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presbyopia

6 Ways To Maintain Eye Health If You’re Over 50

Aging and certain lifestyle choices can affect your vision, especially if you’re in your 50’s and up. While it’s normal for your eyes and vision to change, there are certain actions you can take to protect your sight.

6 Tips for 50+ Eye Health

  1. Eat Well

    A well-balanced diet helps maintain a healthy body including healthy eyes, and reduces your odds of developing some very serious eye diseases. Nutrients and nutritious foods, which help prevent vision loss include:

    • Vitamin A: Carrots, spinach, kale, egg yolks, dairy products
    • Vitamin C: Citrus fruits and juices, broccoli, potatoes, green peppers
    • Vitamin E: Whole grains, eggs, sunflower seeds, vegetable oils
    • Fatty Acids: Coldwater fish, such as mackerel, rainbow trout and salmon; corn oil, sunflower oil
    • Lutein: Kale, spinach, broccoli, brussels sprouts, corn
    • Zinc: Poultry, meat, fish, dairy products, whole grains

  1. Quit Smoking

Smoking can significantly increase the chances of developing age-related macular degeneration and cataracts, as well as diabetic retinopathy in diabetics. So if you’re a smoker, the sooner you quit, the better.

  1. Exercise

Exercising for at least 20 minutes a day is great for your whole body, including your eyes, by increasing blood flow to the optic nerve and retina! It isn’t necessary to engage in strenuous exercise—in fact, a brisk walk will suffice.

  1. Protect Your Eyes

Sunglasses

Protecting your eyes from ultraviolet rays with UV-blocking sunglasses can slow down the development of cataracts, prevent sun damage to your retina, and lower the risk of skin cancer near your eyes.

Protective eyewear

Another way to protect your eyes is to wear protective eyewear. If you play sports or work with materials such as wood, glass or metal, protective eyewear can shield your eyes from splinters and shards, as well as fast-moving objects like balls and hockey pucks.

  1. Give Your Eyes a Rest

If you spend a lot of time reading, driving or looking at digital devices, you may develop eye strain and eye fatigue. By implementing the 20-20-20 rule, especially during prolonged computer or smartphone use, you can give your eyes some much-needed rest. All you need to do is this: every 20 minutes look at something 20 feet away for at least 20 seconds.

  1. Have Regular Eye Exams

And finally, a comprehensive eye exam is crucial, as it can detect eye conditions that don’t display any symptoms until vision loss has already occurred.

These conditions include:

When detected early, treatment can often prevent permanent vision loss or even blindness. Less serious and more common, presbyopia or age-related farsightedness, develops with age, and simply updating your prescription for glasses or contact lenses at your routine eye checkup can keep you enjoying the arm’s-length activities you love.

Age-related vision changes can be challenging, both emotionally and physically. However, some of these can be mitigated by implementing the tips above. Schedule an eye exam with Bay College Optometric Centre in Downtown Toronto to check your eye health today!

Schedule an eye exam with Bay College Optometric Centre in Downtown Toronto, Ontario to check your eye health today!

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Q&A

How does aging affect your eyes?

Aging causes changes in every part of your body, including your eyes. As you age, the lens inside your eye begins to harden, which leads to presbyopia (age-related farsightedness). This makes it more difficult for your eyes to focus on near objects and tasks like reading. Other common age-related eye problems include:

  • Age-Related Macular Degeneration
  • Cataracts
  • Glaucoma
  • Diabetic Retinopathy
  • Dry Eyes
  • Floaters
  • Changes to Peripheral Vision

Can I do anything about my chances of vision loss?

It is estimated that half of all visual impairment and blindness can be prevented through early diagnosis and treatment. So make sure you get regular eye exams to ensure that all is in check.

Multifocal Contact Lenses For People Over 40

If your 40th birthday has come and gone, you may have started to notice some changes in your vision. You might find yourself holding written material further away from your face in order to clearly read the fine print, or have a harder time adjusting your focus from distant objects to near ones.

The inability to see things clearly at various distances can be frustrating.   

Fortunately, this problem can be solved by wearing multifocal contact lenses. Below, we’ll explain the cause and symptoms of presbyopia, along with the many benefits of wearing multifocal contact lenses.

What Is Presbyopia? 

Presbyopia is the natural and gradual loss of your eyes’ ability to focus on near objects. 

The crystalline lens in your eye focuses light onto the retina, and it adapts its shape depending on what you focus on. From infancy until your late 30s or early 40s, the lens is usually clear, thin and very flexible, allowing fast adjustments for sharp vision at all distances.

From age 40-50 the lens becomes considerably thicker and much less flexible. This makes it harder for the lens to change shape and to accurately refract light when focusing on near objects. 

This farsightedness can be easily corrected with reading glasses, bifocal or multifocal glasses, monovision contact lenses, as well as multifocal contact lenses. 

Multifocal Contact Lenses for Presbyopia

Multifocal contact lenses contain multiple lens powers to provide vision correction for different visual zones so you can clearly see objects that are in the distance, nearby and everything in between. 

Certain multifocal contact lenses have 2 lens powers (bifocals), for near and distance vision, and others have a more gradual power change, similar to progressive lenses. These contact lenses can be made using soft materials or rigid gas-permeable materials, and are available as daytime or extended night-wear lenses. 

Note that multifocal contact lenses are not perfect for all situations and some patients may need to try several brands or designs before finding one that works well for them. To spare you the confusion, your optometrist will guide you towards the ones best suited to your eyes and lifestyle needs. 

To discover options beyond reading glasses, call Bay College Optometric Centre in Downtown Toronto to schedule your contact lens consultation today!

Q&A: 

#1: Are there any “cons” related to wearing multifocal contact lenses? 

Many multifocal contact lenses use a “simultaneous vision” design that allows seeing far and near simultaneously through concentric zones. Some people have problems adapting to this, noticing hazy vision and less contrast than single vision lenses. You can ask your optometrist to be fit with multifocal lenses and get a test run” or trial period.  

#2: When does presbyopia stabilize?

Most people will start to develop age-related vision changes starting in their early to mid-40s. At around 60 years of age, your eyesight will begin to stabilize and you’ll notice less of a need to update your lens prescription. Nonetheless, yearly comprehensive eye exams at this age are more important than ever, as they enable your eye doctor to detect potential eye conditions and diseases early on. 

8 Ways Your Eyes Change With Age

Our eyes and vision change with age. Your eye doctor can monitor these changes — some of which are a natural part of the aging process — and identify any eye conditions or diseases early enough to treat them and prevent vision loss. Read on to learn more about the different types of eye changes one may encounter with age.

Age-Related Eye Conditions and Diseases

Cataracts

If your vision is starting to get blurry, you may be developing cataracts. There are a few types of cataracts, but the one usually caused by aging is known as a “nuclear cataract”. At first, it may lead to increased nearsightedness or even a temporary improvement in your reading vision. But with time, the lens gradually turns more densely yellow and clouds your vision. As the cataract slowly progresses, the lens may even turn brown. Advanced yellowing or browning of the lens can lead to difficulty distinguishing between shades of color, and left untreated, it can eventually lead to blindness. Luckily, cataract surgery, where the cloudy lens is replaced with a clear lens, is an extremely safe and effective treatment option. 

Blepharoptosis

Blepharoptosis or ptosis is a drooping of the upper eyelid that may affect one or both eyes. The eyelid may droop only slightly or may droop enough to cover the pupil and block vision. It occurs when there is a weakness of the eye’s levator muscle that lifts the eyelid. This condition is usually caused by aging, eye surgery, or disease affecting the muscle or its nerve. Fortunately, blepharoptosis can be corrected with surgery.

Vitreous detachment

This occurs when the gel-like vitreous fluid inside the eye begins to liquefy and pull away from the retina, causing “spots and floaters” and, sometimes, flashes of light. This occurrence is usually harmless, but floaters and flashes of light can also signal the beginning of a detached retina — a serious problem that can cause blindness, and requires immediate treatment. If you experience sudden or worsening flashes and increased floaters, see Dr. Kara immediately to determine the cause.

Other Age-Related Changes

In addition to the above eye conditions and diseases, the structure of our eyes and vision change as we get older. 

Presbyopia

Why do people in their 40s and 50s have more difficulty focusing on near objects like books and phone screens? The lens inside the eye begins to lose its ability to change shape and bring near objects into focus, a process is called presbyopia. Over time, presbyopia, also known as age-related farsightedness, will become more pronounced and you will eventually need reading glasses to see clearly. You may need multiple prescriptions – one prescription to enable you to see up close, one for intermediate distance, and one for distance vision. In that case, people often get bifocals, multifocals or PALs, and they can be combined with contact lenses as well.

Reduced pupil size

As we age, our reaction to light and the muscles that control our pupil size lose some strength. This causes the pupil to become smaller and less responsive to changes in ambient lighting. The result? It becomes harder to clearly see objects, such as a menu, in a low-light setting like a restaurant.  

Dry eye

Our tear glands produce fewer tears and the tears they produce have less moisturizing oils. Your eye doctor can determine whether your dry eye is age-related or due to another condition, and will recommend the right over-the-counter or prescription eye drops, or other effective and lasting treatments, to alleviate the dryness and restore comfort.

Loss of peripheral vision

Aging causes a 1-3 degree loss of peripheral vision per decade of life. In fact, one may reach a peripheral visual field loss of 20-30 degrees by the time they reach their 70s and 80s. While peripheral vision loss is a normal part of aging, it can also indicate the presence of a serious eye disease, like glaucoma. The best way to ascertain the cause is by getting an eye exam. 

Decreased color vision

The cells in the retina responsible for normal color vision tend to decline as we age, causing colors to become less bright and the contrast between different colors to be less noticeable. Though a normal part of aging, faded colors can at times signal a more serious ocular problem. 

Beyond the normal changes that come with age, the risk of developing a serious eye disease, such as age related macular degeneration and glaucoma, increases. Routine eye exams are essential to keeping your eyes healthy. Your eye doctor can determine whether your symptoms are caused by an eye problem or are a normal byproduct of aging. 

If you or a loved one suffers from impaired vision, we can help. To find out more and to schedule your annual eye doctor’s appointment, contact Bay College Optometric Centre in Downtown Toronto today. 

Multifocal Contact Lenses – See Clearly Again!

Multifocals are lenses that allow you to see near, far and in between. Over 40? When you don't want to wear glasses or reading glasses, read on for the incredible solution.
Specially designed to incorporate multiple prescriptions, multifocal contact lenses are particularly popular for people with presbyopia who lead an active lifestyle.

Schedule a free* multifocal lens screening

Are you one of the 4 types of people who are good candidates for multifocal contacts?

Patients who benefit from multifocal contact lenses are typically:

  1. Over 40
  2. Presbyopia sufferers
  3. Need more than one prescription
    (ie: hyperopia & myopia)
  4. Contact lens wearers

Age related near-vision blurriness is so common, it's actually considered normal. But that doesn't mean you can't treat it. Even if you have both nearsightedness and farsightedness - and want to be able to see clearly at all distances - you don't have to let glasses get in the way of your favorite activities. Switching into reading glasses every time you want to focus on something up close is a drag. It's not too late to try contacts, even if you haven't worn them up until now.

What types of multifocal contacts are there?

  1. Material: Multifocal contact lenses are available as soft contacts, rigid gas permeable (GP or hard contacts) or a combination of the two in a hybrid contact lens form by certain manufacturers. Silicone hydrogel is one of the latest contact lens materials, allowing more oxygen flow for more comfort.
  2. Wearing schedule: Depending on the type, multifocal contacts may be available in a variety of wearing schedules, including extended wear and disposables.
  3. Brands include:
    • Air Optix Aqua Multifocal (Alcon)
    • Bausch + Lomb Ultra for Presbyopia (Bausch + Lomb)
    • Biofinity Multifocal (CooperVision)
    • Acuvue Oasys for Presbyopia (Johnson & Johnson Vision Care)
    • Duette Progressive and Duette Multifocal (SynergEyes) hybrid contact lenses, which have a central optical zone made of GP lens material for crisp optics and a peripheral fitting zone made of soft silicone hydrogel material for comfort.

Schedule a free* multifocal lens screening

 How do multifocal contact lenses work?

Multifocals can be divided into 2 basic designs plus a 3rd type of technique:

Simultaneous vision lenses:

Prescriptions alternate throughout the lenses and the eye learns to compensate by using the right part of the lens when needed. The most popular type of multifocal, they are nearly always soft lenses, and are available in two designs:

  • Concentric ring designs - with alternating rings of distance and near powers.
  • Aspheric designs - progressive-style, with many powers blended across the lens surface. Some aspheric lenses have the distance power in the center of the lens; others have the near power in the center.

Alternating vision (or translating) lenses:

Designed more like bifocals, the top part of the lens has the distance power for when you look straight ahead, and the bottom part of the lens contains the near power. When you look down, your lower lid holds the lens in place while your pupil moves (translates) into the near zone of the lens for reading. Commonly, these are manufactured as rigid gas permeable (GP) lenses, which are smaller.

Monovision Technique:

One eye wears a contact lens for distance-vision correction and the other eye wears a near-vision or multifocal lens. The visual system learns to automatically use the appropriate eye to focus at the right distance.


To determine the best contact lenses for your vision needs when you reach "bifocal age," call our office for a consultation.

Schedule a free* multifocal lens screening

For More Information About Contact Lenses Visit Our Eye Doctor

*Multifocal contact lens screening at no extra charge when you come for an eye exam

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