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What’s the Link Between Dry Eye and Menopause?

Dry Eye and Menopause 640Around 61% of perimenopausal and menopausal women are affected by dry eye syndrome.

During menopause, the body produces less estrogen, progesterone, and androgen, causing a variety of uncomfortable symptoms such as sweating, insomnia, and hot flashes.

Among these physical symptoms is dry eyes, characterized by dry, itchy and burning eyes.

If you’re experiencing dry eyes, contact Drs. Hiura and Hiura Dry Eye Center today for effective and lasting dry eye treatment.

Biological Changes That Affect Your Eyes

During menopause, the androgen hormone decreases, affecting the meibomian and lacrimal glands in the eyelids. The meibomian glands produce the essential oils for the tears, so the reduction in oil results in increased tear evaporation and drier eyes.

When these fluid and oil-producing glands are affected, the eyelids can become inflamed, reducing tear quality and production, resulting in dry eye syndrome.

Some researchers believe that dry eye is connected to changes in estrogen levels. This explains why many women experience dry eye symptoms during certain times of a woman’s monthly cycle, or while taking birth control pills.

Symptoms of dry eye syndrome

  • Red eyes
  • Burning in the eyes
  • Itchy eyes
  • Blurred vision
  • Gritty feeling in the eyes
  • The feeling something is caught in your eye. Excessive tearing

How Is Hormone-Related Dry Eye Treated?

Because reduced hormones during and after menopause can cause meibomian gland dysfunction, treatment should be focused on reducing dry eye symptoms.

Dry eye treatments can include:

  • Artificial tears
  • Lubricating eye drops
  • Eyelid hygiene
  • Oral antibiotics
  • Corticosteroid eye drops
  • Medications that reduce eyelid inflammation
  • Punctal plugs – to reduce tear flow away from the eyes

Frequently Asked Questions with Dr. Chris Hiura

Q: Are there home remedies to treat dry eye syndrome?

  • A: Yes. Here are a few things you can do at home to reduce dry eye symptoms.

    Limit your screen time. People who work at a computer all day blink less, which harms the tear film. Remember to take frequent breaks and to blink.
    Protect your eyes. Sunglasses that wrap around your face can block dry air and wind.
    Avoid triggers. Irritants like pollen and smoke can make your symptoms more severe.
    Try a humidifier. Keeping the air around you moist may help.
    Eat right. A diet rich in vitamin A and omega-3 fatty acids can encourage healthy tear production.
    Warm Compress. A warm compress will improve oil flow through your eyelid glands and clean your eyelids.

Q:Can dry eye syndrome damage your eyes?

  • A: Yes. Without sufficient tears, your eyes are not protected from the outside world, leading to an increased risk of eye infections. Severe dry eye syndrome can lead to abrasions or inflammation on the cornea, the front surface of the eye. This can cause pain, a corneal ulcer, and long-lasting vision problems.

    Menopause causes many changes throughout your body. If you’re experiencing dry eye symptoms due to hormonal changes, contact Drs. Hiura and Hiura Dry Eye Center to find out what dry eye treatments are available to give your eyes relief.



Drs. Hiura and Hiura Dry Eye Center serves patients from San Francisco, Nob Hill , Pacific Heights, and Russian Hill, all throughout California.

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4 Common Myopia Myths Debunked

4 Common Myopia Myths Debunked 640Myopia (nearsightedness) occurs when the eye elongates and rays of light entering the eye are focused in front of the light-sensitive retina rather than directly on it.

It’s by far the most common refractive error among children and young adults.

To help understand and learn more about what myopia means for your child’s vision, we’ve debunked 4 common myopia myths.

Myth: Myopia only develops in childhood

Fact: While it’s true that in most cases nearsightedness develops in childhood, it can also develop during one’s young adult years.

Myth: Wearing eyeglasses or contact lenses cause myopia to worsen

Fact: Prescription eyeglasses and contact lenses in no way exacerbate myopia. Optical corrections help you see comfortably and clearly. Another common misconception is that it’s better to use a weaker lens power than the one prescribed by your eye doctor. This is simply not true. By wearing a weaker lens you are contradicting the purpose of using corrective eyewear, which is to comfortably correct your vision.

Myth: Taking vitamins can cure myopia

Fact: Vitamins have been proven to slow the progression of or prevent some eye conditions, such as age-related macular degeneration (AMD) or cataracts. However, no vitamin has been shown to prevent or cure myopia. All vitamins and supplements should only be taken under the advice of your healthcare professional.

Myth: There is no way to slow the progression of myopia.

Fact: There are a few ways to slow down the progression of myopia:

Get more sunlight. Studies have shown that children who spend more time playing outdoors in the sunlight have slower myopia progression than children who are homebodies.

Take a break. Doing close work, such as spending an excessive amount of time looking at a digital screen, reading, and doing homework has been linked to myopia. Encouraging your child to take frequent breaks to focus on objects farther away can help. One well-known eye exercise is the 20-20-20 rule, where you take a 20-second break to view something 20 feet away every 20 minutes.

Other options to slow myopia progression include:

  • Orthokeratology/Ortho-k. These are specialized custom-fit contact lenses shown to decrease the rate of myopia progression through the gentle reshaping of the cornea when worn overnight.
  • Multifocal lenses offer clear vision at various focal distances. Studies show that wearing multifocal soft contact lenses or multifocal eyeglasses during the day can limit the progression of myopia compared to conventional single vision glasses or contact lenses.
  • Atropine drops. 1.0% atropine eye drops applied daily in one eye over a period of 2 years has shown to significantly reduce the progression of myopia

Prevent or slow the progression of your child’s myopia with myopia management. Contact Drs. Hiura and Hiura Myopia Management Center to book your child’s consultation today!

Drs. Hiura and Hiura Myopia Management Center serves patients from San Francisco, Nob Hill , Pacific Heights, and Russian Hill, all throughout California.

Frequently Asked Questions with Dr. Chris Hiura

Q: Can myopia be cured?

  • A: Currently, there is no cure for myopia. However, various myopia management methods can slow its progression.

Q: How much time should my child spend outdoors to reduce the risk of myopia?

  • A: Make sure your child spends at least 90 minutes a day outdoors.


Drs. Hiura and Hiura Myopia Management Center serves patients from San Francisco, Nob Hill , Pacific Heights, and Russian Hill, all throughout California.

 

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Call 415-770-0772

Tips For Wearing Scleral Lenses

Pretty Cheerful Woman Gesturing With Two Fingers Near Eyes. Youn

Scleral lenses are ideal for patients with corneal irregularities, dry eyes, and hard-to-fit eyes. Their uniquely large circumference offers the best in visual comfort and clarity. But wearing and caring for your scleral lenses can take some getting used to.

Below are our top 5 tips for anyone who wears scleral lenses. If you have questions about scleral lenses or any other optometric matter, Drs. Hiura and Hiura Scleral Lens Center in San Francisco is here for you.

1. Lens Hygiene is Top Priority

Keeping your scleral lenses hygienic and free of buildup is key in ensuring the clearest possible vision. When you remove them from your eyes, rub them for several seconds with lens cleaner to remove surface debris and bacteria. Then, rinse them on both sides with saline solution before storing them.

Another hygiene tip: Before handling your lenses, be sure to wash your hands with soap and water, and to rinse and dry them with a lint-free cloth or paper towel. Good hygiene will significantly minimize possible complications and keep your eyes feeling fresh.

2. Manage Your Dry Eye

Many patients with dry eye syndrome (DES) choose to wear scleral lenses for their hydrating and soothing properties. While sclerals can offer substantial relief from their dry eye symptoms, patients shouldn’t forget to seek treatment for their DES.

That’s because scleral lenses help manage dry eye, but don’t actually treat it. So, it’s best to follow up with your eye doctor about any eye drops, medications, or at-home remedies to support healthy tears.

3. Use a Cotton Swab For Cleaning

Patients with long fingernails can find it challenging to thoroughly clean their scleral lenses. Rubbing the inside bowl of the lens with a cotton swab and cleaning solution can effectively remove the buildup from the lens. Then, rinse off the cleaning solution with saline to remove the cleaning solution and any lint from the cotton swab.

4. Try Different Insertion Tools

Is your current insertion method not working as smoothly as you’d like? No worries! Ask your eye doctor about different tools you can use, such as the O-ring or applicator ring.

But please only insert your lens with tools that your eye doctor recommends!

5. Follow Up With Your Eye Doctor

Because scleral lenses are customized, they often require a few visits with your optometrist to optimize their fit. Even after the fitting process is complete, follow-ups will help ensure that your lenses are still in good condition.

If your scleral lenses are giving you any trouble at all, we can help. To schedule your scleral lens consultation, call us today!

Drs. Hiura and Hiura Scleral Lens Center serves patients in San Francisco, Nob Hill , Pacific Heights, Russian Hill, and throughout San Francisco.

Frequently Asked Questions with Our Scleral Lenses Expert in San Francisco, California:

Q: How do scleral lenses work?

  • A: Scleral lenses rest and vault over the entire sclera (white of the eye), encasing a hydrating reservoir in between the lens and the cornea (front surface of the eye). This allows people with irregular corneas to wear contact lenses, since the lens isn’t in direct contact with the cornea itself.

Q: How long do scleral lenses last?

  • A: Scleral lenses generally last 1-2 years, depending on how well you care for them and how your tear film reacts with them. Even so, check-ups every 6 months are recommended to ensure they still fit well and provide clear vision.


References

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How Often Does Your Myopic Child Need An Updated Prescription?

Mom Daughter Child Eye HealthEvery year you buy your children clothing without thinking about why you are doing it. You just know they have outgrown their clothes and need a new coat and certainly new shoes. This also applies to prescription glasses. When your child grows, so do their eyes.

If their eyes grow too long, they develop myopia — nearsightedness. Children whose myopia develops quickly, and/or is moderate to severe, are at a heightened risk of developing sight-threatening eye diseases in adulthood.

Changes in Your Eyes

Babies are born with eyes about 16.5 millimeters in length. When their eyes are about 24 millimeters long — at the age of 20 and 21 — they stop getting longer.

As our eyes grow larger, the way they refract light onto the retina can change, necessitating a new prescription.

During their first few years, children are mainly concerned with interacting with their surroundings, requiring them to use their intermediate and far vision. However, when the school years start, they begin to focus more intently on close-up activities like reading from books and using computers. As a result, their eyes may become more nearsighted.

School-age children can be impacted by progressive myopia, where the myopia continues to worsen throughout the school years. Their optical prescriptions can change, often dramatically, every 6-12 months

This progression in myopia continues as long as the eyes continue to grow, so as children grow, their prescription naturally changes as well.

Since most people’s eyes will stop growing in early adulthood, you will tend to see fewer changes in their prescription after the student completes high school or during their college years.

Myopia Management

If your child has myopia they will need prescription glasses. In some children, myopia progression is gradual. In others, their myopia progresses quickly, resulting in ever-higher levels of nearsightedness. Their eyeglass prescriptions need to be updated quickly.

To try and slow the progression of your child’s myopia, Dr. Chris Hiura may suggest a number of treatments, such as multifocal lenses and atropine drops, among others.

Atropine Drops

Atropine eye drops are most commonly used to dilate your pupils during certain eye exams. However, recent research has shown that a low-dose (0.01%) of atropine eye drops can effectively impede the progression of myopia in children. When the eye drops are applied, at bedtime, over an extended period of time, myopia progression can be reduced.

Multifocal Lenses

Multifocal soft contact lenses offer clear vision at various focal distances. Scientific evidence has shown that wearing multifocal glasses or contact lenses limits the progression of myopia compared to the standard single vision contact lenses or glasses most children wear.

At Drs. Hiura and Hiura Myopia Management Center, we provide our patients with effective, specialized treatment to control the progression of myopia. By stopping or slowing the progression of myopia, we reduce long-term risks to best ensure that your child enjoys the world with healthy eyes throughout their life.

Drs. Hiura and Hiura Myopia Management Center serves patients in San Francisco,Nob Hill , Pacific Heights and Russian Hill, throughout California.

Request An Appointment
Call 415-770-0772

My Eyes Feel Gritty. Is It Dry Eye?

something in my eyeWhen your eyes feel gritty it’s often due to an eyelash, a speck of dust, or a grain of sand getting caught in your eye. When this discomfort persists without an apparent reason, you could be experiencing dry eye.

Left untreated, dry eye isn’t just uncomfortable, but it can permanently damage your cornea. If you have dry eye, your eye doctor will prescribe the appropriate treatment to keep your eyes healthy and your vision clear.

What is Dry Eye?

Dry eye is a common problem caused either by insufficient tears or poor tear quality. Every time you blink, you leave a thin film of tears over the surface of your eyes. This helps keep your eyes healthy and your vision clear. If your tears don’t keep the surface of your eye moist enough, you will experience dry eye.

Symptoms of dry eye include:

  • Irritation- a gritty, scratchy or burning sensation
  • Blurred vision
  • Excessive tearing
  • A feeling of something being stuck in the eye

Causes of Dry Eye

There are many things that can cause dry eye:

  • Allergies
  • Medical conditions – Dry eye is more common in people with rheumatoid arthritis, thyroid problems, Sjogren’s syndrome, diabetes and several other conditions.
  • Environmental factors – Wind, smoke, and dry air can all cause your tears to evaporate.
  • Insufficient blinking – staring at a computer screen or a book for long periods of time can cause the eyes to blink less frequently.
  • Medications – Antidepressants, antihistamines, blood pressure medications, and decongestants can cause a reduction in tear production.
  • Ageing – As people get older they are more prone to dry eye. Women tend to be more affected than men.
  • Eyelid Conditions – Insufficient oil production from the glands in the eyelids or misshapen eyelids can lead to poor tear quality.
  • Hormonal changes

Relief from Dry Eye

As with any other form of eye discomfort, your first stop should be your eye doctor, who will thoroughly examine your eyes and eyelids to identify the underlying problem. If dry eye is suspected, your doctor may decide to assess the quality and quantity of your tears.

Depending on the exact cause of your dry eye, your doctor may prescribe artificial tears or prescription eye drops, or discuss a range of in-office procedures to address moderate to severe dry eye caused by your eyelids. Your eye doctor may also recommend wrap-around glasses to protect your eyes against irritants. Blinking more regularly, staying hydrated, and placing a humidifier in your home or office might also help.

After your initial appointment, you will want to schedule a follow-up appointment to make sure the methods you have tried are working and to prevent the progression to advanced dry eye. Advanced dry eye can cause damage to your cornea and, potentially, vision loss.


If you are experiencing eye discomfort, visit Drs. Hiura & Hiura to have your eyes examined and receive effective, lasting treatment.

Drs. Hiura and Hiura Dry Eye Center serves patients from San Francisco, Nob Hill , Pacific Heights, and Russian Hill, all throughout California.

Request An Appointment
Call 415-770-0772

Why Do Onions Make Us Cry?

Onions are one of the most common staple foods around the globe. Ironically, for a vegetable so delicious, they can often be tear-jerkers.

Read on to learn why onions cause your eyes to tear and sting, and what you can do to minimize discomfort.

Why Does Cutting Onions Cause Tearing?

Onions produce a sulfur compound called propyl sulfoxide that is stored in the cells of the onion bulb (the part of the onion we eat). Onions grow underground, where they can be eaten by all types of creatures. This odorous sulfuric compound acts as a deterrent to small animals with big appetites.

When one slices into an onion and breaks open its cells, the sulfur compound is released and mixes with the moisture in the air — turning it into smelly and irritating sulfuric acid. When this chemical rises up and comes in contact with your eyes, it stings!

To keep your eyes from potentially being damaged from this chemical exposure, your brain triggers your eyes to tear and flush out the irritating gas particles. Once enough tears have flushed out the sulfuric acids particles from the eye, clear vision and comfort is usually restored. Although your eyes may sting and feel unpleasant, symptoms are temporary and the sulfuric acid won’t damage your eyes.

How Can I Reduce Eye Discomfort When Chopping Onions?

Most experienced chefs will tell you that chilling your onions in the fridge for at least 30 minutes before slicing them will reduce the amount of tearing they cause. Propyl sulfoxide escapes slower in cooler temperatures, reducing the amount of sulfuric acid in the air.

You can also try cutting the onions at arm’s length, or direct the odorous air away with a small fan. Some say that chopping onions immersed in water also helps. Another option is to wear kitchen goggles to protect your eyes.

Furthermore, try to use fresh onions whenever possible. The longer an onion has been stored, the more likely it will induce tearing and discomfort. Try to avoid slicing near the root end of the bulb, as that area has the highest concentration of sulfuric compounds.

Still Having Eye Problems Out of the Kitchen?

If you frequently suffer from eye irritation — and not just while cutting onions — we can help. At Drs. Hiura & Hiura, we treat a wide range of eye conditions and can provide you with the treatment and relief you seek.

For further questions or to schedule an eye exam, call us today.

At Drs. Hiura & Hiura, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 415-776-2352 or book an appointment online to see one of our San Francisco eye doctors.

Want to Learn More? Read on!

Frequently Asked Questions with Dr. Chris Hiura

Q: What exactly is glaucoma?

  • A: Glaucoma is a condition in which the eye’s intraocular pressure (IOP) is too high. This means that your eye has too much aqueous humor in it, either because it produced too much, or because it’s not draining properly. Other symptoms are optic nerve damage and vision loss. Glaucoma is a silent disease that robs the patient of their peripheral vision. Early detection is very important.

Q: What’s the difference between vision insurance and eye insurance?

  • A: Vision insurance” really isn’t insurance, but rather a benefit that covers some of your costs for eyewear and eye care. It is meant to be used for “routine” care when you aren’t having a problem but want to be sure everything is OK, like having an annual screening exam with your Primary Care Physician. It often, but not always, includes a discount or allowance toward glasses or contact lenses. It is usually a supplemental policy to your medical health insurance. Medical health insurance covers, and must be used when an eye health issue exists. This includes pink eye, eye allergies, glaucoma, floaters, cataracts, diabetes, headaches, and many other conditions. Blurry vision is covered medically if it relates to a medical condition, for example the development of a cataract. For some reason, however, it is considered non-medical if the only finding is the need for glasses or a change of prescription. Of course you can’t know this until you have the exam. In this case, with vision coverage, you would only be responsible for your co-pay, but with medical coverage without vision coverage, you’d be responsible for the usual charge.

Q: How does high blood pressure affect vision?

  • A: If the blood pressure is very high it can be called malignant hypertension and cause swelling of the macula and acute loss of vision. Otherwise hypertension can cause progressive constriction of the arterioles in the eye and other findings. Usually high blood pressure alone will not affect vision much, however hypertension is a known risk factor in the onset and/or progression of other eye disease such as glaucoma, diabetic retinopathy, and macular degeneration as well as blocked veins and arteries in the retina or nerve of the eye that can severely affect vision.

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REFERENCES

https://www.britannica.com/story/why-do-onions-make-you-cry

https://theconversation.com/why-do-onions-make-you-cry-129519

15 Things You Do That Can Harm Your Eyes

Eye health isn’t just about going for that yearly eye exam. Certain actions you take (or don’t take) in your daily routine can also have drastic effects on the health of your eyes and vision. Here’s our list of 15 things you may be doing that could pose damaging risks to your eyes.

It’s important to note that before changing any of your habits, consult with a medical professional to make sure they are right for you and your overall health.

1. Smoking

We all know that smoking can cause heart disease and cancer, but its effects on the eyes are far less known to many. The truth is that smoking can actually lead to irreversible vision loss by significantly increasing the risk of developing macular degeneration, cataracts, glaucoma, and diabetic retinopathy. It can also cause dry eye syndrome. If you are a smoker, do your eyes (and body) a favor and try to kick or reduce the habit.

2. Not Wearing Sunglasses

Exposing your eyes to the sun’s harmful UV radiation can damage the eye’s cornea and lens. Overexposure to UV rays can also lead to cataracts and even eye cancer. That’s why it’s important to always wear 100% UV-blocking sunglasses while outdoors, all four seasons of the year. Always check the sunglasses have FDA approval.

3. Sleeping with Makeup On

When you sleep with eyeliner or mascara, you run the risk of the makeup entering the eye and irritating the cornea. Sleeping with mascara on can introduce harmful bacteria to the eye and cause an infection. Abrasive glitters and shimmery eyeshadow can scratch the cornea as well. Be careful to remove all makeup with an eye-safe makeup remover before going to bed.

4. Buying Decorative Contact Lenses Without a Prescription

Although ordering decorative lenses without first visiting your optometrist may sound more convenient, purchasing them without a prescription isn’t worth the long term risks. Decorative contact lenses are sometimes made by unlicensed manufacturers who tend to use poor-quality or toxic materials that can get absorbed through the eyes into the bloodstream. They also may contain high levels of microorganisms from unsanitary packaging and storage conditions.

5. Not Washing Your Hands Thoroughly

Frequently washing your hands helps to reduce the possibility of bacteria and viruses entering the eye. Pink eye (conjunctivitis) and corneal ulcers are common eye conditions that can be caused by bacteria, viruses, fungi, or parasites. When washing your hands, be sure to use warm water, soap, and thoroughly wash in between each finger and over the entire palm area. If you plan to insert or remove your contact lenses, wash and then dry your hands completely with a lint-free cloth or paper towel.

6. Overwearing Contact Lenses

Wearing contact lenses for longer periods of time than intended can lead to inflammation of the cornea (keratitis), conjunctivitis, eyelid swelling, and contact lens intolerance. Always follow the recommended wear time as instructed by your optometrist.

7. Being Nutrient Deficient

Poor nutrition can cause permanent damage to the visual system. Try to include lots of nutrient-rich fruits and vegetables in your diet, along with adequate amounts of Omega-3. Some of the best vitamins and nutrients for eye health include Vitamins A, C, E, lutein, zeaxanthin, and zinc.

8. Using Non-FDA Approved Products

Whether it’s eyebrow enhancers, eye makeup, or eyelash growth serums, always choose products that have been FDA approved and/or meet government safety regulations. Non-approved products have been known to cause infections or allergic reactions in or around the eye area.

9. Not Cleaning Your Contacts Properly

If you are wearing contact lenses that need to be replaced once every two weeks or once a month, maintaining the highest level of contact lens hygiene is essential. Optometrists will tell you that a common reason patients come in to see them is due to an eye infection from contact lenses that haven’t been properly cleaned or stored. Some patients use their contact lens cases for too long, which can also cause eye irritation. To avoid eye infections, carefully follow your eye doctor’s instructions on how to clean, store, and handle your contact lenses.

10. Showering or Swimming with Contact Lenses

There is a significant amount of bacteria that can be carried in tap water and swimming pools. For this reason, it’s important to make sure that water and contact lenses don’t mix. If you need vision correction while swimming, it may be worth investing in a pair of prescription swimming goggles.

11. Not Following Medication Instructions

When it comes to eye disease, following the medication instructions is crucial. Forgetting to insert eye drops, or administering the incorrect dosage could dramatically reduce the effectiveness of treatment, or even do harm. Speak with your eye doctor if you’re not sure about when or how to take your medication.

12. Not Taking a Holistic Approach

Your eyes are just one part of the whole system — your body. Ignoring health conditions you may have, like high blood pressure or elevated blood sugar, can pose serious risks to your eyes.

13. Not Wearing Protective Eyewear

Shielding your eyes with protective glasses or goggles while working with potentially sharp or fast-moving objects, fragments or particles (wood working, cutting glass, welding, doing repairs with nails, certain sports) is the best defense against eye injury. In fact, 90% of all eye injuries could have been prevented by wearing protective eyewear.

14. Using Unsafe Home Remedies

Some might think that because something is “natural” that it is safe for use around the delicate eye area. Home remedies, like using breastmilk to cure pink eye, could introduce harmful bacteria to the eye and cause infection. If your eyes are giving you trouble, make an appointment to see your local optometrist.

15. Skipping Your Recommended Eye Exam

Your eye doctor will advise you how often you need to come for an eye examination. Adults should visit their eye doctor at least every year for a comprehensive eye exam to determine whether their optical prescription is up-to-date, and to check for the beginning stages of eye disease. Catching eye diseases in their early stages offers the best chance of successful treatment and preserving healthy vision for life.

At Drs. Hiura & Hiura, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 415-776-2352 or book an appointment online to see one of our San Francisco eye doctors.

Want to Learn More? Read on!

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The Surge In Cosmetic Procedures During COVID Raises Eye Health Concerns

COVID-19 has indirectly impacted eye health in ways that few would have anticipated. With many classrooms, business meetings, and hang-outs being relocated to virtual settings like Zoom and FaceTime, people are spending more time scrutinizing other people’s faces — and their own.

For some people, the more time they spend watching themselves in the thumbnail, the more time they focus on real or imagined imperfections and features that make them feel insecure.

In fact, plastic surgeons and cosmetic doctors all over the world are reporting something called the ‘Zoom Boom’ — the recent surge in cosmetic procedures to perfect ‘Lockdown Face.’ Yep, it’s a thing.

What many don’t realize is that cosmetic facial procedures can pose serious risks to eye health and vision, and in some cases result in serious eye damage or vision loss.

While opting to undergo a cosmetic procedure is a personal choice that each individual should make for themselves, a fully informed decision requires a visit to your eye doctor. Also, those interested in having a cosmetic eyelid lift should consult with a reputable oculo-plastic surgeon who has experience in this particular procedure.

How Can Cosmetic Procedures Impact Your Eyes?

Before undergoing a cosmetic facial procedure, it’s important to know which procedures pose potential risks to your eyes and vision.

Eyelash Extensions

The adhesive used for eyelash extensions has been known to cause allergic lid reactions, infections, styes, and dry eye. Eye doctors unanimously agree that eyelash extensions should be the last resort for those who want fuller, thicker lashes.

Additionally, the addictive nature of eyelash extensions make them particularly risky. A side effect of lash extensions can be reduced eyelashes, which often drives the individual to have this procedure done repeatedly.

A safe alternative to getting eyelash extensions is using a medication called Latisse. This eyelash enhancing product can be prescribed by your eye doctor and may reduce the need for false eyelashes or extensions.

Laser Procedures

Lasers are used for various cosmetic procedures due to their high efficiency and accuracy. However, exposing the naked eye to a laser beam can be dangerous.

All laser procedures should be performed while the patient wears specialized goggles or corneal shields for protection. If the procedure is performed by an unlicensed individual, there is a much greater chance that effective eye protection won’t be used.

A study published in The Journal of Clinical and Aesthetic Dermatology found that ocular injuries can occur even when protective shields are utilized correctly.

Episcleral Tattoos

This procedure is the tattooing of the whites of the eye. Dye is injected beneath the conjunctiva and into the sclera (the white of the eye) to make it appear the desired color.

Episcleral tattoos can cause headaches and severe light-sensitivity, and increase the risk of eye infections, conjunctival hemorrhaging, and permanent vision loss.

Botox Injections

Botox injections are one of the most popular cosmetic procedures offered today, but they can harm eye health and vision when injected around the eye area.

Some common complications include allergic reactions, blurred vision, and droopy eyelids. Most of these reactions are temporary, but if symptoms persist and if blurred vision is prolonged, see an eye doctor immediately.

Always choose a qualified and licensed doctor to perform the procedure.

When to Visit Your Optometrist

If you are considering having any facial or eye procedures done, speak with your optometrist about how to keep your eyes safe during the process.

An eye exam with Dr. Chris Hiura will determine the state of your eye health and what risks would be involved with the procedure you want.

If you’ve already undergone a cosmetic procedure or surgery and are experiencing any eye health or visual symptoms, call Drs. Hiura & Hiura in for a prompt eye exam.

We want you to feel confident in the way you look, while keeping your eyes healthy and safe. Call Drs. Hiura & Hiura to schedule your eye exam today.

At Drs. Hiura & Hiura, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 415-776-2352 or book an appointment online to see one of our San Francisco eye doctors.

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How Can My Child’s Myopia Be Corrected?

At Drs. Hiura & Hiura, we help children like yours achieve clear and comfortable vision, so they can succeed at the important things in life.

Methods of Myopia Correction

Contact Lenses

Contacts can be a great choice, especially for physically active children or teens who don’t want to worry about breaking or misplacing their eyeglasses. In some cases of very high myopia, contact lenses can offer clearer vision than glasses.

Corrective contact lenses are usually placed in the eyes upon waking and removed at night before bedtime. There are several types, including: soft contacts, daily disposables, extended wear, and rigid gas permeable (hard) lenses. Navigating through the differences between them can be daunting. Fortunately, if you’re located in San Francisco our eye doctor will be happy to guide you. Speak with Dr. Chris Hiura to determine whether your child is ready for contact lenses.

Prescription Glasses

Glasses are a popular choice among our younger patients. Choosing from an array of styles makes the process fun and exciting! Allowing the children to be active participants in selecting their eyewear increases the likelihood that they’ll actually wear them. There are strong, flexible and resilient frames which look great and are comfortable too.

The optician can customize the lenses with additions and upgrades like impact-resistant or shatter-proof materials, scratch-resistant and anti-reflective coatings, UV filters, and transition lenses that darken in the sun. For those requiring vision correction for distance and near, we also offer bifocal or multifocal lens prescriptions.

We Can Help Correct Your Child’s Myopia

If you’re located near San Francisco, California, an eye exam with our optometrist can determine your child’s exact prescription, and give you the opportunity to receive answers to any questions you may have about your child’s eye health and vision. Progressive myopia, where a growing child’s prescription continues to worsen, is why it’s important for myopic children to undergo eye exams at least once a year.

At Drs. Hiura & Hiura, our friendly and knowledgeable staff will be happy to recommend the most suitable method of correcting your child’s myopia to meet his or her individual needs. Thanks to the wide range options available, your child will walk away with eyewear that will not only enhance his or her style but will also be a boost of confidence.

Let us help your child see the world in a whole new light. To schedule your child’s annual eye exam or if you have any further questions, contact Drs. Hiura & Hiura at 415-776-2352 today.

Are Floaters and Flashes Dangerous?

You’ve likely experienced occasional visual “floaters” or flashes and may have wondered what they were and if they’re a cause for concern. They look like tiny lines, shapes, shadows, or specks that appear to be drifting in the visual field. More often than not, seeing floaters is a normal occurrence and does not indicate a problem with ocular or visual health. However, when floaters become more frequent and are accompanied by flashes of light, that can indicate a more serious problem.

Eye flashes resemble star-like specks or strands of light that either flash or flicker in one’s field of vision. They can either be a single burst in one visual zone, or can be several flashes throughout a wider area. Flashes can sometimes be missed as they most often appear in the side or peripheral vision.

Floaters & Flashes Eye Care in San Francisco, California

If you suddenly, or with increasing frequency, experience flashes or floaters, call Drs. Hiura & Hiura and schedule an eye exam with Dr. Chris Hiura right away to rule out any serious eye conditions.

What Causes Floaters?

The vitreous in the eye is a clear gel that fills most of the eyeball and resembles raw egg-white. Within the vitreous are small lumps of protein that drift around and move with the motion of your eyes. When these tiny lumps of protein cast shadows on the retina — the light-sensitive lining at the back of the eye — the shadows appear as floaters.

As we age, the vitreous shrinks, creating more strands of protein. This is why the appearance of floaters may increase with time. Floaters tend to be more prevalent in nearsighted people and diabetics, and occur more frequently following cataract surgery or an eye injury.

If seeing floaters becomes bothersome, try moving your eyes up and down or side to side to gently relocate the floaters away from your visual field.

What Causes Flashes?

Flashes result from the retinal nerve cells being moved or tugged on. As the vitreous shrinks over time, it can tug at the retina, causing you to “see stars” or bursts of light. The process of the vitreous separating from the retina is called “posterior vitreous detachment” (PVD) and usually isn’t dangerous.

In about 16% of cases, PVD causes tiny tears in the retina that can lead to retinal detachment — a sight-threatening condition that causes irreversible blindness if left untreated.

Other possible causes of flashes are eye trauma or migraine headaches.

When To Call Your Optometrist About Floaters

If you experience any of the following symptoms, promptly make an appointment with an eye doctor near you for emergency eye care.

Symptoms You Shouldn’t Ignore

  • A sudden onset of floaters accompanied by flashes (which can be any shape or size)
  • An increase of floaters accompanied by a darkening of one side of the visual field
  • Shadows in the peripheral vision
  • Any time flashes are seen

In many cases, seeing floaters is no cause for concern; however the above symptoms could indicate retinal detachment—which, if left untreated, could cause a permanent loss of sight or even blindness.

If the receptionists pick up the phone and hear the main concern is floaters or flashes, they will try to squeeze in the appointment within 24 hours. Expect the pupils to be dilated during your eye exam, so the eye doctor can get a really good look at the peripheral retina to diagnose or rule out a retinal tear or other serious condition, as opposed to a non-vision-threatening condition such as uncomplicated posterior vitreous detachment (quite common) or ocular migraine.

Please contact Drs. Hiura & Hiura in San Francisco at 415-776-2352 with any further questions, or to schedule an eye doctor’s appointment.