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Month: February 2018

4 Red Flags of Childhood Eye Problems

by Caroline Cauchi, OD

Children may not realize they’re having difficulties seeing clearly. This is problematic because undetected visual acuity issues among children can have a negative impact on their education and social development. In today’s post, your eye doctor from Vision Solutions shares four signs that your child may have a vision problem.

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1. Squinting

Squinting is a compensatory mechanism we use when we’re struggling to see something. If you notice your child squinting frequently, this may indicate that they have a refractive error. We suggest heading to your optometrist so we can perform a comprehensive eye exam.

2. Sitting Close to the TV

Habitually sitting too close to the TV may indicate that your child has myopia, more commonly known as nearsightedness. This refractive error causes difficulties seeing distant-range objects, while close-range vision remains strong. We may prescribe eyeglasses or contact lenses to improve your child’s distant-range visual acuity.

3. Rubbing Eyes

Any visual impairment can make it difficult for your children to see, whether they’re trying to read notes on the blackboard or see their playmates across the field. As a result, their eyes will work harder so they can see better. Doing so can eventually cause eye fatigue, leading your child to frequently rub their eyes.

4. Head Tilting

Head tilting may be a sign that your child sees better through one eye than the other. If you notice that your child is frequently tilting their head, bring them to your eye care specialist. We’ll perform a comprehensive eye exam to evaluate the coordination between your child’s eyes and brain.

Get in touch with us today at (619) 461-4913 or complete our form to schedule an appointment for you and your child. We serve La Mesa, CA, and nearby areas.

Signs of Eye and Vision Problems in Infants

Infant Eyesight

Despite nine months of growth in utero, babies are not born with fully developed eyes and vision – just like they can’t walk or talk yet. Over the first few months of life, their visual systems continue to progress, stimulated by their surroundings.

Babies will develop the ability to track objects, focus their eyes, and move them like a team. Their visual acuity will improve and they will gradually be able to see more colors. They will also form the neural connections that will allow them to process what they see, to understand and interact with the world around them. 

Healthy eyes and good vision are necessary for proper and timely progress; ocular or visual problems can lead to developmental delays. 

So how do you know if your infant is developing normally? What can you do to ensure your baby’s eye health and vision are on track? While infant eye problems are not common here are some steps you can take to ensure your child’s eyes are healthy. 

#1 Schedule a six month check-up.

It is recommended to get the first professional comprehensive eye and vision exam for your child between six and 12 months of age. 

Your optometrist should check for the following skills at the 6-month checkup:

  • Visual acuity (nearsightedness, farsightedness or astigmatism)
  • Eye muscle and movement capabilities
  • Eye health

If you have any concerns prior to six months, don’t hesitate to take your baby for an exam earlier. 

#2 Engage in visually stimulating play.

Incorporating visually stimulating play for your child will help develop visual processes like eye tracking and eye teaming. 

A baby’s initial focusing distance is 20-30 cm, so to nurture healthy vision skills, keep high contrast “reach and touch” toys within this distance. Alternate right and left sides with each feeding, and provide toys that encourage tracking of moving objects to foster eye-hand coordination and depth perception.

Pediatricians in North America recommend that NO screen time be allowed under the age of 2, as many forms of development may be delayed from premature use of digital devices. 

#3 Be alert to eye and vision problems.

Keep an eye out for indications of an eye health problem, and contact an eye doctor to discuss any concerns you may have. Some symptoms to pay attention to include:

  • Red eyes or eyelids, which may or may not be accompanied by discharge and crusty lids. This may indicate an eye infection that can be very contagious and may require medication. 
  • Excessive eye watering or tearing. This may be caused by a problem with the tear ducts, such as a blockage.
  • Extreme light sensitivity. While some light sensitivity is normal, significant sensitivity to light can be a sign of disease or elevated eye pressure. 
  • Eye “jiggling” or bouncing. This suggests a problem with the muscle control of the eyes.
  • Eye turn. Whether it is an eye that seems to cross in or a “lazy eye” that turns out, this is often associated with a refractive error or eye muscle issues that could require treatment such as eyeglasses, vision therapy, patching or surgery.
  • White pupil. This can be a sign of a number of diseases, including cancer. If you see this have it checked out immediately. 

Since your infant’s eyes are still maturing, any issues that are found can likely be corrected with proper care and treatment. The important thing is to find a pediatric eye care provider that you trust because you will want to regularly check the health of your child’s eyes to ensure proper learning and development throughout infancy and beyond.

Eat Right for Better Eyesight

by Caroline Cauchi, OD

The best thing you can do for your eyesight is maintain a healthy lifestyle. Start by eating foods that are rich in eye-friendly nutrients. Vision Solutions, your trusted provider of high-quality contact lenses and other eye care products, shares some good examples in today’s post.

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Your eyes need two specific omega-3 essential fatty acids, EPA and DHA, to maintain your visual comfort. Fortunately, cold-water fish, such as tuna, salmon and trout, contain high levels of these nutrients. Not only do they make appetizing meals, they also lower your risk of developing dry eye syndrome.

Dark, Leafy Greens

Dark, leafy greens like kale and spinach are a great addition to your daily intake. They are powerhouses of lutein and zeaxanthin, two antioxidants that fight off free radicals, which can compromise your eyes’ structural integrity and various processes. Because they provide so many health benefits, dark, leafy greens are sometimes included as part of glaucoma treatment and prevention.

Bell Peppers

Did you know that a cup of bell peppers can give you 100% of the daily recommended dietary allowance for vitamin A? It also provides the most vitamin C per calorie. Including bell peppers in your diet can also reduce your risk of developing macular degeneration and cataracts as you age.

Berries and Oranges

Fruits from the berry and citrus families are loaded with vitamin C. Your eye care specialist encourages eating oranges or strawberries to boost your immune system. Doing so can strengthen your resistance to illnesses.

To learn more about great foods for the eyes, call us at (619) 461-4913. You may also complete our form to request an appointment. We serve La Mesa, CA, and nearby areas.

AMD Awareness Could Save Your Vision

It’s that time of the year again. Each February, the optometric community bands together to create awareness about age-related macular degeneration (AMD). AMD is a leading cause of vision loss for people 50 years and older; early detection plays a key role in the outcome of the disease. That’s why bringing awareness to the disease and its risk factors is so important. 

Macular degeneration is a disease that damages the macula, which is a small area in the center of the retina responsible for sharp, clear central vision. The disease comes in two forms, wet AMD and dry AMD. The most common form, dry AMD, which affects around 80% of AMD patients, is when the macula gradually thins, and small clusters of protein called drusen begin to grow. Drusen result from cells in the macula that cannot rid themselves of metabolic waste called lipofuscin. The lipofuscin accumulates as drusen which causes a gradual vision decline. 

Dry AMD can turn into wet AMD when abnormal new blood vessels grow through breaks in a membrane layer of the thinning macula. The fragile blood vessels leak fluid into the macula, causing rapid decrease in central vision.The wet form is less common, yet it can cause a faster and more drastic vision loss. If a person has dry AMD which turns into wet AMD, this should be treated as soon as possible, as within days this can cause permanent scarring. Fortunately, there is effective treatment for wet AMD if detected before scarring arises. 

Both forms of AMD result in a loss of central vision, while peripheral vision stays intact. Symptoms can present as difficulty focusing on objects in front of you, or a blurred or dulled area in the central visual field which leads to having trouble reading, doing close work, driving or even recognizing faces. With time, the size of the blurred area can grow and eventually develop into black spots in central vision. Oftentimes patients don’t even notice symptoms until a significant amount of damage has been done. This is why regular eye exams are critical, especially if you are at risk. 

While AMD alone won’t cause complete blindness, it can cause a permanent, total loss of central vision if not treated. Vision loss can lead to a condition called low vision which can have a very serious impact on daily living and require a lot of assistance both by vision devices and the help of others. 

Are You at Risk? 

As it is an age-related disease, age is a significant risk factor for AMD, specifically once you reach 60. However, age is not the only risk factor. While some risk factors for AMD cannot be controlled there are lifestyle factors that you can change to prevent AMD.

Other than age, risk factors include:

  • Family history: If you have a family history of AMD, you are more at risk. Research has identified at least 20 genes that are associated with AMD, showing there is a genetic factor.
  • Race: Caucasian descent is a higher risk factor for AMD, and in fact, Caucasians with light irises have an increased risk from age 50.
  • Smoking: Smoking doubles your risk of developing AMD. 
  • Overweight/Obesity: Research shows that being overweight is a risk factor for AMD.
  • Having heart disease, high blood pressure and high cholesterol increase your risks.
  • Diet: An unhealthy diet rich in saturated fats is a significant risk factor.
  • Early exposure to UV light and blue hazard light (especially with the younger generation having increased exposure to digital devices) can cause early onset AMD. 

Here are some lifestyle steps you can take to reduce your risk of AMD:

  • Stop smoking
  • Eat a healthy diet rich in omega 3 fatty acids, (from fatty fish or flax seeds), leafy greens and colorful fruits and vegetables. 
  • Know your family history.
  • Exercise regularly.
  • Protect your eyes using UV protection and blue blocker coatings on eyeglasses.
  • Get regular eye exams.

In addition to a comprehensive eye exam, your doctor may be able to test for certain risk factors. For example, there is now technology available that can test for lutein levels via technology such as QuantifEye and Macuscope, (low lutein can indicate increased risk). In addition, genetic testing is also now available through a simple cheek swab to determine an individual’s risk for developing AMD. 


There is no known cure for AMD, however there are treatments available that may slow the progression of the disease. For dry AMD, studies (AREDS and AREDS2) have concluded that a particular high-dose combination of nutritional supplements taken daily can slow the disease. The combo includes vitamins C and E, Lutein, Zeaxanthin, Zinc and Copper. For wet AMD, the goal is to reduce the growth of abnormal blood vessels and the leakage that takes place and this is done through certain medications called anti-VEGFs which are injected into the eye or with laser surgery. 

Untreated macular degeneration can have devastating effects on your independence and quality of life. If you are 50 or over, speak to your eye doctor about your risk factors and what you can do to prevent AMD.