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.  

 

Retinal disorders are conditions that affect the layer of tissue at the back of the eye, known as the retina. This important part of the eye responds to light and passes on images to the brain. All retinal disorders affect your vision in some way, but some can also lead to blindness.

Macular degeneration. Also known as age-related macular degeneration (AMD), this condition affects the center part of the retina, the macula. This area is needed for the sharp, central vision that is used during everyday activities such as driving, reading or working with tools. This condition is a leading cause of vision loss in people over the age of 60 years old. Treatment can slow the loss of vision, but it will not restore vision that has already been lost.

Diabetic eye disease. The high blood sugar (glucose) levels that occur with diabetes can also affect vision. One type of diabetic eye disease is diabetic retinopathy, which affects the blood vessels in the retina. This can lead to blurry or double vision, blank spots in the vision and pain in one or both eyes. Diabetics may also be at higher risk of developing other eye conditions, such as cataracts and glaucoma.

Retinal detachment. This medical emergency happens when the retina pulls or lifts off of its normal position. It can cause symptoms such as floaters in the field of vision, light flashes and the feeling of a “curtain” in the way of your vision. If not treated right away, a retinal detachment can lead to permanent blindness in that eye.

Retinoblastoma. This cancer of the retina is generally uncommon; although, it is the most common type of eye cancer in children. The cancer starts in the cells of the retina, but can spread to other parts of the body (metastasize).

Macular pucker. Scar tissue on the macula can make the central vision become blurry and distorted. Although the symptoms are similar, macular pucker is not the same as age-related macular degeneration. The symptoms of a macular pucker are usually mild and do not require treatment. Sometimes, the scar tissue can fall off the retina on its own, and the vision will return to normal.

Macular hole. This condition is caused by a small break in the macula, which leads to blurriness and distortion in the central vision. Related to aging, this condition usually happens in people over the age of 60. Some macular holes close up on their own while others require surgery to help improve vision.

Floaters. These are specks, or “cobwebs,” that appear in the field of vision. Unlike scratches on the cornea, which follow your eye movements, floaters can drift even when the eyes are not moving. Most people have some floaters and have no problem with their vision. A sudden increase in the number of floaters, though, can indicate a more serious eye problem such as retinal detachment.

If you notice a change in your vision or simply have not undergone a routine eye ex

  • Age-Related Macular Degeneration

    One of the leading causes of vision loss in people who are age 50 or older is age-related macular degeneration (AMD). This common eye condition leads to damage of a small spot near the center of the retina called the macula. The macula provides us with the ability to clearly see objects that are straight

    Read more
  • Diabetic Eye Diseases

    Diabetes is a condition that involves high blood sugar (glucose) levels. This can affect many parts of the body, including the eyes. One of the most common diabetic eye diseases is diabetic retinopathy, which is also a leading cause of blindness in American adults. Diabetic Retinopathy Diabetic retinopathy

    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