Eye Health Concerns and Family Dynamics

DEAR ABBY: As an ophthalmologist, I specialize in eye care and wish to address a common belief about eye health. Many people think that eye diseases only affect older adults. While it’s true that aging increases the risk for issues like age-related macular degeneration, glaucoma, and cataracts, younger people aren’t immune to these threats.

This is especially relevant for the nearly 40 million Americans living with diabetes. Diabetic retinopathy, which damages the blood vessels in the retina, has become the leading cause of blindness among working-age adults in the U.S. The answer is fairly straightforward — a medical eye exam — yet many people do not get one.

Abby, regular eye exams and prompt treatments can cut the risk of severe vision loss by more than 90%. However, only about 60% of individuals with diabetes follow the annual dilated eye exam guidelines recommended by the American Academy of Ophthalmology. Thankfully, ophthalmologists have access to more tools than ever for diagnosing and treating eye conditions.

For those concerned about costs, the Academy’s EyeCare America program might offer assistance. It’s important that all healthy adults schedule a comprehensive eye exam by age 40, as early signs of cataracts, glaucoma, and age-related macular degeneration can develop at that point. — LAURA FINE, M.D., OPHTHALMOLOGIST AND EYECARE AMERICA VOLUNTEER

DEAR DR. FINE: I’m excited to inform my audience that EyeCare America has broadened its reach beyond just seniors. This national public service initiative provides no-cost medical eye exams from volunteer ophthalmologists for qualified individuals aged 18 and older. To determine eligibility for yourself or your loved ones, visit www.aao.org/eyecare-america/patients.

DEAR ABBY: My son and daughter-in-law both work full time and have two kids, ages 11 and 9. Their house is remarkably dirty and smells unpleasant. I find it hard to breathe every time I go there.

I’ve suggested hiring a housekeeper, but my son won’t agree. Though his wife is busy working, she’s responsible for cleaning, laundry, and shopping, while my son and the kids contribute little. They’ve asked me multiple times to watch their pets during vacations, and I’ve done so. However, it’s getting increasingly challenging because I can’t stand the condition of their home.

I’m uncertain about how to communicate this without hurting their feelings, but I really can’t keep doing it. It’s genuinely affecting my breathing. What can I say to gently express that their home needs attention? — COVERING MY NOSE IN CALIFORNIA

DEAR COVERING: If your allergies seem to be triggered by visiting your son’s house, talk to your doctor about being tested for any allergens like dust or, more likely, pet dander. Then, let your son and his wife know that, due to health concerns, you can no longer care for their animals while they travel.