Archive for the ‘Ask Dr. Beach’ Category

Ask Dr. Beach: “What are Polarized Lenses?”

Friday, April 23rd, 2010

This is a great question emailed to us yesterday by one of our facebook fans.   Polarized lenses present a great benefit to almost any person who finds themselves outside driving, playing sports, or just relaxing in the sun.

The technology behind how polarized lenses work  is really interesting.   Sunlight reflects from many surfaces, such as the water and the ground in a horizontal manner.   This well organized horizontal reflection of light causes extremely annoying and potentially distracting glare to your eyes when outdoors, just as with this picture to the right.

But polarized lenses act as venetian blinds that filter out this horizontal reflection of light and allow only vertical reflections to pass through the lenses into your eyes.  Look at the picture to the right that was taken through polarized lenses and compare that to the original above.   This filtering out of the horizontal glare/reflection  can create a drastic reduction in the amount of strain your eyes feel when outdoors.

While regular tinted lenses do filter out sunlight and reflections, they do so evenly.   Regular tinted lenses do not filter out horizontal reflection differently than vertical reflections, so glare may surprisingly still be an issue.   As a result, the best reduction of sunlight glare comes from polarized lenses.   In our practice, our most popular demonstrator is a pair of glasses that has a regular tinted lens on one side and a polarized lens on the other.    The difference is amazing.

Polarized sunglasses have been used for a number of years by fisherman and boaters to reduce the harsh reflections of the sun off the water.     But really, anyone participating in outdoor activities from driving to golf to biking to sunbathing can benefit from this great technology.   And the exciting part is that the technology has continued to improve to the point where polarized lenses can be integrated into most prescription lenses, including no-line bifocals (progressives).

Ask Dr. Beach: Visual ‘Floaters’

Tuesday, February 9th, 2010

Ask Dr. Beach:  “What are these floaters or spots I’ve had in my vision?”

Floating spots or strands within your vision, also known as “floaters,” are a pretty common occurrence and in some cases can be pretty annoying.   Despite the annoyance, floaters are not cause for concern.   However, exceptions do exist and caution should exercised so as to not mistake floaters for other more serious ocular health risks.

Most often, you may see floaters as clear, translucent, or hazy strands or dots in your vision.

They may be more noticeable when looking at bright lights or white backgrounds.    These floaters are actually shadows cast on your retina by strands within a portion of your eye called the vitreous.   The vitreous is a gel-like sphere that helps the eye maintain its shape, but over time the gel material starts to dissolve.  As a result particles will be cast throughout the vitreous, and it’s these particles that cast the shadows onto the retina.  While annoying, this is a normal aging process within the eye.   However, caution should be used if simple floaters present more pronounced or if accompanied by other symptoms, such as flashes of light.

One important aspect of the vitreous is that it is attached to your retina at several places.  Over time, the same process that causes floaters also causes the vitreous to sink in on itself.   Once the weight of the sinking vitreous becomes too great, it will detach from the retina.   This is called a Posterior Vitreous Detachment and will cause more pronounced, darker and much more noticeable spots or floaters in the central part of your vision.   The tugging force on the retina created by the detaching vitreous may even cause a person to experience flashes of light in their vision.

In a small percentage of cases, the tugging force placed on the retina by a Posterior Vitreous Detachment can cause a retinal tear or detachment.  This is considered a medical emergency and warrants immediate attention to determine whether laser or retinal surgery will be required to prevent permanent vision loss.

Overall, floaters in your vision, if few and constant are most likely harmless and should be discussed with your optometrist at your yearly exam.   If those floaters are accompanied with flashes, or if the floaters become larger and more numerous, you should see your optometrist right away to check for Posterior Vitreous Detachment or retinal tears or detachments.

Ask Dr. Beach: Multifocal Contacts

Thursday, January 21st, 2010

Q:   “Do bifocal contacts work like regular bifocals? Do you have to look down to be able to read up close?”

This question was posed on our Facebook Fan Page and it’s one of my favorite questions to answer.

Bifocal contact lenses work very differently from bifocal glasses.  When a person is wearing bifocal or no-line bifocal (progressive) glasses the reading prescription is towards the bottom of the lenses.  As a result, the person must move their eyes down and the clear reading area will be found.

However, bifocal contact lenses (which I prefer to call multifocal due to their ability to address far, computer, and reading distances) work on a completely different concept.   Most multifocal contacts work based on pupil reactions.   When an individual looks up close to read, the pupils constrict and become a completely different size than when that individual is looking at street signs far away.   Multifocal contacts take advantage of this natural variation in pupil sizes by placing distant and near prescriptions in different areas of the lenses.

There are several different manufacturers of multifocal contacts, and they each have their own unique method of distributing the prescription across the diameter of the lens.   The two most common designs are:

Yet, the best multifocal contact lens design will ultimately depend on the person’s prescription, their visual requirements, and pupil size.    But with several brands, and more expected in the near future, there are numerous options for those who need bifocal glasses and want to experience the convenience of contact lenses.

Do you have an eye care question that you would like answered here on the blog?   If so, let me know by email at doctor@clearvieweye.net.

Take care,

Dr. Beach