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A SPECIAL INTEREST SECTION BY MEDIAPLANET
MediaplanetAs a child, what got you into playing soccer?
Kaylyn Kyle To be honest it was my dad who was a professional hockey player
that made me to fall in love with sports and then I found soccer.
MP What has the journey been like, starting off in Saskatoon to
where you are now?
KK It has been phenomenal. I’ve met so many amazing people and visited so many
beautifulplacesaroundtheglobebecauseofmysport.I’vebeenextremelyluckyandowe
everythingtoeveryonethathasbelievedinme.Soccerhastakenmeabroadtoplayprofes-
sionallyinEurope.And, over thepastfewyears,throughoutthe UnitedStates intheNa-
tionalWomen’sSoccerLeague.IhavebeenabletoplayattheOlympicsinLondonwhere
we brought home Canada’s first Team Sport Summer Olympic medal since 1936, and
theFIFAWomen’sWorldCupinCanadathispastsummer—truly,it’sbeenincredible.
MP What were the downsides to having to wear glasses during
games years ago compared to how far things have come with today’s
amazing contact lenses?
KK To be honest with you it was difficult. I’d constantly have to be adjusting my
glasses on the field — something other kids wouldn’t have to deal with, which
meant I wasn’t always focusing on my game. Even years later, when contact lenses
first became available, I could only wear them for an hour or two before they
started to irritate my eyes and I’d have to take them out.
It is not an issue any morewith today’s contact lenses.The ones Iwear offer me
comfort all day.It feels like I’mwearing nothing on my eyes.So,as opposed towhen I
wasyounger,I’m able to focus completely on my game.Even off the field,I travel a lot
— so it’s one less thing I have toworry about.They allow me to be the best I can be in
any endeavor or goal in life I’m pursuing.
MP You frequently speak to hundreds of young athletes at soccer
clinics across Canada. What advice do you give them regarding the
significance of healthy, comfortable vision and overall vision health?
KK I think it is super important for young athletes to have the opportunity to
benefit from a comfortable contact lens. I think back to the beginning of my soccer
experienceandwherewearetoday.Itryandletthekidsknowtheyneedtotelltheir
parents if something doesn’t feel right with their contact lenses or if they have to
use glasses like I did growing up.
In my own case,when I was playing with glasses,occasionally
asoccerballwouldhitmeontheframeandmyfacewouldbecut.
Unfortunately,at the time itwas not an uncommon occurrence.
Ithinknowadaysit’scoolthatIcantellkidsIwearcontactlenses
andifthey’rehavingtroublewiththeirvision,ortheyarewearing
glassesonthefield,theyhaveanotheroption—justlikeIdo.
MP What seems to resonate with young athletes
the most when talking to them about their
eye health and comfort?
KK Ithinktheyliketoknowtheyarenotinthis
alone — that a player like myself and others
have had to go through the same experi-
encetheyhave.Ithinktheyappreciateit
whenwecanpassalongourknowledge
of what we use ourselves when play-
ing a game or going to a practice. I
am lucky that I came across DAI-
LIES TOTAL 1, I had been using
another brand in the past and
didn’t know how comfort-
able I could be in these
lenses,allday.Ifyoufeel
good, you play well. If
you play well your
team has a bet-
ter shot to win.
Being confi-
dent in your
equipment
and getting
the best —
from cleats to
contact lenses —
isanimportantpart
ofyouroverallgame.
Publisher: Ryan Shepherd Business Developer: Jacob Weingarten Account Manager: Michael Goldsmith Managing Director: Martin Kocandrle
Production Director: Carlo Ammendolia Lead Designer: Matthew Senra Digital Content Manager: Scott Dixon Photo credits: All images are from Getty Images unless otherwise credited.
Send all inquiries to ca.editorial@mediaplanet.com. This section was created by Mediaplanet and did not involve Maclean’s Magazine or its editorial departments.
VISION HEALTH
Kicking UncomfortableVisionAside
Performance and comfort:
a winning team.
Ask your eye care professional for complete wear, care, and safety information.
© 2016 Novartis
PERSONALHEALTHNEWS.CA
Kaylyn Kyle,Canadian professional soccer player,Olympian,andvision ambassador,
educates aspiring athletes on the importance of contact lens comfort,on and off the field.
PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET
C
anadians
from across
the country
emerge to
enjoy the fresh
air and their regular spring
rituals as the warm weather
arrives.  It also marks the
start of Vision Health Month.
A time to put a little extra
thought into your eyes —
considering their care, all
they do for you, and what
you can do for them.
There’s a lot to consider. Eye relat-
ed technologies are one of the fast-
est moving sectors, offering Can-
adians an array of opportunities
and solutions. From managing
dry eye, to emerging treatments
for wet AMD and cataracts, the
options and therapies continue to
expand. But then, the eyes them-
selves are a wonder. They not only
allow us to engage in our external
environment, but they afford us a
unique internal view of the body.
Eye exams service more
than your vision
Regular eye exams by a doctor
of optometry can help to detect
not just eye related problems, but
potentially life threatening con-
ditions such as brain tumours,
high blood pressure, and diabetes.
When an optometrists looks in-
to your eyes they can see a host of
health conditions that may show
symptoms in the eyes and could
includethefollowing:aneurysms,
autoimmune disorders, thyroid
disease, sickle cell disease, liver
disease, Multiple Sclerosis, Par-
kinson’s disease, and other neuro-
logical or brain disorders.
Despite all of the benefits regu-
lar comprehensive eye exams can
bring, we still see some concern-
ing stats in Canada. Vision disor-
ders affect 25 percent of school age
children, but the majority (61 per-
cent) of Canadian parents wrong-
fully believe they would be able to
tell if their child had a vision prob-
lem. A misconception that leads to
only 14 percent of Canadian chil-
dren under the age of six seeing a
vision care professional for a com-
prehensive eye exam.
The picture for adults is not
much better. Vision loss affecting
working-age Canadians is related
to reduced productivity, missing
work,andlowincome.Afterage40,
the number of cases of vision loss
doubles every decade, and triples at
age 75. With Canada’s aging popu-
lation, the number of visually im-
paired Canadians is set to increase
by30percentinthenexttenyears.
The national impact of
vision loss
But, the future doesn’t have to be
dark. Canada spends $19.1-billion
on vision loss annually. Imagine
what we could do if we were to
focus some of that investment on
prevention. Addressing the eco-
nomic and social impact of vision
loss needs to start with a plan. Op-
tometrists encourage the federal
government to consider a national
framework for action towards pre-
venting avoidable blindness and
promoting vision health.
Thisapproachisconsistentwith
the World Health Organization’s
commitment to the prevention of
avoidable blindness and vision im-
pairment. A vision framework that
wouldcaterspecificallytopatients,
especially in high-risk groups such
as children, low-income families,
indigenous,andagingCanadians.
Patient-focused, integrated, and
collaborativedeliverymodelsofeye
care should be essential to primary
healthcare.Bycultivatingpartner-
ships between individuals, NGOs,
governments,stakeholders,andin-
dustrywecanachieveourcommon
goalofanimprovedeyecaresystem
forallCanadians.
Dr. Barry Thienes
“When an
optometrists looks
into your eyes they
can see a host of
health conditions that
may show symptoms
in the eyes.”
Dr. Barry Thienes
President, Canadian
Association of
Optometrists (CAO)
This Spring,
Remember to
Take Care of
Your Eyes, so
They’ll Take
Care of You
Dr. Paul Rafuse
MD PhD FRCSC,
Associate Professor,
Dalhousie University
The Sneak Thief of Vision
INSIGHT
What Canadians should know about Glaucoma
What is Glaucoma and how many
types are there?
Glaucoma is a condition that causes damage to
your eye’s optic nerve and gets worse over time.
It’s often associated with a buildup of pressure
inside the eye also known as intraocular pressure.
Glaucomaisthesecondmostcommoncauseofvision
loss in seniors in Canada and can be divided into two
groups: primary,where the cause is not known; and
secondary,wherethereisanidentifiablecause.More
than250,000Canadiansalsohavechronicopen-angle
glaucoma,the most common form of the disease.
Canadians livingwith glaucoma may be managed
by an optometrist and an ophthalmologist,depending
on the type of glaucoma they may have. Treatment
of glaucoma may include both medical and surgical
intervention, and in some cases surgery is the
preferred option. For this reason a close working
relationship is required between ophthalmologists
(medically trained eye physicians and surgeons) and
optometrists if patients are to receive optimal care.
Why is it known as the sneak thief of vision?
Glaucoma is commonly referred in this way because
it causes vision loss initially in the peripheral
visual field. It is not until the blind areas expand
towards the centre of one’s central vision that they
become noticed; however, this may only happen
when the second, better eye becomes more
involved.  For this reason nearly 50 percent of
those with glaucoma do not know they have
glaucoma and are not receiving treatment. 
Who are the most common people to
get glaucoma?
There are a variety of personal risk factors for the
various types of glaucoma. For the common chronic
type — called primary open-angle glaucoma — the
peoplemostatriskaretheelderly,thosewithastrong
familyhistory,orthoseofAfricanancestry.Anumber
offindingsonacomprehensiveeyeexaminationhave
beenassociatedwiththisglaucoma—themostnotable
beinganelevatedintraocularpressure,achangeinthe
appearanceofthenervetotheeye,andlossofsidevision.
Withrespecttotreatmentoracure,visionlost
to glaucoma cannot be recovered. And, while
we can’t truly cure glaucoma, the progression
of the disease can be slowed greatly by proper
monitoring and treatment. If the disease is
picked up early, blindness can usually be averted.
Pressure-lowering treatments can involve topical
eye medications (i.e., eye drops), laser or surgery.
Treatments are tailored to the severity of the
disease with surgery being reserved for the more
serious cases.
Dr. Paul Rafuse & Dr. Yvonne Buys
Dr. Yvonne Buys
MD, FRCSC,
Professor, University
Health Network
MEDIAPLANETA SPECIAL INTEREST SECTION BY MEDIAPLANET
T
he proof is in the science. Nutrition and life-
style can help decrease the risk of common
eye diseases such as age-related macular de-
generation (AMD) and cataracts. What you
put on your plate can also help relieve your
burning and watery eyes as studies show foods high in
omega-3 fattyacids can helpwith the management of dry
eyesyndrome. Letusexplorehownutritionplaysarolein
the prevention of some of the most common eye condi-
tions — and what foods and nutrients you should include
inyourdieteverydaytomaintainoptimaleyehealth.
Age-related macular degeneration
Scientists have found a relationship between antioxi-
dants and the carotenoids, lutein and zeaxanthin, and
the prevention of AMD. Eyecare professionals recom-
mend most patients with AMD take a supplement to
help prevent the progression of the disease, the lead-
ing cause of age-related vision loss in North America.
In addition to adding supplements to your diet, sci-
ence shows that diets high in certain nutrients help
Protect your Eyes
with Nutrition
EYE HEAL H
THIS MONTH, I WILL
FOCUS ON MY
DID YOU KNOW THAT 75% OF VISION LOSS
IS PREVENTABLE OR TREATABLE?
SEE YOUR DOCTOR OF OPTOMETRY FOR A ROUTINE EYE EXAM
© 2016 BAUSCH & LOMB INCORPORATED. ®/TM ARE TRADEMARKS OF BAUSCH & LOMB INCORPORATED OR ITS AFFILIATES.
BAUSCH + LOMB and learn more on how to keep your eyes healthyvisit
SUPPORTED BY
MAY IS
NATIONAL
VISION
HEAL H
MONTH
to reduce the risk of AMD, and that poor diets can in-
crease a person’s risk for developing the disease.
If you have, or are at risk of developing AMD, it is im-
portanttotakethesupplementrecommendedbyyoureye
doctorandtoenjoyadiethighinluteinandzeaxanthin—
pigments that are found in your retina — and other anti-
oxidants.Taking a supplement does not replace a healthy
diet, as your body benefits from the synergy of the nutri-
entsinfood. TheEyefoodsplanrecommendsfollowingthe
guidelinesbelowtohelpdecreaseyourriskforAMD.
■ Consumeahandfuladayoflutein-richleafygreenvege-
tablessuchaskale,spinach,watercress,andSwisschard.
■ Eattwoorangepeppersperweek,twoways—rawand
cooked — for a boost of zeaxanthin, lutein, vitamin C
and vitamin E.
■ Eat four eggs per week, including the yolk, as they are
a good source of lutein,vitamin E,and zinc.
Cataracts
Load up on broccoli, peppers, kiwi, and citrus fruit to
nourish your eyes with vitamin C and help to decrease
the risk of cataracts — a clouding of the lens of the eye.
You can also decrease your risk of this common con-
dition by consuming a diet high in the omega-3 fatty
acids DHA and EPA. These are found in high amounts
in cold-water fish such as wild salmon, rainbow trout,
sardines, and mackerel. By avoiding foods with a
high glycemic index, such as white bread and sweet
treats, it will also help lower your risk of cataracts.
Dr. Laurie Capogna
Founder, Eye Wellness,
Co-author,
Eyefoods: A Food Plan
for Healthy Eyes Dry eye
Gofishingforyourdinnertohelprelieveyoursymptoms
of burning, watery, and red eyes caused by dry eye — a
conditionthatcanalsocausefluctuatingvisionandlight
sensitivity. Dry eye is often treated by taking lubricat-
ing artificial tear eye drops,however,a holistic approach
that addresses underlying causes of dry eye such as
inflammation, and helps improve the quality of the tear
film provides a better long-term treatment approach.
Increasing the amount of omega-3 fatty acids through
diet or supplements can help with inflammatory con-
ditions and help decrease the incidence of dry eye. Eat
cold-water fish 3–4 times per week, and choose small-
er fish as they are less likely to contain high amounts of
contaminants such as mercury and PCBs.
The bottom line: fill your dinner plate with bright-
ly coloured vegetables and fruits, and cold-water fish
to decrease your risk for age-related macular degener-
ation, cataracts, and dry eye syndrome. Engage your
optometrist in a discussion about proper nutrition for
your eye health to see if you would also benefit from
taking an ocular supplement.
Dr. Laurie Capogna
Photos: Eyefoods: A Food
Plan for Healthy Eyes
PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET
Although light is vital for our survival,
some common wavelengths damage
our eyes and can lead to severe health
conditions and even vision loss.
Fortunately there are some simple steps
you can take to protect your eyesight.
Most visible light is essential to our well-being and
contributes to critical functioning such as improving
ourmemoryandcognitiveperformanceandregulating
our sleep-wake cycle. However, some visible and non-
visible light such as ultraviolet (UV) and blue-violet
light is harmful and can lead to sunburn, eyestrain,
cataracts, or macular degeneration.
“Maculardegenerationistheleadingcauseofblindness
for people 65 years old and up in NorthAmerica,” says Dr.
Thomas Noël, optometrist and President of Ottawa’s
McLeod Optometry Clinic. “Within the last few years,
research has started showing us that blue-violet light
causesanincreaseinmaculardegeneration.”
Protect Your Sight: Everything You Need
To Know About UV and Blue-Violet Light
Blue-violet light is inescapable
in our modern world
While many people are already aware of the dangers of
UV light and have taken precautions toward pro-
tecting their eyes, news that blue-violet
light can have grave consequences
continuestocatchpeopleoff-guard.
This knowledge gap is especially
concerning because blue-violet
light is not only present out-
doors — all year round what-
evertheweather—butalsoin-
doors in fluorescent lighting.
Aswell,itexistsintheLEDsin-
corporated into most modern
lighting and devices such as lap-
tops,smartphones,andtablets.
“We use our computers and
smartphones all the time without
thinking,” says Dr.Noëlwho is also Presi-
dent of the College of Optometrists of Ontario.
“Over time,that does cause some issues.”
Protect yourself today to save your vision
in the future
Thereareanumberofwaysyoucanprotectyoureyesand
preserve your long-term vision health. Wearing glasses
with lenses that offer 100 percent UV protection is an
excellent place to start and will help protect you from
cataracts. But,what many people don’t know is up to 50
Dr. Thomas Noël
Optometrist, President,
Ottawa’s McLeod
Optometry Clinic
(1) A new index developed by Essilor, endorsed by independent 3rd
-party, certifying the global UV protection of a lens.
E-SPF 25 for Crizal Prevencia lenses, except with Orma clear (E-SPF 10). Lens performance only: The E-SPF excludes
direct eye exposure that depends on external factors (wearer’s morphology, frame shape, position of wear). Essilor®,
Crizal®, PrevenciaTM
, Light ScanTM
, E-SPFTM
are trademarks of Essilor International SA.
(1)
PROTECT YOUR EYES FROM HARMFUL LIGHT
Crizal Prevencia is a coating that selectively filters
blue-violet light for long-term eye health, improved
overall well-being and enduring clarity of vision.
crizal.ca
percent of UV rays bounce off the back of the lens and
hit the eye directly. It is important to ensure a coating
is also applied to the back side of the lens to prevent UV
rays from reaching your crystalline lens. For
the most comprehensive protection,
you may choose a lens coating that
also prevents blue-violet light
fromreachingyourretinasand
harmingyoureyesight.
When purchasing sun-
glasses, polarized lenses
will cut harmful blue light
and offer 100 percent pro-
tection from UV rays com-
ing from the front; it is cru-
cial they also have a coating
on the back side of the lens to
prevent UV rays reflecting in
your eyes. Photochromic lenses —
the lenses that are clear indoors and
darken outdoors — are an excellent way to
ensure your eyes are protected at all times when com-
bined with the same coatings as clear lenses.
It is important to protect your eyes at all times to
avoid short-term discomfort such as sunburn caused
by UV rays or eyestrain caused by blue-violet light, and
to protect against long-term damage which can lead to
cataracts and macular degeneration.
Bronwen Keyes-Bevan
MEDIAPLANETA SPECIAL INTEREST SECTION BY MEDIAPLANET
Dry eye is a medical condition that is
extremely prevalent in Canada yet many
people are not aware they have it. If left
untreated, dry eye can lead to infection
or in the worst case, affect your vision
permanently.
“Dry eye is a very common condition,” says Dr. Michael
Kaplan, optometrist at The Eye Care Clinic in Toronto,
Ontario. “I guess one of the big issues is that patients
believe that a little bit of dry eye is normal but it’s not.”
Symptoms such as a sandy or gritty feeling in the lid,
episodesofexcesstearsfollowingverydryeye periods,a
stinging or burning feeling in the eyes, eye fatigue and
heavyeyelids,discomfortwhenwearingcontact lenses,
or occasional blurriness of vision can all indicate the
presence of dry eye. 
For the temporary relief of burning and irritation due to dryness of the eye. © 2015 Novartis 5/15 SYS15079JADi
FEEL FREE
from the symptoms of dry eye
NOT ALL DROPS FOR DRY EYE
ARE CREATED EQUAL™
R E L I E V E
P R O T E C T
systane.com
DOCTOR & PHARMACIST
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A R T I F I C I A L T E A R S
Connecting the symptoms to the condition
“It’s very prevalent and yet patients very often do not
connect the symptoms they’re experiencing with dry
eye disease,” says Dr. Kaplan.
Tears are composed of proteins, nutrients, electro-
lytes,andantibodiescriticalinmaintainingthehealth
oftheeyesurfaceandpreventing infection.Dryeyeoc-
curs when the eye does not produce sufficient aqueous
or when tears evaporate too quickly. If left untreated,
this condition can lead to pain, styes, scars on the cor-
nea, and can have a lasting effect on your vision. 
In recent years, optometrists have made huge strides
in their understanding and treatment of dry eye. There
are two kinds of dry eye. Before starting any kind of
treatmentitisvitalpatientsreceiveaproperdiagnosis.
Aqueous tear-deficient dry eye is a disorder in which
glands fail to produce enough of the watery ingredient in
tearstomaintainahealthyeye surface.Lipid-deficientdry
eye occurs when there is an insufficient level of the oily
component of tears that slows evaporation and keeps the
tears stable. If you think you may be suffering with dry
eye,themostimportantfirststepistovisitanoptometrist.
Treat, educate, and heal
Optometrists will conduct a thorough eye examina-
tion and upon diagnosis will perform individualized
treatments, educate patients on appropriate treat-
ment, and recommend an ongoing care plan. Treat-
ment can include applying warm compresses to heat
and soften the glands and the use of lid wipes to clean
away dead cells and oil build-up. Optometrists will
also advise patients on the correct fatty acids to con-
sume. Fatty acids such as omega-3 are unregulated in
Canada and it can be very difficult for individuals to
know the right kind to use to help treat dry eye. Your
optometrist can help educate you and recommend an
ongoing care plan.
“It’s like brushing your teeth. If you have plaque
and you stop brushing your teeth you run the risk
of getting gum disease and losing a tooth,” says Dr.
Kaplan. “Likewise with dry eye, if you don’t treat the
problem, you’re likely to develop a problem later on and
the results can vary depending on how severe it is.”
Bronwen Keyes-Bevan
From Diagnosis To Treatment
The Key Things You Need
To Know About Dry Eye
Dr. Michael Kaplan
Optometrist,
The Eye Care Clinic
PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET
By 2050 the world’s population over 60 will have doubled to two billion, making age-related illness an even greater challenge for society.
That’s why we’re seeking to help people stay healthier and more active in later life, be it through more targeted treatments for cancer and
cardiovascular conditions, solutions for eye diseases, or ways to keep those with arthritis moving. Because life shouldn’t stop at 60 – not
by any means.
To find out how our innovations are helping to change lives for the better, visit www.bayer.ca
A
s Canadians age, they become at risk
for a host of health problems, with
one of the most common and insidi-
ous being loss of vision. One of the
leading causes of vision loss in the
elderly is Age-Related Macular De-
generation (AMD), which attacks the centre of the ret-
ina, where the most important vision cells reside. For
sufferers of AMD, particularly wet AMD, new medic-
al developments are providing a wealth of treatment
choices that can preserve their vision.
“There are two different types of macular degen-
eration, dry and wet,” explains Dr. Netan Choudhry,
Director of Vitreoretinal Surgery at the Herzig Eye In-
stitute. “In the dry form, people develop small protein
deposits in the retina called drusen, which leave pot-
holes in the retina that manifest as dark spots in the
patient’s vision. The wet form, which can arise from
the dry form, is a little bit different. In this form, ab-
normal blood vessels begin to grow like a weed from
the deep tissue in the retina. These vessels bleed, caus-
ing fluid accumulation under the retina, which dam-
ages the vision cells if left untreated.”
Though wet AMD is less common than dry AMD
(comprising 10–15 percent of total cases), it has a more
dramatic prognosis, resulting in complete central
vision loss if untreated. “In the old days wet AMD was
devastating;everybodylostcentralvision,”saysDr.Alan
BergerofSt.Michael’sHospital.“Priortoabout2005,with
the treatments we had available at the time, only one to
two percent of patients saw any visual improvement
while 90 percent went downhill. With the advent of
the anti-VEGF drug injections, we now have 90 percent
seeingstabilityofvisionorimprovement.”
Today,therearetwoHealthCanadaapprovedanti-VEGF
(VascularEndothelialGrowthFactor)drugsonthemarket
forwetAMDandotherretinaldiseases.Bothareknownto
besafeandeffective,howeveritisimportantforphysicians
to be able to choose the best treatment for each individual
patient. “As we have moved forward, we have developed
more options,” says Dr. Choudhry, “in some cases one
option may provide the opportunity for a more relaxed
injection schedule than another.” Further, some specific
subtypes of wet AMD may respond differently to one over
another.There’snoonebesttreatmentforeveryoneatthis
stage, which is why having access to multiple therapies is
soimportanttophysiciansandpatients.
The good news is wet AMD is now almost entirely
manageable with early intervention and access to the
fullrangeofapprovedtreatmentsfortheoneintwenty-
five Canadians currently living with this condition,
andthemanymorewhowilldevelopitastheyage.Can-
adians can look forward to a bright and clear old age
with minimally invasive care — so long as this freedom
of choice remains available and new innovative treat-
ments continue to develop.
D.F. McCourt
“For the one in twenty-five
Canadians currently living
with AMD... the good news
is this condition is now
entirely manageable.”
Dr. Alan R. Berger
MDCM, FRCSC
Vitreoretinal Surgeon,
St. Michael’s Hospital
Dr. Netan Choudhry
Vitreoretinal Surgery,
Herzig Eye
Institute
No One-Size-Fits-All
Treatment for
Macular Degeneration

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17062(1)

  • 1. A SPECIAL INTEREST SECTION BY MEDIAPLANET MediaplanetAs a child, what got you into playing soccer? Kaylyn Kyle To be honest it was my dad who was a professional hockey player that made me to fall in love with sports and then I found soccer. MP What has the journey been like, starting off in Saskatoon to where you are now? KK It has been phenomenal. I’ve met so many amazing people and visited so many beautifulplacesaroundtheglobebecauseofmysport.I’vebeenextremelyluckyandowe everythingtoeveryonethathasbelievedinme.Soccerhastakenmeabroadtoplayprofes- sionallyinEurope.And, over thepastfewyears,throughoutthe UnitedStates intheNa- tionalWomen’sSoccerLeague.IhavebeenabletoplayattheOlympicsinLondonwhere we brought home Canada’s first Team Sport Summer Olympic medal since 1936, and theFIFAWomen’sWorldCupinCanadathispastsummer—truly,it’sbeenincredible. MP What were the downsides to having to wear glasses during games years ago compared to how far things have come with today’s amazing contact lenses? KK To be honest with you it was difficult. I’d constantly have to be adjusting my glasses on the field — something other kids wouldn’t have to deal with, which meant I wasn’t always focusing on my game. Even years later, when contact lenses first became available, I could only wear them for an hour or two before they started to irritate my eyes and I’d have to take them out. It is not an issue any morewith today’s contact lenses.The ones Iwear offer me comfort all day.It feels like I’mwearing nothing on my eyes.So,as opposed towhen I wasyounger,I’m able to focus completely on my game.Even off the field,I travel a lot — so it’s one less thing I have toworry about.They allow me to be the best I can be in any endeavor or goal in life I’m pursuing. MP You frequently speak to hundreds of young athletes at soccer clinics across Canada. What advice do you give them regarding the significance of healthy, comfortable vision and overall vision health? KK I think it is super important for young athletes to have the opportunity to benefit from a comfortable contact lens. I think back to the beginning of my soccer experienceandwherewearetoday.Itryandletthekidsknowtheyneedtotelltheir parents if something doesn’t feel right with their contact lenses or if they have to use glasses like I did growing up. In my own case,when I was playing with glasses,occasionally asoccerballwouldhitmeontheframeandmyfacewouldbecut. Unfortunately,at the time itwas not an uncommon occurrence. Ithinknowadaysit’scoolthatIcantellkidsIwearcontactlenses andifthey’rehavingtroublewiththeirvision,ortheyarewearing glassesonthefield,theyhaveanotheroption—justlikeIdo. MP What seems to resonate with young athletes the most when talking to them about their eye health and comfort? KK Ithinktheyliketoknowtheyarenotinthis alone — that a player like myself and others have had to go through the same experi- encetheyhave.Ithinktheyappreciateit whenwecanpassalongourknowledge of what we use ourselves when play- ing a game or going to a practice. I am lucky that I came across DAI- LIES TOTAL 1, I had been using another brand in the past and didn’t know how comfort- able I could be in these lenses,allday.Ifyoufeel good, you play well. If you play well your team has a bet- ter shot to win. Being confi- dent in your equipment and getting the best — from cleats to contact lenses — isanimportantpart ofyouroverallgame. Publisher: Ryan Shepherd Business Developer: Jacob Weingarten Account Manager: Michael Goldsmith Managing Director: Martin Kocandrle Production Director: Carlo Ammendolia Lead Designer: Matthew Senra Digital Content Manager: Scott Dixon Photo credits: All images are from Getty Images unless otherwise credited. Send all inquiries to ca.editorial@mediaplanet.com. This section was created by Mediaplanet and did not involve Maclean’s Magazine or its editorial departments. VISION HEALTH Kicking UncomfortableVisionAside Performance and comfort: a winning team. Ask your eye care professional for complete wear, care, and safety information. © 2016 Novartis PERSONALHEALTHNEWS.CA Kaylyn Kyle,Canadian professional soccer player,Olympian,andvision ambassador, educates aspiring athletes on the importance of contact lens comfort,on and off the field.
  • 2. PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET C anadians from across the country emerge to enjoy the fresh air and their regular spring rituals as the warm weather arrives.  It also marks the start of Vision Health Month. A time to put a little extra thought into your eyes — considering their care, all they do for you, and what you can do for them. There’s a lot to consider. Eye relat- ed technologies are one of the fast- est moving sectors, offering Can- adians an array of opportunities and solutions. From managing dry eye, to emerging treatments for wet AMD and cataracts, the options and therapies continue to expand. But then, the eyes them- selves are a wonder. They not only allow us to engage in our external environment, but they afford us a unique internal view of the body. Eye exams service more than your vision Regular eye exams by a doctor of optometry can help to detect not just eye related problems, but potentially life threatening con- ditions such as brain tumours, high blood pressure, and diabetes. When an optometrists looks in- to your eyes they can see a host of health conditions that may show symptoms in the eyes and could includethefollowing:aneurysms, autoimmune disorders, thyroid disease, sickle cell disease, liver disease, Multiple Sclerosis, Par- kinson’s disease, and other neuro- logical or brain disorders. Despite all of the benefits regu- lar comprehensive eye exams can bring, we still see some concern- ing stats in Canada. Vision disor- ders affect 25 percent of school age children, but the majority (61 per- cent) of Canadian parents wrong- fully believe they would be able to tell if their child had a vision prob- lem. A misconception that leads to only 14 percent of Canadian chil- dren under the age of six seeing a vision care professional for a com- prehensive eye exam. The picture for adults is not much better. Vision loss affecting working-age Canadians is related to reduced productivity, missing work,andlowincome.Afterage40, the number of cases of vision loss doubles every decade, and triples at age 75. With Canada’s aging popu- lation, the number of visually im- paired Canadians is set to increase by30percentinthenexttenyears. The national impact of vision loss But, the future doesn’t have to be dark. Canada spends $19.1-billion on vision loss annually. Imagine what we could do if we were to focus some of that investment on prevention. Addressing the eco- nomic and social impact of vision loss needs to start with a plan. Op- tometrists encourage the federal government to consider a national framework for action towards pre- venting avoidable blindness and promoting vision health. Thisapproachisconsistentwith the World Health Organization’s commitment to the prevention of avoidable blindness and vision im- pairment. A vision framework that wouldcaterspecificallytopatients, especially in high-risk groups such as children, low-income families, indigenous,andagingCanadians. Patient-focused, integrated, and collaborativedeliverymodelsofeye care should be essential to primary healthcare.Bycultivatingpartner- ships between individuals, NGOs, governments,stakeholders,andin- dustrywecanachieveourcommon goalofanimprovedeyecaresystem forallCanadians. Dr. Barry Thienes “When an optometrists looks into your eyes they can see a host of health conditions that may show symptoms in the eyes.” Dr. Barry Thienes President, Canadian Association of Optometrists (CAO) This Spring, Remember to Take Care of Your Eyes, so They’ll Take Care of You Dr. Paul Rafuse MD PhD FRCSC, Associate Professor, Dalhousie University The Sneak Thief of Vision INSIGHT What Canadians should know about Glaucoma What is Glaucoma and how many types are there? Glaucoma is a condition that causes damage to your eye’s optic nerve and gets worse over time. It’s often associated with a buildup of pressure inside the eye also known as intraocular pressure. Glaucomaisthesecondmostcommoncauseofvision loss in seniors in Canada and can be divided into two groups: primary,where the cause is not known; and secondary,wherethereisanidentifiablecause.More than250,000Canadiansalsohavechronicopen-angle glaucoma,the most common form of the disease. Canadians livingwith glaucoma may be managed by an optometrist and an ophthalmologist,depending on the type of glaucoma they may have. Treatment of glaucoma may include both medical and surgical intervention, and in some cases surgery is the preferred option. For this reason a close working relationship is required between ophthalmologists (medically trained eye physicians and surgeons) and optometrists if patients are to receive optimal care. Why is it known as the sneak thief of vision? Glaucoma is commonly referred in this way because it causes vision loss initially in the peripheral visual field. It is not until the blind areas expand towards the centre of one’s central vision that they become noticed; however, this may only happen when the second, better eye becomes more involved.  For this reason nearly 50 percent of those with glaucoma do not know they have glaucoma and are not receiving treatment.  Who are the most common people to get glaucoma? There are a variety of personal risk factors for the various types of glaucoma. For the common chronic type — called primary open-angle glaucoma — the peoplemostatriskaretheelderly,thosewithastrong familyhistory,orthoseofAfricanancestry.Anumber offindingsonacomprehensiveeyeexaminationhave beenassociatedwiththisglaucoma—themostnotable beinganelevatedintraocularpressure,achangeinthe appearanceofthenervetotheeye,andlossofsidevision. Withrespecttotreatmentoracure,visionlost to glaucoma cannot be recovered. And, while we can’t truly cure glaucoma, the progression of the disease can be slowed greatly by proper monitoring and treatment. If the disease is picked up early, blindness can usually be averted. Pressure-lowering treatments can involve topical eye medications (i.e., eye drops), laser or surgery. Treatments are tailored to the severity of the disease with surgery being reserved for the more serious cases. Dr. Paul Rafuse & Dr. Yvonne Buys Dr. Yvonne Buys MD, FRCSC, Professor, University Health Network
  • 3. MEDIAPLANETA SPECIAL INTEREST SECTION BY MEDIAPLANET T he proof is in the science. Nutrition and life- style can help decrease the risk of common eye diseases such as age-related macular de- generation (AMD) and cataracts. What you put on your plate can also help relieve your burning and watery eyes as studies show foods high in omega-3 fattyacids can helpwith the management of dry eyesyndrome. Letusexplorehownutritionplaysarolein the prevention of some of the most common eye condi- tions — and what foods and nutrients you should include inyourdieteverydaytomaintainoptimaleyehealth. Age-related macular degeneration Scientists have found a relationship between antioxi- dants and the carotenoids, lutein and zeaxanthin, and the prevention of AMD. Eyecare professionals recom- mend most patients with AMD take a supplement to help prevent the progression of the disease, the lead- ing cause of age-related vision loss in North America. In addition to adding supplements to your diet, sci- ence shows that diets high in certain nutrients help Protect your Eyes with Nutrition EYE HEAL H THIS MONTH, I WILL FOCUS ON MY DID YOU KNOW THAT 75% OF VISION LOSS IS PREVENTABLE OR TREATABLE? SEE YOUR DOCTOR OF OPTOMETRY FOR A ROUTINE EYE EXAM © 2016 BAUSCH & LOMB INCORPORATED. ®/TM ARE TRADEMARKS OF BAUSCH & LOMB INCORPORATED OR ITS AFFILIATES. BAUSCH + LOMB and learn more on how to keep your eyes healthyvisit SUPPORTED BY MAY IS NATIONAL VISION HEAL H MONTH to reduce the risk of AMD, and that poor diets can in- crease a person’s risk for developing the disease. If you have, or are at risk of developing AMD, it is im- portanttotakethesupplementrecommendedbyyoureye doctorandtoenjoyadiethighinluteinandzeaxanthin— pigments that are found in your retina — and other anti- oxidants.Taking a supplement does not replace a healthy diet, as your body benefits from the synergy of the nutri- entsinfood. TheEyefoodsplanrecommendsfollowingthe guidelinesbelowtohelpdecreaseyourriskforAMD. ■ Consumeahandfuladayoflutein-richleafygreenvege- tablessuchaskale,spinach,watercress,andSwisschard. ■ Eattwoorangepeppersperweek,twoways—rawand cooked — for a boost of zeaxanthin, lutein, vitamin C and vitamin E. ■ Eat four eggs per week, including the yolk, as they are a good source of lutein,vitamin E,and zinc. Cataracts Load up on broccoli, peppers, kiwi, and citrus fruit to nourish your eyes with vitamin C and help to decrease the risk of cataracts — a clouding of the lens of the eye. You can also decrease your risk of this common con- dition by consuming a diet high in the omega-3 fatty acids DHA and EPA. These are found in high amounts in cold-water fish such as wild salmon, rainbow trout, sardines, and mackerel. By avoiding foods with a high glycemic index, such as white bread and sweet treats, it will also help lower your risk of cataracts. Dr. Laurie Capogna Founder, Eye Wellness, Co-author, Eyefoods: A Food Plan for Healthy Eyes Dry eye Gofishingforyourdinnertohelprelieveyoursymptoms of burning, watery, and red eyes caused by dry eye — a conditionthatcanalsocausefluctuatingvisionandlight sensitivity. Dry eye is often treated by taking lubricat- ing artificial tear eye drops,however,a holistic approach that addresses underlying causes of dry eye such as inflammation, and helps improve the quality of the tear film provides a better long-term treatment approach. Increasing the amount of omega-3 fatty acids through diet or supplements can help with inflammatory con- ditions and help decrease the incidence of dry eye. Eat cold-water fish 3–4 times per week, and choose small- er fish as they are less likely to contain high amounts of contaminants such as mercury and PCBs. The bottom line: fill your dinner plate with bright- ly coloured vegetables and fruits, and cold-water fish to decrease your risk for age-related macular degener- ation, cataracts, and dry eye syndrome. Engage your optometrist in a discussion about proper nutrition for your eye health to see if you would also benefit from taking an ocular supplement. Dr. Laurie Capogna Photos: Eyefoods: A Food Plan for Healthy Eyes
  • 4. PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET Although light is vital for our survival, some common wavelengths damage our eyes and can lead to severe health conditions and even vision loss. Fortunately there are some simple steps you can take to protect your eyesight. Most visible light is essential to our well-being and contributes to critical functioning such as improving ourmemoryandcognitiveperformanceandregulating our sleep-wake cycle. However, some visible and non- visible light such as ultraviolet (UV) and blue-violet light is harmful and can lead to sunburn, eyestrain, cataracts, or macular degeneration. “Maculardegenerationistheleadingcauseofblindness for people 65 years old and up in NorthAmerica,” says Dr. Thomas Noël, optometrist and President of Ottawa’s McLeod Optometry Clinic. “Within the last few years, research has started showing us that blue-violet light causesanincreaseinmaculardegeneration.” Protect Your Sight: Everything You Need To Know About UV and Blue-Violet Light Blue-violet light is inescapable in our modern world While many people are already aware of the dangers of UV light and have taken precautions toward pro- tecting their eyes, news that blue-violet light can have grave consequences continuestocatchpeopleoff-guard. This knowledge gap is especially concerning because blue-violet light is not only present out- doors — all year round what- evertheweather—butalsoin- doors in fluorescent lighting. Aswell,itexistsintheLEDsin- corporated into most modern lighting and devices such as lap- tops,smartphones,andtablets. “We use our computers and smartphones all the time without thinking,” says Dr.Noëlwho is also Presi- dent of the College of Optometrists of Ontario. “Over time,that does cause some issues.” Protect yourself today to save your vision in the future Thereareanumberofwaysyoucanprotectyoureyesand preserve your long-term vision health. Wearing glasses with lenses that offer 100 percent UV protection is an excellent place to start and will help protect you from cataracts. But,what many people don’t know is up to 50 Dr. Thomas Noël Optometrist, President, Ottawa’s McLeod Optometry Clinic (1) A new index developed by Essilor, endorsed by independent 3rd -party, certifying the global UV protection of a lens. E-SPF 25 for Crizal Prevencia lenses, except with Orma clear (E-SPF 10). Lens performance only: The E-SPF excludes direct eye exposure that depends on external factors (wearer’s morphology, frame shape, position of wear). Essilor®, Crizal®, PrevenciaTM , Light ScanTM , E-SPFTM are trademarks of Essilor International SA. (1) PROTECT YOUR EYES FROM HARMFUL LIGHT Crizal Prevencia is a coating that selectively filters blue-violet light for long-term eye health, improved overall well-being and enduring clarity of vision. crizal.ca percent of UV rays bounce off the back of the lens and hit the eye directly. It is important to ensure a coating is also applied to the back side of the lens to prevent UV rays from reaching your crystalline lens. For the most comprehensive protection, you may choose a lens coating that also prevents blue-violet light fromreachingyourretinasand harmingyoureyesight. When purchasing sun- glasses, polarized lenses will cut harmful blue light and offer 100 percent pro- tection from UV rays com- ing from the front; it is cru- cial they also have a coating on the back side of the lens to prevent UV rays reflecting in your eyes. Photochromic lenses — the lenses that are clear indoors and darken outdoors — are an excellent way to ensure your eyes are protected at all times when com- bined with the same coatings as clear lenses. It is important to protect your eyes at all times to avoid short-term discomfort such as sunburn caused by UV rays or eyestrain caused by blue-violet light, and to protect against long-term damage which can lead to cataracts and macular degeneration. Bronwen Keyes-Bevan
  • 5. MEDIAPLANETA SPECIAL INTEREST SECTION BY MEDIAPLANET Dry eye is a medical condition that is extremely prevalent in Canada yet many people are not aware they have it. If left untreated, dry eye can lead to infection or in the worst case, affect your vision permanently. “Dry eye is a very common condition,” says Dr. Michael Kaplan, optometrist at The Eye Care Clinic in Toronto, Ontario. “I guess one of the big issues is that patients believe that a little bit of dry eye is normal but it’s not.” Symptoms such as a sandy or gritty feeling in the lid, episodesofexcesstearsfollowingverydryeye periods,a stinging or burning feeling in the eyes, eye fatigue and heavyeyelids,discomfortwhenwearingcontact lenses, or occasional blurriness of vision can all indicate the presence of dry eye.  For the temporary relief of burning and irritation due to dryness of the eye. © 2015 Novartis 5/15 SYS15079JADi FEEL FREE from the symptoms of dry eye NOT ALL DROPS FOR DRY EYE ARE CREATED EQUAL™ R E L I E V E P R O T E C T systane.com DOCTOR & PHARMACIST RECOMMENDED A R T I F I C I A L T E A R S Connecting the symptoms to the condition “It’s very prevalent and yet patients very often do not connect the symptoms they’re experiencing with dry eye disease,” says Dr. Kaplan. Tears are composed of proteins, nutrients, electro- lytes,andantibodiescriticalinmaintainingthehealth oftheeyesurfaceandpreventing infection.Dryeyeoc- curs when the eye does not produce sufficient aqueous or when tears evaporate too quickly. If left untreated, this condition can lead to pain, styes, scars on the cor- nea, and can have a lasting effect on your vision.  In recent years, optometrists have made huge strides in their understanding and treatment of dry eye. There are two kinds of dry eye. Before starting any kind of treatmentitisvitalpatientsreceiveaproperdiagnosis. Aqueous tear-deficient dry eye is a disorder in which glands fail to produce enough of the watery ingredient in tearstomaintainahealthyeye surface.Lipid-deficientdry eye occurs when there is an insufficient level of the oily component of tears that slows evaporation and keeps the tears stable. If you think you may be suffering with dry eye,themostimportantfirststepistovisitanoptometrist. Treat, educate, and heal Optometrists will conduct a thorough eye examina- tion and upon diagnosis will perform individualized treatments, educate patients on appropriate treat- ment, and recommend an ongoing care plan. Treat- ment can include applying warm compresses to heat and soften the glands and the use of lid wipes to clean away dead cells and oil build-up. Optometrists will also advise patients on the correct fatty acids to con- sume. Fatty acids such as omega-3 are unregulated in Canada and it can be very difficult for individuals to know the right kind to use to help treat dry eye. Your optometrist can help educate you and recommend an ongoing care plan. “It’s like brushing your teeth. If you have plaque and you stop brushing your teeth you run the risk of getting gum disease and losing a tooth,” says Dr. Kaplan. “Likewise with dry eye, if you don’t treat the problem, you’re likely to develop a problem later on and the results can vary depending on how severe it is.” Bronwen Keyes-Bevan From Diagnosis To Treatment The Key Things You Need To Know About Dry Eye Dr. Michael Kaplan Optometrist, The Eye Care Clinic
  • 6. PERSONALHEALTHNEWS.CA A SPECIAL INTEREST SECTION BY MEDIAPLANET By 2050 the world’s population over 60 will have doubled to two billion, making age-related illness an even greater challenge for society. That’s why we’re seeking to help people stay healthier and more active in later life, be it through more targeted treatments for cancer and cardiovascular conditions, solutions for eye diseases, or ways to keep those with arthritis moving. Because life shouldn’t stop at 60 – not by any means. To find out how our innovations are helping to change lives for the better, visit www.bayer.ca A s Canadians age, they become at risk for a host of health problems, with one of the most common and insidi- ous being loss of vision. One of the leading causes of vision loss in the elderly is Age-Related Macular De- generation (AMD), which attacks the centre of the ret- ina, where the most important vision cells reside. For sufferers of AMD, particularly wet AMD, new medic- al developments are providing a wealth of treatment choices that can preserve their vision. “There are two different types of macular degen- eration, dry and wet,” explains Dr. Netan Choudhry, Director of Vitreoretinal Surgery at the Herzig Eye In- stitute. “In the dry form, people develop small protein deposits in the retina called drusen, which leave pot- holes in the retina that manifest as dark spots in the patient’s vision. The wet form, which can arise from the dry form, is a little bit different. In this form, ab- normal blood vessels begin to grow like a weed from the deep tissue in the retina. These vessels bleed, caus- ing fluid accumulation under the retina, which dam- ages the vision cells if left untreated.” Though wet AMD is less common than dry AMD (comprising 10–15 percent of total cases), it has a more dramatic prognosis, resulting in complete central vision loss if untreated. “In the old days wet AMD was devastating;everybodylostcentralvision,”saysDr.Alan BergerofSt.Michael’sHospital.“Priortoabout2005,with the treatments we had available at the time, only one to two percent of patients saw any visual improvement while 90 percent went downhill. With the advent of the anti-VEGF drug injections, we now have 90 percent seeingstabilityofvisionorimprovement.” Today,therearetwoHealthCanadaapprovedanti-VEGF (VascularEndothelialGrowthFactor)drugsonthemarket forwetAMDandotherretinaldiseases.Bothareknownto besafeandeffective,howeveritisimportantforphysicians to be able to choose the best treatment for each individual patient. “As we have moved forward, we have developed more options,” says Dr. Choudhry, “in some cases one option may provide the opportunity for a more relaxed injection schedule than another.” Further, some specific subtypes of wet AMD may respond differently to one over another.There’snoonebesttreatmentforeveryoneatthis stage, which is why having access to multiple therapies is soimportanttophysiciansandpatients. The good news is wet AMD is now almost entirely manageable with early intervention and access to the fullrangeofapprovedtreatmentsfortheoneintwenty- five Canadians currently living with this condition, andthemanymorewhowilldevelopitastheyage.Can- adians can look forward to a bright and clear old age with minimally invasive care — so long as this freedom of choice remains available and new innovative treat- ments continue to develop. D.F. McCourt “For the one in twenty-five Canadians currently living with AMD... the good news is this condition is now entirely manageable.” Dr. Alan R. Berger MDCM, FRCSC Vitreoretinal Surgeon, St. Michael’s Hospital Dr. Netan Choudhry Vitreoretinal Surgery, Herzig Eye Institute No One-Size-Fits-All Treatment for Macular Degeneration