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Senior Sense: Set Your Sights On Healthy Eyes
  Mary McCallum, COASEV June 2004

Though vision degeneration is common as we age, it is encouraging that there are many things people can do to protect and care for the health of their eyes. Blindness or low vision affects over 3 million Americans over age forty. Seniors over sixty are at higher risk for glaucoma, cataracts, macular degeneration and other visual disabilities.

Low vision results in loss of independence and overall reduced quality of life. The graying of America brings with it a growing population that needs treatment and support for visual impairment. The leading cause of blindness among white Americans is age-related macular degeneration (AMD), while among African Americans it is cataracts and glaucoma.

With cataracts, the lens of the eye becomes cloudy, in one or both eyes. Although many sufferers don't detect their presence, these are some common symptoms of cataracts:

* changes in how you see color
* impaired vision at night, especially when driving
* problems with glare from bright lights or sun
* halos around lights

Glaucoma causes damage to the optic nerve, the path to the brain for all visual information. Because its effects are gradual, you may be unaware of vision loss until it is most damaging. Diabetes is one of the main causes of glaucoma. Good nutrition, exercise and weight control can help prevent the onset and slow the progress of Type 2 Diabetes.

AMD, currently affecting over a million Americans, is a common cause of legal blindness. The macula is the part of the retina, a thin lining on the back of the eye, that controls sharp central vision. Its degeneration causes loss of central, but not peripheral, vision.

Presbyopia, commonly called farsightedness, is a condition impacting nearly everyone over forty. It isn't sight-threatening but makes reading and close-up work difficult. Its incidence and severity progress with aging but is correctable with prescription reading glasses or bifocals.

Although genetics plays a part in how our eyes age, you can protect the vision you have in many ways.

* Have regular eye exams. If you have a family history of eye disease, poor health, diabetes, or if you take medication that causes side effects on your eyes, see an eye doctor for regularly scheduled eye exams.

* Reduce eye strain. When reading use adequate lighting (60-100 watt bulb) and take frequent breaks to change your focus on distant objects for several minutes. When watching TV have room lights dimmer but don't watch in complete darkness; the contrast in light is too sharp. When you work at your computer take frequent breaks to look off in the distance. Blink often to keep eyes moist.

* Protect your eyes from excessive sunlight. Ultraviolet (UV) rays are the component of sunlight most responsible for eye damage. On bright or hazy days reflected sunlight from water, sand, pavement, snow and glass can burn the eye surface. The cumulative effects from repeated exposure leads to chronic eye disease. Wear brimmed hats and sunglasses that filter out 99-100% of UV light. Expensive glasses don't guarantee protection: it's the UV protection written on the label that tells you how effective the glasses are.

* Relax your eyes through simple vision exercises. Tension and fatigue cause poor visual habits.

The Bates Method, a series of exercises developed in the late 1800s by Dr. William Bates, advocates regular eye relaxation (including blinking) and careful measured exposure to sunlight to strengthen vision (see Resources). Instructors trained in the Bates Method offer classes in how to do the exercises.

For those who have poor vision there are scores of helpful devices available that can make life easier: magnifiers, large screen print enlargers, phones and TV remotes with oversize buttons are just a few. The Vermont Association for the Blind and Visually Handicapped is a good resource for learning how to use and buy them.

Our precious eyes require care and ongoing protection if we are to enjoy good vision that will keep pace with increased longevity. Regular exams, eye protection, and optical relaxation techniques can help to keep that twinkle in your eye.

RESOURCES

Senior Help-Line can tell you about programs and resources in your area related to vision protection (800-642-5119).

Vermont Association for the Blind and Visually Impaired (VABVI) offers safety and independence programs for visually impaired (800-639-5861).

Bates Method for Better Eyesight Without Glasses, by William Bates ($13.00).

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