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Latest Vision News

Block the Blue Light

The truth is, blue light isn’t all bad. It shouldn’t be blocked at all times. It can help memory, boost alertness, and elevate your mood! Still, the eye cannot take blue light all day long and it can easily contribute to eye strain especially when it is coming from computer screens and tablets and cellphones.

These days, we’re working, learning, and relaxing in front of screens emitting blue light all throughout the day—and night. Even your average indoor lightbulb can give off blue light.

You’re probably wondering. Okay, but what is blue light anyway?

Blue light is the highest energy visible light on the UV spectrum, and before the advent of technology, the sun was our only significant source of blue light. Problems arise, however, with the amount of blue light to which we are exposing our brains and bodies, potentially causing undue stress to our eyes and even making it hard to sleep at night.

There are a few ways to avoid this strain. First, let us introduce you to one of the best options on the list: blue light blocking lenses.

What are blue light blocking lenses?

Good question. Glasses equipped with lenses with blue light protection are a simple solution to combat the symptoms caused by increased screen time. The technology in these lenses has a subtle tint that softens harsh blue light rays as they pass through, reducing the amount of blue light to which the wearer’s eyes are exposed. They aren’t heavy or thick and can be made without a prescription attached to them. They can be made to fit adults, teens and children and are safe for all to wear. All blue light blocking glasses aren’t made the same. They can be made to block a certain percentage of blue light. How much you decide to block, well, that is up to you. Give our practice a call and we will gladly talk you through your options!

What else can I do to block blue light?

While you won’t be able to block it without the correct lens as your shield, you can still manage it.

When working at a computer, for example, you’re often looking up and down, from screen to paper, and your eyes are moving around and refocusing time after time. This is where the 20-20-20 rule can come into play. For every 20 minutes you’re in front of a screen, turn your head and look at something at least 20 feet away for 20 seconds. Just, give your eyes a break.

Another option: simply lower the brightness. The display settings for your screen on your phone or computer allow you to adjust the amount of light seeping from the screen. If your screen looks like a light source, lower the brightness. If your screen looks dull and a bit too dark, it’s okay and probably for the best to brighten it up. A dull screen can also strain your eyes.

Bottom line, protect your eyes the best way you can and remember that we are here to help! Looking to get a pair of blue light protection glasses that fit your lifestyle and your budget? Here at Infinity Eye Care, we can customize any style of frame and lens prescription with blue light-blocking technology.

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There are several different variations of Glaucoma, but in this article we will mainly focus on Primary Open Angle Glaucoma. This means that there is no specific underlying cause for the Glaucoma like inflammation, trauma, or a severe cataract. It also means that the drainage angle where fluid is drained from the inside of the eye into the bloodstream is not narrow or closed.

Closed or Narrow Angle Glaucoma, which will be discussed in another article, is treated differently from Open Angle Glaucoma

In the U.S., Primary Open Angle Glaucoma (POAG) is by far the most common type of Glaucoma we treat.

Glaucoma is a disease where the Optic Nerve in the back of the eye deteriorates over time, and that deterioration has a relationship to the Intraocular Pressure (IOP).  Most - but not all - people diagnosed with Glaucoma have an elevated IOP.  Some people have fairly normal IOP’s but show the characteristic deterioration in the Optic Nerve. Regardless of whether or not the pressure was high initially, our primary treatment is to lower the IOP. We usually are looking to try to get the IOP down by about 25% from the pre-treatment levels.

The two mainstays of initial treatment for POAG in the U.S. are medications or laser treatments. There are other places in the world where Glaucoma is initially treated with surgery. However, while surgery can often lower the pressure to a greater degree than either medications or laser treatments, it comes with a higher rate of complications. Most U.S. eye doctors elect to go with the more conservative approach and utilize either medications - most often in the form of eye drops - or a laser treatment.

Drops

There are several different classes of medications used to treat Glaucoma.

The most common class used are the Prostaglandin Analogues or PGA’s.  The PGA’s available in the U.S. are Xalatan (latanaprost), Travatan (travapost), Lumigan (bimatoprost) and Zioptan (tafluprost).

PGA’s are most doctors’ first line of treatment because they generally lower the IOP better than the other classes; they are reasonably well tolerated by most people; and they are dosed just once a day, while most of the other drugs available have to be used multiple times a day.

The other classes of drugs include beta-blockers that are used once or twice a day; carbonic anhydrase inhibitors (CAI’s ), which come in either a drop or pill form and are used either twice or three times a day; alpha agonists that are used either twice or three times a day; and miotics, which are used three or four times a day. All of these other medications are typically used as either second-line or adjunctive treatment when the PGA’s are not successful in keeping the pressure down as single agents.

There are also several combination drops available in the U.S. that combine two of the second-line agents (Cosopt, Combigan, and Symbrinza).

Laser

The second option as initial treatment is a laser procedure.

The two most common laser treatments for Open Angle Glaucoma are Argon Laser Trabeculoplasty (ALT) or Selective Laser Trabeculoplasty (SLT).  These treatments try and get an area inside the eye called the Trabecular Meshwork - where fluid is drained from the inside of the eye into the venous system - to drain more efficiently.

These treatments tend to lower the pressure to about the same degree as the PGA’s do with over 80% of patients achieving a significant decrease in their eye pressure that lasts at least a year.  Both laser treatments can be repeated if the pressure begins to rise again in the future but the SLT works slightly better as a repeat procedure compared to the ALT.

Article contributed by Dr. Brian Wnorowski, M.D.

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