Вы находитесь на странице: 1из 7

THE STAR, THURSDAY 8 OCTOBER 2020

WORLD SIGHT DAY

Keeping an eye on your vision


It is easy to take our vision for granted, but we must
take action when it matters so as not to lose our vision completely.
2 World Sight Day THE STAR, THURSDAY 8 OCTOBER 2020

Vision 20/20 and the right to sight


WHILST perfect vision is scored as 20/20 – a to develop their full potential. Early
visual acuity measured by the ability to treatment will also help prevent amblyopia
identify letters or numbers on a standard or lazy eyes.
eye chart from a distance of 20ft (or a little A common misperception Glasses are the simplest option and carry
over 6m) – Vision 2020 is a global initiative
established with the joint goal of eliminating
among parents in Malaysia a lower risk of infection compared to contact
lenses. However, very high-powered glasses
preventable blindness by the year 2020. who postpone treatment can be uncomfortable to wear, warranting
Refractive errors are among the major
causes of blindness listed in the Right to
in their children, is a fear of the usage of contact lenses instead.
In China, Singapore, Hong Kong and South
Sight initiative by the World Health glasses further worsening Korea, atropine eye drops in low
Organization (WHO) and the International
Agency for the Prevention of Blindness.
an already deteriorating concentrations have been used to delay
myopia safely. However, they should only be
Causing blurred vision that may lead to vision. This fear is unfounded provided by ophthalmologists who must also
blindness when left untreated, refractive
errors occur in four variants – myopia
as clear visual stimulation monitor the patient’s vision power, as well as
eyeball length.
(near-sightedness), hyperopia (far- is especially needed for A special contact lens worn at night, called
sightedness), astigmatism (caused by an
irregularly curved cornea) and presby-
children to develop their full the orthokeratology lens, has shown
promising results in slowing down the
opia (difficulty in reading or seeing at potential. progression of myopia in children. However,
arm’s length). Dr Aisyah Mohd Abdullah. it has a slightly higher risk of infection as it
is worn overnight and care may be lax on
Refractive errors and low vision birth or caused by post-traumatic corneal
scars, a growth on the eyelid pressing onto
distanced objects, besides possibly still
displaying AHPs.
the hygiene aspect.
Myopia usually progresses yearly and
According to Dr Azlindarita @ Aisyah the eyeball or allergic conjunctivitis Meanwhile, school-going children may stabilises by an individual’s late teens to
Mohd Abdullah, consultant general and (causing itchiness that prompts scratching complain of headaches, eye strain or a plain early 20s. Once over the age of 21, laser
paediatric ophthalmologist at MSU Medical and pressure on the eyelid), astigmatism inability to see clearly in the classroom. Their surgery can be an option if the patient’s
Centre, “Normal sight is enabled when light can be corrected by a cylindrical lens. faulty eyesight could be the culprit behind a affected eye is still not growing or changing.
entering the pupil is focused by the cornea Low vision is defined by WHO as below poor school performance. Management and Science University
and the crystalline lens onto the retina.” 6/18 visual acuity, and equal to or better Refractive errors may be inherited or (MSU) offers the four-year Bachelor of
In myopia, where the eyeball is too long than 3/60 in the better eye with best result from a premature birth, and can occur Optometry (Hons) and the three-year
or the focusing power of the lens or the correction. A corrected vision of 20/200 in at any age. In 2010, myopia and high myopia Diploma in Ophthalmic Dispensing
cornea is too high, the entering light focuses the better seeing eye renders the owner as were respectively estimated to affect 27% programmes at the Faculty of Health and
in front of the retina. Correcting it requires legally blind. and 2.8% of the world population, according Life Sciences (FHLS).
a concave or “minus power” lens. to a joint report by WHO and Brien Holden In a concerted effort at bringing vision
Hyperopia involves the eyeball being too
short or the focusing power of the lens/
Signs and symptoms Vision Institute titled The impact of myopia
and high myopia.
health’s importance into focus, the university
holds an annual MSU Eye Carnival organised
cornea being too low, in which case the Children below the age of two may by the MSU Eye Centre, the MSU Optometry
entering light focuses behind the retina. It is
a less common condition, yet still treatable
appear cross-eyed, tend to bring objects
very close to their eyes or come closer to
Treatment options Students Club and the FHLS Department of
Optometry and Visual Science.
by a corrective convex or “plus power” lens. the objects (such as the television). A common misperception among parents With many children across the world
When the cornea or the lens is more Abnormal head postures (AHPs) that they in Malaysia who postpone treatment in their belonging to families who cannot even
curved in one direction than another in an adopt to improve vision such as a face turn, children, is a fear of glasses further afford an eye examination, blindness-
astigmatic condition, the entering light head tilt or chin lift may indicate worsening an already deteriorating vision. prevention aid by the university reduces the
focuses at different points in front of and astigmatism. Older children may squint or This fear is unfounded as clear visual statistics while helping children see better,
behind the retina. Whether occurring since decrease the eye aperture when looking at stimulation is especially needed for children achieve more and excel in school.
THE STAR, THURSDAY 8 OCTOBER 2020 3
4 World Sight Day THE STAR, THURSDAY 8 OCTOBER 2020

Boost macular
pigment to
shield your eyes
ARE you constantly in front of digital can, however, be obtained through the diet.

How to take better


screens? The display screens of Foods rich in L and Z include spinach,
smartphones, computers and other digital broccoli, corn and eggs.
devices emit significant amounts of blue Unlike L and Z, MZ is not present in a
light which can hurt your vision. With its typical diet. It is produced in the retina from

care of your eyesight


short and high energy wavelengths, it L via an isomerisation process. However,
scatters more easily and is not easily this process is disrupted as you age. MZ
focused. This causes reduced visual contrast, accounts for about one third of total MP at
which can lead to digital eye strain. the macula. Moreover, of the three
The macula is the most sensitive part of carotenoids, it has the capacity to filter the
the retina, responsible for sharp, detailed most energetic and potentially damaging THE sense of sight is a gift that should be lead to digital eye strain, the symptoms of
central vision and colour discrimination. It wavelengths of visible light, and to treasured. Your eyesight is what lets you see which include sore, tired, watery or dry eyes,
is made up of three xanthophyll carotenoids neutralise free radicals produced by the many wonders of the world – the bright and blurred or double vision. What you can
– lutein (L), zeaxanthin (Z) and meso- oxidative stress. blue sky, the colours of the rainbow and the do is avoid staring at your screen for long
zeaxanthin (MZ) – which are collectively You are never too young to start proactive faces of your loved ones. However, your periods. You can either decrease the amount
known as macular pigment (MP). MP plays measures to protect your vision down the eyesight can worsen if you do not take care of time you spend in front of a screen or take
a vital role in raising the macular pigment road. As most of us do not get enough of of your eyes. This is why you must take the frequent breaks to give your eyes a rest.
optical density (MPOD) for enhanced visual these carotenoids just from diets alone, necessary precautions before your eye
performance including visual acuity, supplementation can be another, more problems become untreatable. Some of l Wear sunglasses and protective
contrast sensitivity, glare sensitivity and promising way of raising the MPOD, the common eye problems that people eyewear
photo-stress recovery, among others. MP particularly if you spend long hours in front experience include near- or far-sighted- Sunglasses aren’t just fashionable
also serves as a of a digital gadget or are distracted by lights ness, astigmatism, diabetic retinopathy eyewear, they help protect your eyes from
defence system during night-time driving. and cataracts. the sun. The sun does provide you with
of the retina. Not all macular carotenoid supplements Here are a few ways for you to take better vitamin D; however, too much sunlight is
Of the many are made the same. For optimal efficacy, care of your eyesight: not good for you. The sun is a major source
types of look for a supplement containing the new, l Give your eyes a rest of ultraviolet rays which increase your
carotenoids in improved XanMax formulation which In this era filled with technology, most of chances of contracting cataracts and
your body, only features double-strength (200mg) marigold us will often find ourselves staring at a macular degeneration. Hence, you need
L, Z and MZ are extract. It is standardised to deliver the screen for the majority of the day – whether to protect your eyes by wearing sunglasses
deposited in the highest amounts of L, Z and MZ compared it may be from a computer or a phone. Too that can block ultraviolet rays. This is
macula. L and to regular eye supplements. much blue light exposure from computer especially applicable if you work outside
Z cannot be monitors, mobile phones and tablet screens and will be standing or walking all day
synthesised n This informational article is brought to can cause you to get retinal damage, which underneath the sun.
by your you by VitaHealth. For more information, leads to age-related macular degeneration.
body; they call 1800 183 288. Prolonged use of digital devices can also > TURN TO PAGE 6
THE STAR, THURSDAY 8 OCTOBER 2020 World Sight Day 5

Paediatrics and
screening – an
eye on the future
UNCORRECTED refractive errors are a good eye habits such as taking regular
significant cause of visual impairment in breaks would be more practical solutions.
the paediatric age group in many middle The World Health Organization initiated Once a child has been screened and is found to have normal vision, parents just need to
income and developed countries, including Vision 2020 in 1999 with the aim of ensure this is maintained.
Malaysia. It is estimated that 1.4 billion eliminating the main causes of avoidable
people worldwide are myopic and 163 and preventable blindness by the year 2020. appreciation of colours is primitive. They l All newborn babies – At birth by a
million of these individuals (2.7% of the One of the strategies advocated was raising can only perceive faces from as close as healthcare professional (any doctor), but
world population) are categorised as having awareness of the causes of avoidable eight inches to 10 inches (20.32cm to preferably by an ophthalmologist if the
high myopia. Published reports on myopia blindness and the solutions to help eliminate 25.4cm) away. Babies are unable to judge baby was born premature
prevalence in Malaysia show a relatively them. It is hoped that in some small way, this distances very well until around five l Preschool (around the age of four or
lower rate at 9.8% in children aged seven, article contributes to the goal of raising months of age. After this, they begin to form five) – To assess visual acuity, squints and
which increases to 34.4% by the age of 15. awareness of vision problems amongst the a better idea of the 3D world around them. refractive errors
Overwhelming evidence has shown that population for the protection of those in This process of visual development l Before secondary school – Education
sustained, intense near-work is significantly society at their most vulnerable age – continues until the age of 10 at least. about eye care and a colour vision check if
linked to the onset of myopia in children children and the elderly. Prescribing glasses in children may not be they have specific career ambitions
and possibly the progression of myopia, Uncorrected refractive errors are also required from the outset, but close l At any age if a child is diagnosed with
particularly in young adult-onset myopia. critical to address as they frequently affect monitoring is advisable as myopia usually any other significant medical problems
With the recent Movement Control Order, children, who do not usually complain of progresses with age. Once a child has been (such as hearing loss)
and extended periods of indoor activity and visual symptoms – especially if it only affects screened and is found to have normal l Annual assessments for children
gadget use, children are especially prone to one eye. If uncorrected within the first vision, parents just need to ensure this is between the ages of four and 12, especially
developing refractive errors. decade of life, it is likely that these children maintained. In the interim, any child having if they wear glasses
Light-induced release of dopamine have would be bearing lifelong visual impairment difficulty with his vision – such as when l Children who appear to have
been shown to block any elongation of the of variable severity in one or both eyes in reading or at school – should be examined difficulties at school or other tasks like
eye and is generally accepted as an the form of amblyopia (lazy eyes). It is, by an optometrist or ophthalmologist. A watching TV – By Dr Manoharan
important mechanism of counteracting therefore, imperative that children are child who requires spectacles would have Shunmugam, consultant ophthalmologist,
myopia. Numerous studies have consistently screened at regular intervals, and that this to undergo a review at least once or twice a adult and paediatric vitreoretinal
stated that children who spend more time initiative is adopted nationally and executed year to ensure that his prescription is stable. surgeon, and Dr Sunder Ramasamy,
outdoors are less likely to be, or become, by all eye-care providers. As in any condition, early and timely consultant paediatric ophthalmologist
myopic. With gadgets being increasingly Children’s eyes and vision develop from detection is the key to successful and squint surgeon, OasisEye Specialists
used for education in the classrooms, birth. Not only are the eyes learning to see, management and good outcomes. Screening Sdn Bhd
avoiding them may be impossible. Instead, but their brains are also learning to interpret services in other developed countries
limiting its use for entertainment, signals from the eyes. As such, the vision of advocate paediatric eye screening at several n For more information, visit www.oasiseye.
encouraging outdoor activities and ensuring newborn babies is very blurry and their determined ages in a child’s life: my or call 03-2730 7676.
6 World Sight Day THE STAR, THURSDAY 8 OCTOBER 2020

Protect your
eyes in this
digital world
DO you spend hours staring at your Research Group titled Secondary analyses of
smartphone screen every day? Do you know the effects of lutein/zeaxanthin on age-related
that eyeballing a digital screen for long macular degeneration progression: AREDS2
hours can affect your eye health? Blue light – report No. 3 and similar clinical studies have
the high-energy visible light emitted by shown that 10mg lutein and 2mg zeaxanthin
digital screens – is one of the damaging are beneficial for eye health. Lutein and
contributing factors that can cause adverse zeaxanthin in combination can filter
effects to the eyes. harmful blue light, ultraviolet (UV) rays and
According to a We Are Social study titled neutralise free radicals.
Digital, Social & Mobile in APAC in 2015, 71% 2) Haematococcus pluvialis – A type of
of Malaysians owned a smartphone and freshwater green microalgae that is
spend averagely 5.1 hours a day on the naturally high in astaxanthin. Astaxanthin is
Internet. Constant eye exposure to an antioxidant that can alleviate eye fatigue.
potentially damaging blue light from 3) Wolfberry (Goji) – Naturally high in
smartphones and other digital devices cause polysaccharides and carotenoids.
visual stress that will damage the retina, Traditionally used for improving eye health. Users should take only one capsule daily after a meal for healthy eyes.
accelerate vision deterioration and increase 4) Eyebright – Traditionally used for relief
the risk of developing age-related eye of eye strain or eye fatigue. strength six-in-one improved formulation to UV rays.
diseases at a much earlier age. 5) Bilberry – Source of anthocyanosides for eye health. Each vegetable capsule Users should take only one capsule daily
While limiting the amount of time spent which provides antioxidant protection, contains amounts of 10mg lutein and 2mg after a meal for healthy eyes. Biogrow
focusing on screens is one of the precautions strengthens eyes function, and delivers trans-zeaxanthin extracted from marigold, OPTIbrite E Capsule is certified halal by
to protect the eyes in this digital world, good nutrients and oxygen to the eyes. astaxanthin from haematococcus pluvialis, the Islamic Development Department
nutrition is also one of the key factors that 6) Dunaliella salina – A type of green anthocyanosides from bilberry and other (Jakim) and is suitable for vegetarians too.
can promote healthy eyes. microalgae that is naturally high in mixed eye health-enhancing nutrients from It is available in all leading pharmacies
carotenoids including beta carotene, alpha wolfberry, eyebright and dunaliella salina. nationwide.
Six key nutrients for heathier carotene, lutein and zeaxanthin to support
eye health.
It is recommended for ageing adults,
students, computer users, individuals
This article is brought to you by Legosan
(Malaysia) Sdn Bhd.
eyes aiming to improve or maintain eye health,

1) Marigold – Naturally rich in lutein and


High strength, improved individuals experiencing eye strain or tired
eyes due to reading, driving, prolonged use
n For more information, visit www.biogrow.
com.my or call 03-7956 2220 (Mondays to
zeaxanthin, which are important in formulation of digital devices (such as smartphones or Fridays, 9am to 5pm).
promoting healthy eyes. A report by the Age- tablets), and individuals who are frequently This is a traditional product advertisement.
Related Eye Disease Study 2 (AREDS2) Biogrow OPTIbrite E Capsule is a high involved in outdoor activities and exposed KKLIU No.0011/2020

Check your eyes


before it’s too late
> FROM PAGE 4 A and beta-carotene which help soothe eye
inflammation and reduce vision loss. It also
Another type of eye protection is safety lowers the risk of macular degeneration
eyewear, which can protect you from eye and decreases your chances of developing
injuries. This is applicable for when you are eye infections. Meanwhile, citrus fruits such
doing a hazardous activity where your eyes as lemons, oranges and grapefruit are rich
could get injured such as working at a in vitamin C. Observational studies say that
construction site, welding metal or doing vitamin C can also help prevent the
repairs. There are also various sports where progression of age-related macular
protective eyewear and headgear are needed degeneration.
– ice hockey, lacrosse and American football,
for example. l Get your eyes checked
One way of knowing the current
l Consume food that boosts eye health condition of your eyes is to get an eye
Food isn’t just a source of joy and energy. examination. This way, you can find out if
Every type of food has its own health you have any eye problems. A
benefits – more importantly, there are types comprehensive eye exam will include a
of foods that are good for your eyes. Foods vision test to see if you are near- or far-
containing omega-3 fatty acids can treat dry sighted, or have distorted vision.
eyes and protect adult eyes from macular Furthermore, a tonometry test will
degeneration. Oily fish such as tuna, salmon, measure the pressure inside your eye in
trout, sardines and herring are rich in order to check for glaucoma – a group of
omega-3 fatty acids. eye conditions that damage the optic nerve.
There are various types of fruits and
vegetables that are beneficial for your eyes Always remember that prevention is
such as green leafy vegetables, rich citrus better than cure. Don’t forget to take care of
fruits and carrots. Carrots are rich in vitamin your eyesight before it’s too late.
THE STAR, THURSDAY 8 OCTOBER 2020 World Sight Day 7

No longer an unattainable dream


LOW visual acuity with underlying outcome of the surgery. This will
refractive errors may be caused by be discussed in greater detail
genetics or arise from poor lifestyle when patients go for a laser eye
choices. Whichever the case may surgery consultation.
be, poor eyesight can be a struggle
that many people would be able to l Dry Eye Test
relate to. From wearing glasses Dry eyes are the most common
every day or misplacing them, to eye problem detected during a
facing the risk of breaking said LASIK pre-screening test. Patients
eyewear while playing sports, it is who are already suffering from dry
a constant battle that these eyes will be more uncomfortable
individuals have to deal with. post-surgery as the eyes tend to be
Thankfully, such predicaments drier during the healing phase. Dr
can be a thing of the past. Norazah says the attending doctor
Nowadays, there are solutions would usually advise patients to
to a wide range of health-related treat their dry eyes first before
problems, including vision issues. proceeding with LASIK surgery.
There are several refractive
surgeries that an individual can l Pupil Test
choose from, one of which is Using a special tool called an
LASIK. It is a common laser eye infrared pupillometer, a test is
surgery to treat myopia (near- performed to assess the size of the
sightedness), hyperopia (far- pupil in the dark. This is an
sightedness) and astigmatism. essential test to be carried out as
Ever since LASIK received patients with larger-than-normal
approval from the United States pupil sizes often experience halos
Food and Drug Administration in or glares at night after the LASIK
1998, experts have worked surgery. As most patients heal, this
continuously to refine the night vision and light sensitivity
procedure to make it safer and will gradually diminish. The use of Before a LASIK procedure can be done, a preoperative evaluation has to be carried out on a potential patient to
more effective. Ara Damansara wavefront technology when assess if she is a suitable candidate.
Medical Centre consultant performing LASIK has been able to
ophthalmologist Dr Norazah Abdul address these night vision issues. especially at night in the form of
Rahman says, “LASIK has evolved glares and halos around lights.
so much for the past 20 years. l Pachymetry and Corneal Meanwhile, wavefront LASIK
The number of patients receiving Topography The number of was designed not only to correct
this treatment have been
increasing, and numerous
This vital 3D examination helps
to map out the surface and
patients receiving refractive errors, but to also
correct higher order aberrations.
revisions have been done to thickness of the cornea. It assists this treatment have It is just like taking a ‘fingerprint’
improve the procedure to make
it better and safer. This is a sign
the doctor to identify some corneal
abnormalities such as keratoconus.
been increasing, and of the eye. Wavefront LASIK uses
technology for a more accurate
that the public is confident with LASIK surgery should not be numerous revisions procedure, being highly effective
this treatment.” recommended when the cornea is
too thin. There is a risk of
have been done to in correcting higher order
aberrations for better vision
Full evaluation developing corneal ectasia, which improve the procedure quality. Suitability for the two

After living with the major


is when the inner layers of the
cornea become weak and cause the
to make it better and LASIK procedures vary from one
patient to another.
and minor inconveniences of cornea to change shape, protrude safer. The final decision can be made
poor eyesight, some people may forward and distort vision. Other during a detailed consultation.
jump at the opportunity to have options can be offered, such as the
their vision restored. Yet, while
LASIK surgeries are a popular
implantable collamer lens which is
starting to gain popularity among all the tests are conducted, and the Dr Norazah Abdul Rahman. Speedy recovery
choice, not everyone is eligible this group of patients. patient deemed eligible, that the Dr Norazah also notes that the
for the procedure. ophthalmologist would proceed to size, shape and orientation for a recovery process after this
Before a LASIK procedure l Wavefront Analysis the next step and discuss the LASIK more customised treatment of procedure is very fast. However,
can be done, a preoperative This is a refractive analysis options with the patient. each patient’s needs. The certain side effects such as dry
evaluation has to be carried out using wavefront aberrometry to A LASIK procedure requires femtosecond laser technology is eyes and temporary visual
on a potential patient to assess if measure optical aberrations, with surgeons to cut a thin flap in the computer-guided and it can help disturbances are pretty common.
she is a suitable candidate. special attention to higher order cornea so that they can reshape the attending surgeon to establish She says, “You may feel that your
The potential patient will first aberrations. Originally developed the underlying corneal tissue. precise dimensions and thickness eyes are unusually dry after the
have to provide a full disclosure of by an astrophysicist for the Patients can choose whether to of the corneal flap. Dr Norazah surgery and it may last for the next
her medical history, as well as use of telescopes, wavefront opt for a procedure that uses a explains, “In terms of creating the three months, so the doctor might
undergo a series of pre-screening analysis studies how light travels blade or go bladeless. flap, the outcome is more recommend using eye drops to
tests with the help of various through a patient’s eye with Traditionally, in order to create a predictable in using femtosecond treat it. Plus, you may have
specialised machines. customised 3D mapping of its flap during the LASIK procedure, a lasers compared to mechanical difficulty seeing at night, but this
Dr Norazah assures that these unique imperfections. mechanical microkeratome is used microkeratome where the doctor generally lasts a few days to a few
are nothing to be afraid of and These eye tests should not take to manually cut across the cornea has to manually cut across the weeks.” She emphasises that in
explains that it is important for a longer than 30 minutes in total and with an oscillating blade – cornea. All complications from order to detect a regression,
patient to go through all these tests patients will be able to get their however, the existence of the using mechanical microkeratome patients should not be skipping
as the results can affect the results immediately. It is only after femtosecond laser has made it can be avoided with a their yearly check-ups.
easier for surgeons to create a flap femtosecond laser.” Dr Norazah advises patients not
without the use of a blade. The next step is when the to rush with their decision to
A femtosecond laser produces cornea is reshaped by an excimer proceed with LASIK surgery. “It is
ultrashort pulses of energy that laser. The patient will be given an an elective procedure, so the
separates corneal tissue at the option of standard LASIK or choice is yours. You always have
molecular level. Dr Norazah says, wavefront LASIK. In simple terms, an option on whether to do it if the
“These tiny bubbles will create a standard LASIK correction uses eyes are deemed suitable, and
plane in between the layers of the the prescription in a pair of other options can be
cornea and will separate itself to eyeglasses to correct vision. This recommended if an eye is not
create a flap, hence why it’s called reduces or eliminates the need to suitable for LASIK.”
‘bladeless LASIK’.” wear glasses or contact lenses.
The usage of a femtosecond laser However, it can cause other types n For more information, call
during the LASIK procedure gives of optical aberrations which may 03-7839 9303 (Mondays to Fridays,
the surgeon more options in flap lead to visual problems – 9am to 5pm).

Am I eligible?
Here are some criteria that l The eyes must be healthy should be disclosed to the doctor
patients should follow before and free from eye diseases as they may affect the outcome
undergoing this surgery: including keratoconus, glaucoma, of the surgery. Female candidates
l Patients must be at least cataracts, as well as retinal and should disclose to their doctor if
18 years old optic diseases they are pregnant, currently
l Those who wear contact l Any eye problems such as breastfeeding, taking birth
lenses must discontinue their lazy eye (amblyopia), muscle control pills or having
usage prior to LASIK screening imbalance (strabismus), severe menopause as these hormonal
to allow the cornea to return to dry eyes or any other recurrent, changes may affect the LASIK
From the inconveniences of misplacing eyewear to breaking them, such its natural contour residual or active eye conditions results.
predicaments can be a thing of the past with LASIK surgery.

Вам также может понравиться