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.  

 

young girl doing vision therapy

Vision therapy programs are designed to correct complications like astigmatism, wandering eyes, lazy eye or crossed eyes – all of which can affect eye focus, eye movement, visual perception and coordination. With visual therapy, a combination of vision exercises and specialized equipment are used to train the visual system to repair itself, or strengthen itself, so that eye problems can be rectified or diminished enough to improve how the patient views the world and functions in it.

Executed under the supervision of an optometrist, visual therapy is implemented in an office once to twice a week for up to an hour. Exercises and equipment will be personalized to meet the patient’s needs based on the severity of the problem and related symptoms. These components will also be considered when determining how many sessions the patient requires. To accompany in-office visits, the optometrist may also educate the patient on how to perform specific vision exercises at home.

When visual therapy is complete, and all necessary sessions have ended, the patient’s visual skills and capabilities should have improved and any symptoms associated with their eye condition should have reduced significantly. In addition, visual efficiency should have enhanced and the patient should be more efficient when it comes to processing and understanding visual information.

  • Patches

    Eye patches are used to strengthen muscle control in weak eyes. By placing a patch over the strong eye, the weaker eye is forced to do the heavy lifting. While it may be uncomfortable for the patient at first, the muscle controlling the weaker eye will become tougher and more resilient. This will allow

    Read more
  • Balance Board

    The brain and the eyes work together to create a visual experience. On one hand, the eyes send signals to the brain, which allows it to translate that data into visuals; on the other, the brain sends signals to the muscles attached to each eye, controlling their movements. If anything disrupts these

    Read more
  • Corrective Lenses

    Corrective lenses are used to correct deviations, adjust focal points or neutralize other anomalies that impact the eyes’ ability to focus an image on the retina. To do this, the lenses must be the correct type and of the right power. Strength – which is expressed as diopeters – relies on the material

    Read more
  • Training Devices

    Visual-motor-sensory integration training uses various devices to appeal to a person’s senses, including touch, sound and smell. This type of therapy is particularly useful in children with autism. Devices may include play dough, rubber toys, weighted bells and blankets, water, rice, sand, beans, musical

    Read more
  • Cawthorne-Cooksey Exercises

    These exercises are mainly used at home and range from simple head and eye movements to performing more complex activities like throwing a ball or focusing on a stationary object while the head is moving. While moving one’s head and tossing a ball sounds easy enough, they are not simple tasks for persons

    Read more
  • Keep Your Eye on the Ball: How Vision Therapists Use Marsden Balls to Help Their Patients

    A Marsden ball might not look very impressive, but this little ball offers big benefits for athletes and children affected by strabismus, ambylopia and other conditions. Marsden ball exercises are just one of the techniques that vision therapists use to help patients make better use of their vision. What

    Read more
  • Electronic Targets

    Automated targets with timing mechanisms not only show the optometrist how the eyes move in the beginning of treatment – when eye problems have yet to be fully addressed – by strategically positioning the targets, but they give weak eyes a necessary workout. By moving the eyes around to focus on

    Read more
  • Computer Software

    Computer aided vision therapy consists of a software package designed to enhance eye tracking skills, visual thinking, processing skills and binocular vision skills. Eye teaming, focusing and tracking are not optical in nature, and problems in these areas are the result of poor eye muscles. Specialized

    Read more
  • Therapeutic Lenses

    Contact lenses, or therapeutic lenses, are thin lenses that are placed on the surface of the eye. While some wear them for cosmetic reasons, their primary function is to correct and improve vision problems related to refractive errors, act as a protective layer in patients with eye injuries, reduce discomfort

    Read more
  • Prisms

    A prism has the same cross-section across the entire length of its shape. When used in eyeglasses, they often correct abnormalities associated with nearsightedness, farsightedness and double vision. Eyeglasses, or corrective lenses, reduce or increase the size of the image based on the eyes’ ability

    Read more
  • Filters

    Optical filters carefully transfer light in a specific range of wavelengths or colors while obstructing what remains. These dyed plastic or glass devices are placed in the optical path. They are described by their frequency response, and this identifies how the scale and stage of each frequency component

    Read more
  • Rotation Trainers

    Rotation trainers consist of a disk – with various designs – that is attached to a rod-like base. As the disk rotates, the patient is asked to perform tasks that are designed to test and enhance eye-hand coordination, space awareness, perceptual awareness and visual acuity.

    Read more
  • Saccadic Fixators

    This entails a wall-mounted square board with a starburst design. Along the various striations of the starburst are lighted buttons. As the buttons light up, the patient works quickly to see how many of these lit buttons they can push before they go out. The key is to keep the head still. Peripheral

    Read more
  • Directional Sequencers

    This device integrates all of the senses used for learning. It is one of the basic instruments used for visual-motor training, and helps with direction, rhythm, eye-hand coordination, and work and shape recognition. It consists of an aluminum case with illuminated membrane switches organized along a

    Read more
  • Marsden Balls

    Here, a ball with letters, numbers, colors, pictures, or a combination is hung from the ceiling. In activities used to help focus visual attention, the individual may be asked to concentrate on a figure while bunting the ball with a rod, or hitting or catching it with their thumbs, palms or fists.

    Read more
  • Syntonics

    Known also as optometric phototherapy, syntonics deal with the application of selected visible-light frequencies and are used to treat lazy eye and problems with peripheral vision and depth perception. By applying particular visible-light frequencies through the eyes, syntonics can improve vision. This

    Read more

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