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S . W . M I C H I G A N W E L L N E S S D I R E C T O R Y
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The Five Senses
Hearing Better:
Hearing Aids/Testing
Centers
Interpreters
Seeing Better:
Optometrists
Physicians:
Ophthalmology
"C
hildren are born nearsighted,
then become farsighted,"
states ophthalmologist Jeff
Colquhoun, M.D. of the
Southwest Michigan Eye
Center in Battle Creek. He
explains that up to the age
of three months, children live in a
close-up world, focusing on the faces
of persons holding them. As toddlers
learn to explore a larger world, their
vision muscles relax, enabling them
to see farther away.
Vision examinations in kinder-
garten test for conditions that are
easily corrected with glasses. These
include lazy eye, called amblyopia,
and a return of myopia, which is
nearsightedness, with or without
astigmatism, which is an irregular-
shaped eye.
"After age 18, the eyes of most
people have become stabile and
there is relatively little change in
refractive power, although some
persons with glasses might require
a slightly stronger prescription," Dr.
Colquhoun says.
Presbyopia, which means age-
related changes in vision, commonly
begins when a person reaches the
mid-40s. "The eye muscles of accom-
modation become weaker then, and
there's a decreased ability to focus
close up," Dr. Colquhoun states. The
common treatments include reading
glasses, bifocals, Lasik surgery,
conductive keratoplasty, and lens
implant procedures.
Cataracts, which are a hardening
and discoloration of the natural
crystalline lens in the eye, can occur
at age 60 and older -- or earlier in
persons with a history of trauma,
use of certain medications such
as steroids, or a family history of
eye ailments. Dry eye syndrome,
macular degeneration, glaucoma, and
drooping eye lids are additional age-
related eye disorders.
Regardless of the stage of life, Dr.
Colquhoun says retaining optimal
vision is possible with a healthy
lifestyle that includes a good diet and
exercise. "Vision problems associated
with vascular disorders and diabetes
are preventable," he says, "and
macular degeneration is preventable,
in part, with an anti-oxidant diet."
He also recommends routine
eye examinations for everyone over
age 40 and earlier for children with
a family history of lazy eye and
diabetes. When visual correction
becomes necessary, most people turn
to traditional glasses. However, Lasik
surgery and multi-focal intraocular
lens implants are becoming popular.
Dr. Colquhoun identifies these as
"the most youth regeneration proce-
dures around."
When a person experiences a
sudden decrease or loss of vision
due to injury or illness, there are
many clinics and schools that offer
orientation and mobility training.
Some of these facilities employ
persons trained at Western Michigan
University's Department of Blindness
and Low Vision Studies.
Susan Ponchillia, a professor
at the school, says graduates of this
program show people how to become
oriented to their daily living envi-
ronment, attain mobility through
aids such as a long white cane, and
develop workaround solutions to help
retain or regain employment.
Technology aids that enable a
person with blindness to enjoy a high
quality of life include reading magni-
fiers, books and magazines in Braille,
recorded books, and computers with
voice-recognition and voice-output
capabilities. Equally important are
training in skills such as how to
identify color-coordinated clothing in
one's closet, how to properly set the
dials on a kitchen stove, and how to
safely pour a cup of hot liquid.
Ponchillia says a person born
with blindness or with low vision
learns how to do such things as a
matter of course. "If you can't see
your mother, you learn her voice and
her touch; you develop a different
frame of reference," she says. "But it's
different for people who have vision
that suddenly becomes diminished
or absent. What would it be like to
suddenly not be able to drive or use a
computer?"
Tom Flemming, a licensed
professional counselor and owner
of Divorce & Family Mediation, a
private divorce mediation service in
Kalamazoo, says he "never saw very
well" but gave up certain activities,
such as walking alone, in his mid-40s
when he could no longer see his
image in a mirror.
Flemming, professionally active,
Sight Adapts to the Stages of Life
By Robert M. Weir
Continued on next page
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