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The Case For Annual Eye Exams: Normal Vision Doesn’t Guarantee Healthy Eyes

You probably see your primary care physician once a year, and your dentist twice a year. But how often do you see your eye doctor? Vision is the most valued of the 5 senses, and yet Americans don’t seem to be making regular eye exams a priority. A recent CDC survey suggests that as many as 34.6% of adults over the age of 40 (with moderate to severe visual impairment) believe that they don’t need regular eye exams. About 39.8% of the respondents said that they didn’t get regular exams because they were too costly, or because their health insurance didn’t cover the expense.

Although cost may play a role in peoples’ thinking, a comprehensive eye exam costs as little as $45-50 at retail outlets. I suspect that the real reason why people don’t get regular eye exams is because they incorrectly believe that if their vision is stable, their eyes are healthy.

A comprehensive eye exam is a type of medical check up – it is not just a vision assessment. Eye care professionals can diagnose everything from glaucoma and cataracts to high cholesterol, diabetes, high blood pressure, and even neurologic conditions such as brain tumors and multiple sclerosis. The eyes are more than a “window to the soul” but a window to general physical health. And the good news is that exams are relatively inexpensive and painless – so please consider making them part of your yearly health maintenance routine.

And to my primary care friends – don’t forget to encourage your patients to get annual eye exams. As the CDC notes:

Recommendations from primary-care providers can influence patients to receive eye-care services; persons who had visual screening during routine physical examinations had better eye health because of reminders to visit eye specialists. Public health interventions aimed at heightening awareness among both adults aged ≥65 years and health-care providers might increase utilization rates among persons with age-related eye diseases or chronic diseases that affect vision such as diabetes.

I myself have had an unexpected diagnosis during an eye exam, and feel passionate about the importance of preventive screening. In fact, I’ll be the upcoming host of a new eye health education initiative – a radio show called, “Healthy Vision with Dr. Val Jones” supported by ACUVUE brand contact lenses. The first show will be released here today, and it’s also available at Blog Talk Radio.

References:

Reasons for Not Seeking Eye Care Among Adults Aged ≥40 Years with Moderate-to-Severe Visual Impairment — 21 States, 2006–2009. Morbidity & Mortality Weekly Report, May 20, 2011. 60(19);610-613

Alexander RL Jr., Miller NA, Cotch MF, Janiszewski R. Factors that influence the receipt of eye care. Am J Health Behav 2008;32:547–56

Strahlman E, Ford D, Whelton P, Sommer A. Vision screening in a primary care setting. A missed opportunity? Arch Intern Med 1990;150:2159–64


Disclosure: Dr. Val Jones is a paid consultant for VISTAKON®, Division of Johnson & Johnson Vision Care, Inc.

Glaucoma Testing Through The Eyelid

f34gdfg.jpgIntraocular pressure is usually measured by applying a force on the cornea using a tonometer. Although sufficiently accurate, tonometers are only used in ophthalmologist offices and so don’t measure intra-day pressures. They also fail with people post cataract surgery that have a thicker cornea. Researchers at University of Arizona have developed a new device that measures intraocular pressure through the eyelid.

From the University of Arizona College of Engineering:

The self-test instrument has been designed in Eniko Enikov’s lab at the UA College of Engineering. Gone are the eye drops and need for a sterilized sensor. In their place is an easy-to-use probe that gently rubs the eyelid and can be used at home.

“You simply close your eye and rub the eyelid like you might casually rub your eye,” said Enikov, a professor of aerospace and mechanical engineering. “The instrument detects the stiffness and, therefore, infers the intraocular pressure.” Enikov also heads the Advanced Micro and Nanosystems Laboratory.

While the probe is simple to use, the technology behind it is complex, involving a system of micro-force sensors, specially designed microchips, and math-based procedures programmed into its memory.

Link: New Glaucoma Test Allows Earlier, More Accurate Detection…

*This blog post was originally published at Medgadget*

Vitamin E-Infused Contact Lenses May Treat Glaucoma

44543444.jpgResearchers at the University of Florida in Gainesville have developed a vitamin E-secreting contact lens that can bring the valuable antioxidant directly to eyes.

Vitamin E is packaged into clusters within the lens and the aggregate works to slowly release the chemical while remaining invisible to the eye.

“These vitamin structures are like ‘nanobricks’,” said Anuj Chauhan, Ph.D., lead researcher of the study. “The drug molecules can’t go through the vitamin E. They must go around it. Because the nanobricks are so much bigger than the drug molecules -– we believe about a few hundred times bigger –- the molecules get diverted and must travel a longer path. This increases the duration of the drug release from the lenses.” Read more »

*This blog post was originally published at Medgadget*

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