Dr. Roshanak Nasr and our entire Downey optometry team are committed to providing advanced vision care in a professional and comfortable environment. As an optometrist in Downey, our primary eye care service includes a complete eye exam that analyzes eye health and vision function. In addition to eye exams and vision testing, Dr. Nasr and our team of optometry professionals provide testing for glaucoma, cataracts, macular degeneration, diabetic retinal exam and dry eye evaluation and treatment. Our Downey optometrist also offers glasses, contact lenses, and pre- and post-operative care.
Not sure that glasses are for you? Ask our Downey staff about contact lenses. Advances in the field of optometry have produced a variety of different types of contact lenses with a range of benefits. Rigid gas-permeable (RGP), soft daily disposable, extended-wear, and planned replacement are the various types of contact lens options available today. Our experienced optometry team also does fitting for medically necessary keratoconic hard lenses. Our Downey optometrist will discuss the various options with you to determine which type will best fit your needs and lifestyle. Schedule your examination today by calling 562-869-3937. They are many advantages to consider when determining if contact lenses are right for you and our knowledgeable staff is here to answer any questions.
Hard To Fit Contacts
Reasons for Hard to Fit Contacts
Finding contact lenses that fit and wearing contact lenses in general can be made more challenging when these conditions affect your eyes:
- Dry eyes
- Giant Papillary Conjunctivitis (GPC)
Astigmatism: Astigmatism develops when the front of the eye curves into a bulge or oval shape. It causes blurred vision and can be difficult to correct because regular contacts cannot account for the bulging.
Dry Eyes: When eyes become excessively dry, it leads to irritation, burning, redness and blurred vision. Contact lenses can exacerbate these conditions by making it feel like a foreign object is stuck in your eye.
GPC: This form of conjunctivitis is caused by inflammation on the inner surface of the eyelid. Protein buildup on contact lenses can make this condition worse.
Keratoconus: This is an uncommon condition that causes major discomfort when wearing contacts. Keratoconus happens when the cornea becomes thinner and allows the eye to bulge forward. The bulge forms into a cone shape.
Presbyopia: Eyes tend to have a tougher time focusing on close objects as they age. This condition is known as presbyopia. It typically affects people aged 40 or older.
Solutions for Hard to Fit Contacts
Wearing contacts is not impossible if you suffer from one of the above conditions. You do need to meet with an eye care professional, however, and get prescribed contact lenses that are tailored to deal with your specific vision condition. Gas permeable lenses are a good solution for patients who suffer from GPC or Keratoconus. A GP lens will limit protein deposits from accumulating which will reduce GPC symptoms. It is also effective in containing corneal bulging and relieving pressure on the tissue for a Keratoconus sufferer.
Toric lenses are useful for correcting astigmatism. Since the lens needs to align with the bulge it is correcting, toric lenses must not rotate in order to fit on the eye. They are typically custom made to correct a specific astigmatism. For that reason, this type of lens takes longer to make and costs more than a traditional contact lens. Bifocal and multifocal lenses can help remedy presbyopia. Monovision lenses are another option for presbyopia. This type of lenses can have one fitted for distance vision and the other for seeing close objects.
Medicated eye drops can be an effective solution for dealing with dry eyes. They will lubricate eyes enough to make contact lenses more bearable, although a punctual occlusion also must be done to plug the ducts in some extreme cases. GPC symptoms can also be lessened through medicated eye drops. They flush out protein deposits and reduce inflammation.
(laser assisted in situ keratomileusis) surgery uses the latest advancements in technology to provide faster recovery times and precise results. LASIK surgery has been effective in treating myopia, hyperopia, astigmatism and other eye conditions. At Roshanak Nasr OD, we provide evaluations and referrals for patients interested in LASIK surgery. Dr. Nasr performs a complete review of your patient history as well as a full assessment of your eye health and vision. A current exam is important to determining if you are a candidate for LASIK surgery and if there are any other factors that may affect your results. The history review enables our optometrist to determine if your prescription is stable and you are healthy enough to consider surgery.
Once Dr. Nasr has performed the evaluation and determined whether you are a candidate for LASIK, you will be given a referral to the LASIK surgery center we have worked with on an ongoing basis. The center will perform advanced diagnostic testing and will evaluate your eligibility for surgery. Various surgery options will be discussed with you if you are determined to be a surgical candidate. We will be in correspondence with the center regarding your evaluation and surgical determination. If you are considering LASIK surgery, call us at 562-869-3937 to schedule a consultation.
Once your surgery is scheduled, we will schedule follow-up appointments for you in our Downey office. Typically, you will begin these follow-ups the day after the surgery and continue at prearranged times over the following six months. After 1 year, a full exam is recommended to determine the long-term results of your procedure. Dr. Nasr is experienced in working with patients pre- and post-operation and will answer any questions that you have along the way. If you have questions about LASIK surgery, call 562-869-3937 to speak with our knowledgeable staff or email us.
Squinting at computer, tablet, or mobile screens for hours at a time is a normal part of our lives in the 21st century. Unfortunately, eye problems associated with this activity are also on the rise. Even if you have never had eye problems before, you may have noticed computer vision syndrome symptoms after two or more hours of screen time.
- Blurry vision
- Eye strain and discomfort
- Dry, scratchy eyes
- Neck and/or shoulder pain
Even if your symptoms are mild, they can worsen and cause other vision problems if not addressed. Our optometrist, Dr. Nasr, can help.
Diagnosis and Treatment of Computer Vision Syndrome
The severity and length of computer vision syndrome symptoms depends on how long you stare at the computer, your posture, lighting, glare, the angle of the monitor, and whether or not you have other diagnosed or undiagnosed vision problems. If you already suffer from astigmatism, farsightedness, presbyopia, aging eyes, and/or diabetic eye problems, your computer vision symptoms may worsen. This can even be the case if you already have prescription contacts or glasses. Many regular eyeglasses and contact lenses are not designed to deflect the problems caused by computer screens.
Dr. Nasr will take your symptoms, pre-existing conditions, and potential undiagnosed conditions into account as he performs the following eye tests:
- Visual acuity—Measures the quality of your current vision.
- Refraction—Tests the potential lens prescriptions that would optimize your vision.
- Focus and Eye Coordination—Tests how well your eyes work together and how quickly and accurately your eyes are able to focus on objects and varying distances.
From these measurements, Dr. Nasr can design a treatment plan to help relieve your symptoms. For people with otherwise normal eyes and vision, a set of specially-designed glasses used during the time you are working on the computer can be very helpful. For patients already wearing contacts or glasses, new, more computer-friendly prescriptions are available. In addition to these treatment options, there are many things we can suggest to cut down on computer eye strain problems:
- Computer setup—Adjust your monitor so that it is about 15-20 degrees lower than your eye level when seated between 20-28 inches away from the screen. Reference materials can be placed on a document holder between the monitor and keyboard, or to the side, but positioned for as little head movement as possible. Also invest in an anti-glare screen for your monitor to help reduce glare from surrounding lights. Be sure to sit and work with proper posture.
- Adjust Lighting—If you can, reposition any lighting (or your computer) to minimize glare and use natural lighting whenever possible.
- Eye Rest and Blinking Breaks—Every 20 minutes during your work, look away toward a distant point for 20 seconds to refocus your eyes, and give them a 15-minute break after each 2-hour computer session. Also remember to blink more frequently to keep your eyes moist.
With a combination of the proper optometry care and self-care, you can minimize computer eye syndrome and other modern-day vision problems. Contact us for an appointment today.
Many people are cheered by a bright, sunny day, but the effect of all that sunlight on the eyes is a less sunny proposition. UV and glare can create a variety of issues, from dangerous "snowblindness" to irreversible disorders that threaten your eyesight. Here are some frequently asked questions about the role of sunglasses in protecting the eyes from harm. If you want to know more about choosing the right sunglasses, call Dr. Nasr at 562-869-3937 today.
What are UV rays? UV stands for ultraviolet, a band of spectrum invisible to the eye. Ultraviolet light consists of UVA, UVB, and UVC rays. UVC rays are stopped in Earth's atmosphere before they reach the eye, but UVA and UVB can both reach the eye and potentially damage it.
How does UV affect unprotected eyes? UV rays can cause proteins inside the lens to become opaque or cloudy, a condition known as cataracts. Cataracts can make interfere with night vision, reduce your ability to see colors, and make reading difficult; they cannot be reversed, only removed. UV exposure can also cause retinal damage, changes in the eye tissues, and a temporary but irritating "sunburn" of the cornea called photokeratitis.
How do I know my glasses will protect my eyes? Choose glasses that claim to block at least 99 percent of UV rays -- UVA as well as UVB. Look for label reading "UV 400," since this designation means that the glasses block UV rays as small as 400 nanometers, providing 100 percent eye protection. Of course you need to protect your eyes from the glare caused by the visible spectrum as well. To accomplish this, select products that block 75 to 90 percent of visible light.
What are polarized lenses? Polarized lenses are specially designed to filter out certain types of glare that tend to radiate upward from horizontal surfaces when sunlight bounces off of these surfaces. They are recommended for tasks such as boating, fishing, skiing, golfing, jogging, and driving. Most polarized lenses will bear a label identifying them as such.
What types of glasses can I choose from? We are able to provide you with a wide range of sunglass options. If you normally wear glasses to correct your eyesight, you may be happy with a non-prescription pair of clip-ons or wraparound glasses that simply fit over your lenses. If you'd rather not wear that much equipment on your head all at once, you can order a pair of prescription "shades," or you can order glasses that darken when exposed to bright light.
What additional types of protection should I consider? If you worry about light, including harmful UV, leaking in through sides or top of your sunglasses, wear a broad-brimmed hat to reduce some of this exposure. If you use prescription eyewear to correct your eyesight, you may also want to think about getting a pair of UV-blocking contact lenses in your prescription. These lenses may be worn alongside a non-prescription pair of sunglasses for optimum eye protection.
For more information on choosing the right sunglasses, contact our office today.
Dry Eye Clinic/Spa
Dry eye syndrome is a common condition which effects many individuals at different age groups . Re wetting drops can provide relief bit only on a temporary basis. At our office Dr. Nasr can perform several test to uncover the cause of dryness and perform some in office treatment plans as well as prescribe follow up care at home to help alleviate the annoying symptoms of dry eye. Call us for more info about our dry eye clinic/spa.