The eye serves as a critical window to overall health, revealing systemic conditions like diabetes and hypertension before symptoms appear, making regular eye examinations essential for early detection and prevention of vision loss.
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Health Marriage and Family Life Confrence | Day 4
Added:Great things he and to the Lord be the glory.
Great things he and onto our God be the glory.
faith here.
And unto the Lord be the glory, great things here.
We will sing great things, great. Please shall we be on our feet? Oh he and gater thing >> our Lord will do. He will and unto our God.
The Lord be the glory.
Great things he and unto the Lord be the glory.
Great things great.
Shall we pray? Committing the service into the hands of God that he will reign, that he would take charge, that everything that we will do will be to his glory.
Father reign in our gathering tonight.
Let us experience you tonight. Oh God.
Uh may we live your presence as people who have experienced you, who have received knowledge and then we will also use it for our lives and for that of others. Oh God. We thank you God.
>> Amen. Please, we want to enter into a time of worship in the same spirit. We want to read from the book of Psalms 145 the verse 21. It says that I will praise the Lord and may everyone on earth bless his holy name forever and ever. I will praise the Lord and may everyone on earth bless his holy name forever and ever. Amen. In the same spirit, we want to exalt the name of our God. We want to worship him because yes, he is the king of kings and the lord of lords, oh Lord, we exalt your name. Great are you, Lord, and greatly are you to be praised.
We praise your name, oh God.
And let everyone praise the name of the Lord. Uh because he deserves all the glory because he deserves all the praise. Uh because he deserves all the adoration.
We bless your name, oh God.
Greatly are you to be praised, oh God.
We praise your name, oh God. We lift your name on high.
For great are you, oh Lord. For great are you, oh Lord.
We bless your name tonight. We give you all the glory.
Praise the Lord.
Praise the Lord.
Praise him.
The Lord.
Praise the Lord.
Praise the Lord.
Praise the Lord.
Praise him the Lord because he is good because he is good and his mercies and his mercies shall end because the Lord is good Because he is good and his mercy and his mercy shall and all because the Lord is good. Be called because he's good. He is good and his mercies his mercies shine.
No, because the Lord is good. He calls his good and his mercies mercies sh.
Oh yeah.
Oh yeah.
Not every sing.
Oh yeah.
Oh yeah.
Adore Every meal every because you are good, oh Lord, and your mercy shall endure forever.
this evening. We give you all the glory, oh Lord. We give you all the praise, oh Lord. We give you all the adoration, oh Lord.
Great are you, oh Lord, and greatly are you to be praised.
Father, we give you all the glory, oh Lord. We give you all the praise, oh Lord. We give you all the worship and adoration, oh Lord.
Father, we exalted you, oh God.
Be thou exalted. Be thou lifted high.
We praise your name, oh Lord. We honor your name, oh Lord. We exalt your name, oh Lord.
Blessed are you, oh Lord, most high.
We praise your name, oh Lord. We exalt your name. Please let's all be seated because he is good and his mercies shall end because our Lord is good.
He is good >> and his mercies his mercies shine.
And because our Lord is good.
Because he is good and his mercies shall end to your.
We lift your name on high, oh Lord. We say that blessed be you oh Lord most high. We exalt your name and we pour out our hearts in worship. In Jesus name have we worshiped. Amen.
>> Amen.
>> Praise the Lord.
Let's put our hands together for Jesus.
It has been a really amazing week. Um if you would all bear me witness. Um we started off on Monday and we were discussing the legalities of marriage. We had a seasoned resource person walk us through what is considered as marriage in the context of the laws of Ghana. And I think she opened our eyes to a whole lot. On Tuesday we had our mother mama part talk to us about common mistakes people make in marriage and then whether they are single and also when they are married. Our mommy walked us through.
Yesterday was also equally phenomenal.
We looked at mental nutrition. So you know what I want us to do a recap of what we learned yesterday. I have my own but then for the sake of those who couldn't join us. How many of us were here yesterday? Just show by hands.
Please don't be afraid because they think I'll call you. Just Yes, we have quite a sizable number. So, I think we'd want to go around in the room about three people. Just tell us anything that you learned, anything that stuck out to you yesterday that um you went home with. So, just be bold, raise your hand and share what you learned yesterday about mental nutrition with us. Yes, Joel.
Great point. Let's put our hands together for Jo.
Yes. Any other person? I said I need three people to share their thoughts before I summarize all we learned yesterday.
Yes, Daddy.
Lord.
>> Hallelujah.
Thank you. Let's put our hands together for daddy and a third person. I wanted to be a female this time. Two gentlemen are spoken. Let's hear from one lady.
Any of the ladies want to speak about what you heard yesterday?
That's very Amen. Let's put our hands together for Auntie Mary as well. So I think he really walked us through a lot and one thing that I picked from the presentation is that we are not all so far away from mental um illness. All right. Sometimes we just think that schizophrenic patients are the ones that have mental um ailments. So those people we see walking around in the streets that are um stuck naked. So that condition is why yesterday he described and told us that that is schizophrenia.
But then there are different forms of mental disorders from depression to obsessive compulsive disorders to bipolar to a whole lot anxiety disorders and we are not all so far away from them. And I think um Jo and Eld put it beautifully. Um he meant to say that the whatever we feed children from the onset is what defines their psyche when they grow up. And he talked about the neuroplasticity of the brain. The fact that the brain can learn and learn and unlearn and replace the learning. So we need to put in a lot of effort because the it is an so there are two words there neuron and plastic. It is elastic.
Okay. And the neuron is just about all the things that work inside the brain.
And so it's important for us to always make sure that we are exposing them to the right thing. What fascinated me so much was the case study he walked us through. Do you remember the name of the case?
If you forget anything, you don't forget anyame. So he walked us through a gentleman's life from when he was born.
He was born into a broken home. He had to move away from his parents' house because his father was an absentee dad.
He grew up with a grandmother who really wasn't in touch with raising young people. And so this boy grew up in a community and whenever his father came around it was violence, he was drunk.
This boy grew up in a community where he didn't know love and affection where he was always alert because that part of his brain is telling him the world is a dangerous place to live. You have to be alert. And there was no reward system for this young man as he was growing up.
There was nobody to tell him you have written this exam. you've done well. And so the moment he grows up and he gets exposed to people who are smoking and then you smoke and you release a substance, what is the name of the reward substance?
Hey, please. All of us were here yesterday. Dopamine. And the the one that causes depression is called >> great. I have a lot of academic people here. So the moment he he starts smoking and all that and then the dopamine is released and then he feels appreciated that is where he gets gratitude from and that is where he gets appreciation from.
So you find out these people get so easily addicted and it was very eyeopening for all of us and then he showed us the signs and symptoms of some of these mental disorders that we can see. Some we can notice for ourselves and go and seek help. some we can see in other people and recommend that they seek help. He he walked us through all of this. So for me I think the little we can do is just to make sure that the families we are putting up together we are building and in fact it's a marriage health and family life conference we expose the children to all the love the care that they would need so that they don't seek any validation from outside. Amen.
>> Amen.
Tonight is no exception to how wonderful the other days have been. Okay. We acknowledge the presence of the resident minister, Prophetia Santiano.
Yes. Um yesterday papa wasn't here. He had to minister at somewhere and mommy also had to minister at somewhere. But mommy is still a bit in his post so she couldn't make it tonight. But we are privileged to have also in our presence tonight a very wonderful woman. In fact, if you want to go through her profile, she stands out exceptionally.
I gather she is an optometrist and optometry you read six years at K USD, you finish and you have an OD doctor of optometry.
Apart from that, she also doubles as a clinical psychologist. This one is not psychology clinical one. So I think all the mental health issues I'm talking about mommy is quite very much aware of them. So anywhere I I made a mistake she can take the opportunity to just polish me up some more because mine is just pharmacy. Mhm. So and um and it's a PhD as well. So like originally we call mommy doctor.
Okay. So it's a double doctor. Okay.
There is a PhD and there is one that is also gotten from practice. So ministering to us tonight is none other than the wife of the resident minister of PIWC Sakumo in the person of Dr. Dr. Mrs. Theresa Fiana church with a round of applause. The woman of God praise the Lord.
Yeah.
>> You don't know how happy I am to be in PWC.
>> Yeah. It's great to be in PWC trust and I thank God. I want to express my gratitude to the Lord and also to thank our dear father prophet Ano as well as our preciding and everyone for the wonderful welcome. Um I have what we will call in our local language my younger husband here my my husband's cousin. Yeah. So thank you all. Um I have been tagged to take us through some health talk and this time you are focusing on the eye. I was excited about mental health by the way. So you were right. I was I was excited and I I think that the areas you are touching for the family life conference is is very very important. So God bless you. Yeah. So we are looking at health talk and we are talking about the eye. So we can move to the next slide. Why eye health matters?
Um I don't know how you would feel if you wake up one day and you realize that you are not able to see.
Even though this is the reality of some people there are some people who cannot see. They don't have enough vision or what we will call sight. You know there is difference between vision and sight even in medicine.
So but there are some people who don't have sight. So for those of us who have sight, if you imagine that you wake up one day and you are not really able to see, it's going to be a difficult journey to navigate. So it's important that we also think of our eye health.
And so it's important for education and learning. It's important for employment, productivity, for safe driving and mobility. It helps you to be independent as well. You don't have to rely on people for even daily things that you could do on your own.
And for our social interaction, you should be able to see people well, look into people's face, appreciate their beauty, how handsome they are, their dress and all that. It helps with our interaction and it also helps with our mental well-being because any part of the body that is affected also affects how the mind interprets that. So it's very important and poor vision can affect so many areas including academic performance uh work productivity and overall health.
Okay. So this is this is what we call a cross-section of the eyes like when you take the eyeball out and you cut it into two like the way you cut an orange into in that circumference. This is how it's supposed to be. So there are so many things that can affect the eye. God is so amazing. You see the eye very small like that there. Maybe there are some who have big eyes and all that but whatever it is there are so many structures in the eyes. So so many. So what I will be doing is that I'll pick on a few conditions that may affect the front part of the eye. Okay. I don't know that can come close a bit. So what we are seeing this front part and then there is what happens in the middle. The one we are seeing as red and then what happens at the back. at the back is when all the nerves or the vessels in the eye there's a point where they meet. So if you look at my fist and this is the eye ball all the nerves have a point where they meet and they are going into the brain so that the brain can interpret what you are seeing. It's a very complex action that goes on. Please you can move to the next. Yeah. Okay. So Jesus told us something about the eye. Matthew 6:22-23 Jesus said that when your eye is good your whole body is filled with light but when your eye is bad your whole body is filled with darkness and if the light you think you have is actually darkness how deep that darkness is. So Jesus may have a different context that he was sharing with the people or the disciples but it is also a medical truth that the eye is the we call it the window to the whole body and as we move on you understand. So Jesus is trying to tell us that as much as we take care of other parts of our body our eye is also very very important. Well, so in Ghana there are um I just wanted to give us an idea because of course there are so many eye conditions we may not be able to touch on all but the most common ones prevalent ones are catact glaucoma uncorrected refractive errors we will explain then they allergic conjunctivitis terium for most people who go to the eye clinic these are most of the conditions that they present with okay please we can move on to the so I'll pick the catact in chi we call catact a we call it and catact affects the the lens of the eye the eye has a lens the eye is like a camera I think they had that picture in mind when they were manufacturing the camera so the the lens in the eye please move to the eye picture okay this thank you so if you look at the first picture this very white one this is where the lens is so there are so many things in front before you see that black. There's a a brown one and then there's a black. The black is where all the light goes. And right behind that black is where our lens is. So when your lens is correct or normal, nobody will see it because it's supposed to be transparent.
So once I look at you and I'm not seeing any white thing, it means at least the lens is transparent and that's how it's supposed to be. But usually there are so many things that can affect the lens so that it changes color and the lens has a protein. So it's like an egg when you crack it is plain. But sometimes you you realize that when you boil the egg the color is different or sometimes the egg can go bad and changes the color. Please we can move on. Yeah. So when the lens in the eye is affected that is how it looks like because all the front part of the eye are transparent. Now you can see the the color the white color in the lens which means that the lens is losing its transparency and the reason could be some conditions that happens once that one becomes opaque that is what we usually refer to as a so is not the you see sometime there are white no that one is catact is is inside yeah but sometime I become so opaque I advance it. It advances so much that you see so white and you you we call it a but this is how the normal eye is supposed to be like when somebody has a catact that is how vision looks like and this reason is simple the light is supposed to travel all the way to the back of the eye or whatever you are seeing but because that one is now opaque and the light cannot travel vision becomes blurred. Okay, please we can move on to the next slide.
Okay, please come back. Yeah, so there are yeah there are so many reasons.
Sometimes aging can be play a factor.
The fact that you are aging means that the the lens the protein has been working for a long time. So they they degenerate. So it can be a reason why the Okay, good. It can be a reason why the lens becomes so opaque. There is also diabetes. When your sugar level is high, it puts a lot of there there's an absorption and it forms something we call soil and that one begins to also degenerate and disturb the normal flow of all the other substances in the eye.
So that can also increase the advance advancing effect of the opacity. If somebody has a high blood pressure again the reason is that you know the blood vessels are supposed to supply oxygen and because of the high pressure some of the vessels also get damaged they can't supply the oxygen it affects the lens and then when you are obese it affects sometimes your sugar level your diabet your hypert your pressure your cholesterol it has an effect and then for people who smoke and taking alcohol so all of these things I have mentioned is what we call oxidative stress. It's like the the vessels in the eye are giving so much work than necessary. So when the sugar is too much, there's oxidative stress. When the pressure is too much, the ability for all the substances to balance themselves are not there. So it affect and it goes for all the other things. How do we handle it?
We usually do management. When cats start, we allow it to mature. So and sometimes it can even take 10 years before the lens becomes fully white like what we saw. So when it starts you'll still be able to see. So sometimes medication or we just if it's not giving you any issue you just allow it to we say mature which means that it is fully fully opaque then a surgery can be done to take it out. The reason is simple.
Even if we put an artificial lens in it will over time all these factors that are still there will still make it opaque. So there's no point taking it out very early unless it is a congenital one. Sometimes you have children who are born with it at birth because of maybe a challenge that their mother had or maybe the child themsel have but otherwise management and you'll be fine. Catract is the leading cause of blindness by the way even in the world but it's reversible. So when it start you don't have to panic. They will there's always a way to guide you on that. And then we give spectacle prescriptions to help.
Remember that because the lens is opaque vision can be bled. So we can do refraction and then if it improves your vision then it means you give a spectacle. So that is how you manage it until there is no improvement with spectacle. Then you know that it has fully matured then you have to do the surgery. It will be taken off and then we give you artificial one. You support with your glasses and you are good to go. Please the next one. Okay. There were the signs and symptoms. So I don't know whether you had a look at it.
Back to catact please.
Okay. It makes the lens is cloudy. You can have double vision or blood vision which I have said already. You become very sensitive to light. Um and because of that you need bright light. Of course it will peek. So you need more light to help you see. And then sometimes when you're looking at the light you see some ring around it like a rainbow. So those who have catact that is advancing. I can see mama is trying to examine her eyes.
She's looking at the light to see if there are rainbows. But I hope we are not seeing any rainbow. No colors.
All right. Yeah. So it's one of the things that can also let you know that maybe the lens is being affected.
Now we can look at the second one which is glaucoma. Glaucoma is also is the second leading cause of blindness even in the world. But it is the first leading cause of irreversible blindness.
And I want us to pay attention to glaucoma. Glaucoma is usually said to be a silent thief of the eye and the reason is that it is irreversible. So unlike the catact that even if you don't detect it early we can still do something about it. When it comes to glaucoma whatever damage happens to the eye unfortunately you cannot reverse that. And when it comes to glaucoma like I was explaining at the back of the eye all the nerve the nerves the nerve fibers the blood vessels where they are meeting they are supposed to meet there and go back into the brain. But sometimes when glaucoma sets in the nerves the the head where they meet gets damaged and that damage is irreparable and once they are damaged it means that they're going to affect how much information can be sent to the brain and so it makes vision difficult. Another thing about glaucoma is that it affects what we call okay I want you to look at me for a moment. The way God has created the eye. If you cover one eye, there is what you can see. There is what we call your field of view, an extent that you can see. So when you cover your left, there is an extent you can see. When you cover the right, there's an extent you can see. When you open both eyes, then you get a a 3D. You know, the media people tell us. So you're able to have a very good view. So, for example, if you are driving, you don't have to be turning your head left and right to see if there's a car by your side. Or if you are sitting straight, you don't need to be turning your head to know somebody sitting by you. So long as those two eyes are opened and working well, your field of view should be clear enough.
What happens with glaucoma is that when the nerves are getting damaged, it starts from the side, the periphery. So the side vessels are getting damaged and for most people they will not notice because you can actually read clearly, you can see clearly. You can do everything but your field of view gets restricted until it gets to an advanced stage. That is when most people are able to notice that their field of view is getting restricted. And some people it can get restricted and restricted until we have what we call eternal vision. Now you can only see straight. All the side view vision is gone and that's what make glaucoma very dangerous. So that's how it looks like. In normal vision you see everything. When glaucoma set in your side views get blocked blocked blocked until it's like that and when it happens like that then the vision is gone. So that is it about glaucoma prevalence people aged 30 plus. It used to be old people who are old but these days I don't know prophet will help us to tell us what is happening in the world everything is changing the age at which you know certain diseases used to start is really changing so now we have 30 plus and um for those who are 40 plus so the the prevalence is 8.5 the blindness impact in Ghana is 15 to 20% of all blindness so it means that if you take five people who are blind And at least you may have one which has glaucoma and that is the total number. So why the numbers are high is because of the late presentation most people will not notice it. Number two is genetic factors. So for people if you have a relative who has ever been diagnosed of glaucoma what we usually say is that it means you also have to pay extra attention because sometimes you cannot tell certain parts of the world they can do genetic you know coding and examination and all that to tell you but for us you can't tell. So especially if it happens grandmother mother you third generation then it qualifies to be called a genetic predisposition and then low awareness. So it's good we are talking about it. At least the knowledge is helpful. Okay. The next one.
Okay. So there is also what we call the um age related macular degeneration.
Again please give me the picture of the eye. The two.
Okay. So you remember this one. Now when we look into the eye please, how many of us have ever done an eye examination?
Ever? Yeah. the one that they put they bring a light they hold something like and come close to you it's very uncomfortable because sometimes you don't know whether they are coming to kisses hey this woman is coming too close I remember when we were in school they used to tell us please give a disclaimer that you you don't mean harm yeah so that light that takes you into the eye when you look into that black eye so the moment your your practitioner is looking through this eye it takes takes you to the back of the eye. So this is the view that we see when you look at the back and that it helps you to see all the nerve fibers. This is what I was talking about in glaucoma. The nerves are supposed to meet here. When gluccom start it pushing to the edge. So all this part will be blank. It means the vessels are dead.
They are no longer there. So in our eye all this part helps us to see. But there is a portion of the eye that gives you a very sharp vision. It is what we call the macula. this side just by the nerve head where the vessels are. This one is what gives us very sharp vision.
So you understand why glaucoma start from the side because your side vision is here. Okay. Yeah. For some people the damage or the infections or the problem that they have is on that central part that gives you sharp vision. And when it happens like that we say it's macular degeneration. It used to be age related but these days people even get it. And research says that um when somebody gets toxoplasmosis they are conditions from uncooked meals food that has not been cooked well like the kebabs you know or the red meat that is not cooked well. That is where those um parasites hide.
Yeah. and and that is where they hide and they can leave for a very long time.
So they travel travel travel and then they get to the back of there and they can damage that particular side okay and I was saying it's age related so it happens most of the time for those who are aged but of course we know we've seen young people who have also experienced it and this is how it looks like in the picture the picture for the age related macular degeneration. So for that one the person this is normal vision so the person can see all other things very clearly but because the macula is for your central sharp vision you can't see very well people's faces because when you're looking at people's faces you are looking direct and the part of the eye where direct vision happens is what has been affected. So it looks very much like the opposite of glaucoma if you have noticed. Yeah. Yeah. So it's it's also very unfortunate. Um and the macula is also very small. So it doesn't have time to affect so many areas unlike the glaucoma which takes time to affect the other areas. Macula is so small. So once it affects that side then the central vision is gone. But the peripheral vision is there but there's nothing you can do with the peripheral vision.
Okay. So we can move to the next one. Um now we are looking at what we call retinopathies. The back of the eye is called a retina. So all the conditions that affect the retina are called retinopathies.
Very key among them that I want to talk about are hypertensive retinopathy and diabetic retinopathy.
As the name tells us they are as a result of diabetes and hypertension. And that is why when somebody is diagnosed of diabetes, we really encourage that you manage the systemic diabetes very well because it will have an effect on your eye as well. So how do you know that you have diabetes? And for some people by the way the reason why we said that the eye is the window to their body is that the first time they know they have diabetes is through an eye examination. Because once you look in the eye there's a presentation at the back that tells you that there is hypertension and there's a presentation that can also tell you that there is diabetes. So for some people they first get to know their status when we are having an eye examination. When somebody has diabetic retinopathy the diabetes one some of the things they will see is that um of course the blood sugar level is high and then there are no early symptoms.
No early symptoms. So by the time you see a presentation at the back it means that sugar level now watching the diabetes has been there for long there are no early symptoms also for the hypertension and then for the diabetic retinopathy commonly it's especially as as the disease progresses there is blood vision. So as the sugar level fluctuates there is blood vision. So we usually tell people who have diabetes to also watch out with you know fluctuation in their vision. It tells you how well your sugar is being managed. But for hypertensive retinopathy you usually don't have double blood vision except in severe cases.
There is also something we call floaties. There are sometimes that there are people who may be seeing it's like something is moving in your vision. We are young so maybe we are not experienced but if there are people if you have an older person who has a diabet any kind of retinopathy you'll see it's like there are spots in your vision we call them flutus and it is common actually that one tells you that very likely at the back of there there is bleeding going on so those things the blood spots are what is moving in your vision for the hypertension you will not see so hypertensive retinopathy don't give a lot of um signs and symptoms But diabetic renopathy does that. Um difficulty seeing at night is common with diabetic retinopathy but not hypertension.
Sudden loss of vision it may occur for any of them but it doesn't happen most of the time. Now one of the key things when the retinopathy is hypertensive is is when you have when they have a lot of headaches. Of course, it's because of the increase in blood pressure and it doesn't give you any pain in the eye.
So, if you're waiting to get some pain in the eye to know whether you have this, you might not experience that. So, this goes to tell us that if someone has diabetes or hypertention, if you have a parent, a grandparent, an uncle or something, encourage them also to be checking their eyes. Amen.
We can look at the next one. Okay. So this one is for the digital digital mocks or digital age people genzies.
Yeah. Computer vision syndrome. Um when we talk of a syndrome in the medical terms we are talking about so many signs and symptoms that point to a particular thing. So we have the eight acquired immune deficiency syndrome. There are so many signs but is pointing to a particular condition. So constant use of computers or digital gadgets can also give a certain signs that puts together can affect the individual and that is what we are calling the computer vision syndrome. Another name is digital eye strain computer eye strain. Okay.
Some of the the problems that you will experience will be eye strain. If you use the computer for a long time, you are straining the eye. And so sometimes you may experience that the eyes feels fatigued, tired. You can have headaches.
You can also experience blurred vision.
You can experience double vision. You you'll be working, you work and then when you when you start say, "Yo, two two." Okay, double vision. There is also dry eyes. And how do you know you have dry eyes? Usually when you have dry when your eyes are tearing, it's a sign of dry eye. Ironically, it's very ironic.
And the reason is that when the when you open your eyes for a long time looking on your screen and the eye, especially with the air conditioner fan, the eyes gets dry. So the brain gets a signal to water the eye and it produces excess tears because it needs to produce more due to the unusual circumstance of the dryness. So it produces more water or lubricant and the rest comes out as the tears. That's why when you are traveling and there's a lot of wind realize that the eyes are tearing. It's just the brain trying to produce enough lubrication for the eye. So it's something you have to look for. Then there is also neck pain, shoulder pain.
All of these things put together is part of what we call the computer vision syndrome. There are some people who complain of back pain, back pain and it is simply because of egonomtrics.
How your workstation is, how you sit to study or to work. So it's very important for us to pay attention to that causes prolonged digital use, poor lightning, um glare, reflections, what am I saying? Reflection on a digital screen, uncorrected vision, if you have a refractive error or you need to wear glasses and you're not wearing them, incorrect viewing distances and all that. Please give me the screen.
Okay, the other one.
Very good. So ideally if one of the ways you can prevent computer vision syndrome is to make sure that you are positioned very well especially if you be working for long hours. Yes prophet is sitting well your so your yes your back should be straight on the chair. Your feet should be parallel to the floor. Mhm. You don't have to especially if you are working it will affect your back. It affects your shoulders. It affects your neck.
Okay? And you know all these things are a matter of blood vessels going on. I was talking about oxidative stress. You put a lot of stress on that. Your your computer or your PC should be level with your eye. You should not be raising your head too much or bending your neck to read. Especially if you are using a laptop and you are bending your leg. If you do that for maybe 2 hours later you may be having neck pain or back pain. So it's very important even how you position your arms if you want to be typing. Yeah, it's also very important so that you can if you are working for so many years we need to pay attention to this. Your lightning the light should be direct on your material.
So you look at how you sit your light should fall directly on the material or if maybe it's a bedside lamp then the light should be falling on the material.
It should not be in front of you. The light should not be coming into your eyes. It should be falling on your material that you are reading so that you can see well. If it goes directly into your eyes, then it's going to produce glare and that can blur your vision or put a lot of strain on the eye.
If you you have to use a spectacle correction, you also need to do that because when you are doing near work, the eye uses a lot of effort than when you're doing distance work.
So if you need to wear glasses and unless maybe the Lord has touched you and you have received a miracle and then you know that you are okay then that is fine but otherwise when you are to wear glasses sometimes to you may not need any prescription in terms of correction but we can also so I'll talk about it once we move to the other one but let me just say it here we can also give you what we call anti-reflectives so you can have a glasses that is plain in terms of prescription. There is no lens power. But there are coatings we can put on the lens surface that reflect back light. Example, if you are driving at night and you know an oncoming light throws their light at you. If you have an anti-reflective coating on your spectacle, it can reflect back the light so that you can actually see well and your vision is good. And we can do the same thing for computer use and for your phone use as well. So this one is very important because it does not only affect the eye, it can affect other parts of your body. Thank you. We can move to the next treatment adjust your computer. There is what we call the 2020 rule.
It means that whenever you work for 20 minutes, you take your eye off the screen for 20 seconds. Just 20 seconds and look at something at 20 um 20 what? 20 cm distance. Okay? Just look far so that you allow the eye to we call to accommodate you know to the muscle to relax and contract instead of looking on your screen.
Count for me how many seconds you're looking at?
>> 1 hour.
>> If you do that, you strain the eye. So 20 20 and sometime you can actually just stand up a little bit, you know, walk around, maybe arrange your files and then you come back so that you can adjust your whole body. I've talked about the lightning, how you position the light or the glare, even if it's your windows, you need to pay attention to that. If you need a spectacle prescription, you can get it. Um and then you take regular breaks. For people who experience a lot of dry eye, because dry eye is also a condition on its own. For people who experience a lot of dry eye, we can also give you lubricants just to lubricate the eye if the eye is not able to produce its own lubricants. All right.
Thank you. The next one.
So it comes to refractive errors.
Refractive errors. I I remember you remember I said that light goes into the eye. Elder, you help me with the timing.
How much time do I have?
Okay. Yeah. So, you remember I said that when light goes into the eye, it goes back into the brain so that the brain interpret it. So, that process is refraction. Those of us who do a bit of science. So, when there is an error in any kind of that refraction, then we call it a refractive error. and correction with refractive errors are mostly glasses or contact lenses or sometimes low vision aids depending on the extent. So we have I'll talk about maybe three or four three of them.
Number one is we have those who are shortsighted those are the symptoms before I even go to the detail. Um it says that in Ghana there are about 50% of the population that suffers from refractive error 50%. But most people don't even check so they don't know but there are 44% of cases that are uncorrected.
Out of the 50 there are 44 who either don't go they don't know or they have not gone for the checkup or they decide that we won't wait you know so there is diminished vision there is tiredness and watering of the eye there is headache there is eye pain frequent blinking there are people who are constantly blinking blinking blinking it could be as a result of a refractive error recurrent formation of sty I'll talk about it a lot of if you have recurrent a dishia happening it could be as a result of sty um refractive error then frequent itching, eyelid swelling. There are some people whose eyelid swells and there is no infection and then children too may have squint as a result of refractive error.
So please I will quickly talk about the three we have what we call the nearsightedness in other words myopia.
I'm sure some of these things you have heard at least SS signs call signs.
So so you've heard of myopia. Myopia means that you can see things which are very near but not things which are far.
So you are nearsighted and the science behind that is that there are people whose eyeball because we come from different you know genetic backgrounds their eyeball is longer than normal. So the refraction the light falls in front and that is why when things are far it's not able to travel to the back and that's why so what the glasses will do is to divert more of the light before it gets there and it helps you to see. Then there is long-sightedness. These people can see things which are very far but they cannot see things which are near and it happens and the reason is their eyeball there are two reasons but the key one is that the eyeball is too short. So when things are closed the light goes it travels and hits at the back of the eye.
So it's not able to fall on the retina itself the back properly. So glasses will be able to help. Then there is what we call a stigmatism. You remember when we were looking at the eye picture, the front part, the front part, the transparent one. I usually describe that as the car's wind screen. It's very transparent. Nobody might know there is a glass there, but because we all know that they are ring screens. So yeah, the very front part. So sometimes when that very transparent one is not in the right shape it can also affect the travel of light to the back of the eye and that is what results in what we call the aigmatism. My my media person is doing very well. Yeah, with aigmatism one of the things you know so apart from the nearsighted not being able to see things from far and the farsighted not being able to see things from near a stigmatism can have either of these together with aigmatism. So you can have somebody who can see things from far but not near but still distorted. For example, such people will read maybe G, capital G as maybe C because they are part of because of the shape of the corner, they are part of the C that is missing the the gene that is missing.
They may see um maybe even K as as R or or R as K depending on where the distortion is E and F. So you may have children who are reading and sometime they are not able to read appropriately and it could be as a result of some of this distortion in how they are seeing the letters. So we need to not dismiss you know what they are saying and we have talked about mental health. So it means we need to pay extra attention to some of the things the comments and complaints that our children give. Some of the signs of some of these refractive error is it can make you feel sleepy because of the eye fatigue. There are some people that the moment they take something to read, even adults who have uncorrected refractive error, you read for some time and it's like you feel sleepy. You need to check your eyes.
It's not always that you are tired. Oh, it's not always. Sometimes it is a strain on the eye muscles. So they cannot contract and relax easily.
Sometimes you can have headache what we call you can have frontal headache pain.
So it's not that you are tired but the moment you start reading you have that sometime you can even have burning sensation that is also a sign of refractivo. You can also have occipital headache at the back of your head not the the skull but you have the pain there and then of course we can have the migraine and other things aside the double vision and not seeing clearly. So refra refractive errors present like that simply you can always correct refractive errors with glasses and especially for young people if you start the correction early it helps it helps then the last one is what we call the presbopia maybe like presbetus I think titenno presbitus used to be old people so presbopia is age related refractive error you see that sometime people their eyes are normal they okay but as they aging usually age 40 plus you realize that when things are near you can't read you you have to extend it kakra you keep extending and that's why presbopia has set in that is purely age related it has nothing to do with any other thing and we are able to also help if you have catact it can even make the presbopia start early as well okay so that is refractive error so we want to encourage that especially for the young children you do assessment for them so that you can help them. Please we can look at the next one. Okay, this is conjunctivitis.
Um conjunctivitis is the white part of our eye and when there is an infection then we call it conjunctivitis. We usually call it apollo is seasonal. There are different kinds.
You can have allergic ones. You can have bacterial viral. But some of the key things we need to know is are there discharge impa or is it watering? Are the eyes red?
Depending on the presentation we'll give the appropriate treatment. Sometimes it can be painful. Sometimes too is not painful. Sometimes they can be swelling.
Sometimes they are not swelling. It all tells your practitioner what kind of medication they should give you. So you just need to get in touch with them. But it's also common among us. Yeah. If it's a bacterial one, then it can affect another person. So that's where you are careful with hand washing, not using the same handkerchief or towel. Even at home, even the pillow, you know. Yeah.
That's me in my house when we get cold, my husband agrees that he has gotten it because you know, you share the same pillow and all that. So once you are sleeping turn your head here and there you also roll over sleep. Oh he got it already. All right. So we can also be more mindful of using common things whenever there is infection at home or with other people. So that is conjunctivitis. We can look at the and I said that not every red eye please the last sentence there not every red eye is conjunctivitis. So please it's always important that you see your doctor. Even this glaucoma and all that I talked about there is what we call acute glaucoma. The first one I described is chronic but acute one sometimes maybe there is an accident and somebody hits the head bathroom fall and all that that force can rupture the blood vessels and glaucoma can set so that's an acute glaucoma. So and it can present with redness in the eye. Okay, we look at this one. You see sometimes when you look on people's eye, it's like there is some flame or something like that be on the eye. We call it terigium.
That's the spelling. But when you remember my name, when you remember Theresa, you remember it's called terium, but it starts with a P. Yeah. So, it's a growth on the eye, but it's not cancerous. And it's as a result of usually our environment where there is a lot of dust, the sun is hot, we are doing a lot of scratching. So as you scratch some part of the tissue pops up and with time it becomes like that.
It's also not very harmful but it grows.
So what happens is that we would usually not touch it. We just let it be there.
Um but when it becomes red because of maybe constant scratching or environment which is dusty then we'll give you medication to take away the redness the inflammation and then you just let it be there. So it's not a problem at all. The only time that we do surgery to take it off is you see it's growing. It grows like a triangle. So the more it is coming towards the central part, you remember we have said light travels there. So if it covers the black part, then it will be a temporary blindness because there's no light traveling and you cannot see and that is the only time that you we scrape it off so that you can have your vision back. But otherwise it's very common but it's not so harmful. So we give lubricants to help you give some comfort and prevention.
You can be wearing sunglasses.
You can use hats when the sun is very hot. And avoid prolong exposure to dust and wind if possible. Okay, that is then you can also do facial hygiene. Wash your face a lot of the times. It helps.
Then there is sty styish sty. So common signs it's red it's painful there is swelling on the lid and when you touch it it's very tender as a soft kakra and then watery eyes sometimes light discharge there is another kind that we call callesium that one is not painful it's just accumulation of fat so those ones usually don't bother yourself it will resolve on its own even this one aside the pain it will resolve on its own so treatment warm compress Yes, you heat water a little bit. You put paper towel in it and then you massage the eye.
You'll be fine. Then we give antibiotic if there are discharges. Once there are discharge, it tells you that infection is taking place. So we treat that. So that is audition or sty.
So for our children, I've talked about refractive errors. We need to pay attention to that. If you don't correct refractive error, it can result in squint.
So it's important that you you pay attention to that and then we need to watch out sitting too close to the television and then difficulty seeing on the board. They are all cause for concern. There is what we call ambilopia or lazy eyes. When refractive errors are not corrected over a period of time, the brain gets used to working like that. So the eye becomes lazy at that point. Even when you want to do correction it gets very difficult because the brain is already used to working like that. Um yeah so just for us to pay more attention to our children especially if they are rubbing their eyes a lot if they are too sensitive to light if they are tilting their head when they are reading or looking at things and you watch how they hold their books you watch how they read and write and all that. Okay thank you. Next one.
Yeah, I think I I'll be almost done now.
So, I want to look at a few eye emergencies.
Chemical injury is an eye emergency.
When chemicals pour on the eye, bleach, acid, detergent, it's an emergency.
Emergency means that you need to get to the nearest hospital as early as possible because it can affect any part of the especially that transparent part, the one I call the windscreen, the cona.
And the conne once it is affected the cona is so sensitive and that's why even when um a fly is passing the eye will quickly blink because the the cona is so sensitive. So when there is an injury or anything that affects the conne we we'll do the other one. So this is a foreign body in the eye. But if there's anything that affects the conne just like we do the kidney transplant and all we do conal transplant as well there is what we call coria transplant.
People donate the eye and the only part of the eye that can be that transplanting can be done is the cornea.
All the other parts of the eye we can only use it for restructuring as a tissue to do probably sewing and all that. But it is only the corn that can be transplanted. So it's a very delicate structure. So injury the only thing you can do is you put water. Don't try to add any other thing to neutralize the acid. Don't go and neutralize anything please. Water. Water will always do. You pour a lot of water. If you have a set water so that you pressure, okay, you flood irrigate the eye and then take the person to the hospital.
Penetrating eye injury. When a metal falls on the eye or sharp object, you know, as children are playing and all of that, if something like that happens, do not rub it. Don't let them rub the eye.
And don't try to remove the object yourself because you can affect you can damage a structure. So please it's an emergency. Okay. Acute angle closure that is something like what I described if there's an accident a fall or anything like that. It's a medical emergency. And the retinal detachment um this one doesn't it's not common but usually what will happen is that the person sees it's like half your vision becomes black. You see the back of the retina is like a kitten. So for some people there are other conditions that can result in that. So it sears the retina and we say that it's like a curtain like shadow. So you see something like your vision is like a curtain. One part is dropped but the other part is good and that one is an emergency. Okay.
The the next one. So that's an example of a foreign body in the eye. The upper one. And then that one is an example of a chemical injury to the eye.
Okay.
Okay, management I have explained it already. So maybe later when they get a slice they can look at it.
Then for the chemical bins I have also explained already.
Okay, next one.
So why is it important for us to do eye examination?
Why is it important for us to do examination? It's important because we said the eye is the window to the eye and your eye is so unique. It plays a unique role. So it's important when we talk of eye examination, it goes beyond read the charts.
Yeah. It goes beyond just reading the chart. No. GF blah blah blah. And for those who cannot read, they will tell you left, right, center. But the chart reading is very important because it tells us the level at which the site is.
Eye examination is important because you want to balance or you want to weigh in between the cost of neglect and the value of prevention.
And we have told you that because the eye is the window, it helps us to be able to tell of other systemic diseases.
And that is why. So if you're reading the chart and all of that, remember that it's not just reading letters. There is more to that. And sometimes after reading the chart, we are also able to check your eye pressure.
for glaucoma 2 is one of the things that we check. We are able to check your just the pressure on the eye. If you have done it before, sometimes you put your head in a machine that blows some air.
Yeah. Then we take the pressure. It helps us to know if everything is okay.
Then when the light goes into your eye, I've explained we can see the inside of the eye, your blood vessels and everything. And then we can tell if all is well.
Okay, please. The next one. Okay. So these are solo explanations of what I've said. So if somebody has diabetes that is how the back of the eye looks like no the spots of blood and all that. Then the hypertensive one to showing high cholesterol it affects the cornea. Then there is autoimmune diseases and then there are neurological disorders. So eye examination is so important. So important. Okay.
This is what we can do. In the hospitals they usually check the child's eye.
There is a way you can just check even if they are seen just by shining light on the eye. The people's the black one will constrict and open. It tells us that it's working. You know the nerves are working. So that's very simple. And then one to two years thereafter we can also let them have an eye examination.
So for children every two years it's healthy for you to check for them.
Adults 40 to 64 every 1 to two years you can do that. 65 and above every year it's important to do an eye examination.
High-risk individuals are those who have hypertension, diabetes, history of glaucoma or previous eye injury and high refractive errors the glasses. So the key message is that you don't have to wait till you notice vision loss before you see an eye care professional.
Prevention and early detection saves sight.
practical strategies the kind of food we eat simple simple simple things so vitamin A carrot or horse sweet potato mango liver you know it will help us vitamin C oranges pineapple citrus soup vitamin E nuts omega fish sadine nor so these are just incorporate kakon palm nut soup and all of that they also very helpful and manage your systemic um disease challenges very Well, if you have any chronic disease, I've talked about diabetes, I've talked about hypertension, cholesterol. It's important for us to really manage them well.
Don't self-medicate. There are some of us that we even give, oh, then they'll give to their the next person. It's not appropriate for us to do that. And unprescribed eye drops they can cause complications especially sometimes you don't know there may be steroids in it and the steroids our pharmacist will tell you there is it's able to cause a lot of damage especially even to the cornea. So please be careful what kind of eye drop you be using. Please don't be putting traditional substances on the eye. Mhm.
um eye cosmetics, contact lenses, eyelashes and all the other things that our sistering have been using.
Then so the role of parents we need to encourage regular examination also observe as a parent or a teacher Sunday school teachers you can also be observing also ensure that prescribed glasses are worn and then you seek prompt medical attention when the concerns arise.
Okay. So please remember all the things I have said these are warning signs. If you notice sudden vision loss, double vision, flashes of light, floating, see remember the things moving in somebody's vision, eye pain, red painful eye, distorted vision, persistent headache with visual symptoms. Please all of these you need to seek attention.
Okay. Key takeaway, regular eye examination. Never ignore sudden vision changes. Manage chronic diseases very well, especially diabetes and hypertension. Protect your eyes from injury. So those who work in environments that needs protection.
Please make sure that you don't take anything for granted. And our children's vision should be assessed yearly to prevent lifelong visual problems. Well, I think that's it. Thank you.
Please remain.
All right, let's put our hands together for mommy.
Yes. Um, so it has been a wonderful presentation. I think this week has been great. Okay, let's put our hands together for all our speakers. Yes, our mental health doctor, Dr. Aubro is here.
He did a great job yesterday. Thank you.
And mommy, thank you so much. In fact, as mommy was speaking, I was like, "Oh, this week, papa, you've done well."
I remember when we decided that we wanted to bring mommy. And then um I discussed with a few people and I was like, "Well, I've heard about mommy. I want mommy to come." And I told papa and I told papa, "Mommy, I can't call her.
Mommy is too big for me. So, papa, please handle that conversation for us."
And we thank God that the conversation has gone on so well. And despite mommy being such a great and big woman who is hard to come by, we are graced with her presence tonight. So we are not just going to let it end with the presentation. Please the expert is here. Let the questions flow. Okay.
All right. So let's take the first three questions. I can see five hands up already. So we please just shut them down. Okay. So we start with prophet.
Thank you very much. uh doc for that very insightful presentation. Um I have two questions. Um my first question is that uh many times um you talked about the screen something something it has become our life. Yes.
But I observe that sometimes after using it for a while, I go back to use it and then it looks very bled and sometime I have to find maybe a good light.
So the last time we had the eye check, I thought that maybe they would do something for us, but like you did indicate, we did the reading and then afterwards they lighted some lights and then the eye doctor said that well what he's observing is that is growth.
So maybe because I'm growing, there is a certain nerve in my eye that is weakening as I grow, but I have not gotten there yet.
It left me thinking that okay, if I've not gotten there yet, what can I do to prevent it so that I know what to do? So now that you are giving us these um um orientation and helping us to understand our eye, what should I do? Then my second question is that intermittently you you have explained that maybe the eye is stressed because sometimes out of nowhere I'll see that there are some tears coming from my eye. Um when it happens like that what I do is that I go to the restroom and then I wash my face I don't know whether that is a preventive measure or what I'm doing is it right or wrong thank you so we take one more question because daddy's question is two in one so we take one more and then mommy will address the three questions okay Dness hurry Thank you. Please mommy, I want to find out with cataract operation, how many times can a person have it in case they do it and there is a regrowth? I don't know. And the next question please. So my son wakes up every morning with that white thing in the eye. Is it a cause of alarm? Is this something we should check please? Thank you. Moment please.
>> All right. Thank you.
Professor's question is a gagant one.
Okay.
Um so with with the well there are other questions I may have to ask to help me know or help me rightly judge what the other doctor told in terms of you are not there yet. Yeah. But once you observe I don't know whether you actually described whether you told them the symptoms also that this is what you experience sometimes. So it will be good to explain that I sometimes experience this and that and that and if it is computer vision syndrome like what I'm saying if you're using the phone to do extensive reading then that is a lot of strain on the eye so you are likely to experience that you may want to rather use something that has a broader maybe a tablet or a laptop you could also need an anti-reflective that helps to shield the excessive reflection from the eye that could also be a part of it. So basically those are some of the things that you can do to help if you are having blood vision sometimes but you you have been told that you're not there yet we may have to revisit that particular conversation. Yeah.
And then in terms of the tearing what you're doing is right. It's called facial hygiene when it comes to eye health. So if you are tearing, you wash the eye as often as you can, especially with water that is a built cold or room temperature. So you you're doing the rising and and and especially for those of us who live in environment where there's sometimes a lot of dust and all that, facial hygiene is really really helpful. Please, I don't know if that helps. Yeah, thank you. And the catact surgery, how many times? Um I think probably two. Probably two. And that is why if all other things are okay, we don't have to do the surgery because once catact start refraction and spectacles are able to improve the vision. So usually we will give you change your prescription. Sometimes some people even change prescription every year because the lens keeps you know advancing and getting opaque until spectacle prescription doesn't help then we can do the operation. And once you put in another lens, it will take a while. But of course, you need to also check the diabetic status of the person because if the sugar level is not well controlled, then it means that the opacity will start and it will be very quick. Mhm. So you check the diabetic status of the person so that if there are any lifestyle changes that needs to be made also the person can also do that. Yeah. But otherwise usually even one catact surgery should be should be okay for for you because you do it probably around 50 60 years you need about 10 15 more years to have another totally opaque um contract and then you'll be supported with spectacle corruption your son who wakes up with the discharge are there any pain are there any watering if there is nothing like that it could be just a normal discharge and remember that the discharge we talk of infection they pulled or heavy heavy discharge. So it's not the sometimes most of us we have a bit of that. So if it is those ones then it's okay. That also means that they can practice facial hygiene when they are going to sleep and when they wake up.
But if there are no pain, no redness, no discharge, then it could be something normal. Yeah.
>> All right, we take the next set of questions. Yes. Great. Yeah, Michael, did I see your hand up? Oh, I saw a hand. Okay, firstly, come use the microphone so that we can capture it for our online audience.
And who else? Come, come forward. Um, sure. So, come take it.
>> And mommy, so when you were speaking on um the fact that sometimes when you pick a book to read, you feel sleepy and all that. What can we do about that? Because it's affects me most of the time.
>> All right. Please. Any more any any come I just want to make sure that I have at least three people here. Great. Okay.
So, we take these two and then we wait for the next batch.
>> I want to ask what mommy has to say about sunglasses and is it advisable to just buy any glasses anyway.
>> Okay.
>> Sunglasses. Joel Joker to ask her own question.
Okay, thank you.
I want to find out uh with the eye because I want to set my personal experience. I had 20 over 20 all the time and then one time I was like, "Oh, sometimes it's just good that go and check your eye. So, let me go and check." But I know that when I go, they ask me to cover one eye and then the other. So, I just covered one eye and that was it.
This one is now let's say about 10 / 20 but this other one is 2020. I don't know how it's being controlled by the same nerves but one is different from the other. So this lens one is just plain then the other. So what is causing that?
>> So you said that you've always had 2020.
How how did you know?
>> I have been checking >> and it's been always 2020.
Okay. How frequent was that?
>> Okay. And then there was a time that you just covered one and then you realized Okay. Okay. Well, that's that's a mystery.
Yeah. I am not sure that could be and I'm not sure because a refractive error will not be sudden.
So I'm not sure what that could be. It's probably I'm also interested to know what possibly could be the reason. The other thing I know is that but for him because he has been checking I also have to think through that but there are some people who would say that I know my eyes are good but the moment I went to check my eye you know they said the vision is not good and when I started wearing glasses as for now dear I wor because we've had that narration for that one what happens is that like I said because both eyes gives us a three-dimension vision already you will assume that your vision is okay until you do the assessment. So the first time that you notice it is when you have done the assessment. Now when you start wearing glasses there are people because the eye is now appreciating the help of the glasses. When you take off the glasses now you see that the vision is not good at all. It's because now you have something to compare with but previously you didn't know and that's all you had and you thought that was your best. But now that you have glasses, when you move it, the feeling vision, the vision is no longer good.
It's the glasses that is spoiling my eyes. But it's because now you have something to compare with and it is you are able to appreciate the difference.
Unfortunately, it makes you feel that the glasses has sp the eyes. So those are the psychological dimensions that we try to education. Yeah. On that um Yes. And it's possible to have different refractive errors in different eyes.
Yes, please. Okay. The one who asked about sunglasses, it's whether it's okay to buy any sunglasses and use. I I would have said yes, but we've seen some sunglasses that has prescriptions that people who have bought it don't know. And in fact there are people maybe you are myopic maybe you are shortsighted but your sunglasses has a hyperopic prescription in it and you don't know one of the easy ways you can do is that when you hold the glasses you can just move it just look at anything maybe the pillar or chair handle just move it if you look through it there's not supposed to be any movement that tells you it is plain if there is a movement it this prescription and that prescription could be for nearsighted or it could be any kind of prescription but at least the movement can be in the same line as you move okay if I'm moving to my left is moving left moving to my right is moving right it's a particular prescription sometimes if you're moving to the left it's moving right if you're moving to the right is moving left it's also another kind of prescription so for those who wear glasses when you go to the hospital you give your glasses to your doctor you see we will just take it then do this.
>> Ah, so those movement tells you whether it's a concave lens or convex lens or whatever there's something that is telling you. So ideally a sunglasses that is supposed to be plain should give you no movement. If it gives you movement it means there's a prescription in it. That's number one. Number two we also not so sure of the kind of quoting on the prescription. And we have talked about computer vision syndrome and the fact that sometime the kind of rays that goes into the eye and all that can affect. So we don't know the kind of quoting that they have used. I know if you go to the eye clinic sometimes it may be much expensive than when you buy on the roadside. But at least if you buy from the eye clinic you can be sure that you are getting something that is helpful for you than just buying it outside. Yes please. Is that doctor?
Doctor has come to ask me a question.
Where is doctor?
Oh, okay.
>> Reading and sleeping. Okay, that's one.
And you already wear glasses and you still feel sleepy? Yes.
Okay.
So, I will number one, I will encourage you. Okay. Dear brothers and sisters, I will encourage you to say this to your doctor because there is a kind of test we do to check, we call it accommodative insufficiency. The eyes ability to focus near and far as you are reading and all that may not be sufficient and you need to mention that to your doctor so that he will look he or she will look at the possibility of incorporating a prescription that compensates for that.
So you have to mention it and then of course you check your daily routine.
Could you be tired? You know, you need to rule out all of those things as well, especially if you have your prescription. Yes, please.
>> Thank you.
So please um my question is on the computer vision syndrome. Does it also affect children because they are exposed to the screen at early age. So is there another condition for the children as well or is still the same? All right.
Thank you very much.
um with glaucoma if let's say my grandpa has glaucoma how um close am I to get it and can it be detected um when I go for my regular eye checkup and also I want to ask there's a myth that glasses wearing glasses can correct your vision how true is that thank you Thank you. Please dog. My issue is I use computer a lot especially uh midnight that's where I do my editing and other things. Computer laptop I'm always exposed to it. But some time ago I went for checkup and I don't know it is presopia.
Yes.
So I was check and he told me that I will be monitored for some time. So they give me glasses for when I'm using for the computer. Hello. But when I wear the I wear the glass then I don't feel comfortable.
Yes. I don't feel comfortable by wearing the glasses. And also it's I feel some pains and other because of that I put it down. But when it's a week for me to go to check up, then I put it on.
So, so please with this is it any infection and other things. You see my media boys, that's my media boss. And you see they always on computer screens and camera and other and they do editing in the night.
So with this, what should we do? Yes.
Okay, Auntie Mary. So, if I got you right, you are saying that you got a prescription but you don't wear it.
What's your age? Just tell me.
Okay. So, Auntie Mary is saying that she's been given a prescription. She doesn't wear it. She only brings it to church on Sunday. Yes, sir.
Okay. All right. So, that is that is also a very correct observation for most people when they start wearing glasses. It feels very uncomfortable. It feels very uncomfort and sometimes life.
So, so you need to sometimes kind of master courage before you can even wear the glasses. So, all those things are very very true observations that can make it difficult to wear the glasses.
Um but the recommendation is that if a prescriptive error or refractive error has been identified then we want to encourage you to wear them because that is the only time you can know whether it's going to help or not. If you wear it and you're uncomfortable sometimes maybe your practitioner can even get it wrong in terms of your prescription. You may wear it and you rather having headache you need to go back to them.
You may wear it and you having maybe pain or sometimes um we call it tension headache. It's like they may have gotten it wrong. Even when it comes to the fixing of the lenses, you know, we take care of so many people, they may have even crossed somebody's prescription. So if you are uncomfortable with your prescription, please go back to your doctor and let them check and verify if everything is okay. But otherwise I want to encourage you and you pick some fancy frame and where now they life.
Yeah. And that reminds me even for the sunglasses these days you can get a very fancy frame and then they can do the photochromic for you or even transition this type we call the transition lenses that can become very dark like a sunglass and then you you use it. So that will be fine. Okay. Please. Auntie was asking whether when you wear glasses whether it really corrects. Yeah. Okay.
So we call them spectacle correction because it is correcting the refractive error. So that is what it is doing basically that but it doesn't change your eye structure because we said that if somebody is farsighted their eyeball is very no farsighted what did I say so my farsighted the eyeball is very short so the when they're looking at fire it falls behind so that shape of your eye doesn't change and the other side the myopic too they have a very long eyeball so your the shape of the eye will always remain the same. So the correction is actually in terms of the refraction and the refractive error but not the structure of our eye. So the refractive index or the capacity of your lens to be able to refract and all of that hasn't changed.
So spectacle corrections are more like for life because the shape of your eyeball and everything still remains the same and the corrections are meant to help you. So as you are growing and the strength of the eye is going down the your refractive correction will probably be increasing and that is why you will notice that with time it's like every time your correction changes because as you age the muscle strength goes down other structures in the eye they are working so their strength is not as before and that's why sometimes we want you to check even what you eat and all that to help to help you. So basically that's what the correction does. The advantage is for those who are shortsighted because already they can see things which are near and not things which are far. You remember we said that for the presbopia the presa one it's age related. So for those who are myopic even when they are 60 70 they can actually read without glasses because that is how their eye structure is. That is how they have been given birth. So it's advantageous to them.
They can still thread their needle because already they are myopic. And in fact there are people based on the kind of work you do you will never notice whether you have a refractive error. If somebody is maybe a welder or a tailor seem stress they do near work all the time. So if they are myopic it's to the advantage. They don't drive. So they might never realize that they have a distance problem.
You never know.
You never know.
Okay, please. Doctor was asking whether computer vision syndrome also has a special dimension for children. So it's still CVS but for children and like you rightly said these days even the children use the gadgets more than the older ones and they lying in bed reading, they are sleeping on their tummy reading, they eating. So all of that. So if for any reason you want to give your children gadgets then it means you have to implement some of these things. You have to implement it. If they have to sit by their desk, if they have a steady desk and you're giving them their screen time, let them sit appropriately. Maybe once in a while you just want to feel a bit free. So you want to lie down, all of that. But we need to regulate that. But yes, children can also experience computer vision syndrome. And for DS, the other dimension is the constant imagery because of the cartoons and things they watching. So it even affect their sleep because when they want to sleep the mind is still running on some of these images you know even for adults sometimes if you are feeding your mind with things that are not too constructive it still runs on the mind when they are sleeping the children's mind are very active active and these days we hear a lot of children complaining that they are tired even when they wake up I don't know whether for those who have young children that sorry but mommy I'm tired and we hear that a lot and it's it's because of some of these things you know even the positioning you know when the body is not positioned well you wake up and you feel tired into during the day the body's posture has not been placed in the right position then they go back to bed and they wake up and they wake up already tired so we need to watch and observe all of these things I don't know if that helped yes please >> yeah Yeah. Yeah. Okay. Okay. I think I didn't capture that. So if if it happened, if your grandparents had it and maybe your mom had then for you, you need to look at it because now it qualifies. Usually when we think of genetic predisposition for those of us who don't have who don't do the genetics properly, we look at the trend by the third generation. If it flows, it qualifies to be a genetic predisposition. If there is a gap, it's still not genetic predisposition. But if it is consistent three generations, then you should be, you know, paying more attention. And of course, it's just a predisposition. It does not necessarily mean at all. Yes.
The the so routine eye check ideally ideally sometimes If you go to our district hospitals, maybe government hospitals, I don't think they do a lot of that. You might not have your IOP, the intraocular pressure checked, you might not. Sometimes they don't even do the of themoscopy, the one that they put the light in. So if you don't do any of these things, then there's no way you can know whether you have gluccom or not. So you need to be in a facility where beyond the reading the other ones needs to be done. They need to check the IOP and they need to do opthalmoscopy.
Look at that. They you I want to look at the back of your eye. Yeah. So they at least these three should tell you if there is something happening then there are further assessments that you can be asked to do to check your field of view and all that. Yeah.
>> Thank you.
>> So we take a last one. Okay. Great. Um I think before Okay, last two. So you come join him. Um I think Dr. To you talked about children with computer vision syndrome and I think I think I threw it back at you. You made a suggestion yesterday about people who are using legislature to now check the time of exposure children. I think in the UK they are now saying that less than two years no screens for them between two and 5 years it should be supervised screen time. So I think if they are putting in legislation to check this, we don't need legislation to check this for ourselves because they have done the research and they know that this is how we should legislate around it. So I think it's a lesson to all of us. Zero to two years, you don't need to expose a child to any kind of screen. Beyond 2 years, 2 to 5, 2 to 7 years, it should be supervised screen time. When you are not watching, they are not watching.
Okay? So I think it's a lesson for all of us and we can use that to check um computer vision syndrome, CVS.
So I think doctor we we really need to trump this. I'm thinking it's going to be a big deal for for parents you know because children even babies are now holding screen and they can really scroll. They know how to scroll and swipe and do all of those things. Yeah.
>> Okay. Go ahead.
>> Thank you very much.
We have some questions from online and um this one is Felix and he's watching all the way from Syani and he would want to ask that he says he mostly has like an itch in his eyes and then reening afterwards. So he wants to know what the cause is. And I would also want to ask another question. And you see sometimes we when we want to use the computer we want the room dark you know like a darker room so that we can have that computer is it advisable yes thank you >> all right um so I want to find out most of the times our mothers or we've heard a lot of myth that um flames can also too much flames in your system can affect your eye or cocoa so I want ask the the way I thought I'm going scot-free.
I thought I'm going scot-free from you know these questions.
Um I think they are it's a myth because flames and all those things are manifestation of other systemic diseases that could also affect the eye basically. So it's always good to handle the systemic issue, the main body issue so that if there are any manifestations on the eye, it can take care of that.
Yeah. Okay. Um using um computer in dark room the level of illumination should be very good. The reason is that some of the science we did it tells us that there are what we call the photo receptors what absorbs light and help us. So when you in a bright light there's a kind of photo receptor that is working. If you are in darkness that is also what is working. If you have noticed when you are in darkness the shades of color you will see will be black, white or gray. If you have observed there is no color visibility in darkness because there are different kinds of photo receptors working. So if you are doing computer work it's good to have some level of brightness. You don't have to put off the room. Even watching TV with the dark room is in the cinemas and you know they talk of there is an effect what is it called? Um there there's an effect that they are very intentional.
>> Yeah. And you two you want to work.
Yeah. Yeah. So you can get a bedside lamp. You remember I mentioned Yeah. You can get a bedside lamp and you position it such that it gives you some brightness within your workspace that is helpful but otherwise the total the contrast is too much for the eye to work with. Okay. Itchiness redness from our brother online and we have said that it could be a refractive error and the itchiness generally could be an allergic reaction. So you need to observe what are the times that you have this itchiness. What could possibly be sometimes is it something I've eaten is it at a particular time what happens before you experience the itchiness anything allergic you need to do a lot of observation to be able to track you know the patterning that is happening otherwise you can also visit your eye doctor let them check your eye for you to see if there is anything that they can find out yes please that's it >> let's put our hands together for tell me you can do better.
It has been very very insightful and I'm so excited about all the things that we have learned this week. Unfortunately, the numbers are not so um impressive here in the auditorium. I hear it's also because the World Cup is opening tonight. People are glued to their assets. Okay. All right. So um but we thank God for all of us present and my prayer is that we have all learned a lot. You are monitoring the scores.
My prayer is that we have all learned a lot. Maybe we get a bigger platform for mommy in the future so that the whole church will hear this.
>> All right. Thank you. Great. Shall we bow our heads for a short word of prayer? Father, we thank you tonight. We thank you for all that we have learned.
We pray that everything that we've learned here, we put it in practice to protect our sight because we know that our eyes are the windows into our bodies and light reaches our bodies through our eyes. Our prayer is that let us protect our eyes. If there is anybody here who is suffering even any eye condition by virtue of this teaching father we pray that you heal the person let us take steps even to get healing for ourselves and give us good sight in the mighty name of Jesus have we prayed with thanksgiving. Amen.
>> We call We bring sacrifice of praise into the house of the Lord.
We bring sacrifice of praise into the house of the Lord.
Oh, then we offer on to you the sacrificees of thanksgiving.
And we offer unto you the sacrificees of thanks. We give sacrifice. We bring sacrifice of praise into the house of the Lord. We bring sacrifice. We bring sacrifice of praise into the house of the Lord.
Then we offer all to you. Please bless it. The sacrificees of thanksgiving.
Then we offer all to you.
The sacrificees of thank.
>> Praise God.
All right, we've learned a lot throughout this week, but tomorrow is going to be
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