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Does Obesity Impact Eye Health?

Nation-wide awareness about the vast dangers of obesity is at an all-time high. However, despite the public’s knowledge of obesity’s effects on hypertension, stroke, and diabetes, many are not aware of how it damages eye health and vision.

Increasing evidence shows that people who are clinically obese have an elevated risk of developing serious eye diseases. It is widely known that expanding waistlines place people at a higher risk of getting diabetes, heart disease, and cancer — but researchers say the link between obesity and deteriorating vision is the “risk factor that no one talks about”. Professor Michael Belkin and Dr. Zohar Habot-Wilner, from the Goldschleger Eye Institute at the Sheba Medical Center, found a consistently strong correlation between obesity and the development of four major eye diseases that may cause blindness: 

  • Age-related macular degeneration (AMD)
  • Cataracts
  • Glaucoma
  • Diabetic retinopathy

The researchers said that although the evidence was out there suggesting a link between obesity and these conditions, their study emphasizes the optometric risks of obesity which can help motivate people to shed those extra pounds.

How Obesity Contributes to Eye Disease

A Body Mass Index (BMI) of 25 is considered overweight and above 30 is regarded as obese. A high BMI is tied to several chronic systemic health conditions such as diabetes, cardiovascular disease, and stroke, among others. Recent research indicates that a handful of ocular diseases can now be added to that list. 

Serious eye conditions such as diabetic retinopathy, glaucoma, and age-related macular degeneration are more common in individuals with obesity, as well as floppy eyelid syndrome, retinal vein occlusions, thyroid-related eye diseases, and stroke-related vision loss. 

The connection between obesity and these eye diseases is likely due to the increased risk of peripheral artery disease. This occurs when the tiny blood vessels bringing oxygen to parts of your body like the feet, kidneys, and eyes become compromised.

Your eyes are particularly prone to damage from obesity because the blood vessels in the eyes (called arterioles) are easily blocked, since they’re extremely thin and small — as thin as ½ the width of a human hair! 

Most people are not aware that obesity may increase the rate of developing cataracts, too. Cataracts result when the focusing lens in the eye becomes cloudy and requires surgery to be replaced. In addition to age, cataract development is associated with obesity, poor nutrition, gout, diabetes and high blood sugar levels, though the exact cause isn’t clear.

A Healthy Lifestyle Can Reduce Your Risk of Ocular Disease

Knowing about the risk of vision loss may give those with a high BMI the extra motivational boost they need to lose weight. The good news is that a few lifestyle changes can reduce the associated risks.

An active lifestyle and a balanced, nutritious diet lower obesity and improve overall physical and eye health. Give your body a boost by incorporating important nutrients, such as vitamins C and E, zeaxanthin, omega 3, zinc, and lutein, many of which are found in green leafy and dark orange vegetables, as they have been shown to reduce the onset, progression, and severity of certain eye diseases. 

We Can Help Keep Your Eyes Healthy in Clio

While a healthy diet and regular exercise greatly increase your chances of living a disease-free long life, they alone are not enough to ensure long term healthy eyesight. Regular eye exams with Dr. Nicholas Belill can help prevent or detect the onset of ocular disease, and maintain vision that is clear and comfortable.

If you have any questions or concerns regarding your vision or eye health, don’t hesitate to call Belill Eye Care, PLC — we’re here for you. 

3 Ways Diabetes Can Affect Your Vision and Eyes

Did you know that people with diabetes are 20 times more likely to get eye diseases than those without it? There are three major eye conditions that diabetics are at risk for developing: cataracts, glaucoma, and diabetic retinopathy. To prevent these sight-threatening diseases, it’s important to control your blood sugar level and have your eyes checked at least once a year by an eye doctor. 

But First, What Is Diabetes?

Diabetes is a disease that is associated with high blood glucose levels. Insulin, a hormone produced by the pancreas, helps our cells get energy from the sugars we eat. Diabetes develops when the body doesn’t produce or respond to insulin effectively, leaving too much sugar in the blood stream instead. Over time, diabetes can lead to potentially irreversible ocular damage and poor eyesight. However, by taking care of your blood sugar levels and your eyes, you can prevent vision loss.

Annual eye exams are recommended for everyone, but routine screenings are even more important for diabetics. Eye doctors may send diabetic eye health reports to a patient’s primary care physician or internist to adjust medication as needed to prevent complications.

What’s the Link Between Vision and Diabetes? 

Blurred vision or fluctuating eyesight clarity is often one of the first noticeable signs that diabetes has begun to affect your eyes. Sometimes, fluid leaking into the eye causes the lens to swell and change shape. This, in turn, makes it difficult for the eyes to focus, resulting in fuzzy vision. Such symptoms can indicate that an eye disease is developing, or may simply be due to imbalanced blood sugar levels which can be rectified by getting your blood sugar back to healthy levels. 

If you start to notice blurry vision, make an appointment with Dr. Nicholas Belill as soon as possible.

The 3 Ways Diabetes Impacts Vision 

Cataracts

While cataracts are extremely common and a part of the natural aging process, those with diabetes tend to develop cataracts earlier in life. Characterized by a clouding or fogging of the lens within the eye, cataracts impede light from entering the eye, causing blurred vision and glares. The best treatment is cataract surgery, which is very safe and effective. 

Glaucoma

Glaucoma refers to a group of eye diseases characterized by optic nerve damage. Since it tends to impact peripheral vision first, glaucoma often goes unnoticed until significant damage has occurred. However, routine glaucoma screenings can detect warning signs; early treatment can prevent disease progression and vision loss. 

Although there is no true cure for glaucoma, most glaucoma patients successfully manage it with special eye drops, medication, and on occasion, laser treatment or other surgery. The earlier glaucoma is diagnosed and managed, the better the outcome.

Diabetic Retinopathy

Diabetic retinopathy occurs when the small blood vessels on your retina (capillaries) become weakened and then balloon (microaneurysm) due to poorly controlled blood sugar levels. The resulting poor blood circulation in the back of the eye causes more abnormal blood vessels to grow, which also bleed or leak fluid, and can lead to scar tissue, retinal detachment and even blindness, over time.

Often there are no symptoms until the advanced stages of diabetic retinopathy, where patients may begin to see spots and missing patches in their vision. Retinopathy can be treated through surgery and eye injections, but the best way to prevent this disease from progressing is to regularly have your eyes screened.

The good news is that diabetic eye disease can often be prevented with early detection, proper management of your diabetes and regular diabetic eye exams. Contact Belill Eye Care, PLC in Clio to set up your eye doctor’s appointment today. 

Your Eyes Are the Windows to Your Health

Your eyes aren’t just the windows to your soul — they can also reveal valuable information about your general health beyond whether you need glasses, including: diabetes, heart disease, and even cancer. It is not unusual for people to come in for an eye exam just to check their eyesight and then have certain health issues or predispositions picked up by the optometrist. 

Eye Exams and Your Health

Eye examinations can help doctors detect general health conditions early enough to intervene. Advanced screenings enable eye doctors to better predict cardiovascular incidents. Read below to learn how eye exams can unveil a whole lot more than just eye health.

Brain Cancer & Stroke

Because of the similarities between the blood vessels in the eye and brain, an eye doctor can occasionally detect an issue taking place in the brain by examining the blood vessels in the eyes. If swelling or shadows in the eye is observed, it may indicate a serious condition in the brain, like a tumor, or clots that might result in a stroke.

Diabetes

Diabetes can cause damage to the blood vessels in the retina at the back of the eye, resulting in Diabetic Retinopathy (DR) and Diabetic Macular Edema (DME). If an optometrist detects leaky blood vessels in the eye, the patient would be advised to see a doctor to help control their blood sugar. Changes are gradual, and they start before visual symptoms are noticed. The earlier diabetic eye disease is managed, the better the chances are of preserving eyesight. 

Hypertension

High blood pressure, characterized by having too much pressure in the blood vessels, can be detected during an eye exam, sometimes even before it’s diagnosed by your regular doctor. The damaged blood vessels lead to swelling, hemorrhages, and leaking — all of which can be observed in the eyes. According to the CDC, hypertension “the silent killer” affects nearly 1 in 3 adults, and up to a whopping 20% of those don’t even know they have it. So early detection at an eye doctor’s evaluation can be truly life-saving.

High Cholesterol 

Eye exams can also detect a buildup of cholesterol. High cholesterol is among the easiest conditions to spot during a complete eye exam, as the cholesterol deposits manifest on the front of the eye, appearing as a thin, gray rim around the cornea. It can also be detected in the retina by assessing artery and vein patterns.

These deposits may indicate the current or future development of Retinal Blood Vessel Occlusion, a condition where blockages restrict blood flow to the back of the eye, causing temporary or permanent vision loss. 

Heart Conditions

In some cases, heart conditions associated with a buildup of plaque in the carotid artery in the heart can also lead to deposits that clog the ocular arteries in the eye. If an optometrist detects such changes to the vascular structure at the back of the eye, he or she will typically recommend going to a specialist.

Multiple Sclerosis (MS)

Sudden vision loss may be attributed to Multiple Sclerosis (MS). While the optometrist can recognize signs indicating the presence of MS, such as the color and appearance of the optic nerve, such cases will be referred for further testing to confirm the diagnosis.

Thyroid

Thyroid disease can make itself apparent through the eyes in several ways. The thyroid gland controls the hormones that regulate tear production so some thyroid disorders can cause dry eye disease. Additionally, overactive thyroid (hyperthyroidism) can make the extraocular muscles enlarge and stiffen, causing bulging eyes — an indicator of Graves’ disease. 

Inflammation

Systemic conditions that are associated with inflammation in the body can have an inflammatory effect on the eyes. Uveitis, for example, causes eye inflammation, redness, and blurred vision, and tends to occur in people with lupus, rheumatoid arthritis, and other autoimmune diseases. 

Cancer

Breast cancer, leukemia, and other metastatic cancers are occasionally discovered during an eye evaluation. In addition to brain cancer mentioned above, melanoma and basal cell carcinoma (skin cancer) can be detected, and eye doctors can also diagnose lymphoma and other eye tumors. Eye exams save lives.

Your Eye Doctor’s Appointment Could Change Your Life

So the next time you visit Dr. Belill at Belill Eye Care in Clio, remember that a comprehensive eye exam can do more than determine your eyeglasses or contacts prescription. Dr. Belill can evaluate your eyes for existing or potential health issues, and communicate them to your primary care physician for the best possible care. By knowing that you’re at risk for a certain disease, you can take precautions early on and manage the condition as needed. After all, an ounce of prevention is worth a pound of cure.

Diet + Exercise + Eye Exams = Good Vision

Diabetes Awareness Month – Learn about Diabetic Eye Health in Clio

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 Clio 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 Clio 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 Clio, our eye doctor advises all adults with diabetes to visit yearly for a comprehensive dilated eye exam.

At Belill Eye Care, PLC, we put your family’s needs first. Talk to us about how we can help you maintain healthy vision. Call us today: 810-775-5100 or book an appointment online to see one of our Clio eye doctors.

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Cataract Awareness Month

June is Cataract Awareness Month. During this important time, people living with cataracts (and their loved ones) are encouraged to talk about their personal experiences by giving each other helpful information and sharing their knowledge and advice. Use the hashtag #CataractAwarenessMonth on your social media channels to encourage and support others.

Did you know that over 24 million Americans have cataracts? This makes it one of the most common age-related eye conditions today. Dr. Belill can diagnose cataract patients from all over mid Michigan and beyond, by using the newest and most effective methods of eye care. With millions of people living with the condition, it’s now more important than ever to bring awareness to this serious condition, so people know that treatment is available to restore their sight.

What Are Cataracts?

So what exactly are cataracts?

The internal crystalline lens of the eye is normally clear, which allows you to see things clearly and in sharp detail. Over time, the lens can become cloudy, causing blurry vision. It’s as if you’re looking through a dirty window and can’t really see what’s outside well. This clouding of the lens is called a cataract, and it can gradually affect one or both of your eyes.

What Causes Cataracts?

Aging is the most common cause of cataracts. The  internal crystalline lens of your eye contains water and proteins. As you age, these proteins can clump together, and when that happens, it becomes cloudy.

Did you know that certain types of major eye surgeries and infections can trigger cataracts? Other issues that can lead to cataracts include congenital birth defects, eye injury, diseases, and even various kinds of medications. If you’re already developing cataracts, be sure to wear sunglasses when going outside. UV rays from the sun can make cataracts develop faster.

How Can I Lower My Risk of Cataracts?

Certain risk factors increase your chance of developing cataracts. These typically include:

  • Diabetes
  • Excessive alcohol consumption
  • Family and medical history
  • Medications
  • Obesity
  • Smoking
  • UV ray exposure

To lower your risk, consider reducing your alcohol intake, quit smoking, start an exercise program, eat foods rich in vitamin A and C, and wear 100% UV blocking sunglasses.

Common Symptoms of Cataracts

If you have cataracts, you may experience some common symptoms like:

  • Blurry vision
  • Colors that used to be bright now appear dim
  • Double vision
  • Glare from natural sunlight or from artificial light, like light bulbs and lamps
  • Halos around lights
  • Night vision problems
  • Sensitivity to light

If you or a family member notice any of these signs, talk to Dr. Belill right away. The sooner you seek treatment, the faster we can help you get back to clear vision.

Coping With Cataracts

If you’re experiencing vision problems from cataracts, there is hope. If you have a mild case, a combination of a different eyeglass prescription and better lighting in your home, office, or other environment can improve your vision. In more advanced cases, Dr. Belill will likely refer you to a trusted cataract surgery to remove the cloudy lens and replace it with a clear one.

Do I Need Cataract Surgery?

Cataract surgery is one of the most common procedures today. In fact, the American Academy of Ophthalmology estimates that 2 million people undergo the procedure each year.

During the procedure, the surgeon will gently remove the cataract from the eye and replace it with an artificial intraocular lens (known as an IOL). Because it’s a common procedure, cataract surgery is usually performed in an outpatient clinic or in your eye doctor’s office. There is no need to stay in a hospital and you can usually resume your normal activities in just a few days.

If you’ve exhausted every other solution and still suffer from blurry vision from cataracts, surgery may be an option. Schedule a consultation online or call 810-564-2000 to book an eye exam appointment at Belill Eye Care and Dr. Belill will determine if cataract surgery is right for you. 

During this Cataract Awareness Month, share your stories and successes, and give your loved ones hope for a healthy and high quality of life.

Diabetes and Your Eyes

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes. 

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million. 

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.  

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring. 

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes. 

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy. 

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness. 

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages. 

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy. 

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss. 

Treatment for Proliferative Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from proliferative diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.