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.  

 

Questions You Should Ask Your Optometrist

Older man at optometrist having eyes examined

Essential Questions to Ask Your Optometrist During an Eye Exam

Will you be visiting the optometrist soon? During your next appointment with the eye doctor, you may want to ask a few of these questions.

How Often Should I See You?

Your optometrist will recommend an eye exam schedule based on your age and any eye conditions or diseases you may have. Although the ideal schedule varies from person to person, the American Optometric Association (AOA) recommends scheduling comprehensive eye examinations every two years between ages 18 to 64. Once you reach age 65, it's time to visit the optometrist every year.

Children should see the eye doctor once between 6 to 12 months of age, once between 3 to 5 years, before entering first grade, and annually between ages 6 to 17, according to the AOA.

More frequent exams may be needed if your vision changes or you currently wear contact lenses and glasses. You might also need to see the eye doctor more often if you have an eye condition or disease that requires careful monitoring.

Do I Have Any Signs of Eye Disease?

Signs and symptoms of eye diseases and conditions can be subtle. Unfortunately, your eyesight can be damaged even if you don't notice a change in your vision. By the time you do begin experiencing vision problems, the damage may be irreversible. Regular eye examinations help you ensure that your condition or disease will be treated promptly should you ever develop an eye disease or condition.

During your comprehensive eye examination, your optometrist conducts several tests that help him or her spot signs of common eye conditions, including glaucoma, macular degeneration, cataracts, diabetic retinopathy, and corneal ulcers.

You'll also discuss any changes to your health that could increase your risk of eye disease. For example, diabetes and high blood pressure can damage tiny blood vessels in your retina or cause them to leak, affecting your vision. Illnesses like shingles and Lyme disease can inflame various parts of the eyes, while liver disease could damage your corneas and the clear lenses inside your eyes.

Are Eyeglasses or Contact Lenses Best for Me?

You'll need to wear eyeglasses or contact lenses if you have a refractive error that causes myopia (nearsightedness), hyperopia (farsightedness), astigmatism, or presbyopia (difficulty seeing close objects as you get older). Your optometrist will help you decide which option is the better choice for you or write you a prescription for new contact lenses or glasses if you already wear them.

Contact lenses usually provide a little clearer vision than eyeglasses. You also won't have to worry about keeping your glasses secure when you play sports and won't have to deal with foggy lenses when it's cold outside.

Eyeglasses might be the better choice if you're not comfortable touching your eyes to put in or remove contact lenses, you have dry eyes, or don't want to bother with cleaning contact lenses.

Whether you plan to only wear eyeglasses or need a backup pair of glasses for times when you aren't wearing your contact lenses, you'll need to think about the best type of eyeglasses lenses for you. Your eye doctor will explain the various benefits of single vision, bifocal, trifocal, and progressive lenses during your visit.

Your eye doctor may also make a few recommendations based on your interests or lifestyle. For example, prescription goggles can help you see clearly if you ski, swim, or play sports, while sunglasses improve eye comfort and reduce your risk of developing cataracts or macular degeneration.

How Can I Protect My Eye Health?

Your appointment may also include a few tips that will help you keep your eyes healthy, such as:

  • Eating a healthy diet
  • Wearing eye protection when you use machinery or play sports
  • Taking frequent breaks when using digital devices to prevent eyestrain and dry eye
  • Throwing away eye makeup every few months
  • Giving up smoking (Smoking is a risk factor for cataracts, macular degeneration, and other eye conditions.)
  • Washing your hands before handling your contact lenses

Is it time for your next comprehensive eye exam? Contact our office to schedule your appointment.

Sources:

American Optometric Association: Comprehensive Eye Examinations

All About Vision: Questions to Ask Your Eye Doctor, 1/21

Centers for Disease Control and Prevention: Common Eye Disorders and Diseases

Medicine Net: Are Contact Lenses Better Than Glasses?, 10/27/20

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