OE Patients

Tag: cataracts

  • Q&A Update

    Q&A Update

    At OE Patients, we are always fielding questions related to vision loss. While we do our very best to answer each individual one, we realize the questions received, and answers provided, are likely to be beneficial to many of our readers. Here is a curated selection.

    ADJUSTING

    Image shows a house icon.
    Image shows house icon.

    Q: How can we help my, independent 87-year-old, mom with low vision proof her home for safety without sacrificing aesthetics?

    A: This is a very good question and one we’re delighted to have excellent answers for. 

    Adjusting Your Home for Vision Loss

    Nate’s Low Vision Makeover

    Low Vision Awareness: Time to Get Organized

    Q: I was informed, at my last eye exam, that I am now legally blind from macular degeneration. The doctor told me to stop driving (which I did long ago) and gave no other advice. What do you suggest I do now? 

    A: Speak with your physician again and ask for referral to a low vision specialist and vision rehabilitation services. Be aware there is much you can do, on your own, to live better with vision loss. Read: OE Agrees with AAO Advice, and listen to the OE Patients Podcast, Episode 4: Must Know Info for Adjusting to Low Vision.

    HEALTH

    Image shows woman smelling flowers.
    Image shows woman smelling flowers.

    Q: I have recently been diagnosed with early dry macular degeneration. Both my ophthalmologist and the retina specialist I consulted pulled some AREDS 2 vitamins out of a drawer and said “take these.” I have been researching and finding out that these vitamins are recommended for intermediate MD to prevent it from advancing. But what is a patient who has early supposed to do? No one seems to be able to give me a definitive answer. Please let me know where I can read about the effects of the vitamins for patients with early macular degeneration. Thank you.

    A: Although these supplements are often suggested to early stage AMD patients, the studies show no proof of effect in the early phase of AMD. Based on that result the National Eye Institute expressly recommends AREDS vitamins for patients with moderate to advanced disease.

    Here is a link to the published AREDS study information from NEI:

    https://www.nei.nih.gov/research/clinical-trials/age-related-eye-disease-studies-aredsareds2/about-areds-and-areds2

    Q: Following a cataract operation on my second eye, for two weeks I’ve been unable to read without my glasses, but vision is improving. How can I protect my eyes and keep them healthy?

    A: Thanks for getting in touch. To protect your eyes, here are 5 Sight-Saving Habits To Start Today.

    Q: I am a 51-year-old female diagnosed with early stage dry macular degeneration. I am concerned about visual deterioration over time as it is incurable and progressive. I am afraid and in search of something I can do to help minimize the loss of sight.

    A: A diagnosis involving progressive vision loss is frightening, but we know people with dry macular degeneration generally can do well and adjust to the very slow progression over time. The result is impaired central vision, not blindness, and you can do your best to slow that progression by protecting your eyes from the sun and eating a healthy diet rich in whole foods, leafy greens, citrus and omega 3. Making small changes along the way will keep you doing all you need to do and love to do. Technology today accommodates every level of visual impairment. More detail about living with macular degeneration in these articles on OE. 

    And on the OE Patients Podcast.

    ACCESSIBLE TECH

    Image shows i-phone.
    Image shows i-phone.

    Q: A low vision specialist showed my dad the OrCam ($4,500.), a wearable device for reading text, identifying faces, colors and products. Dad is hesitant to buy another piece of high priced low vision technology that probably won’t meet his expectations. What is your advice? Are there any lower cost alternatives? 

    A: Low vision devices are highly specific to the individual and must be tried in the context of daily life. Ask if there is a trial period, loaner program and reasonable return policy. To be of value, these devices must enhance life every day, not just occasionally. If it does not meet expectations, return it for a refund.

    The functionality of OrCam is also available in free smartphone apps. Seeing Ai for iPhone was developed by Microsoft and Google’s Lookout for Android. Both are popular accessibility apps for smartphone users with vision loss.

    Q: I recently switched to an iPhone for the low vision accessibility and I’m very happy I did. I’m getting accustomed to it, but find I tend to quickly forget the steps involved in using features new to me. How can I do this with more success? 

    A: It is very easy to forget steps you’ve taken just once or twice. Committing a process to memory, or memorizing the steps, takes repetition, 10 or 20 times. That is why the things we do every day become embedded in our muscle memory. When you don’t know, or have forgotten, no worries, just phone and get help from Apple’s Accessibility Support at 877-204-3930, they’re available 24/7. Here are more tips for Learning at Any Age with Vision Loss.

    Q: I need a new iPhone but am not feeling good about an upgrade to a model with no home button.

    A: Many people had this concern, but it turned out to be a relatively easy transition. Just a few new screen swipes that will become natural in the first few hours. Adjusting to iPhone X & 11

    Q: Can you offer any tips to increase accuracy in Speech to Text or Dictation, as I often find that the text that is transcribed is very different from what I said.

    A: Enunciate clearly. Speak punctuation, symbols, new lines, etc. Always best with minimal ambient noise. Dictate one sentence at a time for easier correction of error. Practice definitely improves ability. More on OE: Are You A Dictator?

    Q: Hello, I want to find a mobile phone with the most up-to-date technology for vision loss. Does anyone have any suggestions? Also, are there any seminars to help those with vision loss to use smartphones? Thanks!

    A: The iPhone has the best accessibility features for vision and is by far the most popular mobile phone used by people with vision loss. Linked below are some of our articles on the subject. There are regular workshops at Apple Stores and other options depending on where you are. Check local libraries, senior centers and vision rehab agencies. Also HadleyHelps.org has a wonderful series of video tutorials for iPhone, some are linked to the articles we’ve published.  

    iPhone Accessibility Articles on OE

    More questions? Don’t hesitate to ask. Email us at [email protected].

  • Inspiring Stories of People Thriving With Vision Loss

    Inspiring Stories of People Thriving With Vision Loss

    We love to share stories of people succeeding with vision loss, at every age and stage of life. It reminds us all that there is no limit to what is possible. Each story has the power to inspire so many more to find the potential in perseverance. Read on to meet the artists, athletes, writers, filmmaker, judge and restaurateur who have flourished. There is a common thread that runs through these stories, vision lost and perspective gained.

    Rachel Christian says working remotely is a game changer for people with vision loss.
    Rachel Christian says working remotely is a game changer for people with vision loss.

    Rachel Christian, Journalist

    Rachel, a personal finance writer who is legally blind from cone dystrophy, finds working from home is profoundly empowering. She has control of her work environment, does not feel self-conscious around coworkers and she does not have to deal with the transportation hurdles inherent for visually impaired commuters. It’s a game changer.

    Here’s Why Working From Home Works for Rachel

    Issac Lidsky, Author

    Most of his sight was lost, by the age of 25, to retinitis pigmentosa. In the process he discovered that fear can be much more debilitating than vision loss. In his memoir, Eyes Wide Open, he discovered blindness could be overcome by letting go of overarching anxiety and inhibitions. Isaac says, “I’ve gained vision by losing my sight.” 

     More on Issac’s Enlightenment in “Don’t Be Blinded By Fear”

    Alexandra Joy Crocco, Photographer 

    She has a white cane in one hand and a camera in the other, which can be a confusing sight, but that just goes to show you can have an eye for photography without having good eyesight. Alexandra’s multiple vision problems are caused by albinism, and although she can’t see a lot of detail she has proven her ability to capture the special moments her clients treasure.   

    Here’s how Alexandra Achieves Career Milestone

    Lynda Lambert wearing her jewelry design.
    Lynda Lambert wearing her jewelry design.

    Lynda McKinney Lambert, Artist 

    A retired professor of fine arts and humanities has not let vision loss stop her from creating award winning art. Her vision loss resulting from ischemic optic neuropathy precipitated a new life, that for her had to remain centered in art. 

    Read Lynda’s story, Creative Vision: Blind Artist Earns Another Award

    Lily Mitchell, Filmmaker and Athlete

    She is determined to let nothing get in her way and looks forward to helping make the film business more accessible for people who are differently abled while helping to dispel the perpetuation of stereotypes. Lily is legally blind from cone rod dystrophy, a condition she was diagnosed with at the age of 11. 

    More on Lily’s Experience in Filmaking and Para Sports

    DC Circuit Judge David Tatel
    DC Circuit Judge David Tatel

    He has served on the United States Court of Appeal since 1994. Along every step of that way, he dealt with progressive vision loss, from retinitis pigmentosa, and found the resources he needed to succeed.  

    Listen to Life, Law and Vision Loss on Hadley Presents

    Gia Pergolini, Athlete

    Legal blindness from, Stargardt Disease, would not deter this world-class athlete. She set her sights on gold and took it in the 100 meter backstroke at the Tokyo Paralympics. At 17, she is inspiring people of every age to achieve their goals.

    Read “Gia Pergolini is a Champion”

    Ben Benson, Restaurateur 

    Legally blind from the age of 18, he built a storied career in New York City’s legendary restaurant business, beginning with the creation of the first Friday’s location, which would become an internationally recognized chain.

    Liston to Ben’s Extraordinary New York Success Story

    Frank Bruni, Journalist, Author and Professor 

    He entered the realm of vision loss, without warning, in 2017 as he awoke to a forever changed view caused by a stroke of the eye. Now a Duke University professor, he continues to communicate with readers through The New York Times and is about to publish his tenth book, The Beauty of Dusk: On Vision Lost and Found.

    Read The Frankness of Bruni

    Monet, da Vinci, Degas, O’Keefe, Renoir, Rembrandt, Artists

    Thanks to Perkins Learning for this enlightening article on the array of visual impairments that affected the most renowned artists in history. Vision loss did not hinder, in many cases it actually enhanced their work. 

    Ten Ways Vision Impairment Influenced Classic Artists 

  • A Tribute To Jerry Rosenberg

    A Tribute To Jerry Rosenberg

    Our friend and colleague, Jerry Rosenberg, passed away on November 5, 2019, his 89th birthday.  He was a loving husband, father, grand and great-grandfather.  He lived life with purpose, not allowing progressive vision and hearing loss or age, to thwart his mission to help others.  Jerry chaired a support group, affiliated with the Association for Macular Diseases, for more than two decades.  He loved to write and never stopped, his second book was published just weeks ago.  He will be missed, but not forgotten.

    Jerry’s distinct voice will continue to be heard through his articles published on the pages of OE Patients.  We are honored to share a bit of his legacy with this memorial tribute.

    Little girl eating ice cream over blue background.

    Grandpa, You Can See That?

    Read Now

    The vision loss of a family member or friend is not always easily understood by those around us.  In this article, Jerry offers an honest assessment with a healthy dose of humor.

     

    Process of cataract surgery in modern clinic.

    Cataracts Removed, Vision Improved

    Read Now

    After years of advice not to remove cataracts, Jerry gets the go ahead and reports an excellent outcome.

     

    Older man using smartphone at park during the summer
    Content older man using smartphone at part in summer.

    You’re Never Too Old To Learn

    Read Now

    In this post, Jerry reminds us that age should not be a barrier to leaning something new, particularly for those of us with vision loss, there is much to gain in adopting and adapting.

     

    Happy senior man using computer at home office.

    Hooray For Inclusive Technology

    Read Now

    With the help of multiple accessible technologies, the writer in Jerry Rosenberg, does not skip a beat.

     

    Ophthalmologist checking patient’s eyes on white background.

    A New Doctor, A New Course

    Read Now

    Jerry reminds us, sometimes when least expected, a new doctor will give you a whole new perspective.

     

    Senior man smiling while using digital tablet in living room.

    ICanConnect Promotes Equal Access

    Read Now.

    Because Jerry was both legally blind and hearing impaired he was able to benefit from the ICanConnect program, receiving computer technologies and training that enabled him to communicate digitally and continue writing.

     

    Jerry Rosenberg is the author of two books, The Speechwriter and My Granddaughter “The Junkie” – available on Amazon.

     

  • OE Patients: Best Of 2018 Articles

    OE Patients: Best Of 2018 Articles

    This year, we created a roundup of our most popular articles on OE Patients. Our best-of list for 2018 covers technology, health, and tips for making adjustments — from the secret to mastering iPhone’s VoiceOver to accessibility at arts museums.

    We hope you’ll be inspired to develop a new skill or create a good habit for the fresh new year!

    Apple’s iPhone

    10 Things To Know About iPhone Accessibility For Vision

    The iPhone is quite possibly the most adopted device, ever, for people with vision loss. This is because it is accessible out-of-the-box, even if you can’t see the screen at all.

    Discover the top reasons for using the iPhone.

    Let iPhone’s VoiceOver Do The Reading

    Apple’s built-in screen reader was a game-changer for those living with vision loss. Our accessibility expert, Dorrie Rush, writes about the secret to mastering iPhone’s VoiceOver gestures — practice, practice, practice.

    Learn how to master VoiceOver.

    Microsoft

    “Seeing AI” Is A Gift from Microsoft

    We love Microsoft’s Seeing AI, a free, intelligent camera app that translates images into words for people with visual impairments and blindness. Here are four features we especially like.

    Learn more about Seeing AI.

    Microsoft Soundscape 2018, A Review of What It Can Do

    Our accessibility expert Dorrie Rush appreciates the enhanced narration and awareness provided by Microsoft Soundscape, a navigation tool for people with vision loss.

    Read the full review of Soundscape.

    Apps and Technology

    App Happy

    Discover a collection of wonderful apps that empower people with visual impairments in ways we could only once dream.

    Click for our recommended apps.

    Electronic Glasses Event Recap

    In October, OE Patients held an accessibility event on wearable devices for audiences with vision loss.  We took a closer look into head mounted products including: OrCam, IrisVision, Jordy and more.

    Explore featured electronic glasses.

    GoGo Grandparent Gets Uber Without An App

    For older adults who need to get an Uber or Lyft without an app or smartphone, GoGoGrandparent is perfect.

    Find out more about GoGo Grandparent.

    Making Adjustments and Health

    Doctor, Am I Going Blind?

    Every eye condition is different. Read our article by ophthalmologist Dr. Yale Fisher, to understand how vision loss caused by macular degeneration, diabetic retinopathy and glaucoma rarely results in blindness.

    Learn more about vision across eye conditions.

    What Is A Cataract?

    Cataract is the leading cause of reversible blindness and vision loss in the world. Read more by Dr. Amilia Schrier, Director of Education at Manhattan Eye, Ear and Throat Hospital.

    Learn more about cataracts.

    Museums Making Art More Accessible

    From Florence to New York City, museums everywhere are making it easier for visitors who are visually impaired or blind to experience art.

    Find out how museums are opening up art.

  • Put Sunglasses On Your Kids, The Benefits Are Long Term

    Put Sunglasses On Your Kids, The Benefits Are Long Term

    The natural inclination to protect our children from harm has for many decades included sun protection. On any summer day, at a whole host of outdoor venues, parents can be seen diligently slathering up their little ones with the prescribed application (and re-application) of sunblock. It only makes sense that protecting young eyes from the damaging rays of the sun should also be a priority, right?

    Grown-ups, for the most part, automatically put on the shades at the beach and during outdoor activity. This is behavior we like to see kids mimic.  Young children and adolescents are most vulnerable because their eyes do not filter ultraviolet light as well as adults. The damaging effects are cumulative and irreversible, experts say most of the damage occurs by age 18. This is why the sunglasses must be applied, with the sunscreen, from a very early age.

    Needless to say, helping your kids develop the habit of protecting their precious eyes from sun exposure, will benefit them for decades to come. It might actually help them avoid age-related macular degeneration and cataracts much later in life.

    Sunglasses do not only apply to the summer months, winter offers no reprieve. Children are exposed to the sun’s ultraviolet rays year round. All prolonged sun exposure and sporting activities should be accompanied by protective eyewear (and maybe, even, a brimmed hat). It is best to keep babies, under 6 months, out of the sun entirely, shielded by hats, stroller canopies and umbrellas.

    Here are 4 practical tips for buying children’s sunglasses:

    • Including your children in the selection process will make buying sunglasses fun. If they love the glasses they will be happy wearing them.
    • Be sure to choose sunglasses with lightweight polycarbonate lenses with 100% UVA and UVB protection and maximum impact resistance.
    • Look for frames that are rounded, flexible and have wraparound coverage. They should fit snug and may include a velcro band, good for playing sports. Comfort and style are key factors in selecting glasses your child will keep on wearing.
    • Good quality children’s sunglasses are available in a range of prices.  A higher price is not necessarily indicative of superior quality. If there is any doubt, have the sunglasses tested by an optician to confirm they provide maximum protection. (Note: Sunglasses lacking UV protection can be riskier than no glasses at all, as the dark lens will cause the pupil to dilate, allowing ultraviolet rays to enter the retina.)

    Remember, teaching kids to protect their eyes from a young age will pay off through old age. They’ll thank you for it!

     

  • What Is A Cataract?

    What Is A Cataract?

    A cataract is a natural lens that becomes cloudy, or less than clear. Cataract is the leading cause of reversible blindness and vision loss in the world.

    The natural lens always becomes more opaque and denser with age, but this process may be accelerated by trauma to the eye including previous ocular surgeries, certain medications such as steroids, medical conditions such as diabetes, poor nutrition, and extreme sun exposure, amongst many other conditions.  

    As the natural lens opacifies, a decrease in vision may be noted. The ability to distinguish objects, halos, glare, or even doubling of images can occur. If an individual’s vision is unable to be corrected adequately with glasses or contact lenses, the patient may be a candidate for cataract removal.

     

    Cataract Surgery and Risks

    Cataract surgery involves the removal of the cloudy natural lens and replacement with an artificial lens implant. The surgery may take many different forms, from extraction of the lens in total to a fragmentation of the lens. The replacement lens implant is made from a type of plastic, usually acrylic or silicone, and may correct vision for distance, near or both.

    In addition, some lens implants can correct preexisting astigmatism allowing for more spectacle independence. The choice of lens implants is made after a discussion of the patient’s visual needs by patient and physician.

    A prescription for glasses may be necessary for best visual correction post operatively depending on the patient. The techniques and implants used are determined by a combination of the patient’s input and physician expertise.

    Cataract surgery is one of the safest surgical procedures. However, there is no surgery that is risk-free. Complications, although very rare, may result in loss of vision and this needs to be considered prior to undergoing cataract surgery.  

    A majority of cataract surgery is considered elective. The surgery itself is painless, and “same-day,” going home and back to normal activities in short order. Usually drops are necessary in the immediate post-operative period to protect the eye from infection and inflammation. If needed, a final prescription is given usually approximate one-month post-surgery.

    Surgery is a permanent solution; the cataract does not grow back.