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Join us for the Westchase Location Grand Opening – September 10th!

Bright Eyes Grand Opening 12×6

 

Any of the patients that have been to Bright Eyes Family in Westchase have seen the new office. We are so excited that the construction is (finally!) done, the dust has settled and we are ready to celebrate our expansion!

You will notice that we have more than doubled our square footage to serve you better! This includes more exam rooms and more vision therapy and myopia control space, and ability to make glasses right in the office.

We are so lucky to have such supportive family, friends and patients, as well as an amazing staff! We hope you can join us!

– Dr. Nate & Cristina Bonilla-Warford & the Bright Eyes team

Details:

Event: Westchase Grand Opening

Date: Tuesday, September 10

Time: 4:30-7:00pm

Location: 9912 W. Linebaugh Ave, Tampa, FL 33626

Entertainment: Live Music, Refreshments, and “Behind the Scenes” tours.

Children and Families welcome!

RSVP to Bright Eyes with your name & number of guests:813-792-0637 or office@brighteyestampa.com

 

 

Dr. Nate Featured on Local TV News Discussing Children’s Vision

Because it is back to school season, people want to know what they need to do get their kids ready to learn. And one of the most important things they can do is make sure that children can see well. Jenny Dean from WTSP 10 News reached out to Dr. Nate to find out what people need to know. Lucky enough, two amazing Bright Eyes patients shared their experience with orthokeratology, night time contacts that allow them to see the board without glasses or contacts.

 

A few other pointers:

For kids, eye exams are recommended:

  • at around 6-12 months of age
  • at least once between the ages of 3-5
  • right before first grade
  • every year from ages 6-18.

Signs to look for in kids with:

  • frequent eye rubbing or blinking
  • headaches, especially while reading or using devices
  • covering one eye

 

Read the full article here:

https://www.wtsp.com/article/entertainment/television/brightside/good-to-know/eye-exams-for-kids-are-more-important-than-ever-eye-doctor-says/67-346e9186-8263-461b-8c74-d569b9314e61

Podcast Episode #15: Myopia Management With Esther Rodas

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 Optician Esther Rodas about Myopia and the treatment options to control it.

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.

Previous relevant episodes:


Full Transcript:

Introduction [00:00:10] Welcome to the Bright Eyes podcast. Advice for healthy vision for all ages. Your hosts are doctor 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, Ortho-kertology and sports vision training. Their mission is to empower patients by providing the best in friendly, professional and individualized eyecare.

Dr. Nate [00:00:38] From rainy Tampa Bay. It’s the Bright Eyes podcast.This is episode number 15. I’m Dr. Nate Bonilla-Waford and today’s episode is all about myopia control. I’d like to introduce our special guest today this is Esther Rodas. Esther is an Optician. She works here at Bright Eyes and not only is she an optician, she’s our myopia control coordinator so Hi Esther.

Esther [00:01:05] Hello everyone. So Esther here just like Dr. Nate just mentioned and been here for about a couple of years and usually I will be the one that you talk to if you have any questions on myopia control and scheduling and all of that good stuff.

Dr. Nate [00:01:21] Absolutely. And when Esther joined us she was a student at the Hillsborough Community College in the opticianry program. And now that she’s got her license she works with us full time and we are so lucky to have her and patients just love her and all the staff does too.

Esther [00:01:37] Happy to be here.

Dr. Nate [00:01:38] Excellent. So Esther we introduced myopia in episode six as part of our refractive error episode. And here’s our vision therapist Miriam giving the definition of myopia.

Miriam [00:01:56] Myopia, aka nearsightedness is a condition where objects up close appear clearly while objects far away appear blurry. With myopia, light comes to focus in front of the retina instead of on the retina.

Dr. Nate [00:02:10] So myopia is all about nearsightedness. It’s all about not being able to see very far away without either contacts or glasses or lenses of some sort or for adults they can consider refractive surgery like LASIK. From your perspective Esther when a doctor diagnoses a child with myopia what are some of the most common questions that parents will ask you?

Esther [00:02:36] Definitely first thing they ask is if it’s permanent. If it’ll get better the older that they get?

Dr. Nate [00:02:43] Right. And that’s one of the questions that they ask us doctors are very first thing. They’re like, are they going to outgrow this? Are these glasses that they need? Or is this something that after a while they won’t need anymore? And one of the things about myopia that’s important to understand is while we see it as vision getting blurrier or glasses getting thicker or stronger, what’s really happening in myopia is the eye ball itself is stretching, it’s getting longer and getting bigger and it’s much easier for the eye tissue to stretch and elongate rather than it is to shrink and get smaller. And so for that reason when we’re talking about myopia I like to say it’s a one way street but it doesn’t really get better. And so after they kind of digest that what are the next questions that parents will ask you?

Esther [00:03:40] So once they know what can potentially happen and the inside of the eye they definitely know the options at that point what they can do to limit that progression.

Dr. Nate [00:03:51] Right. And so when I talked to parents, we always talk about myopia as a condition that needs to be managed. It’s not just in one point in time it’s a lifetime of change that we need to think about. We always talk about myopia in the short term and in the long term. So in the short term, kids need to be able to see, they need to be able to see the board at school, they need to be able to see for sports they need to be able to function in everyday life. There’s a variety of different ways that we can help them be able to see clearly and that’s the common things that people are familiar with glasses, contacts, the night time treatment contacts of ortho-K can help people see clearly. So there’s different options and we need to address that first because it’s very important that we make sure that kids have useful vision for living their lives. But, we also need to make sure that we are addressing the long term component. Because myopia tends to worsen and sometimes more dramatically in some patients rather than others- we need to make sure we’re addressing that and offering different kinds of treatments to hopefully reduce the risk of progression. So in our office Esther, what are the three main ways that we use to reduce the progression of myopia?

Esther [00:05:26] We offer here the Atropine medicated eyedrops as one solution. We offer Ortho-keratology which is the night time lenses and we also offer specialty designs soft multi-focal lenses to help with that progression.

Dr. Nate [00:05:46] Right. And we feel very strongly not just with myopia but with all of our patient care that every option needs to be tailored individually to the patient. So it’s not one size fits all. It’s not that every single patient who comes in needs any one particular treatment but it depends on their lifestyle,it depends on their goals,it depends on their genetics,it depends on if they’re more likely to progress. So very briefly we’ll just go over what these options are. The first one which is the most easy to administer are the Atropine eye drops. Now, atropine is a medication that dilate the pupils and it reduces the eyes ability to focus. And for that reason, it hasn’t been widely used in the United States. It’s used for many many conditions but not for myopia control. Until recently when it was discovered that you could use a very low concentration to minimize the side effects. So we have many patients who are on the low concentration atropine treatment to reduce the likelihood of progression. We don’t know exactly how the atropine works, what it’s doing in the eyes but it’s been shown in many many many studies to be effective. So that’s that’s one option. The other option like Esther said was the multifocal contacts.The multi-focal contacts are worn in the daytime just like any other soft contact that you’d be familiar with. But it has a special optical treatment which provides some stimulus to the eye that reduces its need or its inclination to to get worse. We can optically change how the light focus is on the back of the eye to reduce that stimulus to progress and get worse. And so that’s the daytime contacts. The nighttime contacts the Ortho-K does the same thing optically, but it actually reshapes the eyes so that you can see clearly without daytime contacts or glasses. So you get a little bit of a two for one with ortho-K which is great. So once we do the exam and we take lifestyle into account, we look at all of the the treatment options and I will recommend a particular treatment option for a patient. I’ll bring them out and then they will go over the details and the logistics of that treatment option with Esther at that point. What kind of questions do you get?

Esther [00:08:24] So definitely the top question which you kind of touched on right now is their parents are only super interested and intrigued of like the science behind each one and the how is it that the atropine, the multi focal and that the nighttime lends aid in hopefully limiting that progression of the nearsightedness for their child. So anything you can add to what you just said.

Dr. Nate [00:08:48] So the interesting thing about myopia control is even though there are many many scientific papers exploring how well these different options work and how they relate to each other- we don’t thoroughly understand exactly how they work. We have a pretty good idea of how the optical effects of the multi focal contacts on the ortho-K works to reduce that stimulus to progress. We really don’t know as much about how the atropine works. We know that atropine has been used for hundreds and hundreds of years and it’s been used for many many conditions and it’s extremely safe to use. We don’t know what’s exactly going on at the molecular level to help keep the eyes from progressing, but we do know it’s very effective. I know the parents don’t think that that’s a super satisfying answer but it is the honest answer at this point. So what other questions do parents ask you?

Esther [00:09:45] Definitely risks. They want to know what kind of risks are involved and short term risks and long term risk as well. So for example the night time contacts as they are more rigid than the soft lenses. And they always want to know what the risks are for abrasions and things like that. Almost the same for soft contact lenses for short term risks. Long time parents want to know if the ridgid of lenses will affect the kids eligibility to do maybe LASIK in the future. Parents also ask about any effects that that may have on things such as glaucoma and any long term risks in the medicated eye drops. So it’s kind of like a few questions and one.

Dr. Nate [00:10:34] Well I think that that’s really important topic because with any procedure or with any therapy we always need to weigh the benefits and the risks and that’s part of the discussion that always happens between me and the parents when we’re talking about undertaking one of these treatments. Fortunately in the big picture all of these have been proven to be very safe. And that’s why we can feel comfortable doing them. And that’s why I feel comfortable with both of my children using these different methods. My son uses the medicated eyedrops. And my daughter does the night time Ortho-K lenses. Obviously, if I didn’t feel they were very safe I’d be reluctant to use them with my own kids and I know that lots of doctors around the country and around the world have their own children and in myopia control programs similar to these as well. So let’s talk about the different risks with any contacts. There are certainly risks especially if you don’t use proper hygiene, if you don’t care for them properly. If you use them in a way that you shouldn’t be then you increase those risks. Fortunately all of the scientific studies that have shown that with the Ortho-k lenses for night time don’t have any additional risk compared to traditional contact lens wear. And so that that helps us educate patients properly now. The very first question that people ask me is often, well I was told that I shouldn’t sleep in my contacts because it’s not healthy. So why is it healthy to sleep in these contacts. That’s a great question because it’s true that you shouldn’t sleep in your daytime contacts because one- they’re often not intended for that two- if you’re sleeping in them in the nighttime and then wearing them in the daytime then you’re wearing them for a full 24 or multiple cycles. And that can create problems because the lenses never get cleaned with Ortho-k. One, they are super breathable materials. Two, they’re designed specifically to be worn at night and three they’re only worn for about eight hours at night and then they’re being cleaned and stored the rest of the time. Furthermore the Ortho-k lenses rarely or never leave the house. It’s not like the contact lenses that you wear where you get pollen in them you, get dust in them. If you are out and about your eyes can get sweaty you can get sunblock on them if they goes in your eyes etc. Whereas Ortho-k you put them in before you go to bed you take them out in the morning and they’re clean and so the lenses stay very, very clean and we’re very, very clear about the proper method for keeping the lenses clean. Once we have the proper care method established then the risks go way,way down. It is possible in the short term, if the patient doesn’t have good insertion technique for putting the lenses in to lightly scratch or abrade their eye but that’s very, very rare and when it does happen it’s mild and it resolves right away. Now fortunately, we’ve never had any infection for any of our patients and that is incredibly rare with proper care. That’s the same for our for our soft contact lens patients soft contact lenses are healthier than ever before and the risk of infection is is very, very low. I will add here and I always tell patients all the time, that you should never use tap water or you should never clean your lenses with anything other than solutions that have been provided. You shouldn’t shower or swim or go on lakes or hot tubs with your contact lenses on because that can introduce contaminants or bacteria or amoebas that can cause a severe infection. So I was always educating about that.

Dr. Nate [00:14:48] Regarding the atropine, there are known side effects like I mentioned about sensitivity to light and focusing, but by using the lower concentration those are dramatically reduced. Other than that, the only real side effect that can happen with patients sometimes is if the drops come with a certain preservative and the patients are sensitive to that preservative it can cause an allergic like reaction where the eyes get red and irritated. Many of our patients use non preserved drops and that’s not an issue we haven’t found that to be a common problem. But it’s theoretically possible and some patients you it’s hard to know whether they’re they respond to preservatives or not. In the long term, for long term use- atropine has been used for for many years without any problems or side effects.

Esther [00:15:49] We do go through a couple of compounding pharmacies.

Dr. Nate [00:15:53] Yeah, we do have some options and that’s actually an important point. So if you get the high concentration atropine which we don’t use very often except in the very most stubbornly progressive cases, you can get that at almost any pharmacy because that’s the standard formulation that is used to treat eye disease. The lower concentration is only available through compounding pharmacies and we have a variety of options that we can we can help patients acquire that.

Esther [00:16:25] Have you got at all questions about if it’ll affect someone’s eligibility for LASIK in their future or the glaucoma?

Dr. Nate [00:16:33] Yeah and that’s actually a very common question and it’s a great question because sometimes patients are concerned well maybe this reshaping with Ortho-k reshaping of the cornea will adversely affect them for their chances for Lasik and I say you know exactly the opposite. The goal of Ortho-k is to keep the eyes the prescription is stable enough over the long term so that they remain eligible for for LASIK or refractive surgery. What typically happens is people will do Ortho-k starting when they’re when they’re younger maybe you know 10 or 12 years old and they’ll keep doing it until they’re an adult they might stop at 18 or I had a patient just the other day was 12 and she’s now 30 and she’s been doing it continuously. But if she or other patients wanted to stop as an adult they could wait until their eyes go back to their natural shape and once that’s stable and it’s confirmed to be stable with repeated curvature measurements then they are eligible for LASIK just like any other patient will be.

Esther [00:17:44] How about the glaucoma question?

Dr. Nate [00:17:47] So the glaucoma question is interesting because people worry about glaucoma for this reason- they think the Ortho-k lenses press on the eye to reshape the lenses. And if they’re pressing on the eye then that’s going to increase the pressure inside the eye and if you increase the pressure inside the eye that’s going to increase the risk of optic nerve damage called glaucoma. Now the reason why it is not a risk for glaucoma is because Ortho-k lenses don’t actually work by pressing on the eye what they do is they they are kind of a rigid surface that goes over the cornea and then over time the cornea conforms to that lens it- actually kind of expands outwards to meet the shape of the lens so instead of pressing on the eye, the cornea actually reshapes itself or expands to meet the lens. So there’s no reason to think that the pressure inside the eyes increases when we do Ortho-k and therefore there’s no added risk for it for glaucoma. Again kind of like LASIK, nearsightedness itself is a risk factor for glaucoma if you have very high myopia in nearsightedness you have increased risk for for glaucoma. So it may be that doing Ortho-k might actually help reduce the risk long term of glaucoma.

Esther [00:19:25] That’s great information. Thank you. I would say those are the top questions and the last question that I always get at the very end is if these methods are FDA approved?

Dr. Nate [00:19:38] Right. And so here’s the thing about FDA approval all of these methods are FDA approved for a variety of conditions and treatments but not specifically for reducing the progression of myopia. So we’re very clear when we talk to parents and we have it in writing and we explain that while all of these treatments are scientifically valid and there is many studies that talk about the the benefits that the FDA itself has not gotten around to evaluating yet and stating that these methods are specifically approved for the reduction in the progression of nearsightedness. Many other countries have, and there’s lots of scientific evidence to show that it is, but no the FDA hasn’t. Now, all of these things like the atropine eyedrops are approved for treating many, many kinds of conditions including Amblyopia,which is something that we see in the office a lot. A multi-focal contacts are certainly approved for lots of conditions. Specifically, presbyopia for older adults who need to see up close. Ortho-k, the nighttime contacts is approved for treatment of nearsightedness so that people can see clearly throughout the day, but they haven’t gone that extra step yet in approving it specifically for the reduction in the risk of progression. So that’s something that we think it’s important that people understand it doesn’t mean that we shouldn’t do it, but it is in the state of approval right now.

Dr. Nate [00:21:29] Well, hopefully this has been helpful for people who are interested in learning more about myopia control in the future we hope to have some more episodes detailing how each of these methods work. I think it would be kind of fun to have my kids on and they can talk about their experience. That would be that would be interesting to hear it from their own mouth. And we have lots of other topics in mind if you have any suggestions I have topics that you’d like to hear in the future, please let us know. I’d like to thank Esther for joining us and talking to us today. And is there anything else you wanna say before we go now?

Esther [00:22:16] Thanks for having me and to all those listening to this podcast. If there’s any questions if you want to schedule a myopia consultation with Dr. Nate just ask for myself Esther and be more than happy to answer any questions that I can and get you on our schedule right.

Dr. Nate [00:22:34] And if you want to you can call us at 1-813-792-0637. Or you can e-mail the office at office@BrightEyesTampa.com. Until next time,stay dry.

Outro: [00:22:46] 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 noncommercial use. The only purpose of this podcast is to educate and to inform. There’s 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 a medical or other professional advice or services. Please consult your physician for diagnosis treatment.

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

MYOPIA AWARENESS WEEK!

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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?

 

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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 office@brighteyestampa.com.

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 office@BrightEyesTampa.com.


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 BrightEyesTampa.com. 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 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 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.

Brig ht Eyes Family Vision Caregrand Opening photo

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 Doc@BrightEyesTampa.com 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 office@BrightEyesTampa.com.

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 BrightEyesTampa.com 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 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.

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.

 

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