Eyes Predict Bipolar & Schizophrenia

Vision Changes To Predict Bipolar Disorder?

Can someone look into your eyes and know your mental state? A study of children with parents who were either bipolar or schizophrenic seems to indicate this may be true.

Special Eye Tests Measure Electrical Changes For Night Vision

The electroretinogram uses a special contact lens on the front of the eye that records the difference in electrical charges from the front and back of the eye. The b-wave measures alterations in this charge by the rod cells responsible for night vision. Eye doctors found this wave was significantly reduced in children having at least one parent effected by either bipolar disorder or schizophrenia.

Eye Doctors  May Check Your Mood And Your Eyes In The Future

Electrical testing of eye function is still used largely in teaching institutions.  This equipment has become much more compact and inexpensive and will most likely be seen in many eye doctor offices in the future. The first step in prevention is knowing who is most susceptible to a disease. Hopefully there will be ways to intervene at that early junction and prevent these disorders from ever manifesting any symptoms.

 

 

 

 

 

 

 

 

Contact Lens Cure For Nearsightedness

Nearsightedness Controlled With New Contact Lens Technology

On June 30 2011 the Myopia Control With Simultaneous Vision Approach Clinical Study was registered as complete at ClinicalTrials.gov. This double blind study involved 100 children testing a contact lens designed to slow the progression of nearsightedness (myopia). Optometry researchers have been studying the interaction between central deatailed vision and peripheral vision. Eye doctors have found defocusing peripheral vision with specially designed lenses can reduce progression of nearsightedness in animal studies. Now we are awaiting the results of this clinical vision study with children.

Optometry Study On Controlling Myopia In Children With Contact Lenses

Vision researchers at the Hong Kong PolyU School of Optometry were led by optometrist Carly SY Lam in studying the effect of simaltaneous multifocal contact lens wear on the progression of myopia in children. Simaltaneous bifocal contact lenses are currnetly used for contact lens patients over the age of 40 that can no longer focus clearly for near vision. The current generation of multifocal contact lenses correct aging eyes presbyopia by presenting near and distance vision images at the same time, or simultaneously. The brain learns how ot adapt and focus only on the distance required, while ignoring the other image. The images are typically produced by a central zone for one distance and the surrounding part of the lens for the range needed. It sounds complicated but with todays contact lenses about 75% of the over 40 crowd will be successful with this type of contact lens option. Children are even more flexible and readily adapt to unusaul visual conditions.

The lens in this study was referred to as a “Defocus Incorporated Soft Contact (DISC) lens”.-also as a “simultaneous vision bifocal soft contact lenses with myopic defocus to control the progression of myopia”. It is undoubtably very similiar to the type of contact lenses we use today when patients start complaining that their arms are too short.

CIBA Vision Future Bifocal Contact Lens To Prevent Nearsightedness?

Several players appear to be poised to take advantage of this type of technology, CIBA Vision (now Alcon) for contact lenses and Ziess for the eyeglasses version. While the outcome of the trial has not been published yet, there appears to be forward motion in the industry and I believe we can expect a blockbuster product in the near (or nearer) future. WIth nearsightedness effecting close over 1 billion people in the world and growing, the market is enormous. The consequences of myopia go far beyond requiring corrective contact len or eye glass wear. The elongation of the eye from nearsighted changes results in significant blindness and visual problems within the myopic population. Research has been forwarded by the Vision Cooperative Research Centre (Vision CRC) in Australia led by optometrist Brien Holden and the University of Houston under Dr. Earl Smith.

The US National Institue of Health provides the registry and results database of federally and privately supported clinical trials conducted in the United States and around the world. The registry can be found at ClinicalTrials.gov. where over 100,000 trials are currently listed in the database. It is important to note that clinical trials do have limitations. There are two major criteria listed:
(1) Trials need to be in conformance with any applicable human subject or ethics review regulations (or equivalent)
(2) Trial need to be in conformance with any applicable regulations of the national (or regional) health authority (or equivalent).


International research publishing standards help keep honesty in the system. Regulations and standards can still vary by country so all clinical trials should be taken as just that, trial findings. That being said, I believe this will prove to be one of the largest changes in optometric care we see in our lifetimes.

Farsighted-New Contact Lens and Eyeglass Options

Farsighted Eyes Contact lenses And Other Ways Your Optometrist Can Improve Your Look With a Thinner, Lighter Lens Designs and Eliminate the Bug Eye Look! Read On-

First a disclaimer-you have to read to the end for contact lens solutions for farsightedness. Being farsighted (hyperopia is the technical term) is when distance vision is good, but close reading text is hard to see. It is a somewhat confusing term since farsightedness is actually an optical error of the distance vision. If your optometrist finds your eye prescription is extremely farsighted, you can’t see up close or far away. Fortunately a muscle referred to as the ciliary muscle surrounds the lens in the eye, and is attached to the lens with small fibers called the zonular fibers. Active contraction of this muscle loosens the tension and increases the eyes focusing power. In lower amounts of farsightedness under the age of 40 the focusing capacity of the eye can accommodate for farsightedness and clear your vision for both distance and near easily.

Farsighted Eye Problems Optometrists Find You May Be Experiencing Needlessly

Even lower amounts hyperopia have been shown to interfere with reading in some children, but between 2 to 3 diopters it usually starts to create symptoms in most people. Kids and teens have an enormous amount of accommodation, and sometimes very large prescriptions for farsightedness are not noticed because they can clear near and distance vision by focusing. Often they will suffer headaches and an unconscious aversion to reading because of the eyestrain and effort constantly being required to keep their vision clear. As we grow older we gradually lose the ability to focus. This degradation of focusing starts between the age of 15-20 but effects distances so close that we never notice because we don’t use our vision at that location. People who are farsighted have a different type of problem that individuals who are nearsighted. They constantly have to focus to keep their distance vision clear and as objects move closer they have to ramp up their focusing efforts. This is not a problem if they are young and have lower amounts of hyperopia, but as they age or with larger amounts of hyperopia the extra effort they are exerting starts to be noticeable. This occurs with reading and computer use initially, due to the added effort of focusing on top of the amount required for distance. In Fort Collins we have a higher use of computers and more symptoms from farsightedness are being seen by optometrists. Frequently, eye patients will be prescribed glasses or contact lenses for close work that only correct the distance amount of farsightedness. This lessens the amount of focusing needed for near back to normal levels that rarely create visual discomfort. As farsighted optometric patients enter their early 40′s they find they have gradually started wearing glasses all the time. Many people mistakenly believe that wearing the glasses have made their eyes weaker, and sometimes feel their eye doctor has made them dependent on the lenses. This is an incorrect assumption, as the loss of accommodating ability would have occurred without wearing glasses, and would have been a problem at an earlier age in the absence of corrective eyewear.

New Eyeglasses Lens Technology For Farsighted Vision

Optically, the farsighted eye is usually too short and light focuses behind it instead of on the retina for distance. There may also be individual components of the eye that are too weak to focus vision adequately. The lens could be a little short in power, or the clear cornea tissue on the front of the eye could be curved slightly less than normal. A lens with plus, or positive power is used to correct for hyperopia. This is a lens thicker in the middle and thinner on the edges, like a biconvex lens. Best optical design for clear central and peripheral vision is a lens more curved on the front and still curved forward on the back, just to a lesser degree. This results in a lens with a center that sits relatively far away from the front of the eye. As you move an ophthalmic lens used for farsightedness away from the eye, the eye appears larger, just like the effect produced from moving a magnifier away from an object. This also magnifies the size of the image seen by the eye. Advanced optical designs have eliminated the resulting type of coke bottle appearance by using aspheric lens designs. Aspheric lenses start out with a front lens surface spherical in the center (like the curve on a tennis ball) then the curvature gradually decreases or flattens towards the edge of the lens. This is the traditional design that has a spherical curvature on the back surface of the lens. Newly emerging freeform lens technology allows aspheric lens curves to be ground on the back surface of a lens that steepens away from the center in an atoric design. Atoric designs use different degrees of asphericity in different tangential lines to compensate for astigmatism in your prescription. Either way, the flattened lens design allows the lens to sit closer to your eye decreasing the magnification or bug eye effect. The aspheric design by the complex quirks of optics also counters several forms of optical aberrations (blurring of vision) that normally occur when you look to the side of a spherical lens using a flatter lens design. A common misconception is that aspheric lenses improve vision. They do not significantly improve vision but they do allow for a thinner, lighter, more cosmetically appealing lens with less magnification. The aspheric design allows these improvements to be achieved while maintaining clear peripheral vision. The lenses available to your eye doc do just keep getting better, and much more so the last 5 years in many different ways.

Farsighted Eye Facts From Your Optometrist to Consider When You Have Insomnia

  1. Some people are farsighted in one eye and nearsighted in the other. If the amounts are just right they can see near and distance without bifocals
  2. President James Buchannan was farsighted in one eye and nearsighted in the other (and had an eye twitch)
  3. President Harry Truman was farsighted
  4. Latent farsightedness occurs when a child has compensated by sustained focusing for distance for so long they cannot relax their eyes for a true reading of the prescription. Only checking the eyeglass prescription after eye drops have eliminated the eyes focusing capacity can yield an accurate prescription reading
  5. Ohio State University has started a study to see if providing prescriptions that are not strong enough for extremely farsightedness infants will help the eye self correct themselves
  6. The eyes tend to become slightly more farsighted (or less nearsighted between the age of 40 to 50)
  7. Young to middle age males can develop fluid swelling in the central retina and become farsighted as a result of stress
  8. Children that are farsighted tend to have brothers and sisters that are farsighted
  9. Approximately one in four people are farsighted

Vision screenings have value in detecting problems, but often miss farsightedness because of children’s capacity to focus and pass the 20/20 test. Only a thorough eye exam by your eye doctor can assure you your children and teens have the correct eye prescription for efficient reading and learning in school. Schedule them for an annual eye check up today.

Now For The Contact Lens Part

It is very simple.

  1. Contact lenses sit right on top of your eye and therefore supply very little magnification effect
  2. Contact lenses stay centered in front of your eye s you look to the sides-we don’t have to worry about aspheric lens designs from an optical aberrations perspective. (They may be used for thinner edges and improved comfort in some cases though)
  3. Contact lenses used to correct Hyperopia (farsighted) are significantly thicker in the center and effectively provide a much greater barrier to oxygen passing through to keep the cornea eye tissue healthy underneath. Silicone Hydrogel contact lens materials have almost completely eliminated this barrier for farsighted contact lens wear

All of these reasons make contact lenses frequently the primary choice for correction of higher amounts of farsightedness in kids and teenagers when their appearance is so important to their self esteem. Who doesn’t want to look better, especially when the old alternative were bug eye magnifying lenses that weighed a ton and slipped down your nose constantly, making you an imitation of Clark Kent, always pushing those things back up. Remember, it does not have to be that way today with glasses or contact lenses.

Computer Eye Exam Fort Collins

Computer Eye Exam Fort Collins Eye Doctor

This is a short video of what an autorefractor does when it determines your eyeglasses or contact lens prescription. It is abstract but you can see the infrared beam and changing focus as the eye computer analyzes the wavefront from the optical system of your eye.  The final determination tells us the amount of nearsightedness, farsightedness, and astigmatism you have. The cross pattern is the infrared beam that you will not see when the instrument is measuring, however it evidently has enough visible red light to show up on video. The circular pattern of lines are the image you will see and watch as amazingly it clears and comes into a crisp focus as the autorefractor works away with it’s complex algorithm. This technology greatly enhances our ability to determine your prescription with pinpoint accuracy.

Free Treatment For Lazy Eye?

Free treatment for lazy eye? Well free eye care is worth what it costs-but a simple eye drop prescription  may be able to save you a thousand dollars or more in treatment fees. And that’s equivalent to a lot of free office visits.

Forget the pirate patch, eye drops are the treatment of choice today for lazy eye. No more daily struggles with your child to keep an eye patch on, one drop in the morning and your responsibility is done for the day. Lazy eye, (technically referred to as Amblyopia), is the most common cause of permanent sight loss in children and if not treated by age 7 to 9 it persists into adulthood  with permanent damage to the visual cortex area of the brain. It is the leading cause of vision loss in one eye in the 20-70 year old age group, occurring in around 3% of the population.

Most of the information on the success of treatment of lazy eye has been from limited,uncontrolled studies. There is a great opportunity for future learning about improving the treatment of lazy eye.


Amblyopia   is still usually treated with outdated methods of occlusion (patching) of the eye that sees well. Patching therapy typically has very poor compliance, especially since you cannot be with your child every minute of the day. Kids don’t like wearing patches after the novelty wears off and may be subjected to ridicule by peers. Evidence indicates that compliance is probably the most important factor in the outcome of treatment of lazy eye.


Using a cycloplegic eye drop that prevents the good eye from focusing forces the lazy eyes to work to see thing at closer distances. As a side effect of the drops the pupil of the good eye stays dilated, so it needs some form of UV protection in eyeglasses or sunglasses. This is not a new method but it has started catching on due to recent studies showing it is effective and very well accepted by parents and children. Without a patch blocking one eye completely the child is able to maintain some level of binocular vision which helps the treatment process. It also assures there is no impairment to peripheral vision, making it a safer alternative to a patch.

Atropine is the drop normally used but we substitute homatropine. It is safer and in my opinion there is really no need  to keep the effect lasting overnight while the child is asleep.

There is a tremendous cost and time saving to the parent due to less frequent office visits and a great reduction in the amount of eye exercises needed to restore the sight. If you think there is no way you can get a drop in your child’s eye every day we have a secret for that too. If your child has a lazy eye we can help make it easy and fun!

Your Source For Vision And Eye Knowledge

Welcome to Dr Kisling-Fort Collins Eye Doctors Choice Website. Our vision is to be the premier resource for answers about your eye symptoms and eye problems. You can use the search box to find answers to questions about your eyes. You will find articles on contact lenses, dry eyes, glaucoma, eye nutrition pinkeye ad other eye diseases.

There is also information about eye examinations, eyeglasses, prescription eye glasses for different conditions;nearsightedness,farsightedness, astigmatism, and presbyopia.

We carry a unique selection of eyeglasses for women, men and children with the latest lens technologies including glare free anti-reflection coatings, no line progressive 5th generation eye glass lens designs, transition sunglasses tints, thin and light hi-index prescription lenses.

We also try to make your vision insurance processing as simple as possible. We welcome most insurance including Vision Service Plan (VSP).

If there is a topic you would like more information on please feel free to leave a request in the comment box. Thank you for visiting our website and we hope we can become your partner in preventative eyecare for a lifetime of healthy eyesight!

Eyes Pseudotumor Cerebri

Pseudotumor cerebri is an eye condition that can be confused with a brain tumor due to swelling of the optic nerve. Like a brain tumor, the fluid inside the skull that cushions the brain and flows around the spinal column develops elevated pressure.  It is also referred to as Idiopathic Intracranial Hypertension or Benign Intracranial Hypertension. It is more prevalent in  women between the ages of 20 and 50. Symptoms of pseudotumor cerebri are usually an undiagnosed chronic headache, and in more severe cases there may be visual symptoms such as double vision. Also nausea and vomiting may occur. There is an unusual effect of  pulsating sounds within the head that are synchronous with the heart rate referred to as   Pulse-synchronous tinnitus.

A routine eye exam is where the initial diagnosis of mild cases of pseudotumor cerebri is often first made. The optic nerve that enters the back of the eye appears elevated in both eyes, a condition referred to as papilledema. Because the nerve is an extension of the brain and enclosed by the same tissues and fluid that cushion the brain, elevation in the pressure inside the brain also cause the nerve to swell. Since most cases occur in young to middle age overweight females, an elevated nerve with a history of chronic headaches and otherwise healthy is often indicative of pseudotumour cerebri. Other visual symptoms include double vision, brief periods of blurred vision or dim vision, and occasionally patient will have temporary episodes of blindness in one or both eyes. Changes in posture such as suddenly standing up or bending over may elicit symptoms, as may coughing or sneezing.

Double vision may occur when looking to the side. This is caused by a defect in abduction or the ability of an eye to turn out. due to a restriction in the capacity for one or both eyes to turn out. This presents a confusing picture when taken out of context because it is not due to damage to the abducens nerve (6th Cranial Nerve)  that controls the eyes outward motion. In this case, the double vision is called a false localizing sign. Pain can occasionally be associated with eye movements.

Rarely, the pressure can become very high and cause severe problems with vision and alterations in  levels of awareness. Most of the time truly is benign idiopathic intracranial hypertension and is managed by weight loss and occasionally medications. Sometimes discontinuation of certain medication may resolve the problems. The most severe cases may require a shunt to drain the increased fluid from the ventricles in the brain into the abdominal cavity.

Eye Exam Test-Should You Study or Take a Valium?

Did you cram for your eye exam? Does a cold,sweaty feeling creep over your body as you wait to go into The Room? You know, The Dark room with all the blinds drawn and the chair you plunk down into while Nurse Ratchet seems to be taking great joy in adjusting you into something that looks like old sparky, the infamous Florida electric chair. Well she looked at you like she was sizing up your left kidney for the guy out front didn’t she?

Then The Fort Collins Eye Doctor comes strolling in right on time-OK truthfully you had to wait a few minutes more alone,—in a dark room,—in a chair that somewhat resembles Old Sparky,— with plenty of time to think about what was coming next.

What’s coming next is an inadequate explanation of what we are doing as Eye Doctors or no explanation at all. Most people don’t seem to want to know so if you are feeling two steps away from having your eyes water-boarded (which by the way we utilize eyeball water-boarding and it works exceptionally well when someone has a toxic chemical spilled in their eye), it’s time for you to start asking questions. (And for your Optometrist to take the que and start answering them).

First and most important I personally have only given failing grades to two patients on their eye test so your chances of passing are better than 99.999%. Those two people were both receiving a failing grade in their personal relationships prior to their eye exam so if you are having a bad day and want to yell,scream and throw things it might be a good idea to reschedule you eye examination and spend the day trying out for a local hockey team.

I find a large number of patients become very concerned they will get the wrong prescription because the lens changes are so hard to discriminate. From my side of the vision exam it’s a different perspective. We start with an instrument called an autorefractor. It does exactly what it is called; automatically it  focuses through the optics of your eye and using mathematics called wavefront analysis it determine what prescription you need. You don’t have to do a thing except look straight ahead at the target, keep still, and have your head pressed against the top headrest. Magically things clear up after the instrument whirs and hums and prints out your prescription. We refer to this as an objective refraction or reading because it is entirely independent of your verbal responses.

Now the bad part. The assistant who wants your kidney for her brother in law escorts you back to the “room“. You know whats coming next-yes it is one or two,one or two,on or two. And you thought we had to learn math for optics? Every subsequent view looks blurry and keep getting worse. It clears up in between the two bad choices you are given but the optometrist seems intent on ignoring that and giving you worse choices.

Actually it is a well designed testing sequnece called forced choice (uh oh here comes that water board). Really, if you remember the old dial TV’s where you turned past the channel and back a few times you couold bracket in to the clearest place. This part of the eye test is subjective and depends on your responses of just noticable differences. It brackets in to the place of maximum clarity. Unfortunately, that endpoint is often where it looks equally bad with both choices. Still, we force you to make a choice. That allows your eye doctor to see how repeatable your responses  are and gives a very good idea of how precise the prescription will be. Most of the time in our eye center, it will be repeatable within the accuracy level that lenses can be made in today. That means if we check you tomorrow or next week the chances are very high your eyes will read for the exact same prescription.

Next I will compare those subjective responses with what the eye computer calculated. If there are significant differences I may repeat reading with both methods after using drops to prevent focusing changes effecting the finmdings, especially in children. An added check may be done with a retinoscope, the hand held forerunner to the autorefractor we use today. While it is very low tech, it does allow me to see any variations in focusing occurring while taking an objective measurement.

Finally, a good optometrist should check your old prescription and how well you can see with it. That is a good indicator of how much change we expect to see in the new prescription.

When you add all of these things together, it really works well and rarely is a prescription wrong per say. It is more common to missunderstand how much change a patient can tolerate (we can be right and wrong at the same time), or fail in communicating unusual visual needs that have to be adressesed (like somone working on computers 70 hours per week at a non standard distance.

Spend a few extra minutes to communicatre your visual needs and distances you work at with your optometrist. Also explain any problems you have had adjusting to new glasses in the past. Then you shouldn’t need to worry about how blurry things keep looking during your eye test-there is a 99.999% probablity you will see well in the end and get to keep your kidney!
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