ARE YOU at RISK of MACULAR DEGENERATION? I Know I Am

A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH

No.1/September 2012 VISION & EYE HEAlTH

3tips

TO MAINTAIN GOOD EYE HEALTH

ARE YOU AT RISK OF MACULAR DEGENERATION? I know I am. Ita Buttrose. photo: Ross Coffey 2 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH challEnges How does the future look for eye health in Australia? With eye disease on the rise as our population ages rapidly, it is time for us to get smart about our eye health. By simply visiting your optometrist and getting regular eye We recommend health examinations, you can increase the chance of having a clearer future. Ita Buttrose, celebrity patron for Macular Degeneration Foundation, about keeping your eyes healthy. photo: MD Page 7 Foundation Preventative eye health “My father had Macular Degeneration and I saw the impact this had on him in makes good sense later life. There are preventive measures lmost 575,000 crease to as much as eight times, “In 2009, the immediately if there are any to help reduce the Australians over admission to a nursing home can changes to eyesight risk of developing this 40 are blind or occur three years earlier and they annual cost in ■■quitting smoking to reduce the vision impaired are twice as likely to use health ser- risk of cataracts and age-related disease.” and this figure vices. macular degeneration Refreshing outlook p. 8 Australia was ■■ Athough Dry Eyes have become is set to increase There is also an economic cost wearing a hat and UV absorbing extremely common and sometimes in the next eight associated with vision impairment estimated to be sunglasses debilitating for many Australians, years to 800,000 as Australia’s and blindness. In 2009, the annual ■■maintaining a healthy weight there are many treatments now A available to give comfort. population ages, unless we are pro- cost in Australia was estimated to $16.6 billion.” ■■wearing protective goggles and Made in the shade p. 5 active about looking after our eyes. be $16.6 billion. glasses at work or home, and With summer on its way, it’s The consequences of blindness The good news is that 75 per cent ■■keeping blood sugar, blood important to remember to protect your precious eyes. and vision impairment are far of blindness and vision loss is pre- cholesterol levels under control. reaching. ventable or treatable and there are Early prevention makes sense People who are blind or vision a number of things we can do to Jennifer because it saves sight, saves Gersbeck impaired have twice the risk of sus- prevent it or slow down its progres- CEO, Vision money and increases the chance of taining a fall, three times increased sion including: 2020 Australia healthy ageing. photo: jennifer gersbeck risk of suffering from depression, ■■having regular eye tests Vision2020 Australia their risk of hip fractures can in- ■■visiting an eye care professional [email protected] VISION & eye health FIRST edition, SEPTEMBER 2012

Responsible for this issue: Publisher: Elana McIntyre [email protected] Designer: Alana Giordano Looking into private health funds [email protected] Managing Director: Gustav Aspegren [email protected] It is estimated that 1.2 for other eye health services, in- surgery and physical therapy for treated by their own doctor, and Contributors: Sabrina Houssami, million Australians put off cluding consultations relating to the eyes. And with many health have greater control over when and Sarah McKenzie, Jasmin Leete, seeing vision and eye Glaucoma Australia, Macular the prescribing of glasses or con- care providers offering on-the-spot where they are treated. And with Degeneration Foundation, Vision health specialists despite tact lenses. HICAPS (Health Industry Claims the government providing a re- Australia, Guide Dogs NSW/ACT, concerns about their Vision2020/Vision Initiative, What Medicare generally won’t and Payments Services), patients bate of up to 40 per cent on health RANZCO Eye Foundation eyesight. And the reason cover, however, is the cost of glass- can receive immediate payment insurance premiums, comprehen- cited for not taking action? Photos: All photos courtesy of es, contact lenses or vision therapy, from their health fund without sive quality care is more accessible istockphoto.com unless noted otherwise. It seems that most are and this is where private health queuing or form filling. than ever. worried about the cost. Distributed within: funds step in. But aside from extra services So it seems that 1.2 million Aus- The Daily Telegraph, September 2012 not covered by Medicare, there are tralians no longer have an excuse. This section was created by Mediaplanet What Medicare will and How private health care and did not involve the Daily Telegraph or many other benefits for health fund With the Medicare system and a its Editorial Departments. won’t cover fits in members – ones that may be par- wide range of private health fund FOLLOW US ON FACEBOOK AND Many people are unaware that Depending on your level of cover, ticularly beneficial for people with options available, everybody can TWITTER! www.facebook.com/MediaplanetCA Medicare fully covers the cost of a private health funds may pay for existing vision problems or a fam- afford quality eye care. www.twitter.com/MediaplanetCA comprehensive eye examination frames, prescription lenses, con- ilial history of vision impairment. Mediaplanet’s business is to create new performed by an optometrist once tact lenses and certain lens cover- Private health fund members ex- customers for our advertisers by providing every two years. For eligible people, ings. They may also cover cataract perience shorter waiting times for sarah mckenzie readers with high quality content that motivates them to act. Medicare may also provide rebates and eye lens procedures, laser eye elective surgery, can choose to be [email protected]

4 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH insight

es are the other option. These can provide better outcomes for people with more complex vision A close problems. Contact lens care for healthy eyes up on When looking into contact lenses, you will most likely weigh up factors such as convenience, safety and lifestyle. It is also worth contact remembering that clean contact lenses ensures healthy eyes. A daily process of lens care involves careful hand washing before your contact lenses are re- lenses moved and a lens cleaning solu- Once regarded as fiddly, irritating tion applied. Each lens should or unsuitable for complex vision be gently rubbed for at least ten problems, today’s contact lenses seconds, before being rinsed with provide a clear and comfortable a cleaning solution, placed in a alternative to glasses. But with so lens case filled with fresh solution many options available, how do and soaked for a minimum of six you work out which contact lenses hours. are right for you? With recent innovations in contact lens design and lens care products, people who wear glasses See your optometrist be prescribed soft contact lenses, even those who require multifocal at Alcon Australia, says, “Multi- can be potential contact lens wear- Your first port of call should be manufactured from flexible plas- glasses can wear contact lenses. focal contact lenses are great for ers. Even if you’ve been put off in your optometrist. They will deter- tic materials and able to correct Various contact lens companies people in their 40s and 50s who, in- the past, perhaps now is the time mine what type of contact lens most kinds of focusing errors. Most produce multifocal contact lens- stead of reaching for reading glass- to take a closer look at whether and wearing schedule is most suit- are designed for daily wear with es that use high-precision tech- es, want to maintain a youthful ap- contact lenses are right for you? able, as well as set regular visits to monthly disposable and daily sin- nology to smoothly transition be- pearance. Those that allow oxygen ensure ongoing eye health. gle use contact lenses available, and tween near, intermediate and dis- to reach the eye’s surface are com- some can even be worn overnight. tant vision. fortable to wear all day, every day Innovations in lenses New developments in soft con- Lauren Richard, optometrist for healthy-looking eyes.” Sarah McKenzie In up to 90 percent of cases you’ll tact lens technology mean that and Professional Affairs Manager Gas permeable contact lens- [email protected] A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH SEPTEMBER 2012 · 5 tip INSIGHT 1 DON’T MISS! age. A regular and comprehen- Have a SUN DAMAGE comprehensive sive eye check from age 50 is your eye health Geoff check-up at Pollard best defence against all eye dis- least every two National eases, especially glaucoma. If you years at your Executive optometrist Officer, have risk factors such as a posi- AND YOUR EYES Glaucoma tive family history of glaucoma Sun protection Australia when we purchase a new pair of ways be prepared for times where PHOTO: (ask your family), or are of African JORDAN We all love our sunnies, summer sunglasses, we should check that there is little or no shade. Wheth- POLLARD descent; start getting regular eye and the brighter months approach- they meet Australian standards er enjoying the beach, skiing the health checks from age 40. ing. Once the warmer months set (look for ‘AS/NZS 1067:2003’ on the slopes or showing off your UVR- Don’t let glaucoma Glaucoma is detected by a sim- in it is easy to forget that the sun label) and have a UVR rating of 2 or safe sunnies on your luxury yacht darken your life ple check of the optic nerve head can harm our eyes. Frequent ex- more. The UVR rating is similar to it’s important to protect your eyes. There are 300,000 Australians (the optic disc) at the back of the posure to Ultraviolet light from the the Sun Protection Factor (SPF) for with glaucoma, about the popu- eye, and tests to measure eye sun can cause both short term and sunscreen and is marked on a scale Prescription + Protection = lation of Canberra, and you could pressure and your field of vision long term problems, ranging from of 0 to 4. In this scale 0 or 1 provide Clearer Sight be one of the estimated 150,000 may also be done. Asking your eye dry, itchy or painful eyes, to cata- almost no UVR protection and 4 With the importance of protecting who don’t know they have it. health practitioner, “How’s my racts, macular degeneration and offers the highest protection and the eyes from the sun becoming Early detection is vital to pre- optic disc?” helps to ensure your even cancer of the conjunctiva - the glare reduction. more evident in Australia, there serve vision because by the time glaucoma status is being compre- membrane that covers the white of The school rule of ‘no hat, no are also many new options avail- symptoms develop, significant hensively reviewed. the eye. play’ is also relevant, no matter able for people who require pre- sight loss has usually occurred. Treatment can usually pre- Around 4300 cases of pterygium what your age. Wide-brimmed and scriptive eyewear with sun pro- Glaucoma is truly the ‘sneak vent further deterioration and per year are treated as a result of legionnaire hats provide excellent tection. It is now easier than ever thief of sight’. may consist of eye drops and/or excessive exposure to ultraviolet coverage from the sun too. to find eyewear in which you can The optic nerve carries vision laser, and in some cases surgery radiation (UVR). Pterygium is a have your prescription fitted with messages from the eye to the is used. So don’t delay, get your type of cataract where the conjunc- Feeling the burn? sun protection. Ask your optomet- brain. Glaucoma is a group of dis- eyes checked by an optometrist tiva membrane grows over the cor- During the summer months, UV rist or eye practitioner today, to eases that damage this nerve. Vi- or other eye care professional, and nea, and is definitely not a pleasant exposure is three times as powerful help point you in the right direc- sion loss from glaucoma cannot protect your precious sight. ailment. in comparison to winter months, tion for protecting your precious be recovered. particularly between 10am and eyes from the sun. Glaucoma can occur at any Geoff Pollard Over exposure... 3pm. However, winter sun can still jamin leete age, and the risk increases as you [email protected] Sunsmart Victoria suggest that cause damage too, so it is wise to al- [email protected]

OVER BY 95 WORDS 6 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH

NEWS tip Healthy Choices For A 2

A vitamin supplement Brighter Tomorrow containing Bilberry may Vitamins for vision dation highly recommend a low GI help improve eye strain It has long been thought that pop- diet for optimal eye health, as low problems ping a daily multivitamin may help GI foods further reduce the risk of us make up for deficiencies in our developing AMD. For recipe ideas, Furthermore, it is important diet, so it may not come as much Macular Degeneration Foundation to note that smokers are three to surprise to learn that particular patron, Ita Buttrose, joined forces four times more likely to develop vitamins and minerals can bene- with Chef Vanessa Jones to pro- AMD than non-smokers according fit our eye health too. In fact, an on- duce over 90 delicious recipes that to Macular Degeneration Founda- going study, the age-related eye dis- are ideal for eye health. This book tion. The good news is that by quit- ease study (AREDS), has found that is available for sale on the Macular ting now you will reduce your risk the use of a specific combination of Degeneration Foundation’s website. of developing age-related macular supplements is effective in slowing degeneration, and you may slow the progression of age-related macu- Stop your eyes from going down the rate of deterioration if lar degeneration (AMD), the leading up in smoke you do suffer from AMD. Incredibly, Oily fish such as salmon, paired with iron rich spinach will give your eyes cause of blindness in Australia. the perfect boost of nutrients. Other lifestyle choices that can im- twenty years after quitting, an ex- The AREDS formula, which com- prove your eye health are regular ex- smoker’s risk is the same as some- bines high-doses of zinc, vitamins 25 percent. This is because the AREDS B6 and B12, lutein and zeaxanthin ercise, protecting your eyes from the one who has never smoked. C and E, beta-carotene (vitamin A) formula is a powerful antioxidant, are particularly benefical. These vita- sun and not smoking. Vision 2020 All changes to lifestyle should and copper, is an important compon- and decreases deterioration of the mins and minerals can be found in Australia/Vision Initiative, togeth- be made in consultation with your ent in the management of existing macula and retina. foods such as fish, nuts, colourful er with QUIT Australia explain that eye-care professional or doctor, and macular degeneration, according In addition to the supplements fruit and vegetables, as well as leafy smoking can be extremely dam- regular appointments with your to the National Eye Institute. While contained in the AREDS formula, green vegetables. There is strong evi- aging to the eyes, increasing the optometrist are advised to give AMD cannot be cured, the AREDS there are other vitamins and min- dence that these particular foods are chance of developing conditions, yourself the best chance of opti- combination of supplements can sig- erals that are recognised as be- beneficial in preventing eye diseases, such as glaucoma, and accounts mum eye health. nificantly lower the risk of progress- ing highly beneficial to eye health. particularly macular degeneration. for about 20 percent of age-related jasmin leete ing to advanced AMD, by as much as Omega 3 fatty acids, folate, vitamins The Macular Degeneration Foun- macular degeneration cases. [email protected] A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH SEPTEMBER 2012 · 7 inspiration An interview with Ita Buttrose Discovering a clearer future though prevention minutes three times a week. eat away their risk of developing extremely low. Most people had no If you get into the habit Macular Degeneration and it was idea what Macular Degeneration of eating eye-friendly foods exciting to have the opportunity was and many of them thought and exercising regularly you of creating “Eating for Eye Health it was associated with a disease will feel much better for it. — The Macular Degeneration of the muscles. In the last seven Cookbook in collaboration years, awareness levels have risen ■■Q: How can people prevent with talented Sydney chef, dramatically and more people Macular Degeneration? Vanessa Jones. We are both are heeding the message to have ■■A: It isn’t as hard as some proud of this book and all that their eyes tested and macula might think — adopting some it offers to people who want the checked. We can’t however rest on simple preventative measures very best for their eye health. our results and need to continue into their daily life can make our awareness raising efforts. We all the difference. I follow the ■■Q: What is one of your have a great deal more to do on the Foundation’s Eye Health checklist favourite recipes from the Eating importance of nutrition, lifestyle below: for Eye Health — The Macular and early detection. Never ■■Have your eyes tested and Degeneration Cookbook?” ignoring changes in vision, being Ita Buttrose ■■A: Patron, Macular Degeneration Foundation macula checked on a regular basis What a hard question. aware of symptoms and acting PHOTO: MACULAR DEGENERATION FOUNDATION ■■Do not smoke There are so many wonderful immediately on any changes are ■■Keep a healthy lifestyle, recipes for cooking and serving critical to saving sight. ■■Question: Why is the most people are usually shocked. control your weight and exercise Dad was in his mid-eighties prevention of Macular regularly DON’T MISS! when he lost his central vision Degeneration important to you? ■■Q: What are some of the things ■■Eat fish 2 to 3 times a week Eating For Eye Health, and it definitely changed his life. ■■Answer: My father had you do in your daily routine to ■■Eat dark green leafy vegetables The Macular Degeneration As a journalist and author, he had Macular Degeneration and I saw promote healthy eyes and prevent and fresh fruit daily Cookbook always started his day reading a the impact this had on him in MD? ■■Choose low glycemic index couple of newspapers. Suddenly later life. There are preventive ■■A: I exercise regularly, watch carbohydrates Co-authored this was no longer possible. As measures to help reduce the my weight and follow the ■■Eat a handful of nuts a week by chef a journalist and author myself Vanessa risk of developing this disease. eating program recommended ■■Consider an appropriate I couldn’t imagine not being Jones and These measures also can help to by the Macular Degeneration supplement in consultation with Foundation able to ever read again. I was as slow down its progression. In Foundation. your doctor: 1. Lutein and/or Patron Ita devastated about Dad’s fate as he my role as Patron of the Macular This is definitely not a omega-3 supplement: for those Buttrose, it was. Degeneration Foundation, I am deprivation method of eating. who have inadequate leafy greens is filled with beautiful delicious Unless you have witnessed a dedicated to raising awareness It just means eating a healthy, and/or fish in their diet; 2. Zinc recipes and critical eye health loved one or friend living with of the steps people should take to well-balanced diet that includes and antioxidant supplement: information. the challenges of vision loss, protect their eyes. fish two to three times a week, for those with mid to late stage Call 1800 111 709 or visit and appreciate how the simplest dark green leafy vegetables — Macular Degeneration www.mdfoundation.com.au activities and joys of life can to begin cooking your ■■Q: How do Australians know if especially spinach — and fresh ■■Use an Amsler grid for way to eye health today. become great challenges, it is hard they are at risk of suffering from fruit daily, and a handful of nuts checking for symptoms of to believe “it could happen to me”. Macular Degeneration? a week. Choosing low glycemic Macular Degeneration vegetables, fruit and fish in the ■■A: There are three key risk index carbohydrates and ■■Seek immediate attention from cookbook, but I do enjoy whipping ■■Q: How precious is good eye factors for Macular Degeneration. limiting your intake of fats is also an eye care professional if there up Poached Salmon with Grilled health for you? The first is age. If you are over important. are any sudden changes in vision. Asparagus and Poached Eggs. ■■A: Extremely. I get my macula 50 you are at risk. Smoking is I usually exercise every day. I It is light and delicious, and checked annually and when my another risk factor, as is family might walk for an hour on some ■■Q: Where did you find the excellent for my eye health. eye specialist tells me my “macula history. One thing I’ve noticed days and swim several laps on inspiration to create your lovely is in pristine condition” his words since becoming patron is how few another. I also work out at my cookbook “Eating for Eye Health ■■Q: In your opinion, are people are music to my ears and I just people know that a family history local gym a couple of times a — The Macular Degeneration aware of the impact of MD and about dance out of his surgery, of the disease brings with it a high week. You don’t have to follow Cookbook?” Eye Disease can have on their one of the happiest women in the risk of developing this chronic my regimen though — work out ■■A: I’m passionate about lifestyle? world! disease. When I tell them I have a your own but at the very least, making sure all Australians know ■■A: When I first became patron mischa watts 50 percent chance of getting it too, do try to walk for at least 30 they can, to a significant degree, in 2005 the level of awareness was [email protected] what is macular degeneration? acular Degeneration severe vision loss in Australia. What are the types of MD? save sight. This is dependent upon urgency. Difficulty with vision (MD) is the name given One in seven people over the There are two types of Macular early detection and quick access should never be dismissed as part Mto a group of degenerative age of 50 years (one million Degeneration. The Dry form results to treatment. Unfortunately for of just ‘getting older’. You can have retinal eye diseases that cause people) show some evidence of in a gradual loss of central vision. the dry form there is no treatment the very early stages of MD without progressive loss of central vision, this disease. It primarily affects The Wet form is characterised available as yet. Diet and lifestyle knowing and before any visual leaving the peripheral or side our aged population and is by a sudden loss of vision and measures can help to reduce the symptoms occur, so having an eye vision intact. The macula is the often referred to as Age-related is caused by abnormal blood progression of both dry and wet test and macula check is essential. central part of the retina, the light Macular Degeneration or AMD. vessels growing into the retina. MD. Early detection can allow you to sensitive tissue at the back of the Immediate medical attention take steps to slow the progression eye. The front of the eye focuses What are the risk factors is essential if symptoms occur. Early detection is important of MD. Over 50? Call 1 800 111 709 for images onto the retina which for MD? The early detection of any form of a free information kit. processes all visual images. It Macular Degeneration is thought What treatments are MD is crucial because the earlier is responsible for your ability to to be caused by genetic and available for Macular you seek treatment, the more read, recognise faces, drive and see environmental factors. People Degeneration? likely you are to have a better colours clearly. You are reading this over the age of 50 years are at There is presently no cure for outcome compared to those who information using your macula. risk, those with a direct family Macular Degeneration. However wait. MD can cause many different history have a 50% chance of the treatment of the wet form symptoms. Any changes in vision julie heraghty, How common is MD? developing the disease and of Macular Degeneration has should never be ignored and an chief executive officer, macular degeneration Macular Degeneration is the if you smoke or have smoked changed dramatically over the appointment made with an eye foundation leading cause of blindness and you have 3 to 4 times the risk. last 5 years and treatment can care professional as a matter of [email protected] 8 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH NEWS

FACTS: STAY IN THE KNOW ABOUT DRY EYE

NO NEED TO CRY OVER DRY EYES Symptoms of dry eyes: With much of our life in surface cell damage and some- eyes can easily flair up after they which is the most common form is being spent indoors or times deterioration of eyesight. have been exposed to smoke or fra- caused by blockage of the meibom- ■■Pain or burning sensation in an air conditioned The good news is that although grances. Considering that these ian glands, which normally pro- in the eye environment, dry eyes many people do suffer from dry symptoms can range from mild duces a fatty-oil that protects the ■■A gritty or scratchy feeling are becoming increas- eye syndrome, there are effective, to severe, it is important to talk to aqueous tear layer. Both types of in the eye ingly common. We look at easy and innovative treatments your optometrist or eye practition- dry eye cause the tears to evaporate ■■Itchiness the treatments available available. er about your symptoms. Prompt too quickly, leaving the eye surface ■■Redness of the eye that provide comfort treatment for dry eyes is import- exposed to damage. ■■Tired eyes or Heavy eye lids and relief for dry eyes. Do I have Dry Eyes? ant to stop the vicious cycle that Dry eye can be exacerbated by a ■■Blurred Vision at times The symptoms of dry eyes range can turn a mild issue into some- number of things, such as medica- Approximately 120,000 Austral- from experiencing mild discom- thing that can become debilitating tions, a dry or air-conditioned en- What others things may ians suffer from significant dry fort, to severely debilitating eye for some. vironment as well as some medic- contribute to Dry Eyes? eye syndrome — a chronic dry eye problems. al conditions. However, advancing condition. For most of us, dry eyes Some of the symptoms can in- Why are tears important? age is the number one cause. It is ■■Air conditioning or environmental are temporary and can be treated clude a scratchy or gritty feeling in Tears are very important for our especially prevalent in menopaus- elements with a warm compress and a good your eyes, or aching eyes. Dry eyes overall eye health, as they help to al females and is also closely linked ■■Extended periods of using nights’ sleep, but for a chronic suf- can also give the sufferer a feeling bathe the surface of the eye and with Glaucoma. Prompt treatment the computer ferer, symptoms such as dry, gritty like there is something foreign in wash away any dust or particles. for dry eyes is important to stop the ■■Post laser eye surgery and eyes, burning, itchiness, blurred their eye, or cause sensitivity to This ensures that the eye stays vicious cycle that can turn a mild cataract surgery vision and eye redness are a regu- light. Tired or heavy eyelids are also healthy and that vision is kept issue into something that is debili- ■■Some medical illnesses lar occurrence, and can be quite de- a key factor in dry eyes. People tend clear. tating. Dry eyes can also be brought such as Glaucoma and Stroke bilitating. After all, we blink about to find that these symptoms are There are two main types of on by a previous eye surgery, but ■■Some medications 11,500 times a day, and for a dry eye particularly noticeable when read- dry eye syndrome; Aqueous defi- rest assure, there are ways to find sufferer, each of those blinks may ing or using the computer, or when cient dry eye, is caused by a lack of comfort. Mischa Watts cause discomfort or pain. With- the eye is strained. For some people watery tear production by the lac- jasmin leete [email protected] out treatment, dry eyes can result they may even notice that their rimal gland. Evaporative dry eye, [email protected] A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH SEPTEMBER 2012 · 9 NEWS FREEDOM FROM DRY EYES DRY EYE PREVENTION

Almost everyone has ex- perienced a feeling of ‘dry eye’ at some time.

Some people have very mild dry eye, which causes only a temporary irritation. But dry eye can also be a long-term condition associated with great discomfort or pain, and can affect your vision.

Dry eye is common but people who experience Luckily, there are some outstand- able, and some are particularly for- For those who suffer from severe, As there are so many effective ing dry eye treatments on the mar- mulated to provide long term relief. sometimes debilitating dry eyes, treatments now available, there this condition should not think ket. There have been many advan- Eye drops can give enormous com- there is an innovative technology is no need to suffer from dry eyes. they that they have to endure it. ces in products that are now avail- fort for contact lens wearers who now available called LipiFlowTM. With a huge range of treatments able for dry eye sufferers. Eye drops suffer from dry eyes. In this treatment a dish-shaped in- available, there is no need to suffer Improvements in treat- are affordable, simple to use and Another way in which suffer- flatable bladder is inserted on the any more. ment and diagnosis mean provide excellent relief for dry eyes. ers can find comfort from dry eyes, inside of the eyelids while a gen- See your optometrist, eye care nearly all dry eye patients can Many work by replacing the nat- is through vitamins. It has been tle heating pad puts gentle pres- practitioner or chat to your phar- ural tear layer with safe, artificial shown that taking a supplement sure on the outside, stimulating macist to find comfort and relief for experience relief of their symp- tears. Eye drops and ointments can containing Omega-3 and vitamin the meibomian glands in order to yourself today. toms with appropriate therapy. be purchased over the counter at E can also help relieve the eyes sig- unblock them. This revolutionary the pharmacy and are formulated nificantly. Recent research has treatment only takes 12 minutes to help soothe the eyes effective- shown this combination to be ex- per eye, is painless, and 79% of pa- source: OptometristS Association Australia ly. There are many different types tremely effective for many people tients report noticeable improve- jasmin leete [email protected] of eye drops and ointments avail- who suffer from dry eyes. ment after one treatment. [email protected]

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CONTACT LENSES INCLUDING ORTHOKERATOLOGY

DR. JIM KOKKINAKIS OPTOMETRIST

PHONE (02) 9290 1899 Mezzanine Level 44 Market St Sydney NSW 2000

OUR COMMITMENT TO EXCELLENCE SETS US APART theeyepractice.com.au 10 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH NEWS To see or not to see, Question & Answer that is the question most common vision correction procedure, LASIK. Some are better suited to laser on the surface Is laser eye surgery for me? host of vision impairments, ran- using a femtosecond laser known of the cornea (ASLA or PRK), some If you’re Australian, there’s a 50 per- ging from myopia and hyperopia as ‘IntraLase’, produces an accur- may be suited to an implantable cent chance that you rely on glass- (short- and long-sightedness) to ate corneal flap in around fifteen lens, while some aren’t suitable es or contact lenses to see clear- astigmatism, presbyopia, cataracts seconds by generating microscop- for any form of treatment. It’s ly. As a sight-challenged Aussie, I and retina diseases such as macu- ic bubbles that separate the corneal vital that the surgeon outlines wear both and though I’m thank- lar degeneration. And for the three layers. It’s only a little costlier than exactly what is right for an indi- ful for the temporary vision-boost percent of us suffering from glau- traditional laser eye surgery, which vidual. they grant, I have always wondered coma, laser eye surgery can out- uses a tiny bladed device called a It’s important to have realistic what it would be like to experience right prevent blindness, which is a microkeratone to create a self-heal-

Dr. Michael Lawless expectations, as the eye natural- the freedom of life without vision possible outcome when the disease ing flap of corneal tissue and starts MBBS, FRANZCO, FRACS, FRCOphth, ly changes throughout a person’s aids as a result of laser eye surgery. is left untreated. from just $1,500 per eye. And pay- Vision Eye Institute life. A 20 year old could find that What if we could wake up with ment plans are available through PHOTO: VISION EYE INSTITUTE they have an excellent result that perfect vision every day? Laser eye different eye clinics, just to make ■■What are some of the suits them for years to come, or surgery technology has been avail- “LASER EYE it that much easier for us to access latest innovations in laser they may need further surgery in able to us for two decades now and this life-changing technology. eye surgery? their 30s. Patients can have laser it’s about time we open our eyes SURGERY IS In the past, laser eye surgery eye surgery at any age. (pun intended) to the benefits. CONTINUOUSLY Beauty is in the eye of the ! took a ‘one size fits all’ ap- beholder proach, which worked well for ■■What eye disorders or A positive outlook EVOLVING, The beauty of laser eye surgery, most people. However, like ‘regu- eye problems can laser Leading Australian bridal coutur- INTRODUCING aside from its efficacy and speed- lar size’ socks, they fit some eye surgery treat? ier, Steven Khalil, underwent laser iness, is that it’s completely cus- NEW AND people perfectly and fit most ! Laser procedures such as eye surgery just last month and tomisable depending on your eye pretty well. LASIK and ASLA (PRK) treat he’s found out firsthand how bene- IMPROVED issue. The success rate is huge: Today, laser vision correc- optical errors, including myopia ficial it is. “As bridal gown design is 99.9% of laser eye surgery works, tion procedures can be tailored (short sightedness), hyperopia all about fine detail, it is of utmost TECHNOLOGIES and it is the most common oper- to take into account the unique (long sightedness), astigmatism importance for me to achieve the THAT CORRECT ation performed worldwide. As anatomy of each patient. Every and presbyopia, or some of these best possible vision. I’ll admit, the Khalil puts it, “I have become the eye is different, including the in combination. surgery was such an easy process A WHOLE HOST biggest ambassador of laser eye shape of the cornea (the front Other surgical procedures and completely stress free.” Khalil OF VISION surgery — people are always tell- surface of the eye) and the length that can correct visual errors in- even confesses that his recovery ing me their fears, but I can hon- of the eye. clude lens surgery. Until recently period was so fast that he drove IMPAIRMENTS.” estly say that it was unbelievably The latest innovations have al- all lens and cataract surgery was himself to his follow-up appoint- simple. If you are thinking of doing lowed laser eye surgeons to map performed manually. Since April ment the very next morning, free of it, I wouldn’t hesitate — it’s a small the unique features of the eyes, 2011 technology has been avail- any vision aids! Innovations In The Industry miracle.” A small miracle? Yes, and then using this information able in Australia to allow a laser It sounds too good to be true, but Better yet, the surgery has now please. It’s time to seek advice on to perform laser eye surgery that to replace a blade during the first in this case, it simply isn’t. Laser developed to offer ‘all laser’ tech- the right laser eye surgery for you. produces vision as good as or bet- three steps. Recently published eye surgery is continuously evolv- nology for those of us who are ter than glasses or contact lenses data confirms that laser lens sur- ing, introducing new and improved squeamish about blades and inci- SABRINA HOUSSAMI for many people. gery and laser cataract surgery technologies that correct a whole sions. The process, which involves [email protected] offers benefits in terms of safety ■■What important things and accuracy. should people keep in mind Laser lens surgery involves re- when they are considering moving the natural lens of the laser eye surgery? eye and replacing it with an arti- When choosing a surgeon, ficial intraocular lens. A typical ! the essential factors to re- patient is 50+ and wants to reduce search are their experience, their dependency on glasses, but the technology they use and is not suitable for laser surgery. their willingness to communi- cate openly. MISCHA WATTS Not everyone is suitable for the [email protected] A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH SEPTEMBER 2012 · 11 PANEL OF EXPERTS

Dr. Jim Kokkinakis Barry Clenner BOptom FAAO ISCLS GCOT, Senior Optometrist Dental The Eye Practice, and Eyecare Practices, Senior Lecturer, University of NSW Medibank Group PHOTO: THE EYE PRACTICE PHOTO: MEDIBANK GROUP Question 1: Most of the common eye diseases like macular degeneration, Our eyes are constantly undergoing changes throughout glaucoma and diabetic retinopathy have no symptoms or pain until our life, and our risk of eye disease increases after the age of 50. Why is it important very late in the process. Often this is at a time when things can be ir- Some eye diseases and vision problems may not always present with for Australians to recoverable. Intervention at an early stage though invariably has a obvious symptoms, which means that many people are unaware favourable outcome. It stands to reason then that the best insurance that a problem even exists. In order to detect any vision problems as have regular eye policy against blinding eye diseases is to have regular eye examina- early as possible, you should attend regular eye examinations every examinations? tions that go beyond just testing for glasses. Apart from blinding eye two years. Early detection and diagnosis allows for more effective diseases it is also possible to observe the blood vessel structure at the management and treatment of eye disease. It also can assist in main- back of the eye and detect systemic problems such high blood pres- taining good vision, and in some cases, the prevention of permanent sure, impending stroke. Diabetes and even brain tumours. loss of vision.

Question 2: There are a number of important things that we all need to Whilst age is the biggest risk factor in deteriorating eye In your opinion, be aware of: 1. Regular eye exams at least every two years, 2. Fish health, there are some things that can be done which may poten- Oil and Lutein Supplements have recently been shown to be benefi- tially slow down the onset of age-related eye diseases, 1. Reduce the how can Australians cial for ongoing eye health, 3. Using good quality wrap around sun- time spent in front of the computer or television and make sure to look after their eyes? glasses, 4. Keeping your eyes well lubricated with preservative free give your eyes a rest during the day, 2. If your family has any pre- eye drops is especially important for office and computer workers existing history of eye disease make sure that you have your eyes in air conditioning, 5. Children in particular are prone to developing checked on a more regular basis especially if you experience any myopia (short-sightedness) by excessive use of electronic devices. symptoms, 3. Maintain a healthy diet, avoid smoking and exercise regularly; Again, having regular eye examinations every two years, will allow for the detection of any eye problems and eye disease as early as possible.

Question 3: In modern times we have seen an exponential increase The way that we use our eyes and the stress we place up- eyestrain and myopia due to overuse of electronic devices. Eyes have on them has changed dramatically in recent times. Our increased How have eye not evolved to read. Human eyes are designed to focus in the distance exposure to computerised technology, especially for those of us in an of- problems changed with small amounts of close work. What is interesting is that we also fice environment, has placed a greater demand on our eyes and leads to in modern times? have an exponential increase in dry eye problems. Studies have shown increased focusing problems. Children are also being exposed to exces- that when one reads or views a computer blinking rates reduce to 30 sive close up activities including prolonged computer usage and tele- percent of normal. This over exposes the eyes to the environment vision viewing. The ageing population is also another major factor in an which in turn dehydrates them and can in some cases cause signifi- increased prevalence of eye disease. At the same time however, state-of- cant to debilitating irritation. With urbanisation this has changed dra- the-art equipment and more advances in medicine have allowed for ear- matically to the point where many of us do not get any outdoor activity. lier detection, and more effective treatment of eye diseases. Consequently reading and computer work dominates our vision. It is important to try and reduce all types of eye strain by having regular eye examinations. Apart from reducing the incidence of preventable blindness, correcting eye strain problems will make people more productive tip and less physically fatigued. Seeing through the eyes of a child 3 Some eyesight The impact that poor vision Good vision is important for a Jared Slater prises limited tests. A thorough eye problems in children can can have on a child is enor- child’s educational, physical and so- Professional examination by an optometrist usu- manifest as mous. Vision problems can Services Manager, learning cial development. Vision problems Optometrists ally takes 30 minutes and is covered difficulties, affect their learning signifi- can make learning difficult and pre- Association by a Medicare rebate. No referral is ensure regular Australia check-ups for cantly, Jared Slater of the vent children from achieving their needed. your children Optometrist Association full potential. Australia talks about the Vision problems may contribute to Performance issues that may indi- ■■Holding a book very close to read importance of regular eye learning difficulties in reading, writ- tact lenses. These problems include cate your child has a vision problem: ■■Squinting or sitting very close tests for children. ing, viewing a whiteboard, computer short-sightedness (blurred distance ■■Skipping or re-reading lines when watching television use and other classroom activities. vision), longsightedness (difficulty ■■Omitting or confusing words ■■Complaints of headaches or Children should have their eyes test- Many children do not know they focusing up close) and astigmatism when reading blurred or double vision ed by an optometrist before start- could see better. Parents and teach- (vision distortion). ■■Poor comprehension when read- ■■Difficulty recognising familiar ing school and regularly throughout ers are best placed to detect signs of Amblyopia (a turned eye) usually ing people in the distance their schooling to detect and manage a potential problem including avoid- occurs before age five but vision in ■■Homework taking longer than it ■■Sensitivity to light vision problems. This can also help ance of reading and writing, lower the lazy eye can be improved if de- should ■■Tilting head noticeably prevent eye conditions leading to comprehension and short attention tected and treated early. ■■Short attention span with reading ■■One eye turns in or out while the permanent impairment. span. Sometimes these issues are Babies have their eyes tested at and school work other points straight ahead Research shows that 1 in 10 Aus- incorrectly attributed to dyslexia or birth but if you suspect an eye or vi- ■■Difficulty learning to read ■■Poor hand-eye coordination tralian children have a long term attention deficits. sion problem in your baby or child or For more information or to find eye disorder, 1 in 4 have undetected The most common vision prob- there is a family history of poor vi- Other signs include: an optometrist see www.optomet- vision problems and 60 per cent of lems in school-aged children affect sion, have their eyes tested promptly. ■■Frequent blinking or rubbing eye rists.asn.au. ‘problem learners’ have undetected the ability to see clearly and can be Vision screening is sometimes ■■Red or watery eyes jared slater vision problems. corrected with spectacles or con- offered at school and usually com- ■■Covering or closing one eye [email protected] 12 · SEPTEMBER 2012 A special SECTION by MediaPlanet TO THE DAILY TELEGRAPH NEWS

Kirk Pengilly: Parents get your children’s eyes tested

Eyesight is a gift for with an eye disease of this Professor Frank Martin, Kirk Pengilly understands first- all of us to treasure. kind, time will make all world-renowned paedi- hand the importance of eyesight and Kirk Pengilly from INXS the difference in the atric ophthalmolo- protecting that of his daughter’s, truly understands how long-term effects it gist and RANZCO Eye April. “Finding out I had glaucoma precious eyesight is. will have on you. Foundation Board when I was in my mid 20s, in addi- Due to how severe Member says, “Chil- tion to my mother having macular Kirk Pengilly, best known as the my glaucoma was, dren rarely com- degeneration, I certainly felt the im- guitarist, saxophonist and prin- I was fast tracked plain about eye portance of informing my daughter cipal backing vocalist of the icon- to a pioneering problems and often April of our family’s eye health hist- ic Australian rock band, INXS, is al- Australian oph- poor eyesight goes ory and encouraging her to start get- so well recognized for wearing his thalmologist who undetected. If prob- ting her eyes checked every couple of trademark black glasses. For Kirk quickly treated my lems are not picked years. his glasses represent far more than deteriorating sight up during the first few “My main message to parents is a fashion statement, having experi- and prevented further years, damage and vision that they should consider the fact enced vision issues, Kirk says eye- damage to my vision”. loss may be permanent. that eye health is just as important sight is a gift to be cherished and Passionate about eye “The good news is, with as any other health issue that you one which should be protected at all health, Kirk became an ambas- early detection, the common vi- have or need to look after. Even if costs. sador of The RANZCO Eye Founda- sion problems among school-aged you, or your family members, don’t “I’ve worn glasses almost all my tion in 2007 and again supported children can be easily managed or have a history of eye disease it’s so life to see clearly as I am long-sight- JulEYE’s 2012 Campaign. This year the most common yet overlooked corrected. This is the driving force important to have your eyes checked ed,” says Kirk. Kirk supported the RANZCO Eye long-term health problems experi- behind the RANZCO Eye founda- regularly,” said Kirk Pengilly. “In 1985, I came extremely close to Foundation’s call for a national enced by children in Australia. Dur- tion’s impassioned call for a national losing my sight to glaucoma. Thank- eye-screening program to be put ing 2006-07, nearly 9,000 children eye screening program to ensure no fully my optometrist diagnosed the in place especially for pre-school- were hospitalized with eye disease child misses out on this all-import- RANZCO Eye Foundation glaucoma quickly. When diagnosed children. Eye disorders are one of and disorders. ant check,” says Professor Martin. [email protected] Do you know someone who has low vision?

For those living with vision im- useful vision aids such as talking sufferer can still enjoy hobbies and pairment, day-to-day life can watches, pocket lights, magnifi- a healthy lifestyle, with the help of be difficult. Fortunately, there ers and large print books also make these new vision aids. is now a huge range of solu- reading and writing easier. David Woodbridge, Senior Adapt- tions and new technologies However, new technologies offer ive Technology Consultant at Vi- that can help make life easier exciting opportunities. Tradition- sion Australia, adds, “Digital set top for people who do suffer from al ‘looking glass’ products are be- boxes now let you hear channel and low vision. ing replaced with text-to-speech program information, and soon synthesisers and with desktop and will provide audio descriptions Support services handheld magnifiers that offer ad- to explain what’s happening on Agencies such as Vision Australia justable magnification, contrast screen. Many cinemas also provide and Guide Dogs NSW/ACT assist and brightness options. Mean- headsets with audio descriptions. by acting as central points from while, talking GPS software for mo- “Such developments are game which individuals and carers can bile phones and handheld devices changers,” David says. “These new access services, practical informa- is being increasingly utilised in technologies empower people with tion and advocacy. conjunction with canes and guide vision impairment. They really nail Crucially, these organisations dogs to increase mobility, safety independence.” provide free vision assessments and independence. These wonderful new develop- where clients receive individ- “It’s exciting to see some fea- ments in low vision aids can great- ualised advice and training on tures moving into mainstream de- ly improve the lifestyle of people using specific aids and equipment vices like smart phones,” says Lui- who suffer from low vision. If you to make daily life easier. If you sa Ferronato, Manager of Assistive do know someone who suffers do know someone who does suf- Technology Services at Vision Aus- from a vision impairment, help fer from low vision, it is definitely tralia. them gain independence and hope worthwhile encouraging them to There are also exciting new prod- by contacting Vision Australia or reach out to these organisations, as ucts available which bring hope Guide Dogs NSW/ACT. Reach out to- these organisations provide effect- to those whose life has been dark- day and make the future brighter ive support and care. ened due to vision Loss. These sen- and clear for your loved one. sational new developments can en- Advances in technology sure that a happy and active life- Many of us are familiar with some style is continued after vision loss, of the tradition vision aids, such as and that it is not the be all and end SARAH MCKENZIE long canes and guide dogs. Other all. These products ensure that the [email protected]