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Our eyesight is often something we take for granted – until there’s something wrong with it. Problems like short-sightedness (myopia) are rapidly increasing. In fact, research has predicted that by 2050 there will be 4,758 million people with the condition – nearly half (49.8%) of the world’s population – as experts are highlighting ahead of National Eye Health Week (September 18-24) In addition, new research by Macushield found 73% of Brits notice their eyes deteriorating with age, and the World Health Organisation’s (WHO) World Report on Vision has predicted a dramatic increase in the need for eyecare in the near future, pointing out that at least 2.2 billion people globally have a vision impairment – and around half of these have vision impairment that could have been prevented. “Some people may not be giving their eye health the attention it deserves, occasionally missing out on annual eye tests, which play a crucial role in detecting conditions like cataracts, glaucoma, and age-related macular degeneration,” says ophthalmologist Dr Jørn Slot Jørgensen. “When identified and addressed in a timely manner, these issues can be managed effectively, helping safeguard our vision.” Jørgensen says the pandemic also played a role in worsening eye problems, particularly the increase in short-sightedness. “With the shift to remote work, people are now more likely to spend extended hours with their screens for work and leisure,” he says. “Prioritising eye health isn’t just a matter of convenience, it’s a fundamental aspect of our overall wellbeing.” Here Jørgensen, of the Laser Eye Clinic London, and Evelyn (Evie) Mensah, a consultant ophthalmologist and eye surgeon at Central Middlesex Hospital and member of The Royal College of Ophthalmologists council, outline seven ways people may be damaging their vision, without even realising… 1. Skipping eye tests Mensah says it’s advisable for people to have a sight test every two years, or more often if their optometrist recommends it. Jørgensen adds: “Failing to schedule regular eye tests can result in undiagnosed eye conditions. Conditions like glaucoma, diabetic retinopathy, and macular degeneration often develop without noticeable symptoms in their early stages, but early detection through eye tests is crucial for effective treatment and vision preservation.“ Routine eye tests can also pick up early signs of underlying systemic health conditions, such as diabetes, high cholesterol and high blood pressure. 2. Prolonged screen time The widespread use of digital devices such as laptops, tablets and smartphones has led to extended periods of screen time for both work and leisure, says Jørgensen. “This can result in digital eye strain, characterised by symptoms like dry eyes, headaches and blurred vision,” he explains. “In this age of digital technology, it’s advisable to relieve digital eye strain by using the 20-20-20 rule,” says Mensah – this means every 20 minutes, looking at something 20ft away for 20 seconds. “In addition, remember to blink when using a screen to prevent eyes from getting dry.” 3. Not wearing UV protective sunglasses Jørgensen says failing to wear sunglasses with adequate UV protection can lead to harmful UV radiation exposure, which may contribute to conditions like cataracts and age-related macular degeneration (AMD). “Protecting your eyes from UV rays, particularly in sunny conditions, is essential for preserving long-term eye health,” he stresses. Mensah says UV exposure can also increase the development of growths on the surface of the eyes called pterygia, and warns: “Not all sunglasses filter UV light, so ensure they carry the CE, UV 400 or British Standard Mark. And never look directly at the sun because this can cause a solar burn in the macula that can result in permanent visual loss.” 4. Poor diet and lack of nutrients Eating a healthy, balanced diet could help reduce your risk of sight-threatening eye disease such as AMD, which impacts central vision. Mensah explains that the macula – part of the retina which processes what you see directly in front of you – contains natural pigments such as lutein and zeaxanthin that are found in dark-green, leafy vegetables such as spinach and kale. “Vitamins A, C and E are also helpful, so eat at least five portions of fruit and vegetables a day,” she advises. “And if you have a family history of AMD, ask your GP about taking nutritional supplements.” Jørgensen adds: “A poor diet lacking essential nutrients like vitamins A, C, and E, as well as minerals like zinc, can harm eye health, as these nutrients are vital for vision and overall eye function. To maintain healthy eyes, it’s crucial to consume a balanced diet rich in leafy greens, colourful fruits and vegetables, and omega-3 sources.” 5. Smoking If you’re a smoker, stopping is not only beneficial to your general health but also your eyes, says Mensah: “Smoking cessation is a modifiable factor that can reduce the risk of developing certain eye conditions such as AMD and cataracts.” Ask your GP for support if you are keen to quit – there are lots of helpful resources available. 6. Not wearing prescribed glasses Mensah says there’s a widespread misconception that wearing prescribed glasses worsens your eyesight. “This notion is inaccurate,” she stresses. “The primary reason for wearing prescribed glasses is simply because you require them. If you neglect to wear them, you run the risk of experiencing headaches.” 7. Inadequate lighting “Working or reading in areas with insufficient lighting can make your eyes work harder, leading to eye strain, discomfort, and poorer vision,” says Jørgensen. 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A nurse who needed the toilet 30 times a day was diagnosed with an incurable disease after doctors suspected she had an eating disorder when her weight plummeted. Katie Harpur, 25, a nurse from Belfast, dropped to just five stone while battling the painful symptoms of Crohn’s disease, which left her unable to walk, and she could not eat without throwing up. Diagnosed with Crohn’s in 2014 at the age of 16, she was told it was inevitable that she would eventually need a stoma bag. Fitted with a temporary bag in 2019, Katie had the operation to make her stoma permanent in June 2022 and says it has changed her life. She said: “I used to need to go to the toilet up to 30 times a day and I couldn’t go out and socialise for fear of there not being facilities nearby. “It was incredibly limiting, and I was in a lot of pain to the point where I didn’t even want to go anywhere. “I’d always wanted to travel but it was impossible for me to do so until I got my stoma bag fitted. “Now I’ve booked my first long-haul flight to Tokyo, something I never would have been able to do before the op.” Katie first started experiencing pain and nausea at the age of 14 but said doctors found it difficult to diagnose her. I was in a lot of pain to the point where I didn’t even want to go anywhere Katie Harpur She said: “At first, they suspected that I was bulimic because my weight dropped. “I lost a dangerous amount of weight and weighed just five stone, but I didn’t have an eating disorder, it was just too painful for me to eat and if I did eat, I would vomit. “I remember one doctor told me I was a hypochondriac, but I knew something wasn’t right.” Persevering with medical appointments, Katie said her health deteriorated until she was admitted to hospital. Unable to walk, the then 16-year-old spent two weeks in hospital where she had a colonoscopy. Katie said: “I couldn’t physically walk anywhere, I was so weak, and I ended up in hospital. “The biopsies from the colonoscopy came back and confirmed that I had Crohn’s disease.” Crohn’s disease is a lifelong condition where parts of the digestive system become inflamed. Symptoms include diarrhoea, stomach aches and cramps, blood in your poo, fatigue and weight loss. Growing up, I was so excited to travel but Crohn’s made it impossible. Katie Harpur Katie was put on medication but was told she would eventually need a stoma bag. In June 2019, Katie, then aged 21, underwent a procedure to have a temporary stoma bag fitted. She said: “Going into it, I obviously had body image concerns because I’m still quite young and people tend to have a false idea that stoma bags are dirty. “I knew I would end up with a giant scar too and that made me nervous.” Despite the stoma bag being the solution to Katie’s painful symptoms, she suffered complications which led to her having the procedure reversed. Battling infections and prolapse, her stoma was removed in January 2020. With her symptoms returning, Katie made the decision to have a permanent stoma bag fitted in June 2022. She said: “Because there were so many issues with the first one, I was really nervous, especially as this stoma couldn’t be reversed. “But my condition had gotten so bad and I was in so much pain, that this was really the only option for me at this point.” I hope people can see my experience and know that stoma bags aren’t scary Katie Harpur As Katie approaches 12 months since her stoma operation, she said the procedure has “changed her life”. With no complications or symptoms, she is now able to travel and socialise with friends. “I’ve had no issues at all with it and it’s honestly the best thing I’ve ever done,” she said. “Growing up, I was so excited to travel but Crohn’s made it impossible. I always said I wouldn’t travel far until I had my stoma fitted.” Since her operation, Katie has booked a three-week trip to Tokyo for September this year, something she says she never would have been able to do before. She said: “Not being able to speak Japanese, I would have found it very hard to find a public toilet so wouldn’t have been able to do the trip before. “But now I’m planning to go to Mount Fuji and Super Nintendo World, which I’m really excited for.” Now she is raising awareness for Crohn’s disease on World IBD Day and hopes to break the stigma around stoma bags. “A lot of people think having a stoma bag is the end of the world,” she said. Now I’ve booked my first long-haul flight to Tokyo, something I never would have been able to do before the op. Katie Harpur “I was so young getting mine done and I was nervous about how my body would change but it’s the best thing I’ve ever done, I wish I’d done it sooner. “I hope people can see my experience and know that stoma bags aren’t scary, mine has greatly improved my life and enabled me to start enjoying life again.” Sarah Sleet, chief executive of Crohn’s & Colitis UK, said: “There are more than 500,000 people living with Crohn’s and colitis in the UK. Every day we hear about more who are experiencing symptoms and waiting for a diagnosis. “Since the pandemic, the already lengthy waiting times for tests like endoscopies and colonoscopies have soared. “Such delays can be devastating for people, affecting their ability to work, study, socialise and live the lives they want to. “We really need to do more to help young people stay in control of their health, and that means providing them with the tools to get the right diagnosis from their GP as early as possible. My stoma bag has greatly improved my life and enabled me to start enjoying life again Katie Harpur “If you’re experiencing blood in your poo, tummy pain or frequent, urgent diarrhoea, then the symptom checker on our website is a good place to start. “It’s designed to give people the confidence to go to their GP with a letter detailing their symptoms, to help them get the right diagnosis and get back on the road to recovery.” For more information, visit: www.crohnsandcolitis.org.uk. Read More How to check if you have skin cancer: Symptoms and signs to look out for Janey Godley shares heartbreaking cancer update New obesity jab that sparked diabetes row in US could get NHS green light Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

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