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.  

 

Presbyopia eye drops

Presbyopia eye drops

Hate Wearing Reading Glasses? Presbyopia Eye Drops Could Improve Your Age-Related Vision Problem

Until recently, reading glasses or multi-focal lenses were the only options for vision changes due to presbyopia, an age-related problem that makes near objects look blurry. Fortunately, that's changed with the introduction of new type of prescription eye drops.

How Presbyopia Affects Your Vision

The lens of your eye, a clear, disc-shaped structure behind your iris, constantly changes shape to help you focus on objects far away and close by. As you get older, the lens stiffens and doesn't move as easily as once did.

When this happens, the lens can't focus light rays on your retina properly, which makes close objects look blurry. (The retina is a layer of light-sensing cells at the back of the eye.) The condition, called presbyopia, usually starts at age 45 or later, according to the National Eye Institute.

If the words on a page look blurry, you can't read the small print on a label, or you need more light to see close objects, make an appointment with your optometrist. Although presbyopia is probably the cause of the problem, it's important to rule out other eye conditions or diseases that could affect your vision.

Eye Drops Offer a New Way to Treat Presbyopia

Reading glasses, bifocals and trifocals, and progressive lenses improve your near vision when you have presbyopia. Unfortunately, the improvement in your vision only lasts as long as you're using your lenses. Recently, Allergan introduced a new type of FDA-approved eyedrop that helps you see close objects clearly without eyeglasses or contact lenses.

VUITY (pilocarpine HCI ophthalmic solution 1.25%) is a once-daily prescription eye drop designed to make it easier to see close up. The drops improve near vision by reducing the size of your pupil, the opening in the middle of the colored iris. Narrowing the pupil improves your ability to focus on near objects.

The eye drops enhance near and intermediate vision for up to 6 hours and start working just 15 minutes after you place them in your eye. Although your near vision will be clearer, your far vision won't suffer.

The eye drops are most helpful if you have mild to moderate presbyopia. People who use VUITY experience a 3-line improvement in near vision when reading an eye chart and may only lose 1 line in their distance vision, according to Allergan, the manufacturer of VUITY.

You'll need to put one drop in each eye every day to maintain your results. Since the drops don't keep your vision clear for 24 hours, you may still have to use your glasses or contact lenses sometimes. The drops are most helpful during the day and shouldn't be used at night

The most common side effects of VUITY are redness and headache, according to the VUITY website. Some people also found it little more difficult to shift their focus from a near object to a far one.

Although VUITY is the first eyedrop approved for presbyopia, it won't be the last. All About Vision reports that several other companies are conducting clinical trials to test their own presbyopia eye drops.

Could VUITY improve your vision? Contact our office to find out if you're a good candidate for presbyopia eye drops.

Sources:

VUITY: FAQs

Ophthalmology Times: FDA Approves Eye Drops for Treatment of Presbyopia, 10/30/2021

Good RX: What to Know About Eye Drops for Presbyopia, 11/5/21

National Eye Institute: Presbyopia, 9/8/2020

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