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Bloodshot Eyes – Should You Be Concerned?

You wake up in the morning ready to start your day, only to discover that your eyes are bloodshot. That might not be surprising if you stayed up late to finish a project, had too many drinks at a party or spent time in a smoke-filled room.

But bloodshot eyes can also signal an underlying eye problem. If your eyes appear red or bloodshot, make an appointment with an eye doctor for a comprehensive eye exam to determine the cause and to receive effective treatment.

Why Do I Have Bloodshot Eyes?

When blood rushes to the front of the eye, the tiny red blood vessels on the white of the eye dilate and become visible. This makes the eyes appear red and irritated.

So why do these blood vessels dilate, causing your eyes to look bloodshot?

Bloodshot eyes tend to be caused by:

  • Dry eyes
  • Irritants such as smoke, pollen and perfume
  • Lack of sleep
  • Excessive alcohol consumption
  • Spending too much time in front of the computer

Bloodshot eyes due to lifestyle and environmental irritants may disappear on their own, or you can try to relieve them with over-the-counter eye drops or liquid tears. Lifestyle changes, such as getting more sleep, cutting down on alcohol intake and limiting screen time can often be helpful. If allergies are the culprit, oral antihistamines and antihistamine eye drops may relieve symptoms.

At other times, underlying problems requiring prompt medical attention can cause your eye’s blood vessels to dilate. The following are some of these medical conditions:

Conjunctivitis

You’ve probably heard of “pink eye.” It’s another name for infectious conjunctivitis – an infection of the conjunctiva, the thin membrane covering the eyelid and the front surface of the eye.

There are two types of infectious conjunctivitis – bacterial and viral.

If your child has conjunctivitis, they’re not alone. About 12% of kids get bacterial conjunctivitis every year. This highly contagious condition affects children and adults. In addition to reddish eyes, the following symptoms are associated with conjunctivitis:

  • Bacterial conjunctivitis – irritated eyes, swollen eyelids, eye discharge, crusty eyelids and excessive tearing
  • Viral conjunctivitis – cold or flu-like symptoms, runny nose, fever, itchy eyes, excessive tearing

If you or your child are experiencing these symptoms, it’s important to schedule a prompt appointment with an eye doctor, who can diagnose whether the conjunctivitis is viral, bacterial or due to allergies.

Depending on the diagnosis, your eye doctor will prescribe antibiotic eye drops or creams to treat bacterial conjunctivitis. The viral form may run its course after a few days, but cold compresses and non-prescription eye drops may provide relief.

Dry Eye Syndrome

If your eyes are chronically bloodshot you may have dry eye syndrome (DES). Signs of DES include:

  • Dry, irritated eyes
  • Burning or stinging eyes
  • Discharge from the eyes
  • Light sensitivity
  • A feeling you have something stuck in your eyes
  • Blurred vision
  • Watery eyes

Dry eye syndrome is most commonly caused by a blockage of the tiny meibomian glands in the eyelids. These glands secrete oil that keeps eye moisture from evaporating too quickly. Without the oil, tears dry fast, leaving your eyes feeling dry, itchy and with a bloodshot appearance.

Too much screen time, aging, certain medications such as antihistamines, and medical conditions such as Sjogren’s syndrome can cause dry eye syndrome.

In addition to any medications or in-office treatments your eye doctor recommends, make sure to get plenty of hydration, take frequent breaks from digital screens and use a humidifier in your home.

Uveitis

In addition to bloodshot eyes, if you also experience blurred vision, see floaters or your eyes feel painful, you may have an eye inflammation called uveitis. The causes of uveitis include:

  • Autoimmune or inflammatory condition
  • Infection
  • Medication side effects
  • Cancer (in rare cases)

Unfortunately, uveitis symptoms can often be mistaken for something less serious. That’s the reason it’s important to get an eye exam if your eyes are bloodshot. Left untreated, uveitis can lead to serious conditions such as retinal scarring, cataracts and vision loss.

Depending on the cause and severity, your eye doctor may treat uveitis with prescription eye drops, steroid pills, injections or eye implants.

Eye Injury

It’s vital that all eye injuries receive immediate eye care from an eye doctor.

Even a minor eye injury can cause a big red blotch to form on the white part of the eye (sclera). The cause is a broken blood vessel or a subconjunctival hemorrhage.

Although the appearance of this blood looks severe, and can make the entire white part of the eye appear bright red, a subconjunctival hemorrhage is usually painless and doesn’t cause vision loss. Any time you notice excessive blood on the eye following an eye injury, schedule an appointment with an eye doctor to assess the health of your eye.

Glaucoma

In rare cases, bloodshot eyes may signal the presence of glaucoma – a leading cause of vision loss and blindness.

While some types of glaucoma don’t show symptoms in the early phases, bloodshot eyes can indicate the type of glaucoma that requires immediate medical care. This disease causes damage to the optic nerve due to excessive pressure within the eye. When this pressure suddenly rises, the eye’s blood vessels become dilated and visible, making the eye appear red.

If you have bloodshot eyes and/or have the following risk factors for glaucoma, immediately schedule an appointment with your eye doctor.

  • Family history of glaucoma
  • Aged 60+
  • African American, Asian or Hispanic
  • Diabetes
  • High blood pressure

Bloodshot Eyes Won’t Go Away?

Talk to Us Any time you notice bloodshot eyes or blood on the front of the eye, don’t wait. Schedule your eye exam with Dr. David Mark at Silicon Valley Eye Physicians in Sunnyvale today.

Q&A With Your Local Optometrist

Can I get bloodshot eyes after LASIK surgery?

LASIK surgery is highly effective minimally invasive laser eye surgery that can correct refractive errors, but like all surgical procedures, it can have side effects. Your eyes may be bloodshot or you could see halos from a few days to three weeks after surgery. Additionally, you may experience other dry eye symptoms. Eye drops and liquid tears can alleviate these symptoms, but if you have any concerns about your eyes following LASIK surgery contact your eye surgeon.

What Should I Expect from a Glaucoma Exam?

If you have a family history and/or other risk factors for glaucoma, and if your eyes look bloodshot, consider scheduling a glaucoma exam. Your eye doctor may perform the following tests:

  • Tonometry – eye pressure test
  • Gonioscopy – to see how fluid is draining out of your eye
  • Vision field test – to examine the functioning of the optic nerve
  • Dilated pupil exam – to detect any damage to the optic nerve
  • Retinal photo or OCT – digital examination of the retina and optic nerve health

Why Is My Eyelid Twitching?

What Is An Eyelid Twitch?

Myokymia, more commonly known as an eyelid twitch, occurs when the eyelid muscles spasm uncontrollably. This sensation is generally felt in either the upper or lower eyelid of one eye.

An eyelid twitch can develop for a number of reasons, and can last anywhere from a few moments to several days, depending on the underlying cause.

Eyelid twitches are usually nothing to worry about, though persistent eyelid spasms can signal a more serious underlying condition.

What Causes Eyelid Twitching?

There are a range of factors that could be causing your eyelid to twitch, including:

Stress.

This is the most common cause. Any type of physical or mental stress leads to the release of cortisol, a steroid hormone in the body that acts as a stimulant and puts your body into “flight or fight” mode. It can affect the nervous system in uncharacteristic ways, including making the nerves stimulate your muscles to twitch.

Fatigue.

Have you stayed awake later than usual, or are you juggling work and family commitments? Your eyelid twitch may be a sign that your body is craving a few more hours of rest and shut eye.

Allergies.

Itchy, watery, irritated eyes can cause eyelid spasms.

Dry eyes.

Dry, sore eyes may sometimes lead to an eyelid twitch.

Eye strain.

Eye muscle fatigue from prolonged reading or using a digital device can lead to blurry or double vision, dry eyes, headaches and, sometimes, an eyelid twitch.

Caffeine.

Consuming too much caffeine can over-stimulate your mind and body, including the muscles in your eyes.

Alcohol.

Similar to caffeine, excessive alcohol intake can have stimulating effects on your eye muscles.

Nutrient deficiencies.

According to research, a deficiency in vitamins B12 or D, or magnesium, or other electrolyte imbalance can cause an eyelid twitch.

Blepharospasm.

This rare eye condition is caused by a neurological problem that leads to uncontrollable facial and eyelid spasms that generally worsen over time.These spasms may also cause an increase in blink rate and intensity.

Neurological disease.

Although uncommon, an eyelid twitch can be a symptom of multiple sclerosis (MS), Parkinson’s disease or Bell’s palsy.

How to Stop Your Eye Twitch

  • Schedule an eye exam to find out what may be causing your eyelid twitch. Your eye doctor may prescribe glasses to relieve eye strain, or recommend dry eye treatments, Botox injections or oral medication to treat the underlying problem.
  • Practice stress-relieving activities such as yoga and deep breathing exercises, or simply take some time out of your day to relax.
  • Use eye drops to alleviate eye allergies or dry eye symptoms.
  • Take frequent breaks from the screen and consider wearing computer glasses to reduce eye strain.
  • Limit caffeine and alcohol consumption to determine if these stimulants may be the cause of your eyelid twitch.
  • Speak with your physician to find out if you can benefit from taking nutritional supplements and to rule out a neurological disorder, especially if other symptoms are present.

Although an eye twitch is generally not a cause for concern, if it persists for longer than a few days or you notice any changes to your vision, contact Dr. David Mark at Silicon Valley Eye Physicians today to schedule an eye exam.

Q & A

Frequently Asked Questions with Dr. David Mark MD

Q: What is dry eye syndrome?

  • A: Dry eye syndrome (DES) is a chronic condition that occurs when your eyes don’t produce enough tears or the quality of your tear film is compromised. This results in a range of symptoms that may include dry, itchy, irritated eyes, and sometimes eye twitches. While mild DES can often be alleviated temporarily with over-the-counter lubricating eye drops, moderate to severe DES generally requires specialized in-office treatments.

Q: How can I relieve eye strain after prolonged screen time?

  • A: Digital eye strain, also known as computer vision syndrome, can cause a host of uncomfortable symptoms, including headaches, eye fatigue, dry eyes and blurry vision. Computer vision syndrome may cause your eyelid to twitch.If limiting screen time isn’t practical on a daily basis, try to follow the 20-20-20 rule: every 20 minutes, look at something around 20 feet away for at least 20 seconds. It is also important to remember to blink frequently and to close your eyes completely. Lastly, speak to your optometrist about wearing computer glasses while you work, as they are designed to eliminate glare from the screen, and reduce eye strain.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sunnyvale, California. Visit Silicon Valley Eye Physicians for an eye exam and eyeglasses that match your style.

What Is the Long-Term Impact of Virtual Learning on Children’s Eyes?

Kids, like adults, are spending more time online. At some point during the COVID-19 pandemic, many children attended school via Zoom and completed assignments online. The trend toward more screen time — whether playing games or being in touch with friends — is likely to continue even after everyone returns to the classroom. 

We already know that prolonged screen time can cause digital eye strain as well as dry eye symptoms, among other problems in children and adults. There is some indication that extended exposure to blue light may impact the development of retinal cells. However, studies on actual subjects still need to be done to establish a clear connection. 

Dry Eyes

Spending a long time in front of screens can impact how quickly our tears evaporate, because we blink around 66% less when using a computer compared to other daily activities. When tears evaporate too quickly and aren’t replenished with blinking our eyes start to feel dry and gritty. So remember to blink every few seconds to prevent your eyes from drying out!

Blue Light Exposure

Screens, such as those that appear on computers, phones and tablets emit blue light. Recent studies have shown that overexposure to blue light can damage the retinal cells at the back of your eyes. This may increase the risk of vision issues such as age-related macular degeneration which eventually leads to permanent loss of vision. 

Excess blue light has also been shown to disrupt the circadian rhythms that regulate our sleep patterns, as it tricks your internal clock into thinking that it is the middle of the day. This may lead to difficulty in falling asleep, insomnia, and daytime fatigue.

Digital Eye Strain

Nearly 60% of people who routinely use computers or digital devices experience symptoms of digital eye strain — also called computer vision syndrome. Symptoms of eye strain include eye fatigue and discomfort, dry eye, headaches, blurred vision, neck and shoulder pain, eye twitching, and red eyes. 

Taking frequent breaks from your screen can help reduce eye strain and neck, back and shoulder pain during your workday.

It is recommended to take at least one 10-minute break every hour. During these breaks, stand up, move about and stretch your arms, legs, back, neck and shoulders to relieve tension and muscle aches. 

Also, look away from your computer at least every 20 minutes and gaze at a distant object at least 20 feet away for at least 20 seconds. This relaxes the focusing lens inside the eye to prevent fatigue.

How to Make Virtual Learning Safer For Your Child

The following tips can lessen the impact of screens on your child’s eyes:

  • Reduce overall screen time 
  • Encourage frequent breaks
  • Use accessories that filter blue light (for example, blue light glasses)
  • Schedule regular eye exams

Make Sure Your Child Gets Routine Eye Exams

Children need comprehensive eye exams to assess the health of their eyes, correct their vision and spot potential problems which can affect learning and behavior. 

If you are concerned about the effect of virtual learning and screen time on your child’s eyes, or if you’re due for a checkup, schedule an eye doctor‘s appointment at Silicon Valley Eye Physicians in Sunnyvale. 

Q&A

What are blue light glasses?

Blue light glasses, also known as computer glasses, effectively block the transmission of blue light emitted from devices and computer screens. They often include a coating to reduce glare to further reduce eye strain. These glasses can be purchased with or without a prescription. 

What’s the 20-20-20 rule?

If you find yourself gazing at screens all day, whether your computer, smartphone, iPad or television, you’re at risk of experiencing eye strain. So make sure you schedule frequent breaks from your screen and follow the 20-20-20 rule; every 20 minutes, look at something 20 feet away for 20 seconds. And while you’re at it, use this time to get up, walk around, and stretch. 

How to Deal with Contact Lens Discomfort

Do your eyes itch or burn when wearing contact lenses? There are several reasons why you may be experiencing contact lens discomfort. Discover the possible causes behind the problem and see what you can do to relieve your discomfort.

What Causes Contact Lens Discomfort?

Some of the top causes of uncomfortable contacts are:

Dry eyes

Dry eye syndrome is a common condition that arises when your tears can’t keep your eyes sufficiently lubricated due to an imbalance in the tear film. Certain diseases, medications and environmental factors, like high levels of dryness and wind, can cause or contribute to red, itchy or irritated eyes, especially when wearing contacts.

Allergies

Allergens are typically harmless substances that induce an allergic response in certain people. Pollen, mold, dust and pet dander are some of the most common airborne allergens that trigger eye allergies. Cosmetics and certain eye drops, such as artificial tears with preservatives, can also induce eye allergies, which can make contact lens wear uncomfortable.

Corneal irregularities

The cornea at the front of the eye may be irregularly shaped due to astigmatism, keratoconus, eye surgeries (i.e. LASIK or cataract surgery), eye injuries or burns, scarring, corneal ulcers and/or severe dry eye. Irregular corneas often prevent traditional contact lenses from fitting correctly and comfortably.

Symptoms of Contact Lens Discomfort

  • Burning, itchy, stinging eyes
  • Sensation of something being stuck is in the eye
  • Excessive watering or tearing of the eyes
  • Unusual eye secretions
  • Redness of the eyes
  • Reduced sharpness of vision
  • Blurred vision, rainbows, or halos around objects
  • Sensitivity to light

How to Relieve Contact Lens Discomfort

Try Different Contact Lenses

Nowadays, there are many types of contact lenses on the market, including specialty contacts for dry eyes and astigmatism. Meet with our optometrist for a personalized eye exam for contacts.

With the variety of contact lens brands available, switching to a different contact lens may be the simplest answer if you’re experiencing discomfort that isn’t connected to improper fitting or issues with tear production. If your existing lenses fit well but still irritate and dry out your eyes, speak to us about trying a different design or brand of contact lenses, or changing your lens-wearing schedule.

Artificial Tears or Eye Drops

Over-the-counter artificial tears or eye drops are a common way to temporarily relieve contact lens discomfort. However, it’s important to keep in mind that unless prescribed by an eye doctor, they may not be treating the root of the problem.

Moreover, certain eye drops are incompatible with contact lenses, and may damage your contacts or harm your eyes. We also recommend staying away from products that claim to remove redness from your eyes, which temporarily reduce the size of blood vessels to lessen redness, but do not address the underlying cause of the condition, and can actually worsen it over time.

Take Good Care of Your Lenses

Inadequate contact lens care leaves residue on your lenses, which can discomfort, harmful eye infections and inflammation. Below are a few important contact lens hygiene guidelines to follow:

  • Before handling your contact lenses, thoroughly wash and dry your hands.
  • Remove your lenses before showering, bathing or swimming to prevent infection.
  • Do not sleep in your contact lenses (unless they are approved for sleeping).
  • Replace your contact lenses according to the manufacturer’s instructions (e.g., don’t reuse daily wear lenses).
  • Regularly clean your contact lens case and ask your eye doctor when to replace it.
  • Only use a contact lens solution that is appropriate for your lenses.
  • Never reuse or mix contact lens solutions.
  • Schedule regular appointments with your eye doctor.

If you are experiencing discomfort with your contact lenses, get in touch with Silicon Valley Eye Physicians in Sunnyvale today. We’ll get to the bottom of the problem and provide effective solutions for all-day comfort.

Q&A

What kinds of contacts are available?

Contact lenses are available in a wide range of materials and replacement schedules. Disposable contact lenses and extended wear contacts are the most convenient for many users.

I’ve already been fitted for contact lenses, so why did my optometrist ask me to come back?

If you’re asked to return a week later, it’s because your optometrist wants to rule out any issues, such as contact lens-related dry eye or irritation.

If it’s been around a year since your last eye checkup, you’ve likely been contacted to check whether your prescription has changed and to evaluate your eye health. The sooner problems are detected and treated, the better the outcome.

Risk Of Overusing Eye Drops

If you find yourself constantly reaching for eye drops, it’s time to start looking into the bigger issue: Why do you need them so often? While they may provide a quick and satisfying fix for irritated or itchy eyes, they don’t focus on what might be causing the irritation to begin with.

Two signs that you’re overusing eye drops: you often exceed the daily recommended dose and/or you view eye drops as a cure rather than a temporary treatment.

Risks of Overusing Eye Drops

When overusing eye drops you can run the risk of:

  • Washing away your natural tears. Artificial tears feel great as they lubricate your eyes and help with insufficient tear production. But overuse can literally wash away the natural moisturizers and your natural tears that protect your eyes.
  • Rebounding. As the effects of the eye drops subside or upon discontinuation of the drops, the original eye symptoms may return stronger than before. This is known as eye rebounding. Eye drops clamp down on the blood vessels in the eye to stop itchiness, which means your sclera isn’t getting the oxygen and nutrients it needs. When you stop using eye drops, or their effects wear off, your eyes may work in overdrive to deliver oxygen to those vessels.
  • Masking a more serious problem. Addressing the symptoms of red, itchy eyes rather than the cause could be more serious than you think.

Conditions That Eye Drops Could Be Masking

Red, itchy eyes are a symptom of several conditions, including:

  • Blepharitis – Red and inflamed eyelids, caused by a fungal or bacterial infection, gland dysfunction, parasites, or dry eye, all of which require treatment beyond over-the-counter eye drops.
  • Eye trauma – Scratching or rubbing your eye can cause blood vessels to break, making the eye itchy and red. Some more serious traumas will require prescription eye drops or surgery.
  • Eye strain – Focusing on work all day and night can cause irritated, tired, and strained eyes.
  • Foreign objects – An eyelash, dust, or something worse could be in your eye. If you have long-term issues with itchy or dry eyes, make sure a foreign body isn’t the culprit.
  • Allergies – Allergies to the environment or pets can cause dry, itchy eyes.
  • Pink eye – A bacterial or viral eye infection, also called conjunctivitis, can cause burning, swelling, and itchiness.
  • Dry eye syndrome – Irritation, redness and itchiness are common symptoms of dry eye syndrome. In severe cases, DES can damage the cornea.

Regardless of why you often use eye drops, the only way to get to the root cause of your symptoms is a thorough eye exam. Don’t cover up the symptoms with eye drops.

If you’re suffering from irritated, dry eyes that haven’t resolved on their own, contact Silicon Valley Eye Physicians in Sunnyvale. We can help you find the long-lasting relief you’ve been looking for.
At Silicon Valley Eye Physicians, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 408-739-6200 or book an appointment online to see one of our Sunnyvale eye doctors.

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Frequently Asked Questions with David Mark

Q: What are symptoms of dry eye syndrome ?

  • A: Irritation, redness and itchiness are common symptoms of dry eye syndrome. In severe cases, DES can damage the cornea.

Q: Are OTC eye drops safe ?

  • A: Eye drops may provide relief. But don’t overuse them. Overuse can cause more harm than good. Find out what happens when you overuse those relieving eye drops.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sunnyvale, California. Visit Silicon Valley Eye Physicians for an eye exam and eyeglasses that match your style.

3 Reasons Women Are More Likely Than Men To Develop Dry Eye

3 Reasons Women Are More Likely Than Men To Develop Dry Eye 640Did you know that women are more likely than men to experience symptoms of dry eye syndrome (DES)? In fact, women represent about 6 out of 10 diagnosed cases of DES worldwide. This is due to several factors, 3 of which we’ll outline below.

If you aren’t familiar with DES, this eye condition refers to a chronic lack of ocular moisture that causes uncomfortable symptoms like red, burning, itchy, watery eyes. Left untreated, DES can damage the cornea.

Usually, DES is caused by insufficient tears or poor quality tears, but can also be precipitated by allergies, environmental factors, hormones and even certain medications. If you or anyone in your family suffers from DES, speak with Our Dry Eye Experts at Silicon Valley Eye Physicians, who can help ease your dry eye symptoms

3 Reasons Why Women Are Prone to Dry Eye Syndrome

1. Cosmetic Use

Makeup, skincare items, and hair styling products can all drastically effect onyour eyes. Women who wear makeup—especially eye makeup like mascara and eyeliner—are more likely to develop dry eye symptoms due to their sometimes irritating contents. Makeup and other cosmetics may include chemicals that, when in contact with the eye, can reduce the eye’s tear film and cause tears to evaporate too quickly.

Eyeliner and mascara may also block the tiny oil-secreting glands on the margins of the eyelids. Oil is an essential component of tears, as it reduces eye-eyelid friction and lessens tear evaporation.

We aren’t telling you to ditch your glam kit and go au naturel, but when you do wear makeup, make sure to give your eyes some extra TLC. Try to avoid applying makeup to the inner portion of the lash line, where it can clog your oil glands or irritate your eyes. And make sure to thoroughly remove your eye makeup before going to sleep, as sleeping with eye makeup can also lead to eye irritation and even infection.

2. Hormonal Changes

From puberty to pregnancy and menopause, women’s hormones are constantly changing. All those surges and dips in estrogen can affect your eyes, especially when it comes to dry eye syndrome. Some women even experience dry eyes at certain times of the month, when estrogen levels rise.

Women also produce androgens, also known as “male hormones,” which affect the quality of the tear film. In fact, both men and women who have low androgens may suffer from DES.

Women over the age of 50 who take hormone replacement therapy (HRT) are at a heightened risk of developing dry eye symptoms. About 4 out of 10 post-menopausal women in North America use HRT to manage symptoms of menopause. Women increase their chances of developing DES by 70% when using estrogen alone for HRT, and by 29% when estrogen and progesterone are used together, compared to women who don’t use HRT.

3. Certain Medications

Because women are more likely than men to take both prescription and over-the-counter medications, they are also more prone to experience adverse effects from those medications. The common medications that often cause or exacerbate symptoms of DES include:

  • Antihistamines
  • Corticosteroids
  • Antidepressants
  • Antipsychotics
  • Acne medications
  • Sleeping pills
  • Birth control pills
  • Blood pressure medications

DES can be uncomfortable at the very least, and debilitating at its worst. The good news is that you can get the relief you seek! At Silicon Valley Eye Physicians, we provide long-lasting relief to patients suffering from dry eye syndrome by targeting the root of the problem.

If you or a loved one is suffering from dry eyes, call Silicon Valley Eye Physicians today.

Silicon Valley Eye Physicians provides dry eye relief to patients from Sunnyvale, Los Altos, Mountain View, Cupertino, and throughout California.

 

Frequently Asked Questions with Our Dry Eye Doctor in Sunnyvale

Q: Can I treat my dry eye symptoms at home?

  • A: While there are over-the-counter options available at your local drugstore, you should seek treatment from a dry eye optometrist for the most effective and long-lasting results. Generic dry eye remedies may not target the underlying source of your specific problem.

Q: Can women with dry eye syndrome still wear eye makeup?

  • A: Women with moderate-to-severe DES may find conventional makeup irritating. Try choosing makeup that is hypoallergenic, cream-based (instead of powder), and has a low water content. Thorough makeup removal is crucial for everyone— all the more so for those suffering from DES. So make sure you remove every bit of eyeliner, eyeshadow, and mascara before bed.


 

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Do You Think You Have Dry Eye? Call 408-739-6200

Tips For Wearing Scleral Lenses

Pretty Cheerful Woman Gesturing With Two Fingers Near Eyes. Youn

Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Silicon Valley Eye Physicians in Sunnyvale is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Silicon Valley Eye Physicians serves patients in Sunnyvale, Los Altos, Mountain View, Cupertino, and throughout Sunnyvale.

Frequently Asked Questions with Our Scleral Lenses Expert in Sunnyvale, California:

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


References

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How Sleep Apnea Affects The Eyes

Did you know that some eye conditions are associated with sleep apnea? According to the National Sleep Foundation, more than 18 million Americans have sleep apnea, and Health Canada reports similar prevalence. It’s a sleep disorder where people stop breathing — often multiple times per night — while sleeping.

If you have sleep apnea: it tends to take longer for your tears to be replenished, you’re more likely to have ocular irritation, you have a higher chance of developing floppy eyelids, and you’re at increased risk for glaucoma.

What Is Obstructive Sleep Apnea?

There are different types of sleep apnea. The most common one is obstructive sleep apnea (OSA). During OSA, your airway becomes partially blocked due to relaxed muscles in your nose and throat. This causes apnea (the absence of breathing) or hypopnea (abnormally shallow, slow breathing). It’s twice as common in men, and is more likely to affect people with obesity, hypertension, diabetes or heart disease.

What are the common symptoms of sleep apnea?

Sleep apnea occurs when the muscles in the back of your throat relax too much to allow normal breathing. These temporary breathing lapses cause lower-quality sleep and affect the body’s oxygen supply, which can lead to potentially serious health consequences.

While snoring is a common symptom, not everyone who snores has sleep apnea. Interrupted sleep can cause excessive daytime sleepiness, fatigue, irritability or depression, headaches in the morning, difficulty concentrating and thinking, and a sore throat.

Which Eye Conditions Are Associated With Sleep Apnea?

Glaucoma

Glaucoma occurs when increased pressure within the eye damages the optic nerve, which connects the eye to the brain, leading to vision loss and sometimes blindness. In some cases, it might be due to a drop in blood oxygen levels, which happens when you stop breathing. However, CPAP machines, one of the most common treatments for sleep apnea, can also cause glaucoma.

So, people with sleep apnea — even if it’s being treated — need to get their eyes checked on a regular basis for glaucoma.

Floppy Eyelid Syndrome

Floppy Eyelid Syndrome (FES) is an eye condition where a person has an unusually large and floppy upper eyelid. It can cause eye redness, irritation, discharge, or blurry vision — and over 90% of people with FES also have sleep apnea.

Non-Arteritic Anterior Ischemic Optic Neuropathy

Non-arteritic anterior ischemic optic neuropathy (NAION) is an eye condition that occurs when there is a loss of blood flow to the optic nerve. Patients typically complain of significant vision loss in one eye without any major pain. Approximately 70-80% of patients with NAION have been found to have OSA.

Retinal Vein Occlusion

Also referred to as an ‘eye stroke,’ retinal vein occlusion (RVO) is a blockage of the small veins that carry blood away from the retina. A recent study of 114 RVO patients found that sleep apnea was suspected in 74% of the patients that had previously been diagnosed with RVO.

Other Eye Health Issues Associated With Sleep Apnea

Some other ocular conditions that are more common in patients with sleep apnea include: papilledema, keratoconus, and central serous chorioretinopathy. Furthermore, in addition to glaucoma mentioned above, CPAP machines are associated with dry eye syndrome and bacterial conjunctivitis.

Talk To Your Doc

Get eye exams regularly to rule out eye disorders and prevent potential vision loss, especially if you have been diagnosed with sleep apnea. At Silicon Valley Eye Physicians in Sunnyvale we encourage you to share your medical history with us so we can better diagnose and treat any eye conditions or ocular diseases you may have, and help you keep your eyes nice and healthy.

Frequently Asked Questions with Dr. David Mark

Q: What Causes Sleep Apnea?

  • A: Sleep apnea occurs when in-part or completely stop breathing when sleeping. This causes your lungs to strain harder for oxygen, and makes the brain send signals that jerk your body awake to resume proper breathing.

Q: What are the Warning Signs of Sleep Apnea?

  • A: A common sign of sleep apnea is loud snoring. Snoring that is loud enough to disturb the sleep of the patient as well as others around, even across the walls. That said, not everyone who snores suffers from obstructive sleep apnea.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sunnyvale, California. Visit Silicon Valley Eye Physicians for an eye exam and eyeglasses that match your style.

My Eyes Feel Gritty. Is It Dry Eye?

something in my eyeWhen your eyes feel gritty it’s often due to an eyelash, a speck of dust, or a grain of sand getting caught in your eye. When this discomfort persists without an apparent reason, you could be experiencing dry eye.

Left untreated, dry eye isn’t just uncomfortable, but it can permanently damage your cornea. If you have dry eye, your eye doctor will prescribe the appropriate treatment to keep your eyes healthy and your vision clear.

What is Dry Eye?

Dry eye is a common problem caused either by insufficient tears or poor tear quality. Every time you blink, you leave a thin film of tears over the surface of your eyes. This helps keep your eyes healthy and your vision clear. If your tears don’t keep the surface of your eye moist enough, you will experience dry eye.

Symptoms of dry eye include:

  • Irritation- a gritty, scratchy or burning sensation
  • Blurred vision
  • Excessive tearing
  • A feeling of something being stuck in the eye

Causes of Dry Eye

There are many things that can cause dry eye:

  • Allergies
  • Medical conditions – Dry eye is more common in people with rheumatoid arthritis, thyroid problems, Sjogren’s syndrome, diabetes and several other conditions.
  • Environmental factors – Wind, smoke, and dry air can all cause your tears to evaporate.
  • Insufficient blinking – staring at a computer screen or a book for long periods of time can cause the eyes to blink less frequently.
  • Medications – Antidepressants, antihistamines, blood pressure medications, and decongestants can cause a reduction in tear production.
  • Ageing – As people get older they are more prone to dry eye. Women tend to be more affected than men.
  • Eyelid Conditions – Insufficient oil production from the glands in the eyelids or misshapen eyelids can lead to poor tear quality.
  • Hormonal changes

Relief from Dry Eye

As with any other form of eye discomfort, your first stop should be your eye doctor, who will thoroughly examine your eyes and eyelids to identify the underlying problem. If dry eye is suspected, your doctor may decide to assess the quality and quantity of your tears.

Depending on the exact cause of your dry eye, your doctor may prescribe artificial tears or prescription eye drops, or discuss a range of in-office procedures to address moderate to severe dry eye caused by your eyelids. Your eye doctor may also recommend wrap-around glasses to protect your eyes against irritants. Blinking more regularly, staying hydrated, and placing a humidifier in your home or office might also help.

After your initial appointment, you will want to schedule a follow-up appointment to make sure the methods you have tried are working and to prevent the progression to advanced dry eye. Advanced dry eye can cause damage to your cornea and, potentially, vision loss.


If you are experiencing eye discomfort, visit Silicon Valley Eye Physicians to have your eyes examined and receive effective, lasting treatment.

Silicon Valley Eye Physicians serves patients from Sunnyvale, Los Altos, Mountain View, and Cupertino, all throughout California.

Request A Dry Eye Appointment
Do You Think You Have Dry Eye? Call 408-739-6200
Frequently Asked Questions with Silicon Valley Eye Physicians

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sunnyvale, California. Visit Silicon Valley Eye Physicians for an eye exam and eyeglasses that match your style.

3 Benefits of Wearing Scleral Lenses

Benefits of Scleral Lenses 640Scleral contact lenses are gas permeable lenses that rest on the “white” part of the eye (the sclera), forming a dome over the cornea. This dome creates a new optical surface over the irregular or damaged cornea, providing clearer and more comfortable vision.

Here are 3 reasons why scleral lenses are a great contact lens option:

1-They work when nothing else will

When a patient has an irregularly shaped cornea, whether it’s because of an eye condition, complications following eye surgery, or other reasons, it can lead to vision problems that cannot be corrected with standard contact lenses or glasses. This is where scleral lenses can help.

Sclerals are especially suited for patients with keratoconus, astigmatism, severe dry eye syndrome, and other conditions that make it uncomfortable—even impossible—to wear standard contact lenses.

2- Scleral lenses provide relief for those who suffer from dry eye syndrome

Unlike regular soft contact lenses, which sit on the cornea, scleral lenses vault over the cornea and sit on the sclera. This prevents irritation and allows the eye to heal. Moreover, the space between the lens and the cornea contains a liquid reservoir of artificial tears that continually hydrates your eyes.

3- Sclerals are long-lasting

Created from top-quality, long-lasting materials, these rigid gas permeable contacts usually last 1-3 years. Even though the initial cost of scleral lenses is higher than standard contact lenses, you’ll benefit from greater value for your money.

Scleral lenses are customized for every patient’s eyes. To learn more about scleral lenses contact Silicon Valley Eye Physicians today.

Silicon Valley Eye Physicians serves patients from Sunnyvale, Los Altos, Mountain View, and Cupertino, all throughout California.

Request A Scleral Lens Appointment
Can Scleral Lenses Help You? Find Out! 408-739-6200
Frequently Asked Questions with Silicon Valley Eye Physicians

Q: Can you request lenses made from glass? Is glass still used for lenses?

  • A: Opticians still sometimes use glass for lenses. However, glass is not used very often because they aren’t as safe. If these glass lenses breaks, they can shatters into many pieces and can injure the eye. Glass lenses are much heavier than plastic lenses, so they can make your eyeglasses less comfortable to wear.

Q: Can a coating be added to eyeglasses to protect them from further scratches?

  • A: A protective coating can’t be added to a lens after it’s scratched. The coating is applied when the lens is manufactured and can’t be put on later.

Quality Frames For Prescription Eyeglasses & Computer Glasses In Sunnyvale, California. Visit Silicon Valley Eye Physicians for an eye exam and eyeglasses that match your style.