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Author: colliervillevision

COVID-19 Office Updates

Beginning May 4, we will re-open for routine eye care. We will still have limited hours to allow for enough time to saniztize between patients and at the end of the day. Our new patient care hours will be Monday, Tuesday, and Thursday from 8:00-3:00. We will remain closed on Wednesdays, and will be available for pick-ups only Friday from 8:00-11:30.

Dr. Walley will be operating the clinic on his own during this time, so please be patient if he doesn’t answer the phone or immediately call you back. Leave a message or send an email to colliervillevision@gmail.com and he will reach back out to you as soon as possible.

If you need to order contacts you can still do that through our website by clicking on the “Order Contacts” button at the top of the page. You can also make an appointment by clicking the “Book Online” button at the top of the page.

We are looking forward to opening back up and serving you and will strive to keep you as safe as possible. Dr. Walley will be wearing a protective mask during your appointment, and we ask if you have one, please wear yours as well.

 

 

How Early and How Often Should My Child Have an Eye Exam?

In today’s blog I am going to discuss a couple of questions that I get asked pretty often. Those two questions are.

  1. When should my child have their first eye exam?
  2. How often should my child have their eye’s examined?

This may sound early, but I recommend bringing your child in for their first exam at around 6 months old. This visit is very important because we are making sure that your child doesn’t have any serious vision or eye health issues. We don’t expect to get very much feedback from the child, but we can still learn a lot about how your child’s eyes are developing at this visit. We are looking for major, hereditary eye problems like cataracts, glaucoma, crossed eyes, and many other serious conditions. If a child has any of these issues, the earlier we can detect and treat the better. We are also making sure they don’t need glasses and ensuring that their eye muscles are starting to develop correctly. We generally don’t prescribe glasses this young unless a child has a pretty high prescription, but we always need to check. After 6 months, your child’s vision starts to develop rapidly. So, this visit is very important to ensure there is nothing getting in the way of your child’s development during this critical time.

Assuming that everything checks out ok at the 6 month appointment, I recommend the next visit at around the age of 5. At this visit most children are very interactive and some can even start reading the eye chart for us. We are checking all of the same things as we did at the 6 month appointment, but we can get a lot more information from the child at this point. We still want to ensure your child doesn’t need glasses, and we are also checking to make sure their eye muscles are working correctly. Checking the eye muscles is very important, because this is the time your child is learning to read. We want to make sure their eye muscles are working properly so they can track across a page when reading, locate objects accurately, and have good depth perception. If something is not working properly here, we need to correct it quickly so it doesn’t get in the way of learning or other activities such as sports.

If your child does need glasses at the 5 year appointment, I recommend yearly exams going forward. If your child doesn’t need glasses then every two years going forward is ok, just be sure to observe your child’s vision and make sure you aren’t noticing any problems. If everyone in your family wears glasses, it’s usually a good idea to have your child checked once a year, just to make sure.

The last thing I will mention here is that a screening at your child’s school or pediatricians office is not a substitute for an eye exam. Reading a couple of lines from an eye chart doesn’t always mean they have good vision and healthy eyes. There are a lot of hidden eye problems that can be missed without having a comprehensive eye exam.

Thank you for taking the time to read this. If you have any questions feel free to email me at colliervillevision@gmail.com or call my office at 901-853-8180.

Dr. Walley

Signs That Your Child Has a Vision Problem

Healthy eyes and good vision are essential for your child’s growth and development. In fact, learning is 80% visual, which means a child’s success in school, athletics and many other aspects of life can be impacted by poor vision. Good vision goes beyond how far you can see, and also includes a number of other skills such as visual processing and eye movement abilities.

Often times vision deficiencies are at the root of learning problems and behavioral issues and may unfortunately go unchecked and misdiagnosed. Remember, if your child is having trouble in school, an eye exam and a pair of prescription glasses is a much easier solution than treating a learning disorder or ADHD; yet many people fail to check that first.

It is common for children to think that their vision deficiency is normal and therefore they often won’t report it to parents or teachers. That is why it is even more important to know what to look for. Here are some signs that your child may have a vision problem:

Vision Signs

  • Squinting or blinking often
  • Eye rubbing
  • Tilting the head to the side
  • Covering one eye
  • One eye that turns out or in
  • Reporting double vision
  • Holding books or reading materials very close to the face

 

Behavioral Signs

  • Complaining of headaches or eye fatigue
  • Short attention span
  • Difficulty reading
  • Losing their place frequently when reading
  • Avoiding reading or any activity that requires close work
  • Problems with reading comprehension or recall
  • Behavioral issues that stem from frustration and/or boredom
  • Poor performance and achievement in school or athletics
  • Working twice as hard to achieve minimal performance in school

Another issue is that many parents and teachers think that a school vision screening is sufficient to assess a child’s vision, so if that test comes back okay, they believe there is no vision problem. This however, is far from the case. A school vision test usually only assesses visual acuity for distance vision or how far a child can see. Even a child with 20/20 vision can have significant vision problems that prevent them from seeing, reading and processing visual information.

Every child of school age should have comprehensive eye and vision exams on a regular, yearly basis to assess their eye and vision health, and ensure that any issues are addressed as soon as possible. It’s also important to have an exam prior to entering kindergarten, as undetected lazy eye may be more complicated to treat past seven years of age.

Some of the issues the eye doctor may look for, in addition to good visual acuity, are the ability to focus, eye teaming and tracking, visual perception, hand-eye coordination, depth perception and peripheral vision. They will also assess the health of the eye and look for any underlying conditions that may be impairing vision. Depending on the problem the eye doctor may prescribe eyeglasses, contact lenses or vision therapy to correct the issue.

During the school years a child’s eyes and vision continue to develop and change so it is important to continually check in on your child’s vision. If you have a family history of vision problems, follow-ups are even more important. Progressive conditions like progressive myopia, strabismus (crossed eyes), amblyopia (lazy eye) or astigmatism can be treated and monitored for changes with early treatment so it’s important to seek a doctor’s diagnosis as soon as signs or symptoms are present.

Make sure that your child has the best possible chances for success in school and add a comprehensive eye exam to your back to school to-do list.

How To Fix Short Arms

This is a continuation of my previous post about why people need reading glasses in their early 40s. If you missed that post be sure to go back and read about it here.

Why Are My Arms Getting Shorter Doc??

These are the reasons you should read this article and also why you should stop buying reading glasses.

-If you can’t find a fashionable pair of reading glasses.

-If you are tired of losing your reading glasses. (People usually take better care of glasses made especially for them)

-If reading glasses give you a headache.

-If you don’t like taking your reading glasses off to see peoples faces.

Side note, if you see someone wearing reading glasses and they look at you like they don’t recognize you, it’s because they really don’t because your face is blurry.

-If you don’t want to wear glasses at all.

If you have gotten to this point in the article, it probably means you don’t want to wear reading glasses anymore for possibly one of the reasons I mentioned above. Now I’ll go over some options to help you see better up close. Keep in mind, everyone’s eyes are different and what worked for someone you know may not work the same for you, which is a great segway into the first option here.

  1. Multifocal Contact lenses. Multifocal contacts are designed to help you see up close and far away. They are shaped sort of like a bullseye, one ring helps you see up close, one ring helps you see far away, etc. When you put them on, your brain figures out which ring is in focus at which distance, and you can see. Most people that wear multifocals can see very well in good lighting conditions, but tend to have some difficulty reading small print like menus when they are in dim lighting situations. Some multifocal wearers also complain that their distance vision at night is not as good. Otherwise, during the day, in good lighting conditions you should be able to see most things you need to see. If you are a perfectionist, have a lot of astigmatism, or want to be able to tie fishing line in the dark, multifocals may not be for you. Otherwise, multifocals work great for most people.
  1. Monovision Contact Lenses. Monovision contacts work by correcting one eye to see in the distance and correcting the other eye to see up close. This is what eye doctors used before we had multifocal contacts, and it still works pretty well for many people. It takes a couple of weeks to get used to, because your depth perception will be off a bit, but after getting used to it, most monovision wearers are happy. We mostly use monovision for people that have astigmatism, or patients that aren’t happy with multifocals.
  1. Progressive Glasses. Progressive glasses are designed to help you see at any and all distances. They work by progressively getting stronger as you move down in the lens. So, the top part of the lens helps you see far away, the middle part helps you see intermediate distances like your computer screen, and the lower part helps you see things up close like your phone. These lenses give you the most range, flexibility, and clarity of all the lens options. It does take a bit of time to adapt to, because I tell people wearing a progressive is like learning how to ride a bike without training wheels. Once people get used to them, they are usually very happy with their vision. The only limitation with progressives is a smaller area of peripheral vision. To see objects in your peripheral vision it tends to work better to turn your head to see things. For instance when driving a car it works best to turn your head to check your blind spot as opposed to cutting your eyes to the side.
  1. Bifocals and Trifocals. Bifocals are the traditional glasses that you see with a line across the bottom for reading. Trifocals have two lines, one at the bottom for reading, and one at the top for intermediate distances. These work well for people that have trouble adapting to progressives, or people who don’t do a lot of multi-tasking. Bifocals only have two focal points, and trifocals only have three focal points. So, with bifocals out of the top you can only see things very far away and out of the bottom you can only see things that are close to you, so if you want to see something in your intermediate vision you will have to either get closer to it or further away from it. Some people don’t like the look of having a line in their lenses, but most of the time it’s hard to tell that someone is wearing them until you get fairly close.

That’s it! Most people do very well using one or a combination of the options I discussed. If you still have questions about any of them feel free to email me at colliervillevision@gmail.com

If you would like to watch my YouTube video explaining this head on over to this link https://www.youtube.com/edit?o=U&video_id=F8LLAccbN0Q

Thank you for reading!

Dr. Walley

Why Are My Arms Getting Shorter Doc??

Today we are going to talk about a common question that I get asked most every day. Which is, “Why are my arms getting so short doc?” You wouldn’t really think you would hear this question very often at an EYE doctor’s office. But it actually has a lot to do with your eyes.

You see, most people in their early 40s start noticing that when they’re reading or doing something up close they have to hold things a little further away from their eyes to focus on it.

Holding things further away makes it easier to see, but eventually your arms can’t stretch out any further and this is when people start noticing “their arms getting shorter.” This is also about the time people head to the dollar store to try on a pair of reading glasses.

So today I’m going to explain a bit more about what is actually happening with your eyes around your early 40s. Sometimes it helps to see this demonstration visually. So if you prefer to watch a video of this instead, head on over to the video on my YouTube channel (while you are there if you like what you see go ahead and click on the subscribe or like button). https://www.youtube.com/watch?v=o2RNd-8m6lI If you don’t like YouTube you can find it on my Facebook page too.

https://www.facebook.com/ColliervilleVisionCenter/videos/980129578815192/

Here we go.

Inside your eye, behind your pupil you have a lens (kind of like a camera lens), and that lens has muscles attached to it. When you look at something up close those muscles flex so they can focus and when you look at something far away the muscles relax. Think of those muscles like a rubber-band. When you first start using a rubber-band, it’s nice and stretchy and pops back into place really well. Over time that rubber band starts to stretch out more and more, and eventually it doesn’t pop back into place. The muscles in your eye are the same as that rubber band, which is exactly why people over the age of 40 or so start needing reading glasses. Some of the symptoms associated with tired eye muscles are, blurry vision (far or near), tired eyes, headaches, double vision and redness. The technical term for this is Presbyopia, or short-arm syndrome.

Now, for some people, over the counter reading glasses are the solution to this problem. For most people, over the counter reading glasses can only do so much. Another caveat I will mention is this. Some people believe that you can strengthen these muscles and some people claim by strengthening these muscles they can avoid wearing reading glasses. I have seen this work for some people but definitely not all people.

So there you have it. If you would like to learn more about the different options for fixing this problem, check out this article.

How To Fix Short Arms

 

If you have specific questions about any of this send an email to colliervillevision@gmail.com