April is Parkinson’s Awareness Month in the USA and Canada, a time when those living with the disorder, their family members, friends, and community come together to raise awareness and share helpful information. People with Parkinson’s Disease (PD) and their loved ones are encouraged to share their stories, struggles, and successes in order to educate and support others.

The Parkinson’s Foundation has announced this year’s theme: #KeyToPD and Parkinson Canada advocates the same involvement. What is the key to living a high quality of life while living with Parkinson’s? Patients, doctors, caregivers, and families are encouraged to use this hashtag on social media to give of their knowledge and experience.

In order to successfully manage the disorder, it’s essential to understand the disease, symptoms, and treatments. After all, knowledge is power.

What is Parkinson’s Disease?

Parkinson’s Disease is a neurological disorder that affects the brain’s ability to control physical movement. It typically affects middle aged people and the elderly. Parkinson’s causes a decrease in the brain’s natural levels of dopamine, which normally aids nerve cells in passing messages within the brain. According to The Parkinson’s Foundation and Statistics Canada, the disorder affects an estimated 1 million people in the United States, 55 000 Canadians, and 10 million globally.

What Causes Parkinson’s Disease?

Although much research has been done on the subject, the exact cause of the disease isn’t really known. What doctors and scientists do know is that certain nerve cells located in the brain somehow break down. This damage interferes with both motor and non-motor functions.

How Does Parkinson’s Affect Vision?

Parkinson’s can have a significant impact on vision and ocular health. Patients with PD often find themselves unable to control blinking. Blinking is good for the eyes as it moisturizes the surface and clears it from foreign substances. Less blinking can cause Dry Eye Syndrome, resulting in itchy, red, or gritty-feeling eyes. Other people blink too much or can’t keep their eyes open. 

In more serious cases, Parkinson’s affects the nerves that help us see. Someone with PD may experience blurry vision, double vision, difficulty seeing color and contrast, problems with focus, and other visual symptoms. 

In addition to the inherent impact of the disease, some of the medications used to treat Parkinson’s symptoms have known side effects including dry eyes, blurred eyesight and even hallucinations in advanced PD.

Common Visual Symptoms of Parkinson’s

Although the most recognized physical symptom is uncontrollable tremors, patients can experience other symptoms that affect their vision. These typically include:

• Apraxia (inability to open the eyelids) 
• Blurry or double vision
• Difficulty with balance
• Dry eyes
• Eye twitching
• Focusing problems

Parkinson’s Patients and Eye Exams

Eye exams can be particularly challenging for a PD patient, so choosing the right doctor is essential. Make sure your eye doctor regularly treats patients with PD. They’ll understand your or your loved ones’ unique needs and will take the time needed.

Common Non-Visual Symptoms of Parkinson’s

PD affects other areas of the body that may or may not – depending on each patient – be related to their eye health and visual needs. 

Some of the most common non-visual symptoms are:

• Depression
• Excessive saliva
• Loss of smell
• Moodiness
• Muscle cramps
• Sleep disturbance
• Slow movement (bradykinesia)
• Stiff limbs
• Tremors

Coping With Vision Problems From Parkinson’s

Despite the struggles caused by this degenerative disease, there is hope. Talk to your eye doctor. He or she may recommend medicated ointments or drops, injections, therapeutic lenses, visual aids, vision therapy, or a combination thereof. Additionally, a Neuro-Optometric Rehabilitation doctor can provide comprehensive eye care specifically designed for neurological disorders like PD.

Treatment for Parkinson’s Disease

There is currently no cure for the disease itself, but there are options to treat the symptoms of PD. A combination of medications, physical and/or occupational therapy, support groups, and of course, top-quality vision care can give a PD patient relief for some of their symptoms and tools to help cope with the condition.

Research and clinical trials are continuing as doctors and others in the medical community work towards the goal of finding a cure for PD.

No two patients are alike, and each can experience PD differently from the other, so finding what works for you or your loved one is key. During this Parkinson’s Awareness Month, share your #KeyToPD and give your loved ones hope for a healthy and high quality of life.

March 8th is International Women’s Day, a day when women are honored and their accomplishments celebrated worldwide. From medicine to law, entrepreneurship to corporate leadership, education to the military, women are achieving great strides in areas of business like never before.

In addition to professional achievements, International Women’s Day is a time for women to focus inwards on their personal goals, relationships, and health. From the adolescent years to pregnancy, childbirth, and menopause, women’s bodies go through some major changes that can affect many areas of their health, especially their vision.

Age Is Just a Number, But Not For Your Vision

They say that ‘age is just a number’, but when it comes to women’s health, it’s essential to pay close attention to any signs of changing vision as we get older.

Women over 40 have a higher risk of developing eye disease, impaired vision, and blindness than men. They are more likely to develop eye conditions such as Cataracts, Diabetic Retinopathy, and Dry Eye Syndrome. In fact, 61% of Glaucoma patients and 65% of Age-Related Macular Degeneration patients are female, so it’s crucial that women know the risk factors and signs of developing these conditions.

Put Your Needs First

Women are typically the family caretakers, running a spouse, children, or elderly parents to the doctor, putting their own healthcare needs last. It’s time to put your eye care needs first. Don’t ignore symptoms or push them off for another day. Take care of yourself, and you’ll be able to continue being there for others.

Signs and Risk Factors of Vision Problems

Knowing what to look out for is a crucial step in keeping your eyes healthy and enjoying great vision.

Genetics often play a key role in many health issues. Just like people inherit eye color and shape, hair color and texture, and facial features from parents, vision difficulties or diseases can also be hereditary. If something runs in the family, you may be more susceptible to developing it and passing it on to your children, as well.

Pregnancy can temporarily affect a woman’s vision. This is due to the hormonal changes in the body, which typically stabilize after breastfeeding has stopped. A pregnant woman with diabetes must be closely monitored, since diabetic retinopathy (swelling or leaking of blood vessels in the retina) can progress more quickly during the pregnancy.

Climate and environment are also important factors when it comes to eye health. Extremely cold or hot climates can cause dry eye symptoms. A healthy amount of sun exposure is good for the skin, but an excessive amount can harm your eyes and even lead to vision loss. Smoking dehydrates the skin and can lead to eye bags and dark circles, not to mention a whole slew of serious eye diseases like cataracts, macular degeneration, glaucoma, and diabetic eye disease. 

Symptoms of Declining Vision and Eye Conditions

Some of the most common signs of declining vision or eye disease include:

• Blind spots
• Blurry or distorted vision
• Burning sensation
• Gritty feeling
• Itchy eyes
• Redness
• Shadows or dark spots on an image
• Stinging
• Swelling or soreness in the eye
• Watery eyes

If you or a loved one experiences any of these symptoms, or if you feel like something just isn’t right with your eyes, speak with your eye doctor right away. Mention any other conditions or medications you may be taking, including birth control pills (a known contributor to Dry Eye Syndrome), and even natural supplements or vitamins. Other factors such as an irregular menstrual cycle, fertility treatments, or cosmetic procedures may impact your vision in ways you may be unaware of, so disclosing this to your doctor is important.

What Can You Do to Improve Your Eye Health?

There are some preventative measures that women can take to ensure their eye health and overall vision are at their best.

1. Keep that body hydrated! Mothers always say it, doctors remind us too, and they’re right. Drinking 8 glasses of water daily is great for your skin and can prevent dry eye symptoms from forming.
2. Quit smoking. Not only is it bad for your lungs, but it can cause eye problems, like dryness, itchiness, and swelling, as well as more serious eye diseases associated with vision loss.
3. Love the outdoors? Wear UV-blocking sunglasses when you’re at the beach or even hanging out in your backyard, to protect against harmful sun rays. Polarized lenses are a great way to shield your eyes from strong glare.
4. Eat healthy. A balanced diet including a variety of vitamin-rich fruits and vegetables may help protect you from several eye conditions including dry eyes, macular degeneration, and even diabetic retinopathy.
5. Try to get more shut-eye. A healthy amount of sleep ensures your eyes are rested and clear the next day.

On this International Women’s Day, let’s work together to keep the women in our lives healthy for many years to come.

Most of us have the basics: bleach, oven cleaner, air freshener, furniture polish, and window spray. Did you know that chemicals found in these kinds of cleaning products can be toxic and harmful to your health? In small amounts, they generally don’t cause much damage. But when used on a regular basis or in a poorly ventilated area, the level of toxicity rises.

If you’ve ever gotten a headache or developed watery eyes after scrubbing down your kitchen counters, you may have a sensitivity to the chemicals in your household products.

That Burns

Volatile Organic Compounds

Volatile Organic Compounds, or VOCs, are gases that are released into the atmosphere, usually from burning fuel sources like wood or gasoline. They can also be found in many household products such as degreasers, aerosol sprays, and disinfectants. These gases are released not only during use, but also when kept in storage or transported between locations.

VOCs are generally less harmful when released outdoors, as the gases are absorbed into the atmosphere. However, in an indoor environment, the gases have 10 times the concentration!

People may come into contact with these compounds by breathing them in or through direct contact with their skin, which can lead to any of the following symptoms:

• Headaches
• Dizziness
• Respiratory problems
• Nausea
• Impaired coordination (ie. difficulty walking straight, buttoning a shirt, or holding a pen)
• Eye problems (ie. itching, burning, redness, or soreness in the eyes)

Other Chemical Irritants

Chemicals like sodium hydroxide can be found in oven and drain cleaners. Air fresheners and leather cleaners may contain formaldehyde, which in high amounts, has been linked to certain types of cancer. Even laundry detergents and stain removers can contain irritants.

If you’ve been exposed to these types of chemicals, you may experience trouble breathing, irritation in the eyes, nose or throat, or develop a skin rash. So, use extra caution when handling these kinds of cleaning supplies.

If your job exposes you to higher levels of chemicals from cleaning products, such as janitorial staff or sanitation workers, artificial tears and protective eyewear can help. Use them daily to give you relief from chemical agents that irritate the eyes. Ask your optometrist about which types are best for you.

Immediate Eye Care

Should your eyes come into contact with chemical substances or VOCs, immediately irrigate your eyes with plenty of cold water. Tilt your head so that the exposed eye is down, to avoid flushing the chemical into the good eye, and avoid rubbing your eyes. Rinse your eyes for 15 minutes – this will flush acidic or alkaline chemicals out of the affected areas. This should be your first line of defense, even before calling a doctor. 

If you have saline solution or contact lens solution readily on hand (non-peroxide only), administer several drops of solution to the affected eyes. Contact your eye doctor or, if need be, visit an emergency room. Chemical burns can cause serious damage to the cornea, so schedule a checkup with your eye doctor as soon as possible.

5 Ways to Lower Your Risk of Chemical Exposure

Despite the potential harm to your health, there are some things you can do to minimize over exposure to these dangerous chemicals.

1. Wash Your Hands

Our mothers always said it, and with good reason. The #1 way to lower your risk of health issues from chemicals is to wash your hands after handling cleaning products. Use warm water and soap and be sure to wash the hands thoroughly, even if you used gloves. Consider washing to your upper arms in case of a splash or splatter, such as from paint or aerosol sprays. 

2. Don’t Rub Your Eyes

Avoid touching or rubbing your eyes until your hands have been completely washed and are clear of any lingering chemical substances. Even a little foreign substance in the eye can be incredibly painful. If you’ve ever had an eyelash stuck in your eye, you know what we mean. So just imagine how severe the pain could be if you accidentally touched your eye after contact with bleach or glass cleaner.

3. Go Outside

Get some fresh air. If you feel dizzy or nauseous, if your eyes burn or you have trouble breathing after using cleaning supplies, go outside. A short walk in the fresh air can quickly open the nasal passages and clear your eyes from strong chemical vapors.

4. Open Some Windows

Make sure there is plenty of ventilation when cleaning or using any chemicals like paint. Open windows or turn some fans on to circulate the air more effectively.

5. Read Labels

Read labels and warnings so you know what’s in the cleaners you’re buying and how to use them safely. Consider trying out some natural cleaning supplies that don’t contain VOCs.

About “Green” Cleaning Products

In recent years, so-called “green” products have made their way onto store shelves, but just how green are they, and are they safer than standard ones?

While baking soda and vinegar have long been touted and praised for their cleaning abilities, there is a seeming plethora of new natural disinfectants and general cleaners on the market.

Buzzwords to Look out For

There are some buzzwords you can look out for, which are clues that certain products may not be as natural or as safe as you think. Consumer product manufacturers aren’t required by law to disclose the ingredients in artificial fragrances, so labels may simply list “fragrance” on their ingredient list. Items labeled “natural” are also vague; they don’t have to be specified, and not all natural items are necessarily safe. However, if something is listed as “flammable”, that’s a pretty sure sign of a chemical ingredient.

Chemicals & You

Simply being aware of your body’s reaction to the everyday cleaning supplies in your home is the first step. Use these items safely and with caution. For any severe eye pain – especially if you notice any vision changes – talk to your eye doctor right away.

Whether you live in a climate with cold winter weather or you are planning a ski trip up north, winter can be a challenge if you suffer from dry eyes. Dry, cool air, cold winds and even drier indoor heating can cause eye irritation, burning, itchiness and redness, and sometimes even excessively watery eyes as more tears are produced to compensate for the dryness. Many people have a chronic feeling that they have something in their eye and some even experience blurred vision. These symptoms can be debilitating!

Dry eyes is one of the most common complaints eye doctors get from patients during the winter season, especially in the cooler climates. That’s why we’d like to share some tips on how to relieve dry eye discomfort, and how to know when your condition is serious enough to come in for an evaluation.

Tips to Relieve Winter Dry Eyes:

1. Keep eyes moist using artificial tears or eye drops. You can apply these a few times each day when the eyes are feeling dry or irritated. If over-the-counter drops don’t help or if you have chronic dry eyes, speak to your eye doctor about finding the best drops for you. Since not all artificial tears are the same, knowing the cause of your dry eye will help your eye doctor determine which brand is best suited for your eyes.
2. Use a humidifier to counteract the drying effects of indoor heaters or generally dry air.
3. Point car vents or indoor heaters away from your face when the heat is on. Try to keep your distance from direct sources of heating, especially if they blow out the heat.
4. Drink a lot! Hydrating your body will also hydrate your eyes.
5. Protect your eyes outdoors with sunglasses or goggles – the bigger the better! Larger, even wrap-around glasses as well as a hat with a wide brim will keep the wind and other elements out of your eyes. If you wear goggles for winter sports, make sure they fit well and cover a large surface area.
6. Soothe dry eyes using a warm compress and never rub them! Rubbing your eyes will increase irritation and may lead to infection if the hands are not clean.
7. Give your eyes a digital break. People blink less during screen time which is why extensive computer use can lead to dry eyes. Follow the 20/20/20 rule by taking a break every 20 minutes to look 20 feet away for 20 seconds and make sure you blink!
8. For contact lens wearers: If you wear contact lenses, dry eyes can be particularly debilitating as the contact lenses can cause even further dryness and irritation. Contact lens rewetting drops can help your eyes feel better and may also allow you to see more clearly. Not all eyedrops are appropriate for use with contact lenses, so ask your optometrist which eyedrop is compatible with your contacts and cleaning solution. If rewetting drops don’t help, consider opting for glasses when your dry eyes are bad, and speak to your optometrist about which brands of contact lenses are better for dry eyes. Many people find dry eye improvement when they switch to daily single use contact lenses.

Chronic Dry Eyes or Dry Eye Syndrome

Dry eye syndrome is a chronic condition in which the eyes do not produce enough tear film, or do not produce the quality of tear film needed to properly keep the eyes moist. While winter weather can make this condition worse, it is often present all year round. If you find that the tips above do not alleviate your discomfort or symptoms, it may be time to see a optometrist to see if your condition requires more effective medical treatment.