Have an eye check within Omole Akiode Ojodu Berger for detection of Age Related Macular Degeneration (ARMD)

Age-related macular degeneration (AMD) is the most common cause of irreversible central vision loss in older patients. Dilated funduscopic findings are diagnostic; color photographs, fluorescein angiography, and optical coherence tomography assist in confirming the diagnosis and in directing treatment. Treatment is with dietary supplements, intravitreal injection of antivascular endothelial growth factor drugs, laser photocoagulation, photodynamic therapy, and low-vision devices.

Risk factors include the following:

  • Age

  • Genetic variants (eg, abnormal complement factor H)

  • Family history

  • Smoking

  • Obesity

  • Sun exposure

  • A diet low in omega-3 fatty acids and dark green leafy vegetables

    Age-Related Macular Degeneration (AMD or ARMD)

    (Senile Macular Degeneration)

    By

    Sonia Mehta

    , MD, Vitreoretinal Diseases and Surgery Service, Wills Eye Hospital, Sidney Kimmel Medical College at Thomas Jefferson University

    Professional.Manuals.TopicPage.LastRevisionDate| Content last modified Jun 2019
    CLICK HERE FOR PATIENT EDUCATION

     

    Age-related macular degeneration (AMD) is the most common cause of irreversible central vision loss in older patients. Dilated funduscopic findings are diagnostic; color photographs, fluorescein angiography, and optical coherence tomography assist in confirming the diagnosis and in directing treatment. Treatment is with dietary supplements, intravitreal injection of antivascular endothelial growth factor drugs, laser photocoagulation, photodynamic therapy, and low-vision devices.

     

    AMD is the leading cause of permanent, irreversible vision loss in older adults. It is more common among whites.

     

    Two different forms occur:

    • Dry (nonexudative or atrophic): All AMD starts as the dry form. About 85% of people with AMD have only dry AMD.

    • Wet (exudative or neovascular): Wet AMD occurs in about 15% of people.

    Normal Retina
    Normal Retina
    IMAGE PROVIDED BY SUNIR GARG, MD.

Astigmatism

According to American Optometric Association (AOA), Astigmatism is a common vision condition that causes blurred vision. It occurs when the cornea (the clear front cover of the eye) is irregularly shaped or sometimes because of the curvature of the lens inside the eye.

An irregularly shaped cornea or lens prevents light from focusing properly on the retina, the light-sensitive surface at the back of the eye. As a result, vision becomes blurred at any distance. This can lead to eye discomfort and headaches.

Astigmatism frequently occurs with other vision conditions like myopia (nearsightedness) and hyperopia (farsightedness). Together these vision conditions are referred to as refractive errors because they affect how the eyes bend or “refract” light.

There are many causes to astigmatism. It can be hereditary and is usually present from birth. It can decrease or increase over time.

A comprehensive optometric examination will include testing for astigmatism. If necessary, your optometrist can provide eyeglasses or contact lenses that correct the astigmatism by altering the way light enters the eyes.

Another option for treating astigmatism is a corneal procedure called orthokeratology (ortho-k). In this painless, noninvasive procedure, the patient wears a series of specially designed rigid contact lenses to gradually reshape the curvature of the cornea.

Laser surgery can also treat some types of astigmatism. The laser changes the shape of the cornea by removing a small amount of eye tissue.

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What causes astigmatism?

The curvature of the cornea and lens bends the light entering the eye in order to focus it precisely on the retina at the back of the eye. In astigmatism, the surface of the cornea or lens has a somewhat different curvature.

the surface of the cornea is shaped more like a football instead of round like a basketball, the eye is unable to focus light rays to a single point. Vision becomes out of focus at any distance.

In addition, the curvature of the lens inside the eye can change, resulting in an increase or decrease in astigmatism. This change frequently occurs in adulthood and can precede the development of naturally occurring cataracts.

Sometimes astigmatism may develop following an eye injury or eye surgery.

Astigmatism also occurs due to a relatively rare condition called keratoconus in which the cornea becomes progressively thinner and cone-shaped. This results in a large amount of astigmatism, which causes poor vision that cannot be clearly corrected with eyeglasses. People with keratoconus usually need contact lenses for clear vision and eventually may need a corneal transplant.

An optometrist can diagnose an astigmatism through a comprehensive eye examination. Testing for astigmatism measures how the eyes focus light and determines the power of any optical lenses needed to improve vision. This examination may include:

Visual acuity-When you read letters on a distance chart, you are measuring your visual acuity. Visual acuity is given as a fraction (for example, 20/40). The top number is the standardized testing distance (20 feet) and the bottom number is the smallest letter size read. A person with 20/40 visual acuity would have to get within 20 feet to read a letter that should be seen clearly at 40 feet. Normal distance visual acuity is 20/20.

Keratometry/Topography-A keratometer is the primary instrument used to measure the curvature of the cornea. By focusing a circle of light on the cornea and measuring its reflection, it is possible to determine the exact curvature of that area of the cornea’s surface. This measurement is particularly critical in determining the proper fit for contact lenses. A corneal topographer, which is gaining use, generates a contour map of the cornea and provides even more detail of the cornea’s shape.

Refraction-Using an instrument called a phoropter, your optometrist places a series of lenses in front of your eyes and measures how they focus light. This is performed using a handheld lighted instrument called a retinoscope or an automated instrument that evaluates the approximate focusing power of the eye. Based on your responses, the power is then refined to determine the lenses that allow the clearest vision. Despite improved technology, patient input remains integral in determining vision needs.
With the information from these tests, your optometrist can determine if you have astigmatism. Your optometrist will use these findings, combined with those of other tests performed, to determine the power of any lens correction you need to provide clear, comfortable vision. Once testing is complete, your optometrist can discuss treatment options.

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How is astigmatism treated?

People with astigmatism have several options to regain clear vision. They include:

Eyeglasses. People with astigmatism primarily choose eyeglasses to improve their vision. The eyeglasses contain a special cylindrical lens prescription that compensates for the astigmatism. This provides additional power in specific parts of the lens.

Generally, a single-vision lens is prescribed to provide clear vision at all distances. However, patients over age 40 who have presbyopia may need a bifocal or progressive addition lens.

Contact lenses. Some people will have better vision with contact lenses rather than eyeglasses. Contact lenses may provide clearer vision and a wider field of view. However, since contact lenses are worn directly on the eyes, they require regular cleaning and care to safeguard eye health.

Standard soft lenses may not be effective in correcting astigmatism. However, special toric soft contact lenses can correct for many types of astigmatism. Because rigid gas-permeable contact lenses maintain their regular shape while on the cornea, they can compensate for the cornea’s irregular shape and improve vision for people with astigmatism.

Orthokeratology. Orthokeratology (ortho-k) involves the fitting of a series of rigid contact lenses to reshape the cornea. The patient wears contact lenses for limited periods, such as overnight, and then removes them. People with moderate astigmatism may be able to temporarily obtain clear vision without lenses for most of their daily activities. Orthokeratology does not permanently improve vision. If patients stop wearing the retainer lenses, their vision may return to its original condition.

Laser and other refractive surgery procedures. Astigmatism can also be corrected by reshaping the cornea through LASIK (laser in situ keratomileusis) or PRK (photorefractive keratectomy). PRK removes tissue from the superficial and inner layers of the cornea. LASIK removes tissue only from the inner layer of the cornea.
If you have an astigmatism, you have a wide range of options to correct your vision problem. In consultation with your optometrist, you can select the treatment that best meets your visual and lifestyle needs

Hyperopia/hypermetropia (longsightedness or farsightedness): How to correct for it

Hyperopia, or farsightedness, is a common vision problem, affecting about a fourth of the population. People with hyperopia can see distant objects very well, but have difficulty focusing on objects that are up close. The condition is sometimes referred to as “hypermetropia” rather than hyperopia.

Hyperopia symptoms

Farsighted people sometimes have headaches or eye strain and may squint or feel fatigued when performing work at close range. If you get these symptoms while wearing your eyeglasses or contact lenses, you may need an eye exam and a new prescription.

What causes hyperopia/hypermetropia

  1. Signs
  2. Causes
  3. Treatment

hyperopia eyeglasses on top of a book

Schedule an exam

FIND EYE DOCTOR

Hyperopia, or farsightedness, is a common vision problem, affecting about a fourth of the population. People with hyperopia can see distant objects very well, but have difficulty focusing on objects that are up close. The condition is sometimes referred to as “hypermetropia” rather than hyperopia.

Hyperopia symptoms

Farsighted people sometimes have headaches or eye strain and may squint or feel fatigued when performing work at close range. If you get these symptoms while wearing your eyeglasses or contact lenses, you may need an eye exam and a new prescription.

What causes hyperopia/hypermetropia?

Watch this video on what causes blurry vision and how we can correct it.

This vision problem occurs when light rays entering the eye focus behind the retina, rather than directly on it. The eyeball of a farsighted person is shorter than normal.

Many children are born farsighted, and some of them “outgrow” it as the eyeball lengthens with normal growth.

Sometimes people confuse hyperopia with presbyopia, which also causes near vision problems but for different reasons.

Hyperopia treatment

Farsightedness can be corrected with glasses or contact lenses to change the way light rays bend into the eyes.

If your glasses or contact lens prescription begins with plus numbers, like +2.50, you are farsighted.

You may need to wear your glasses or contacts all the time or only when reading, working on a computer or doing other close-up work.

When selecting eyeglasses for the correction of farsightedness, choose aspheric high-index lenses — especially for stronger prescriptions. These lenses are thinner, lighter, and have a slimmer, more attractive profile. Aspheric lenses also reduce the magnified “bug-eye” appearance eyeglasses for hyperopia often cause.

Be aware, though, that high-index aspheric lenses reflect more light than standard plastic lenses. For the best comfort and appearance, make sure the lenses include anti-reflective coating, which eliminates distracting lens reflections.

High-index aspheric lenses for children should be made of lightweight polycarbonate lens material for superior comfort and impact resistance.

Also, photochromic lenses that automatically darken in response to sunlight are highly recommended for kids and anyone who spends a significant amount of time outdoors.

Refractive surgery, such as LASIK or CK, is another option for correcting hyperopia. Surgery may reduce or eliminate your need to wear glasses or contact lenses.

Investigational procedures involving corneal implants may be a future option for correcting hyperopia.

Myopia, Short-sight or Near-sight

Myopia (also called nearsightedness) is the most common cause of impaired vision in people under age 40. In recent years, its prevalence is growing at an alarming rate.

Globally, research suggests that in the year 2000, roughly 25 percent of the world’s population was nearsighted but by the year 2050, it’s expected that roughly half the people on the planet will be myopic.

Myopia symptoms

If you are nearsighted, you will have difficulty reading road signs and seeing distant objects clearly, but will be able to see well for close-up tasks such as reading and computer use.

Other signs and symptoms of myopia include squinting, eye strain and headaches. Feeling fatigued when driving or playing sports also can be a symptom of uncorrected nearsightedness.

If you experience these signs or symptoms while wearing your glasses or contact lenses, schedule an eye exam with your optometrist or ophthalmologist to see if you need a stronger prescription.

NEED AN EYE EXAM? Find an eye doctor near you and make an appointment.

What causes myopia?

Myopia occurs when the eyeball is too long, relative to the focusing power of the cornea and lens of the eye. This causes light rays to focus at a point in front of the retina, rather than directly on its surface.

Nearsightedness can also be caused by the cornea and/or lens being too curved for the length of the eyeball. In some cases, myopia occurs due to a combination of these factors.

Myopia typically begins in childhood, and you may have a higher risk if your parents are nearsighted. In most cases, nearsightedness stabilizes in early adulthood but sometimes it continues to progress with age.

Myopia treatment

Nearsightedness can be corrected with eyeglassescontact lenses or refractive surgery.

Depending on the degree of your myopia, you may need to wear your glasses or contact lenses all the time or only when you need very clear distance vision, like when driving, seeing a chalkboard or watching a movie.

Good choices for eyeglass lenses for nearsightedness include high-index lenses (for thinner, lighter glasses) and lenses with anti-reflective coating. Also, consider photochromic lenses to protect your eyes from UV rays and high-energy blue light and to reduce the need for a separate pair of prescription sunglasses outdoors.

If you’re nearsighted, the first number (“sphere”) on your eyeglasses prescription or contact lens prescription will be preceded by a minus sign (–). The higher the number, the more nearsighted you are.

Refractive surgery can reduce or even eliminate your need for glasses or contacts. The most common procedures are performed with an excimer laser.

  • In PRK the laser removes a layer of corneal tissue, which flattens the cornea and allows light rays to focus more accurately on the retina.
  • In LASIK — the most common refractive procedure — a thin flap is created on the surface of the cornea, a laser removes some corneal tissue, and then the flap is returned to its original position
  •  

    Home Conditions Refractive Errors |  En Español

    Myopia (nearsightedness): causes, treatment

    1. Symptoms
    2. Causes
    3. Treatment

    A young boy wearing glasses gets help with his homework

    Schedule an exam

    FIND EYE DOCTOR

    Myopia (also called nearsightedness) is the most common cause of impaired vision in people under age 40. In recent years, its prevalence is growing at an alarming rate.

    Globally, research suggests that in the year 2000, roughly 25 percent of the world’s population was nearsighted but by the year 2050, it’s expected that roughly half the people on the planet will be myopic.

    Myopia symptoms

    If you are nearsighted, you will have difficulty reading road signs and seeing distant objects clearly, but will be able to see well for close-up tasks such as reading and computer use.

    Other signs and symptoms of myopia include squinting, eye strain and headaches. Feeling fatigued when driving or playing sports also can be a symptom of uncorrected nearsightedness.

    If you experience these signs or symptoms while wearing your glasses or contact lenses, schedule an eye exam with your optometrist or ophthalmologist to see if you need a stronger prescription.

    NEED AN EYE EXAM? Find an eye doctor near you and make an appointment.

    What causes myopia?

    Myopia occurs when the eyeball is too long, relative to the focusing power of the cornea and lens of the eye. This causes light rays to focus at a point in front of the retina, rather than directly on its surface.

    Nearsightedness can also be caused by the cornea and/or lens being too curved for the length of the eyeball. In some cases, myopia occurs due to a combination of these factors.

    Myopia typically begins in childhood, and you may have a higher risk if your parents are nearsighted. In most cases, nearsightedness stabilizes in early adulthood but sometimes it continues to progress with age.

    Myopia treatment

    Nearsightedness can be corrected with eyeglassescontact lenses or refractive surgery.

    Depending on the degree of your myopia, you may need to wear your glasses or contact lenses all the time or only when you need very clear distance vision, like when driving, seeing a chalkboard or watching a movie.

    Good choices for eyeglass lenses for nearsightedness include high-index lenses (for thinner, lighter glasses) and lenses with anti-reflective coating. Also, consider photochromic lenses to protect your eyes from UV rays and high-energy blue light and to reduce the need for a separate pair of prescription sunglasses outdoors.

    If you’re nearsighted, the first number (“sphere”) on your eyeglasses prescription or contact lens prescription will be preceded by a minus sign (–). The higher the number, the more nearsighted you are.

    Refractive surgery can reduce or even eliminate your need for glasses or contacts. The most common procedures are performed with an excimer laser.

    • In PRK the laser removes a layer of corneal tissue, which flattens the cornea and allows light rays to focus more accurately on the retina.
    • In LASIK — the most common refractive procedure — a thin flap is created on the surface of the cornea, a laser removes some corneal tissue, and then the flap is returned to its original position.

    Then there’s orthokeratology a non-surgical procedure where you wear special rigid gas permeable (RGP or GP) contact lenses at night that reshape your cornea while you sleep. When you remove the lenses in the morning, your cornea temporarily retains the new shape, so you can see clearly during the day without glasses or contact lenses.

    Orthokeratology and a related GP contact lens procedure called corneal refractive therapy (CRT) have been proven effective at temporarily correcting mild to moderate amounts of myopia. Both procedures are good alternatives to surgery for individuals who are too young for LASIK or are not good candidates for refractive surgery for other reasons.

    Implantable lenses known as phakic IOLs another surgical option for correcting nearsightedness, particularly for individuals with high amounts of myopia or thinner-than-normal corneas that could increase their risk of complications from LASIK or other laser vision correction procedures.

    Phakic IOLs work like contact lenses, except they are surgically placed within the eye and typically are permanent, which means no maintenance is needed. Unlike IOLs used in cataract surgery, phakic IOLs do not replace the eye’s natural lens, which is left intact.

    Controlling myopia

    With more people becoming nearsighted, there is a lot of interest in finding ways to control the progression of myopia in childhood.

    A number of different techniques have been tried — including fitting children with bifocalsprogressive lenses and gas permeable contact lenses. All of these have delivered mixed results.

    Recent clinical trials showed that low-dose atropine eye drops could slow myopia progression in school-age children, with significantly fewer side effects compared with higher concentrations.

    Some kids, though, don’t respond well to atropine drops.

    A dual-focus daily disposable contact lens decreased the progression rate of myopia in children between 8 and 12 years old when compared to a single vision lens, according to a study presented in 2017 at the American Academy of Optometry meeting.

    The specially designed multifocal lenses reduced myopia progression by 59 percent at one year, 54 percent at two years and 52 at three years, compared with the myopia progression experienced by children who wore conventional contact lenses.

    “There were good correlations between change in refractive error and change in eyeball growth,” said Paul Chamberlain, who presented the research and is senior manager of clinical research at CooperVision.

    Degenerative myopia

    In most cases, nearsightedness is simply a minor inconvenience and poses little or no risk to the health of the eye. But sometimes myopia can be so progressive and severe it is considered a degenerative condition.

    Degenerative myopia (also called malignant or pathological myopia) is a relatively rare condition that is believed to be hereditary and usually begins in early childhood. About 2 percent of Americans are afflicted, and degenerative myopia is a leading cause of legal blindness.

    In malignant myopia, the elongation of the eyeball can occur rapidly, leading to a quick and severe progression of myopia and loss of vision. People with this condition have a significantly increased risk of retinal detachment and other degenerative changes in the back of the eye (such as bleeding in the eye from abnormal blood vessel growth).

    Degenerative myopia also may increase the risk of cataracts.

    See your doctor: If you are having trouble seeing near objects or find you are holding books (or your smartphone) farther away to better make out the words, you should see your eye doctor. Nearsightedness can be treated and in some cases slowed in children.

    Notes and References

    Dual focus contact reduces myopia progression. Primary Care Optometry News. October 2017.

    Global prevalence of myopia and high myopia and temporal trends from 2000 through 2050. Ophthalmology. May 2016.

    Increased prevalence of myopia in the United States between 1971-1972 and 1999-2004. Archives of Ophthalmology. December 2009.

    Systemic 7-methylxanthine in retarding axial eye growth and myopia progression: a 36-month pilot study. Journal of Ocular Biology, Diseases, and Informatics. December 2008.

    Photodynamic therapy with verteporfin for choroidal neovascularization of pathologic myopia in Japanese patients: comparison with nontreated controls. American Journal of Ophthalmology. March 2008.

    Infrared thermometers in Alagbole, Akute, Ajuwon, Fagba, Iju-Ishagah, Ogun state, Lagos state. Price: N45,000. Call 08107531046

Infrared thermometers in Alagbole Akute Ajuwon

You can buy 3 in 1 smart infrared thermometers at Eyeupdate clinic & optical supplies located at 01 Ajuwon junction, Ajuwon bus stop, beside BNPL filling station, Ajuwon near the grailand estate gate.

This is a non contact thermometer which can be used to take temperature measurement of the human body near the forehead, ear or wrist. Other features of the thermometer are:

Fast measurement (1 second)
Fever warning
Measurement range: 32. 0°C – 42. 2°C
Memory recall: 32 readings
Automatic shutdown: 60s
Error Resolution: 0.1°C
Can measure body temperature on human forehead
Can measure body temperature on the wrist
Can measure human temperature on the ear

Manufacturers: Alicn Medical Inc

Price: N45, 000
Tel: 08107531046, 07038125887

Address : Eyeupdate clinic & optical supplies,
01, Ajuwon junction, Ajuwon bus stop, off Elliott bus stop, Iju-Ishagah (beside BPNL Filling station, Ajuwon)

Eye clinic in Alagbole Akute Ajuwon

There is a list containing the names of eye clinics in Ogun state and Lagos state. There is also another list containing the names and addresses of eye clinics in Alagbole, Akute and Ajuwon.

This post focuses on the eye clinic located at 01 Ajuwon junction. The name of the eye clinic at 01 Ajuwon junction is Eyeupdate eye clinic & optical supplies.

At Eyeupdate eye clinic & optical supplies, we deliver the best quality eye care products and services with affordable prices for people of all ages.

List of Local Government Areas in Ogun state

Local Government Areas:
Abeokuta
Abeokuta North/South L.G.A
Abeokuta North/South L.G.A
Ado-Odo/Otta L.G.A
Egbado North L.G A
Egbado South L.G A
Ewekoro L.G.A
Ifo L.G.A
Ijebu East L.G.A
Ijebu North East L.G.A
Ijebu North L.G.A
Ijebu Ode
Ijebu Ode L.G.A
Ikenne L.G.A
Imeko-Afon L.G.A
Ipokia L.G A
List of Towns and Villages in Ogun State
Obafemi/owode L.G.A
Odeda L.G.A
Odogbolu L.G.A
Ogun Waterside L.G.A
Remo North L.G.A
Sagamu L.G.A
Sango Ota
Buy infrared thermometer in Alagbole Akute Ajuwon Matogun

Buy advanced 3 in 1 infrared thermometer at Eyeupdate clinic & optical supplies located at 01, Ajuwon junction beside M.R. S. Filing station, Ajuwon.

As at the time of filling this report, there has been partial easing of the covid 19 lockdown in Lagos and Ogun states, and individuals, companies, schools and religious centres have been advised to acquire infrared thermometer. The thermometer is used to determine the temperature of people to know whether their health status is safe.

Residents of Ogun state and Lagos state can buy it at the cost of N45, 000. The thermometer is said to be non contact and takes reading within one second.

The full description/specification of the infrared thermometer is stated below:

Fast measurement (1 second)
Fever warning
Measurement range: 32. 0°C – 42. 2°C
Memory recall: 32 readings
Automatic shutdown: 60s
Error Resolution: 0.1°C
Can measure body temperature on human forehead
Can measure body temperature on the wrist
Can measure human temperature on the ear

Manufacturer : Alicn Medical Inc

Price: N45, 000
Tel: 08107531046
Address : Eyeupdate clinic & optical supplies,
01, Ajuwon junction, Ajuwon bus stop, off Elliott bus stop, Iju-Ishagah (beside BPNL Filling station, Ajuwon)

Eye clinic/optical clinic in Alagbole Akute Ajuwon areas

The nearest eye clinic to Alagbole residents and visitors is Eye update Eye clinic & optical supplies at 01, Ajuwon junction, Ajuwon bus stop, beside BPNL filling station, Akute/Ajuwon Road, Ajuwon, Ifo, Ogun State.

The eye care facility is for eye check/test/examination. You will be able to get tested and get your eyeglasses, treatment and prepared for surgery if you have glaucoma or cataract.

You can make an appointment by calling any of these numbers: 08107531046, 08034971582