What is Myopia

Myopia, also known as nearsightedness, is where the image focuses in front of the retina causing distance objects to be blurred. Lenses are needed to put the focus directly on the retina. Myopia is a very common condition throughout the world. Approximately 1/3 of the population in the United States, and over 90% of several East Asian countries suffer from myopia. While myopia may seem so common that it shouldn’t be cause for concern, if it progresses. it is actually associated with several very serious eye conditions that can threaten one’s ability to see, namely retinal detachment and glaucoma.  Currently, there is no known cure for myopia. This has led eye professionals to look for ways to slow the progression of myopia in children and young adults as the eyes typically change more rapidly during this time and slowing down myopia progression during these years has a huge payoff. 

 

Types of Myopia Control

There are a few different treatments for myopia that have proven to be effective in a number of studies. Of course, to ensure you find the most effective choice for you, a consultaion is necessary to determine the best option for each case. 

Ortho-K | Orthokeratology has been used to slow down the progression of myopia for years. It has seen a rebirth since the development highly oxygen permeable rigid contacts. Orthokeratology was approved by the Food and Drug Administration in 2002. The procedure is considered safe, effective, and reversible. These highly oxygen permeable rigid lenses are now worn while sleeping. They gently mold the eye to the proper shape throughout the night.

Once beginning Ortho-K, it will take anywhere from one to four weeks to fully see all the vision improvement. Many patients find that their vision has improved after only wearing their lenses for a single night! Upon removing the lenses, the eye continues to maintain that corrected shape and provide 20/20 vision without glasses or contacts throughout the day. During the first few days, some patients experience some mild discomfort for the first few nights, but as your eyes adjust over a few days, you should no longer be bothered by the feel of your lenses.

Mutifocal Contact Lenses | These specially designed multifocal soft contact lenses help reduce eye strain while reading. They have shown to be successful at slowing the progression of myopia over a three-year period when compared with individuals who wore a standard prescription lens

Lifestyle Changes | Research has shown that 2 hours of outdoor activity / day will decrease the progression of myopia. Also, following the 20/20/20 rule helps to reduce eyestrain. One should take break from close work every 20 minutes by looking at something at least 20 ft away for 20 seconds.  

Atropine Eye Drops | One of the thoughts about the progression of myopia, is that it is associated with eye strain. The additional stresses that are placed on the eye when straining push the eye further out of its proper shape. Atropine eye drops are specifically designed to help stop the eye from straining and help the muscles relax. A very low dose of Atropine eye drops daily are specifically designed to help the eye muscles relax without causing excess dilation.
 

Overview

If you notice that your child is having a difficult time seeing objects that are far away, contact us today to schedule an appointment. Many parents notice changes in their children with their behavior or grades at school, their ability to play sports, or that they may even be pulling back from playing with friends. Treating myopia as quickly as possible can help to reduce your child’s chances of developing a serious eye condition that can threaten their ability to see the world around them. Call today and schedule an appointment to see how we can help your child.

Contact lenses come in a variety of shapes and styles to suit the range of needs for individual patients. What this means is that there is almost certainly a type of contact lens that will both feel comfortable for you and improve your vision. 
 

Some types of contact lenses are known as speciality lenses. This is because they are designed specifically to overcome some eye issues which may prevent a patient from wearing the most common and generic styles of contact lenses. In fact, speciality contact lenses have transformed the vision options of many patients who would otherwise have only had the choice between wearing glasses or undergoing laser vision correction. There are numerous types of speciality contact lens, including scleral lenses.
 

What are scleral lenses?

Scleral contact lenses get their name from the fact that, unlike regular contacts, they vault over the entire corneal surface and rest on the white part of the eye, which is called the sclera. This makes them larger than standard contacts, which in turn provides a variety of benefits. Their size makes them easier to handle and more stable when on the eye, which in turn provides the patient with sharper and more reliable vision. They are also less likely to become dislodged and come out. 

Scleral contact lenses are also gas permeable, which means that oxygen can pass right through them and reach the surface of the eyes. This is important for comfort, particularly for patients who experience dry eyes. The gap that is created between the back of the contact lens and the front surface of the eye can also trap tear film, acting as a fluid reservoir which will keep the eyes moist and healthy. 
 

Types of scleral lenses

Within scleral lenses there are several different sizes to choose between. These are based on where the lenses meet the surface of the eye and are as follows:

Full scleral lenses: the largest type, they provide the greatest amount of clearance between the cornea and lens and rest on the outer sclera. 

Mini scleral lenses: the mid-size variety, make contact with the eye on the anterior sclera. 

Semi-scleral lenses: although larger than conventional lenses, they are not huge, and the edge of the contact lens rests on the junction between the cornea and the sclera. 

Your scleral lens provider will be able to make a recommendation as to the correct size for you, which will be based on your individual requirements. 
 

Who are scleral lenses recommended for?

Although technically anyone can wear and benefit from scleral lenses, they are a particularly good option for patients who have eye conditions or irregularities that for which regular contacts are not suitable. This includes patients with:

Dye eye syndrome. Contact lenses float on a fine layer of tear film, which keeps them comfortable and in position. Patients with dry eye syndrome either do not have enough natural tear film, or what they do have drains away too quickly. This can
make wearing regular contact lenses difficult and uncomfortable. However, the design of scleral lenses keeps moisture on the surface of the eyes, eliminating some of the effects of dry eyes. This makes scleral lenses a great choice for patients with dry eyes. 

Irregular corneas. The cornea is the clear dome that covers the front part of the eye and many people have a cornea that is a slightly, or significantly, irregular shape. This causes light to be refracted incorrectly when it enters our eyes, triggering vision problems. Issues arising from irregularly shaped corneas cannot be completely corrected using glasses or conventional contact lenses. Therefore, scleral lenses, which provide sharper and more accurate vision, are recommended. 

For more information about scleral lenses, please do not hesitate to call our expert eye care team. 

As our bodies age, it is normal to notice that there are decreases in our ability to complete certain functions that may have been natural for us in our youth. Just like our physical strength, the strength of your eyes can also weaken over time.

Several different factors influence how each of us will experience aging. Your genetics can play a pivotal role. Understanding your family history and making sure to communicate this with your health professional can be a great way to monitor changes and spot early signs and symptoms. Exposure to certain chemicals or environments or specific trauma to our eyes can also have an impact on how our eyes age. While the eyes can often recover from traumatic injury or exposure, they may still have a detrimental effect on your vision as you age.

Knowing what age you start to have an increased risk of certain diseases or eye conditions can help you to be prepared when you meet with your optometrist. Here are some of the most common ailments that people experience when they age.
 

Presbyopia

Once you are over 40 years old you may experience a loss in vision at close range. Presbyopia is a normal condition that occurs due to the hardening of the lens in your eye. In the early stages, you can often compensate for small changes to your vision, but as the condition progresses, you will likely need a corrective lens, or choose a surgical procedure. such as Lasik, corneal inlays, refractive lens exchange, and conductive keratoplasty.
 

Cataracts

Cataracts are technically a disease of the eye. However, they are so frequently seen in patients as they age, that they are classified as a normal part of aging. While almost half of the population over 65 have cataracts, that number increases even more by age 70. While it can be frightening to begin losing your vision, cataract surgery is extremely successful and can restore up to 100% of the lost vision. If you notice even small changes to your vision, it is smart to talk to your doctor. Cataract surgery is best performed when the cataracts are small and can be more easily removed.
 

Macular Degeneration

This disease is the leading cause of blindness in senior citizens in the United States.
 

Glaucoma

The risk of developing glaucoma generally begins when you are in your 40’s with a near one percent chance and increases throughout the decades with a twelve percent by the time you are in your 80’s.
 

Diabetic Retinopathy

Individuals who have diabetes may be affected by diabetic retinopathy. This disease occurs when blood sugar levels are elevated for an extended period that causes damage to the eye. This damage may lead to permanent vision loss. Americans with diabetes over the age of 40 are at an increased risk, with about 40 percent of people with diabetes over this age displaying some degree of diabetic retinopathy.
 

Many patients come to us every day struggling to get through their daily lives with their current choice of vision correction. Some have eyeglasses that do not sit properly on their face or feel that their peripheral vision is hindered by the frames, while some contact lens patients may find their lenses become more uncomfortable throughout the day.  Generations ago, eye doctors knew that the cornea on the eye was soft and somewhat pliable. They realized that specially designed contact lenses could push the eye back into the proper shape, would enable an individual to see clearly even if they were not wearing their prescription lenses. Hence the birth of Orthokerotolgy or Ortho-K was born. But today, with the discovery of highly oxygen permeable materials, Ortho-K has seen a resurgence. We are please to offer night time Ortho-K, a revolutionary way to help you see clearly throughout the day without having to wear glasses or contacts and without having to get laser eye surgery.

What is Ortho-K?

A highly gas permeable contact lens with a very unique curve is placed into the eye each night before bed and the lens gently pushes the eye into the proper shape while you sleep. In the morning, you can remove the lenses and still see clearly throughout the day. Some patients can even see clearly for up to three days after wearing them for just one night! Ortho-K has been shown to slow up myopia progression in kids and it is the mainstay of our myopia management program.
 

Who Should Consider Ortho-K?

• Kids needing nearsighted glasses at an early age.

• Frequent changes in prescription. 

• Those wanting to keep their myopia from progressing. 

• Allergies to the materials in contact lenses

• Dry eye that is made worse by wearing prescription lenses

• Dirt or other debris that fequently gets under the contact lenses

• You play sports and do not want to worry about glasses or contacts

• The ability to wake up at night and see clearly

• A general dislike of glasses or contacts
   

How Long Does It Take?

Once you receive your custom Ortho-K contact lenses, it will take anywhere from one to four weeks to fully see all the improvements to your vision. Some however, find that their vision has improved after only one night of wear.  During the first few days, you may also still need to wear prescription lenses to see clearly enough to drive or get through your normal day, but that is generally quickly resolved. Also, some patients experience some mild discomfort for the first few nights, but as your eyes adjust over a few days, you should no longer be bothered by the feel of your lenses. Orthokeratology was approved by the Food and Drug Administration (FDA) in 2002. The procedure is considered safe, effective, and reversible. However, there are some side effects associated with Ortho-K. Most of these side effects are a result of improper cleaning of the lenses that can lead to a minor infection. These infections are usually remedied fairly quickly with the use of antibiotic eyedrops.
 

Overview

If you are sick and tired of wearing contact lenses or glasses every single day and would like an alternative way to correct your vision, consider trying Ortho-K. If you would like more information on Ortho-K, please call our offices today and see how we can improve your everyday life.

Clean eyes are healthy eyes. Nevertheless, our eyes are exposed to countless potentially harmful microorganisms during the course of an ordinary day. This could be anything from dust and pollen, which could cause allergies, or infection-causing bacteria. Daily cleansing is the best way to keep eyes clean and free from debris, but to maximize the effects of your cleaning, it’s important to use products that are designed just for your eyes. Thankfully, there is OCuSOFT.

A large part of the OCuSOFT product line is a selection of non-irritating products that are designed specifically to help remove any oil, debris and pollen from the eyelids and eyes, leaving them as clean and healthy as possible. Here are some of the products that you may be interested in:
 

OCuSOFT Lid Scrub
One of the most popular product categories in the OCuSOFT line, this lid scrub takes the form of a foaming eyelid cleaner. The instant foaming formula helps to remove oil, debris, pollen and contaminants and should be used with a new, soft, clean cleansing pad for each eye. Choose the Platinum Foam variety for extra-strength and additional anti-inflammatory properties that helps to soothe eyes and remove irritation as soon as it is applied.

OCuSOFT Lid Scrub Pre-Moistened Pads
These extra-strength pads are a leave-on formula. Simply place them onto your eyes and relax. While you do so, the formula cleanses your eyelids and removes any contaminants to provide relief from irritation. This product is recommended for moderate to severe eyelid conditions.

OCuSOFT HypoChlor
This product is available as both a gel and a spray and should be used in combination with a surfactant such as OCuSOFT’s lid scrub for the greatest possible level of cleanliness.

OCuSOFT Dry Eye mask
As the name of this product suggests, this mask is designed to help combat a condition called dry eye. Dry eye occurs when the eyes don’t make enough tear film, the quality of the tera film is compromised or it drains away too quickly. The OCuSOFT dry eye mask is a moist heat mask that contains a patent-pending cross hatch design proven to deliver even heat distribution across the eyes. This warmth helps to break up any hardened oil deposits in the meibomian glands that may be contributing towards dry eye.

For more information on keeping your eyes clean and healthy, or to find out more about OCuSOFT products, please speak to our dedicated and professional eyecare experts.
 

If you’ve never worn contact lenses before, it can seem a bit intimidating. After all, you’re inserting something into your eye! Let’s ease your mind about the first step – your contact lens exam. This post will walk you through what’s involved in a contact lens exam and what you can expect every step of the way.
 

It begins with a comprehensive eye exam.

We will first determine your overall eye health and vision. This includes a discussion of your health history and then a series of standard eye tests. These tests will evaluate eye focusing, eye teaming, depth perception, color vision, peripheral vision, and the response of your pupils to light. We will also measure your eye’s fluid pressure to check for glaucoma, evaluate your retina and optic nerve, and test your vision with different lenses to assess whether contact lenses can improve your vision.
 

Then, a discussion about your contact lens preferences.

If contact lenses are appropriate for you, we will talk about all your contact lens options. For example, do you want to enhance or change your eye color? Would you prefer daily disposable lenses or overnight contacts? We will go over the benefits or drawbacks of each, so that you can make the best decision. If you’re over 40, we will discuss age-related near vision changes and how contact lenses can address these issues.
 

Next, we will take specific eye surface measurements.

Contact lenses require precise measurements of your eyes to fit properly. We will use the latest OPD III wavefront topographer to measure over a thousand points on your cornea. This provides a detailed surface map of your cornea, enabling to determine the best contact lens shape that will provide safe. This instument also measures the pupil diameter in both daylight and night time conditions, important in determining the proper lens size to prevent halos at night.  
 

Tear Test.

We will perform a tear evaluation to measure the amount and quality of tear film on the surface of your eye. Patients with poor tears may need to be fit into special contact lenses designed for dry eyes. If you have chronic dry eyes, or bad allergies, full time contact lens wear may not be a good option for you. 
 

Contact lens fitting.

The final step is to fit you with a trial pair of contact lenses. Once inserted, we will examine the alignment and movement of the lenses on the surface of your eye. If the contacts are fitting properly, then the last step is to ensure the prescription is correct with a few more tests.
 

Lens care instruction.

Now that a good contact lens fit has been established,  you’ll need to come back for instuctions on how to insert, remove and care for your lenses. You will then wear the lenses for a week. After that, you’ll have a follow-up evaluation to confirm that the lenses are comfortable and your vision is at maximum clarity. In some cases, several follow up evaluations are necessaery to achieve an optimal fit as we are often referred advanced, challenging contact lens cases.   

Amblyopia, also known as a “lazy eye”, is described as a reduced vision in one eye without any apparent pathology, that can not be corrected to 20/20 with glasses or contacts. There are some rare forms of amblyopia that involve both eyes. Amblyopia is the most common cause of reduced vision in one eye in children.

The term lazy eye is misleading because the eye is not actually lazy. In fact, it is a developmental problem in which the brain can not process a 20/20 image. The eyes are not fully developed at birth and need proper stimulation to continue to develop to gain the ability to see 20/20. It is not a problem in the eye itself, but in the brain which supresses the visual input from the eye, prohibiting the eye from developing to appreciate clear vision. In addition to poor visual acuity, people with amblyopia are more prone to having difficulties with depth perception, and eye movements related to reading. It also puts an individual with a disadvantage with sports related activities.  
 

What Are The Causes of Amblyopia?

Amblyopia develops in childhood due to:

• Significant differences in the prescription (refractive) status between the two eyes due to nearsightedness, farsightedness or astigmatism;

• Constantly misaligned eyes or crossed eyes (strabismus);

• An obstruction of vision in early childhood i.e. cataract, ptosis (droopy eyelid)
   

It is important to note that, because amblyopia is typically a problem of infant vision development, symptoms of the condition can be difficult to detect. Symptoms may include noticeably favoring one eye over the other, an eye turn (either upward-downward outward or inward) or a tendency to bump into objects on one side.

The best way to identify children who are at risk for or already have amblyopia is by performing comprehensive eye examinations.
 

How Is Amblyopia Treated?

Amblyopia is best treated up to age ten. The earlier the treatment the better the outcome. Some patients can benefit from amblyopia therapy up to age 15, but after that any treatment is usually ineffective. 

Routine eye exams are an important aspect of maintaining one's overall health. As with an annual physical or dental exam, it is extremely important to have your eyes examined regularly. Regardless of how great your eyesight is, scheduling regular eye exams is a great way to stay on top of your overall health.

Adults should have an eye exam every 1-2 years, depending on any existing vision problems, eye conditions or being diagnosed with significant risk factors, such as diabetes, high blood pressure, thyroid disease, previous eye injuries or family history. The doctor will recommend a frequency for routine follow-up exams based on the patient’s medical history. For instance, a diabetic patient will need a dilated eye exam every year while contact lens wearers need exams every year in order to look for changes that might affect lens fit and eye health.

Regular eye exams will also ensure that prescriptions for glasses or contact lenses are current as well as offer an opportunity to check for early signs of certain diseases. Adults older than 60 should have an eye exam each year, as age-related eye problems are more common.

It may be important to see a doctor more frequently if one is experiencing any of the following:

• Blurry vision or loss of vision.

• Difficulty seeing things near and/or far away and perform basic tasks.

• Flashing light in the eye.

• Eye floaters, or small spots that appear in vision.

Why Should You Have Regular Eye Exams?

While eye exams are important for one's vision, routine eye exams can also help to identify a variety of problems ranging from cognitive decline to diabetes. Since the eye is an extension of the brain and the only part of the body where blood vessels and tissue are visible, it allows an eye doctor to detect warning signs of the early stages of different health problems, such as diabetes which can present as bleeding in the eye or swelling in parts of the retina.

Besides diabetes, there are several other health problems that may be detected during a routine eye exam such as brain tumors that may cause swelling of the optic nerve and rheumatoid arthritis or other autoimmune disorders which may be the reason behind dry eyes.

Skin cancer on the eyelid is another health risk as the eyelid is very sensitive to ultraviolet rays and may be one of the first places affected by different types of skin cancers. Any spots or affected areas may be detected before skin cancer can spread to other parts of the body.

Addition, high blood pressure which would show as blood vessels in the back of the eye appearing bent or leaking, the narrowing of the vessels in the retina, swelling of the optic nerve, and hypertensive retinopathy in its earliest stages can be looked for during the exam.

There are also some progressive eye diseases that are not immediately apparent and should be tested for during regular eye examinations including:

• Glaucoma which is the buildup of pressure within the eye that causes damage to the optic nerve and can lead to a loss of peripheral vision or a complete loss of vision. Glaucoma is a chronic, progressive eye disease that doesn't show any symptoms or pain in the initial stages.

• Macular degeneration is an eye condition that causes damage to the retina.

• Cataracts which is the most common cause of blindness in the world. Cataracts occur when the lens of the eye becomes less flexible with age. Blurred or foggy vision and sensitivity to light are common symptoms. Cataracts are easily corrected with outpatient surgery.

Vision changes can have a profound effect on a person’s day-to-day life, but early treatments can help to slow or stop vision loss and regular eye exams can help ensure a lifetime of clear sight

When it’s time to select a new pair of eyeglasses, it can be challenging to find the frame that feels the best for you. Eyeglass makers have become increasingly aware of their clients’ desire to customize frames as well as offer a variety of colors, designs, and frame shapes. Understanding more about your face shape and the types of frames that would look best on you can help to reduce the amount of time you spend trying on frames that don’t complement your face shape. Here are a few useful tips to help you find glasses best suited for your face shape.
 

Face Types

While there are thousands of different frame shapes, there are only seven different face shapes.
 

Round

This face type is as wide is it is long. There are no specific or well-defined angles to this face type. Most people with this facial type look for frames that will elongate their face in order to draw out their natural features as well as give their face a thinner appearance. A good choice is often to select a frame that is angular and narrow.

Heart

If you can imagine the shape of a traditional heart, this face shape is easy to identify. The top 1/3 of the face is wider while the rest of the face tapers to a narrow chin. Individuals with this face shape will often seek frames that are wider at the bottom of the lens. This helps to balance the face and give the appearance of a narrower face at the top. Another great fit for this face type would be rimless frames.
 

Base Down Triangle

This face type contains a wide jaw and cheekbones but is narrow at the forehead. Cat-eye type frames are great for this face type, as are frames that are heavier near the eyebrow to provide more balance.
 

Diamond

This face type is the rarest. The diamond face is like the base-down triangle but differs because it has a narrow chin, thus appearing like a diamond. When selecting eyeglasses, look for oval-shaped frames, or frames that have more detail along the brow line.
 

Oblong

This face type looks like an oval, but these individuals have a straight cheek line. This face is fuller than it is long. Frame types that add some depth are ideal for this face. This can be done by finding frames that have decorative pieces along the temples or that have more depth with a reduced width.
 

Oval

Oval faces are the most common face type. They are considered to have balanced proportions so that most frame types will work well. An oval face is longer than it is wide and includes plump cheekbones. Walnut shaped eyeglasses are an ideal choice, but frames that are as wide or wider than the broadest part of your face would work as well.
 

Square

These individuals have a broad forehead and jaw that gives the appearance of the face having equal and straight sides. These face types usually do well with narrow or oval-shaped frames which will help to soften their features.
 

Additional Tips

Your hair color may play a role in the best frame color for you. Individuals with warm hair colors (brown or black hair) do best to choose a lighter colored frame to add contrast. People that have hair on the lighter end of the spectrum can pick just about any frame color that they would like and may look to other features like eye color or skin tone to help make their decision.

Skin tone has the opposite effect from hair color on the best choices for the frame color. Those with lighter skin hues do best with similar frame colors, and those with warmer skin tones can pick and choose options that they enjoy the most.

Above all else, you should pick a frame that you like best. There may be additional factors to consider when choosing the right frame for you, but perhaps the most important factor is your overall happiness and comfort.

Regular eye exams are important for children since their eyes can change significantly in as little as a year as the muscles and tissue develop. Good eyesight is critical for a child’s life and achievements since success in school is closely tied to eye health. School demands intense visual involvement, including reading, writing, using computers, and blackboard/smartboard work. Even physical activities and sports require strong vision. If their eyes aren’t up to the task, a child may feel tired, have trouble concentrating, have problems in school or have difficulty playing their favorite games which may affect their overall quality of life.
 

When to Perform a Pediatric Eye Exam?

According to research, a child should have an initial screening between 6 and 12 months of age. After that, routine eye health and vision screenings throughout childhood should be performed in order to help detect any abnormalities as their eyes develop. Then, unless otherwise recommended, every two years thereafter until the age of 18.

For a newborn, an optometrist should examine the baby’s eyes and perform a test called “red reflex test” which is a basic indicator that the eyes are normal. In a case that the baby is premature or at high risk for medical problems for other reasons, has signs of abnormalities, or has a family history of serious vision disorders in childhood, the optometrist should perform a comprehensive exam.

A second eye health examination should be done to infants between six months and the first birthday. This examination includes tests of pupil responses to evaluate whether the pupil opens and closes properly in the presence or absence of light, a fixate and follow test to determine whether the baby can fixate on an object such as a light and follow it as it moves, and a preferential looking test which uses cards that are blank on one side with stripes on the other side to attract the gaze of an infant to the stripes and thus vision capabilities can be assessed. Infants should be able to perform this task well by the time they are 3 months old.

For a Preschooler, between the ages of 3 and 3½, a child’s visual acuity and eye alignment should be assessed. If the child is diagnosed with misaligned eyes (strabismus), "lazy eye” (amblyopia), refractive errors (astigmatism, myopia, hyperopia) or any other focusing problems, it’s important to begin treatment as soon as possible to ensure successful vision correction and life-long benefits.

At School age or upon entering school, the child’s eyes should be screened for visual acuity and alignment. In this age group, nearsightedness (myopia) is the most common refractive error and can be corrected with eyeglasses.