Migraine Awareness Month:

An ocular migraine is any migraine headache that involves a visual disturbance such as flashes of light, seeing stars or zigzags or the appearance of blind spots in the visual field. Ocular migraines can interfere with your ability to go about your daily tasks such as driving, reading or writing, however, the visual symptoms don’t last long and do go away completely once the migraine has passed. 

What is an Ocular Migraine?

The term ocular migraine may refer to a couple of different conditions. Firstly, migraines with auras often have eye-related symptoms that precede the actual headache. An aura is a physical symptom that is experienced usually within 5 minutes to an hour before a migraine comes on, and can include:

• Blind spots (scotomas) or partial vision loss
• Flashes of light, spots or zigzag patterns
• Visual, auditory (hearing) or olfactory (smell) hallucinations or disruptions
• Tingling or numbness
• Mental fog, trouble finding words and speaking

These types of ocular migraines commonly appear by obstructing a small area of vision which spreads gradually over 5 minutes. 

A second type of ocular migraine is when you actually experience temporary vision loss or disruptions (flashes, blind spots, zigzag lines etc.) during or immediately following the migraine headache. Ocular migraines can also sometimes appear without any head pain at all. They may also be called eye, ophthalmic, or retinal migraines. 

What Causes Ocular Migraines?

Similar to classic migraines, the exact cause of an ocular migraine is unknown. Genetic predisposition seems to be a factor to some extent, and having a family history of migraines does put you at greater risk. 

While they don’t know the cause, experts have seen that spasms in the blood vessels and nerve cells in the retinal lining at the back of the eye are associated with ocular migraine symptoms. 

For some, there are certain environmental triggers, or a combination of factors, that cause migraines. These differ on an individual basis but can include:

• Stress
• Bright lights or loud sounds
• Strong smells
• A sudden or drastic change in weather conditions
• Eating, or exposure to, certain food substances such as, alcohol, caffeine, nitrates, MSG (monosodium glutamate), artificial sweeteners and tyramine. 

Since triggers are different for everyone it’s advised to try to identify yours by keeping a journal to track your environment, diet and lifestyle habits, when you experience a headache. 

Treatment for Ocular Migraines

Treatment for ocular migraines is usually not necessary as the symptoms typically resolve themselves within 30 minutes. It is advised to rest and avoid doing things that require vision and concentration until the headache goes away and the vision symptoms cease. If you are experiencing an ocular headache:

• Lie down in a quiet, dark room when possible
• Massage or apply pressure to the temples and scalp
• Apply a damp towel to the forehead

If you experience auras, taking a migraine medication when the aura occurs, can often reduce the intensity of the headache that follows. In other words, you can use the aura as a warning sign that a headache is coming on and treat it preventatively. Your doctor may prescribe a pain reliever for associated head pain and, if migraines are chronic, a preventative medication may be given. 

It’s important to note that if you are experiencing any unusual visual symptoms or an increase in frequency or duration of symptoms, you should see an eye doctor right away to rule out any serious, vision threatening conditions. Symptoms such as floaters or flashing lights can also be a sign of a retinal tear or hole. 

If you get migraines, among the best ways to prevent them are to keep your mind and body healthy by eating nutritious foods, getting enough rest and managing stress effectively. 

Sure, sunglasses might add the final touches to your chic ensemble, but the real reason to purchase your shades is to protect your eyes from the sun. Not only does glare from the sun make it difficult to see, but the UV rays it reflects can cause permanent damage to your eyes and vision. You want to make sure your sunglasses offer optimal protection, fit, comfort and of course, the best possible vision. Here are some things to consider when purchasing your next pair. 

UV Protection

There are two types of UV radiation, UVA and UVB. UVA rays are less intense yet more prevalent than UVB rays, making up 95% of the UV radiation that reaches the surface of the Earth. They have been linked to skin cancer, aging and the development of cataracts. UVB rays are very dangerous to the eyes and are the primary cause of sunburns and cancer. While they are dangerous year round, these rays are more intense during the summer months, especially mid-day between around ten in the morning and four in the afternoon. UVB rays also reflect off of snow, water, sand and concrete. 

The damage caused by UV rays is irreversible and cumulative, building up over a long period of time. This is why it is important to start wearing sunglasses when you are young (also because your eyes are more sensitive at a younger age). You want to make sure your sunglasses block out 100% of UV rays. This is the most important factor to consider when purchasing your sunglasses. 

Additionally, in certain circumstances of intense UV exposure, a condition called keratitis can occur, which is essentially a sunburn on the eye. Symptoms often occur hours after sun exposure and can include temporary vision loss and severe pain. 

Sunglass Lens Options

Once you are certain your sunglass lenses have the requisite UV protection, you can begin to consider other lens possibilities. Here are some other lens options to consider:

Polarized Lenses:

Reduce glare from light reflecting off glass, water, snow, sand or pavement. You should consider polarized lenses if you participate in water or snow sports such as fishing, boating or skiing as the water and snow can create a strong glare. They are also great for comfort while driving by reducing glare and to enhance vision when on the road. 

Tinted Lenses:

Certain lens tints enable you to see better or more comfortably under certain circumstances but you have to be careful. Lens tints can distort or reduce vision and some can even harm your vision by increasing your pupil size which leads to an increase of UV radiation penetrating the eye. Look for lenses with a medium tint that keep your eyes comfortable and do not have a negative impact on your vision. Your optometrists’ office can often make specific tint recommendations depending on your lifestyle or particularly activities (ex. golfing vs fishing) and the health of your eyes (for example, cataracts tend to cause more glare). 

Photochromic Lenses:

Automatically darken when exposed to UV light. Photochromic lenses are a great option for individuals that wear prescription eyeglasses: one pair can serve you both indoors and outdoors. As soon as you step outside, the lenses will darken, and they’ll reverse when you go back indoors. 

Lens Materials

There are also a few options when it comes to lens materials, such as plastics – including polycarbonate or acetate; trivex – which is a polymer material; or glass. The type of lens will determine the durability, clarity of vision and price of your lenses, so you should consider the factors that are most important for you and try out a few options to see how they feel. 

Sunwear Frames

Frame Size

The size of your sunglass frame is important for both comfort and protection. Your frames should fit according to your face size and provide ample coverage for your eyes. When you try on your frames, make sure they cover your eyes and feel comfortable around the bridge and temples. Also check that they don’t slip off when you move your head down toward the floor. 

Frame Materials

Frames can be manufactured from a number of materials and, these days, frame companies are constantly innovating to come up with new and improved options. These materials vary in strength, flexibility, weight, comfort and price. You need to choose a frame material that is comfortable, safe, and functional and that suits your lifestyle and your fashion style. 

Making the Purchase

When purchasing sunglasses, keep in mind that your vision insurance may help to cover the costs when purchased at an optometry office rather than at a sports or recreation store. Check with your insurance and your local optical to find out about any discounts or coverage. Another advantage of purchasing from an optometrist’s optical is that the optician can help you to find the perfect pair to suit your eye and vision needs, as well as your lifestyle and fashion preferences. 

The good news about choosing the right pair of sunglasses is that there are ample brands, colors, styles and materials to choose from. So when it comes to your shades, don’t settle for less than optimal protection, fit and comfort for your eyes. 

We invite you to take a look around our new site to get to know our practice and learn about eye and vision health. You will find a wealth of information about our optometrists, our staff and our services, as well as facts and advice about how to take care of your eyes and protect your vision.

Learn about our Practice specialties including comprehensive eye exams, contact lens fittings and the treatment of eye diseases. Our website also offers you a convenient way to find our hours, address and map, schedule an appointment online, order contact lenses or contact us to ask us any questions you have about eye care and our Practice.

Have a look around our online office and schedule a visit to meet us in person. We are here to partner with you and your family for a lifetime of healthy eyes and vision. We look forward to seeing you!

Conjunctivitis, also called pink eye, is one of the most frequently seen eye diseases, especially in kids. It can be caused by viruses, bacteria or even allergies to pollen, chlorine in swimming pools, and ingredients in cosmetics, or other irritants, which touch the eyes. Some forms of conjunctivitis might be quite transmittable and quickly spread in school and at the office.

Conjunctivitis is seen when the conjunctiva, or thin transparent layer of tissue covering the white part of the eye, becomes inflamed. You can identify conjunctivitis if you notice eye redness, discharge, itching or swollen eyelids and a crusty discharge surrounding the eyes early in the day. Pink eye infections can be divided into three main types: viral, allergic and bacterial conjunctivitis.

The viral type is usually a result of a similar virus to that which produces the recognizable red, watery eyes, sore throat and runny nose of the common cold. The red, itchy, watery eyes caused by viral pink eye are likely to last from a week to two and then will clear up on their own. You may however, be able to reduce some of the discomfort by using soothing drops or compresses. Viral pink eye is transmittable until it is completely cleared up, so in the meantime maintain excellent hygiene, remove eye discharge and try to avoid using communal pillowcases or towels. If your son or daughter has viral conjunctivitis, he or she will have to be kept home from school for three days to a week until symptoms disappear.

A bacterial infection such as Staphylococcus or Streptococcus is usually treated with antibiotic eye drops or cream. One should notice an improvement within just a few days of antibiotic drops, but be sure to adhere to the full prescription dosage to prevent pink eye from recurring.

Allergic pink eye is not contagious. It is usually a result of a known allergy such as hay fever or pet allergies that sets off an allergic reaction in their eyes. First of all, to treat allergic pink eye, you should eliminate the irritant. Use cool compresses and artificial tears to relieve discomfort in mild cases. When the infection is more severe, your eye doctor might prescribe a medication such as an anti-inflammatory or antihistamine. In cases of chronic allergic pink eye, topical steroid eye drops could be used.

Pink eye should always be diagnosed by a qualified eye doctor in order to identify the type and best course of treatment. Never treat yourself! Keep in mind the sooner you begin treatment, the lower chance you have of giving pink eye to loved ones or prolonging your discomfort.

Vision is a critical component to succeed as an athlete and this doesn’t just mean having 20/20 vision. There are a number of visual processes that are involved in optimal sports performance, whether you are playing a weekly little league game or competing in professional sports.  

The eyes and the brain work together to receive, process and respond to visual and sensory information and this amazing ability is what allows us to engage with the world around us. However, when one or more of these processes is disrupted, whether it be the eye itself or in the processing of the information that the eye brings in, it can cause difficulty in a number of areas, particularly movement and sports.  

Here is a breakdown of some of the visual skills you rely on for athletic performance:

Visual Acuity: the ability to see clearly is one of the most important aspects of vision.  To improve visual acuity your eye doctor can prescribe eyeglasses or contact lenses, as well as prescription sunglasses, swimming goggles and sports goggles.  LASIK or refractive eye surgery or orthokeratology may also be options for improving visual acuity without having to wear vision correction during play.

Dynamic Visual Acuity: the ability to see moving objects clearly. 

Peripheral Vision: your side vision or the ability to see out of the corner or sides of your eyes when you are looking straight ahead. 

Peripheral Awareness/Visual Concentration: The ability to be engaged in a task while having awareness of peripheral and other visual stimuli without being distracted by them. 

Depth Perception: the ability to perceive the relative distance and speed of objects in your field of vision.

Visual Tracking: the movement of the eye that allows for the ability to follow a moving object, switch visual attention from one object to another or to track a line of text. This allows an athlete to “keep an eye on the ball”. 

Focusing: allows for the ability change focus quickly and clearly from one distance or object to another.  

Eye Teaming: the ability for the two eyes to work together in coordination. 

Hand-Eye, Body-Eye Coordination: the ability of your eyes to guide your hands and body to carry out movements accurately and effectively. 

Visual Reaction Time: how quickly your brain is able to interpret visual information and respond with the appropriate motor action. 

Often we take the wonder of our eyes and brain for granted, not realizing all of the systems that must be in place in order for us to perform optimally in our daily lives… all the more so for top notch sports performance (and these are just the functions that are related to your eyes!) 

Typically, visual processes occur automatically, without us paying much attention to them, but they are skills which can be improved. If you feel that you or your child might have some difficulty with one or more of these visual skills, speak to your eye doctor. Through proper eyewear, exercises, nutrition and sometimes vision therapy, it can be possible to improve upon these skills and as a result, enhance your performance on the field. In fact, professional athletes often utilize a combination of vision therapy and nutritional supplements (such as lutein and zeaxathin) to enhance their vision and reaction time for better performance on the field. 

Additionally, you want to make sure – whether you have visual processing issues or not – that you protect your eyes properly. Unfortunately, many injuries occur from an over-confidence that the eyes are safe during sports. Speak to your eye doctor about the right sports safety eyewear to protect your or your child’s eyes during your favorite sports. 

While we all know that regular eye exams can help detect warning signs of disease and prevent vision loss, many people fail to seek medical attention when there is an acute problem with the eye. In fact, only about half of Americans that are at risk for serious vision loss have been examined by an eye doctor within the last year, according to a report by the Centers for Disease Control and Prevention. 

While it’s true that some eye symptoms resolve on their own, it’s better not to take the chance when your eyesight is at risk. Here are seven eye symptoms that should be checked out by an eye doctor immediately, as they could indicate a serious underlying condition that could threaten your vision. Remember, even if you think the issue is minor, getting proper medical attention could be vital to saving your vision. 

1. Frequent Floaters

   Floaters are shadows or spots that appear to float through your field of vision, particularly when you are looking at a solid colored or bright background such as the blue sky or a white wall. They can appear in a variety of shapes such as a shower of dots or mosquito shaped for example. It is common to see floaters on occasion, however if you experience a sudden increase, especially in combination with pain, flashes or loss of peripheral vision, you should see a doctor immediately. Flashes of light may appear as a quick spark or jagged streaks of light or arcs among other shapes. This could be a sign of a very serious problem such as detached or torn retina, a hemorrhage or bleeding inside the eye, an inflammation of the vitreous or retina caused by an infection or injury or an eye tumor. In the case of a retinal detachment, the different pattern of floaters or flashes depend on how the retina tears, so if you suddenly notice a distinct pattern of floaters or light in your vision, don’t delay: seek medical attention within 24 hours. 

2. Persistent Redness or Irritation

   While minor redness can simply be a result of allergies, exhaustion or extended contact lens wear, there are some more serious causes of eye redness, especially if it persists or is accompanied by pain, swelling, discharge, vision disturbance or severe itchiness. Along with conjunctivitis (or pink eye) which can be a very contagious eye infection, redness can indicate a corneal scratch, uveitis or glaucoma. 

3. Excessive Watery Eyes 

   Whether you have a foreign object in your eye or are experiencing dryness due to allergies or environmental factors, eye watering is a natural response to keep your eyes healthy, comfortable and safe. When it is constant and disruptive, however, this is no longer normal. Excessive eye watering could indicate a chronic condition such as dry eye syndrome, tear duct problems or problems with the cornea such as a scratch or an ulcer.

4. Foreign Body in the Eye

   If you experience a foreign object in your eye, the first thing to do it try to flush it out. Never rub the eye as it could cause even greater damage. If your efforts to flush the object out are not successful it is time to see a doctor. Additionally, if you are experiencing vision disturbances, pain or redness while the object is there or after you think you have removed it, see an eye doctor immediately. 

5. Ptosis (Droopy Eyelid) 

   Ptosis or drooping eyelids is seen in one or both eyelids and can be caused by benign conditions such as allergies or merely part of the aging process. Nevertheless, it can also be a sign of a serious condition such as nerve damage, a stroke, brain tumor or a condition called myasthenia gravis, which is a neurological condition that affects the muscles of the eye. It is also sometimes a result of eye surgery or injury. Often ptosis will resolve gradually on its own, however it is something that should be checked out, especially if it occurs suddenly, to ensure there is no serious underlying cause. 

6. Bleeding Eyes 

   A subconjunctival hemorrhage in the eye is when a blood vessel right under the surface of the eye breaks. You will see that the white part or sclera of the eye has turned red. Usually, this common occurrence is nothing to be concerned about as this can happen from something as simple as straining, a sneeze or cough. In this case there is nothing to do and it will resolve on its own. If however, the redness comes after an injury to your eye or head it could indicate that there is bleeding in the brain and should be examined immediately.

7. Moderate to Severe Eye Pain 

   There are several causes of eye pain, the most serious of which is acute angle closure glaucoma or uveitis. Other causes of pain can include corneal abrasions and ulcers, scleritis, orbital cellulitis and sinusitis. 

When it comes to problems with the eye, it’s always best to err on the side of caution and get them checked out. Doing otherwise, could cost you your eyesight. Your eye doctor can help.