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Podcast #11 – Colorblindness and EnChroma Glasses with Dr. Jeff Goodhew

Welcome to The Bright Eyes Podcast: Advice for Healthy Vision for All Ages. Your hosts are Dr. Nate Bonilla-Warford & Dr. Beth Knighton, residency-trained optometrist that provide eye exams for glasses and contacts, and specialty services including vision therapy, myopia control, orthokeratology, and sports vision training. Their mission to empower patients by providing the best in friendly, professional, and individualized eye care.

In this episode, Dr. Nate talks with Dr. Jeff Goodhew of Abbey Eye Care about color vision deficiency (AKA colorblindness) and EnChroma glasses.

You can listen in the player below or read the transcript. The show is available via Stitcher, Google Play, iTunes, and the webplayer below. You can find all previous episodes here. If you have any questions or suggestions for future episodes, please email office@BrightEyesTampa.com.


The Full transcript:

Intro: 00:11 Welcome to The Bright Eyes Podcast: Advice for Healthy Vision for All Ages. Your hosts are Dr. Nate Bonilla-Warford & Dr. Beth Knighton, two doctors who really see eye to eye. They can help you get perspective of the latest visual scientific evidence for improving your vision and helping you keep your eye on the ball. We have real facts and aqueous humor, without making spectacles of ourselves. And don’t worry, the jokes don’t get any cornea than this, we promise!

Dr. Nate: 00:39 Hello, this is Dr Nate and this is the first international episode of the Bright Eyes Podcast. Today’s episode is all about color deficiency and EnChroma Lenses. And I have special guest. His name is Dr Jeff Goodhew and he practices at Abby Eye Care in Toronto, well outside of Toronto. Where exactly are you, Jeff?

Dr. Jeff: 00:59 I’m in a suburb I guess a small town called Oakville were about half an hour outside of outside of Toronto.

Dr. Nate: 01:04 And in my understanding, you were the first practice in Ontario to provide Enchroma lenses. We were also the first in Florida.

xenchroma balloons.png.pagespeed.ic.Oz2sDXBdHd

Simulation

Dr. Jeff: 01:15 Ontario is a province, Florida is a state, so they’re just similar, similar entities. Ontario is probably 15 million people and we were the first retailers and the demand for this product is, has been huge. I think a lot of color vision or color blind people out there have known about this product and of course it’s sold from the US. So here in Canada, people were a little bit leery about ordering something online. What if it didn’t work? So there was this huge pent-up demand, uh, in our area and once we flip the switch and went live, we had always people phoning and emailing and stopping by. It’s been, it’s been crazy. It’s been good. It’s been awesome.

Dr. Nate: 01:52 Yeah, EnChrome is one of those things that I had been following for quite awhile and I had talked to other doctors and I had heard great things and I really am thankful that you took the time to talk to us about color vision and what EnChroma is. And I think this will be a great conversation. So Jeff, let’s just start off with the basics. When we say somebody is colorblind or we say they have a color vision deficiency, we don’t necessarily mean that they see the world in black and white, but they may see color differently than other people. When you see somebody in the exam room who has problems with color vision, how do you explain that to them?

Dr. Jeff: 02:28 Right. So, so patients, patients think of it as, as colorblindness. That’s the term that they’ve heard. And like you, I’m not a huge fan of the word colorblind because people think, oh, they’re going to see in black and white. I kind of changed the conversation and say it’s more color confusion. So certain reds and Greens are going to look kind of a muddy brown. So they’re, they’re, they’re gonna think right in green are the same. So I try to frame it as confusion here, your Color Palette is not as big as other people. Um, cause, cause colorblindness, I carries kind of a scary connotation for people at least that’s, that’s what I find. I try to turn it into something that’s not as scary as that.

Dr. Nate: 03:08 Yeah, I agree. And I think that that’s a great approach. I also think it’s actually more accurate even though the term colorblind is what people usually use a shorthand. I think your color confusion term is a great way to approach it. I have two practices. One that’s for all ages and the other one is exclusively for kids and so often I’m the first person to do an eye exam for these younger patients and I’m definitely the first person to detect color vision problems. And so it comes down to educating them about school and occupational options and other factors. I’m not exactly sure when you graduated from school, but you went to Waterloo, one of the two optometry schools in Canada, if I’m correct?

Dr. Jeff: 03:08 Yes.

Dr. Nate: 03:47 And when I was in school, there weren’t a lot of options for people who had color vision problems. We took a lot of classes and we learned a whole lot about how your eyes work and how we see color, but in terms of what we could actually offer or patients, there weren’t really a lot of options. There issomething called an X-Chrome lens where you wear a colored lens in one eye and it helps people detect colors that they might not normally have seen, but it wasn’t really a very natural or helpful option.

Dr. Jeff: 04:13 No, exactly. The, you know, the X-Chrome lens was a was a contact lens that you could wear in one eye, it was deep, deep red, so cosmetically looked a little strange, but all it did was allow certain people to pass some of the standardized color vision test so maybe they could get into the police force or become an electrician or a commercial pilot. So they would wear this lens just for that color vision test and then never wear it again. This is the first product that’s out there that can actually enhance a person’s, you know, quality of life. What I’ve observed about EnChroma is unlike the X-Chrome Lens, you can’t get patients to take them off. Yes, even though they’re tinted, they become their full-time glasses. Agree completely.

Dr. Nate: 04:53 Yeah. There was a patient who just happened to be the husband of one of our staff members and the first day that we got EnChroma, he had come in for his eye exam, so he put on the EnChroma, fit over testing glasses and he went outside and it’s Florida, so we always go outside and look at the plants and the flowers and look at the buildings stuff.

Dr. Jeff: 05:15 Stop rubbing it in. The flowers are just starting to come out as we as we record this.

Dr. Nate: 05:20 Well good. Yeah, but it’s something that really helps them see the subtle differences between the bright leaves and the more orangy ones and the green. And he was really excited about being able to see the different colors and he actually took those fit over years with them and we had an event where we’re going to, as a staff, go to the Tampa Bay lightening game and I saw him later that day and he wore them the whole game and now he’s got his own prescription pair and he wears them all the time. I never seen him without them. You know, he really likes him, but I think we’re getting a little bit ahead of ourselves. We’ve mentioned EnChroma several times, and these are glasses that people can where they can get them in their lenses, their prescription glasses in different frames, but why don’t you talk just briefly about what they are and what they do.

how eyes see color enchroma logo purpleDr. Jeff: 06:09 We need to back up a little bit and go back to your first question about what is colorblindness? I think for the lay person, we’ve got three color receptors I guess at the back of the eye in your retina, sort of a blue sensor, that green sensor in a red sensor, and normally with folks who have have colorblindness, the lights, the colors of the red and green receptors can pick up they overlap so they don’t get that differentiation between the reds and the greens because those two sensors aren’t doing their jobs the way they should. And with EnChroma Lens, it’s got a special filters that that knock out very specific wavelengths are very specific colors of light and what that does is it separates what the green and red receptors can now detect, so it makes them more kind of a normal, what a normal color vision person would would would see. So yeah these lenses, they’re tinted so they look like normal sunglasses, but they’re much higher tech than that. They’re blocking very, very specific colors that allow those color sensors at the back of the eye to do the job that they’re normally supposed to do.

Dr. Nate: 07:21 Yeah It’s really elegant because I think that if you just look at the lenses themselves, they look like sunglasses, but it’s so precise and so specific when they’re filtering out that muddy, confusing overlap that you’re talking about, you know, you need some pretty sophisticated equipment to see the specific frequencies that they’re filtering out. You wouldn’t necessarily know what they’re doing if you just look at them. You know, it’s interesting because our brains are fascinating things and you know, in my experience when I go outside with patients and we’re talking with them and they’re looking around and everything, it almost never works instantaneously. It does take them a few moments to sort of compare and contrast and sort of realize what’s going on. And then they get kind of quiet, they get that sort of smile and their mouth kind of drops a little bit and then they’ll say like, oh, I thought this was that color, or now I realized it’s a totally different color. I see this whole pattern of things going on.

Dr. Jeff: 08:19 I would agree. We’ve had a couple of those kind of, you know, over the top Internet YouTube moments. But most people, it’s almost like sensory overload. They put the glasses on and they get to see these things for the very first time and their brain, their eyes or they’re just overwhelmed. They really don’t know what to do. So. they kind of go quiet, like, like you said, it’s almost like their demeanor changes and some of them get, you know, start to get excited. Some of them get quite emotional. So, um, we, we try not to hover over them and say, you know, what color is, what color is that? We just let them absorb, you know, to experience it because it’s, you know, we take this for granted for them it’s, it’s completely new and we just like, you, I just like to stand back and just watch the reaction, each patient’s different. But it’s, you’re right, it doesn’t get old and super fun to be part of that.

Dr. Nate: 09:10 You know, the closest think I think I’ve ever experienced to that is we provide vision therapy for a range of visual problems and I’ve worked with patients who’ve developed 3D vision for the first time in their life and when they’re trying to take it all in and they’re looking around and they’re trying to make sense of the things that, that they see. It’s just, it’s just really cool. You know, they don’t, uh, they don’t always have words to describe what they’re experiencing. And it really is an interesting thing.

Dr. Jeff: 09:41 We had a patient probably two months ago who drove about 90 minutes to come to our practice, came in with his wife, and I don’t know if you’ve found this, but they never come in by themselves ever.

Dr. Nate: 09:51 Right. It’s often the whole family, but it’s usually at least a spouse or a brother.

Dr. Jeff: 09:56 Yes, exactly. So it’s kind of a big outing for, for these folks when they come, when they come to our practice and this gentlemen put the glasses on and for 25, 30 years, the number of years he’d been married to his wife, he thought her eyes were blue and they actually weren’t blue, they were Hazel, so they had, you know, Brown with a better green and he just couldn’t see the green. So the first time ever he could see the true color of his, of his wife eyes and that was emotional for, you know, everybody in the whole office. So he, he ordered a pair of prescription EnChroma because he needs prescription, so that takes a couple of weeks to come in. So this was on a Saturday. Um, try the glass on, Love them Monday morning he drives all the way back to our practice, another 90 minutes, so three hours both ways just to try the Fittovers, just to try the samples again. He knew his glasses wouldn’t come in for another couple of weeks. He just wanted that experience again. And then two weeks later his glasses came in and we called him and it’s like he was sitting by the phone, 90 minutes later he was there like, this guy is so excited and like the other, you know, the spouse of your staff member. This patient hasn’t taken them off, they’ve become as regular eyeglasses.

Dr. Nate: 11:10 Yeah, that’s a, that’s a cool story for sure.

Dr. Jeff: 11:16 So here’s one thing I’ve noticed, and maybe it’s just me, but you’re a fellow optometrists or fellow eye doctor. But um, we’ve got some flower arrangements, unlike you, we need fake flowers for six months, six months of the year. So I’ve got some blue flowers next to some purple flowers and purple of course really is just blue with some red in it. And for some folks who can’t really see, red those blue and purple flowers look the same. They put the glasses on, all of a sudden they can see purple and they’ll actually call it purple. And for me I’m like, OK, you’ve never seen before. How the heck do you know that purple? So I think there’s a lot we still don’t know, but for me that’s always been interesting. How can you name colors that you’ve never seen it.

Dr. Nate: 12:00 Yeah, it’s, it’s fascinating. I think it’s really been an exciting and interesting experience. The other thing I’ve noticed just working with these patients is that everybody comes in with slightly different things that irritate them or you know, they have, they have different goals, you know, I mean, no, no two people are the same. So I think it’s very important for them to come in and try them personally and everybody has a different story and his different lifestyles and different goals.

Dr. Jeff: 12:28 I like, you know, patients will often tell their story on social media, you know, a couple days later maybe it will post on facebook about these Enchroma glasses that they’ve got and they’ll, they’ll, they’ll tag our office most times because their best where they got the glasses from.

Dr. Nate: 12:43 Right, right. Yes.

Dr. Jeff: 12:45 So it’s really fun to read what they talk about. It could be, you know, how overwhelmed they were. They saw how vivid red cars on the road look like on the drive home. They stop at the grocery store and they could, they did not have to ask somebody OK, can you tell me when she was the red pepper and the green pepper? Because to them they always look the same. Bananas don’t look all, you know, rotten anymore that you can, you can see the yellow. No peanut butter looks brown not green. So it’s really neat to see them document their first couple of days, uh, after having the EnChroma eyewear and then just to see the, how happy their friends and family are for them. Like they’ll get, you know, 40, 50 likes, I’ll have all these comments like I’m so happy for you. And everyone’s really emotional, like they’re so happy that this person, um, get some of the, the color world back I guess. Um, so that’s been, that’s been super, super cool is just to, just to kind of sit back and just read the stories that people are posting and how it’s affected their lives because every, you know, it’s one in 12 males of color vision problems. So we all, everyone knows somebody who has a color vision problem. So there’s lots of folks out there who can benefit from this, so I think, you know, helping spread the word about this exciting technology is, uh, is great.

Dr. Nate: 13:58 Well, Jeff, I appreciate you taking your time to help us out. Do you have any other thoughts and anything else you want to share before we go?

Dr. Jeff: 14:05 No, well, I guess I maybe just managing people’s expectations like this does not cure colorblindness. You can’t all of a sudden you don’t pass the test to become a policrainbow fencee officer.

Dr. Nate: 14:05 Yeah. Right.

Dr. Jeff: 14:17 That being said, there’s still huge benefits in this, um, in this product in the sense that it improves your color fidelity, your color Palette expand. So, um, yeah but that, and we do tell patients that and they’re fine with that. They know that. But the funny thing is it, and you’ll probably find this, they all want to say the color vision test again.

Dr. Nate: 14:35 Yeah, you’re exactly right.

Dr. Jeff: 14:37 The glasses on every single one, even though we tell them you’re not going to pass the test, they all want to take it.

Dr. Nate: 14:42 So Jeff, I really want to thank you for your time and sharing your experience and your expertise and that’s been really wonderful and thanks to all of our patients and listeners we’ll post some information about EnChroma on the website in the show notes so you can follow that online. There’s information, there’s an online color vision test that you can take. There’s different things you can do. As always, if you have any questions, comments, or suggestions about our podcast, you can email us at office@brighteyestampa.com. Until next time, this is Dr Nate. Thanks for listening.

Outro: 15:13 Brought to you by Bright Eyes Family Vision Care and Bright Eyes Kids. Find previous episodes and more detailed information at BrightEyesTampa.com creative Commons, copyright attribution, non-commercial use. The only purpose of this podcast is to educate and to inform. It is no substitute for professional care by a doctor experienced in the area you require. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. Please consult your physician for diagnosis country.

 

Intro/outro music: Lucas Warford of Three For Silver.

Bright Eyes Family Vision Care Becomes Only Tampa Bay Retailer of Enchroma Color Deficiency Eyewear

enchroma logo on hat girl arcoat

 

Our Bright Eyes Family Vision Care optometric practice and Bright Eyes Kids pediatric optometry practice in Tampa, Florida have become exclusive retailers of an advanced eyewear product for patients with color deficiency. Bright Eyes now offers Enchroma glasses for individuals who have difficulty distinguishing colors correctly.

I am very excited about offering this new option to patients. Frequently Dr. Beth and I are the first doctors to diagnose color deficiency in young patients. We know that patients and parents alike have concerns about how they see colors and, if there is a deficiency, how it will affect their lives. These glasses can prove extremely helpful for individuals suffering from the most common forms of Red-Green color deficiency. When you think about just how important color perception is in our everyday lives, you can see what an enormous difference corrective lenses for color deficiency can make for people who need them.

xenchroma balloons.png.pagespeed.ic.Oz2sDXBdHd

Simulation

I have been following Enchroma for several years and I was excited when the company reached out to us. I should note that Enchroma glasses should not be thought of as “color blind glasses.” Color deficiency does not usually involve a complete inability to see colors. Achromatopsia, which presents the world as a black-and-white image, is very rare. The majority of people with color deficiency have trouble either distinguishing between red and green shades or distinguishing between blue and yellow, with the Red-Green deficiency proving most common among the general population. Color Vision Deficiency affects millions of people across the world, affecting 1 in 12 men (8%) and 1 in 200 women (0.5%). A majority of people with the genetic disorder typically inherit the condition from their mother (X-linked trait).

Enchroma glasses are designed to help improve a person’s ability to distinguish colors while wearing the glasses. The lenses employ a specialized filter technology, the patent to which is currently pending. The filters in the lenses help to boost the differences between red and green as perceived by the eye, allowing for more normal color perception. In talking with other doctors who have used Enchroma glasses with their patients, I have heard many positive stories about patients amazed by experience when trying Enchroma glasses for the first time, watching patients smile and feel awestruck by the colors they discover with the glasses.

We will soon be able to have Enchroma lenses made to suit any corrective vision prescription in most frame options, with no extra delay in the fabrication process. We will let you know when we are ready to accept appointments for Enchroma Lenses. Not every person with color vision deficiency will have the kind of improvement in the video below, so a consultation is a good idea. You can read more and take the online test at: http://enchroma.com/.

-Dr. Nate

PS: Listen to the Enchroma episode of the Bright Eyes Podcast here:

 

Podcast Episode #7: Myopia and Outdoor Time

Welcome to The Bright Eyes Podcast: Advice for Healthy Vision for All Ages. Your hosts are Dr. Nate Bonilla-Warford & Dr. Beth Knighton, residency-trained optometrist that provide eye exams for glasses and contacts, and specialty services including vision therapy, myopia control, orthokeratology, and sports vision training. Their mission to empower patients by providing the best in friendly, professional, and individualized eye care.

In this episode, Dr. Nate talks with Dr. Beth about recent research that supports the idea that spending more time outside will reduce the likelihood of children becoming nearsighted.

Note: See these related episodes: #4 UV Protection and #6 Refractive Error (Myopia and others).

Full Trascript:
Ad: 00:00 Do you want to improve your view? Biotrue One day daily disposable contact lens feature a bio inspired design providing clear comfortable vision throughout the day. Call us at 813-792-0637 to see if Baush and Lomb Biotrue Oneday contact lenses are right for you.

Dr. Nate: 00:18 Hi, this is Dr Nate. This episode was actually recorded in the summer of 2017 before Dr. Knighton went on maternity leave and then we got so busy it took me this long to put the episode up. That’s why even though it’s cold and rainy in Florida right now, we are outside at a park where it’s sunny and kids are playing. Enjoy.

Intro: 00:49 Welcome to the bright eyes podcast, advice for healthy vision for all ages. Your hosts are Dr. Nate Bonilla- Warford and Dr Beth Knighton, residency trained optometrist providing eye care to all ages with exams for glasses and contacts and specialty services including vision therapy, Myopia control orthokeratology and sports vision training. Their mission is to empower patients by providing the best in friendly, professional, and individualized care

Dr. Nate: 01:19 From sunny Tampa Bay. It’s the bright eyes podcast. This is episode number seven and I’m Dr. Nate Bonilla- Warford.

Dr. Beth: 01:19 And I’m Dr Beth Knighton

Dr. Nate: 01:30 And today’s episode is all about going outside and why that’s important. So why do you think were outside?

Dr. Beth: 01:39 Well, today is about as lovely as the day as you get in the summertime in Florida. So we thought it’d be nice to just get out of the office. Occasionally we go for walks at lunch and what not just to get out.

Dr. Nate: 01:54 And that’s totally true, and that is completely important, and it is very nice even though it’s a little warm, but it’s still very nice out here. Um, but there’s also another reason why we’re outside. Now, we already talked about getting outside once in episode number four. Can you remind what our listeners, what that was all about?

Dr. Beth: 02:15 Well, we reminding you all about why it’s so important to have UV protection for your eyes when you’re outdoors.

Dr. Nate: 02:22 Absolutely. And I’m still blown away when I ask people about their sunglasses and they say like “No, I just don’t wear sunglasses, I just don’t really need them”. And in Florida, having sunglasses, prescription sunglasses, is a must, but that’s not what we’re talking about. That episode is all about some of the dangers of going outside if you don’t do it cautiously or carefully. This episode is about the benefits of going outside. And so what we’re talking about is specifically how going for children reduces the likelihood that those kids are going to be near-sighted. Now, for a long time it was thought by many people that nearsightedness, or myopia, or not being able to see far away clearly without glasses, was purely genetic. Are your parents nearsighted?

Dr. Beth: 02:22 Only one of them.

Dr. Nate: 02:22 Only one of them.

Dr. Beth: 02:22 And I am.

Dr. Nate: 03:31 Well, both of my parents are and almost everybody in my family is. And I thought that I was going to be and I am nearsighted and that’s why I have my prescription sunglasses on right now. But there has been a lot of research in the last ten years and even a lot of research just in the first half of this year, which shows that nearsightedness is not purely genetic. And as a matter of fact, what we know is the more time children spend out doors when they’re younger, the less likely they are to become nearsighted and need glasses to see far away. And that is one of the most interesting and exciting developments that somebody like me who is a pediatric optometrist is a reading about right now because this means that we can educate our patients and help them understand why going outside is so important and actually reduce people’s dependence on glasses in the future. But before we get to the details and the studies just kind of in general, do you think going outside is a good idea?

Dr. Beth: 04:52 Well absolutely. I mean we have to stay active, we need to enjoy nature as it is and both Nate and I, our families are outside all the time doing things. So we are very aware of both the dangers and the benefits of being outdoors with everything in moderation is key.

Dr. Nate: 05:13 Absolutely. And what’s so great about this particular subject, the beneficial thing which is going outside is free. It’s easy. It’s convenient because it’s everywhere and it is fun. I tell families probably every day or almost every day, one of the best things you can do is just go for a walk after dinner. If you have a dog, go walk the dog. If you don’t have a dog, just go outside with your family. Some of my best memories from when I was a kid was going for a walk with my family and seeing other people and finding out what’s going on in the community and seeing other people walking their dogs and so now we have lots of evidence that just something as simple as that is really important for children’s eyes and it’s also important for a reducing obesity and just general strength and exercise. There’s so many different reasons.

Dr. Nate: 06:10 So what I brought today were three different studies which have different results, which talk about this relationship between the more children go outside and how likely they are to become nearsighted. So, the first one that I have is from the British Journal of Ophthalmology earlier in 2017. What it says is that of the hundred and thirty seven children that they studied, all of the different factors that they looked at whether or not they became nearsighted was more dependent on environmental factors. Most of those children before the age of six is when you could start to see differences and so environmental factors include all kinds of lifestyle choices like going outside and like the types of different activities that people do, but it also has to do with education and socio economic status, so there’s lots of different factors that are that go into that, but one of them is just exercising going outside and so that’s just the type of study that we see on a very regular basis. When I read the new studies that have come out in, I care, I see studies like that all the time. Twenty or thirty years ago, that would’ve been really surprising. Do you think that that’s surprising now?

Dr. Beth: 07:31 I think that in general, people are paying more attention to what can we do to prevent problems in the future as opposed to reacting once we’ve already got problems and that’s across the board in healthcare. These are very simple, easy ways to help prevent our children from becoming more near sighted because not only does it cause them to have thicker glasses and harder time seeing, but it also can cause a higher risk for eye disease later on. They’re at higher risk for having glaucoma. They’re at higher risk for having retinal issues like a detachment or a hole in the retina. And so if we can prevent those things early on, much better outcome for them.

Dr. Nate: 08:17 And that’s actually a great lead into the next study which was from this year and Acta Ophthalmologica. And the gist of that study was a few different things. This was a review, a Meta analysis of twenty five other studies. What they found was that if children spent seventy six minutes outside each day, there were fifty percent less likely to become nearsighted. So that’s if they are not near-sighted, they’re not myopic at first. And then they spend roughly an hour and fifteen minutes outside each day, they’re fifty percent less likely to become nearsighted, and that corresponds with a lot of the individual studies that we’ve seen. But this is nice because this is twenty five studies all kind of pulled together that held up. What was very interesting though is there really wasn’t much benefit for children who are already near-sighted. So, this doesn’t mean that if you’re already near-sighted, all you got to do is go outside more and then you’re nearsightedness won’t progress.

Dr. Nate: 09:26 We have other ways of controlling the progression, limiting the progression, reducing how quickly vision gets worse, but going outside isn’t one of them. So the key, like Dr Beth just said, is prevention. So the idea is to go outside, do everything you can before kids become nearsighted instead of after. Now, the third study, which was from Investigative Ophthalmologic Vision Sciences, was taken from the Avon Longitudinal study of parents and children, which was a study, they followed children from age two to fifteen. And this was really, really specific. This was a news for me that I thought was very useful. And the conclusion of that was additional time spent outside between the ages of three and nine was associated with the less likelihood of becoming nearsighted at the ages of between ten and fifteen years old. So now we’re starting to zoom in on the really key age of younger than ten, between three and nine, and that really is when kids should be outside recess playing and paying dividends in the form of not becoming nearsighted once they become teenagers. And it’s just amazing how much research is coming out right now. That’s something that as there is more research we will continue to talk about and will continue to educate our patients about.

Dr. Nate: 10:57 The study that you just referenced also was looking at the amount of time spent reading versus the amount of time spent outdoors and just like outdoors had a positive effect. The amount of time indoors reading had a slightly negative affect and not that we want to tell everyone, go live outside and never read a book. Obviously we need to do both, but it was very interesting that both of those things had a correlation on the nearsightedness of the eye. Another interesting thing that came out of that study was parents who were near sided were more likely to have children who spent more time reading and it also said that parents who were not near sighted, were more likely to have children who spend more time outdoors and less time reading, so those things kind of match up as well. It clearly stated that the impact of outdoor time reduce the likelihood of nearsightedness regardless of those other factors.

Dr. Nate: 12:01 So, the main point here is if you have children, make sure that they spend time outdoors, but also remember if they’re going to be outdoors in bright sunlight when UV light is a risk, make sure that they were sunglasses. So thank you for listening. This is one of my favorite topics. We’re going to talk more in the future about what to do after children become nearsighted. Until then, if you have questions, comments, or suggestions, you can email us at office at office@brighteyestampa.com. Until next time, go outside.

Intro: 12:35 Brought to you by bright eyes, family vision care, and bright eyes kids. Find previous episodes and more detailed information at brighteyestampa.com, creative Commons, copyright attribution, non-commercial use. The only purpose of this podcast is to educate and to inform. It is no substitute for professional care by a doctor experienced in the area you require. This podcast is provided on the understanding that it does not constitute medical or other professional advice or services. Please consult your physician for diagnosis and treatment.

 

Intro/outro music: Lucas Warford of Three For Silver.

2 Events: Smith Optics Show/Banana Republic Show and Spring Cleaning Eyewear Sale!

 

Event 1: Spring Eyewear Show!

Wednesday, April 26 – 4 to 8pm

25% OFF 1st pair – 50% Off 2nd Pair

Bright Eyes Family Vision Care – Westchase

Win FREE SMITH PRESCRIPTION SUNGLASSES!

Featuring Smith Optics and Banana Republic.

Every style, every color, every size to try on Eyeglasses! Sunglasses! Women! Men!

 

Spring2

Event 2: Spring Cleaning Sale

Mon, April 24 – Fri, April 28

One week! Two offices!

Every frame on SALE! $50 – $100 OFF!

 

Spring Events

My Daughter’s Ortho-K Journey

I wear glasses. Most people in my family wear glasses or contacts because they cannot see well at a distance. They have myopia, also known as nearsightedness. This story is similar for my wife, Cristina who is also the office manager at Bright Eyes. She and many members of her family are myopic. So it was not surprising that our older child, Nora, has also become nearsighted. She has now started orthokeratology to help keep her from become even more nearsighted. Read on to find out more about her Ortho-K journey.

Nora's First Eye Exam

Nora’s First Exam

Nora is not alone. All over the world, people are becoming more myopic and kids are needing glasses at earlier ages. At Nora’s regular eye exams (see recommendations here), I have been checking her vision carefully. Two years ago it was obvious that she was going to be become nearsighted. We had been implementing several steps to delay her impending myopia.

Finally, the summer before 4th grade during a game of “eye spy” it was evident that she was having trouble seeing clearly far away. An eye exam was scheduled and a prescription for -1.00 D glasses was written. She picked out some lovely and fun glasses before school started. She also had soft daily disposable contacts for occasional use.

Nora before Ortho-K

Nora Before Orthok

By Spring Break, Nora was squinting again even with her glasses. Indeed, her exam showed that her prescription had increased. We were ready to employ some methods to reduce the rate at which her vision was getting worse. This is called myopia control and the basic options are Ortho-k, soft multifocal contacts, and atropine eyedrops. So Cristina and I decided that it was time for Nora to do Ortho-K. We knew this time would come, it was just a matter of when it was convenient to start. We decided Spring Break was the perfect time.

The first step was to get Nora on board. After all, she liked her glasses and was not excited at first about giving them up. Cristina and I talked with her about freedom from glasses for sports and swimming. We also showed her some of these videos from YouTube. She was ready!

Nora came to Bright Eyes Kids for her Ortho-K exam. This includes more vision testing and special testing of the front part of her eyes called corneal topography. This special test allowed me to design custom NightLens Ortho-K lenses for her. They were produced in a specialized contact lens lab and sent to the office.

Nora was very excited when her Ortho-K lenses came in. At this point she was taught how to put them in and take them out safely as well as everything she needed to know about caring for her lenses. That night, she put the contacts in and went to sleep. It was surprisingly easy. The next day she came to Bright Eyes Kids for her 1-day evaluation and she was seeing 20/20! Her vision has been great ever since. She was able to do everything on her Spring Break trip including kayaking, Everglades Airboat rides, and the Trampoline park all without her glasses.

Nora After Orthok

Nora After Orthok

If you think that your child is a candidate for Ortho-K and want to find out more call us at (813)792-0637 or request an appointment.

By the way, Nora’s brother is two years younger than her and he is not nearsighted yet, but we are trying to prevent it with atropine eye drops. You can learn more about that here.

-Dr. Nate

PS – If you are an eye doctor who has employed any myopia control strategies with your kids, I’d love to talk to you about it. Email me at Doc@BrightEyesTampa.com.

 

Top Ten New Years Resolutions for Screen time and Kids Eyes

(Note – You can read my previous Top Ten New Year’s Resolutions for Healthy Vision for Eye Health, Children’s Vision, Saving Money on Eyecare, Myopia Control, and Computer Vision Syndrome, -Dr. Nate)

Did your child receive any gifts with screens this holiday season? Or gifts such as a movie or new video game that are viewed on screens? My kids did. And they are VERY excited about them. They are not alone. The kids that I see in my office beg, whine, wheedle, and cajole their parents into as much screen time as possible. Many of them have their own tablets. And this is incredibly common. In fact, one 2015 study found that three quarters of 4 year-olds had their own devices.

There are obvious benefits for children to use technology. They can watch educational programming, Skype with distant friends and relatives, and download STEM and creative apps. But all of this screen time can come with downsides. One is childhood obesity. Another is social awareness and skill.

Others problem associated with screen time have to do with vision. This is something I talk about all day, every day at Bright Eyes Kids. Increased screen time can put children at risk for myopia (nearsightedness). Games such as Minecraft can be great, but can cause headaches and blurry vision due to eyestrain. In fact, eyestrain from device use can actually contribute to digital eyestrain or other visual problems that can make school work more difficult and require vision therapy to treat.

10 ways to keep your child’s electronic device use healthy:

  1. Set a clear Family Media Use Plan. For example, in my house, my children are not allowed screen time before noon. It is worth reading the American Academy of Pediatrics statement on media use from October 2016 to get some ideas.
  2. Optometrists recommend that people of all ages limit screen time to 20 minute intervals. Teach your child about the 202020 rule, every 20 minutes, take a 20 second break, and focus on something 20 feet away. Every hour, take a longer break.
  3. Buy a blue light reducing screen protector for your child’s phone, computer or tablet. http://health-e.com/offers one that reduces by 30%, but they offer through select optometrists 60% reduction.
  4. Mitigate the potential damage of focusing on close images, by having your child spend 2 hours a day outside. A recent study showed a 2% reduction of Myopia progression for every hour a week spent outside, or 28% for 2 hours a day.
  5. Minimize electronic device usage at night, a recent Harvard study showed that blue light at night effects melatonin levels, which effect sleep, blood sugar levels, and may be linked to certain other diseases.
  6. Ask your doctor about computer glasses or contacts which are specially designed to reduce eye strain by reducing the visual focus needed for computer use.
  7. Create fun alternatives to electronic devices, write a list of “cool” activities to do throughout the week. Great alternatives are outdoor time, board games, and creative projects. Even things as simple as walking to grocery store can be more rewarding than most things are your child’s screen.
  8. Role model proper screen use. As always our children learn from us, if we are glued to the screen, they will be less likely to take screen limitations seriously. Make a New Year’s resolution to limit your screen time and be more present for your kids. This is hard, but important!
  9. Make sure your child’s posture is not being affected by the chair or couch they are using while watching TV or on the computer. Adolescents with high computer usage were nearly twice as likely to report neck and back pain than those with moderate use.
  10. Talk to your eye doctor if your child avoids using the computer or complains about blurred vision or eye fatigue when using a screen, as this may signify a larger issue that needs to be addressed.

Happy New Year. May 2017 be better than 2016. 🙂

-Dr. Nate

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10 Reasons Patients Choose to Purchase Glasses at Bright Eyes

Recently, I asked the Bright Eyes opticians to come up with 10 reasons why patients purchases glasses from us. They know that patients have many options for for buying glasses. They also know that we have patients who return year after year to buy their glasses from a team that they trust. As Krysta read the results of their brainstorming session, I was very proud of them and the work that they put into the project. It showed how much they care for our patients and their dedication to perfect, customized eyewear.

-Dr. Nate

coach frames

10 Reasons Patients Choose to Purchase Glasses at Bright Eyes

  1. We are a knowledgeable and caring team.

  2. We sell quality eyewear and we stand behind it with an unconditional 1 year warranty.

  3. We strive to make sure our frame selection is not only fashionable, but well fitting as well for all types of faces.

  4. We are personable and get to know our patients well.

  5. We personalize recommendations to meet the individual patient needs. Not only the frames, but lenses, and lens options as well.)

  6. We strive to ensure each patient leaves happily with their glasses.

  7. We offer competitive pricing.

  8. We have a large inventory of frames for all ages and ethnicities.

  9. We verify the quality and accuracy of glasses that were ordered before we deliver them to the patient.

  10. We ensure proper fit of the glasses when the patient comes to pick them up, and throughout the lifetime of the glasses.

NanoVista frames for Kids!

We are always on the lookout for the best in new eyeglass frame options for infants, children, and adults. We are thrilled to announce that we have NanoVista in stock and ready for your child. Talk to our professionals in children’s glasses and you will find something that will work for your child!

They come in three styles:

NANOVista:re-play-size-42-4-6-aos

  • NANO frames are manufactured with the exclusive and patented SILIFLEX material; this unique plastic material is 35% lighter than acetate frames and delivers a long lasting and durable finish.
  • The patented exclusive hinge stands out due to its maximum flexibility making them “Child-Proof”.
  • Rubberized temples and nose pieces make these one of the most comfortable frames for kids. Great for sports and everyday use.

NanoSol:ninio-i-size-40-de-0-1-aos

  • Comfort and protection. NanoSol fit babies and toddlers comfortably with a rubberized nosepad and a special strap. They provide the maximum protection against UV and blue light.

Silicon Baby:

silicon-baby-size-38

  • Designed for babies and toddlers, Silicon Baby frames come in Rounded or Rectangular designs. The shape centers around the eye, giving little ones an extended field of vision.

Here is what other pediatric opticians have to say:

  • “They are amazing frames!”
  • “They fit a bigger variety of head and face sizes, and much more adjustable too.”
  • “Patients and parents love them.”
  • “These are really cute!”

NAO_caracteristicas_en

TC Charton – Asian Fit Eyeglasses

TC Charton logoTC Charton adultsHave you been all over Tampa, trying on pair after pair of eyeglasses, only to find that none of them seem to fit your nose or they touch your cheeks? Let’s face it, we’re all different, including the shape and symmetry of our face. Sometimes it is difficult for Asian or African-American patients to find comfortable glasses in the correct size in a style they like.

We are happy to announce we just ordered a new frame line called TC Charton that might solve this problem! Alexandra Peng Charton has worked in the optical industry for more than 16 years. In addition to knowing how frames should fit, she has personally experienced the frustration of trying to find the perfect frame for herself. So she designed her own “Asian-Fit” frame line, that she found works for many different ethnicities.

TC Charton kidsAccording to her website “the brand was designed to accommodate higher cheekbones, lower nose bridges and other ethnic features that make conventional eyewear impossible or uncomfortable to wear. With dozens of frame styles, the wearer can have a great fit without having to compromise on style and luxury.” TC Charton has frames for men, women, and children. You can browse their selection by using the link below. Come see us and find your “glass slipper” of eye wear!

-Bright Eyes Optical Staff

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