More Vision Loss in Women

Although serious vision problems are not unique to women, women are 12% more likely to experience vision loss than men.

Not only the reproductive tracts and associated organs of men and women, but also the organs common to both sexes have structural differences. There are many biological factors that contribute to women’s vision problems. The differences between men and women’s eye structure can be seen in the tear glands, the surface of the eye, the lens and the retina (the nerve layer of the eye). Depending on sex hormones such as estrogen, progesterone and androgen, age, menstruation, pregnancy, menopause and andropause affect vision.

Hormone Changes and Vision

Estrogen: Plays an important role in reproductive and sexual development starting at puberty.

Progesterone: Helps regulate menstrual cycles and prepares the body for pregnancy.

Androgens: These are a group of sex hormones that affect fertility, bone mass, sex drive and red blood cell production. Androgens are found only in small amounts in women, but in larger amounts in men.

Changes in vision during pregnancy

Hormones can cause serious changes in the eyes. Vision is particularly affected in women during pregnancy and menopause. When a woman becomes pregnant, pregnancy hormones produced by the placenta kick in. These hormones can cause changes in and around the eyes. These changes usually improve after the baby is born or after the mother stops breastfeeding. Changes in the eyes and around the eyes during pregnancy include the following:

Eyelids: Many pregnant women experience increased pigmentation (darkening of color) around the eyelids, called melasma or chloasma.

Cornea (the transparent layer of the eye): The thickness, curvature and sensitivity of the cornea can change during pregnancy. This can lead to refractive error, which can cause blurred vision. Women who wear contact lenses may develop a temporary intolerance to contact lenses during pregnancy.

Tear production: Hormones during pregnancy can affect the tear film and glands, leading to dry eyes.

Intraocular pressure: The pressure inside the eye decreases during pregnancy. Low IOP can lead to corneal edema, resulting in reduced vision.

Lens: During pregnancy and breastfeeding, the ability of women’s natural lenses to focus at close range may be weakened.

Women who had diabetes before becoming pregnant are at higher risk of developing diabetic retinopathy (diabetes affecting the eye). Women who develop diabetes during pregnancy (gestational diabetes) have a lower risk of diabetic retinopathy.

Vision Changes in Menopause

  • One of the most important eye-related changes after menopause is dry eyes. Dry eyes are very common during menopause and are caused by the loss of hormone support. Tear production is controlled by prolactin and sex hormones. After menopause, dryness in the eyes, which causes complaints such as burning, stinging and redness, improves with hormone support therapy.
  • Some studies show that menopause may also increase the risk of glaucoma (eye pressure disease).
  • The risk of cataract development in women after menopause is higher than in men of the same age. Estrogen use after menopause reduces the risk of cataracts. In the pre-menopausal period, estrogen helps the lens maintain its ionic structure and water balance.
  • Women are twice as likely as men to develop autoimmune diseases. Autoimmune diseases such as rheumatoid arthritis, lupus, Grave’s disease and multiple sclerosis cause various problems in the eyes such as uveitis, scleritis, cataracts, optic nerve damage and inflammation.

How Can Women Protect Their Eye Health?

  1. Get a routine eye examination! Women between the ages of 18 and 60 should have an eye examination once a year.
  2. Inform your ophthalmologist about your family history! Heredity and family history play a big role in vision. Tell your ophthalmologist about diseases that run in your family. In this way, your doctor can inform you about prevention methods and perform detailed examinations and tests for early diagnosis.
  3. Do not smoke! Smokers are at risk for cataracts, age-related yellow spot disease and inflammatory conditions. If you smoke, try to quit.
  4. Wear sunglasses outside! Wearing sunglasses protects your eyes from harmful UV rays. Make sure you wear good quality sunglasses that fully block UVA and UVB rays.
  5. Eat a balanced diet! Adding fruits, vegetables and antioxidants to your diet can help delay or prevent the onset of certain eye conditions. Get your protein from lean meat, fish, nuts and eggs. Drink plenty of water. Vitamin A (and beta-carotene), vitamin C, vitamin E and zinc are also good for your eyes.
  6. Add moderate exercise to your routine! To maintain your physical health, 150 minutes (2.5 hours) of moderate activity each week is recommended. This time can be divided into small activities throughout the week.

June 2024

What Color Should Your Sunglasses Lenses Be?

Some sunglasses tints make you see the colors around you more vividly. Others make you perceive colors differently and can distort vision. If you know the pros and cons of each lens color, you can choose the right sunglasses.

The main purpose of sunglasses is to protect our eyes from the harmful ultraviolet rays of the sun. UV protection is more important than lens color. Therefore, whatever the color of the lenses, make sure that the label on the sunglasses says 100% UV protection.

Green: Green colored lens filters out some of the blue light. This prevents glare in bright sunlight. The green tint is suitable for everyday wear and for sports such as golf and tennis.
Gray: This neutral color reduces glare, especially on water. Gray tinted lenses are useful on both cloudy and sunny days. They are suitable for marine activities and driving.
Blue or purple: Blue or purple tinted sunglass lenses provide a striking perception of color. They also help you see the outlines around objects more clearly. They protect against reflective surfaces such as snow. Sunglasses with blue lenses also work well in foggy and hazy weather.
Red or pink: Red and pink sunglasses filter out some of the blue light, thus improving vision while driving. They also increase the depth of field and emphasize details. Sunglasses with red or pink lenses are therefore suitable for many sports activities, such as skiing.
Yellow, orange or gold: Sunglasses with light-colored lenses such as yellow, orange and gold are excellent in moderate to low-level light conditions. Used in both outdoor and indoor sunglasses. They increase the visibility of objects, make the surroundings appear brighter and filter out blue light.
Amber or brown: Helps make cloudy days look a little brighter. Can be used during activities where you need to see small objects in the distance. Increases contrast against green landscapes and blue skies.

May 2024

How to Apply Low Eyelid Makeup?

It is necessary to pay attention to the eye structure while applying eye makeup. You can make your dream makeup by using the right products and makeup techniques. Here are the things that those with low eyelids should pay attention to…

You want to apply an eye makeup you like to yourself, but you can’t get the same look. When those with low eye structure do not apply the right techniques, the eyeshadow they apply may not be visible or their eyes may look smaller than they are. Here are the things that those with low eye structure should pay attention to…

START WITH BASE
Always apply an eyeshadow base before starting your eye makeup. The eyeshadow base ensures that the products you apply stay fixed on the eyelid for a long time without smearing.

HOW TO APPLY EYESHADOW?
It is very important to apply eyeshadow with the right brushes and techniques. Do not apply dark colors on the crease, this makes the eye socket look deeper. Apply the shadow you want to shade slightly above the crease, this will make your eyes look lighter than they are. Choose matte textures and light colors instead of pearlescent or glittery shadows. Apply the darkest shades to the ends of your eyelids. Do not raise your eyebrows while applying eye shadow. You can make your eyes look more vibrant and younger by applying light colored eye shadow to the eye sockets.

EYELINER
When applying eyeliner, look straight ahead and keep your eyes open so that your eyeliner will be visible when you close your eyes. Try to apply the pencil thinly, otherwise you may smudge it on your eyelid.

LIGHT COLOR PENCIL
You can make your eyes look bigger than they are by applying a light colored pencil to the base of the eyelashes. Avoid applying dark pencil inside the eye, dark colors will make your eyes look even smaller.

EYELASHES
After using the eyelash curler, apply your mascara, but apply it more intensely on the center lashes. You can skip the lower lashes.

May 2024

All About Yellowing of The Eye

Yellowing of the eye is a condition in which the white part of the eye, called the “sclera”, changes from a healthy appearance to yellow. Jaundice is a condition that needs to be taken seriously, as it usually indicates an underlying health problem.

Göz sararması temelde sarılık hastalığının bir belirtisi olarak kabul edilir. Kandaki hemoglobinin parçalanarak dönüştüğü bilirubin adlı maddenin vücut tarafından temizlenememesi sonucunda sarılık meydana gelir. Bilirubin ciltte birikerek cildin sarı renkte görünmesine sebebiyet verir; bu durum zaman içinde gözleri de etkilemeye başlar. Bununla beraber, sarılığı tetikleyen ve karaciğer, safra kesesi ve pankreasta var olan bir sorun, gözlerin sararmasına neden olabilir. Bilindiği gibi karaciğer, kırmızı kan hücrelerinin parçalanması noktasında önemli bir göreve sahiptir. Karaciğer aşağıdaki sorunların biri veya birkaçı sebebiyle hasar gördüğü durumda sarılık ve bununla ilişkili olarak da gözlerde sararma ortaya çıkabilir. Siroz, sıtma, aşırı alkol tüketimine bağlı karaciğer fonksiyonunda bozulma, karaciğer kanseri, karaciğer yağlanması, karaciğer enfeksiyonu, hepatit B ve C (Hepatit A, D ve E sarılığa nadiren neden olur), karaciğerde demir fazlalığı (hemokromatoz), karaciğerde bakır birikmesine sebep olan Wilson hastalığı, nadir bir kan hastalığı olan porfiria (porfiri).

Safra kesesinde gelişebilecek herhangi bir problem de gözlerde sararma görülme olasılığını tetikler. Yaygın olarak safra taşı, kist, tümör ve iltihap sebebiyle safra kanallarının tıkanması ile vücutta sarılık gelişir ve bu durum da göz akının rengini değiştirir. Benzer şekilde, safra kesesi ile bağlantılı olan pankreas kanalının iltihaplanması veya tıkanması durumunda, safra düzgün bir şekilde boşaltılamayabilir. Bu da sarılığın ortaya çıkması için uygun bir ortam oluşmasını sağlar. Buna ek olarak pankreas kanseri de aynı etkilerin görülmesine neden olur. Sarılığa, doğrudan bağlantılı olarak da göz sararmasına neden olan faktörlerden bir diğeri de kan hastalıklarıdır. Kırmızı kan hücrelerinin parçalanmasını engelleyen aşağıdaki sorunlardan bir veya birkaçı göz akının renginin değişmesinden sorumlu olabilir. Orak hücre anemisi, kullanılan ilaca bağlı olarak gelişen immün hemolitik anemi, kan naklinden kaynaklanan uyumsuzluk reaksiyonu. Bunlara ek olarak vitamin eksikliği (özellikle B-12), kırmızı kan hücresi üretimindeki değişiklikler ve yetersiz beslenme de göz sararmasının nedeni olabilir. Ayrıca penisilin (amoksisilin / klavulanat), asetaminofen, doğum kontrol hapları, antidepresan ilaçlarının bir kısmı ve steroidler de gözdeki sarılığın kaynağı olarak kabul edilir. Bunların haricinde, bilinenin aksine, A vitamini (beta karoten) bakımından zengin olan havuç, kabak ve kavun gibi yiyecekleri aşırı miktarda tüketmek cilt renginde değişikliğe sebep olsa da göz sararmasına neden olmaz. Aynı şekilde, tek başına, alkol almak da sararmanın ana nedeni olamaz. Fakat alkol uzun vadede karaciğere zarar vererek bu sorunu tetikleyebilir.

Göz sararması karın ağrısı, ateş ve titreme, idrarda koyulaşma, ciltte kaşıntı, burun kanaması, sürekli bitkin ve halsiz hissetme görünür bir sebep olmadan kilo verme gibi durumların görülmesi halinde zaman kaybetmeden doktora başvurmayı gerektiren bir sorun haline gelir. Bu gibi belirtilerin var olması halinde bir doktorla görüşmek için kesinlikle beklememek gerekir. Göz sararması tedavisi, sorunun altında yatan sebep incelenerek gerçekleştirilir. Kişi karaciğerle ilişkili ciddi olmayan düzeyde bir sorun sebebi ile sarılık geçiriyor ise, doktor hastalığa ilişkin semptomları azaltmak adına ilaç reçete ederek tedaviyi bu yolla sağlar. Aynı şekilde, viral hepatit ve karaciğer içi yaralanma var ise, antiviral ilaçlar ile karaciğer enfeksiyonu kurutularak sarılık kaynağı ortadan kaldırılır. İlaçla tedavinin yetersiz kalacağı karaciğer sorunlarında ise cerrahi yöntem kullanılarak safra kesesi, safra kanalının bir kısmı ve pankreasın bir bölümü çıkarılır. Karaciğerin tamamen hasarlandığı ve sağlıklı karaciğer dokusunun kalmadığı daha ciddi vakalarda ise, göz sararması da dahil olmak üzere pek çok belirtiyi ortadan kaldırmak için karaciğer nakli gerçekleştirilebilir. Bu, sarılığa ilişkin sorunun son aşamada olduğu durumda gerçekleştirilen bir operasyondur. Bununla beraber, pankreastaki bir problemden dolayı bu rahatsızlık ile karşı karşıya kalınmış ise rehidrasyon veya hidroksiüre gibi ilaçlar doktor tarafından önerilebilir. Göz sararmasının kaynağı safra kesesindeki bir anomali ise; özellikle sarfa kanallarında tıkanma, iltihap ve safra kesesi taşı söz konusuysa kesenin vücuttan cerrahi yöntemle çıkarılması düşünülebilir.

Mayıs 2024

Stress Can Cause Vision Loss

While stress plays a key role in many diseases, it also negatively affects eye health. Central serous chorioretinopathy, the accumulation of fluid in the retina, which usually occurs during periods of intense stress, can even cause vision loss.

Stress, one of the biggest problems of our age, can cause vision problems as well as many diseases. Those who work under intense stress, are perfectionists and have a type A personality may be exposed to visual problems. Central serous chorioretinopathy, which is known to be caused by stress, can either resolve spontaneously or become chronic and permanent.
Central serous chorioretinopathy has been found to be more common among patients with emotional distress or type A personalities. This is explained by the body’s natural production of corticosteroids due to stress. Studies have shown a link between type A behavior and stress, the use of psychopharmacological medication, sleep disorders and this disease, but they can be considered as possible risk factors. It is suggested that the link between personality traits and stress is mediated by stress hormones, especially corticosteroids and catecholamines. Risk factors include a family history of the disease and having high blood pressure. Although it is known that some medications can also cause this problem, the ophthalmologist should be informed about any medication taken.

April 2024

Difficulty in Vision Leads to Depression

Stating that depression and eye problems negatively affect each other mutually, Assoc. Prof. Dr. Levent Akçay warned that if the problem is not eliminated, it leads to a decrease in work efficiency, a decrease in quality of life and even depression.

Depression and eye problems can feed on each other and lead to serious eye problems. Patients, especially those with vision problems, can experience severe emotional depression due to the obstacles they face in their social and professional lives. It is popularly believed that depression is a disorder that is caused only by emotional problems and has no physical effects. However, eye health problems such as nearsightedness, farsightedness, blurred vision, etc. can lead to feelings of tension, anxiety and fear that trigger depression. High-paced work life, family problems or daily troubles are among the factors that trigger depression. In cases where this stress and tension becomes chronic, increased levels of adrenaline in the body can lead to problems in the nervous system and oppression of the eye. Likewise, eye problems that are not diagnosed on time can lead people to unhappiness and depression due to the difficulties they create in both social and business life.
Your eye health may be the trigger of depression
People with vision loss who are not diagnosed in time may face the danger of depression. In some cases, despite the application of certain treatments, depression is highly likely to occur in patients with vision levels that prevent them from performing their daily tasks. In particular, patients with age-related macular degeneration, which causes a significant proportion of vision loss, may face a serious risk of depression as vision loss is added to the physical difficulties of advancing age. At the same time, vision loss can lead to feelings that trigger depression, such as tension, anxiety and fear. For this reason, regular eye examinations for people with symptoms of vision loss are of great importance in terms of both restoring vision and eliminating the risk of depression.
Depression also accelerates vision loss
Depression can have many negative effects on the body, not only emotionally but also physically. It is commonly believed that depression is a condition that is caused only by emotional problems and has no physical effects. However, in addition to the emotional problems it causes, depression can also cause physical problems such as loss of appetite, confinement and deprivation of sunlight, exercise, disturbances in sleep patterns, headaches and muscle aches. Especially lack of sunlight and disturbances in sleep patterns are among the factors that increase the pressure on the eyes and cause problems that can lead to serious vision loss. It is also a well-known fact that antidepressant drugs used for depression can cause vision problems as well as fatigue, dry mouth and dizziness.
Antidepressant users should not neglect eye health
Problems that may occur in the eyes due to depression and antidepressant use may be temporary or permanent. In people who live under constant stress and struggle with depression; it is of great importance to take into account symptoms such as flashes of light, blurred vision, narrowing of the visual field, seeing objects that are not at the edges of the eye, focusing problems and constantly increasing the number of glasses. It is especially recommended that people who use medications such as antidepressants should have regular eye examinations. People who think they are depressed or who use antidepressant medications should not neglect the detection and treatment of eye disorders that may occur.

April 2024

Hepatitis B Symptoms in the Eye

Jaundice is a medical condition in which the skin and whites of the eyes appear yellow. Jaundice is not actually a disease, but a symptom that can be the result of many different diseases.

Hepatitis is an inflammation of the liver, also known as jaundice. Hepatitis B is transmitted through bodily fluids such as saliva, saliva, blood, sweat or sexual activity. Hepatitis B in particular is most commonly transmitted through blood contact. Therefore, care should be taken when performing procedures such as manicure, pedicure or tattooing. Hepatitis is usually a disease that is easily understood by the yellow color of the white part of the eyes. However, other symptoms such as dryness, stinging and tearing may also occur in hepatitis B and C diseases. When these symptoms progress further, dry eye can lead to more disturbing corneal findings called corneal inflammation (keratitis). Hepatitis should be kept in mind in the differential diagnosis of dry eye, corneal inflammation (keratitis), vasculitis (retinal vasculitis), optic neuritis (optic nerve inflammation) and eye muscle paralysis. As the disease progresses, eye symptoms increase. If “hepatitis” is diagnosed in the eye examination, the disease can be prevented from progressing to chronic stages and cirrhosis, which is more advanced. Other symptoms of the disease include diarrhea, changes in stool color, loss of appetite, extreme fatigue, weakness, edema, head and body aches. Patients with ocular symptoms of “hepatitis” should be more careful in acute attacks of hepatitis in order to protect their eye health, and when other symptoms appear in the eye, they should be taken into consideration and taken into account.

April 2024

Curiosities About Eyelid Tumors

Stating that eyelid tumours can be encountered for various reasons, Ophthalmologist Op. Dr. Ahmet Maden said that these tumours can be diagnosed with regular eye examinations.

Many different benign or malignant tumours can occur on the eyelids. Since the eyelids and their surroundings are the most vulnerable area to external factors such as sun rays, ultraviolet, dust, smoke, etc., it is one of the regions where skin cancers are most common. Early detection of eyelid tumours is an important advantage. Especially removal of malignant tumours before they grow and spread around is extremely important in terms of preserving the integrity and functions of the eyelid. In the treatment of eyelid tumours, the type, size and location of the tumour and its spread to surrounding tissues are important. The majority of malignant tumours are recognised by their clinical appearance, and if necessary, preliminary pathological examination can be performed by biopsy. Treatment of valve tumours is surgical. The main problem is to repair the defect formed in the lid after the removal of the tumour in a way to protect the integrity and health of the eye in form and function. This process is called “lid reconstruction”. For these reasons, malignant tumours of the eyelid should be removed as soon as they are seen, while they are still very small in size. Benign tumours of the eyelid may also need to be removed for cosmetic reasons, even if they do not cause functional impairment.

Eyelid tumours should be handled by ophthalmologists who are experienced in the anatomy and functions of the eye and specialised in oculoplastic surgery. Especially if the malignant tumour cannot be completely eradicated or if the lid reconstruction is not at the desired level after tumour removal, it may cause much more serious problems.

March 2024

Visual Impairment Must be Treated up to 12 Years of Age

Ophthalmology Specialist Assoc. Prof. Dr. Arif Ülkü Yener stated that visual impairments in children who come to the examination are detected by teachers or mobile health teams and said, “In some families, sensitive, careful parents can also notice this. For example, the child sits close to the television and squints. Such things indicate that there is a refractive error in the eye. The most important thing is to pay attention to hyperopia. While laziness cannot occur in myopes, it can occur in hypermetropes. Especially if there is a difference between the two eyes, if one eye is zero while the other is 2 or 3 degrees, laziness can definitely develop in the eye with the higher number. There is no treatment after the age of 12. Therefore, great attention should be paid. Early intervention is important for public health and professional success.”

Provided that hygiene is very careful, especially contact lenses are recommended

Stating that the use of glasses should be preferred after the diagnosis of visual impairments, Yener said, “There are microbial conditions that we see from time to time in contact lenses. It may even lead to loss of the eye. For this reason, we do not recommend contact lenses for children under the age of 10, but contact lenses can be used in a certain age range when people’s consciousness develops. This is usually after the ages of 12 and 13 or before the 40s and 50s. We do not recommend contact lenses for very old people, children under the age of 10, and people who cannot do their own personal care. We especially recommend contact lenses in high myopes, hypermyopes and in different

March 2024

Important Explanation About Eye Fatigue

Eye fatigue is one of the increasing ailments. This discomfort, which is frequently seen in people who constantly look at the computer or phone, can be treated with simple methods.

Eye fatigue, called “asthenopia” in medical language, is the fatigue of the eyes due to overwork of the optic nerves and small muscles. Eyes are very sensitive to lack of nutrition, lack of sleep, environmental pollution and muscle tension, and reading without a break, driving for a long time, spending too much time on digital screens and prolonged exposure to some lighting can cause eye fatigue. Although some eye diseases occur due to a genetic or medical condition, eye fatigue is not among these diseases.

Digital eye strain is one of the most common disorders of our age. Especially direct and long-term use of digital devices by children and adults leads to eye fatigue. Exposure to the screens of electronic devices such as phones and computers in childhood has been proven in studies to cause myopia in later ages.

Long-term screen time: Spending long hours in front of digital screens (computers, smartphones, tablets and TVs) can lead to digital eye strain, characterised by symptoms such as dry eyes, blurred vision and discomfort.

Poor lighting: Inadequate or excessive lighting in your workspace or environment can strain your eyes. Inadequate lighting can make it difficult to read or work, while overly bright lighting can cause glare and discomfort.

Uncorrected vision problems: If you have uncorrected vision problems such as nearsightedness, farsightedness or astigmatism, your eyes may work harder to focus, which can lead to eye strain.

Incorrectly prescribed glasses or contact lenses: Wearing the wrong prescription glasses or contact lenses or old lenses can cause eye discomfort and fatigue. Inadequate tear production or poor tear quality can cause dry eyes, which can lead to eye fatigue and discomfort.

Exposure to blue light: Prolonged exposure to blue light emitted from digital screens and artificial lighting can disrupt your sleep-wake cycle and contribute to eye strain.

Reading for long periods of time: Reading for long periods of time without taking breaks or using proper lighting can cause eye strain, often referred to as “reader’s fatigue”.

Poor ergonomics: An uncomfortable workstation setup, such as an improperly positioned computer monitor, keyboard or chair, can lead to awkward postures and eye strain.

Lack of blinking: When working on a computer or focusing intently on a task, people tend to blink less, which can lead to dry eyes and eye fatigue.

Exposure to allergens: Allergens such as dust, pollen or pet dander can irritate your eyes and cause eye strain, especially if you are allergic.

Eye diseases and conditions: Some eye conditions, such as glaucoma, cataracts or macular degeneration, can also cause eye strain, among other visual symptoms.

Eye fatigue is a condition that is very disturbing to people. Those seeking eye strain treatment should first make some changes in their lifestyle. Generally, eye strain is not a medically treated condition. However, in some cases, eye fatigue symptoms may also be the cause of conjunctivitis. It is necessary to be examined by an ophthalmologist for ongoing discomfort as a result of measures taken such as resting the eyes. To prevent and alleviate eye strain, it is very important to follow the 20-20-20 rule (take a 20 second break every 20 minutes and look at something 20 metres away), adjust your lighting and screen settings, maintain proper ergonomics, keep your prescription up to date and use artificial tears or lubricating eye drops when necessary.

March 2024