Fort Lee Office

201-461-7595

Irvington Office

973-399-0909

Lyndhurst Location

201-438-8668

Myopia Control

Myopia control or myopia management are treatments used for slowing down childhood myopia progression. The younger a child becomes myopic, the faster they tend to progress, leading to higher levels of myopia. Parents should start a myopia management method as soon as possible. It involves prescribing special types of  contact lenses or atropine drops to slow down worsening of vision.

Ortho-k

What is Ortho-k? Orthokeratology, also commonly known as corneal refractive therapy, vision shaping treatment. Ortho-k is the gentle reshaping of the cornea to correct Myopia (nearsightedness).

Orthokeratology is known by numerous names and the technique has changed significantly over the years.  Ortho-k have been practiced for about 40 years.  The technique involves using a rigid gas permeable lens to flatten or reshape the cornea causing the patient to become less nearsighted.  The process is accomplished while you sleep using a computer designed reverse geometry contact lens.  The lenses are inserted at bedtime and removed in the morning.  The lenses safely and gently reshape the cornea changing the eye's focus.  Most patients will have good vision throughout the day. 

Many recent studies have shown that orthokeratology lenses can prevent the progression of myopia in children. It is important to prevent the progression of nearsightedness in our children The incidence of myopia, in the United States, increased by 66% in the last 30 years. Currently, a multi-center FDA sponsored study is in it's fourth of five years and thus far the preliminary results are confirming that OrthoK  does in fact prevent the progression of nearsightedness.

Orthok is accomplished by using a specially designed contact lens called a reverse geometry lens that flattens the cornea by pushing the central epithelial layers that reside directly over the pupil towards the periphery. This movement of corneal cells causes the center of the cornea to be thinner thus moving the focus of light closer to the retina. By refocusing the light on the retina, the vision is improved.

MiSight

Another great option for myopia control are MiSight contact lenses. These contacts are daily disposable soft contact lenses designed to slow myopia progression in children.

When inserted into the eye, the central part of the MiSight contact lens corrects the refractive error, much like a traditional corrective lens. But the peripheral part of the lens has uniquely designed concentric rings that direct light to focus on the retina. This has been shown to significantly reduce the stimuli causing the eye to grow longer.

The safety and effectiveness of MiSight were studied in a 3-year clinical trial of 135 children aged 8 to 12 who were prescribed either MiSight or traditional soft contact lenses. Over the 3-year period, myopia progressed at a much slower rate — by 59% to be exact — in the children who wore MiSight contact lenses compared to the children who wore conventional soft contacts. These results indicate that MiSight could be an excellent option for slowing myopia progression in your child.

Ortho-k or Misight consultation

Patients interested in Ortho-K or Misight start with an eye exam.  After a comprehensive eye exam, we will start either an Ortho-K consultation or Misight consultation and further discuss treatment options.

Dr. Domingues has been practicing myopia control since she opened her practice in 2011. She has done hundreds of successful fits in Ortho K and is now certified in Misight lenses as well. Call our office and schedule an appointment to further discuss options for your child.  

 

How Did I Get a Stye?

Image of woman touching her eye.

A stye, medically known as a hordeolum, appears in the eyelid area as a red pimple-like bump, and is usually tender or painful. Styes typically occur near the lash line (external hordeolum), but can also appear on the underside of the eyelid (internal hordeolum). In addition to the telltale lump, a stye can cause swelling, tearing, eyelid pain, crusting around the eye, and an irritated/scratchy sensation on the eye.

Styes occur as the result of either an infected gland or hair follicle on the eyelid. An infected meibomian gland causes a stye on the underside of an eyelid, and an infected hair follicle causes an external stye. Commonly found on the surface of the skin, the bacteria staphylococcus aureus is responsible for 90 to 95 percent of all styes. Glands and follicles can become infected in a number of ways:

  • frequently touching or rubbing eyes with unwashed hands
  • inserting or removing contact lenses with unwashed hands
  • using contact lenses which have not been properly disinfected
  • sleeping with eye makeup
  • using expired cosmetics
  • sharing eye makeup
  • using eye makeup used at the time a sty was present

Bacterial infections, however, are not the only cause of styes; complications from chronic inflammation due to a condition called blepharitis can also result in recurring styes. Other medical conditions can also increase the risk of developing styes. Seborrhea, diabetes mellitus, or other chronic ailments have been shown to make people more susceptible to styes. Also people with high lipid counts are more likely to develop blockages in their oil glands, leading to a greater chance of suffering from frequent styes. Notorious for compromising healthy immune systems, stress also commonly triggers styes.

You can reduce your risk of developing a stye by practicing good hygiene. Do not touch or rub your eyes with unwashed hands, always wash your face and remove makeup at the end of the day, thoroughly cleanse contact lenses, and discard old or expired makeup.

In most cases, a stye and its symptoms will clear up on their own within 48 hours. To help expedite the healing process and soothe symptoms, apply a warm compress on the eye for ten to fifteen minutes several times a day. Do not touch the sty or attempt to pop it, as this can spread the infection. If you have a stye, do not wear eye makeup, and go without contact lenses until the stye has healed completely.

Source:

Segre, Liz. “7 Things to Know About an Eye Stye.” All About Vision. November 2012.

Locations

Hours of Operation

Our Regular Schedule

Lyndhurst Office

Monday

9:00 am - 6:00 pm

Tuesday

9:00 am - 6:00 pm

Wednesday

9:00 am - 7:00 pm

Thursday

9:00 am - 6:00 pm

Friday

9:00 am - 5:00 pm

Saturday

10:00 am - 1:00 pm

Sunday

Closed

Irvington Office

Monday

9:30 am - 5:00 pm

Tuesday

9:30 am - 5:00 pm

Wednesday

9:30 am - 5:00 pm

Thursday

9:30 am - 5:00 pm

Friday

9:30 am - 5:00 pm

Saturday

10:00 am - 1:00 pm

Sunday

Closed

Fort Lee Office

Monday

10:00 am - 6:00 pm

Tuesday

10:00 am - 7:00 pm

Wednesday

10:00 am - 5:00 pm

Thursday

10:00 am - 6:00 pm

Friday

10:00 am - 5:00 pm

Saturday

10:00 am - 1:00 pm

Sunday

Closed

Lyndhurst Office

Monday
9:00 am - 6:00 pm
Tuesday
9:00 am - 6:00 pm
Wednesday
9:00 am - 7:00 pm
Thursday
9:00 am - 6:00 pm
Friday
9:00 am - 5:00 pm
Saturday
10:00 am - 1:00 pm
Sunday
Closed

Irvington Office

Monday
9:30 am - 5:00 pm
Tuesday
9:30 am - 5:00 pm
Wednesday
9:30 am - 5:00 pm
Thursday
9:30 am - 5:00 pm
Friday
9:30 am - 5:00 pm
Saturday
10:00 am - 1:00 pm
Sunday
Closed

Fort Lee Office

Monday
10:00 am - 6:00 pm
Tuesday
10:00 am - 7:00 pm
Wednesday
10:00 am - 5:00 pm
Thursday
10:00 am - 6:00 pm
Friday
10:00 am - 5:00 pm
Saturday
10:00 am - 1:00 pm
Sunday
Closed