-636-8474).
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