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.  

 

Vision Therapy: Not Just For Children

Image of a golfer.

Vision therapy is a doctor-supervised program that helps people of all ages improve their visual-motor skills. Therapy helps your eyes and brain work together better, even if you have perfect vision. For years, people believed that some types of eye conditions, such as lazy eye or crossed eyes, could not be corrected after childhood, but, today, vision therapists and other eye care professionals know that's not true. Here’s how vision therapy can help adults!

Conditions Treated

Vision therapy is used to treat a variety of conditions, including:

  • Poor binocular vision. When your eyes do not work well together, problems with reading, depth perception and other problems can occur.
  • Convergence insufficiency. Convergence insufficiency makes it difficult to focus on close objects.
  • Amblyopia. Also known as lazy eye, amblyopia occurs due to lack of central vision in one eye, even though there is no problem with eye health.
  • Diplopia. Diplopia causes double vision.
  • Strabismus. If you have strabismus, your eyes may appear crossed, or one eye may wander or turn in.
  • Other conditions. Brain damage, strokes and injuries can affect your ability to use your eyes, even if your vision is not affected.

Vision Therapy Can Improve Everyday Performance

Your ancestors did not spend their days reading, working on the computer and checking their text messages. Because cave men used near and far vision about equally, they probably did not experience the problems that modern man does. Since hunting and gathering is no longer a viable job option for most individuals, many people spend hours intently focusing on computers and spreadsheets, often with uncomfortable results. The resulting fatigue, eye strain and eye irritation can affect your ability to function at work. The good news is that vision therapy can help!

Vision therapy is also helpful in improving sports performance, whether you are an aspiring professional athlete or a weekend tennis player. Therapy can improve eye-hand coordination, visual reaction time, focusing and eye tracking and teaming.

Symptoms That Can Indicate a Problem

Symptoms can vary based on your individual problem, but vision therapy may be able to help you if you have any of the following symptoms:

  • Trouble reading for long periods of time
  • Headaches
  • Eyestrain when reading or using a computer
  • Double vision
  • Attention span problems when you must use your near vision
  • Blurred vision
  • Omitting words when you read
  • Inability to retain what you have just read
  • Reversing letters or numbers
  • Words seeming to run together when you read
  • Irritated or red eyes
  • Trouble with vertigo or motion sickness
  • Losing your place when you read
  • Feeling tired when you read
  • Squinting or covering an eye to see better
  • Words jumping or floating on the page or screen
  • Difficulty with night driving or judging distances
  • Trouble using binoculars

How Can Vision Therapy Help?

Vision therapy has been called physical therapy for the eyes. It can help improve focusing, visual tracking, eye teaming and alignment, visual processing and eye movements. During therapy, you will train your brain, eyes, visual pathways and eye muscles to ensure that your eyes work together and focus properly. You will: learn how you can spend hours on the computer without developing eyestrain and headaches; learn techniques that will help you improve your sports performance; do a better job of judging distances when you drive; or finally overcome lazy eye. Therapy is tailored to your specific problem and is not a one-size-fits-all solution.

If you think you could benefit from vision therapy, contact us today!

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