Prevent Blindness, the nation’s leading volunteer eye health and safety organization has declared March as Workplace Eye Wellness Month. In a pre COVID world this topic would be geared mostly to work environments such as construction or medical labs, but now that working from home has become the new normal during the pandemic, it is crucial to address the specific challenges associated with working remotely.
In a work setting such as manufacturing or construction, OSHA (Occupational Safety and Health Administration) requires employers to provide eye and face protection against chemical, environmental, radiological and mechanical irritants and hazards. Various forms of safety eyewear include prescription and non-prescription safety glasses, goggles, face shields, welding helmets, and full face respirators.
WFH (working from home) has created increased awareness of a common condition known as computer vision syndrome (CVS). Symptoms of CVS include blurred vision, eye strain, headaches, and tired, burning, itchy eyes. Home offices which are often just the kitchen table or a folding chair and desk set up in the basement lend themselves to poor ergonomics which also contributes to exacerbating digital eye strain.
Some tips to reduce symptoms of CVS include:
- Placing computer screens 20-26” away from the eyes and below eye level
- Computer glasses with antireflective coatings and blue light filters
- Following the 20-20-20 rule – every 20 minutes look 20 feet away for 20 seconds
- Using high quality artificial tears for dry eye
Aside from staying home with minimal to no contact with the outside world, face masks, hand washing, and social distancing remain the key ways to slow and prevent the transmission of COVID-19. The most common complaint I hear from my patients relating to their eyes and the usage of masks has been foggy glasses, but an interesting study recently published by C.O.R.E. (Center For Ocular Research and Education) found an increase in dry eye and ocular irritation in people who wear masks for long periods of time. The reason for this has to do with the mechanics of mask wearing. When a mask is worn, especially when it is worn loosely, air flow from our breath is directed upwards towards our eyes and has the potential to cause the tear film to evaporate and cause dry eyes. This upwards flow of exhaled air is also what causes glasses to fog.
So what do we do? The first thing is to make sure your mask fits really well over your nose. Patients have asked me how I function wearing a mask all day vis-a-vis the fogging and I show them that when I have my mask on I wear it high on my nose with the wire on top sealed in such a way that air is not constantly escaping from the top. Other ways to seal the mask are by using a cool adhesive called Nerdwax or actually taping the mask on top. If your eyes feel dry, use a high quality artificial tear 3-4 times a day and make sure you remember to blink! Lastly, the use of digital devices also contributes to dry eyes so make sure you are taking breaks during the workday.
This month’s post was originally going to discuss eye makeup tips for everyone, whether you wear contacts or not, but an interesting patient encounter last week prompted me to address contact lens wearers first. A young woman came in for her yearly eye exam and contact lens renewal complaining that a few hours after putting her contacts in her eyes the lenses became foggy and she had trouble seeing. She was wearing a two week lens, meaning she takes it out every night and cleans it and puts in a fresh lens every two weeks. This kind of contact lens usage can lead to a condition called GPC (giant papillary conjunctivitis) where one becomes sensitive/allergic to the proteins that build up on the lens over time. At first I thought this is what she had but when I looked at her contacts under the biomicroscope I immediately saw that her contacts were coated with bronze shimmery deposits that looked nothing like anything found in nature and everything like someone took blobs of makeup and threw them on her contact lenses. This prompted a conversation about her makeup habits, which actually were not bad except that when the problem would not go away she decided to put her makeup on first and then put the contact lens in. Bad move, it only made things worse. Next month we will talk more about makeup and eyes but here are some quick tips specifically about contacts and makeup.
- Contacts first, makeup second, and wash your hands first!
- Using primer on your lids prevents eye shadow from creeping into your eyes and onto your contacts, I like the one by Urban Decay.
- Do not use eyeliner on your waterline – it will clog every oil gland you own and cause dry eye as well as migrating onto your contacts.
- Use high quality eyeliner – I love Urban Decay 24/7, NYX waterproof retractable eye liner and Marc Jacobs Highliner gel eye crayon – they stay put without sliding around.
- At the end of the day remove contacts first then remove your eye makeup.
- Daily disposable contacts will help prevent sensitivity to accidental buildup of anything on your lenses, whether it be makeup or proteins, this is the safest and healthiest way to successfully wear contact lenses.
When I was eight, my eye doctor prescribed glasses for me to see the blackboard. The truth was, my vision was so bad I should have worn glasses all the time, but my mother told me that wearing glasses would make my vision worse so I walked around in a blurry haze for ten years until I got my first pair of contact lenses. When my own daughter needed glasses at the age of six (bad genetics from her dad) I made sure she wore them all the time so she would not miss out on seeing the beautiful details in the world around her the way I did (love you mom). One thing that concerned me however was how quickly her prescription changed, sometimes every six months. Back then the idea of slowing the progression of nearsightedness was not even in its infancy and according to the conventional wisdom of the time I had her wear bifocals. Fast forward almost twenty years and controlling the progression of nearsightedness is now a reality.
There are a couple of options out there such as Ortho K (wearing hard lenses overnight to reshape the cornea), atropine eye drops, and soft multifocal lenses with specific parameters to help blur certain parts of the vision and attenuate others. Although these modalities are FDA approved, they are not necessary FDA approved for myopia (nearsightedness) control. A few days ago CooperVision announced that they came out with a daily disposable soft multifocal lens called MiSight which is specifically approved by the FDA for myopia control. This is a very exciting addition to our arsenal of myopia control tactics and one that I believe will be embraced by both parents and eye care professionals alike due to its ease of use and availability. As soon as I get more information on the accessibility of the lens I will post a little more on how the technology works and who would be a good candidate for this treatment.