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.  

 

The Effects of Smoking on Your Eye Health

Cigarette butt on the floor

How Smoking Affects Your Eyes

Smoking increases the likelihood of developing many types of health issues, including conditions and diseases that may affect your vision. If you are a smoker or live with someone who smokes, your eye health may be at risk.

7 Diseases and Conditions Related to Smoking

Smoking can cause several eye-related problems, including:

  • Diabetic Retinopathy. Diabetic retinopathy, one of the most devastating effects of diabetes, can rob you of your eyesight. The condition damages the tiny blood vessels in your retina, the layer of the light-sensing cells at the back of your eye. The vessels begin to leak fluid or blood, causing symptoms ranging from blurred vision to night vision problems to blind or dark spots in your visual field. A change in blood flow may be responsible in part for the changes. In a study published in Investigative Ophthalmology & Visual Science, retinal blood flow and blood velocity were lower in chronic smokers who had type 2 diabetes.
  • Cataracts. Your smoking habit may cause cataracts to form in your eyes. Cataracts occur when the normally clear lens inside the eye becomes cloudy. The eye condition can cause blurred vision, halos around lights, glare, poor night vision, and faded colors. Swedish researchers discovered that men who smoked more than 15 cigarettes a day had a 42 percent increased risk of cataract surgery. Men who once smoked more than 15 cigarettes a day but had quit smoking more than 20 years earlier still had a 21 percent higher risk than non-smokers.
  • Age-Related Macular Degeneration (AMD). AMD affects the macula, the area of the retina responsible for central and color vision. Cell deterioration is responsible for the "dry" form of AMD, while leaking blood vessels cause vision problems in the "wet" form. If you have AMD, you may notice blurred vision, blind spots in the center of your vision, faded colors, distortions, or straight lines that appear wavy. The Centers for Disease Control and Prevention note that smokers are twice as likely to develop the condition as non-smokers.
  • Uveitis. Smoking may increase your risk of a painful eye disease that can cause vision loss. Inflammation of the uvea, the middle layer of the eye, can cause redness, eye pain, blurred vision, sensitivity to light, and floaters.
  • Thyroid Eye Disease (TED). Smokers are more likely to get TED and may not respond to treatment as well as non-smokers. TED, also known as Grave's disease, causes bulging eyes, redness, pain, and dry eye. If the disease isn't treated promptly, swelling may damage the optic nerve.
  • Difficulty Seeing Colors. Color vision problems may also be a consequence of smoking, according to researchers at Rutgers, the State University of New Jersey. Their study detailed how smoking affected blue-yellow and red-green vision and explored the difficulty heavy smokers had when trying to distinguish between certain colors and contrasts.
  • Dry Eye. Smoking affects the tear film of your eyes and may cause dry, painful red eyes. Although dry eye may seem like a minor problem, you may be more likely to develop abrasions and ulcers in your cornea, the clear layer of tissue that covers the iris and pupil, if dry eye is a frequent problem.

You don't have to be a smoker to experience eye health issues. Exposure to secondhand smoke may increase your likelihood of developing dry eye, AMD, and other eye conditions and diseases.

What About Vaping?

Vaping may not produce noxious smoke, but it's not any safer for your eyes than smoking cigarettes or cigars. Although more studies need to be done on the effects of vaping, the habit can dry the eyes and may increase your risk of developing macular degeneration. In addition to nicotine, the chemicals used to flavor e-cigarettes may also cause eye issues.

If you're a smoker, live or work with a smoker, or have smoked in the past, yearly eye examinations are particularly important. Contact our office to schedule your appointment.

Sources:

JAMA Ophthalmology: Smoking Cessation and Risk of Cataracts, 3/14

Investigative Ophthalmology & Visual Science: Effects of Habitual Cigarette Smoking on Retinal Circulation in Patients with Type 2 Diabetes, 3/16

All About Vision: Vaping, Like Smoking, May Harm Your Eyes, 10/19

All About Vision: How Smoking Harms Your Eyes

Rutgers, The State University of New Jersey: Heavy Smoking Can Damage Vision, Rutgers Researcher Finds, 2/18/19

CDC: Vision Loss, Blindness, and Smoking

American Academy of Ophthalmology: Smoking and Eye Disease, 1/16/20

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