10 penyebab mata kering

Kita selalu rasa selamat tentang kesihatan mata kita sehingga mata kita diperiksa. Ramai di antara kita mungkin terfikir bahawa kita dapat melihat semuanya dengan jelas dan pemeriksaan mata lebih lanjut mungkin tidak diperlukan! TETAPI, kebanyakan daripada kita akan terkejut apabila terserempak dengan keputusan kesihatan mata kita kerana terdapat banyak masalah kesihatan mata yang lain yang perlu dirawat segera untuk mengurangkan risiko. Dan ya, penyakit mata kering mungkin salah satunya. Inilah 10 penyebab mata kering yang paling biasa mengapa mata anda mudah kering. Dengan menentukan punca mata kering kita dapat memberikan penyelesaian yang sesuai dan berkesan untuk mengatasi masalah mata kering.

Terdapat banyak penyebab mata kering yang boleh terjadi disebabkan oleh satu masalah yang biasa atau disebabkan oleh gabungan beberapa masalah lain yang juga berkaitan dengan kekeringan pada mata. Kebanyakan sebabnya adalah kerana faktor usia, perubahan gaya hidup, faktor persekitaran, kesan sampingan dari ubat-ubatan dan banyak lagi. Secara anatomi, perbezaan yang terdapat pada pengeluaran air mata atau fungsi air mata juga boleh menyebabkan kekeringan pada mata seperti fungsi yang terdapat dikelenjar meibom.

Penyebab mata kering

Faktor yang berkaitan dengan usia- Kekurangan Air Mata berubah semasa kita makin berusia. Penurunan pengeluaran air mata kerana jangkitan kelenjar lakrimal, perubahan rembesan refleks atau tikar pemusnahan keradangan menyebabkan mata kering.

Kerana gaya hidup- Pengawalan diet, merokok, dan dehidrasi.

Pengguna kanta lekap – Mata kering menyebabkan mereka yang menggunakan kanta lekap selama berjam-jam dan tanpa mengetahui jangka masa pakai lensa tertentu dan juga bagi mereka yang tidur dengan kanta lekap apabila tidak disyorkan oleh optometris.

Faktor Alam Sekitar-Kawasan berangin, berasap, tempat lembap rendah, cuaca sejuk, kering dan tempat yang menpunyai kedudukan tinggi. Beberapa tempat dalaman lain seperti penyaman udara, tempat yang mempunyai udara panas.

Alergi- Mereka yang alah kepada debunga, ubat-ubatan, demam, habuk atau haiwan.

Perubahan hormon- Kajian Kesihatan Wanita dan Kesihatan Doktor menyatakan bahawa purata mata kering meningkat pada wanita dan lelaki setiap lima tahun setelah usia 50 tahun, dengan kelaziman yang lebih besar pada wanita berbanding lelaki. Menopaus juga berkaitan dengan mata kering.

Penyebab mata kering

Keadaan Kesihatan- Pesakit diabetis, penyakit autoimun seperti sindrom Sjogren), dan artritis reumatoid.

Ubat-ubat antihistamin, penyekat beta, antispasmodik, diuretik, antidepresan, terapi penggantian hormon, kontraseptif oral, ubat tekanan darah. Accutane, kemoterapi dan radiasi juga dikaitkan dengan mata kering.

Kesan berkelip yang tidak betul- Menatap skrin dengan lama, pertumbuhan bulu mata yang tidak betul dan penutupan kelopak mata yang tidak selari, (Nocturnal lagophthalmos) kelip mata yang tidak lengkap dan juga meningkat masa mengunakan skrin

Kesihatan Mata-Trauma Mata (kesan, kecederaan atau dan luka bakar), pembedahan yang berkaitan dengan laser, penyingkiran katarak.

Sekiranya anda mengalami masalah-masalah seperti yang disenaraikan di atas atau jika anda ingin mengetahui apa yang menyebabkan mata kering, lakukan pemeriksaan mata anda secepat mungkin untuk mengelakkan komplikasi yang akan datang. Sila buat temu janji dengan optometris yang terdekat dengan anda untuk mengetahui lebih lanjut mengenai kesihatan mata anda sekarang.

10 reason why your eyes get dry easily

We always been feel safe about our eye health until and unless we get our eyes checked. Many of us may think we can see everything clearly and further eye screening may not required! BUT, most of them will be surprised once their eye health results were revealed as there were many hidden abnormalities found from the test. And yes, dry eye disease might be one of them. Here are the 10 most common reason why your eyes get dry easily. By determining the cause of dry eye we can able to provide a suitable and effective solution to treat dry eye problem.

There are many dry eye causes could occur either due to one common issues or due to combination of few other problem too associated to dryness in the eye. The causes mostly occurs due to age-factor, changes in life-style, environmental factor, side effects from medications and many more. Anatomically, abnormalities found in the production or functioning of tears may also lead to dryness in the eye such as meibomian gland dysfunction.

Common dry eye causes

Age related factor- Aquous Tear Deficiencies changes when we are aging. Decreased in tear production due to lacrimal gland infection, changed in reflex secretion or inflammatory destruction mat cause dry eyes.

Due to lifestyle- Diet control, smoking, and dehydration.

Contact lens user-Dry eye causes to those who use contact lenses for extended and long hours without knowing the disposable period for that particular lenses and also to those who sleeps with contact lenses when it is not suggested by the eye care practitioners.

Environmental Factors-Windy, smoky area, low humid places, cold, dry weather and high altitude places. Some other indoor places such as air conditioning, force heating places.

Allergies- Those who have allergic to pollen, medications, fever, dust or animals.

Hormonal changes- Women’s Health Study and Physician’s Health noted that dry eye prevalence increases in women and men every five years after the age of 50, with greater prevalence in women compared to men. Menopause could also be related to dry eye.

What causes dry eyes

Heath condition- High glucose level patient, autoimmune disease such as Sjogren syndrome), and rheumatoid arthritis.

Medications-antihistamines, beta-blockers, antispasmodics, diuretics, antidepressants, hormone replacement therapy, oral contraceptives, blood pressure medications. Accutane, chemotherapy and radiation are also associated with dry eye.

Improper blinking effect- Staring at screens for prolonged hours, improper eyelashes growth and eyelid closure, (Nocturnal lagophthalmos) incomplete blink and also increased in screen time

Eye Heatlh-Eye trauma (impact, injury or and burns), surgery related to laser, cataract removal

If you experience any of these problems as listed above or if you want to know what causes dry eyes, do get your eye tested as soon as possible to avoid further complications in future. Do drop by to visit your best optometrist in town to find out more about your eye health now.

Its all about dry eye

Its All About Dry Eye

Almost everyone out there who went through a general eye screening may heard about dry eyes. Dry eye disease is one of the most frequently encountered ocular problems yet the best solution to prevent it or the effective treatments is still in discussion. In every ophthalmic clinic, there would be at least 25% of cases reported to have dry eye symptoms. And here now, its all about dry eye for you.

Normal eyes vs dry eyes

Tears are not only keep the eyes moist but also have an important role in maintaining healthy eye functions. Basically, tears are one of the most essential components requires in your eyes to protect your eye health. It prevents your eyes from getting dry by protecting your eye surface with its components. They also do protect your eyes from infection, provide sufficient nutrition to your eyes and they keep them lubricated and comfortable.

Our eyes are moisten by two different types of tears named:

  1. Basal the (Lubricating) tears which supports your eyes by producing continuous tears or lubrications to moisturize your eyes and contain natural infection fighting agents.
  2. Reflex tears were seen in any sudden response or situations such as irritation (smoke, onions, foreign particles), injury or emotion.
3 types of tear layers

When the production and preservation is knows, it is also important to understand how does tears and its components are made of. Lipid, aqueous and mucous layer are the three most distinct composition of tears. Lipid layer or also knows as oil layer was secreted by the Meibomian gland and it usually provide a smooth optical surface for the cornea and retarding evaporation from the eye. They form a thin, smooth film whose thickness, and probably composition, influences the rate of evaporation.

Composition of tear layers

Whereas, aqueous layer were secreted by the Lacrimal Glands which contains water, electrolytes and various proteins. Here is where tears will form into bulks. And also, the conjunctival epithelium is a second source of electrolytes and water in the tears. Next is the mucous layer (mucins), which has been secreted by conjunctival goblet cells. The mucin layer is the deepest layer of the tear film and adheres firmly to the underlying epithelial cells of the cornea and conjunctiva. The mucin layer is mainly composed of high molecular weight glycoproteins called mucins.

Tear Film

If you are still not aware about any of this or if you have never been get your eyes tested for dry eyes, please do book an appointment with us today and get to know more about your eyes and its health.

Rawatan Mata Kering

Memahami keadaan mata anda adalah perkara paling penting yang harus dilakukan sebelum merawat mata. Di Malaya Optical, kami sebagai pengamal penjagaan mata profesional akan sentiasa memastikan anda memberikan penyelesaian terbaik dan berkesan. Penilaian mata kering yang menyeluruh akan membantu kami memahami keadaan mata kering anda sepenuhnya dan ini akan memudahkan kami memberikan rawatan mata kering yang terbaik kepada anda.

Semua rekod penemuan anda akan dikumpulkan dan disusun dalam rekod digital sistem kami supaya lebih mudah bagi kami untuk memantau dalam lawatan anda yang seterusnya. Dalam masalah yang berlanjutan, kami juga dapat mendiagnosis pembacaan baru dan menunjukkan kepada anda tentang perubahan yang berlaku pada mata anda setelah merawat.

Pertama sekali, penyebab mata kering dan keparahannya akan dihadapi untuk memberikan rawatan yang sesuai. Penyakit yang berbeza atau penyebab mata kering mempunyai tahap rawatan yang berbeza. Bagi penilaian yang paling awal, kami akan mula membuat Pelan Rawatan dan Pengurusan Mata Kering untuk anda.

Rawatan mata kering

Salah satu rawatan yang paling biasa untuk kes mata kering adalah dengan menggunakan titisan air mata palsu. Terdapat dua jenis titisan air mata palsu. Salah satunya adalah titis mata berasaskan pengawet yang tinggal di rak untuk waktu yang lama tetapi ia akan menyebabkan kesan menyengat kerana ia mengandungi agen pengawet untuk menyingkirkan bakteria. Titisan mata bukan pengawet terdapat dalam beberapa botol sekali pakai yang anda gunakan sekali dan buang dan juga tidak menyebabkan sensasi pedih pada mata anda.

Titisan air mata tanpa pengawet
Titisan air mata tanpa pengawet
Titisan air mata dengan pengawet
Titisan air mata dengan pengawet

Semasa pemeriksaan slit lamp, jika ada bulu mata yang membalik ke dalam mata anda, kami akan cuba untuk mengeluarkannya. Bulu mata yang bercabang yang tumbuh ke arah mata anda boleh menyebabkan kerengsaan dan geseran pada permukaan mata anda. Pertumbuhan dan kedudukan bulu mata yang tidak teratur juga boleh menyebabkan mata kering. Penyumbatan kelenjar meibomian harus sentiasa dijaga supaya bersih. Kadang-kadang, mata kita mungkin mengalami penyumbatan ini yang mengandungi radang, minyak, air mata terkumpul dan sebagainya. Kerana ini, anda mungkin terasa tidak selesa.

Salah satu kaedah termudah untuk membersihkannya adalah dengan melakukan pemampatan hangat. Sekiranya kelopak mata anda dijumpai dengan benjolan kekuningan kerana penyumbatan kelenjar meibomian, sila bersihkan terlebih dahulu sebelum melakukan pemampatan. Pertama, basuh muka anda dengan air bersih. Kemudian gunakan syampu bayi yang dicairkan dan gosokkan bulu mata dan permukaan mata mengunakan putik kapas. Bilas mata anda dengan air bersih lagi. Selanjutnya gunakan tuala bersih, rendam dengan air suam, peras dan mula melakukan pemampatan hangat dengan menekan tuala dengan lembut pada permukaan mata anda.

Pemampatan hangat untuk mata

Dalam beberapa kes, penyelesaiannya mungkin mudah tetapi bagi orang tertentu akan ada susulan dan rancangan tindakan jangka panjang. Walau apa pun, tujuan kami sebagai optometris adalah untuk sentiasa memberi anda penjagaan optimum yang terbaik dan membuat anda lega dari masalah atau gejala mata kering anda. Sila hadir ke doktor atau optometris terbaik di bandar sekarang untuk mendapatkan penilaian dan rawatan mata kering anda.

Dry eye treatment

5 Best Treatments For Dry Eye

Understanding your eye condition is the most essential thing to do before getting your eyes treated. At Malaya Optical we as an professional eye care practitioners will always make sure to provide you the best and effective solutions. The comprehensive dry eye assessments will help us to understand your dry eye condition completely and it will make us easy to provide you the best dry eye treatments.

Comprehensive Eye Examination

All your findings will be gathered and compiled in a digital record in our system so that it would be easier for us to follow up and monitor in your next visit. In further extended problems, we also could able to diagnose the new readings and show you the changes that happened in your eyes after the respective treatments.

History Taking Form

First of all, the causes of dry eyes and its severity will be encountered to provide a suitable treatments. Different diseases or causes of dry eye have different level of treatments. From the beginning of the assessments, we will start to create a Dry Eye Treatment and Management Plans for you.

One of the most common treatment for dry eye cases is by using artificial tear drop. There are two types of artificial tear drops. One is preservative-based eye drops which stay on the shelf for a long time but mat causes stinging effect as they contain preservative agent to get rid of bacteria’s. Nonpreservative eye drops come in several disposable vials that you use once and throw away and also does not cause any burning sensations.

During slit lamp examinations, if there is any eye lashes that flip inward of your eyes will be removed. Eye lashed that grow in inward direction towards your eyes may cause irritation to your eye surfaces. Irregular growth and position of eye lashes also may caused to dry eyes too. Blockage of meibomian gland required to be clean and clear. Sometimes, our eyes may have this blockage which contains inflammation, oil, accumulated tears and so on. Due to this, you may feel discomfort during the day.

One of the easiest way to clear this is by doing warm compression. If your eyelid was found with yellowish lump due to meibomian gland blockage, do remove it first before doing a compression. First, wash your face with with clean water. Then use a diluted baby shampoo and rub your eye lashes and surfaces with cotton buds. Rinse your eyes with clean water again. Next use a clean towel, soak with warm water, squeeze it and start to do a warm compression by gently pressing the towel on your eye surfaces.

In some cases, the solution may be simple but for certain people there would be a long-term follow ups and action plans. In any cases, our goal as an optometrist is always to provide you with the best optimal care and make you relief from your dry eye problems or symptoms. Do drop by to visit the best optometrist in town now to get your dry eye assessment and treatment.

FAQ*

1.How do you permanently treat dry?

The easiest way that we can do to treat our dry eye problem to blink frequently. Blinking your eyes can help tears to moisturise all over the eye surfaces. Eyelid should be cleaned everyday using sterile cotton bud with diluted shampoo and also remove make up before going to bed.

2.How to self-treat dry eye at home?

Allow your eyes to rest whenever you feel tired, wash your eyelids and lashes with clean water if its too oily, stop smoking, drink more water and get some vitamins and supplements.

3. What is the latest treatment for dry eyes?

Xiidra (lifitegrast ophthalmic solution) was approved by The U.S. Food and Drug Administration for treating dry eye signs and symptoms.

4. Does drinking more water help to reduce dryness in our eyes?

Due to a symptoms of dehydration, drinking plenty water do re hydrate our whole body. Yet, eye drops still the best help to alleviate the symptoms by lubricating the eye and washing away foreign bodies.5. What does dry eye look like?

Dry eye assessments

Top 5 Dry Eye Assessments

At Malaya Optical, we as an optometrist have almost encounter dry eye patient everyday. With certain latest techniques and technologies we able to diagnose, assess and treat dry eye in more efficient way. Below are the few dry eye assessments that we usually apply at Malaya Optical.

This process is made easy by taking a history of patients symptoms, signs and complaints related to dry eyes. By accumulating the potential causes and symptoms of dry eye, eye care practitioner could able to determine the suitable management and treatment for it. Those who are suffering from dry eyes, it is important for you to make an appointment and visit our optometrist.

We will be running out few tests accurately according to your current eye conditions under dry eye assessments. Those who are not aware of having a dry eye syndrome, we also could able to diagnose it start from a comprehensive eye examination. Here, we use few number of strategies and skills to assess the causes and severity of your dry eye condition and from there we will develop a dry eye treatment appropriately.

The very first signs that we able to encounter before even a patient could able to complaint to us about their dry eye is by doing a NIBUT (non-invasive tear break up time) test. The cut off value to distinguish a normal patient and a dry eye patient is 12 seconds in NIBUT test (Vidas Pauk 2019). The easiest way to conduct this test is with auto refractor meter. Once their corneal miars is clearly visible on auto refractor meter, patients can start to blink and hold their blink until they could. Meanwhile, the eye care practitioner requires to count how many seconds does a patient can hold their blink or how many seconds does their corneal miars does not get distorted.

Coeneal miars in NIBUT test

The next clinical examination that an optometrist can do to assess dry eyes is with slit lamp examination. This exam allows our optometrist to screen our eyes in anterior and posterior level. This test is done at microscopic level, by examining the eye health include the eyelids, tear layer, conjunctiva, pupil, iris, lens, sclera, cornea, retina and also optic nerves. It is easy to assess the redness of patients eyes and its severity by using a slit lamp biomicroscopy.

Any debris or dust may cause irritation while we blink and these small particles will move around our tear layer when we blink. Uneven tear layer may cause dry eyes, and moreover dust and debris which move around our tear layer causes additional discomforts.

Redness in the eye due to dry eye

Evaluation of the tear film and cornea: by putting a drop of sodium fluorescein (a yellow dye) into the eyes which mixes with the tears to give a clearer indication of the quality of tear film, and any signs of corneal damage due to excessive dryness.

Other than that, slit lamp also will help us to measure the tear meniscus which forms as a pool and accumulates at the bulbar conjunctiva in the inferior lid margin. The normal height of tear meniscus is approximately 0.3 to 0.4mm. A measurement scale is done with an adjustable slit beam height.

Tear Layer Meniscus

Do visit your near by Malaya Optical optometrist to get your eyes tested with complete dry eye assessments and managements.