Are online eye tests any good?

Have you considered getting online eye tests? The idea of being able to get an eyeglass prescription and buy glasses without a trip to the eye doctor may sound appealing. Before ditching the traditional eye exams, there are a few things you need to know!

Online Eye Tests

The most important thing to know about online eye tests is they do not evaluate the health of your eyes. Even if they are called “online eye exams,” these exams only measure your visual acuity and refractive error. Some online eye tests can check for contrast sensitivity and color blindness. However, none of this can tell the health of your eyes.

The only way to know the complete health of your eyes is through eye exams with your doctor. During an eye exam, your doctor can detect vision-threatening conditions such as cataracts, glaucoma, or macular degeneration. Early detection of these conditions can prevent vision loss and blindness.

Know The Risks:

  • Online eye exams cannot detect eye diseases
  • Improper testing can occur due to error or misreading instructions
  • Higher chance of getting incorrect prescription due to self-administered the eye test
  • If you think the prescription is incorrect, your only option is to pay again and retake the test
  • An eyecare professional is not present to answer questions or concerns

Validation of Online Eye Tests

The results of online eye tests have not been guaranteed to be accurate measures of your prescription. Due to this being relatively new technology, there have not been enough studies to determine the reliability and validity of online eye tests.

Additionally, many online eye tests say their technology is suitable only for people between the ages 18 and 40 who are in good health. The limitations of the eye test raise concerns to the overall validity of the test. For these reasons, we do not recommend them as your sole option for your receiving your prescription.

The best way to ensure your eyes are healthy, you receive the correct prescription, and get answers to all your questions is through face-to-face eye exams with your eye doctor. Our staff of trained eyecare professionals will help you through every step of the process. Our office is here to address any questions or concerns you may have.

Vision Development and Children

Childhood is a critical time for vision development. Nearly 80% of what a child learns in school is presented visually. Arguably making vision the most important of the five senses. Visual skills start developing during pregnancy and continue to evolve and develop as a child grows. Undetected vision problems can cause developmental and educational delays in children.

Infant Vision Development

Your infant’s vision starts developing during pregnancy. It is crucial that toxins are not consumed during pregnancy as they can cause serious vision problems. At birth, babies only see black, white, and shades of gray. Infants are unable to focus on objects for several months and can only see the outline of objects.

As infants grow, they can distinguish between high contrast colors. By six months your child can see color, has sharper vision, and has begun developing hand-eye coordination skills. Schedule your child’s first eye exam at six months to make sure their eyes are healthy and on the right developmental track. Detection of eye health issues and vision problems at this stage in development can help to ensure your child does not experience setbacks in learning and growth.

When your infant begins to crawl and potentially walk they are learning to coordinate their body movements and their vision. Over time, your child will become better at judging distances. However, this is also a time when your child may grow more injury prone because they are exploring their environment. Bumps, bruises, eye injuries, and other injuries can occur which is why it is so vital to ensure that your infant’s vision is on track to prevent these injuries as much as possible.

Early Childhood Vision Development

During these years your child will be growing, developing, and improving their visual skills. It is recommended to schedule your child eye exam at three years old. Even if you don’t think your child has vision problems, your child is growing and changing. A comprehensive eye exam before your child enters school provides enough time to catch and correct any vision problems.

They are discovering how to integrate their vision and body position to complete new tasks. They learn this through playing games, throwing a ball, and riding a bike. Children are also working on developing their fine motor skills. The primary way preschool age children are learning this is through writing their name and the alphabet.

Between the ages of 3 to 6 is when you, as a parent, may begin to notice signs of a vision problem. If your child complains about headaches or tired eyes, this could potentially be due to a vision problem. Signs of vision problems include squinting, tilting the head, frequently rubbing eyes, and closing one eye to see. Additionally, look for sitting too close to a tv, holding a book too close, or avoiding activities that require near or distance vision. Some of these activities include coloring, reading, playing ball, or tag if you notice these signs in your child schedule an eye exam as soon as possible. Correct their vision before any learning is delayed!

Screen Time and Children

Screen time is the amount of time a person spends staring at digital displays including computers, tablets, smartphones, and TVs. In our modern and technology-focused world children are spending time on digital displays for educational and recreational purposes. Children who spend several hours on digital devices are at risk of developing vision-related problems.

Average Time Children Spend On Digital Devices

According to the Vision Council, 72% of American parents report their children regularly spend more than two hours on screens per day. It is likely that children spend significantly more time on screens than their parents think. Common Sense Media reports that children under age eight spend more than two hours a day with screen media. For 8 to 10-year-olds screen time triples to six hours per day. Kids in middle school and high school spend up to nine hours per day looking at digital displays.

Risks of Screen Time

Too much screen time can be dangerous for anyone’s eyes, children included. Screens emit a broad spectrum of visible light. While most of these light rays are harmless, blue light is a high-energy visible light that can cause damage to your eyes. Blue light has shorter wavelengths and higher energy causing harm to the retina over time. Overexposure to blue light can cause:

  • Difficulty sleeping
  • Headaches
  • Neck/shoulder pain
  • Eye strain
  • Reduced attention span
  • Poor behavior
  • Irritability

Computer Vision Syndrome

Computer vision syndrome is a condition caused by visual stress. Symptoms include tired eyes, dry eyes, headache, and fatigue.

Unhealthy Posture

Your body naturally slouches inwards when on digital devices. Your back and shoulders round, your head tilts back, and your chin justs forward. This reaction to digital devices is called “turtling” and can cause neck, back, and shoulder pain.

How To Protect Your Child’s Eyes

It is clear digital devices will not be going away anytime soon. Therefore it is essential to ensure you are doing everything you can to protect your children’s eyes from digital screens. One way you can do this is by limiting screen time for your children while at home. You can also apply blue light filters or download blue light filtering apps to all digital devices. If your child wears prescription glasses, ask us about add blue light blocking to their lenses during your next appointment.

Nighttime Use

The largest source of blue light is our sun, which tells our brain when to be awake or sleep. The high use of digital devices emitting blue light may disrupt your natural circadian rhythm (sleep cycle) by miscommunicating the time of day and if you should be awake or asleep. Stop digital device time two hours before usual bedtime to ensure your child’s sleep schedule affected by blue light.

Do you have more questions about screen time and blue light? Stop by our office or give our office a call and we would be happy to answer your questions!

Nutrition and Your Eyes

The foods you eat and the dietary supplements you take affect your overall health and the health of your eyes. Nutrition and your eyes are linked together and can help prevent certain eye diseases along with other health problems.

Healthy Foods

Choosing healthy foods improves your overall health as well as your eye health. Dark green or brightly colored fruits and vegetables are essential parts of a healthy diet. These fruits and vegetables may also help to reduce the risks of developing eye diseases. Sugars and white flours may increase your risk of age-related eye disease, instead, opt for whole grains which do not have the same risks. Healthy fats containing omega-3 essential fatty acids are critical to your diet. These healthy fats can help prevent dry eyes and cataracts.

Hydration

Staying hydrated is essential to the health of your eyes. Drink plenty of water every day! We also recommend choosing healthy beverages and avoiding high sugar beverages. Proper hydration is linked to the reduction of dry eye symptoms.

Nutrients

Nutrients are an essential part of a healthy diet. These nutrients can be found in foods but can also be taken in supplements to ensure you are receiving the proper amount in your diet. Consult with your primary care provider before taking any dietary supplements. Here are a few nutrients that may have a link to eye health:

  • Vitamin A: may protect against night blindness and dry eyes
  • Omega 3 fatty acids: may prevent macular degeneration and dry eyes
  • Vitamin C: may reduce risks of cataracts and macular degeneration
  • Vitamin D: may reduce risks of macular degeneration
  • Zinc: may reduce risks of night blindness
  • Vitamin E: may reduce the risk of advanced macular degeneration

Aging Eyes

As you age, it is essential to consider all factors that could affect the overall health of your eyes. Not only should you adopt a healthy diet, but you can also do several other things to protect your eyes. One way to protect your eyes is to avoid overexposure to ultraviolet rays, which includes wearing sunglasses outdoors and staying away from tanning beds. Now is the time to quit smoking, not only is smoking harmful to your overall health it also increased your risks for many eye diseases. Finally, ensure that you are getting annual eye exams to detect any eye diseases before they cause permanent vision loss.

Nutrition and your eyes are highly connected, continue to find ways to feed your body the food and nutrients it needs to live a healthy life with healthy eyes.

What’s in a Prescription?

It seems like contact lenses and glasses would use the same prescription. After all, the idea is that your eyes don’t see quite right, so you use a lens to change the view, and then you see clearly, right? Well, the two prescriptions are quite different. Few patients check the numbers or notice any change during the exam process, but the prescriptions are not the same because of where the lens sits in relation to your eye.

The lens of your glasses rests about twelve millimeters from your eye. Contact lenses, on the other hand, are placed directly on the surface of your eye. Why would this make your prescription different? Well, think about holding a magnifying glass out in your hand. When you hold it far away and look through, the view you see is much different than if you try to hold the magnifying lens up close to your eye. The same principle is in play when you consider glasses in contrast to contact lenses.

If you’re still imagining the magnifying glass held out in your hand, think about how grass would look if you’re sitting on the ground and have the magnifying glass down near the grass. You’d be able to see the blades clearly, right? If you held the magnifying glass up close to your eye, the refraction would be so strong that you wouldn’t be able to see anything other than a blur. The power of the glass would need to be reduced for you to see clearly. This is the reason why your contact lens prescription is weaker than your glasses, but you get the same crisp, clear vision with each. Neat, right?

Not all contact lens prescription powers are drastically less than the glasses prescription for the same person, but usually the power used for contact lenses is reduced. In addition to the powers being different, your eye care professional will need some additional measurements to fit you for contact lenses because there are specifications needed to fit contact lenses appropriately that aren’t needed for glasses.

Some things that need to be measured to receive an accurate contact lens prescription are the size of the cornea, the curve and overall size of the lens, and the suggested brand of lenses that will work best for you. Eye care professionals usually have an idea of which contact lenses work best with different eye conditions, so they will suggest a particular toric lens for your astigmatism, or a type of disposal lens based on your needs, for example.

Some aspects of the lens prescriptions are included for both kinds of eyewear. The lens power is included in both prescriptions. Lens power is the measurement used to correct your “refractive error,” or the nearsightedness, farsightedness, or astigmatism that you have. It wouldn’t be identical because of the magnifying glass analogy, but it is included in both prescriptions. They’re also laid out per eye—right vs. left—because very few people have the same prescription in both eyes, so they are measured individually regardless of what type of eyewear you’re getting. More technical aspects of your prescription (the power and axis determined to correct astigmatism, for instance) may also be included in both the contact lens and glasses versions of your prescription.

Hopefully that makes the difference between your contact lens and glasses prescriptions clearer. Talk to your eye care professional if you have any questions about your prescription or are curious about getting contact lenses or glasses.