Caitlin Bruno - Binyon Vision

The inflation of screen time

A recent very extensive, scientific poll of the broad audience of our Instagram followers revealed 13 out of 13 respondents had an increase in computer/device/screen time in the last two years that was directly related to the pandemic.

Well, it might not be from an extensive or scientific survey’s results – we do feel confident that a lot of us are staring at a computer or another type of screen for more hours per day than we did a few years ago. Or if someone is not – it’s possible they always did most of work on a screen. And that’s a key word too – working – we’re working on screens, staring at text, graphs, spreadsheets, zoom calls with less face to face meeting breaks or interruptions.

And your eyes are feeling it.

This topic is now brought up with almost every patient in the exam room with Dr. LeClaire and Dr. McEathron. Dr. LeClaire said the only patients she doesn’t talk about screen time with are the youngest ones! Our doctors have a few recommendations for helping your eyes cope with screen strain. They explain there are three main causes for the computer strain:

– fatigue in your eye muscles caused by staring at a fixed distance for long periods of time
– irritated, dry eyes created by staring without blinking enough. Normally we blink every 4 seconds, on a computer it can be between 40 seconds between blinks!
– the glare from devices causing additional visual strain

Here are some steps to take to address these three causes for eye fatigue directly:

Schedule an eye exam. There are two reasons this is a great first step, first – you might need a new prescription. Eye strain can change your prescription more quickly than usual. In addition, our visual needs at computer distance are often different than your needs for driving or reading. During an exam, the eye doctor will take a look at how screen time is affecting your eyes’ health and offer suggestions. As mentioned above, when we’re concentrating on a screen our blinking often lags behind what our eyes need to stay hydrated, healthy and feeling good. The symptoms you experience and the doctor will observe are dry eye indicators. The doctor will be able to tell by taking a close look at your eyelids and cornea and make a recommendation for lubricating drops (many are over the counter!) and how often to use them to help your eyes. In Whatcom County? Schedule an eye exam with our doctors here.
Take frequent breaks. It’s hard to remember as we work away, so we recommend setting a timer. Set your watch or phone for 20 minutes and every time it beeps, look away for twenty seconds and hit the reset button on the timer to start again. A common rule is 20-20-20, every 20 minutes look 20 feet away for 20 seconds. During this short rest time, concentrate on taking intentional full blinks. Blinking fully and more often will activate the oil glands in your eyelids and help hydrate your eyes. Changing your eyes’ focal distance and reducing the glare stare consistently throughout the day will make a noticeable difference.
Speaking of glare… if you’re already looking through glasses and then at a screen there will be light bouncing around that plastic lens in front of your eye creating noise and distraction to your visual system. Make sure your lenses have a high quality anti-reflective coating to minimize the additional straining effects of glare on your eyes. Also, in your home office/work space/work area design- think about the lighting and whether or not it is contributing extra glare to your work area. This article from one of our favorite resources, “All About Vision” describes this more in point 9: https://www.allaboutvision.com/cvs/irritated.htm. It has some other fantastic tips on this topic also.

We hope we’ve offered a few easy ideas to help with screen-induced eye strain. While we can hope screen time inflation will go down – it’s hard to say if and when that could happen so please, take care of those eyes in the meantime.

Welcome to Bellingham l.a. Eyeworks!

The team at Binyon Vision Center LOVES bringing unique, fun, independent eyewear to our patients. We are so excited to introduce l.a. Eyeworks to our community!

In 1979, two women opened a storefront on Melrose Avenue in Los Angeles with the goal to change the way people looked at eyewear. Over forty years and hundreds of imaginative designs later, l.a. Eyeworks is an internationally recognized brand, known for quality and originality. The original owners Barbara McReynolds & Gai Gherardi still begin each design with a pencil sketch and are heavily involved in every aspect of the design from concept to materials, manufacturing to marketing.

In 1981, the brand launched an ad campaign with over 200 celebrities and “cultural provocateurs” modeling the frames in stunning black and white images with the tagline – “A face is a work of art. It deserves a great frame.”

We could not agree more! We look forward to seeing these great frames on many works of art around Bellingham!

See more of the l.a. Eyeworks line and story at: http://www.laeyeworks.com/.

A letter from Dr. McEathron

To all of my patients,

In September of 1980, my wife and I moved to Bellingham to start my career at Binyon Vision Center. Now, 41 years later, I’m delighted to continue to see many of you from those early days, as well as so many more who I have had the pleasure of getting to know and care for.

While I will still be seeing patients, I am shortening my work week, and will be an employee rather than owner of Binyon Vision Center. My concern in the last few years has been that you will have a high quality continuum of care, and I’m pleased to let you know that my associate, Dr. Heather LeClaire will be taking over the ownership of the practice. In the midst of the challenges of the last few years, she has shown herself to be both an excellent optometrist and manager, and she is adept at handling all aspects of the business. I feel confident that Dr. LeClaire will do a great job as she leads us into the future.

While I will continue to see my patients on a part-time basis, I’m looking forward to this new season and what it brings, especially being able to spend more time with our grandkids.

Thank you,

Mark McEathron

Safe Environment Guidelines Implemented in Response to COVID-19

We are dedicated to safe environment to provide eyecare to our patients. Here is an overview of our current COVID-19 procedures. If you have any specific questions, feel free to contact us.

We are seeing patients by appointment only for all services including repairs and adjustments. This allows us to maintain appropriate building capacity and allows for proper social distancing.

All patients and employees are required to wear a face mask while in our building. Employees have been trained in proper personal protective equipment protocol from the Washington State Department of Health.

All patients are asked to fill out a COVID prescreening questionnaire before their appointment or at arrival.

We strive to maintain a 6′ distance between people as much as possible using visual markers. Employees use face shields for some procedures.

We clean and disinfect all common surfaces and tools between use.

We are proud of the efforts our team has made to keep our office safe. Here are some comments from surveys we’ve sent to patients who have recently visited:

They are doing an excellent job making you feel safe during this pandemic!

During these odd times, I felt very comfortable visiting the office, as they took every safety precaution they possibly could to keep their patients healthy!

Thank you for doing the right thing and keeping all of us patients safe during this pandemic. Their staff take each patient’s temperature as you walk in and adhere to all social distancing/masking/sanitizing protocols.

The office follows strict Covid precautions which eased my anxiety.

If you have any questions, feel free to give us a call. Best wishes and stay well.

Why eye exams are more than 20/20 – a perfect vision for 2020

At the end of the year, our waitlist for appointments can get long… filled with patients wanting to use insurance benefits and medical savings dollars before they expire. We called a waitlist patient near the end of 2019 – and he was delighted an earlier appointment time came available. He came in to use up his benefits for an annual eye exam and had no specific complaints, just needed more contacts. What started as a routine exam turned into a surgical procedure at a specialist office the same afternoon. We are all very thankful the patient was able to come in sooner than his scheduled appointment.

The patient had not noticed any vision changes, flashes or floaters in his vision and had not experienced any pain but when Dr. McEathron dilated his eyes he saw a slight blood leakage on the patient’s retina. Dr. McEathron sent him directly to Bellingham Retinal Specialists for further evaluation. The same day, the ophthalmologist at the office performed a laser procedure to the patient’s eye to stop the retina hemorrhage and prevent permanent vision loss.

Optometrists can uncover asymptomatic eye problems with potential to become large problems and when they do- it’s quite memorable. Dr. LeClaire recalls a similar event to the one described above when she was practicing in Seattle. “Many people mention in the exam room they do not want to be dilated,” she reflects. “I make sure they understand the benefits of us being able to really see what’s happening in the back of their eyes.”

dilation eye exam — *Dr. McEathron using a the binocular indirect ophthalmoscope to look through at the back of Melissa’s eye through her dilated pupil*

Routine Physical for your Eyeballs

Dr. LeClaire likes to think of an eye exam as a routine physical for your eyeballs. The doctors discuss eye health and family history to make personalized recommendations to promote long term eye health. Key to creating a great understanding of your eye health is talking about if you experience eye strain and headaches and your daily exposure to electronic devices and computer screens.

Before getting into the physical exam, the doctors will test your vision using the Snellen Chart. See this last blog post for more detail on reading 20/20 and visual acuity measurement.

Your eye movement is studied throughout the exam- how your eyes track and work together. Sometimes a patient who has 20/20 vision but is experiencing headaches, might have delayed focusing or a tracking problem contributing to eye fatigue and strain.

The doctors test your peripheral vision to look for any defects that need further attention. They will also look at your eyelids, eyelashes, tear ducts, blood vessels and iris appearance. When you have this “eyeball physical” done regularly the doctor will record observations and note any variations and the first sign of any issues that could present a long term problem are caught early!

What about the part of the eye you can’t see?

I’ve described the study of how the eyes are moving and the examination of the outside of the eye, but as you can see in the image above- there’s a lot going on under the surface. Two thirds of your eyeball lie below the skin and the best way for the doctor to take a peek at the back of the eye is through that little black hole- your pupil. When the pupil is dilated by the special drops- the doctors can get a much better picture of the back of the eye- the blood vessels and optic nerve.

No, the doctors are not just trying to torture your vision for a few hours- they look at what the back of your eye looks like and create a record of the appearance. Then year after year they will note any changes to these key parts of the eye that work to make you see.

What kind of changes might they be looking for? Well, like for the patient discussed above, blood leakage or tears in the retina can be asymptomatic but when they grow they could lead to permanent vision loss. Abnormal optic nerves could be a sign of glaucoma, which also can lead to permanent vision loss when not treated. Unusual pigmentation on the macula could be an indication of macular degeneration, another eye problem with irreversible vision loss. A brief overview of common eye conditions can be found here.

20/20 Vision for Life!

As you can see, the optometrists performing detailed eye exams do more than measure your ability to read the 20/20 line. The doctors look for any signs of issues that could cause future vision loss. When you schedule an eye exam you will definitely be reading the eye chart, but you’re also taking care of your ability to SEE the eye chart throughout your life. This year of perfect vision we urge you to make eye exams a part of your routine maintenance. Schedule the annual eyeball physical to keep 20/20 vision a reality throughout your life!

patient getting eyes checked — Click the image to go to our online appointment scheduler

What is 20/20 – a perfect vision for 2020

A Dutch ophthalmologist, Dr. Herman Snellen, developed the 20/20 measurement system for visual acuity in 1862. Could he even have dreamed that 158 years later optometrists all over the US would be doing a happy dance that the year 2020 is going to be their year.

What is 20/20 vision?

In the Snellen measurement system- the top number represents the distance between the person and the eye chart. In the US, this distance is 20 feet. At this distance, one of the smaller lines at the bottom of the eye chart has been declared the standard- to correspond with normal visual acuity. If you can identify the letters on this line, but none of the smaller letters on lower lines, you have 20/20 vision.

The letters get larger as the lines go toward the top of the chart and each line corresponds to worse visual acuity. The smaller letters in lines below the 20/20 line correspond to better than 20/20 visual acuity. If you can read the 20/10 line- your visual acuity is two times better than someone who can only read the 20/20 line.

snellen chart
20/20 vision
eye exam
optometrist — Example of a Snellen chart

The single “E” at the top of the chart represents 20/200 vision. If this is the smallest letter you can read WITH corrective lenses in front of your eyes, you are legally blind.

Why do you keep saying 20/20 visual acuity?

While we tend to say “20/20 vision” a more proper term is 20/20 visual acuity. Vision is a term that is too general to accurately describe what the 20/20 measurement denotes. Why? Well, 20/20 vision is measured statically for one- in other words while the person is not moving. Also the measurement is using high contract- black letters on white background. This measurement is useful for a relative comparison of clarity of vision in a standard situation. It is a poor indicator of a person’s ability to see colored objects, moving objects or depth perception- all qualities of one’s vision. A more comprehensive description of vision would include eye tracking ability, contrast sensitivity and focusing speed.

An optometrist measures visual acuity with an instrument called phoropter in a procedure called a refraction. You’ll remember this from the eye exam when the doctor asks which is better one or two? and moves knobs or buttons until you can read the 20/20 line. The resulting numbers represent the strength of lenses needed to help you see 20/20.

patient getting eyes checked
2020 vision
eye exam
phoropter — Dr. McEathron measuring visual acuity

The quest for perfect vision

As discussed above, 20/20 visual acuity is a measured by eye doctors. There are even smart phone apps that can measure visual acuity. Using this reference will catch most visual disorders such as farsightedness, nearsightedness and astigmatism. Unfortunately certain eye conditions will prevent correction to 20/20 even with corrective lenses in glasses. These conditions include cataracts, macular degeneration and even extreme dry eyes. Often these conditions are progressive- meaning the vision degenerates more and more over time. There can be preventative measures to slow and even stop progression but in some cases the vision deterioration is irreversible. Read more information here about proactive eye care. Annual eye exams are extremely important to evaluate eye health and look for any early signs of these damaging conditions. An comprehensive eye exam is much more than seeing if you can read the 20/20 line. Every time you write “2020” let that be a reminder to visit the optometrist and congratulate them on the year of perfect vision. Click here to schedule your appointment today!

Much of the information in this blog post was gleaned from Dr. McEathron, Dr. LeClaire and the fine writing at www.allaboutvision.com.

Holiday Hours and End of the Year Pep Talk!

The end of the year is a busy season and we’re here to help make sure you’ve got clarity going into the new year in more ways than one!

First order of business – our office will be open our regular office hours of Monday – Friday 8:30 – 5:30, closed for lunch 12:30 – 1:30 except for the following days: Thanksgiving and the day after, Christmas Eve and Christmas Day and New Year’s Day. Our office will be closed those dates.

ohh la la party glasses — *Face a Face frames can help you ring in 2020 right!*

Next – let’s talk about vision insurance and flexible spending accounts. Are you familiar with the details of your insurance plan? Many benefits expire at the end of the year- let us help you find out more details about yours!

Calendar year vision benefits

Many plans are on a calendar year cycle. This means they renew on January 1st no matter when you used them last. A common plan in our area that has this benefit is the Uniform/Regence plan. This plan is an option for employees at Western Washington University. Patients can use this benefit to their advantage by using the hardware allowance for glasses in December of 2019 and contacts or a second pair of glasses in January 2020. That means the hardware would not be available again until January 2022, but it’s a fun way to maximize your benefits if they are still available.

Flexible Spending Accounts

Some employers offer their employees to defer part of their salary to a tax-free savings account. This can be used towards medical expenses. These are “use-it-or-lose-it” plans. These plans will expire with the funds going away either at the end of the year- or in some cases on March 15th. Talk with your employers or the manager of your FSA fund to make sure you understand the balance in your account and when it might expire.

Money saved into flexible spending accounts can be used for medical expenses that are not covered by insurance- but must be medically related. In our world that means – eye exams, copays, glasses, contact lenses and prescription sunglasses.

There might be no better time to update your glasses or stock up on contact lenses!

Please give us a call to check on your vision benefits or to answer any questions on how you could maximize the money you’ve saved in your FSA account!

*Some of the frames in our “Red-Dot” sale!*

Also, we have a large number of frames in our “red-dot” sale section right now- all 30% off! We look forward to seeing you this year! We would love to help you see 2020 going into the year 2020!

Photos by Katheryn Moran Photography. See more of her excellent work here!

Glasses of Binyon – Michelle Grandy – Seeing with Style

“I’ve always thought that if you have to wear glasses you should go big and choose beautiful, fun, or funky ones. You can’t hide them so why not show them off,”

Meet Michelle!

anne et valentin, michelle grandy in glasses and bike, happy binyon patient

She has been a fellow four-eyed friend since the seventh grade. Her mom always made sure that she had cool glasses, so she’s been keen on stylish specs since she was a kiddo.

“I’ve always thought that if you have to wear glasses you should go big and choose beautiful, fun, or funky ones. You can’t hide them so why not show them off,” she remarks.

This sentiment is reflected in Michelle’s frames of choice at Binyon. Sporting the ever-present and spunky Anne at Valentin or her favorite cat eye Lafont frames, Michelle can be spotted receiving compliments all around town. With a prescription as strong as hers, Michelle delights in the opportunity to wear contacts as well as the prospect of corrective surgery. However, she revels in what her frames can offer her, too. As an introvert, she has been given many opportunities to meet people she otherwise would not have.

“I get compliments about my glasses all the time from all different kinds of people. I’m introverted so don’t often go out of my way to make connections with strangers. The compliments are a sweet way to connect with a person I may not have chatted with otherwise. The compliments also make me feel like I’ve made the right choice in the frames I’ve chosen. Sometimes I second guess myself and then the first time someone tells me they like my glasses I know the choice was a good one.”

Michelle is a loyal Binyonite, and we couldn’t be happier to continue working with her. Describing her relationship with her glasses in five words or less, Michelle states, “they make me look good!”

Thank you for choosing us, Michelle, and you look fantastic!

Other Glasses of Binyon stories:
Lloyd Christensen
Andy Thom
Emily Ufkes
Susan Johnston
Clark Family

Link to our frame lines:
Frames

ARCHIVED POST: Light-Adaptive Contacts! Acuvue Oasys with Transitions Launches April 1!

Contact Lenses with Transitions new to the market. Here background on the technology and what our staff thought when they tried them on

PLEASE NOTE: Transitions contact lenses were discontinued by Johnson and Johnson June 30th, 2024 and are no longer available for consumer purchase.

This is no joke! Contact lenses that darken (tint) with UV exposure are available April 1st through Johnson & Johnson. Branded “Oasys with Transitions” the technology has been in development for ten years. Our manufacturer’s rep thinks photochromic (light changing) contacts are going to be standard in all contacts in the future.

Lens Availability and How it Works

transitions contacts, contacts with transitions, oasys with transitions — Light -> Dark Acuvue Oasys Contact Lenses with Transitions – *image courtes of Johnson and Johnson*

The initial product launch only covers spherical powers in the two week disposable lens (not for astigmatism or multi-focal wearers… yet, next year potentially). The contacts ability to change colors depends on two things – temperature and UV exposure. The material of the contact contains a special molecule that activates at body temperature (98 degrees) and when exposed to UV light to darken the lens material. The reaction is quick- within a few minutes of UV light exposure the material gets to the darkened state and without the UV light it returns to the lighter state within a few minutes. In the lighter state- there is a residual 15% tint which is intentional. The slight tint helps to block blue light from digital devices. It also reduces overhead light glare and light from oncoming headlights when night driving.

Staff Reviews of Contacts with Transitions

Hannah- I love them! They change pretty quickly when I come inside- much quicker than my transitions lenses in my glasses.

Shelly- I won’t even put drops in my eyes and you think I’ll put those in my eyes? Nope. #teamglasses

April- my eyes are still pretty light sensitive outside- definitely not a replacement for sunglasses for me on a bright day. #teamglasses

James- Not a big fan, but I haven’t worn contacts in 13 years and they just feel weird. #teamglasses

James with Transitions Contacts (left – clear, right – darkened)

Sarah- No thanks- no contacts for me! #teamglasses

Caitlin- I like the feel of them- they were very comfortable. I like being outside and not squinting in bright light, I liked the slight tint inside too. But they’re definitely not a replacement for sunglasses on a bright day- especially because they don’t activate in the car. On my contacts days (since I’m 90% glasses, 10% contacts) these contacts would be my choice.

Interested in more information?

We’d love to talk to you more about the new Contact Lenses with Transitions to see if they might be a good fit into your life. The next step would be to set up a contact lens exam with one of the doctors who can answer specific questions and take necessary measurements to fit these lenses. Here is information about contact lens exams for new prescriptions. Here is a link to schedule an appointment online!

Welcome Dr. Heather LeClaire!

Dr. Heather LeClaire has fortunately landed here in Bellingham by way of Minnesota (born and raised), Ohio (optometry school) and Seattle (because she fell in love with the PNW after visiting a friend during optometry school). Interested in leaving the big city life for the Bellingham area where she had friends, a mutual colleague connected us and she joined our team in October 2018.

The past three months have slipped by quickly during our busiest time of year while Dr. LeClaire has seen patients Tuesday and Thursday mornings and Fridays all day. A proper introduction is overdue- but here are some important things to know about Dr. LeClaire:

In her own words…

Most days you can find me… exploring our new home town and area. It is such a great combination of city and outdoors, and it is all easily accessible!
I love serving the world by… helping people see and feel better about how they look and feel in their glasses and contacts. I love to educate people about their eyes and their health.
The things I’m most passionate about in life are… friends and family, food and art.
When I’m not busy checking eyes you can find me… with my nose in a book, searching antique or thrift stores for possible treasures, hanging out with friends, and exploring Bellingham and the surrounding area
My favorite part of my job is… working with a great team of people, and meeting such a variety of people from all walks of life and with such varied interests, and being able to help them see and feel the best about their eyes and health.

It must be said too- Dr. LeClaire is a talented crafter- she created beautiful cross-stitch ornaments of each staff member’s glasses! And they are so lovely!

Dr. LeClaire is currently accepting new patients from most insurance plans. For more details please contact our office or consult our online appointment scheduling tool here!

Binyon Vision

Author: Caitlin Bruno