Appointments

Call Us At:
013 243 1632 or 086 166 4664

Queries

Email Us At: eye@drcronje.com

Office Hours

Mon - Fri: 8:00 AM - 5:00 PM
Sat: By Appointment Only

Categories
General Eye Health Glaucoma

Glaucoma Progression: Understanding Visual Field Tests

Glaucoma is a chronic eye condition that can lead to irreversible vision loss if left untreated. It affects the optic nerve, which is responsible for transmitting visual information from the eye to the brain. As the disease progresses, the optic nerve fibers become damaged, resulting in visual field loss. Visual field tests are crucial tools used by ophthalmologists to monitor glaucoma progression and assess the effectiveness of treatment.

What is a Visual Field Test?

A visual field test, also known as perimetry, is a diagnostic procedure that measures a person’s entire field of vision, including their central and peripheral vision. The test provides valuable information about the extent and pattern of visual field loss, which is a key indicator of glaucoma progression. There are various types of visual field tests, including automated perimetry, frequency doubling technology, and more.

Static perimetry is the most commonly used type of visual field test. It involves presenting a series of light stimuli at different locations in the visual field, and the patient indicates when they see the light by pressing a button. Kinetic perimetry, on the other hand, uses moving stimuli to map the boundaries of the visual field.

View Video

How is a Visual Field Test Performed?

Before the test, the patient’s eyes are typically dilated to ensure a clear view of the retina. The patient sits in a dimly lit room and places their chin on a chin rest, while one eye is covered to assess each eye separately. The technician operates the equipment and guides the patient through the test.

View Video

During the test, the patient focuses on a central fixation point and responds whenever they see a stimulus. The stimuli are presented at varying intensities and locations within the visual field. The patient’s responses are recorded, and the test continues until a comprehensive assessment of the visual field is obtained.

Different perimetry strategies may be used, depending on the purpose of the test. Threshold strategies involve presenting stimuli at different intensities to determine the minimum level of brightness the patient can perceive. Suprathreshold strategies use stimuli that are presented above the patient’s threshold, making the test faster but less sensitive to subtle visual field defects.

Interpreting Visual Field Test Results

Visual field test results are typically provided in a visual field report, which includes several components. These components may include a visual field map, showing the areas of normal and abnormal vision, and numerical indices that provide quantitative measurements of visual field loss.

The location of visual field defects is significant in understanding glaucoma progression. Common types of defects include paracentral defects, which affect the central part of the visual field, and arcuate defects, which manifest as a loss of vision in a curved or arc-like shape.

Different classification systems are used to grade visual field defects and assess the severity of glaucoma. Examples include the Glaucoma Hemifield Test, which compares the upper and lower halves of the visual field, and the Mean Deviation and Pattern Standard Deviation, which provide information about the overall deviation from normal and the pattern of visual field loss, respectively.

Factors that Can Affect Visual Field Test Results

Several factors can influence the reliability and accuracy of visual field test results. Patient fatigue is a common concern, as prolonged testing sessions may lead to reduced attention and response accuracy. Learning effects can also impact results, as patients may become more familiar with the test and perform better over time.

Other factors that can affect visual field test results include media opacities, such as cataracts, which can scatter light and distort the test stimuli. Eye movements and fixation losses during the test can introduce errors, leading to false positives (incorrectly indicating the presence of a stimulus) or false negatives (omitting the presence of a stimulus). Proper patient instruction and technician guidance are essential to minimize these errors.

The Role of Visual Field Tests in Glaucoma Management

Visual field tests play a crucial role in monitoring glaucoma progression and assessing the effectiveness of treatment. They provide valuable information to ophthalmologists, helping them make informed decisions regarding the management of the disease. By detecting visual field defects, visual field tests can indicate the need for treatment adjustments or interventions to prevent further vision loss.

The frequency of visual field testing in glaucoma management varies based on individual patient factors, such as the severity of the disease and the stability of visual field defects. In the early stages of glaucoma, visual field tests may be performed every 6 to 12 months to establish a baseline and track disease progression. As the disease advances, more frequent testing, such as every 3 to 6 months, may be necessary to closely monitor changes and guide treatment decisions.

Visual field tests are integrated with other clinical information, including intraocular pressure measurements, optic nerve assessments, and imaging tests, to provide a comprehensive evaluation of the patient’s condition. The collective data help ophthalmologists determine the optimal treatment approach and evaluate the effectiveness of interventions over time.

View Video

Conclusion

Visual field tests are invaluable tools in the management of glaucoma. By assessing the extent and pattern of visual field loss, these tests provide essential information for monitoring disease progression and guiding treatment decisions. Patients with glaucoma should work closely with their ophthalmologist to understand their visual field test results and their implications for their overall glaucoma management.

Regular visual field testing, in combination with other clinical assessments, helps ensure early detection of glaucoma progression and appropriate intervention to preserve vision. By staying proactive and engaged in their eye care, patients can actively contribute to maintaining their visual health and quality of life.

Categories
Cornea Diseases

Keratoconus: Causes, Symptoms, Diagnosis, and Treatment

Keratoconus is a progressive eye condition that affects the cornea, the clear outer layer of the eye. This condition causes the cornea to thin and bulge into a cone-like shape, leading to distorted vision and other visual problems. In this article, we will discuss the causes, symptoms, diagnosis, and treatment options for keratoconus.

View Video

Causes of Keratoconus

The exact cause is not fully understood, but it is believed to be caused by a combination of genetic and environmental factors. Some of the factors that are associated with keratoconus include:

  1. Genetics: Keratoconus often runs in families, and researchers have identified several genes that may be responsible for the condition.
  2. Eye Rubbing: Frequent eye rubbing can cause damage to the cornea and increase the risk of developing keratoconus.
  3. Allergies: People with allergies may be more likely to develop keratoconus, although the exact reason for this is not clear.
  4. Connective Tissue Disorders: Certain connective tissue disorders, such as Ehlers-Danlos syndrome and Marfan syndrome, are associated with an increased risk of keratoconus.

Symptoms of Keratoconus

The symptoms can vary from person to person and may include:

  1. Blurred or distorted vision: This is the most common symptom of keratoconus. As the cornea becomes thinner and more irregular, it can cause vision to become distorted.
  2. Increased sensitivity to light: People with keratoconus may experience increased sensitivity to light, which can make it difficult to see in bright sunlight or other bright environments.
  3. Halos or glare around lights: Keratoconus can cause halos or glare around lights, especially at night.
  4. Frequent changes in prescription: As keratoconus progresses, the prescription for glasses or contact lenses may need to be changed frequently to maintain clear vision.

Diagnosis

Keratoconus can be diagnosed through a comprehensive eye exam, which may include:

  1. Visual Acuity Test: This test measures how well you can see at various distances.
  2. Refraction Test: This test determines the amount of nearsightedness, farsightedness, or astigmatism you have.
  3. Corneal Topography: This test uses a special instrument to map the surface of the cornea and detect any irregularities.
  4. Slit-Lamp Exam: This exam allows your eye doctor to examine the cornea and other structures of the eye in detail.

Treatment

There are several treatment options for keratoconus, depending on the severity of the condition. These include:

  1. Glasses or Contact Lenses: Mild cases can often be corrected with glasses or contact lenses. Specialized contact lenses, such as rigid gas-permeable lenses, can help to provide clear vision by conforming to the irregular shape of the cornea.
  2. Corneal Cross-Linking: This is a minimally invasive procedure that uses a combination of ultraviolet light and riboflavin drops to strengthen the cornea and prevent further bulging.
  3. Intacs: This is a surgical procedure that involves the insertion of small plastic rings into the cornea to help flatten it and improve vision.
  4. Corneal Transplant: In severe cases a corneal transplant may be necessary to replace the damaged cornea with a healthy one.
View Video

Conclusion

Keratoconus is a progressive eye condition that can cause significant vision problems if left untreated. Its important to seek the advice of an eye doctor if you experience any symptoms of keratoconus, such as blurred or distorted vision, sensitivity to light, halos, or frequent changes in prescription.

While the exact cause is not fully understood, there are several treatment options available depending on the severity of the condition. Treatment options include glasses or contact lenses, corneal cross-linking, Intacs, and corneal transplant.

If you have been diagnosed it is important to work closely with your eye doctor to develop a treatment plan that is tailored to your specific needs. Regular eye exams can also help to monitor the progression of the condition and ensure that any necessary adjustments to your treatment plan are made in a timely manner.

Categories
Cataracts

Types of Cataracts: Understanding How They Form and Their Symptoms

Cataracts are one of the most common eye conditions that affect people as they age. They can cause a range of symptoms that can significantly impact a patient’s daily life. In this blog post, we will discuss the different types of cataracts, how they form, and the symptoms that patients may experience. If you are experiencing any of the symptoms discussed, we encourage you to contact an ophthalmologist for a thorough eye examination.

What are cataracts?

Before diving into the different types of cataracts, it’s essential to understand what they are. Cataracts are a clouding of the eye’s natural lens, which sits behind the iris and pupil. As the lens becomes clouded, it can interfere with the passage of light to the retina, causing vision problems.

Types of cataracts:

There are three main types of cataracts: nuclear, cortical, and posterior subcapsular cataracts.

Nuclear cataracts:

Nuclear cataracts form in the center, or nucleus, of the eye’s natural lens. This type of cataract is often associated with aging and can cause the lens to become yellow or brown. As the cataract progresses, the lens may also become more opaque, making it difficult to see clearly.

View Video

Symptoms of nuclear cataracts:

  • Blurred vision
  • Difficulty seeing in low light conditions
  • Sensitivity to glare

Cortical cataracts:

Cortical cataracts form in the lens cortex, which surrounds the eye’s nucleus. This type of cataract is characterized by wedge-shaped opacities that extend from the outside of the lens to the center. As the cataract progresses, the opacities may grow larger and more numerous, causing vision problems.

View Video

Symptoms of cortical cataracts

  • Blurred vision
  • Difficulty seeing in bright light conditions
  • Halos around lights

Posterior subcapsular cataracts:

Posterior subcapsular cataracts form at the back of the lens, just beneath the lens capsule. This type of cataract is often associated with diabetes and other medical conditions, as well as prolonged use of steroid medications. As the cataract progresses, it can cause significant vision problems.

View Video

Symptoms of posterior subcapsular cataracts

  • Blurred vision
  • Difficulty reading
  • Halos around lights

What to do if you are experiencing cataract symptoms

If you are experiencing any of the symptoms discussed in this post, we encourage you to contact an ophthalmologist for a comprehensive eye examination. An ophthalmologist can perform a thorough evaluation of your eyes and help determine if cataracts are the cause of your symptoms. If cataracts are detected, they can discuss the available treatment options, which may include surgery or non-surgical approaches.

Conclusion

Cataracts are a common eye condition that can cause a range of symptoms that can impact a patient’s daily life. By understanding the different types of cataracts and their symptoms, patients can take steps to protect their eye health and seek treatment if necessary. If you are experiencing any symptoms related to cataracts, don’t hesitate to contact an ophthalmologist to schedule a comprehensive eye exam.

Categories
General Eye Health

Autoimmune Disorders and Your Eyes: What You Need to Know

As an ophthalmologist, I often see patients who suffer from autoimmune disorders that affect their eyes. These disorders can be complex and debilitating, but with the right knowledge and care, we can help manage them effectively. In this blog post, we will explore the common autoimmune disorders that affect your eyes, how they impact your vision, and what you can do to protect your eyesight.

What Are Autoimmune Disorders?

An autoimmune disorder occurs when your immune system mistakenly attacks your own body’s cells, tissues, and organs. This can lead to inflammation, pain, and damage in different parts of your body, including your eyes. There are various types of autoimmune disorders that can affect your eyes, and they can range from mild to severe.

Common Autoimmune Disorders That Affect Your Eyes

Rheumatoid Arthritis (RA)

RA is a chronic autoimmune disorder that mainly affects your joints, but it can also cause inflammation in your eyes. It can cause dry eyes, scleritis (inflammation of the white part of your eye), and uveitis (inflammation of the middle layer of your eye).

Lupus

Lupus is an autoimmune disorder that can affect your skin, joints, and other organs. It can cause uveitis, retinal vasculitis (inflammation of the blood vessels in your retina), and damage to the optic nerve.

Sjögren’s Syndrome

Sjögren’s syndrome is an autoimmune disorder that mainly affects your salivary and tear glands. It can cause dry eyes, dry mouth, and other symptoms.

View Video

Multiple Sclerosis (MS)

MS is an autoimmune disorder that affects your brain and spinal cord. It can cause optic neuritis (inflammation of the optic nerve), which can lead to blurry vision, color blindness, and even blindness in some cases.

View Video

How Autoimmune Disorders Affect Your Eyes

Autoimmune disorders can affect your eyes in different ways. They can cause inflammation, dryness, and damage to different parts of your eyes, including the cornea, sclera, uvea, retina, and optic nerve. This can lead to various symptoms, such as redness, pain, sensitivity to light, blurry vision, and even blindness.

Preventing Progression of Autoimmune Disorders in Your Eyes

If you have an autoimmune disorder that affects your eyes, there are various measures you can take to prevent its progression and protect your eyesight. These include:

  1. Follow your treatment plan: Your doctor may prescribe medication, eye drops, or other treatments to manage your autoimmune disorder and prevent it from affecting your eyes.
  2. Regular eye exams: Regular eye exams can help detect any changes in your eyes caused by your autoimmune disorder. Your ophthalmologist can also monitor your eye health and recommend appropriate treatments.
  3. Protect your eyes: Wear protective eyewear, such as sunglasses or goggles, when you’re exposed to UV rays, dust, or other environmental factors that can irritate your eyes.
  4. Maintain a healthy lifestyle: A healthy diet, regular exercise, and avoiding smoking can help boost your immune system and reduce inflammation in your body.

In Conclusion

Autoimmune disorders can have a significant impact on your eye health, but with the right knowledge and care, you can manage them effectively. If you have an autoimmune disorder or suspect you may have one, make sure to consult with your doctor and ophthalmologist. They can help diagnose your condition, recommend appropriate treatments, and help you protect your eyesight.

Categories
Glaucoma

Navigating Life with Glaucoma: The Importance of Low Vision Rehabilitation

Glaucoma is a progressive eye disease that affects the optic nerve, causing vision loss. It is a leading cause of blindness worldwide, and it is estimated that over 60 million people are affected by glaucoma globally. The disease often goes unnoticed in its early stages, and vision loss can be irreversible if left untreated.

Low vision rehabilitation is a specialized treatment option for patients with glaucoma who have lost a significant amount of vision. It helps patients to learn how to use their remaining vision effectively and to adapt to their visual impairments. In this article, we will discuss the importance of low vision rehabilitation for patients with glaucoma and the different techniques and devices that can be used to improve vision and quality of life.

Understanding Glaucoma

Glaucoma is a group of eye diseases that cause damage to the optic nerve, the part of the eye that carries visual information to the brain. The optic nerve is responsible for transmitting light and images to the brain, allowing us to see. In glaucoma, the optic nerve is damaged, causing vision loss.

There are two main types of glaucoma: open-angle glaucoma and angle-closure glaucoma. Open-angle glaucoma is the most common type, and it occurs when the drainage angle in the eye is open but not functioning properly. This leads to a build-up of pressure in the eye, called intraocular pressure (IOP), which can damage the optic nerve.

Angle-closure glaucoma is less common, and it occurs when the drainage angle in the eye is closed or blocked. This leads to a sudden increase in IOP, which can cause severe vision loss if not treated promptly.

To learn more about acute angle closure glaucoma watch the video below:

View Video

Symptoms of Glaucoma

Glaucoma often goes unnoticed in its early stages, as there are usually no symptoms. As the disease progresses, patients may experience symptoms such as:

  • Blurred vision
  • Tunnel vision
  • Loss of peripheral vision
  • Halos around lights
  • Pain or pressure in the eye

It is important to note that these symptoms may not occur until the disease is in its advanced stages, which is why regular eye exams are crucial for early detection and treatment of glaucoma.

To learn more about the importance of complete eye exams watch the video below:

View Video

The Importance of Low Vision Rehabilitation

Low vision rehabilitation is a specialized treatment option for patients with glaucoma who have lost a significant amount of vision. It helps patients to learn how to use their remaining vision effectively and to adapt to their visual impairments.

Low vision rehabilitation is important for patients with glaucoma because it can help to improve their quality of life. It can help patients to maintain their independence, allowing them to continue to do the things they enjoy, such as reading, watching television, and even driving.

Low vision rehabilitation can also help to improve the psychological well-being of patients with glaucoma. Vision loss can be a traumatic experience, and patients may feel depressed, anxious, or even isolated. Low vision rehabilitation can help patients to cope with their visual impairments and to regain a sense of control over their lives.

Techniques and Devices for Low Vision Rehabilitation

Low vision rehabilitation is a multidisciplinary approach that involves a team of specialists, including ophthalmologists, optometrists, occupational therapists, and low vision therapists. The team will work together to assess the patient’s visual needs and to develop an individualized treatment plan.

There are several techniques and devices that can be used to improve vision and quality of life for patients with glaucoma, including:

  • Magnifiers: Magnifiers are devices that enlarge text and images, making them easier to see. There are different types of magnifiers, such as hand-held, stand, and electronic magnifiers, each with their own advantages and disadvantages. Magnifiers can be used to read books, newspapers, and even computer screens.
  • Closed-circuit televisions (CCTVs): CCTV’s are electronic devices that magnify text and images on a monitor, making them easier to see. They can be used to read books, newspapers, and even computer screens. CCTV’s can also be used to write, watch television, and even shop online.
  • Low vision glasses: Low vision glasses are specially designed glasses that can help to improve vision for patients with glaucoma. They can help to magnify text and images, improve contrast, and even reduce glare. Low vision glasses can be used for reading, watching television, and even driving.
  • Adaptive devices: Adaptive devices are devices that can help patients with glaucoma to adapt to their visual impairments. They can include things like talking clocks and watches, large-print telephones, and even voice-activated devices. Adaptive devices can help patients to maintain their independence and to continue to do the things they enjoy.

Training and Education

Adapting to visual impairments caused by glaucoma can be a difficult and overwhelming process, but there are various techniques that can help patients to adjust and continue to live an active and fulfilling life.

One of the key techniques for adapting to visual impairments is learning to use remaining vision effectively. This can involve techniques such as scanning, tracking, and peripheral vision training. Scanning involves moving the eyes quickly across an area to take in as much visual information as possible, while tracking involves following a moving object or person with the eyes. Peripheral vision training helps to strengthen the use of peripheral vision, which is often not preserved in patients with glaucoma.

Environmental modifications, such as creating a visually-friendly home environment and using proper lighting, can also greatly benefit patients with visual impairments. This can include things like placing furniture in a way that makes it easier to navigate, adding additional lighting, and using contrasting colors to make objects stand out.

Additionally, learning to use non-visual cues, such as touch and sound, can help patients to navigate their environment and complete daily tasks. For example, a patient may use the sound of a doorbell to locate the front door, or use touch to navigate a familiar room.

Finally, it’s important for patients to have access to emotional and psychological support. Vision loss can be a traumatic experience, and patients may feel depressed, anxious, or even isolated. Support groups and counseling can provide patients with a sense of community and the tools to cope with their visual impairments.

To learn more about living with glaucoma watch the video below:

View Video

Conclusion

Low vision rehabilitation can improve the quality of life for patients with glaucoma, allowing them to maintain their independence and to continue to do the things they enjoy. There are several techniques and devices that can be used to improve vision and quality of life for patients with glaucoma, including magnifiers, closed-circuit televisions, low vision glasses, adaptive devices, and training and education. If you or a loved one is affected by glaucoma, it is important to speak with an ophthalmologist about the options available for low vision rehabilitation.

Categories
Cataracts Glaucoma

Restoring Sight and Managing Glaucoma: Glaucoma and Cataract Surgery

Understanding Cataracts and Glaucoma

Cataract surgery is a common and highly successful procedure that can help improve vision and quality of life for those suffering from cataracts. However, for those who also have glaucoma, the decision to undergo cataract surgery can be a bit more complicated. In this article, we will explore the potential risks and benefits of cataract surgery for individuals with glaucoma, as well as the important considerations that should be made before making a decision.

Cataracts and Glaucoma: Common but Different Conditions

First, it is important to understand what cataracts and glaucoma are. A cataract is a clouding of the natural lens in the eye, which can cause blurry vision, difficulty seeing at night, and sensitivity to glare. Glaucoma is a group of eye diseases that damage the optic nerve, which can lead to vision loss and blindness. Both conditions are more common as we age, and they can occur together.

Watch the video below to learn more about cataracts:

View Video

Watch the video below to learn more about glaucoma:

View Video

Cataract Surgery for Individuals with Glaucoma: Risks and Benefits

Cataract surgery involves removing the cloudy natural lens and replacing it with an artificial lens, called an intraocular lens (IOL). This can greatly improve vision and quality of life for those with cataracts. However, for those with glaucoma, there are a few important considerations to take into account.

Potential for Increased Eye Pressure

The first consideration is the potential for increased eye pressure after cataract surgery. Glaucoma is often treated with medications and/or surgery to lower eye pressure and protect the optic nerve. However, cataract surgery can sometimes temporarily increase eye pressure, which can be a concern for those with glaucoma. This is why it is important for individuals with glaucoma to be closely monitored by their ophthalmologist before and after cataract surgery to ensure that their eye pressure stays within a safe range.

Types of Intraocular Lenses (IOLs)

Another consideration is the type of IOL that is used during cataract surgery. Traditional IOLs are monofocal, meaning they only correct for one distance (usually distance vision). However, for those with glaucoma, there are newer IOLs available that can also correct for near vision, which can be helpful in reducing the need for glasses after surgery. These are called multifocal IOLs.

Watch the video below to learn more about the various IOL options:

View Video

Cataract Surgery is not a Treatment for Glaucoma

It is also important to note that cataract surgery is not a treatment for glaucoma, but it can make glaucoma management more challenging. In some cases, individuals with glaucoma may require additional glaucoma treatments after cataract surgery, such as laser surgery or additional medications.

Benefits of Improved Vision and Quality of Life

Despite these considerations, for many individuals with glaucoma, the benefits of cataract surgery can outweigh the risks. Improved vision and quality of life can be a significant benefit for those with cataracts, and for many individuals, the risks of increased eye pressure and the need for additional glaucoma treatments can be managed effectively.

Watch the video below to learn more about the benefits of cataract surgery.

View Video

Talking to Your Ophthalmologist about Cataract Surgery and Glaucoma

In conclusion, cataract surgery can be a highly successful procedure for those suffering from cataracts, but for those with glaucoma, it is important to take into account the potential risks and benefits before making a decision. Close monitoring by an ophthalmologist, careful selection of an IOL, and a thorough understanding of the potential risks and benefits can help ensure a positive outcome. If you are considering cataract surgery and have glaucoma, it is important to talk to your ophthalmologist about your specific situation and what options may be best for you.

Categories
Cataracts

Age Is Not Always A Factor: Discover The Causes Of Early Cataracts

Cataracts are the clouding of the eye’s natural lens, which can lead to vision loss. This clouding can occur gradually over time and is often a normal part of aging. However, cataracts can also develop at an early age due to certain risk factors. It is important to be aware of the causes and symptoms of early cataracts in order to prevent further vision loss.

Causes of Early Cataracts

There are several causes of early cataracts, including:

• Prolonged Exposure to Sunlight: Prolonged exposure to ultraviolet (UV) rays from the sun can damage the eye’s lens and lead to cataracts. Wearing sunglasses and hats with wide brims can help protect the eyes from the sun’s UV rays.

• Diabetes: People with diabetes have an increased risk of developing cataracts at an early age. It is important for diabetic patients to have regular eye exams and to manage their diabetes in order to reduce the risk of early cataracts.

• Family History: A family history of cataracts increases the risk of developing early cataracts. It is important to discuss any family history of cataracts with your ophthalmologist so that they can monitor you more closely.

• Medications and Drugs: Certain medications and drugs can increase the risk of early cataracts. These include high-dose steroids, certain antibiotics, and certain chemotherapy drugs. It is important to discuss any medications or drugs you are taking with your ophthalmologist and to make sure they are in line with your overall health goals.

• Trauma or Injury: Trauma or injury to the eye can cause damage to the lens and lead to early cataracts. Wearing protective eyewear during sports or activities can help to reduce the risk of eye injury.

• Smoking: Smoking has been linked to an increased risk of developing early cataracts. Quitting smoking can help to reduce the risk of developing cataracts.

Symptoms of Early Cataracts

The most common symptom of early cataracts is a decrease in vision. This may include blurred vision, difficulty seeing in dim light, and glare from lights. Other symptoms of early cataracts include double vision, seeing halos around lights, and a change in the color of the eye. If you experience any of these symptoms, it is important to see your ophthalmologist for an eye exam.

Diagnosis and Treatment of Early Cataracts

Cataracts are diagnosed with a comprehensive eye exam. During the exam, your ophthalmologist will examine your eyes with a slit lamp and use special drops to make the lens of the eye more visible. The ophthalmologist may also take pictures of the eye to look for signs of early cataracts.

Early cataracts can be treated with a variety of methods, depending on the severity of the condition. In mild cases, lifestyle changes such as wearing sunglasses and avoiding bright lights can help reduce symptoms. For more severe cases, surgery is often recommended to remove the cloudy lens and replace it with an artificial one. This surgery is typically safe and effective, but it is important to discuss all options with your ophthalmologist before deciding on a treatment plan.

Conclusion

Early cataracts are a serious condition that can lead to vision loss if left untreated. It is important to be aware of the causes and symptoms of early cataracts so that they can be diagnosed and treated as soon as possible. If you are experiencing any symptoms of early cataracts, it is important to see your ophthalmologist for an eye exam.

Categories
General Eye Health

Stress And Your Eyesight

Stress is a normal part of life, but its effects on your mental and physical health can be significant. One of the areas of your body that can be affected by stress is your eyes and vision. While some clinical studies have shown that there can be a link between stress and vision problems. There are also other serious eye diseases that may result from chronic stress. As per the above mentioned clinical evidence indicating a possible correlation between chronic stress and your eye health and vision, one should be encouraged to take steps to minimize its potential impact.

The most direct effect that stress can have on your vision is through various vision problems. These can include:

  • blurred vision
  • double vision
  • difficulty focusing, and other similar vision issues

These changes can be temporary, and often resolve once the stress is relieved. However, if the stress persists, these vision problems can become more pronounced and last longer. Therefore, it is important to address the underlying cause of your stress, in order to reduce its effect on your vision. If these symptoms persist we recommend you consult with an Ophthalmologist/ Eye Doctor.

Stress can also lead to more serious eye diseases. Clinical studies have shown that stress can increase the risk of developing certain conditions such as glaucoma and age-related macular degeneration. These diseases can cause permanent damage to the eyes and lead to vision loss. If you are experiencing prolonged periods of stress, it is important to have regular eye exams to help identify any potential problems.

In addition to vision problems and eye diseases, stress can also lead to dry eyes and other eye conditions. Stress can cause the body to produce fewer tears, leading to dry eyes. Dry eyes can cause irritation, redness, and blurred vision. If left untreated, dry eyes can also cause more serious issues, so it is important to manage your stress in order to minimize its impact.

It is also well known that, excessive screen can lead to increased eyestrain. When we are stressed, we often forget to take breaks and focus on other tasks, which may lead to increased eyestrain. This can cause headaches and make it difficult to concentrate. If you are feeling stressed, be sure to take regular breaks as this is a simple solution to protect your eye health. Focus on activities that help reduce your stress levels, such as exercise and relaxation techniques. 

To learn more about protecting your eyes from digital eye strain CLICK HERE

Stress can have a significant impact on your vision and eye health. While it can lead to vision problems and other eye diseases, it is important to remember that these effects are usually temporary and can be minimized by taking steps to manage your stress. If you are feeling stressed, and making lifestyle changes has not resolved the issue be sure to consult an Ophthalmologist for advice on how to address the underlying causes of your stress and to ensure any permanent damage hasn’t already occurred.

View Video
Categories
General Eye Health

Don’t Let Dry Eye Put a Damper on Your Day

senior-woman-suffering-from-dry-eye-syndrome
Senior woman suffering from dry eye syndrome

A Brief Overview Of DED

Do you suffer from dry eyes? You’re not alone. Dry eye disease is a common condition that affects millions of people worldwide. It occurs when the eye does not produce enough tears or the tears evaporate to quickly. The tears are important for keeping the eyes lubricated and comfortable, and for providing nutrients and oxygen to the surface of the eye. Without them, the eyes can become dry, red, itchy, and irritated.

Navigate this article by clicking the links below:

What is dry eye?

Dry eye, also known as dry eye disease (DED), is a common and often uncomfortable condition caused by a lack of sufficient tears to lubricate and nourish the eyes. It is generally caused by a decrease in tear production, an imbalance in the components of tears, or an increase in tear evaporation. It can be a chronic and irritating condition, but fortunately, it is treatable. At its most basic, dry eye is caused when the eyes do not produce enough tears or when the tears produced do not have the proper composition to keep the eyes lubricated and nourished. Tears are made up of three components: water, oil, and mucus. If there is an imbalance between these components, dry eye can occur.

To learn more about this condition watch the informative video below:

View Video

If you’re experiencing any of these symptoms, you should see an ophthalmologist. An ophthalmologist is a medical doctor who specializes in the diagnosis and treatment of eye diseases and conditions, including DED. They can diagnose your condition, provide a personalized treatment plan, and help you manage your symptoms.

Dry Eye Causes

There are many possible causes of dry eye, including:

Aging

Aging can cause dry eye because the tear glands produce fewer tears as we get older. This is due to the decrease in hormone production and the change in the composition of tears. As we age, the oil-producing glands in our eyelids, which help keep the tear film stable, become less active and can cause the tears to evaporate faster.

Medications

Certain medications can cause dry eye because they reduce the production of tears, either by interfering with tear production or by blocking tear drainage. These medications include antihistamines, decongestants, blood pressure medications, antidepressants, and medications used to treat anxiety and seizures.

Environmental factors

Certain environmental factors can cause dry eye because they reduce the amount of tears that are produced or disrupt the natural balance of the tears. These factors include wind, smoke, dust, and dry air. Wind and dust can irritate the eyes and reduce the amount of tears produced, while smoke and dry air can evaporate the tears quickly, leaving the eyes dry. Exposure to allergens may also cause the eyes to produce fewer tears.

Certain medical conditions

Certain medical conditions can cause dry eye because they can affect the ability of the body to produce adequate tears or to effectively spread the tears across the surface of the eye. Some of these medical conditions include Sjogren’s Syndrome, thyroid disease, blepharitis, and diabetes. In Sjogren’s Syndrome, the body’s immune system mistakenly attacks its own moisture-producing glands, leading to a decrease in production of tears and saliva. Thyroid disease can cause a decrease in tear production and quality, while blepharitis can cause inflammation of the eyelids that can lead to an obstruction of the tear drainage system. Diabetes can also lead to dry eye because it can damage the nerves that control the tear production process.

Hormonal changes

Hormonal changes, such as those experienced during menopause, can lead to dry eye.

Laser eye surgery

Some laser eye surgeries can cause or worsen this condition.

Contact lens wear and dry eye

In some cases wearing contact lenses may cause dry eye for the following reasons:

Wearing Habits: Wearing contact lenses for too long, not taking them out at night, or not cleaning them properly can cause an accumulation of allergens, bacteria, and other debris on the contact lens surface that can cause irritation, dryness, and discomfort.

Fit: Contact lenses that don’t fit properly can cause dryness and discomfort.

Tear Quality: Contact lenses can interfere with the natural production of tears, leading to dryness and discomfort.

Contact Lens Solutions: Some contact lens solutions contain preservatives, which can be irritating to the eye and cause dryness.

Non-Prescription Lenses: Non-prescription lenses, such as decorative or colored lenses, can be more likely to cause dryness and discomfort.

Eye diseases

Diseases such as blepharitis, meibomian gland dysfunction, and conjunctivitis can lead to dry eye.

Symptoms Of Dry Eye

The most common symptom of this condition is a burning sensation in the eyes. This feeling can range from mild to severe and may also be accompanied by light sensitivity, redness, and itching. In some cases, dry eye can cause an inability to produce tears, resulting in dryness and irritation.

Another common symptom of dry eye is blurred vision. This occurs when the surface of the eye is not sufficiently lubricated and can cause problems with near and far vision. Blurry vision can also be accompanied by eye strain and fatigue due to the difficulty of focusing.

Another symptom is a feeling of grittiness or the sensation that there is something in the eye. This can be caused by the presence of tiny particles on the surface of the eye that irritate the cornea. This symptom can be accompanied by gritty or sandy sensations and can be quite painful.

Finally, DED can cause excessive tearing. This is caused by a reflex reaction to the dryness in the eyes and can be accompanied by a red, watery, and irritated eye.

Treatment

If left untreated, DED can lead to more serious complications, such as infection, corneal ulcers, and vision loss. Fortunately, there are numerous treatments available for dry eye syndrome. Your ophthalmologist will work with you to determine the best course of action for your individual needs. This may include over-the-counter artificial tear drops, prescription medications, lifestyle modifications, and in-office treatments.

For more information on various treatment options watch the informative video below:

View Video

Daily Habits To Prevent Dry Eye From Worsening

In addition to treatment, it’s important to take steps to prevent DED. This includes protecting your eyes from the elements, avoiding long-term use of contact lenses, and taking regular breaks from the computer screen.

For an overview of how to manage DED watch the helpful video below:

View Video

Conclusion

If you’re experiencing any symptoms of DED, don’t wait—see your ophthalmologist right away. With the right treatment and preventative measures, you can keep your eyes healthy and comfortable.

Categories
Retinal Conditions

Everything You Need To Know About Retinal Detachment

What you need to know

Retinal detachment is a medical emergency because if left untreated, it can lead to permanent vision loss. When the retina detaches from the back of the eye, it is no longer able to receive oxygen and nutrients from the blood vessels that surround it. Without these vital nutrients, the retina will begin to die. If retinal detachment is not treated promptly, the retina will eventually detach completely, causing blindness.

What is retinal detachment?

Retinal detachment is a condition in which the retina, the thin layer of tissue that lines the inside of the eye, becomes separated from the back of the eye. The retina is the innermost, light-sensitive layer of the eye and is responsible for sending visual signals to the brain. When the retina detaches, it is no longer able to function properly and vision is affected.

Infographic showing the difference between a normal eye and an eye with retinal detachment
Infographic showing the difference between a normal eye and an eye with retinal detachment

For a brief overview of retinal detachment watch the following informative video:

View Video

There are three types:

1. Rhegmatogenous:

A rhegmatogenous retinal detachment occurs when there is a break or tear in the retina, allowing fluid to pass through and detach the retina from the back of the eye. This type is the most common and can occur in anyone, but is more likely to happen in those with a history of eye trauma or surgery, or those who are nearsighted.

For more information on vision with a retinal tear and retinal hole watch the following informative videos:
2. Tractional:

Tractional retinal detachment occurs when abnormal growth of scar tissue on the retina pulls on the retina and causes it to detach. Scar tissue can form on the retina after an injury, surgery, or other condition that damages the eye. Treatment for tractional retinal detachment often involves surgery to repair the retina. In some cases cryotherapy (freezing) may be used to shrink the scar tissue and relieve the traction on the retina.

For a brief overview of cryotherapy watch the following:
View Video
3. Exudative:

Exudative retinal detachment is a type of retinal detachment in which fluid accumulates under the retina, causing it to lift away from the back of the eye. This is different from a rhegmatogenous, which is caused by a tear or hole in the retina. Exudative retinal detachment is usually caused by an underlying condition, such as age-related macular degeneration, that allows fluid to leak into the space under the retina.

Symptoms of retinal detachment

This condition can occur suddenly or gradually over a few days, but is considered a medical emergency. There is usually no pain associated with retinal detachment but you should all your doctor or go to the emergency room immediately if you experience any of the following symptoms:

• Sudden or gradual onset of floaters (tiny specks of debris that appear in your field of vision) and/or flashes of light in one or both eyes

• A “curtain” or “veil” appearing over your field of vision

• Cloudiness or distortion of your vision

• A sense that you are “seeing out of a tunnel”

• A decrease in your peripheral (side) vision

Risk Factors

There are several risk factors associated with retinal detachment, including:

Myopia (nearsightedness): This is the most common risk factor. People who are nearsighted are more likely to develop this condition because their eyeballs are longer than normal. This causes the retina to be stretched thin, making it more susceptible to tearing.

Family history: If you have a family member who has had retinal detachment, you may be at increased risk for the condition.

Previous eye surgery: Eye surgery, such as cataract surgery, can sometimes cause retinal detachment.

Eye injury: A severe blow to the head or face can cause retinal detachment.

Age: It is most common in people over age 50.

Treatment Options

The most common type of treatment is surgery. There are several different types of surgery that can be used, and the best option for each individual will depend on the severity and location of the detachment.

Pneumatic retinopexy

Pneumatic retinopexy is a type of surgery that uses a gas bubble to push the retina back into place. A needle is used to inject the gas bubble into the eye, and the bubble then expands and pushes the retina back into place.

View Video

Scleral buckling

Scleral buckling is a type of surgery that involves placing a band around the outside of the eye to push the retina back into place. The band is usually made of silicone or sponge, and is placed under the eye’s surface.

View Video

Vitrectomy

Vitrectomy is a type of surgery that involves removing the vitreous gel from the eye. This gel can pull on the retina and cause it to become detached. By removing the gel, the retina is no longer being pulled on and can be pushed back into place.

View Video

Conclusion

This is a serious condition that can lead to blindness. However, if it is caught early, it can be treated successfully. There are several different treatment options available, and your doctor will work with you to determine the best course of action for your particular situation. With prompt treatment, you can often avoid serious complications and preserve your vision.

Categories
General Eye Health

Food For Thought: How What You Eat Affects Your Eye Health

Your Diet And Eye Health

Your diet has a big impact on your eye health. The foods you eat can affect your vision in both the short and long term. A diet that is high in fat and sugar can lead to problems such as obesity and diabetes, which can in turn lead to serious eye conditions such as glaucoma and cataracts. Conversely, a diet that is rich in antioxidants and nutrients can help to protect your eyes from age-related damage and disease.

A healthy diet can help you maintain a healthy weight.

There are a number of eye problems that people who are overweight or obese are at an increased risk for. These include glaucoma, diabetic retinopathy, and age-related macular degeneration. Each of these conditions can lead to vision loss or blindness if left untreated.

For tips on portion control for healthy weight management watch this informative video:

View Video

Eating a diet rich in fruits and vegetables can help protect your eyes from age-related vision problems.

Fruits and vegetables contain antioxidants that help to keep your eyes healthy. Some antioxidants found in fruits and vegetables that are beneficial for eye health include vitamin C, beta-carotene, and flavonoids. These nutrients help to protect the eyes from damage caused by free radicals, which can lead to conditions such as macular degeneration and cataracts. Eating a diet rich in fruits and vegetables is one of the best ways to ensure that your eyes stay healthy and to reduce your risk of developing these conditions.

Eating a diet high in omega-3 fatty acids can help to protect your eyes from dry eye syndrome and age-related macular degeneration.

Omega-3 fatty acids are a type of unsaturated fat that is found in oily fish such as salmon, mackerel, and sardines, as well as in flaxseeds, chia seeds, and walnuts. They are essential for maintaining the health of cell membranes, and they have anti-inflammatory properties that can help to reduce the risk of a number of conditions, including dry eye syndrome and age-related macular degeneration. If you are concerned about your eye health, you should speak to your doctor or a registered dietitian about incorporating more omega-3 fatty acids into your diet.

To learn more about the benefits of omega-3 watch this informative video:

View Video

Eating a diet high in sugar can increase your risk for diabetic retinopathy.

A diet high in sugar can lead to diabetes, which in turn can cause diabetic retinopathy. Diabetic retinopathy is a serious medical condition in which the blood vessels in the retina are damaged, potentially leading to blindness. If you have diabetes, it is important to control your blood sugar levels to help prevent this complication.

Eating a diet high in salt can increase your risk for glaucoma.

Salt is an important part of our diet, but eating too much salt can increase our risk for developing high blood pressure, which is a major risk factor for developing glaucoma. People with glaucoma have an increased pressure in their eyes, which can damage the optic nerve and lead to vision loss. By following a healthy diet, you can help to protect your eyesight and maintain good vision for years to come.

Other nutrients you can consume to help protect your eyes from disease and keep them healthy include:

Vitamin A: Vitamin A helps to produce tears and is important for night vision. It can be found in foods like carrots, sweet potatoes, and spinach.

Vitamin C: Vitamin C helps to protect the cornea, which is the clear, outer layer of the eye. It can be found in foods like oranges, strawberries, and kale.

Vitamin E: Vitamin E helps to protect the cells in the retina, which is the back part of the eye that senses light. It can be found in foods like almonds, sunflower seeds, and avocados.

Categories
Diabetic Retinopathy

6 Tips To Prevent The Progression Of Diabetic Retinopathy

If you have diabetes, you know that it is important to keep your blood sugar levels under control to prevent complications. But did you know that you also need to take care of your eyes?

Diabetic retinopathy is a leading cause of blindness in adults, and it can occur even if your blood sugar is well-controlled. Here are five tips from an ophthalmologist to help you prevent the progression of diabetic retinopathy:

Get your eyes checked regularly.


Diabetic retinopathy is a condition that affects the blood vessels in the retina, the light-sensitive tissue at the back of the eye. The condition is a leading cause of blindness in adults. People with diabetes are at risk for developing diabetic retinopathy. The condition often has no early symptoms, so it is important to have a comprehensive dilated eye exam at least once a year. Your ophthalmologist can detect the early signs of the disease and start treatment to prevent vision loss.

To learn more about the importance of routine eye exams for diabetics watch the following informative video:

View Video

Keep your blood sugar levels under control.

Diabetes prevents your body from using and storing sugar properly, which can cause excessive amounts of sugar to remain in the bloodstream. The resulting high glucose levels can damage blood vessels throughout the body, including those in the eyes.

Maintaining good blood sugar control is the most important thing you can do to prevent diabetic retinopathy. Work with your doctor to keep your blood sugar levels as close to normal as possible.

If you have high blood sugar for an extended period of time, it can change the shape of your eye’s lens, making your vision blurry. If left uncontrolled, it can result in blindness.

Keep your blood pressure under control.

High blood pressure can damage the blood vessels in your eyes, so it is important to keep it under control. Work with your doctor to keep your blood pressure at a healthy level.

If you have high blood pressure, it is important to take measures to lower it. This can include taking medications and reducing stress levels. Uncontrolled blood pressure can result in the bursting of thin blood vessels in your eyes.

To learn more about monitoring your blood pressure watch this helpful video:

View Video

Quit smoking.

All types of tobacco contain cyanide, a poisonous substance that can damage cells in the eyes. Additionally, tobacco use can interfere with proper blood circulation and oxygenation. Smoking damages the blood vessels in your eyes and makes diabetic retinopathy worse. If you smoke, quit. It’s the best thing you can do for your eyes.

Eat a healthy diet.

Eating a diet that is rich in fruits, vegetables, and whole grains can help protect your eyes from diabetic retinopathy. So eat healthy and take care of your eyes!

Categories
Cataracts

The Right IOL for Your Lifestyle: Find the Perfect Lens for Your Cataracts

The Right IOL for Your Lifestyle

Find the Perfect Lens for Your Cataracts

Are you looking for the right lens for your cataracts? No doubt, cataract is a common eye condition that affects almost all adults by age 65. It happens when the lens in your eyes becomes cloudy, making it hard to see clearly.

A combination of risk factors may increase your chance of developing cataracts, such as: excessive ultraviolet light exposure, a diet low in fruits and vegetables, a history of eye injury, certain medications, and advancing age.

An eye exam can help track the progression of cataracts symptoms and provide treatment for cataracts to help you maintain your quality of life.

Surgical Lenses Cataracts

What is an IOL (Intraocular Lens)

An intraocular lens (IOL) is a type of implant that is placed inside your eyes during cataract surgery. The purpose of the IOL is to help you see better by restoring the functionality of your lens.

The IOL is made with a plastic or silicone material and is implanted inside your eye during cataract surgery. It is attached to your retina and lets light into your eye. When cataracts form in your eyes, the lens inside your eye becomes cloudy and hard to see through. The lens is responsible for focusing light on your retina, allowing you to see. A cataract blocks the light from being focused on your retina. There are three types of intraocular lenses: monofocal ,multifocal and toric IOL’s, which is used to treat astigmatism.

Monofocal Intraocular Lens (Monofocal IOL)

A monofocal IOL is the most common cataract surgery lens.

It has one focal length, and therefore focuses at one distance. Your visual requirements will determine whether you require close-up, medium-range, or long-distance vision. Generally, eyeglasses are required for reading or near work. For the majority of people, having their vision set for long distance is preferable for driving, walking, and seeing people away. 

Toric Intraocular Lens (Toric IOL)

A toric IOL is recommended for patients who are astigmatic. It is also suitable for patients with short-sightedness or long-sightedness.

An astigmatic eye has a focusing ability that is either over or underfocused based on where in the eye the focus is being created. Toric IOLs can correct astigmatism because they have distinct focusing powers on both horizontal and vertical lines that compensate for an astigmatic eye’s lack of focus. To fully cure astigmatism, toric IOLs need to be oriented correctly.

Multifocal Intraocular Lens (Multifocal IOL)

A multifocal implantable lens is a premium implantable lens that gives both far and near vision at the same time.

With this lens, you may see nearby and faraway objects without glasses (although you may still need them for certain situations, such as reading small print). The IOL has different zones that focus light differently, splitting the light between near and far vision, which means a multifocal IOL never uses 100% of the light for far vision or near vision. Only 5-10% of those considering cataract surgery can tolerate this, because of the special optics of a multifocal IOL. 

Conclusion

A cataract is more than just a clouding of the eye lens. It also negatively affects quality of life, eye health, and work-related functions.

The best way to live with cataracts is to maintain a healthy lifestyle. Exercising regularly, leading a balanced diet, getting enough sleep, and staying hydrated are crucial to keeping your eyes healthy. Regular eye checkups can help detect and prevent the development of cataracts. While there is no cure for cataracts, they can be treated with surgery. The best cataract lens type is the one that suits your lifestyle.

Considering Cataract Surgery

Book A Consultation & Decide On Your IOL

The best approach is early detection and treatment. If you are experiencing cataract symptoms such as cloudy vision, blurred vision, double vision, faded colours or poor night vision it’s best to have regular eye examinations to ensure early detection.

Appointments

Call Us At:
013 243 1632 or 086 166 4664

Queries

Email Us At: eye@drcronje.com

Office Hours

Mon - Fri: 8:00 AM - 5:00 PM
Sat: By Appointment Only

The information on this website is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Please consult Dr. Cronje for specific eye health concerns.

Request to Schedule Appointment

Please provide two possible dates that suit you, we will revert to you to discuss availability according to Dr. Cronje’s schedule.

All information provided below is private and protected by the POPI act

Open chat
Scan the code
Have a Question? Let’s Chat!
I’m here to help with any questions you have about eye care or treatments.