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.  

 

Indoor Tanning and Your Eyes

Woman wearing tanning goggles

Indoor Tanning May Increase Your Risk of Certain Eye Conditions

A higher risk of skin cancer isn't the only disadvantage of indoor tanning. Spending time in a tanning bed can also harm your eyes.

How Indoor Tanning Affects Your Eyes

The ultraviolet (UV) rays produced by tanning beds are just as harmful as those produced by the sun. Although UV light does play a positive role in physical and mental health, frequent or prolonged exposure damages the tissues in the body, including those in the eyes. In many cases, the damage isn't apparent for decades.

Indoor tanning can increase your risk of developing these eye conditions and diseases:

  • Cataracts: Cataracts form when the normally clear lens inside your eye becomes cloudy. Symptoms include blurry vision, glare, halos around lights, poor night vision, and faded colors. According to a study funded in part by the National Eye Institute, UV light damages lens proteins, triggering the changes that cause cataracts.
  • Photokeratitis: Photokeratitis is a type of sunburn caused by natural and artificial UV light sources, including those found in tanning beds and lamps. Photokeratitis affects the sensitive tissues of the conjunctiva, the white part of the eye, and the cornea, the clear, rounded tissue that covers the iris and pupil. In addition to redness, symptoms of photokeratitis can include pain, blurred vision, tearing, sensitivity to lights, headaches, and halos around light.
  • Cancer: UV light exposure may also increase your risk of cancer in your eye and in the skin around your eye. Depending on where the cancer is located, temporary or permanent vision loss could occur.
  • Macular Degeneration: Macular degeneration causes blurry or blind spots in your central vision. Years of sun exposure can lead to the death of cells in the center of your retina, the layer of light-sensing cells at the back of your eye. Macular degeneration is the top cause of vision loss in the U.S., according to the American Macular Degeneration Foundation. In addition to central vision changes, macular degeneration symptoms can include trouble recognizing faces, difficulty seeing in low light, and faded colors.
  • Pterygium: Growths called pterygium may form on your eyes if you frequently use indoor tanning beds or lamps. The growths often develop on the inner or outer edges of the conjunctiva, the whites of your eyes, but can spread across the eye without treatment. Symptoms of pterygium include redness, pain, itching, and burning.

How to Protect Your Eyes

Tanning lotions or spray tans are a safer option for your eyes and your skin. If you decide to try a spray tan, be sure to wear goggles to prevent the spray from irritating your eyes.

If you're not quite ready to give up indoor tanning, reduce your risk of eye damage by wearing goggles every second you're exposed to the UV light. A good fit is essential. The goggles should fit tightly against the skin to prevent light from leaking into your eyes. If you're concerned about lines from the straps, adhesive eye protection may be an option. Look for goggles or protection that block 99 percent of UV light rays from entering your eyes.

Regular visits to the optometrist can help you improve and protect your vision. Contact us to schedule your appointment if it's time for an eye exam or you're concerned about pain, a change in vision, or other symptoms.

Sources:

National Eye Institute: New Research Sheds Light on How UV Rays May Contribute to Cataract, 6/3/14

American Macular Degeneration Foundation: What is Macular Degeneration

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