Monday, August 17, 2015

Ophthalmic Science Fiction, Hold the Fiction.

A Brief History of the Retinal Scan 
     
     Thanks to innovations in ophthalmic technology, identification by retinal scan has evolved from a hypothetical possibility to a readily available, highly accurate tool. It still holds much sway in today's science fiction portrayals of advanced technology.


1886
Alphonse Bertillon's method was overtaken by fingerprinting, but the use of his "mugshot" remains. 1893.
     The concept of eye-recognition surfaced in 1886, when Alphonse Bertillon suggested that the eyes could be used to identify criminals. Granted, he imagined a system of identification based on the details in the iris, rather than the retina. Bertillon was a criminologist who recommended that the police record a long list of physical measurements in order to positively identify repeat offenders. Many of his practices were adopted for a time, but his only surviving technique is the photographing of individuals under arrest, known today as the mug shot.

1935


     The first scientifically supported idea for retinal identification was published in the New York State Journal of Medicine in 1935. The basic idea was to use the unique pattern of blood vessels in the retina to identify an individual. The technology for a device that could realistically perform this task would not emerge for decades. 



Popular Culture
        
Batman and Robin with the retinal-scan-equipped Bat Mobile
in the 1960s.
The relative obscurity and "high tech" nature of retinal scans means that they are a frequent device in fiction - to suggest that an area has been particularly strongly secured against intrusion, to indicate that technology has advanced beyond what we regularly see today, even to pronounce a dehumanization of technological advancement.

Captain Kirk debuts retinal scanning technology in 1982.
         Retinal scanners are mentioned for years before the first viable model was designed in 1975. Batman and Robin, for example,  use a retinal scanner in a 1966 film to identify the Penguin. In 1976, full time efforts were made to complete a
Congratulations, Jim. You are who you claim to be. 
scanning device, and in 1978 it was patented, with a commercial model following in 1981. Captain Kirk introduced the device in motion pictures in 1982. 

More instances of eye scanning in contemporary media.



How it Works
       Each person’s retina is unique because the structure of blood vessels is so complex. Not even identical twins share the same pattern. Though the patterns in the retina can be altered by certain eye
Image of the veins of a normal human retina. 
diseases, they typically stay about the same from birth until death.  Apart from DNA, retinal recognition is the most precise form of identification currently available, with an error rate of 1 in ten million.  

A retinal scan works by casting a beam of low-energy infrared light into a person’s eye as they look through the scanner's eyepiece. This beam of light traces a standardized path on the retina. Because retinal blood vessels absorb light more readily than the surrounding tissue, the amount of reflection varies during the scan. The pattern of variations is digitized and stored in a database. An algorithm has to be employed to analyze each image in a video stream that receives the information from a cast beam of light.


Applications
     Retinal scanners are typically used for authentication and identification purposes. They have been utilized by several government agencies including the FBI, CIA, and NASA. However, in recent years, retinal scanning has become more commercially popular. Retinal scanning has been used in prisons, for ATM identity verification and the prevention of welfare fraud.

          Retinal scanning also has medical applications. Communicable illnesses such as AIDS, syphilis, malaria, chicken pox and Lyme disease as well as hereditary diseases like leukemia, lymphoma, and sickle cell anemia affect the eyes., so scanning for retinal abnormalities can provide early awareness chronic illnesses.


       Very recently, smartphone apps like Peek use this technology in rural parts of the world where eye care is difficult to come by. Minimal training is required to operate Peek, as the information is gathered and then sent to experts around the world for diagnosis.


Impediments
       There are downsides to retinal scanning for the purposes of identification. Certain conditions like cataracts can impede light from entering the eye, thus obscuring retinal information. Accuracy can also be compromised by astigmatism. Scanning procedure is perceived by some as invasive, likely due to its presence in science-fiction stories where technology has gone a bit too far. The cost for reliable equipment also makes it too obscure for some potential users to employ practically. 

Friday, July 17, 2015

Drink Water for Eye Health


Drink Water for Eye Health

Water doesn’t get the media attention that privileges fad diets and miracle health supplements, but it plays a critical role in your health, particularly that of the eye. Dehydration is one of the main causes of dry eye. 

Warm weather can increase water loss by a factor of ten, so be diligent about drinking water to prevent and relieve your dry eye symptoms. Eye drops serve well as an immediate relief as you pound those fluids and wait for your body to thank you.  

 
 
WHAT IS DEHYDRATION?
Normal loss of water occurs all day long, through the lungs, skin, and kidney functions.  Dehydration happens when water leaves the body at a more rapid rate than it is consumed. When the body doesn’t have enough fluid, all organs, including the eyes, suffer.

A 3-4% water loss manifests as thirst and general discomfort. 
At 5-8%, expect fatigue and dizziness; grogginess, sleepiness, headache, nausea, tingling of limbs.
10 % yields physical and mental deterioration, severe thirst muscle spasms, skin will shrivel and wrinkle, vision dims, urination is reduced and becomes painful, delirium begins.
When your body faces a 15-25% water loss, conditions are often fatal. 

 

Tear composition
HOW DOES DEHYDRATION AFFECT THE EYES?

“Dry eye” is the loss of water content in the natural tear film, a thin layer of oil, water, proteins, and mucus.  When you are dehydrated, your eyes produce tears with a scanty amount of water, leading to dry eye, eye strain, and vision problems. Tear fluid water loss can weaken the eye’s resistance to bacterial and viral invasion. Tears are necessary for clear vision because they wash away foreign material from the eye. helping to reduce infections and injuries like corneal ulceration.

Without proper tear production, you may experience tired eyes, blurred vision, headache and double vision, due to the lack of lubrication while you blink and shift your gaze. These symptoms can also signify more serious conditions, so be sure to speak with an ophthalmologist about what you’re experiencing. 


AM I DEHYDRATED?
The best way to assess the state of your hydration is to reflect: have you consumed the recommended daily amount of water (12-15 cups), or are you well on your way? 

Various conditions increase water loss risks, so it is also critical to know your body. Here are some questions to ask yourself:

How’s my breath? 
Bad breath and dry mouth occur mutually, and signal dehydration.  Dehydration can prevent your mouth from producing enough saliva, so bacteria over-grow, releasing their special fragrances into your airstream. 

How’s my urine?
If you’re well-hydrated, your urine will be mostly clear with a tinge of yellow.  Yellow, chardonnay (a very flattering way to describe urine, I might add), and orange are “warning” colors. When your body is about three percent dehydrated, your urine will be noticeably yellow. When your body is about five percent dehydrated, your urine will appear chardonnay-colored. When your body is more than five percent dehydrated – which is considered severely dehydrated – your urine will appear orange.

How do my muscles feel?  
Muscles work hard in the heat, and will overheat and seize up. Changes in electrolytes, potassium, and sodium can cause cramping and seizing as well. 

How’s my head?
The brain sits inside a fluid sack that keeps it from bumping against the skull. If that fluid sack is depleted or running low because of dehydration, the brain can push up against parts of the skull, causing headaches. Lightheadedness, sleepiness, and unproductiveness also signal dehydration. 

Check your skin:
Dehydration causes a loss in blood volume, which leads to dry skin. You may also see flushing. To test your hydration level, use two fingers to grab a roll of skin on the back of your hand (between where your watch sits and where your fingers start).  Pull the skin up about ½ to one centimeter high and then let the skin go. The skin should spring back to its normal position in less than a couple of seconds. If the skin bounces back slowly, you might be dehydrated.

What am I craving?  
When you’re dehydrated, it can be difficult for organs like the liver to release glycogen and other components of your energy stores, because this is done with water. You can crave anything from chocolate to a salty snack, but cravings for sweets are more common because your body is experiencing difficulty with glycogen production. Salty cravings may be an attempt by your body to store water as a last attempt to address the emergency it thinks is happening.  A salt craving may last only as long as it takes to re-hydrate.


How are my eyes feeling? 
Dry Eye symptoms include an itching or burning irritation, blurred vision, and a feeling that foreign material is in the eye. These occur when the eye slows the production of tears, or decreases the amount of water in tears.


SPECIAL THREATS TO HYDRATION
Dehydration has risen to the level of a global health crisis in the past decade. Even if you have constant access to fresh drinking water, you may still be at an elevated risk for dehydration. Pay special attention to your circumstances:

How hot is it?
If you’re reading this right now, in mid-July, then the answer is yes, you’re at a much higher risk for dehydration. Warm weather and humidity can increase water loss by a factor of ten or more, and this water needs to be promptly replaced. 

Are you ill?  
Vomiting or diarrhea can cause severe dehydration. Worldwide, diarrhea is the second most common cause of deaths in children younger than five.

Are you a party animal? 
Excessive consumption of alcohol can dehydrate you very quickly. If you choose to raise your glass, meet this challenge to benefit your body: consume water in a ratio of AT LEAST 1 to 1.

Are you Diabetic? 
As the kidneys use water to remove excess glucose from the blood, an elevated amount of water is released from the body.

Are you traveling? 
Car, truck, and jetliner cabins can be extremely dehydrating, as the strictly recycled air is often low in humidity. The same effect can happen if you are often in an insulated, air conditioned environment. If your rooms are too dry, put out plants or a plate of water to evaporate into the air.

Are you older than 50? 
After the age of 50, it becomes harder to read your body’s cries for water. You may not feel thirsty as vividly, and therefore may forget to drink the required daily amount of water. Many senior citizens suffer from dehydration.


SPICE UP YOUR RELATIONSHIP WITH WATER:
Unfortunately, it can be difficult to remember to treat our bodies well, or to convince ourselves to choose a simple glass of water over a bubbly, sugary soda. Here are some tips and habits to adopt  that will make water your best friend (and soul mate).
 
Keep a water bottle handy
If it’s right next to you, you’re more likely to drink it. It’s as simple as that. 

Try flavoring your water: 
Try adding fresh mint, slices of cucumber, lime, or even ginger to your water. Also, try naturally flavored calorie-free seltzers (La Croix is my favorite) .Their fizz and fruit flavor makes them more appealing than plain, flat water

Try Tea
Reach for unsweetened tea bags, which are available in lots of different flavors. Sip fruity iced teas during the day, or cozy up with a mug of hot peppermint or chamomile tea at night — they all count towards your daily fluid goal. 

Fruit the good Fight: 
Fruits are an excellent source of water, particularly watermelon, which is made of up to 90% water. Oranges and grapefruit also play a helpful role in hydrating your body. Veggies like celery, cucumbers, tomatoes, green peppers, and romaine lettuce are very hydrating.
 
Sip more during meals: 
This will help you eat more slowly, pace your eating, and stay hydrated. 

Opt for room temperature water. 
When it comes to fluids, steer clear of extreme temperatures. When ice water comes into the stomach it constricts the arteries surrounding the stomach, prohibiting the uptake of fluids until the water reaches a more usable temperature.



Monday, June 29, 2015

Easing Your Ride into the Sunset

Picture this:
A grand adventure… Overflowing with danger and romance, culminating in a triumphant ride into the sunset; a haggard and lonesome hero, returning home or on to Glory….


Luckily for us, we regular folks get to ride into the sunset far more frequently than the heroes of those stories. The only hang-up is that it’s not nearly as romantic as we might wish it was. When you’re on your way to or from work, the sun can paint either a dazzling display on the clouds, or a dangerous span of unbearably bright light, endangering ourselves and those around us.

Follow these helpful suggestions to ease the inconvenience of driving directly into the blinding sun:

Slow down to reflect the fact that your vision is compromised. Use extra caution, especially during school zones. Expect the rest of traffic to slow down, and keep an eye on your rear-view mirror for traffic that may be rapidly approaching from behind.

Invest in polarized sunglasses. They will help reduce glare. Have them within reach and ready for your face.

Use your drop-down visor to block out the sun, but be sure to keep an eye on traffic lights.

Leave more following room between your car and the car in front of you.

Drive with your headlights on to increase your visibility to other drivers. Having headlights on will also set your tail lights at full luminosity, which will benefit drivers behind you who are also struggling to see.

Keep your windshield clean, inside and out. Use either glass cleaner or a vinegar/water mixture to wipe down glass, even if it looks clean. Some dirt will only cause problems when the sun is at its lowest visible point.
Avoid storing papers on your dash board, as the reflection on your windshield can obscure vision.

Use lane markings to help guide you. Look toward the edge of the road, and not directly at the sun. Looking directly at the sun can damage your retinas. Stay focused on driving.

If you need to, pull over. Do this SAFELY, OUT OF THE WAY OF TRAFFIC. It often only takes a few minutes for the sun to reach a tolerable angle. If you don’t trust yourself or other drivers, it will be worth the wait.

Allow time in your routine so that you do not have to rush. If possible, adjust route timing to avoid times when sun glare is most extreme.



Wednesday, June 24, 2015

Reflection, Refraction, Burning Cars, and Survival Skills

We’re having one SIZZLING summer over here at Allied Eye!

In the spirit of this heat wave, we’re turning lemons into lemonade by highlighting the unique learning experience we had at the office yesterday!  

Yes. This is in our staff parking lot.

Let us tell you… We were handed some very big, very juicy lemons.  Here’s what we suspect happened:

Dr. Matzkin had a concave mirror sitting in the back seat of his car – like the curved mirrors used for applying makeup. Sunlight streaming through the window reflected off the mirror, formed a concentrated hot spot, and ignited the interior of his car. Think of the way you can use a magnifying glass to set leaves ablaze.

Example of a convex mirror focusing the sun's rays onto a smoldering object.
How, you may ask, is this an interesting example of eye-related processes?  The irony here is that Dr. Matzkin basically employs this principle every day when making refractive corrections to our patients’ vision.

In fact, the WAY YOU SEE is a result of this phenomenon: light bends when it enters your eye and focuses itself on your retina. By changing the shape of your lens (cataract surgery, contacts, glasses, LASIK are all examples), that beam of light becomes MORE focused, and it produces a clearer image when it reaches the back of your eye. 
Convex REFRACTION (Lens of the Eye)
The way light bends and curves when it passes through a substance is called refraction. When it bounces off a surface, that’s reflection. With a more perfect lens comes a more perfect focal point, and with that comes more perfect vision.  

Concave REFLECTION (Mirror and Flaming car)


For our purposes, we will call these tools “burning mirrors” and “burning lenses” when they are used to create fires.

The earliest lens artifact, discovered from the 7th century BCE in ancient Assyria may have been used as a burning lens. The earliest record of “burning mirrors” comes to us from the Greek mathematician, Diocles, in the 3rd Century BCE (Consider that the lens was not modified for use in cataract surgery until the 1950s).

Burning lenses have been used historically to cauterize wounds and to light sacred fires in temples (the eternal Olympic Flame, for example). During the French Revolution, the French government considered developing the burning lens into a weapon that would ignite British Ships from afar. In the 18th century, burning lenses became popular for use in chemical experiments. 

Not All burning glass ideas are brilliant, as you may have assumed by the first photo in this entry… In a 1920’s book by William Bates, the author argues that vision can be perfected by "Focusing the Rays of the Sun Upon the Eye of a Patient by Means of a Burning Glass.” Needless to say, this is highly dangerous and will damage the eye in seconds.

Today, burning lenses and mirrors have plenty of practical applications, like headlights, lighthouses, and solar stoves.



Tuesday, June 9, 2015

Keep an Eye on UV Safety

Keep an Eye on Ultraviolet (UV) Safety
The American Academy of Ophthalmology cautions us that too much exposure to UV light raises the risks of eye diseases, including cataracts, growths on the eye, and cancer. 




Who is at Risk for UV Eye Damage?
Growths on the eye, such as pterygium, can show up in our teens or twenties, especially in surfers, skiers, fishermen, farmers, or anyone who spends long hours under the mid-day sun or in the UV-intense conditions found near rivers, oceans, and mountains.

Diseases like cataract and eye cancers can take many years to develop, but each time we're out in the sun without protection we could be adding damage that adds to our risks for these serious disorders. Babies and kids need to wear hats and sunglasses for this very reason. People of all ages should take precautions whenever they are outdoors.

"UV radiation, whether from natural sunlight or indoor artificial rays, can damage the eye's surface tissues as well as the cornea and lens," said Michael Kutryb, MD, an ophthalmologist in Edgewater, Fla., and clinical correspondent for the American Academy of Ophthalmology. "Unfortunately, many people are unaware of the dangers UV light can pose. By wearing UV-blocking sunglasses, you can enjoy the summer safely while lowering your risk for potentially blinding eye diseases and tumors." It is important to start wearing proper eye protection at an early age to protect your eyes from years of ultraviolet exposure.



Follow these tips to protect your eyes from the sun all year long:


Wear UV-blocking sunglasses
Sun damage to eyes can occur anytime during the year, not just in the summertime, so be sure to wear UV-blocking sunglasses and broad-brimmed hats whenever you're outside.




Don't underestimate a cloudy day
Don't be fooled by clouds: the sun's rays can pass through haze and thin clouds.




Don't look directly at the Sun
Never look directly at the sun. Looking directly at the sun at any time, including during an eclipse, can lead to solar retinopathy, which is damage to the eye's retina from solar radiation.



Don't forget your kids and parents

Don't forget the kids and older family members: everyone is at risk, including children and senior citizens. Protect their eyes with hats and sunglasses.



UV Light: 
Moderation for a Good Night's Sleep
As we sleep, our eyes enjoy continuous lubrication. During sleep the eyes also clear out irritants such as dust, allergens or smoke that may have accumulated during the day. Some research suggests that light-sensitive cells in the eye are important to our ability to regulate wake-sleep cycles. This may be more critical as we age, when more people have problems with insomnia. While it's important that we protect our eyes from overexposure to UV light, our eyes also need minimal exposure to natural light every day to help maintain normal sleep-wake cycles.

Time Outdoors 
May Prevent Nearsightedness in Kids
Research shows that children who spend more time outside exposed to daylight may reduce their risk of developing nearsightedness. So not only is exercise great for eye health, but now it seem that getting that exercise while outside may be additionally beneficial. Taking your children outside to play may not only help lower their risk for nearsightedness, but will also teach them good habits for a lifetime of eye health.

Why Everyone Needs Sunglasses 
and Hats This Summer
We all use sunscreen to protect our skin, but don't forget to protect your eyes as well. Summertime means more time spent outdoors, and studies show that exposure to bright sunlight may increase the risk of developing cataracts and growths on the eye, including cancer. The same risk applies when using tanning beds, so be sure to protect your eyes from indoor UV light as well. Sunlight reflected off sand and water can cause photokeratitis, the condition responsible for snow blindness, so beach- and pool-goers take note.

Which sunglasses to choose
According to a national Sun Safety Survey conducted by the American Academy of Ophthalmology, only about half of people who wear sunglasses say they check the UV rating before buying.The good news is that you can easily protect yourself. In order to be eye smart in the sun, the American Academy of Ophthalmology recommends the following:

Wear sunglasses labeled “100% UV protection": Use only glasses that block both UV-A and UV-B rays and that are labeled either UV400 or 100% UV protection.

Choose wraparound styles so that the sun's rays can't enter from the side.
If you wear UV-blocking contact lenses, you'll still need sunglasses.





By embracing these simple tips you and your family can enjoy the summer sun safely while protecting your vision.

ALL INFORMATION SOURCED FROM THE AMERICAN ACADEMY OF OPHTHALMOLOGY

Monday, February 23, 2015

Phosphenes, "The Prisoner's Cinema."

Have you ever "seen stars?" Well, you were looking at Phosphenes.

You can see them when you rub your eyes, fall asleep, get knocked in the head, meditate, or get dizzy. You experience light, without said light actually entering your eye.


PHOTO BY: LA WHIMSY

Art, poetry, and science have explored this phenomenon for centuries.


PHOTO BY: JOE PEREZ - ABSTRACT DEPICTION OF PHOSPHENES.

It is supposed that many early cave drawings imitate the luminous forms seen behind the eyes: hash-tags, spirals, radials, waves, circles, dots.


IMAGE BY: FRED THOMASELLI - INSPIRED BY PHOSPHENES

The Greeks took them as evidence that light was created by the eyes.


PHOSPHENE-REFERENCING SHAPES

Isaac Newton detailed the phenomena of gently pressing on the eye to produce a circle of light.

PHOSPHENE-RELATED ART BY YOSHI SODEOKA

Phosphenes have been electrically stimulated in recent studies to allow blind people to see braille dots.

BRAILLE ALPHABET

Though mostly normal, phosphenes can also be an indication of eye trouble, such as an inflamed optic nerve or retinal detachment. If you experience flashes that are unusual or distracting, call your ophthalmologist right away.

Eat for Healthy Eyes

One of the most important measures you can take to ensure healthy vision for a lifetime is to eat well.
Incorporate these foods into your regular diet for healthy, happy eyes!

ALMONDS
ROSEMARY ROASTED ALMONDS (FOR YOUR MACULA)
RECIPE: http://www.twopeasandtheirpod.com/rosemary-roasted-almonds/#_a5y_p=1110661

Almonds are rich in Vitamin E, which helps to slow Macular Degeneration. 1 handful of these contains half of the Vitamin E you need every day!


BERRIES
BERRIES - FOR PREVENTING CATARACTS AND MACULAR DEGENERATION

Berries and Citrus Fruits are rich in Vitamin C, which reduces the risk of developing Macular Degeneration or Cataracts.



CARROTS
CARROTS - FOR YOUR RETINA

Carrots are rich in Beta-Cerotene, a type of Vitamin A which helps the Retina and other parts of the eye to function well.


EGGS
EGGS - FOR YOUR MACULA

Eggs are rich in Zinc, which reduces the risk of Macular Degeneration.


LEAFY GREENS
FRESH SPINACH - TO HELP PREVENT CATARACTS AND MACULAR DEGENERATION

Leafy greens are rich in Antioxidants which lower the risk of developing Macular Degeneration or Cataracts.


FATTY FISH
EASY CEDAR PLANK SALMON - TO HELP PRECENT DRY EYE
TRY THE RECIPE - http://www.wellfitandfed.com/fed/planked-the-real-mans-way-cook-salmon/

Fatty fish are rich in DHA, which can prevent dry eye.
Add Tuna, Salmon, Mackerel, and Trout to your dishes!)