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.  

 

If you suffer from nearsightedness, farsightedness or astigmatism, you likely have a refractive eye error that causes light that passes through your cornea to bend, or refract, improperly, resulting in your vision problem. Fortunately, you might be an appropriate candidate for refractive surgery to improve or correct your vision.

One of the best-known refractive surgical procedures is LASIK (laser-assisted in situ keratomileusis), which involves the use of laser energy to reshape the cornea (the clear, round dome at the front of your eye), thereby correcting your refractive error. In addition to LASIK, there are several other types of refractive surgery that can be performed to improve or correct the following vision problems:

  • Nearsightedness (myopia). For those with myopia, close objects look clear, but distant objects are blurry.
  • Farsightedness (hyperopia). For patients with hyperopia, distant objects look sufficiently clear, but close objects are blurry.
  • Astigmatism. With astigmatism, the cornea or lens is not smooth or evenly curved, so the eyes do not focus properly.
  • Presbyopia. This is an age-related eye condition that makes it harder to see images or objects up close.

  • Presbyopia

    Somewhere around the age of 40, most people’s eyes lose the ability to focus on close-up objects. This condition is called presbyopia. You may start holding reading material farther away, because it is blurry up close. Reading suddenly gives you eyestrain. You might wonder when manufacturers started

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  • Myopia

    Myopia, or nearsightedness, means that your eyes can see close objects clearly but struggle to see things in the distance. Nearly 30 percent of Americans are nearsighted. This condition usually develops in children and teenagers, up to about the age of 20. A teacher or parent might notice a child squinting

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  • Astigmatism

    A normal cornea — the clear front covering of your eye — has a round curve, like a basketball. However, many people have an irregularly shaped cornea while others have an irregularly curved lens. Both cases can cause light that enters the eye to bend the wrong way, causing blurry vision. This disorder

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  • Hyperopia

    People with hyperopia, also known as farsightedness, can usually see objects in the distance, but their close vision is blurry. Symptoms of untreated hyperopia include: Difficulty concentrating on near work, such as reading Eye strain Headaches after reading or other activities involving close focus Aching,

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  • Types of Refractive Surgery

    There are several types of refractive surgery available to correct vision problems caused by refractive errors, including: LASIK (laser-assisted in situ keratomileusis) Custom or bladeless LASIK Photorefractive keratectomy (PRK) Laser epithelial keratomileusis (LASEK) Epi-LASIK Conductive Keratoplasty

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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