Sudden Blindness (A New Strain of Maladies)

by: Junji Takano

One day, your vision suddenly falls to nearly zero sight. What happened? You 
may have a "Retinal Disease". Millions of people around the world especially
those who are over 50 years old are affected from this dreadful eye disease.

In the case of Mr. Machida, 45 years old, he noticed that he suddenly had hard 
time reading newspapers. All the characters are blurred with his eyes. He
visited his family physician, but was told that he just needs some rest. He 
rested for three days but noticed no improvement with his eyesight, so he 
decided
to visit an ophthalmologist. There he was told that he would be blind if he 
leaves it the way it is for another week or so. So he was treated with "laser
photocoagulation".

We think that loss of vision usually gets worse gradually. But there are cases 
where sudden loss of vision occurs within a few weeks to a month. It is 
recommended
that you take an eye exam at least once a year.

WHAT ARE THE CAUSES OF VISION LOSS?

list of 3 items
1. Lens - light-focusing part of the eye 
2. Retina - receives the image from the lens 
3. Optic nerves - sends the image to the brain 
list end

The most common causes of vision loss among the elderly are cataract and 
glaucoma. While cataract is caused by the cloudy lens of the eye, loss of vision
in glaucoma is caused by optic nerve problems due to abnormally high pressure 
within the eyeball.

However, in the case of Mr. Machida, it was neither cataract nor glaucoma but a 
retinal disease.

MACULAR DEGENERATION AND DIABETIC RETINOPATHY

At the center of the retina is a small depression from 2.5 to 3 mm in diameter. 
This is known as the yellow spot, or "macula", one of the most vital parts
of the eye. Progressive destruction of the macula will result to "Macular 
Degeneration" that impairs central vision, which can make reading and driving
impossible.

Retina

Why do we need immediate clinical diagnosis? Because it might lead to total 
blindness caused by retinal bleeding.

In the case of Mr. Machida, he also had diabetes complications. Here, we do 
like to let you know that the majority of eye patients are diabetic and we 
notice
that they are heavy cigarette smokers. Damage to the retina caused by 
complications of diabetes is called "Diabetic Retinopathy".

Eye laser treatment like the laser photocoagulation is usually performed for 
diabetic retinopathy. The laser seals or destroys the abnormal, leaking blood
vessels in the retina. One of its drawbacks is that the laser damages some of 
the light-sensitive nerve cells in the retina and macula that often results
in some permanent vision loss. However, the vision loss caused by the laser 
treatment is mild compared with the vision loss that may be caused if left
untreated.

There may be some pain during the laser treatment, but for mild case of 
symptoms, there may be no pain at all.

Why do you need this kind of treatment? It is the safest and fastest treatment 
today.

HOW TO KNOW THE SYMPTOMS?

Some people experience strange eyesight such as difficulties to see one 
particular direction, difficulties to see someone's face or look as if the 
person
you are talking is faceless, and difficulties to see the center of a particular 
sight.

It is dangerous to think that these are all caused by stress, tiredness, or 
lack of sleep.

If you experience such strange phenomena with your eyesight, we recommend you 
to consult an ophthalmologist immediately.

THE AMSLER GRID TEST

One of the simplest methods to monitor the health of your macula that you can 
do by yourself is the "Amsler Grid Test". The Amsler Grid is a pattern (either
white grid lines on a black background or black grid lines on a white 
background) consisting of intersecting lines (similar to graph paper) with a 
black
or white dot in the middle.

How to use an Amsler Grid (repeat for each eye):

Note: If you wear reading glasses, be sure to have them on.

Amsler Grid

list of 3 items
1. Focus at the center dot on the grid with one eye at a time, covering the 
other eye with your hand. 
2. As you continue to look at the center dot, check to see that all the 
surrounding lines are straight and all the squares are evenly spaced with no 
missing
areas. 
3. If any area on the grid appears bent, distorted, blurred, discolored, or 
missing, contact your ophthalmologist immediately. 
list end

We recommend that you print this Amsler Grid for your eye checkup.

(Sweety Bhalla)
Assistant Manager
IFCI  LTD
New Delhi India
E-Mail: [EMAIL PROTECTED]
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