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It's All In The Shades....
By
Joan Wright

Norwell - Sunglasses are definitely a fashionable accessory during the summer months, but more importantly, they are a healthy one. While we are all aware of the harm the sun can cause our skin, perhaps less well known is the harm the sun can cause our eyes. Extended exposure to the sun’s UV rays can lead to eye problems such as cataracts, macular degeneration and photokeratitis (inflammation of the cornea). More recent research has also unveiled the “blue light” aspect of the sun – known as high-energy visible radiation (HEV) – which may increase long-term risk of macular degeneration.

We’ve all suffered from the flash bulb effect – the stars we see for a few seconds after someone pokes a camera with flash in our face. But imagine that effect lasting for hours or more! Yet, leaving our eyes open blind to the sun and its glare puts us at risk for just that. UVA rays can pass right through the cornea and cause damage to the lens and retina. Overexposure to UVA rays can cause various types of cataracts.

Likewise, overexposure to UVB rays can cause painful growths on the eyes, called pingueculae and pterygia, which can lead to distorted vision and corneal issues. High short-term doses of UVB rays can cause photokeratitis, also known as “snow blindness,” which can trigger temporary blindness for 24 to 48 hours. While this happens more often at higher altitudes, it can occur anywhere there is snow if the eyes are unprotected. And snow can double exposure to harmful rays since it reflects 80% of UV rays.

So, sunglasses aren’t just for summer; they should be worn year round to protect the eyes. And while fashion does usually dictate our choices, sunglasses should be a close-fitting and wrap-around style to avoid periphery exposure. Look for sunglasses that block 100% of UV rays and absorb most HEV rays. Speak with your eye doctor or read the labels carefully to determine UV protection. Unfortunately, the color or darkness of sunglasses is unrelated to the amount of UV protection the glasses provide so it’s important to see the label’s promise of UV protection. However, color does make a difference for HEV protection and the best colors are bronze, copper or reddish brown.

Don’t be fooled by clouds or the shade. Light is still reflected on the ground, buildings, and your surroundings so even when you’re in the shade, remember to wear your shades!

Cataracts and Eye Diseases
While some mistakenly believe that cataracts are a “film” or growth on the eye, a cataract is actually a clouding of the eye lens. The lens focuses light or images on the retina, which is light-sensitive tissue in the back of the eye. When light reaches the retina, it changes to nerve signals that are sent to the brain. So if the lens in not clear, the images it sends to the retina will be blurry. It’s important to note that cataracts cannot develop from overuse of the eyes and while you can have them in one or both eyes, they cannot spread from eye to eye. However, smoking and diabetes are two more risk factors for cataracts, in addition to unprotected exposure to the sun.

The most common symptoms of cataracts include cloudy vision, colors appearing dull, glare and halo effect around lights, poor night vision, double vision and frequent changes in eyeglass or contact prescriptions. If you have such symptoms, see your eye care practitioner right away. Everyone should get regular eye exams and people over age 60 should have a comprehensive dilated eye exam every two years. For light-eyed (blue or green) people, annual (yearly) dilation of the eyes might be recommended to screen for a rarer eye disease known as malignant melanoma of the eye. This affects about six people per million, predominately at middle age, and typically in fair- skinned, blue or green-eyed individuals. While the cause is unknown, long time exposure to the sun is a debatable factor. Symptoms may not occur or might include flashing lights, dark spot on the iris, or change in shape of the pupil.

Sudden changes in vision should prompt an immediate visit to the eye doctor. And in the meantime, wearing sunglasses is an easy way to protect one’s eyes.

For more information on eye health and cataracts, see:

www.nei.nih.gov/health/cataract/cataract_ facts.asp

www.allaboutvision.com

www.malignantmelanomainfo.com

 
About The Author

Joan Wright, CMC, a certified geriatric care manager, is a member of Norwell VNA and Hospice’s Alzheimer’s Care Specialty Team and geriatric care management team. She co-facilitates NVNA and Hospice’s support groups for caregivers of early, mid and late stage Alzheimer’s. For more information on NVNA and Hospice and all of its programs, you may call (781)659-2342 or visit the agency’s web site at www.nvna.org.
 

 


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