Posts Tagged ‘high blood pressure’

Hypertension could be lurking in your eyes

This past holiday, 26 people from my family gathered to celebrate. At some point in the evening, one of the hosts, who has diabetes and high blood pressure, had his blood pressure cuff sitting around; it’s a digital wrist cuff. You can’t have one of those things sitting at the table around this curious group without someone picking it up and playing with it. It became a game—a betting game, of course. We’re not just curious, we’re also competitive. It was all fun and games and while no one’s eye came out (gross), three of the men at the table showed frighteningly high blood pressure. All are relatively young men, seemingly healthy. And, while we were all participating in the spirits that accompany such a bash, the number of others who “played” our game offered a good enough control group of consistently accurate readings.

There could be several reasons that cuff read so high for these guys…user error, cuff too low in relation to the heart, vessels too far beneath the skin, and so on. However, we tested each person at the table three times, at different intervals and stages of rest. All fluctuated in heart rate, but consistently presented similar blood pressure. These three guys, whom I love and respect, could be ticking time bombs. I found myself in a quandary. I’m concerned. The writing seems to be on the wall, but I’m not a doctor. Should I say something?

I did. I couldn’t just sit back and let this slide. It was difficult to address when it’s not my expertise—not even close. But, I did it, privately and after the celebration. By talking to them, I had nothing to lose. If I didn’t speak up, I could literally lose them. I shared my concern and asked them to take the opportunity to get a way-past-overdue physical, including a COMPLETE eye exam by an optometrist.

They had no idea that a look into the eye may reveal the silent damage wrought by high blood pressure and diabetes and reflect the risk of a future stroke or heart attack. All I can do is hope they share my concern and check it out. If nothing else, they’ll have an answer. If it turns out to be nothing, they’ll have a reason to hassle me (the nosey-Nellie/worrywart). There has to be at least one of us to razz while sitting at the poker table. In this case, I’ll gladly wear that hat. If it turns out we caught something by playing our little impromptu game, then I’ll just be happy to be sitting at the table with them for a while longer.

No matter who you are, regular eye exams are important for seeing more clearly and seeing signs of diseases like hypertension, glaucoma, and diabetes.

To learn more, visit VSP Vision Care’s The Center.

Do you know what the inside of your eye looks like?

The inside of my right eye

Working at VSP, and also wearing glasses for more than ten years, I understand the importance of healthy vision. (I’m not going to lie, either; I love getting new glasses and can never seem to have enough.) Last week when I got my yearly eye check-up, I had the option to get a digital image of my eye in lieu of a dilated exam. I have to admit, I was curious to see what the inside of my eye looked like…just what was my eye doctor (Dr. Nakamura of Natomas Optometry) looking at in there?

At first glance, I was a little concerned with the red dot in the middle and white blob off to the side, but Dr. Nakamura explained to me that the red dot was actually the macula and the white spot was the optic nerve—both were supposed to be there. The macula is responsible for seeing things in detail and our “central vision” (as in not peripheral vision) while the optic nerve is what carries the visual information to the brain. (Quick clip: the eye is like a camera.)

I thought it was rather interesting to see my own eyes on the screen in front of me. What I liked most was how Dr. Nakamura could show me that my eyes were healthy by comparing my images to sample pictures with various eye or eye-related health conditions like diabetes, high blood pressure, cataracts, and macular degeneration. I was happy to see my eyes didn’t have any of those problems.

P.S. I just got computer vision glasses for the first time, and I am really excited about them. I will write about what I think of them after I have used them a week or so.

Pregnancy can affect my eyesight?? (Part 2)

Jill N. is a member of the VSP Global Public Relations team.

Jill N. is a member of the VSP Global Public Relations team.

In this second segment of my educational journey learning about the potential changes in my vision as a pregnant woman, Dr. Parenti shares the symptoms that, if you experience, should be addressed immediately:

Diabetes:

Women who are diabetic before their pregnancy and those who develop gestational diabetes need to watch their vision closely. Blurred vision in these cases may indicate elevated blood sugar levels and need to be addressed. However, most women who develop gestational diabetes don’t develop diabetic retinopathy.

High Blood Pressure:

In some cases, a woman may have blurry vision or spots in front of her eyes while pregnant which can be due to an increase in blood pressure during pregnancy, also known as preeclampsia and eclampsia.

Glaucoma:

Women being treated for glaucoma should tell their eye doctor right away if they are pregnant or intent to become pregnant. While many glaucoma medications are safe to take during pregnancy, certain glaucoma medications could be harmful to the developing baby.

Finally, Dr. Parenti humored me by answering a few more specific questions. Since I can’t be the only one thinking of these, I thought I’d share these as well:

So if I don’t benefit from improved vision when pregnant like some may, can I go ahead with having laser vision correction while pregnant?

Laser vision correction is not the best idea for pregnant or nursing women. You’ll want to wait until after the pregnancy and breast feeding. When you are pregnant, the cornea changes immensely. You need both a stable cornea and prescription prior to laser vision surgery to avoid complications. Even without the risk of complications, there is a risk of wasted money as your prescription could easily revert back due to the changes. It is recommended you wait at least one year after having laser vision correction before getting pregnant due to the same reasons.

Can I wear my contact lenses when I go into labor (because I assume I can plan for this, can you tell this is my first pregnancy?)?

Ideally, you should take out your contacts if already wearing them or wear your glasses if you are not. Should an emergency procedure become necessary, time would not be allowed to remove your contacts and you could risk severe dry eye or tearing of your contacts, among other things. If you absolutely must wear them, ask your doctor to fit you for an extended wear contact lens that can stay in for one or more weeks.

Any final words of advice?

A comprehensive eye exam should be included in your prenatal routine, even if you don’t require a prescription. Let your eye doctor know that you are pregnant so you can both discuss the best options for you.

Next blog – when should you bring your baby in for their first eye exam?

May is National Healthy Vision Month

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In observance of Healthy Vision Month, VSP Vision Care wants to remind you to make eye health a priority by scheduling an eye exam with your VSP eye doctor. Eye exams not only check vision, they can also detect signs of related health conditions such as diabetes, high cholesterol and high blood pressure, just to name a few.
 
The National Eye Institute (NEI) proclaimed May as Healthy Vision Month in 2003 to elevate vision as a health priority for the nation. This year’s theme is “Your Eyes Are The Windows To Your Health.” There are millions of people living in the U.S. with undetected vision problems, eye diseases and related health conditions that can be detected and/or resolved with a visit to an eye doctor. We hope you join us in preserving the sense of sight and maintaining high quality eye health for all Americans.  
 
As many of you know, VSP Global is part of the Think About Your Eyes Coalition, with Essilor and Luxottica, and are helping remind Americans about the important of receiving an annual eye exam. Be sure to keep an eye out in New York City next week, as the Coalition will be putting on an ”eye-catching” event on Tuesday, May 25th. You can find the latest news on this upcoming event and the Coalition’s activities on their social media channels on Facebook and Twitter.
 

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Can Medical Conditions be Found During Eye Exam?

This is the second post of a three-part video series about how eye exams can show signs of health conditions, like diabetes. In this video, Dr. Sasha Penn discusses how signs of medical conditions can be seen during an eye exam.

 

For more information about EyeCare Associates of San Francisco, check out their website at www.eyecaresf.com.

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Your Window to Wellness

I recently wrote about how VSP’s Eye Health Management® program helped the State of California generate significant healthcare cost savings (Million Dollar Service). This program focuses on VSP doctors identifying their patients’ symptoms of serious diseases such as diabetes. Then VSP shares HIPAA-compliant data with the patients’ health plan or disease manager to help ensure that they can proactively manage their disease.

A key reason for the importance of annual eye exams is that the eyes are the only part of your body that provides an unobstructed view of your blood vessels.  During a comprehensive eye exam your eye doctor can observe abnormalities in these tiny blood vessels that may indicate symptoms of eye disease or systemic conditions such as diabetes, high blood pressure, and high cholesterol. VSP network doctors have received advanced training and certification to diagnose symptoms of many medical conditions and treat some medical eye conditions.

Preventative care offers a path to early detection of serious health conditions -a key factor in managing disease, achieving the best outcomes, and ultimately reducing healthcare costs. Combined research from VSP, the U.S. Census, and the National Center for Health Statistics clearly demonstrates the important role of eye exams in preventative care. While 54 percent of the U.S. adult population has an eye exam each year, only 16 percent of the population visits a physician for preventative care. Since eye exams are three times more prevalent than physical exams, they represent an important opportunity for early detection and are a critical component in preventative care.

The eyes are truly windows into your health and a comprehensive eye exam involves a lot more than vision correction and picking the right glasses or contact lenses. As a nation looking to save every dollar we can on healthcare expenses, an annual eye exam for every person seems a reasonable and cost-effective way to make sure that we’re proactively addressing diseases before they result in major costs. Even more important than these cost savings are the lives we can make better along the way.

Eye Health Management® offers a tremendous opportunity to uncover a number of life-threatening conditions and I’m proud to say that VSP is the only eyecare provider that’s tackling this issue head on. I’ll look forward to your thoughts on how we can get more people connected to a comprehensive annual eye exam and identify other ways to generate healthcare savings in America.

Rob