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Welcome Dr. Christie Hartsfield to Bright Eyes!

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At Bright Eyes, we listen to our patients. One of the comments that we have heard is that sometimes it takes longer to schedule an appointment than patients want. So we have spent the last year working toward expanding the office and have simultaneously added new people to care for our patients.

I am very happy to announce that Dr. Christie Hartsfield has joined the Bright Eyes staff. I have known Dr. Hartsfield for over 10 years and am excited that she is joining us. She is very knowledgeable; like Dr. Knighton and myself, Dr. Hartsfield has completed an optometric residency. With her on board, that means Bright Eyes has nearly 40 years of combined optometry experience!

Here is Dr. Hartsfield’s biography:

Dr. Hartsfield received her Doctorate of Optometry from the University of Alabama at Birmingham in 2002. Since then she has studied developmental optometry with an interest in binocular and accommodative disorders, having been a vision therapy patient herself. She completed a residency in community healthcare and primary care optometry at the Inter American University in Puerto Rico. She was the first to complete this accredited residency in 2004.

Dr. Hartsield has done optometric volunteer work in Peru and the Dominican Republic. After finishing her residency she has lived in the Tampa Bay area with her husband and children.

Please join me in welcoming Dr. Hartsfield. We know that you and your family members will be in good hands with her.

-Dr. Nate and the Bright Eyes Staff




This week, from May 13th to 19th, is the first international Myopia Awareness Week. The goal is to raise awareness that Myopia is a serious condition that can be managed. In fact, rates of nearsighted are increasing all over the world.


“We know that almost half the world’s population will be myopic by the year 20501, with nearly one billion people in the high myopia category. Myopia Awareness Week is about getting people talking about myopia in homes and optometry practices around the world,” stated World Council of Optometry President, Dr. Scott Mundle.


At Bright Eyes, Dr. Nate Bonilla-Warford has been offering options for the management of myopia for more than a decade. He has worked with hundreds of patients, including his own children, to maintain the best and healthiest eyes throughout life.


As scientific research into myopia treatments has progressed, our programs have become more sophisticated. Not only are they more options for managing myopia, but we have better ways to communicate with patients. After all, the mission at Bright Eyes is to empower our patients so that they feel that they themselves are in control of their progress.

Here are some quotes from patients and parents that show how they feel about myopia control.

“We feel blessed to have found Dr. Nate and his wonderful staff. Our daughter started wearing glasses at the age of 4 yrs old and her prescription strength kept increasing. Dr. Nate suggested that we start Atropine Therapy and her prescription strength has been pretty much stable.”

“Myopia control is something that has changed my life, in the best way possible.”

“Myopia should be taken seriously and treated as such. Thanks Dr. Nate and continue to help and educate as many as you can.”

“Myopia control is a great experience. My eyesight has improved so much over time. The process isn’t that complicated either, with a great doctor, like Dr. Nate.”

“In general is a scary feeling seeing how myopia progresses so rapidly. Not having a cure is disturbing. Before atropine, there was no means to control it at all.”

To celebrate Myopia Awareness Week, we are offering $100 off anyone who starts any myopia control program during the month of May. All you have to do is mention the Myopia Awareness Week discount to Dr. Nate when signing up. Remember if you schedule a Myopia Consultation, we will discount the cost of the consultation from the program fee. If you have any questions about myopia or any of the treatment options, please do not hesitate to contact us below or at 813-792-0637.


EnChroma gives a more colorful view of the Valspar PGA Tournament

This week, Bright Eyes was excited to partner with the Valspar PGA Tournament and EnChroma color blind glasses to help a young golf fan!

Bright Eyes optometrist Dr. Beth Knighton had the pleasure of assisting 2018 and 2019 Valspar Championship winner Paul Casey surprise her patient Ronan with a new pair of EnChroma glasses for color blindness.

Here is a photo of Dr. Beth, Ronan, and Paul Casey:

Ronan 1

Ronan and his family were so excited to visit different behind-the-scenes tour stops, get autographs from players like Patrick Reed and Sergio Garcia, and the surprise of a lifetime – to play the 18th hole with 2018 Valspar Champion, Paul Casey.

At the end of the hole, Paul pulled the EnChroma glasses to gift to Ronan, along with a complimentary eye exam from Bright Eyes Tampa presented by Dr. Beth. Then the tournament director presented five gallons of Valspar paint to transform Ronan’s room into his “new” favorite color.

Ronan had an immediate, happy reaction to the EnChroma glasses. Some memorable quotes from Ronan after putting on the glasses… “Everything just pops!”… “All of the colors are so much brighter, wow!”… “Mom, can I get a coloring book now?”

Here is an article and video by the PGA about Ronan’s time with Paul Casey and getting the EnChroma glasses.

EnChroma glasses can help 4 out of 5 Red-Green colorblind patients enhance color discrimination. Bright Eyes in Westchase carries several styles of EnChroma, including sunglasses and indoor tint glasses. Patients can try on the glasses for themselves before buying. It is so exciting to help patients see a more “colorful world”! If you would like to try the EnChroma glasses for yourself, call for an appointment with one of our experienced Optical Staff, and we will be happy to answer any questions.

Bright Eyes was very happy to help make this a special experience for Ronan and his family. Dr. Beth had a wonderful time at the Valspar PGA tournament! If you have any questions about EnChroma glasses for colorblindness or sports vision, please call us at 813-792-0637.

-Dr. Nate

Any Colorblind Golf Fans around?



Bright Eyes is teaming up with the Valspar Championship and Enchroma to create a once-in-a-lifetime experience for one local teen or adult who is color blind. The experience will take place during tournament week of the PGA TOUR’s Valspar Championship, “the most colorful tournament on TOUR” – which is scheduled to take place at Innisbrook Resort and Golf Club in Palm Harbor March 18-24.

If you have a family member, friend, neighbor or co-worker who is color blind whom you would like to nominate to be part of this special opportunity and who has never used Echroma glasses before, we’d love to know! Click here to learn more about the surprises we have planned and nominate someone special, or send us a note at

We look forward to hearing from you,

-Dr. Nate and Dr. Beth


Podcast Episode #14: Adam Cegielski From Eyecarrot on Binovi

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.

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In this episode, Dr. Nate talks with Adam Cegielski From Eyecarrot about Binovi and Binovi Touch.

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

Full Transcript:

Intro: 00:10 Welcome to the Bright Eyes Podcast, advice for healthy vision for all ages. Your hosts are Dr. Nathan Bonilla-Warford and Dr Beth Knighton, residency trained optometrist providing eye care to all ages with exams or 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 eye care

Dr. Nate: 00:39 From St. Petersburg beach in Florida. This is the bright eyes podcast. My name is Dr. Nate Bonilla-Warford and I am here with Adam Cegielski. Adam is the CEO of a company called Eye Carrot and I’m so excited about this because I’ve wanted to do this for almost a year. I’ve been talking and emailing with Adam for a very long time. I’m a big believer in what he does and what his company does and I’ve wanted to get him on this podcast for a long time and it just finally happened that we are in the same room and we can, we can get it done. So how are you doing today, Adam?

Adam: 01:13 Oh, I’m doing great. Dr Nate. Thanks for having me.

Dr.nate: 01:16 Yeah, so this is, so this is really good. So we are here at the college of optometrists and Vision Development, Florida study group. This is an annual meeting that, happens in the summer and the doctors that provide vision therapy and are specialized in children’s vision a get together and we all take turns lecturing and sharing thoughts and cases and , you know, it, it’s, it’s a great meeting. Now you were able to come last year or when the meeting was in Miami you, had an opportunity to interact with some of the doctors and so it’s nice that you’re here and I think that you’re enjoying it because you are from Canada. Yeah. You know, coming down to Florida is not all bad.

Adam: 02:01 No, it’s absolutely great. It’s my second time here. I’ve actually been to Florida three times now because of the COVD annual meeting we had in Jacksonville and it’s not exactly cold right now in Toronto. We are escaping a bit of a heatwave.

Dr. Nate: 02:15 So our office, bright eyes kids was one of the first offices in the United States to have Binovi, which is the product that you guys make and I found out about it before you even really launched and I was very interested in the benefits that this could have for our patients, who do vision therapy. So why don’t you just very briefly introduce our listeners to what the Binovi system is and the different parts of it. And then we’ll go on from there.

Adam: 02:43 Oh, okay. Thanks. Dr. Nate. so really this whole started with my personal experience with vision therapy and my son’s rehabilitation back in Toronto and we had a great doctor help us achieve the goals of vision therapy and got through 40 weeks of therapy. But we had that experience of binders and papers and notes and as a, as a technology futurist or whatever we call ourselves. I and my partner Sam said, listen there’s, a better way to deliver therapy. We think and doing that, we, we sort of unveiled the idea that this should be delivered smoothly through a mobile app with videos with content and we built the Binovi platform, not really a product we built software and hardware that delivers a modern comprehensive experience that, that really maximizes what you get out of in-office therapy and gives you the tools you need at home to be able to do really good homebased therapy.

logo binovi finalAdam: 03:42 So, so the Binovi platform is really a mobile platform that allows the doctor and the therapy teams to deliver home based activities through one to two minute videos that really explain, you know, the way to do these activities which are complex, which are difficult. And that platform was launched and you were one of the first people to even talk to us before we even went live, and so we’ve now launched that software. We’ve launched some hardware and we’re at a spot where I can come back to this meeting and have the confidence of, of, you know, customers that are actually enjoying the product and using it.

Dr. Nate: 04:20 So, you know, I was very interested in what you guys are doing because like you said, vision therapy is very, very powerful, but it’s difficult if you’ve got these binders, these sheets of paper with instructions and you know, in, in our experience. And I think that this is pretty true for, for a lot of offices. The person who’s providing the home therapy is not always the person who brings the patient. There might be a grandma who’s bringing them because mom and dad are work

Dr. Nate: 04:51 Or we’ll live in split households. There’s different things going on. And so communication with the people who are assisting the patient at home, has always been been a challenge and it’s something that we’ve always tried to improve upon by, giving them a manual at home with instructions and those have links to YouTube videos and we’ve tried to make sure that everybody understands the process. But when I saw what you guys were doing, I said, Aha, this is this is a modern way to do this. And that’s why I was, I was on board,

Dr. Nate: 05:28 So what have other doctors told you about their experience with taking it live.

Adam: 05:36 Well, you made a really good point about sending materials home youtube links and you’re not the first person to have this idea. You know, we’ve had many, many doctors across the United States say they had the exact same idea, but obviously the development work to put this all together is, is extensive and took a lot of time and effort and money. Um, but doctors have, you know, have been waiting for some sort of a platform like this to come live. Obviously there’s a lot of different doctors in the United States, a lot of different ways to do therapy. and we’ve, we’ve obviously embraced as much and as many of the ideas as we can from, from all the different people using our software. But for the most part we’ve had really good experiences.

Binovi Touch in action.

Adam: 06:15 You’ve had some doctors that have said, listen, I haven’t done home therapy and years just because of the difficulties you’re explaining right now. And, uh, we live in a different world than we did five, 10 years ago. We have Netflix, we have these video delivery platforms, um, that are such a big part of our lives. And, uh, and really we’re, we’re now at a spot where, the cost of hosting video and the cost of doing these things is at a spot where it is suddenly scaleable. It is realistic. And you know, there are 2.7 billion people with smartphones, I think in the world at this point, maybe closer to 3 billion people. So naturally, video and compression of, of content and compression of data put us into a spot where we can do this. And doctors are absolutely loving the platform. Therapists are loving the platform. And most importantly, when we have a short term window where the, where the APP is not functioning, we realized its value when we have all these patients contacting us saying, I can’t live without this. I need this. Where is the APP? So we’ve had all sorts of really good feedback. And, you know, we’re, we’re in a really good spot right now

Dr. Nate: 07:24 So at our office we see vision therapy, you know, essentially as, as teaching learning and just like my son takes a cello lessons, he has to have both the instruction from an expert, but he also just needs time to practice. That’s that skill and he needs to know what to practice and, and so Binovi does a fantastic job of keeping the patients and the parents up to date on what they’re supposed to be doing. And there’s a checklist that patients and parents know what, what to do. There is a chat feature. So if parents or providers at home, there’s a chat feature, so whoever’s helping the patient at home can interact with the therapist right away and give them some information, that is really helpful. And um, what we like is we can actually see when patients are doing the therapy because patients who practice things get better at them in, you know, in my experience. And so that’s been really helpful.

Adam: 08:29 Yeah. And I’ll give you an example in Canada and a cold winter, we’re doing therapy. Uh, my wife goes to therapy with the doctor and, and my son, they come home, we eat dinner. Therapy’s, usually the last thing on our list to do and of course the binders in the car and it’s snowing outside and you get the binder, no I’ll get the binder and it becomes a a bit of a chore. And ultimately, you know, compliance is a big factor in how healthcare technology is really changing our, our medical landscape and knowing that we’re actually doing this homework, knowing that we’re actually logging into the APP as a clinician. I think it’s very powerful.

Dr. Nate: 09:07 So why don’t you tell us a little bit about what you’re doing right now and where, Eye Care and Binovi are headed in the future.

Adam: 09:14 Okay. So as of right now, the binovi platform has been out for about a year. We have doctors in basically four continents around the world that are using the software. And we’ve completed our first video library. We’re extending the content now to add more educational content through some of our doctors. We have developed a tool that’s been around since I think 1974 called the Wayne Saccadic fixator and we’ve released, I think the seventh version of that now as the Binovi touch. So that is a device that is used in the vision therapy clinics with doctors that actually gives you that, uh, in office Rehab, in that office training. That device is now launched to about 100 clinics across the United States, Canada. And, um, and, and we’ve, really we spent two years working in developing this tool. We’ve probably done about 25 different prototypes. We’ve got an early feedback.

Adam: 10:11 We’ve tried to keep it as true to its original version that was loved and used across thousands of locations around the world. Most importantly now it gives the doctors in the therapy teams simplicity of using the IPAD. It gives the children and the patients using this fantastic experience where they can actually engage with modern tools, too complete therapy and obviously most importantly capture patient data profile data. That ties back to these, to these patients so you can measure progress, not just what you’re doing at home, but in the clinic. Now we’re starting to capture that in clinic data, tie it to the patient experience and obviously share with the parents. You know, that progress has happened week after week.

Dr. Nate: 10:55 And that data that you’re collecting from the Binovi touch, which is modeled after one of the most beloved vision therapy instruments of all time. tell us a little bit about some of the other population, some of the other people you’re working with. This is some pretty exciting stuff.

Adam: 11:11 Yeah. You know, this device has been used with professional athletes across the world. Recently we’ve worked with, an individual named Bryce Salvatore who was captain of the New Jersey Devils. He’s using it in, in his New Jersey training facilities with, with kids and trying to promote the importance of what could be done for vision performance. We have championship mma fighters and boxers and soccer players and football players that absolutely love the device and, Rehab hospitals that are using it on stroke patients and a wide range of utilities essentially.

Dr. Nate: 11:49 So, we’re gonna wrap up here because our meeting’s about to start. But anyhow any last few words you want to mention to our listeners,

Adam: 11:56 Just listen. Just go and do that homework. Log into your APP. Hopefully Binovi is giving you a really good experience that multiplies the benefits of what you’re getting from the doctors and therapy teams you’re working with.

Dr. Nate: 12:08 All right, well thank you Adam. we’ve been wanting to do this for for a very long time. We’ve been together at meetings but just didn’t have our schedules line up so I’m thrilled that we were able to do this to everybody who’s listening. Thanks so much. If you ever have questions, you can reach us at office at And, I hope you have a good time and stay dry. Avoid the rain!

Outro: 12:32 Brought to you by Bright Eyes Family Vision Care and Bright Eyes Kids. Find previous episodes and more detailed information at 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 is Getting Bigger!

Hi, it is Dr. Nate with good news!

As longtime patients know, Bright Eyes Family Vision Care was started in a very small location. Located in the West Park Village in the Westchase neighborhood of Tampa, we occupied the space on Montague street where the Coldwell Banker is now. In 2006 we were only open part-time and with less than a thousand square feet. There was one exam room, one vision therapy room, and no separate doctor’s office or designated areas for diagnostic testing or contact lens training.

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Bright Eye Grand Opening in 2006

Our office grew quickly and soon with myself and four employees, we barely had room for patients! So we moved to the Linebaugh Ave location next to Sylvan Learning Center where we are now. With more space, we hired more staff and continued to grow. But we discovered that patients who came to see us from farther away to the north and east, such as Gainesville and Lakeland had a hard time getting through Tampa traffic. So we opened Bright Eyes Kids in New Tampa in 2014. We have continued to grow. We are up to almost 20 employees!

Now it is 2018 and we want to add more eye care staff, but we have no place to put them! Staff members are already coming to blows over seats and computers! OK, not really, but it is crowded. What a problem to have! As it turns out, the Sylvan Learning Center has moved to a different location and since the vacant location is next door to us, we are taking it over. The new combined spaces will be almost three times as large as the current space. We will have more exam rooms, more vision therapy rooms, a larger optical, a conference room, a larger waiting area with a separate kids area, and even more features. It will also mean hiring more excellent staff!

We will begin by remodeling the Sylvan location and then we will update the current Bright Eyes location. Yes, there will be a “Please pardon our dust, while we make improvements to serve you better” sign up. But we WILL remain open during the construction. To be clear – Bright Eyes is not moving, just expanding. The address, phone number, and everything will stay the same. We are VERY excited about this project. It will allow us to make many improvements such as shorter waiting times for appointments and for glasses. The expansion should be complete very early in 2019.

Myself, Cristina, Dr. Beth and the rest of the Bright Eyes Team are so very thankful that our patients trust us with the care of themselves and their family. It means a great deal to us that we can continue to do what we love even better in 2019! If you have questions, suggestions, or recommendations about the expansion, send them to me at or leave them in the comments.

Thank you!

-Dr. Nate

Podcast Episode #13: Peter Shaw OD and Shaw Lenses

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 Peter Shaw OD and Shaw Lenses

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

Full Transcript:

Intro: 00:10 Welcome to the Bright Eyes Podcast, advice for healthy vision for all ages. Your hosts are Dr. Nathan Bonilla-Warford and Dr Beth Knighton, residency trained optometrist providing eye care to all ages with exams or 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 eye care

Dr. Nate: 00:39 On location in Bellevue, Washington. This is Dr Nate Bonilla-Warford at the 2018 College of Optometrists and Vision Development meeting and it is the Bright Eyes podcast. I have a special guest Dr. Peter Shaw with me today. Hi Peter.

Dr. Peter Shaw: 00:58 Hi Nate. Thanks for inviting me to talk to you on this podcast. It’s a great opportunity to talk about lenses.

Dr. Nate: 01:05 Excellent. Yes. I am excited about this because, uh, there’s a, a useful tool that we have in our office called the Shaw Lens and I think that has some relation to you. Why don’t you tell us a little bit about your background first and then we can talk about the Shaw Lenses.

Dr. Peter Shaw: 01:21 So I started life as an optometrist with, with a, with a degree also in physics and computer science and practice for 35 years. But during that time I came across a lot of problems created by glasses that are unique to the fact that the glasses sit away from the eyes and not on the eye. And Shaw lenses is a comprehensive way of designing eyeglass lenses that eliminates the image difference. In other words, the size and image position that’s common with many pairs of glasses made. So what we do is we actually designed lenses based upon exactly where the lenses fit on the face, taking into account both the prescription and the underlying magnification that glasses create. So this fixes is something called Aniseikonia, and Aniseikonia is the optometric word that describes the image difference and the end results in the inability to put images together in the brain.

Dr. Nate: 02:25 So one thing that I really like about the Shaw lenses is, is I’m what I consider myself to be a binocular vision specialist, which means I take measurements and I measure how both eyes work together as a team. And one of the things that is unique about the Shaw lenses is they are not just individual lenses, one for each eye, but they also take into account the way the eyes work together as a team. Do you want to talk about that a little bit?

Dr. Peter Shaw: 02:55 Absolutely. So the way that lenses on ordinary glasses are designed is they make a lens for the left eye. and make lens for the right eye and within the system that the bar too is that manufacturers use. There’s no way that those two features are never correlated. In other words, they don’t take into account the effects that individual lenses have upon the eyes. What we do is we look at the prescription and the way the glasses fit and design a system. That eliminates the obstacles that normal glasses create. These two obstacles come about because of a natural aberration of glasses. They make things look bigger and sometimes smaller. And when the prescription is slightly different, frequently the image size difference and the effect the glasses have upon we call. Gaze direction interfere with the ability of the brain to keep the images together. We call that fusion, so regular glasses often cause a breakdown of images being together and staying together as the eyes look around and Shaw lens design. It’s called iseikonic or sometimes isophoric lenses can be designed to eliminate that image difference and provide comfort and function that regular glasses can’t attend to.

Dr. Nate: 04:22 So what type of patient can benefit from these types of lenses?

Dr. Peter Shaw: 04:30 Well, every patient benefits from having isochronic lenses. Not all patients require the added technology, but it never hurts. Where we do really well are patients that have come across a different eye prescription, due to surgery, like cataract surgery, patients who were born with their eyes a different and just happen to start wearing glasses. Patients that are new to progressive lenses or bifocals, when we hit 40, we have to start wearing glasses full time. We are especially helpful for kids with lazy eye, I would call an Amblyopia. Amblyopia comes about, we think as an active inhibition of one eye because the image is created in an amblyopic child, a different in each eye and they fight for attention. So the kid ignores the one image. What Shaw lens does, it equalizes the images and so the eyes can blend the two images together and they don’t have to fight for attention

Dr. Nate: 05:32 and we’ve seen incredible benefits for a certain patients, especially the younger children who, who might have Amblyopia and as part of our vision therapy program, or even if they’re not enrolled in the vision therapy program. The benefits that we’ve seen, uh, from use of the Shaw lenses has been a really remarkable. It'[s really, really exciting. Tell us what kind of research has been done using the Shaw lenses?

Dr. Peter Shaw: 06:06 well, research has been done both in published papers on isochronic therapy and also on a few cases that we have with our, with our partner universities were currently doing a research project of a double blind study, but our research is a little simpler than that. We’ve been selling and providing optometrists with Shaw Lens now for six years and our market share in treating Amblyopia has dramatically increased from when we started. And I put that down to the fact that doctors see the difference and that’s the best research we can have. It’s unbiased. No one gets paid to use our lenses, there’s no subsidy. It’s, it’s organic, and if the product wasn’t working, it wouldn’t be happening. What we do know is that an Aniseikonia has been known about since the 1850’s, and it’s been talked about routinely, but making what we call iseikonic lenses for some reason hasn’t been done until recently because it’s been an arduous mathematical chore for Optometrists to Design Lenses so it doesn’t get done.

Dr. Peter Shaw: 07:21 What I’ve managed to do is to simplify the process of ordering iseikonic lenses and what a isochronic lens is simply a lens that equalizes the images. Now we can make assumptions about patients, but the bar choice that make glasses are just fulfillment houses. They don’t really design lenses no matter what the marketing says. What they do is they put a prescription lens in a frame that gives clear vision, but no one talks about the interaction between the two eyes. What I’d like to say, what I will say is that the difference in the eye measurement units we call diopters doesn’t have to be very big to disrupt how eyes work together and especially with kids with Amblyopia bear the issues. These kids are really good at shutting off one eye, so any excuse they have to shut one eye down and only use that one become monocular, so to speak is triggered by small differences.

Dr. Peter Shaw: 08:24 So we don’t have to have a very big difference between the two lenses to make a huge impact on how that patient sees.One example is, you know for some reason, traditional eyecare tends to minimize approaches to therapies that they don’t understand. So there is some rule sometimes where what should be three diopters or more to consider iseikonic lenses personally i disagree with that. I think there is no difference small enough, if the optometrist can measure a loss of depth perception or loss of acuity. If the patient’s not functioning well, there’s something wrong. And I think we should use any treatment available to us to try to remedy that situation. And fulfill our role as as doctors to treat the deficit, not pass it off as something that kids should get used to.

Dr. Nate: 09:27 So if you’re a parent or a patient looking, considering Shaw lens is, are there any downsides or other things that that they should know?

Dr. Peter Shaw: 09:41 The only downside is yes, they cost a little bit more and the reason for that is that our lenses are all custom designed like a custom made suit for the for the child. They don’t come out of an envelope already made and that comes apart because cost of production, the lenses are always made in the country where that dispense. So for example, for the US market Shaw lenses as a manufacturing in a US facility, another downside is sometimes one might be a bit thicker, which is similar with any prescription that’s therapeutic. We use prism sometimes that makes the lens thicker, so thicker lenses maybe not as cosmetically attractive, but that hasn’t been an issue because what we’re looking for with our design is a medical therapy for Amblyopia ends to business. I’m making kids more comfortable with their glasses on and I think those are the only two downsides that, I come across. The upside is that it provides a great foundation for better vision and increased efficacy from vision therapy. So what we provide is a good foundation for your vision therapy I doctor to help your child gain better, more efficient vision using both eyes and increase their reading ability.

Dr. Nate: 11:02 Well, I definitely use the Shaw lenses when I think that they, the patients would benefit and I’ve seen a lot of success. Before we wrap up here, is there anything else that you’d like to tell our patients?

Dr. Peter Shaw: 11:16 The most important thing I think to remember is that we’re not a radical treatment. We are, we are irrational treatment. And the vision that you get with the Shaw lens is never worse than you’d get from an ordinary pair of glasses. It can only improve things. We don’t use patching. We don’t use anything that’s not scientifically valid. Our advisory board is made up of ophthalmologists, optometrists and researchers. We don’t have any smoke and mirrors.

Dr. Nate: 11:54 Well, this has been a great meeting here in Washington state. I thank you Peter for giving us your, your time and I hope you have a wonderful meeting as well for all patients who are listening. If you have any questions or comments, you can always reach us at office at and we look forward to bringing you the next episode. Thanks Dr Shaw.

Dr. Peter Shaw: 12:15 Thanks, Nate.

Outro : 12:17 Brought to you by Bright Eyes Family Vision Care and Bright Eyes Kids. Find previous episodes and more detailed information at 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.

Dr. Nate Gives Lecture on Myopia Control to Optometrists

Recently, Dr. Nate Bonilla-Warford and Dr. Beth Knighton attended the Hillsborough Society of Optometrists annual Fall Classic. They showcased Bright Eyes Family and Bright Kids at the exhibit hall and talked with area optometrists. Additionally, Dr. Nate gave a lecture about the latest research in myopia control and ways that optometrists keep nearsightedness from increasing. As you can see, it was a packed house.




Podcast Episode #12: Betsy Yaros on Vision Therapy and Developing 3D Vision

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 Betsy Yaros about vision therapy and discovering 3D vision.

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


Podcast episode about how vision therapy with therapist Edna Moore

Betsy and Dr. Nate in the news:


The Full transcript:

Intro: [00:00:02] Hello. Welcome to the bright eyes podcast advice for healthy vision for all ages your house. Our Dr. Nate bonilla Warford and Dr. Beth Knighton two optometrists 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 acqui is humor without making spectacles of ourselves. And don’t worry the jokes don’t get any cornea than this we promise.

Dr. Nate: [00:00:41] Hi. it’s Dr. Nate and this is the bright eyes podcast. This episode is a little bit different. Instead of sitting down at my desk and having a conversation either with Dr. Knighton or a different doctor or one of our vision therapists I had a conversation with Betsy one of our vision therapy patients and the conversation starts in the vision therapy room and then went out into the parking lot and then we went to the waiting room to finish up the conversation. And the reason why we walked around will be apparent when you listen to the episode. I really like the way Betsy explains her experiences developing her vision as a vision therapy patient specifically her appreciation of depth perception and what it brings. So I really hope you enjoy this episode. Thanks.

Dr. Nate: [00:01:37] So Betsy we’re here in the vision therapy room at Brighteyes kids and this is where we were when you first observed 3D vision. Do you remember that.

Betsy: [00:01:51] I did. It was a great day. Yeah we were just playing the Vivid Vision. Yeah it was after we played the spaceship going through the rings and I just remembered taking off the glasses or taking off the goggles and seeing everything pop out and then I also remember you going to grab the goggles in your hands just you know they it was scary. Your hands are just coming out of the goggles and I can also just see all the details on your hands and everything coming at me.

Dr. Nate: [00:02:32] What I remember from that moment was you looking at your own hands and you were trying to describe what you were noticing but you really didn’t have words to describe it. So the word that you used while you’re looking at your hands was that they were big.

Betsy: [00:02:57] Everyone looked like they had monster hands at that point. Me included. So that’s what happened.

Dr. Nate: [00:03:05] Now that was a very big big moment. But it didn’t happen all at once tell tell the listeners maybe a little bit about your back story visually like when you were a kid and then some of the things that you had done up until that point to get there.

Betsy: [00:03:25] Yes. As a kid I was my eyes used to flip back and forth a lot so I never had the depths. So I was used to walking around with you know my vision shifting a lot and I was just like when I was walking down the street I would walk into a pole because you know my other eye is looking out not seeing the pole where I’d walk into a wall or I open the fridge door in my face. Stuff like that.

Betsy: [00:03:55] So that’s kind of how it was as a kid and then as I started doing therapy I just started having more control over my eyes and I started having more like maybe really quick instances of seeing 3D but it wasn’t till that day where it really happened and it stayed. So it was just really me.

Dr. Nate: [00:04:19] And so one of the things that we used to do when when we were first trying to develop your sense of depth perception and 3-D vision was not only to do activities here with the virtual reality and the Brock String and some of the other vision therapy activities but we would go outside. So you want to take a field trip you want to go outside.

Betsy: [00:04:40] Yeah. Sounds good.

Dr. Nate: [00:04:41] So yeah this is exactly what we would do. The reason why we would do this is because outside is full of detail and things are very very far away. So we would come out here and so now we’re literally in the parking lot. And so one of the things that we used to do would be to walk through the parked cars and there’s a lot of space in between the cars. But for you it was sort of like a different a different experience when you were seeing 3-D.

Betsy: [00:05:16] Yeah yeah at first it didn’t all come together so like why are we outside. Are we doing this. You know you’ve had me like you’re saying that I didn’t do a great job of explaining it was just like nothing was clicking. And then you’d asked me to go look at a building near and far and I wasn’t seeing it but then I wasn’t sure if it the same day but I remember we just told me to go walk down the sidewalk here.

Betsy: [00:05:45] Yeah I just remember walking down the sidewalk and all of a sudden I freaked out and flinched because this tree here just popped out at me and it looked like it was attacking me. So it was just like an amazing experience. And then I just started looking around and when you see 3-D it’s like you have you know if you’re doing HDR photography you have double exposures so you can see like, Then I just noticed I could see all the details and leaves and grass everything with popping now and when I looked up at the sky the trees actually looked like Dr. Seuss trees they had the little fluff ball softballs and then.

Dr. Nate: [00:06:28] So how did trees look before that?

Betsy: [00:06:31] Flat green like construction paper sheets of construction paper that or maybe have different tones in them. It’s all flat. But then when you see in 3D you can actually see like for example on this leaf here you can see the wax coat on the leaf and just all the detail within the leaf and then each one each leaf is on a different plane. So it just becomes a very complex object to look at really incredible. So I remember even after the appointment I was like oh I’m going walk around walkaround I was just staring at everything like piles of dirt you know on the ground. Anything was just like incredible. From that point forward.

Dr. Nate: [00:07:14] And you were so kind of excited by that that you actually told the tree story in your blog which you did you have and you had some other some other stories you talked about.

Dr. Nate: [00:07:27] You said one of the things that you discovered that there was like a part of your car that you hadn’t noticed before.

Betsy: [00:07:34] Oh yeah I can remember now like . Yeah they were like so i used to drive a Jeep, recently got a different car but there were other compartments in my car that I didn’t actually see because the other thing that happens you don’t see 3-D is everything. You know it’s a flat surface so you just assume that thing over there it’s flat. But then when I got in what is this . And then I also notice my dashboard was really dusty 3-D right. Really. Wow. It’s really like oh my gosh!

Dr. Nate: [00:08:09] That’s interesting. That’s the type of thing that when you’re in the exam room as a doctor and you’re doing the tests and you’re quantifying things and you’re trying to extrapolate and make predictions you don’t think about that sort of real world experience of being able to see to see the dust or see the compartments in your car. One of the things that happened that I that really struck home to me which I which I really liked and I and I tell the story sometimes is I think I had been to a concert the night before and I got home like super late. And you know we had we had done activities and you said something like You know you said that you were tired but now that I’m seeing in 3-D I can really see that you’re tired. Yeah which I thought was actually great because I don’t think many people think a lot about or talk about the interpersonal aspects of having depth perception and 3-D vision.

Dr. Nate: [00:09:15] The social cues that that people get when they interact non-verbal communication do you have any thoughts or anything you want to say about about that.

Betsy: [00:09:27] Oh yeah it’s definitely totally different. So like I experienced my first break up in 3D and you know I really just broke up and it’s been like a very like process where it’s like they say something and I get the message you know I can get the message and I process it later. But when you’re actually 3D in this space I can actually Ill just use an example of the last breakup I can really see the emotion in their face and what they were saying and I could just process it was much more intense. Actually it was a very intense experience because you can when you’re seeing 3-D the wrinkles in someone’s forehead relates to their actual emotion and their expression. And it’s people are more animated. Like think about watching like maybe 2D cartoon an old Roadrunner cartoon versus like current Pixar film. You really see the expressions and the characters so that was how it was when it was being broken up with I could really see it and it was just very intense and I processed everything much more quickly. So it’s it’s really interesting. seeing 3D.

Dr. Nate: [00:10:46] That’s a wonderful observation that you’re not going to read in textbooks maybe at most a single sentence but certainly not not somebody who’s who’s experienced the difference you know with and without being able to talk to somebody and experience that that kind of emotional situation. With the benefit of depth perception. So I think that that’s that’s really great.

Dr. Nate: [00:11:16] Let’s head back into the office because I hear a little thunder which its Florida – its the lightning capital of the world so that’s not that’s not unusual. So for somebody who you know maybe has visual problems they might have strabismus or exotropia or Esotropia. I understand that you know you get e-mails from from people in that sort of situation. So what types of things do they ask you and what kind of things do you tell them.

Betsy: [00:11:47] Well I get a lot of e-mails from concerned parents who they’ve come across my blog. And since you know they had you know the child was born prematurely like I was and they might be having other developmental issues such as speech delay other things which are similar to what I had. And they’re not sure what to do. So all they want to do is help their child. So I think they’re a little bit in panic mode. Cause thier child isnt meeting their milestones. So I just try to provide comfort for them and explain. You know I went through. I’ve been through speech therapy auditory processing. And then lastly this vision therapy. And each time I’ve been able to be more connected with the world. So with this last you know with vision therapy now I’m really I’m actually like feel like I’m in the world you know in space and really interacting with people and able to interact with people. So I just you know when I get these e-mails from parents I tell them you know maybe just wait a little bit. I know the doctors wanting to perform eye surgery. I had two eye surgeries the first one was successful and I’m crossing my eyes. But the second one wasn’t. But you know vision therapy works.

Betsy: [00:13:09] And it worked on me as an adult so I can only imagine what it can do for your child. And the other thing too is by taking the initiative and getting the child into therapy at an early age it helps them so much tremendously across thier life because it’s like me as a child growing up. I was picked on. I didn’t really have very many friends. And I had a lot of difficulty going through life basically until I was finally able to have these different kinds of therapies. So as a parent you know if you take this initiative get them into therapy and get them started on this path it’s only going to positively impact your child long term. So that’s why I try to encourage them you know to do that.

Dr. Nate: [00:13:59] And what other ways do you think that doing vision therapy as an adult rather than as an elementary school kid. What are the ways has it changed your life.

Betsy: [00:14:11] Well for me it’s just it’s made me appreciate so many things like I’m just very appreciative of the opportunity to do that. And it’s really opened a lot of doors for me. It’s like as a child I wanted to be a dentist and I couldn’t do that and the doctor basically said there’s no real career path you can take there. So I stayed photography’s so now that I have these abilities to see and I can read textbooks and I can interact with people.

Betsy: [00:14:41] Now I can I mean I want to go be an optometrist too so I’m just really excited that I’m able to pursue any career path not ant career path this career path want to be an astronaut you can be an astronaut princess. That’s right.

Dr. Nate: [00:15:01] But you know, reaching reaching potential and doing what people want to do and feeling like they have those opportunities is is really important. You know our mission statement at Bright Eyes is all about empowering patients through vision care to help them do whatever they they want to do. And we do that in all kinds of different ways. We do it with contact lenses we do it with glasses we do it with myopia control. One of the greatest ways that’s the most exciting and most rewarding for for all of us is with vision therapy because people really do set different and larger goals for themselves after they sort of see what’s what’s possible. And the fact that you’ve been able to go through that is you know is great. It’s it’s really really wonderful.

Betsy: [00:15:57] I’m really excited about my future. So it’s it’s just really. And I’m just I’m so happy say all this really hard work. It’s not like I saw 3D instantly or my issues went away instantly it took you know several years of work. It’s not like my vision is perfect but I’m now able to manage my vision.

Dr. Nate: [00:16:20] And actually that’s an important important thing to talk about because you did work really hard. You worked many many hours but you’re no stranger to hard work. You worked as a student when you were younger. You worked in the you know the different types of therapies you talked about and so you understood that this is something that I want to work on that I think is achievable.

Dr. Nate: [00:16:45] And so you get lots of lots of credit for it for wanting to do it and actually going through with it. And you know that’s one of our goals with all of our patients is encouraging them and motivating them and educating them this is what’s possible this is how much work. I think it’s going to take. So if I remember correctly there was a time when you were going to see lots of 3D movies. Oh yeah. Very cool stuff. I mean if they have more time it’s going to happen. Well yeah because they’re busy with work. And we you know we understand that but wasn’t there one there was like a children’s movie that you went to see a bunch of times.

Betsy: [00:17:29] Yes so Trolls in 3-D. It was. It was amazing. So I went and saw it five times because each time I saw it in 3-D there’s a lot of bright colors in that. As soon as I took off the 3-D glasses I saw 3-D and then I could go walk around the parking lot and go over to a target and see everything was 3D for. And it lasted for three hours. So it was just really cool. so i just repeated the experience several times. So now I have a 3-D projector at my house where I just a little bit cheaper. So I watch films that way.

Dr. Nate: [00:18:12] Yeah yeah no I remember you. You’re talking about it. And I was like really you went to see trolls again. You’re like, yeah!

Betsy: [00:18:23] Not for the storyline.

Dr. Nate: [00:18:25] But I think you’re right about the colors because a lot of movies like if you were to see like Batman in 3-D it’s like really dark you know even for people who have totally normal vision it’s kind of hard to see because it’s just it’s so dark and the contrast is so low. That was probably a great one to see.

Betsy: [00:18:23] Yeah except I went and saw other darker ones like he just had the same effect. Yeah yeah but the cool thing to see that just reminds me of every year my family went to go see the Rockettes had sound at the beginning they have this 3-D experience. And I was never able to see Santa throw the wreaths over the audience but it was just incredible. So I actually saw him throw the wreathes over the audio. Finally a couple of years ago. So you really need to have that are great.

Dr. Nate: [00:19:23] Well thank you for your time. And it was great catching up with you and good luck with everything else.

Betsy: [00:19:29] Thanks. Good to see you.

Outro: [00:19:34] Brought to you by Bright Eyes Family Vision Care and Bright Eyes Kids. Find previous episodes and more detailed information at 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.

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