Sunday, July 28, 2013

Guide for Macular Degeneration Eyeglasses: Low Vision Treatment

          Guide for Macular Degeneration Eyeglasses:
Low Vision Treatment


Introduction
If you are willing to learn new ways of seeing this book is for you.  Low vision glasses may be able to bring the joyful parts of life back into better focus.

Pioneering optics and electronic magnification are important tools to seeing better with advancing macular degeneration.

It is beneficial to have a good understanding of the eye and macular degeneration.  Macular degeneration causes a partial loss in vision; however, the part that is lost is the critical central vision needed for fine detail vision like reading.  You never go blind with macular degeneration.




You have “low vision” when you cannot see well enough to do the things you like and need to do.

There are effective ways to minimize the vision problems macular degeneration creates.  You can see better…not perfect…but definitely better.  Magnification is the key to improving what you want to see.
 

 
The complete free book is available for download from LowVisionEyeglasses.com



Low Vision Glasses for Near Activities
reading • writing • computer • cards • painting • puzzles
bingo • music • knitting • recipes • genealogy • photos   

Prismatic Magnifying Readers (PMRs)

ClearImage II Reading Microscope

Spectacle Miniature Telescopes (SMTs)







Low Vision Glasses for Distance Activities
driving • television • faces •  live theater • sports 
scenery • museums  • walking
 
                               E-scoop Glasses
                                         Spectacle Miniature Telescopes (SMTs)
                                                a. Full diameters
                                                b. Bioptics






Learning the benefits and limitations of magnification is an important step to seeing better.  Magnification can be supplied in low vision eyeglasses, hand-held optical magnifiers or electronically through the use of special equipment.
 










Lighting, enhanced contrast and glare control are additional treatment tools.
 
Bioptic Magnifying Glasses for Macular Degeneration
 


What is Macular Degeneration?
Macular degeneration is a common, incurable and potentially devastating disease.  It is a progressive condition that causes vision loss in the center of your vision.
 
Macular degeneration is the leading cause of permanent vision loss in people 50 and older. The older you are, the greater your chance of being affected by age-related macular degeneration. Early detection is the key to reducing the effects of this condition.
 
Symptoms for macular degeneration often include a gradual or sudden loss of vision for tasks like reading, writing, driving or seeing faces clearly.  There may be haziness, small or large blind spots, or even distortions in vision.

 
Macular degeneration does not cause total blindness, but it can decrease your quality of life by blurring or causing a blind spot in your central vision. Clear central vision is used for reading, driving, recognizing faces and seeing any task requiring detail work.

 
In contrast, the peripheral retina is responsible for detecting objects and movement off to the side and this is not affected by macular degeneration.  Peripheral vision is naturally blurry, yet very beneficial.  It is necessary for keeping us safe as we move about throughout the day.  It also becomes more important for daily activities as macular degeneration progresses.

 
According to the American Academy of Ophthalmology 10 million Americans have some stage of macular degeneration. There are 200,000 new individuals developing this condition every year.

 
Normal eyesight consists of a combination of
clear center vision and blurry side vision.
Macular degeneration affects the center vision only.
 

The Stages of Macular Degeneration

Early Stage  
                                                                                       
 
                                                        
Intermediate Stage 
                                                                                  
     
  Advanced Stage  
                                                                          
 
End Stage (it gets no worse)
                                                          


Looking under the telescope
Looking through the telescope









  





What is the Macula?
The macula is an area of the light-sensitive retina in the center of the back of the eye. In the center of the macula is the fovea that contains densely packed photoreceptor cells which are necessary for seeing fine detail and providing sharp straight-ahead vision. 

What is the Fovea?
The fovea is the “sweet spot” in the middle of the macula needed for 20/20 vision.  When we lose the ability of the fovea to “see”, we no longer can have sharp vision.


 

What are Low Vision Glasses?
People with advancing macular degeneration need magnification to “see around the blind spots and distortion”.  In other words, they need a “clarification “boost”.  Magnification spreads the image to healthier parts of the macula and retina. Magnification makes the blind spots and distortions seem smaller; however, magnification can never truly eliminate them.  Magnification helps reduce the amount of vision impairment.

Standard eyeglasses consist of only one lens.  Depending on the level of vision and what needs to be seen, a single lens may no longer be able to provide enough magnification.
Magnification of a single lens is determined on its curvature, thickness and material (index of refraction). 


Telescopic and Tele-Microscope Low Vision Glasses
Ever look through a pair of binoculars and everything is larger and easier to see?
In order to get good quality high-power magnification in a pair of glasses, two or three lenses separated by an air space is often required.  This is not your standard pair of eyeglasses.  The telescopes improve the image size.
 
 
 
Why didn’t my doctor tell me about Low Vision Glasses?
Eye doctors are excellently trained in diagnosing and treating eye diseases.  They are extremely busy in what they know and do best.  Macular degeneration creates a type of blurriness that cannot be helped with normal eyeglasses.

Traditional eyeglass lenses are designed to focus light and images on to the macula located in the back of the eye. Everyday glasses are used to correct the eye's focusing problems: myopia (nearsightedness), hyperopia (farsightedness), astigmatism (unequal cornea curvatures) and presbyopia (decreased reading vision after age 40). These lens corrections put the image clearly onto the macula allowing for 20/20 vision when the macula and fovea are healthy.

When the macula is damaged the "picture remains faulty" even when the glasses are focusing the image properly on to the macula. The more the macula is damaged the poorer the vision.
Low vision glasses are not your regular pair of eye glasses.  They magnify the image beyond the damage areas in the macula.

There are very few doctors with training in advanced low vision optics or who specialize in the field of Low Vision Rehabilitation. 

If you ask your doctor they should be able to refer to a low vision specialist.  You may also call the International Academy of Low Vision Specialists at (888) 778-2030.      www.IALVS.org

Low vision eyeglasses may not help everyone, but you do not know if you do not try.  The benefits low vision glasses can provide depends on your level of vision, what you want to see and do, and your ability to adapt to new ways of seeing.
 
To down load a free complete copy of
Guide for Macular Degeneration Eyeglasses:
Low Vision Treatment
please visit

Contact Dr. Kinkade for a free telephone consultation
to see if you or someone you know is a candidate
for his special glasses.
(800) 756-0766

 
Low Vision Consulting - Connecticut
Cheshire • Danbury • Farmington
Litchfield • Manchester Norwalk • Waterford

 

 


 


 

 

 

 

 
 




 
 

 

 

  

 

 
 

 

  

Thursday, July 25, 2013

Magnifying Eyeglass Treatment Improves Sight for Macular Degeneration

With advancing eye diseases, like macular degeneration, ordinary eyeglasses are no longer helpful for improving eyesight.   Macular degeneration creates a type of blurriness that cannot be helped with normal eyeglasses.

Traditional eyeglass lenses are designed to focus light and images on to the macula located in the back of the eye.  Everyday glasses are used to  correct the eye's focusing problems: myopia (nearsightedness), hyperopia (farsightedness), astigmatism (unequal cornea curvatures) and presbyopia (decreased reading vision after age 40).  These lens corrections  put the image clearly onto the macula allowing for 20/20 vision when the macula and fovea are healthy.

When the macula is damaged the "picture remains faulty" even when the glasses are focusing the image properly on to the macula.  The more the macula is damaged the poorer the vision. 





Macular degeneration creates a blurry or blind spot in the center of vision.  This interferes with reading and seeing fine details.  Regular glasses are not able to restore this vision loss.  If the film is damaged in a camera the vision will be blurred even when the camera is focused properly.

Low vision glasses are not your regular pair of eye glasses. They magnify the image beyond the damage areas in the macula.
 
Magnification is key for seeing better with macular degeneration. Thankfully, macular degeneration does not affect the side or peripheral vision. 

Telescopic glasses are different from normal lenses due to their ability to magnify.  They use several lenses in combination.  Their design magnifies the incoming image to help people see better.  By spreading the magnified image to undamaged parts of the macula and retina (peripheral vision) people see better.  They help to see "around the blind spot".



Telescopic glasses still need presciptions for myopia, hyperopia, astigmatism,  and presbyopia to focus the magnified image onto the greater macular area.
 
Low vision is a condition when you are no longer able to see well enough to do the things you like and need to do.

Spectacle Miniature Telescopes (SMTs) do improve the image quality for those with low vision.  They can make you see better...not perfect...but better.     SMTs can help with everyday tasks like such as reading, writing, driving, watching television, and in the identification of faces.

Spectacle Miniature Telescopes will help if you are willing to learn new ways of seeing.
 
 
Binocular  Reading Telescope (Spectacle Miniature Telescope)
 
 
Bioptics have built-in zoom abilities with their dual focusing system.  The design allows the viewer to switch back and forth between the magnified and normal view.  In order to switch back and forth between the powers a small tilt of the head is required.

The slimmed-down telescopes are mounted high in the eyeglass lens.


Bioptics allow vision to be "honed" in.

 
The normal view is seen underneath.

The magnified view is seen through the top.

Bioptics allow you to zoom in and out by raising and lowering the head.


Dual Modality Treatment for Vision Enhancement

Bioptic Telescope Treatment for Macular Degeneration

YouTube Bioptic Success Stories


To down load a free copy of

Guide for Macular Degeneration Eyeglasses:
Low Vision Treatment
please visit
 
Contact Dr. Kinkade for a free telephone consultation
to see if you or someone you know is a candidate
for his special glasses.
 
(800) 756-0766
 
Low Vision Consulting - Connecticut
Cheshire • Danbury • Farmington
Litchfield • Manchester Norwalk  • Waterford 


 

Tuesday, July 23, 2013

Best Sunglasses for Macular Degeneration


What are the best sunglasses for macular degeneration?
Sunglasses need to filter out 100% of ultraviolet wavelengths (UVA/UVB) to protect the macula from their potentially damaging rays.  

Sunglasses are also capable of providing glare reduction, color enhancement and contrast enhancement (definition) depending on their design.   Reduced eye strain and comfort can be additional benefits of sunglasses.


Sunglasses Options for Macular Degeneration


  With that said, everyone’s needs are different depending on their level of impairment.  Some people are very light sensitive requiring a lot of glare protection.  Others benefit more from contrast enhancement than glare protection.  It is not uncommon to have one pair for bright sunny days and a different pair for overcast days.   Some people wear tinted glasses inside depending on the room lighting and the number of windows.
 
Glare reduction can improve vision and comfort.   Sunglasses that improve contrast are beneficial for driving and walking on uneven ground or steps. 

What frame design is best?
While clip-ons and flip-ups are practical designs, experience tells us that wrap around fit-over frames are most beneficial.   These frames offer tinted side panels and brow guards reducing side and overhead glare.  They can be worn as is, fabricated with a prescription, or worn over prescription glasses.
 
What is the color spectrum?
Light is made up of many different wavelengths of electromagnetic energy.  Each wavelength produces a different color when it reaches the macula.  Ultraviolet wave lengths are too small to be seen by the macula.

 
The Visible Color Wavelength Spectrum for Macular Degeneration Sunglasses

 
Sunglasses vary in their ability to filter different wavelengths (colors) and in how much of the light they can absorb.   The color of the tint, the darkness of the tint, the lens material and any special coatings on the lens surface all impact how a pair of sunglasses can filter light.

Are Blue Blockers helpful for macular degeneration?
As the name implies, these lenses block out 100% of the blue light that does not focus clearly on the macula.  They reduce indoor and outdoor glare while improving contrast.

 
Blue Blockers for Macular Degeneration

 
Will polarized sunglasses help me see better?
When light is reflected off of certain surfaces -- such as water, snow and car windshields -- light gets polarized.  Sunglasses with polarization filters may be beneficial for those with macular degeneration who are especially glare sensitive.



Polarized Sunglasses for Macular Degeneration

 
What about transition lenses for macular degeneration?
These lenses change their darkness (absorption ability) depending on the amount of light (UV) exposure.  Also, they may not change quickly enough when moving in and out of the sun for some people.  They may not darken enough in cars for some people’s needs.
 
What sunglass filter is best for me?
There are guidelines to follow, but as previously mentioned, each person’s needs and responses to sunglasses can be different.  

The best all-around sunglass lenses are often gray or bronze/amber.  Gray lenses provide the truest color perception while bronze lenses enhance colors and offer good definition and depth perception in bright sunlight

For those with advancing macular degeneration, additional specialty colors such as yellow, orange, and plumb are also beneficial.   In low light conditions (overcast and dusk), yellow and orange lenses, are very helpful for enhancing contrast.

 
Amber Sunglasses for Macular Degeneration
Grey Sunglasses for Macular Degeneration



Yellow Sunglasses for Macular Degeneration
 
 
 
Dr. Kinkade Television Interview
Implantable Miniature Telescope for Macular Degeneration Treatment

WTIC Television Interview
 
 
To down load a free
Guide for Macular Degeneration Eyeglasses:
Low Vision Treatment
please visit
 

Contact Dr. Kinkade for a free telephone consultation
to see if you or someone you know is a candidate
for his special glasses.
 
(800) 756-0766

 
Low Vision Consulting - Connecticut
Cheshire Danbury Farmington
Litchfield Manchester Norwalk Waterford