Showing posts with label cataracts. Show all posts
Showing posts with label cataracts. Show all posts

Monday, February 20, 2017

Eye Protection

I blogged about the importance of protecting your eyes from UV light while windsurfing last year, and it's time for an update. My reason to look into this was that I had been diagnosed with cataracts. "No big deal, everyone gets them", you might say. Largely true - but my grandmother died during cataract surgery, so there are darn good reasons to delay and avoid it as long as possible.
Cataracts and other eye problems are directly linked to UV exposure. Wearing sunglasses can help a lot, but has a few shortcomings - some UV rays can still enter the eyes from the sides and from reflection on the back side of the lenses; water drops can impair vision; and on partly sunny days, sunglasses can simply be annoying. I did wear either prescription sunglasses or (on cloudy days) non-tinted polycarbonate glasses almost every single day I windsurfed since last year; but my lovely wife often finds sunglasses too bothersome, and sometimes sails unprotected on cloudy and partly sunny days.
Nina speeding on a cloudy day

I have always found contact lenses much more convenient for windsurfing, and used daily disposables for years, so I'm happy to report that I am back to using contacts. But this time around, I went for UV absorbing contact lenses - specifically, Acuvue Oasys 1-Day lenses. They absorb more than 90% of UVA and 99% of UVB, making them the best UV absorbing lenses I could find. Some other contact lenses also have good to very good UV absorption, but most lenses do not - including the ones I had used until last year. I plan to also wear sunglasses on sunny days, and polycarbonate safety glasses on cloudy days; on partially cloudy days, UV exposure can actually be even higher than on sunny days. So far, the protection seems to be working - at this year's eye doctor follow-up, the cataracts seems unchanged relative to last year (after appearing suddenly within the 2 years before that).

So, if you are wearing contacts while windsurfing, double-check that they offer UV protection. If not, talk to your eye doctor about getting a different kind for windsurfing. If you prefer to use glasses, I can recommend the sports frames from Zenni.com. They are not pretty, but have worked well for me for more than 100 sessions so far, and you can get a pair of polarized prescription sunglasses for about $110.

Saturday, February 27, 2016

Windsurf Glasses and Sunglasses

When I recently discovered that I cannot use contact lenses anymore when windsurfing due to intense eye pain when putting the lenses in, I was quite unhappy. But as it often happens, what starts as a problem ended up as a blessing. It made me go to the eye doctor, who said the cause of the problem was dry eyes - but more importantly, she diagnosed cataracts which developed over the last 3 years.

Surfer's Eye (Pterygium), caused by UV and wind exposure
UV exposure causes cataracts (among other nasty things, like "Surfer's Eye" shown in the image above). I've been good about putting sun screen on, but never did anything to protect my eyes. I did, however, spend at least 500 hours per year on the water or on the beach, typically on sunny days. That's a lot of UV exposure.

Good sunglasses will absorb 99-100% of the UV; prescription glasses with polycarbonate lenses will do the same. But windsurfing will lead to water drops on the glasses, which disturb the vision. I typically sail on salt water, which is worse - when the water droplets dry out, they leave a thin film of salt on the glasses. And, of course, you can loose glasses when you fall. So when I switched to daily contact lenses for windsurfing several years back, I thought things had gotten a lot better.

My eye doctor said that I may have another 15 or 20 years before I need cataract surgery. That's when they make a little incision in the lenses in your eyes, and suck out the milky-white protein stuff that has accumulated over the years (and now inhibits your vision, and makes driving at night painful). They replace it with a bit of clear plastic. This is the most common surgery in developed countries - in Germany, it's done six hundred fifty thousand times per year. The risk of complication is small, perhaps 1%, and 90% of all surgeries improve vision. But there is a risk, however small it may be, so I'd rather delay the surgery as much as possible. Considering how quickly the cataracts developed over the past 3 years, the doctor's estimate probably would be too optimistic if I'd just keep windsurfing without any eye protection!

So I had to get glasses for windsurfing. In the past, I typically paid about $500 for a pair of glasses. That's just too expensive for something that I might loose at any time in a crash! But I needed something quickly - sailing without contacts or glasses is just to damn uncomfortable, since I can see neither the wind nor the chop well enough. I ended up getting two pairs of glasses for $200. The frames are cheap, and mostly picked because they looked sturdy. The lenses where upgraded to polycarbonate, the lens material suggested for sports since they are less likely to break.

The first time I used the glasses, the water droplets on the lenses took some getting used to. But the next couple of sessions, everything was fine, and I barely even noticed that I was wearing glasses. Things changed dramatically during our last speed session, though: my vision continuously got worse during each run. When I got of (fortunately in knee- to hip-deep water), I saw that the water on the lenses had dried, and left a thin salt film. So for the rest of the session, I ended up washing my glasses after every few runs, followed by shaking the drops off.

So what caused the difference to the previous sessions? The wind direction! This time around, we had northwest wind. Unlike the typical SE wind, which comes from the ocean, NW comes from the land. It's always dryer, but with virtually no rain so far this year, it was extremely dry - dry enough to dry saltwater drops in a minute or two.

I had been thinking about getting prescription sunglasses with polarized lenses, anyway, since the glare of the sun on the water in the afternoon often is quite bad. The local store wanted about $150 for the the lenses alone, plus another $100 for "sports" frames that I did not really care for. Next stop was the web. Zennioptical.com has tons of frames for $30 or less, and offers polarized polycarbonate lenses for $72. I also really liked their system where you can upload your picture, and then "try on" glasses that are super-imposed onto the picture. Very easy to try on dozens of frames in a few minutes this way! Unfortunately, they did not have any sports frames that would work for windsurfing.

Just then, Nina mentioned that she had seen a web site that offered sunglasses specifically for water sports - Silverfish.com. They primarily address surfers, but that's simply because in the US, there are 100 surfers for every windsurfer. Their sunglasses have essential features like retaining straps, are reasonably priced, and are also offered as prescription sunglasses - perfect! They offer clear advice, for example which of their frames to pick depending on head size and conditions, and which coatings or lens types make sense - great! And since they are targeting water sports, they also offer a "Hydrophobic Anti-Droplet/ Anti-Fog Cleaning Liquid Bundle". Cool. I placed my order right away, and should get the glasses in less than 2 weeks.
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Update June 30, 2016: I received the Silverfish sunglasses quickly and liked them a lot, especially the retaining system. However, one of the lenses developed a small crack on the inside after a couple of weeks. A few weeks later, the second lens also developed a similar crack. At first, they seemed to be stable, so I put off contacting the company for a replacement - I was using the glasses every week! Then, on June 29, after using the glasses for about 3 months for windsurfing, I accidentally touched the glasses with a harness like while beach starting in small Kalmus chop. No big thing, but my vision seemed funny all the sudden. So I took the glasses off, and one lens had popped out! I wear glasses all the time, and have had much worse things happen a lot without lenses popping out. I was in hip-deep water near shore, but the water was a bit murky, and I could not find the lens again. I have contacted Silverfish about a warranty replacement. I'll keep you posted on the outcome!