Patty Pantry

2013_patty

Can’t get enough Chocolate Cake

CAKE

  • 1 package (18-1/14 ounce) chocolate cake mix
  • 1 package (2.1 ounce) sugar-free instant chocolate pudding mix
  • 1 3/4 cups water
  • 3 egg whites

FROSTING

  • 1 1/4 cup cold fat-free milk
  • 1/4 teaspoon almond extract
  • 1 package (1.4 ounces) sugar-free instant chocolate pudding mix
  • 1 carton (8 ounces) reduced-fat whipped topping-thawed

BAKE: 15 minutes at 350°

CONCUSSIONS, SPORTS, AND VISION

CONCUSSIONS, SPORTS, AND VISION

 

Recently, the national spotlight has turned its attention to the potential long term impact of traumatic brain injury with the death of former NFL linebacker Junior Seau, and the pending lawsuits against the NFL by nearly 1,800 retired players.  An estimated 136,000 concussions occur per academic year in high schools alone.  While eliminating concussions for athletes is impossible, steps can be taken to help the doctor assess when the athlete is ready to get back on the field. 

The first step in protecting the athlete is to know the symptoms of a concussion.  The most common symptom is a headache, but other symptoms include: amnesia, nausea, dizziness, balance problems, light sensitivity, blurred or double vision, feeling in a “fog”, change in normal sleep pattern, reduced field of vision, and unsteady eye movements.  Recognizing these symptoms and reporting them to an athletic trainer or trained healthcare professional is critical to ensure further injury does not occur.  As an eye doctor that provides neuro-vision rehabilitation, I am able to address persistent concussive symptoms related to vision.  Often times a small prescription that the athlete was previously able to compensate for is now difficult to overcome as the brain heals from a moderate to severe concussion.  A benefit can also be seen with tinted lenses to reduce light sensitivity.  Beyond glasses, in-office neuro-vision rehabilitation can be performed, similar to physical therapy and occupational therapy, to address visual deficits. 

The next step in protection is undergoing baseline testing, such as the ImPACT Test, which is now being provided at the Vision Development Center.  ImPACT provides computerized neurocognitive assessment tools that are used by medical doctors, psychologists, athletic trainers, and other licensed healthcare professionalsto assist them in determining an athlete’s ability to return to play after suffering a concussion.  The test should initially be performed as a baseline and then repeated if a concussion occurs to determine if cognitive processing is at an acceptable level to return to play.  The NFL, NHL, NCAA and some high schools across the country require the ImPACT test be performed prior to the start of the season.  The Vision Development Center will run the assessment and provide results to the athletic trainer and concussion specialist for evaluation.  The baseline assessment is $20 and can be scheduled by calling 913.682.3937. 

As concussions are unfortunately an inevitable part of sports it is important to be prepared and knowledgeable.  Baseline testing allows doctors more information to make decisions regarding the athlete’s readiness to return to play.

As the evidence of the negative long term effects of concussions mounts, neurocognitive testing will be added to the pre-season ritual alongside physicals and new shoes.

FAQs about Contact Lenses

FAQs about Contact Lenses 

  1. What is involved in a contact lens exam?

A contact lens eye exam is typically a higher fee than an exam for glasses or a routine eye health check.  The doctor must perform certain tests to ensure the patient is a good candidate for lens wear, spend extra time taking measurements and selecting a lens for the patient. 

  1. Why can’t I just change contact lens brands whenever I want?

Contact lenses are a medical device and require a prescription.  If your primary care doctor were to put you on a medication or change a medication, they would write a prescription and likely follow-up to ensure that it is working.  Contact lenses should be thought of and treated the same.  The doctor must assess if the lens is centering, moving and rotating properly, and that vision is good.  A poor fitting lens can result in very serious complications, even blindness, so follow up exams are needed to assess how the contact lens fits on the eye.  There is NO SUCH THING as over-the-counter contact lenses.  Do not trust lenses available at a beauty shop or gas station, these are being distributed illegally and should be reported to your eye doctor.

  1. When can children start wearing contact lenses?

There is no magic age that a child is ready for contact lenses.  The biggest factors are maturity and attention to hygiene.  Most doctors require that the child is able to take them in and out by themselves without the help of a parent.  If you have to remind your child to brush their teeth, take showers, put on deodorant, etc., they are probably not ready to be a responsible, healthy contact lens wearer. 

  1. Why do I need to have my eyes checked every year for contact lenses?

For an optometrist to renew a contact lens prescription or allow for more refills, we are required, by law, to examine the lenses on the eye, ensuring proper fit, good eye health and vision.  Because contact lenses sit on the eye itself, there can be serious consequences if wearing them too long without taking them out, not disposing of them often enough, or wearing a dirty lens. 

  1. I need bifocals, am I still a candidate for contact lenses?

Yes!  Many patients are successful with monovision contact lenses, meaning one eye is fit for distance vision and the other eye is fit for near vision.  Other patients may find success with a bifocal contact lens.  The key point to keep in mind is that your visual clarity may be slightly reduced when compared to glasses due to the optics of the contact lenses.

3D Vision in the Classroom

3D Vision in the Classroom

 

3D is an exciting technology that can enhance the viewing experience of movies, television and gaming.  It is not only entertaining, but may also provide opportunities for increased 3D interactive learning opportunities in the classroom and workplace.  Think about the possibilities…….geometry, architecture, anatomy, engineering, sculpture, biology.  Pick one of these subjects and imagine what you might do if you could use 3D images in your lesson plan.  In fact, the trends toward new 3D technology are hard to miss—unless you are one of the millions of Americans who are unable to see it.

 Unfortunately, some people who have even a small eye misalignment, unstable focusing ability, difficulty coordinating vision with other senses or those who lack equal vision in both eyes may not be able to see 3D images properly. Studies indicate that anywhere from three to nine million people have problems with binocular vision, making it difficult to see or enjoy 3D effects. Discomfort, dizziness, or loss of depth perception comes from fatigue due to 3D technology forcing the eyes and brain to make continuous adjustments on images that are near and far away.

 The American Optometric Association recommends seeing a doctor of optometry if you experience any of the following:

  •  Do you experience eyestrain, headaches, or other discomfort during or after viewing?
  • Do you feel nauseous or dizzy during or after viewing?
  • Are you more comfortable viewing 2D TV/movies/games instead of 3D versions?
  • Is it difficult for your eyes to re-adjust after viewing 3D TV/movies/games?
  • Is the 3D viewing experience not as vivid for you as it is for others watching the same picture?

 Watching 3D media can unmask issues such as lazy eye, inadequate eye teaming, poor focusing skill and other visual problems. The good news is that help is available. The president of the American Optometric Association points out that “for the estimated 1 in 4 children that have underlying issues with overall vision, 3-D viewing can unmask previously undiagnosed deficiencies and help identify and even treat these problems….If deficiencies are identified the student can be directed to care consisting of a comprehensive eye exam and treatment with glasses and/or individualized rehabilitative vision therapy.  As an added benefit, this course of action may also assist the child in most all reading and learning tasks.  Overall these 3-D viewing potentials, tied to enhanced and protected vision, provide increased assurance that no child will be denied lifetime opportunities and an equal chance to succeed in school and later in life.”

 Although it is safe and does not cause damage to the eyes, good vision care can insure the 3D experience is comfortable and effective.  For more information on 3D vision, visit www.3deyehealth.org.

 

Back to School List: + Eye Exam

August is National Children’s Vision & Learning Month!  The goal of this month is to educate parents and teachers about the critical link between vision and learning.  According to the American Public Health Association,   “25% of students in grades kindergarten through 6th have visual problems that are serious enough to impede learning.”

As the school year approaches, it is important that a comprehensive eye examination is added to every student’s “back to school” list.  States likeKentucky,MissouriandIllinoisrequire that all children receive an eye examination before entering school.  Many other states are currently working toward this goal in the hopes of detecting preventable vision loss from amblyopia (commonly known as lazy eye) and strabismus (an eye turn).  These conditions are often not readily visible to parents and can even be missed at vision screenings. 

The first step an eye doctor takes in evaluating children’s vision is ensuring that the eyes are healthy and developing normally for their age.  Next, they check that the child can see clearly for both distance and near activities, which may require glasses or contact lens correction.  While eye health and visual clarity are very important for development, the visual skills needed for successful reading and learning are much more complex.  Deficiencies in skills such as eye teaming, eye focusing, and eye tracking will cause vision problems for a child with 20/20 vision. 

One in four school-aged children has a visual skills problem.  These children are often very bright, but there is a disconnect between their intelligence and academic performance even though the eye health and visual clarity seems perfect.  

Some common signs that a vision problem is interfering with a student’s ability to read and learn are:

  1. Frequent loss of place while reading
  2. Poor reading comprehension
  3. Head tilt or closing one eye while reading
  4. Words sliding together or blurring during reading
  5. Reverses letters like “b” and “d” when reading
  6. Has a short attention span with reading and schoolwork        

                      [For a complete symptoms list visit www.covd.org]

 After realizing the relationship between vision and learning the National Parent Teacher’s Association (PTA) included in a policy statement that, “Early diagnosis and treatment of children’s vision problems is a necessary component to school readiness and academic learning; and that vision screening is not a substitute for a complete eye and vision evaluation by an eye doctor.  Comprehensive eye and vision examinations … are important for all children first entering school and regularly throughout their school-aged years to ensure healthy eyes and adequate visual skills essential for successful academic achievement.”