Andrew A. Dahl, MD, is a board-certified ophthalmologist. Dr. Dahl's educational background includes a BA with Honors and Distinction from Wesleyan University, Middletown, CT, and an MD from Cornell University, where he was selected for Alpha Omega Alpha, the national medical honor society. He had an internal medical internship at the New York Hospital/Cornell Medical Center.
Dr. Shiel received a Bachelor of Science degree with honors from the University of Notre Dame. There he was involved in research in radiation biology and received the Huisking Scholarship. After graduating from St. Louis University School of Medicine, he completed his Internal Medicine residency and Rheumatology fellowship at the University of California, Irvine. He is board-certified in Internal Medicine and Rheumatology.
Advanced age is a significant risk factor for the development of cataracts. A
family history for early development of cataracts, the presence of diabetes,
tobacco use, and prolonged exposure to sunlight are also risk factors.
What are the symptoms of cataracts?
You may not notice any symptoms with early cataracts. As a cataract becomes
more advanced, decrease in clarity of vision, not fully correctable with
glasses, is noticed. There is a loss of contrast sensitivity, so that shadows
and color vision are less vivid. Disturbing glare may be noted as light is into
the eye scattered by the cataract. Haloes may be observed around lights. Night
vision will be diminished. In certain types of cataracts, double vision may be
noted in the affected eye. Some patients note that they require frequent changes
in their eyeglass or
contact lens prescriptions and may be aware that their near
vision is improving as their distance vision declines.
A cataract does not routinely cause discomfort or pain in the eye or alter
the external appearance of the eye
What are the signs of cataracts?
Family members of a person affected by cataracts in both eyes may notice he
or she appears not to be seeing as well as previously. The eye will appear
normal to the untrained observer, unless the cataract is mature and white. In
that situation the pupil of the eye, which normally appears black, will look
grey or white to the observer.
The examining physician will find diminished visual acuity in the affected
eye or eyes. This visual loss is not fully corrected by a change in the glasses.
The lens of the eye can be easily examined by an ophthalmologist and the changes
in the lens characteristic of cataract can actually be seen using a slit lamp,
which is an illuminating and magnifying device used to painlessly examine the
structures within the front of the eye, including the lens.
Diabetes mellitus is a chronic condition characterized by high levels of sugar (glucose) in the blood. The two types of diabetes are referred to as type 1 (insulin dependent) and type 2 (non-insulin dependent). Symptoms of diabetes include increased urine output, thirst, hunger, and fatigue. Treatment of diabetes depends on the type.
Retinal detachment is the separation of the retina from its attachments to the underlying eye tissue. Symptoms of retinal detachment include flashing lights and floaters. Highly nearsighted young adults and those who've had cataract surgery are at higher risk for retinal detachment.
Alcoholism is a disease that includes alcohol craving and continued drinking despite repeated alcohol-related problems, such as losing a job or getting into trouble with the law.
Glaucoma is a common eye condition in which the fluid pressure inside the eye rises because of slowed fluid drainage from the eye. If untreated, glaucoma may damage the optic nerve and other parts of the eye, causing the loss of vision or even blindness.
Eye floaters are deposits or condensation that forms in the eye's vitreous humor. These deposits cast shadows on the retina, and as the eye moves, the deposits shift position, making it appear as though the shadows are moving or floating.
Smoking is an addiction. More than 430,000 deaths occur each year in the U.S. from smoking related illnesses. Secondhand smoke or "passive smoke" also harm family members, coworkers, and others around smokers. There are a number of techniques available to assist people who want to quit smoking.
Many common eye disorders resolve without treatment and some may be managed with over-the-counter (OTC) products. It's important to visit a physician or ophthalmologist is the problem involves the eyeball itself or the condition hasn't improved after 72 hours of use of an eye-care OTC product.
Uveitis is inflammation of the eye. Symptoms include blurred vision, eye pain, eye redness, and floating spots before the eyes. Treatment may involve prescription eyedrops, antibiotics, and wearing dark glasses.
Sunburn is caused by overexposure to UV radiation from the sun. UV rays can also damage the eyes. Repeated overexposure to UV rays also increases the risk for scarring, freckles, wrinkles, and dry skin. Symptoms of sunburn include painful, red, tender, and hot skin. The skin may blister, swell, and peel. Sun poisoning (severe sunburn) include nausea, fever, chills, rapid pulse, dizziness and more. Treatment for sunburn depends upon the severity. Sun protection and sunscreen for an individual's skin type is recommended to decrease the chance of sunburn.
Blindness is the state of being sightless. Causes of blindness include macular degeneration, stroke, cataract, glaucoma, infection and trauma. Symptoms and signs may include eye pain, eye discharge, or the cornea or pupil turning white. Treatment of blindness depends upon the cause of the blindness.
Age-related macular degeneration (AMD) is a disease that gradually destroys the central vision. In people over 60, AMD is a leading cause of vision loss. Wet AMD occurs when abnormal blood vessels behind the retina start to grow under the macula, leaking blood and fluid and causing rapid vision loss. In dry AMD, light-sensitive cells slowly break down in the macula, resulting in gradual vision loss. Pain is not associated with either form of AMD.
Retinitis pigmentosa (RP) is a genetic condition that causes retinal degeneration and eventual vision loss. Symptoms include night blindness and tunnel vision. Visual field testing and electrophysiological testing are essential in diagnosing RP. Though there is no cure for RP, vitamin A therapy and an omega-3-rich diet may be recommended for patients to slow disease progression.
Diabetes and eye problems are generally caused by high blood sugar levels over an extended period of time. Types of eye problems in a person with diabetes include glaucoma, cataracts, and retinopathy. Examples of symptoms include blurred vision, headaches, eye aches, pain, halos around lights, loss of vision, watering eyes. Treatment for eye problems in people with diabetes depend on the type of eye problem. Prevention of eye problems include reducing blood pressure, cholesterol levels, quitting smoking, and maintaining proper blood glucose levels.
Double vision (diplopia) is a symptom that my indicate Graves' disease, myasthenia gravis, stroke, multiple sclerosis, Guillain-Barre syndrome, diabetes, cataracts, aneurysm, brain tumor, or migraine. Symptoms and signs include eye pain, droopy eyelids, nausea, headache, and a cross-eyed appearance. Treatment of double vision depends upon the underlying cause.
eye. Read about symptoms, signs, diagnosis, treatment, and prognosis.
Coats' disease is a rare eye condition that typically progresses to vision loss or blindness in one eye. Gradual vision loss is usually the first symptom, followed by a cloudy white or yellow pupil due to the presence of a cataract. Treatment focuses on limiting the blood vessel progression and may involve cryotherapy or laser photocoagulation.
Nonprescription eyeglasses are available over the counter (OTC) and are typically used by people who can no longer read fine print. OTC trifocals are helpful for those who require multiple distances or focal lengths for near and intermediate tasks. OTC sunglasses should offer 100% protection from the sun's UVA and UVB rays. OTC magnifying glasses are useful for viewing tiny objects or fine print.
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