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Pink Eye? It Could Be Coronavirus

How to prevent conjunctivitis and protect your eyes

When you have a virus, especially one that causes a hacking cough, runny nose, and other symptoms of a common cold or flu, it’s typical for your eyes to also get puffy and red. You may be suffering from viral conjunctivitis, also known as pink eye.

How do viruses get into your eyes?

It’s rather simple. When you’re sick, you can easily transfer viruses to your eyes by sneezing, coughing into your hands, or blowing your nose – and then touching the area around your eye.

The coronavirus – pink eye connection

According to the American Academy of Ophthalmology (AAO), doctors have discovered that COVID-19 can cause conjunctivitis. If you’re standing within six feet of an infected person, and they cough or sneeze, the virus can enter your eye. Alternatively, if someone sneezes and virus particles land on the shopping cart that you take and push around a store, and then you touch your eyes without washing your hands first – you’re giving the virus direct access.

despite the apparent ease with which coronavirus can infect eyes, the AAO reports that only about 1 – 3% of all patients with the virus contract pink eye.

Preventing pink eye

Like always, prevention is the most effective medicine! Eye care professionals recommend following these tips to help prevent getting viral conjunctivitis:

  • Wash your hands correctly

The CDC instructs people to wash their hands in accordance with these steps: wet your hands, turn off the tap, apply soap, lather and scrub for 20 seconds, turn on tap and rinse. Air dry your hands, use a disposable paper towel and discard it immediately, or use a clean (not shared) towel.

  • Keep your fingers away from your face

No rubbing or wiping your eyes! Even if you don’t feel any symptoms of coronavirus, it’s essential not to touch any part of your face. To wipe away tears or remove makeup, use a clean tissue.

  • Don’t share your personal things

As generous as you may feel about letting others use your personal items, now’s the time to keep things to yourself. For example, the CDC recommends not sharing eye drops, makeup, makeup brushes, contact lenses cases, pillowcases, or towels. Pink eye is highly contagious.

  • Consider wearing glasses instead of contacts

While there’s currently no evidence to prove that wearing contacts raises your risks of contracting the novel coronavirus, there’s some evidence that shows you can get Covid-19 by touching a contaminated surface and then touching your eyes. In general, contact lenses wearers touch their eyes more often than people who wear eyeglasses, so it may be smart to make a temporary switch from contact lenses to glasses. However, this is only a friendly recommendation and not a hard-and-fast rule. If you prefer to stick with wearing contacts, washing your hands thoroughly can help keep you and your eyes safe.

Treatment for conjunctivitis

Regardless of whether your pink eye is caused by coronavirus or a different virus, there is no treatment for viral conjunctivitis. Usually, it goes away on its own within one to two weeks.

To alleviate your painful symptoms, eye doctors recommend:

  • Taking an over-the-counter pain medication, such as acetaminophen, ibuprofen or any anti-inflammatory drug
  • Applying a warm compress on your eye for a few minutes; take care to use a clean wash cloth each time and for each eye
  • Use artificial tears (lubricating eye drops) to soothe your eye irritation; don’t touch the bottle tip to your eye

Are you sick and have pink eye symptoms?

Now is not the time to make a DIY diagnosis. Eye redness, even if you have a virus, doesn’t necessarily indicate that you have conjunctivitis. A wide range of other conditions can lead to the same symptoms. Contact an eye doctor near you for help to figure out what’s causing your eye pain. Don’t visit your eye care practice without calling for guidance first, because extra precautions must be taken with patients who may have COVID-19.

At Mill Creek Vision, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 425-745-5650 or book an appointment online to see one of our Mill Creek eye doctors.

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Did You Know That 20% of People Sleep With Their Eyes Open?

Mill Creek eye doctor treating eye open during sleep

Ever heard the saying “to sleep with one eye open”? It’s generally used as a metaphor when advising one to stay vigilant. But sleeping with eyes open is a common eye and sleep disorder known as nocturnal lagophthalmos. In fact, the National Sleep Foundation estimates that about 1 in 5 people sleep with their eyes open.

This condition is problematic because it can interfere with sleep and impact eye health. People may not get as much sleep, or sleep as soundly as they’d like, due to the pain and discomfort caused by the eyes drying out during the night.

Nocturnal lagophthalmos generally indicates an underlying medical condition, such as a thyroid problem or an autoimmune disorder. If upon waking you experience irritated, dry, tired, red, or painful eyes, or if you suspect you might be sleeping with your eyes open, speak with Dr. Fred Arima at Mill Creek Vision today.

What Happens When You Sleep With Your Eyes Open?

People who have nocturnal lagophthalmos may not even know they have it. It is difficult to evaluate whether your eyes are closed when you’re actually asleep. However, some important indicators may point to the condition, including:

  • Eyes that feel scratchy, irritated and dry
  • Blurred vision
  • Red eyes
  • Eye pain
  • Tired eyes

For those with nocturnal lagophthalmos, the eye loses the protection of a closed lid and becomes dehydrated, causing the tear layer to evaporate and the eyes to become dry. Nocturnal lagophthalmos also reduces the eye’s ability to discharge contaminants such as dust and debris that fall into the eye during the night. These contaminants can potentially lead to:

  • Eye infections
  • Corneal damage, such as corneal abrasion, sores and ulcers
  • Eye dryness and irritation
  • Poor quality sleep
  • Loss of vision

Why Do We Close Our Eyes to Sleep?

There are several reasons why it’s important to close our eyes while we sleep. Closed eyelids block light, which stimulates the brain to wakefulness.

Closing our eyes also protects and lubricates the eyes while we sleep. If your eyelids don’t close, your eyes become more susceptible to dryness, infections, and debris that can scratch and damage the cornea.

Why do Certain People Sleep With Their Eyes Open?

There are a number of reasons people might sleep with their eyes open. The most common reasons for nocturnal lagophthalmos include:

Problems With Facial Nerves and Muscles

Issues with facial nerves and muscles surrounding the eyelid can cause the lid to remain open during sleep. Weakness in facial nerves can be attributed to several factors.

  • Injury or trauma
  • Stroke
  • Tumor
  • Bell’s palsy, a condition that causes temporary paralysis or weakness of facial muscles.
  • Autoimmune disorders and infections, such as Lyme disease, chickenpox, Guillain-Barre syndrome, mumps, and several others.
  • Moebius syndrome, a rare condition that causes problems with cranial nerves.

Damaged Eyelids

Eyelids can become damaged as a result of surgery, injury or illness, making it difficult to fully close the eyes during sleep. Furthermore, a condition known as floppy eyelid syndrome can also interfere with eye closure, and is often associated with obstructive sleep apnea (OSA). OSA is commonly linked to eye diseases like glaucoma and optic neuropathy.

Thyroid-Related Eye Problems

A common symptom of Grave’s disease, a form of hypothyroidism, is protruding eyes. The bulging eyes, known as Graves’ ophthalmopathy, can prevent the eyes from closing.

Genetics

There also tends to be a genetic component to nocturnal lagophthalmos, as it often runs in families. Whatever the cause, the symptoms of nocturnal lagophthalmos are uncomfortable and the consequences can lead to ocular complications.

Can Nocturnal Lagophthalmos Be Treated?

This condition can be treated in several ways, depending on the underlying cause and severity of symptoms. Treatments include:

  • Administering artificial tears throughout the day, providing a film of moisture around the eyes that protects them at night.
  • Wearing an eye mask or goggles to protect the eyes from external debris and visual stimulation. These items are uniquely designed to generate moisture for the eyes while you sleep.
  • Using a humidifier, which provides a moisture-rich environment to prevent your eyes from drying out.
  • Wearing eyelid weights to help keep the eyelids closed.
  • In acute cases, surgery may be recommended.

Make sure to consult your Mill Creek eye doctor before undertaking any of these treatments.

Because nocturnal lagophthalmos sometimes signals an underlying condition, it is especially important to contact Dr. Fred Arima at Mill Creek Vision in Mill Creek for a proper diagnosis and to receive prompt treatment. If nocturnal lagophthalmos is left untreated for an extended period, patients risk seriously damaging their eyes and vision.


At Mill Creek Vision, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 425-745-5650 to find out our eye exam appointment availability. or to request an appointment with one of our Mill Creek eye doctors.

Best Eye Hygiene Tips

4 Tips to Prevent Eye Infections | Eye Doctor Near You

What Causes Eye Infections?

Viruses are responsible for many infections, such as the flu, the common cold, conjunctivitis (pink eye) and coronavirus. With the coronavirus (COVID-19) pandemic in full-swing, it’s important to be aware of good hygiene practices, especially for the eyes, as they are a portal for infectious diseases. By implementing the practices below, you can significantly reduce the risk of contracting or transmitting a viral infection.

What Is a Virus?

A virus is a submicroscopic infectious agent that reproduces itself by invading a host cell, replicating its DNA inside it. This infected cell then replicates rapidly, spreading millions of new viral cells throughout the body. Once infected, we feel sick and experience the unpleasant side effects of rising temperature, sore limbs and other symptoms as our immune system recognizes the virus as being foreign and vigorously fights against it.

How Does a Virus Travel Between Organisms?

For a virus to cause disease, it must first enter a body, called a target host. A target host can get infected directly, via infected droplets (such as when kissing), or indirectly, when coming into contact with droplets from a cough, sneeze, or tears left on a surface. Infected droplets enter the body through one of the mucous membranes, such as the eyes, nose or mouth.

Even if the infected person near you shows no symptoms, they can still be contagious. Depending on the virus, it can survive on a surface for some time and can be picked up from a doorknob or an elevator button. This is why practicing good hygiene is an effective way to prevent indirect viral transmission.

4 Crucial Eye Hygiene Practices

By implementing the following hygiene practices, you will better protect yourself and others from viral infection.

1. Routinely wash your hands

We, humans, touch many surfaces throughout the day. If we’re not careful, we can catch an infection, particularly from hard surfaces like plastic and stainless steel.

Viruses can also be picked up while preparing and eating food; using the toilet; or handling an animal. Make sure that you regularly and thoroughly wash your hands, ideally for a minimum of 20 seconds with soap and water, to kill viruses (and bacteria) on the surface of your skin. If soap and water aren’t available, use an alcohol-based hand sanitizer.

2. Keep your hands off your face

Studies show that the average person touches their face up to 23 times per hour, and that the majority of contacts involve the eyes, nose and mouth. Doing so puts you at risk for getting a virus or transmitting the virus to another. Try to be conscious and avoid touching your face whenever possible.

3. Avoid rubbing your eyes

Rubbing your eyes is an instinctual response to tiredness or itchy eyes. It feels great to rub your eyes because doing so stimulates tear production, temporarily relieves itchiness, lubricates the eyes, and removes irritants. However, if your hands are unwashed, rubbing your eyes can put you at risk of contracting an infection, such as conjunctivitis or coronavirus. In fact, conjunctivitis has been linked to respiratory infections like the common cold, the flu, and COVID-19.

4. Use makeup with caution

Given the information provided above regarding infections, the following advice should come as no surprise:

  • Don’t share your makeup with anyone else, whether for eyes, lips or face.
  • Don’t use a cosmetic brush previously used by another when testing makeup products. Instead, request single-use applicators and wands.
  • Don’t use a product past its expiration date.
  • Don’t use the same makeup products after you’ve been sick or have had an eye infection.
  • Don’t share face cloths or face towels with anyone else.
Mill Creek Vision at Mill Creek is committed to helping you manage your long-term eye health. From all of us at Mill Creek Vision, please stay safe and take care of yourself and your loved ones. Call us today: 425-745-5650 to find out our eye exam appointment availability. or to request an appointment with one of our Mill Creek eye doctors.

Trouble Seeing at Night? All About Night Blindness

At this time of year when the sun sets earlier, many people are affected by night blindness. Night blindness or nyctalopia refers to difficulty seeing at night or in poor or dim lighting situations. It can be caused by a number of underlying conditions, sometimes completely benign and sometimes as a symptom of a more serious eye disease. So, if you are experiencing trouble seeing in low light, especially if it is a sudden onset of the condition, it is worth having it checked out by your eye doctor.

Signs of Night Blindness

The main indication of night blindness is difficulty seeing well in dark or dim lighting, especially when transitioning from a brighter to a lower light environment, like walking from outside into a dimly lit room. Many experience difficulty driving at night, particularly with the glare of streetlights or the headlights from oncoming traffic.

Causes of Night Blindness

Night blindness is a condition that can be present from birth, or caused by a disease, injury or even a vitamin deficiency. In order to treat the condition, your eye doctor will need to determine the cause. Here are some of the common causes:

  • Nearsightedness (myopia) – many people with nearsightedness (or difficulty seeing objects in the distance) experience some degree of night blindness, especially when driving.
  • Retinitis Pigmentosa – a genetic condition in which the pigmented cells in the retina break down causing a loss of peripheral vision and night blindness.
  • Cataracts – a clouding of the natural lens of the eye causing vision loss.
  • Glaucoma – a group of diseases that involve damage to the optic nerve and subsequent vision loss.
  • Vitamin A Deficiency – vitamin A or retinol is found in greens (kale, spinach, collards, broccoli etc.), eggs, liver, orange vegetables (carrots, sweet potatoes, mango etc.), eggs and butter. Your doctor may also prescribe Vitamin A supplements if you have a serious deficiency.
  • Eye Surgery – refractive surgery such as LASIK sometimes results in reduced night vision as either a temporary or sometimes permanent side effects.
  • Injury – an injury to the eye or the part of the brain that processes vision can result in reduced night vision.
  • Uncorrected Visual Error – many people experience better daytime vision as the pupils are smaller and provide greater depth of field to compensate for any vision problems. At night, the pupils dilate, so blur is increased from uncorrected nearsightedness, farsightedness, astigmatism or distortions/aberrations on the cornea from refractive surgery. Even a slight prescription for someone who may not need glasses during the day can make a significant improvement in night vision.
  • Eyewear Problems – even if your vision correction is accurate, badly scratched glasses or poor/defective lens coatings can also cause trouble seeing at night. Special lens coatings are now available on glasses for night time and foggy conditions.

Treatment for Night Blindness

Some causes of night blindness are treatable, while others are not, so the first step is a comprehensive eye exam to determine what the root of the problem is. Treatments range from simply purchasing a special pair of glasses, lens coatings or contact lenses to wear at night (for optical issues such as myopia) to surgery (to correct the underlying problem such as cataracts), to medication (for diseases like glaucoma). In some cases, your doctor may recommend that you avoid driving at night. During the day, it may help to wear sunglasses or a brimmed hat to ease the transition indoors.

As with any change in vision, it is critical to get your eyes checked as soon as you begin to experience symptoms, and on a routine basis even if you’re symptom-free. Not only will this improve your chances of detecting and treating a vision-threatening disease if you have one brewing, but treatment will also keep you more comfortable seeing in low-light, and keep you and your loved ones safe at night or in poor light conditions.

At Mill Creek Vision, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 425-745-5650 or book an appointment online to see one of our Mill Creek eye doctors.

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Diabetes Awareness Month – Learn about Diabetic Eye Health in Mill Creek

November is Diabetes Awareness Month, a time to learn more about diabetes of all types – type 1, type 2, and gestational diabetes.

Everyone knows the word “diabetes,” but can you define the condition? Diabetes is a disease characterized by higher than normal glucose levels in your blood. Blood glucose is what fuels your body, and it comes from the food you eat. When blood sugar flows through your bloodstream, insulin is needed to help it enter your body cells so it can be used for energy. However, if you have diabetes, your body may make insufficient insulin or not be able to use the insulin properly. As a result, all that sugar stays circulation in your blood – unable to be converted into energy.

Diabetes can be managed very well through diet, exercise, and taking medication. Without controlling diabetes by keeping blood sugar levels within the parameters recommended by your doctor, the high blood sugar can damage many organs – including your eyes. Staying healthy by following your personalized diabetes management plan and making sure to visit your eye doctor for regular eye exams, you can pave your path to good vision and eye health!

Diabetic eye health & diabetic eye disease

To state the facts – diabetes-related eye disease can lead to vision loss, but if you have diabetes, you can minimize your risk of developing diabetic eye disease. Taking charge of your health and visiting our Mill Creek eye doctor for regular eye exams can help prevent these diseases from developing.

Diabetic eye disease comprises several ocular conditions:

  • Diabetic retinopathy – occurs when the small blood vessels in your retina bleed and leak
  • Macular edema – swelling that occurs along with retinopathy; it happens when the retinal blood vessels in the macula (central region of the retina) leak and lead to inflammation
  • Cataracts – a clouding of the lens in the eye, which can cause blurry vision
  • Glaucoma – increased intraocular pressure, which damages the optic nerve and can cause loss of peripheral vision

Diabetes eye exams

With regular check-ups by our Mill Creek eye doctor, you can help prevent eye problems or keep the problems minor. One mistake that many people with diabetes make is to assume that a diabetes eye exam is only necessary if they notice any symptoms. This couldn’t be further from the truth! A comprehensive eye exam is the only reliable way to detect several eye conditions that can cause vision loss, such as diabetic retinopathy, glaucoma, and cataracts. Early detection of these problems can make the difference between effective, successful treatment and damage to your vision. During your dilated eye exam, the eye doctor will use high-powered magnification to inspect the inner tissues of your eye thoroughly, checking the retina for signs of diabetic retinopathy and checking the optic nerve for any damage.

According to the American Diabetes Association (ADA) guidelines:

  • People with type 1 diabetes should have their first diabetic eye exam within the first five years
  • People with type 2 diabetes should visit their eye doctor for the first diabetic eye exam immediately after diagnosis. Type 2 diabetes can remain undetected for years, and vision damage can occur during this time.
  • Women with gestational diabetes should have an eye exam during the first trimester of pregnancy

After the first diabetic eye exam at Mill Creek, our eye doctor advises all adults with diabetes to visit yearly for a comprehensive dilated eye exam.

At Mill Creek Vision, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 425-745-5650 or book an appointment online to see one of our Mill Creek eye doctors.

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