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 Nutrition Can Be Beneficial to Your Vision

Healthy foods

Is a Healthy Diet Important for Vision?

Improving your eating habits offers benefits you may not have considered. In addition to reducing your risk of heart disease, lowering your cholesterol, and maintaining a healthy weight, good nutrition also helps you keep your eyes healthy.

How What You Eat Affects Your Vision

Vitamins and minerals found in foods and supplements nourish every part of your body, including your eyes. If nutrient levels are too low, you may be more likely to develop certain diseases that can damage your vision or even cause vision loss. Numerous studies have shown that a healthy diet or use of supplements can have a positive effect on these eye conditions and diseases:

  • Cataracts. A cataract develops when the clear lens inside your eye becomes cloudy, causing blurry vision, fading colors, and sensitivity to light and glare.
  • Age-Related Macular Degeneration (AMD). AMD occurs when cells in the macula, the center part of your retina begin to degenerate. The condition can cause blurriness or blank spots in the center of your vision. Taking AREDS and AREDS 2 supplements may slow the progression of AMD if you already have it, according to the National Eye Institute. The supplements contain a mixture of vitamins and minerals most helpful for AMD.
  • Dry Eye. When your eyes aren't moist enough, burning, redness, headaches, and blurry vision can make you very uncomfortable. Dry eye is more common as you age, although it can also be related to medications, medication side effects, or using digital devices for hours.

Nutrients That Promote Good Vision Health

Boost your eye health by adding foods that contain these nutrients and minerals to your shopping list or taking supplements:

  • Vitamin E. Eating foods that contain this vitamin may lower your risk of cataracts and AMD or slow the progression of cataracts. Vitamin E could also protect your eyes from the damaging effects of free radicals, molecules that play a part in many diseases. Vitamin E is found in sunflower seeds, pecans, almonds, cereal, sweet potatoes, salmon, spinach, collard greens, avocado, mango, red bell peppers, wheat germ, and sunflower and safflower oils.
  • Vitamin C. Found in citrus fruits, potatoes, papaya, pineapple, strawberries, guava, broccoli, peppers, and Brussels sprouts, vitamin C helps keep your vision sharp, reduces your risk of developing cataracts, and may slow AMD.
  • Vitamin D. Exposure to sunlight prompts your body to make Vitamin D, a vitamin necessary for a healthy metabolism and bone and heart health. A vitamin D deficiency may increase your risk of developing AMD, dry eye, or uveitis, a condition that causes inflammation in the middle of your eye. Salmon, mackerel, and fatty fish are good sources of vitamin D, as are fortified milk, orange juice, and cereals. Of course, sun exposure can also help you improve your vitamin D level, provided you use sunscreen and wear sunglasses that filter out ultraviolet A (UVA) and ultraviolet B (UVA) rays.
  • Beto-Carotene. Your parents were right when they told you that eating carrots might help your eyesight. Carrots, spinach, sweet potatoes, and other fruits and vegetables contain beta-carotene, a pigment that is converted to vitamin A by your body. Vitamin A keeps the surface of your cornea healthy, lubricates your eyes, and may reduce vision loss due to AMD.
  • Omega Fatty Acids. Omega-3 and Omega-6 fatty acids help keep your retinas healthy and your eyes moist. The acids may also protect against AMD and reduce the damage caused by diabetic retinopathy, a condition that causes leaky blood vessels in the retina that interfere with vision. Omega fatty acids are found in salmon, shrimp, trout, mackerel, herring, sardines, oysters, chia seeds, flaxseed, pumpkin seeds, tofu, soybeans, flaxseed oil, and canola oil.
  • Lutein and Zeaxanthin. These nutrients are found in eggs, green leafy vegetables, grapes, pumpkin, peas, broccoli, asparagus, and squash. Lutein and zeaxanthin may offer some protection from AMD and cataracts.

Regular eye exams, in addition to good nutrition, will help you keep your eyes healthy and reduce the likelihood that you'll develop an eye disease or condition. If it's been a while since you've had an exam, call our office and schedule an appointment.

Sources:

Review of Optometry: Vitamin D Deficiency and Dry Eye Go Hand in Hand, 10/10/18

National Eye Institute: Nutritional Supplements for Age-Related Macular Degeneration

All About Vision: Eye Benefits of Vitamin A and Beta-Carotene

American Optometric Association: Diet and Nutrition

American Academy of Ophthalmology: Diet and Nutrition, 11/2/20

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