Yamamoto & Inouchi

Eye Health: An Increasing Concern for Aging Adults

It’s a fact of life that vision can change over time, resulting in a number of noticeable differences in how well aging adults see the world around them. In fact, according to the American Optometric Association’s (AOA) 2014 American Eye-Q® consumer survey, 78 percent of adults age 55 or older report experiencing some vision loss.

“The number of blind and visually impaired people is expected to double over the next 16 years,” said Dr. Inouchi, O.D.. “This staggering statistic has implications for millions of aging Americans, but these changes don’t have to compromise a person’s lifestyle. Maintaining good health and seeing an eye doctor on a regular basis are important steps to help preserve vision.”

Common age-related vision problems include difficulty seeing things up close or far away, problems seeing in low light or at night, and sensitivity to light and glare. Some symptoms that may seem like minor vision problems may actually be signs of serious eye diseases that could lead to permanent vision loss, including:

  •  Age-related macular degeneration (AMD): An eye disease affecting the macula, the center of the light sensitive retina at the back of the eye. AMD can cause loss of central vision.
  •  Cataracts: A clouding of the lens of the eye that usually develops slowly over time and can interfere with vision. Cataracts can cause a decrease in visual contrast between objects and their background, a dulling of colors and an increased sensitivity to glare.
  • Diabetic retinopathy: A condition occurring in people with diabetes, which causes progressive damage to the tiny blood vessels that nourish the retina. The longer a person has diabetes, the more likely they are to develop the condition, which can lead to blindness.
  • Glaucoma: An eye disease leading to progressive damage to the optic nerve due to rising internal fluid pressure in the eye. Glaucoma is one of the leading causes of blindness.

Dry eye is another common and often chronic condition that Americans can experience later in life. Dry eye occurs when there are insufficient tears to nourish the eye. Tears are important for maintaining the health of the front surface of the eye and for clear, quality vision. Studies show that women are more likely to develop dry eye, especially during menopause.

Aging Americans will represent 19 percent of the population by 2030, up from 12 percent in 2000. Coping with age-related eye diseases and disorders and the resulting changes in health and lifestyles is top-of-mind for this growing group of consumers. The AOA’s American Eye-Q® survey revealed that 40 percent of consumers age 55 or older are worried about losing their ability to live independently as a result of developing a serious vision problem. Many eye diseases have no early symptoms and may develop painlessly; therefore, adults may not notice changes in vision until the condition is quite advanced. Healthy lifestyle choices can help ward off eye diseases and maintain existing eyesight.

“Eating a low-fat diet rich in green, leafy vegetables and fish, not smoking, monitoring blood pressure levels, exercising regularly and wearing proper sunglasses to protect eyes from UV rays can all play a role in preserving eyesight and eye health, said Dr. Inouchi. “Early diagnosis and treatment of serious eye diseases and disorders is critical and can often prevent a total loss of vision, improve adults’ independence and quality of life.”

For those suffering from age-related eye conditions, Dr. Inouchi recommends following a few simple tips:

  • Control glare: Purchase translucent lamp shades, install light-filtering window blinds or shades, use matte or flat finishes for walls and counter-tops and relocate the television to where it does not reflect glare.
  • Use contrasting colors: Decorate with throw rugs, light switches and telephones that are different colors so they can be spotted quickly and easily.
  • Give the eyes a boost: Install clocks, thermometers and timers with large block letters. Magnifying glasses can also be used for reading when larger print is not available.
  • Change the settings on mobile devices: Increase the text size on the screen of smartphones and tablets and adjust the screen’s brightness or background color.
  • Stay safe while driving: Wear quality sunglasses for daytime driving and use anti-reflective lenses to reduce headlight glare. Limit driving at dusk, dawn or at night if seeing under low light is difficult.

Maintaining yearly eye exams, or more frequently if recommended by an eye doctor, provides the best protection for preventing the onset of eye diseases and allows adults to continue leading active and productive lifestyles as they age.

Parents and Children Don’t See Eye-to-Eye When it Comes to Technology Use

As technology use continues to rise both at home and in classrooms, parents severely underestimate the time their children spend on digital devices. A survey by the American Optometric Association (AOA) found that 83 percent of children between the ages of 10 and 17 say they use an electronic device for at least three hours each day. However, a separate AOA survey revealed that only 40 percent of parents believe their children use an electronic device for that same amount of time. This disparity is concerning to eye doctors and may indicate that parents are more likely to overlook warning signs associated with vision problems due to technology use.

digital-devices laptop, ipad and phone

Digital eye strain, a temporary condition caused by prolonged technology use, can cause children to experience burning, itchy or tired eyes, headaches, fatigue, loss of focus and blurred vision.

To protect vision from digital eye strain, children should make sure they practice the 20-20-20 rule: take a 20-second break, every 20 minutes and view something 20 feet away. Additionally, the following recommendations can help prevent or reduce digital eye strain:

  •  Position computer screens four to five inches below eye level and 20 to 28 inches away from the eyes. Digital devices should be held slightly below eye level.
  •  Prevent glare on the screen by turning your desk or computer away from windows or other light sources.
  •  Match the room lighting to the computer screen by substituting a lower-watt overhead light or using a dimmer switch.
  • Adjust font sizes to make text bigger and easier to read.
  •  Blink frequently to minimize the chances of developing dry eye.

Optometrists are also concerned about high-energy, short-wavelength blue and violet light emitted from everyday electronic devices and how those rays might affect and even age the eyes. Early research shows that overexposure to blue light could contribute to eye strain and discomfort and may lead to serious conditions such as age-related macular degeneration (AMD).

The AOA recommends that every child have an eye exam by an optometrist soon after 6 months of age and before age 3. The Pediatric Essential Health Benefit in the Affordable Care Act now provides children through age 18 with yearly comprehensive eye exams.

HMSA Members May Be At Affected By The Anthem Inc. Security Breach

HMSA posted this letter on their website acknowledging that some HMSA members personal information may have been compromised in the Anthem Inc. security breach.

Dear HMSA Member,

I’m sure you’re aware of the national news story that was reported on February 5 about the cyber attack against Anthem Inc., a Blue Cross and Blue Shield plan that serves residents in 14 states. Attackers accessed names, birthdays, medical IDs, Social Security numbers, street and email addresses, and employment information from millions of current and former Anthem members. No credit card or medical information has been reported stolen at this point in the investigation.

There’s a possibility that some HMSA members may be affected. We’re working with Anthem and the Blue Cross and Blue Shield Association to identify these members. You could be affected if you’ve received medical or hospital services in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, or Wisconsin.

It’s possible that not every member who’s received services in these states will be affected. Anthem will notify you directly by letter if your data has been accessed. In addition, you can go to AnthemFacts.com for the latest information or call the company’s toll-free number at 1 (877) 263-7995.

It’s very important to be careful about how you share your personal information. Internet scams have already emerged in the wake of the Anthem cyber-attack. Never give your personal information to anyone you don’t trust, particularly if they call or email you.

We know this is causing a great deal of anxiety and are monitoring the situation closely. We’ll share updated information as we receive it, so check this webpage regularly.

If you have questions, don’t hesitate to call us at (808) 948-6079 on Oahu or 1 (800) 776-4672 toll-free on the Neighbor Islands or the Mainland. TTY users can call 711.Sincerely,Michael A. Gold
President and Chief Executive Officer

Five Tips For a Lifetime of Healthy Vision

Here are 5 tips for a life time of healthy vision.  Honolulu eye doctors, Daniel Yamamoto, O.D. and Tracie Inouchi, O.D. suggest:

  1. Schedule Yearly Comprehensive Exams. Seeing a doctor of optometry regularly will help keep you on the path to healthy eyes.
  2. Protect against UV rays. No matter the season its important to wear sunglasses.
  3. Give your eyes a break from digital device use. Practice the 20/20/20 rule: every 20 minutes take a 20 second break and look at something 20 feet away.
  4. Eat your greens. Eat five servings of fruits and vegetables – particularly the leafy green variety.
  5. Practice safe wear and care of your contact lenses. Keep them clean.
Lifetime of Healthy Vision Seeing a doctor of optometry regularly will help keep you on the path to healthy eyes.
Lifetime of Healthy Vision

Eye Myth Debunked: Carrots Don’t Make the Cut as Top Eye-Healthy Food

Many consumers know they should eat five servings of fruits and vegetables each day but what they may not know is what you eat can affect your eye health and vision as you age. Six nutrients ― antioxidants lutein and zeaxanthin, essential fatty acids, vitamins C and E and the mineral zinc ― have been identified as helping to protect eye sight and promote visual health.

Since the body doesn’t make these nutrients naturally, it’s important that they are incorporated into your daily diet and, in some cases, supplemented with vitamins. Yet, according to the American Optometric Association’s (AOA) 2014 American Eye-Q® survey, 73 percent of Americans do not incorporate any specific foods or supplements into their diet to help improve eye health or vision.

Carrots Don’t Make the Cut as Top Eye-Healthy Food

Also, contrary to popular belief, carrots are not at the top of the list for foods that are among the best for the eyes. To increase your intake of essential eye-healthy nutrients, the AOA recommends adding the following to your diet:

Foods rich in lutein and zeathanthin including green, leafy veggies, such as spinach, broccoli and kale and bright yellow/red foods like tomatoes, peppers, egg yolks and mangos;

  • Omega-3 fatty acids such as salmon, tuna or mackerel;
  • Grapefruit, Brussels sprouts, strawberries, papaya, oranges and green peppers, which are the top sources for vitamin C;
  • Sunflower seeds, wheat germ oil, almonds, pecans and vegetable oils for Vitamin E; and
  • Turkey, oysters, crab, eggs, peanuts and whole grains for zinc.

To learn more about these important nutrients, visit www.aoa.org/patients-and-public/caring-for-your-vision/diet-and-nutrition.

The ninth annual American Eye-Q® survey was created and commissioned in conjunction with Penn, Schoen & Berland Associates (PSB). From March 20-25, 2014, PSB conducted 1,000 online interviews among Americans 18 years and older who embodied a nationally representative sample of the U.S. general population. (Margin of error is plus or minus 3.10 percentage points at a 95% confidence level)