At Ezekiel Eyes, we look forward to helping more people to see and improve their quality of life. You can trust our professional optometrists in Perth for an eye visit for you or your family! Book an appointment now!
Do you enjoy learning? Every day, I’m learning new ways to help people at Ezekiel Eyes!
You might not know that I have been doing postgraduate study in specialty areas of eyecare.
Keep reading to learn more about how it’s making a difference every day…
Previously at a large corporate optometry business, I recall trying to help people like:
· A lady who wore rigid contact lenses but struggled to get the lens to fit properly in one eye
· A person who had early keratoconus and difficulty putting his lenses in and out. One lens went missing and we found it stuck under one upper eyelid.
· A girl with a turned eye and her mother wanted to know how to improve her eye
In my previous role, I had to refer these people to find care with more specialized eye doctors.
When I started working at Ezekiel Eyes, Damon Ezekiel shared how he focuses on improving people’s quality of life.
This motivated me to enroll in an Advanced Certificates in Contact Lensesand Children’s Vision via the Australian College of Optometry.
I’m enjoying the challenge of extra study so far. Damon is fully supportive of me taking up extra study.
Recently I undertook clinical placements with a local paediatric ophthalmologist and two behavioural optometrists. The latter specialise in children’s vision and vision problems affecting education and learning difficulties.
It was great to see tests performed on real patients. Each of these three professionals shared their tips with me.
From my placement and study, I feel confident working with:
· Assessing children with learning difficulties and information processing skills
· Vision therapy
· Colour vision assessments for dyslexia
My study has also made me aware of the role of other professionals, such as paediatricians, teachers, occupational therapists, speech pathologists and audiologists in supporting children’s development.
I look forward to collaborating with these professions in the future.
My study and new skills have helped me to grow in confidence, and expand my ability to help meet my patients needs.
Improving people’s quality of life is something that is important for me.
In this video, you’ll learn Felix’s top three symptoms that connect vision and learning.
If your child lacks confidence when reading, or they need an eye test, tap here to book an appointment. We are certified optometrists in Perth, and we have been providing optical services for three generations now, and we care about your vision.
We hope that your family has a great start to Term 2!
Allergies are very common, with around 1 in 5 people in Australia experiencing an allergy during their lives.
The severity of allergies varies from person to person and can range from minor irritation to anaphylaxis.
When you have allergies, your immune system makes antibodies that identify a particular substance as harmful, even though it isn’t.
These are usually everyday items such as:
When you come in contact with the substance, your immune system’s reaction can inflame your skin, sinuses, airways or digestive system, typical of an allergic reaction.
When do allergies feel like a cold?
A cold is an infection caused by a virus. Allergies are your immune system’s reaction to a substance like pollen.
Because the two conditions cause similar symptoms, like sniffles and stuffiness, many people get them mixed up.
The only ache you may feel with allergies is a headache from all that congestion.
Allergies can cause sore throat if there’s enough irritation from post-nasal drip and coughing, but if you’re experiencing a sore throat or mild body aches, they’re more likely a sign of a bad cold.
Here’s a breakdown of common symptoms of a cold vs allergy:
Are allergies genetic?
Not exactly. The tendency to develop allergies is often hereditary, which means it can pass down through genes from parents to their kids.
It could be eczema, hayfever or asthma, or all three of these conditions.
But just because a parent has allergies doesn’t mean that their kids definitely get them.
And someone usually doesn’t inherit a particular allergy, just the likelihood of having allergies.
Some kids have allergies even if no family members are allergic.
Experts think other factors come into play, like your environment, air pollution, respiratory infections – even diet and emotions.
How do allergies affect eyes?
The nose, eyes, sinuses and throat are affected by substances that are inhaled.
During an allergic reaction, these areas can become swollen, inflamed or itchy, with extra mucus produced in the nose and fluid in the eyes.
The symptoms of eye allergies can vary greatly in severity and presentation from one person to the next.
Your eyes may become increasingly red and itchy.
Most people will present with at least some degree of irritation or foreign-body sensation and clear, watery discharge.
What happens if I rub my eyes?
Rubbing your eyes may seem like a relatively harmless thing to do.
Most of us do it regularly, whether we’re suffering from hayfever or a common cold, or are just feeling tired and groggy.
Rubbing stimulates tears to flow, lubricating dry eyes and removing dust and other irritants. Rubbing your eyes can also be therapeutic.
Pressing down on your eyeball can stimulate the vagus nerve, which slows down your heart rate, relieving stress.
However, if you rub your eyes too often or too hard, you can cause damage in a number of ways…
Rubbing your eyes may cause tiny blood vessels to break, resulting in bloodshot eyes or dark undereye circles.
When you rub your eye, germs are easily transferred from your hands, which can result in infections like conjunctivitis. Read more about conjunctivitis.
Sometimes people get a foreign body stuck in their eye and the natural instinct is to rub it to try and remove the object. However, rubbing against the object can very easily scratch and damage the cornea.
Rubbing is most dangerous in people with certain pre-existing eye conditions. People with progressive myopia (a type of short-sightedness caused by a lengthened eyeball) may find that rubbing worsens their eyesight. Similarly, those with glaucoma may find that the spike in eye pressure caused by rubbing the eyes can disrupt blood flow to the back of the eye and lead to nerve damage and, ultimately, permanent loss of vision.
Studies have shown that continuous eye rubbing in susceptible individuals can also lead to thinning of the cornea, which is weakened and pushes forward to become more conical. We write about various topics that might affect your sight and vision. As certified optometrists in Perth who have been serving for three generations, we care about your health. Check our website to learn more!
This is known as Keratoconus, and is a serious condition that can lead to distorted vision and possibly the future need for a corneal graft. Read more here
St Pat’s is a not-for-profit organization providing community housing and specialist services for people facing homelessness or living in a vulnerable situation.
Felix volunteered at the St Pat’s Optometry Clinic. Felix was given the chance to do eye examinations for people of all ages.
If they required glasses, they could go back to collect them the next time the St Pat’s Optometry Clinic was open.
We love seeing people feeling more confident!
Bob’s shares how his eyesight Improved:
“For the last ten to twelve years since the second Pterygium (skin growth on the coloured part of the eye) removal to my right eye and afterwards laser treatment to the eye, scar tissue has stopped me seeing clearly in fact my sight was not unlike looking through a frosted glass window, with more serious consequences with driving at night where each light source included a smudge to the right.
Damon Ezekiel was brilliant in sorting the problem, scanning the topography of my eye, fitting that eye with a correctly curved lens with appropriate sighted correction enabling me to improve the eye sight chart by seven lines, incredible !!!
The other improvement was the removal of the “flare” effect so nighttime driving eye sight is now perfect, now that’s brilliant.
The other point of interest for me was how clear the full moon is and all the perfect pin pricks of light from the stars, what have I been missing for all these years.
So thank you Damon for the life change it’s made for me.”
Thank you for sharing your comments, Bob!
Let’s all work to protect our eyes from sun and damage.
Today, we’re covering more about Severe Dry Eye, including symptoms, causes and treatments. Plus a special contact lens that can give significant relief from severe dry eye.
Ever had something in your eye? If so, you’ll know how sore it is.
What are the symptoms of severe dry eye?
Severe dry eye can cause symptoms like:
Severe or disabling pain
Episodes of stinging, burning or scratchy sensation in your eyes.
Frequent red eyes and red-rimmed eyes
Constant blurred vision or eye fatigue
Ongoing problems and reduced quality of life
Severe dry eyes can have bad days and not-so-bad days. Your environment can play a role in how your eyes feel.
You may experience constant watery eyes in an air-conditioned room . You may have staring at a computer screen for a few hours. Dry eyes can make it difficult to perform everyday activities, such as reading, driving or watching television.
Why don’t I have enough tears?
Your tears are a complex mixture of water, fatty oils and mucus. This mixture helps make the surface of your eyes smooth and clear, and it helps protect your eye from infection.
For some people the cause of dry eyes is increased tear evaporation and an imbalance in the makeup of your tears.
For others the cause of dry eyes is decreased tear production.
The tears protect the surface of the eye from infection. They also help things to stay in focus. Without adequate tears, you may have eye inflammation, abrasion of the corneal surface and if left untreated lead to corneal ulcer and vision problems.
Are there any auto-immune connections?
Autoimmune diseases such as:
Diabetes type 1
These are some of the autoimmune diseases that affect the eye and contribute to severe dry eyes. They can cause symptoms like:
In this article, we’ll discuss two medical conditions in more detail.
What is Stevens Johnsons Syndrome?
Steven Johnsons syndrome is a rare, serious disorder of the skin and mucous membranes triggered by medication, an infection or both.
It usually starts with fever, a sore mouth and throat, fatigue and burning eyes.
As the condition develops, it includes widespread skin pain, a red or purplish rash that spreads.
Blisters may form on your skin and mucous membrane of the mouth, nose, eyes and genitals and shedding of the skin within days after blisters form.
Stevens-Johnson syndrome is a medical emergency that usually requires hospitalisation.
Treatment for Stevens Johnsons Syndrome
Treatment focuses on removing the cause (i.e. ceasing the medication), caring for wounds, controlling pain and minimising complications as skin regrows. It can take weeks to months to recover.
During this stage, artificial tears or topical steroid is used to reduce inflammation of the eyes and mucous membrane.
Another autoimmune condition that affects the eyes is Sjogrens Syndrome.
What is Sjogrens Syndrome?
Sjogren syndrome is a disorder of your immune system identified by its two most common symptoms – dry eyes and a dry mouth.
The condition often accompanies other immune system disorders, such as rheumatoid arthritis and lupus.
Sjogrens Syndrome affects the mucous membranes and moisture-secreting glands of your eyes and mouth first. This causes decreased tears and saliva.
Treatment for Sjogrens Syndrome
Treatment for Sjogren syndrome depends on the parts of the body affected. Many people manage the dry eye and dry mouth of Sjogren’s syndrome by using over-the counter lubrication eyedrops and drinking water more frequently.
However, some people need prescription medications to reduce inflammation, such as:
Cyclosporine (anti-inflammatory drops)
What is autologous serum?
Autologous serum is customised eyedrop made from patient’s own blood diluted in sterile saline or hyaluronic acid.
It serves as lacrimal gland substitute to provide lubrication and its composition of the serum resembles that of tears.
It’s composed of a mixture of naturally occuring things in the body like:
Transforming growth factor B (TGF-B)
Immunoglobulin A (IgA)
Epithelial growth factor (EGF)
Vitamin C which promote healing of the ocular surface.
Autologous serum typically made in a concentration of around twenty percent. This is based on the concentration of biological factors in actual tears, although higher concentration have been used.
Research has shown autologous serum is more effective than over-the counter lubrication in patients with severe dry eye, This is because the serum is composed of a complex mix of growth factors, proteins, antioxidants and lipids which are not found in over-the counter lubrication eyedrops.
Some people may even need surgical procedures, to seal the tear ducts and help preserve tears on the eyes (i.e. punctal cauterisation).
Preservative vs preservative-free eye drops for severe dry eye
A variety of lubrication eyedrops are available over-the counter. Eyedrops with preservatives can be used up to four times a day. Preservatives help the eyedrop bottle to last longer.
However, preservatives drops more often can cause eye irritation in people with dry eye syndrome.
If you rely on eyedrops more than four times a day or allergic to preservatives, non-preservative drops are safer.
Lubricating eye ointments coat your eyes, providing longer lasting relief from dry eyes but are thicker than eyedrops and can cloud your vision.
Scleral lenses can provide significant pain relief for people with severe dry eye.
Regular soft contact lenses sit on the cornea, which can be extremely irritating and act as sponges soaking up moisture on the surface of the eye.
Scleral lenses, on the other hand, sit on the sclera, the white part of the eye and vault over the cornea.
These lenses do not touch the corneal surface at all, making this a very comfortable option.
Furthermore, when inserting a scleral lens into your eye, you first apply a saline solution which fills the gap between the cornea and the lens.
This provides moisture for the irritated eye and promotes healing by ensuring consistent hydration of the eye and shielding the cornea from external irritants, such as blinking from the eyelids and environmental irritants.
Scleral lenses significantly reduce discomfort, eye redness and simultaneously provide clear, crisp vision.
During this time of social distancing, can you still wear contacts?
Damon Ezekiel is current President of the International Society of Contact Lens Specialists (ISCLS). He is also a member of the Cornea and Contact Lens Society of Australia (CCLSA).
Here’s a position statement from CCLSA about Coronavirus and Contact Lenses.
Contact Lens Wear & COVID-19
There’s currently no evidence to suggest an increased risk of being infected with SARS-CoV-2, the novel coronavirus that causes the disease known as COVID-19, through contact lens (CL) wear.
For decades contact lens practitioners have advised thorough, correct hand-washing and strict hygiene practices for CL wearers in order to decrease the risk of eye infections.
There is however a history of a significant degree of non-compliance with proper hygiene techniques among CL wearers, and the general public at large.
Now more than ever it is critically important for a CL wearer to pay great attention to proper hygiene and for practitioners to strongly reinforce sound practices. This can be done at the time of consultation, or via Social Media, webinars, text messages, websites, email etc.
Contact Lens Wear is a safe activity with low rates of infections or other serious complications, despite poor compliance with safe practices.
Contact lenses, solutions and eye drops (where applicable) should be used, worn and replaced as prescribed by your eye care practitioner and according to manufacturer recommendations and expiry dates.
Storage case hygiene and care practices should be followed for reusable lenses.
Where possible, Daily Disposable Contact Lenses are advised as they improve compliance and reduce risks of complications in lens wear.
Cease Contact Lens Wear if Sick.
Practitioners have long advised against the wear of contact lenses if a wearer is unwell. This applies in particular to any signs or symptoms of colds and flu, respiratory tract infections, red sore eyes, discharge and so on.
Basically, if someone is feeling unwell they should terminate contact lens wear.
For healthy individuals, normal contact lens wear can be maintained. This advice has been around since long before COVID-19 but is even more critical now.
Public health organisations and government health officials are releasing information to ensure that people receive the right advice, care and support regarding COVID-19.
There are those with severe eye conditions who cannot function without contact lenses and cannot see with spectacles or while unaided. These wearers should liaise with their practitioner if unwell and seek specific advice to reduce risk of complications.
Please follow our latest updates via our Facebook page.
Advice for Contact Lens Wear & Care
In summary current advice is:
Contact lens wear is safe and can be maintained by healthy individuals.
Contact lens wear does not appear to increase the risk of developing COVID-19, compared to spectacle lens wearers, or those with normal vision who do not need any corrective devices. To date there is no known research suggesting any such link or risk.
It should also be noted that contact lenses provided by leading manufactures are manufactured in sterile conditions and the lenses are safe to wear. The majority of contact lenses provided on the market are in a state ready for wear. Customised lenses should be disinfected before use.
Contact Lenses obtained from dubious sources, including counterfeit lenses and those offered through unlicensed premises and providers should be avoided as these may not be sterile or safe to wear. Always seek professional advice and consult with your eye care provider. In these troubled times it may be best to call ahead before making an appointment.
In case of emergency visit your nearest eye hospital or clinic.
Avoid touching your eyes, face, nose and lips as far as possible and avoid eye rubbing.
There are a few basic messages we can apply to contact lenses.
Your eyes should ‘Look Good’, ‘See Good’ and ‘Feel Good’.
If in doubt, take them out and seek professional assistance.
Proper Handwashing: A Cornerstone of Safe Contact Lens Wear
Thoroughly WASH HANDS before:
Handling Contact Lenses and CL cases.
Applying contact lenses, even for brand new lenses direct from the pack. The aim is to prevent spreading any nasty pathogens (bugs, bacteria, fungi, viruses etc) from hands or fingers to the lens and therefore the eye.
The same applies to removing contact lenses from the eye.
Whether an optometrist, ophthalmologist, dispensing optician, assistant, technician or contact lens wearer, the importance of basic hand washing and hygiene with contact lenses is critically important and cannot be stressed enough!
There are many strong messages from numerous health organisations around the world that support our aforementioned guidance and advice urging people to properly wash their hands to help prevent infection or spread of novel coronavirus.
The US-based Centers for Disease Control and Prevention has issued COVID-19 guidance stating that eyes should not be touched with unwashed hands.
Advice provided by the CCLSA in this communication, is current at the time of dissemination, but may not be best practice as circumstances change and the knowledge base and understanding surrounding the COVID-19 crisis develops. The CCLSA provides this information in good faith with the intent of improving safety, best practice and ultimately saving lives. Opinions expressed via links or otherwise, do not necessarily reflect the views of the CCLSA.
Please stay up to date by consulting the resources conveyed in this document, elsewhere through reliable sources, and via our CCLSA newsletter, Facebook page and communications.
How would you celebrate the end of the Coronavirus Pandemic?
Ms Sonia Nolan, Head of Communications and Giving at Royal Flying Doctor Service Western Australia, smiles and says:
“I think we would all probably want to give each other a really big hug”.
She says that the Royal Flying Doctor Service (RFDS) in WA is a service of professionals working together in sometimes stressful and unique circumstances.
Every day, they save lives and provide emergency and community healthcare across the vast and remote regions of WA.
We cover more than 2.5 million square kilometres – the world’s largest health jurisdiction.
Ms Sonia Nolan, RFDS
They’re the mobile intensive care units of the sky with a fleet of 18 aircraft and five aeromedical bases in WA (Broome, Port Hedland, Meekatharra, Kalgoorlie and Jandakot).
However, coronavirus has brought unprecedented challenges. How can you contain a global virus that could threaten wide parts of WA?
Over nine weeks have elapsed since RFDS WA first transferred its first patient with COVID-19 and many more suspected and/or confirmed patients have been cared for since then.
The service has invested in being response ready to ensure protocols, equipment, aircraft and logistics are in place to ensure the safety of all patients and the doctors, nurses and pilots on board.
While the clinicians and pilots are on the frontline, the behind the scenes teams supporting the emergency response are also working tirelessly – including the communications team which Sonia leads.
“This will be a marathon rather than a sprint,” Sonia said.
The keys to success to date have been clear for her already. They include strong leadership from her CEO, cohesive teamwork and an “amazingly supportive” family.
Like for many others across the state, the hours have been long for Sonia, both at the office and at home. She has seen her team at RFDS do what might be “two months’ worth of work in a week”.
“Everyone is just rising to the professionalism that they need to show.”
Ms Sonia Nolan, RFDS
Yet, each team member respects one another’s time. This includes checking in with one another for self-care.
As a team, they have quickly adapted to the challenges of working from home. This includes streamlining their process of setting priorities, working diligently and sharing results.
What are the most important messages for WA families? Sonia encourages people to follow reputable sources of information and all the public health messages.
“It really does make a difference if we have good hand hygiene and cough etiquette, use social distancing and self-isolation. I would stress though that we must keep in touch with one another and keep the community and friendship spirit alive.”
What will RFDS teamwork look like at the end of Coronavirus Pandemic?
“I think the world has changed significantly and the experience of COVID-19 will be with us for a while to come,” Sonia said.
“Without a doubt, technology has been an important tool. It has enabled my team to explore in-office and remote work options and I think going forward there may be a hybrid of the best of the old and the best of the new”.
The RFDS frontline teams are working with upgraded Personal Protective Equipment (PPE) and stricter protocols and they are responding to the healthcare needs across WA as they always have done.
When we look to the future, we’re confident that the coronavirus pandemic will be managed and little by little we will be able to enjoy some of the simple pleasures we once took for granted.
Let’s celebrate our Perth Health Heroes!
Imagine the smiles, warm handshakes and hugs when the pandemic is over. Can you think of a better team to look after you?
Sonia is part of the Ezekiel Eyes Community in Perth. She wears contact lenses prescribed by Damon Ezekiel.
Sonia says that Damon is “genuinely interested in you as a person and he’s genuinely interested in finding the right solution for you”.