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Dr. Beth’s Screen Time Tips

Between Virtual School, Facetime with family and friends, and (yes) the occasional video game, screen time is off the charts right now in our house. Maybe yours, too. To help, Dr. Beth made this 1-minute video to remind people about visual hygiene, a fancy word that means “keeping your eyes from getting tired.”

Dr. Beth’s top 4 recommendations for comfortable screen time.

  • Remember the 20/20/20 Rule. Every 20 minutes look 20 feet away for 20 seconds to relax the eyes.
  • Smaller screens cause more eyestrain than larger screens, so use the TV instead of phones or tablets when you can.
  • Remember Elbow Distance, the distance from our first to the elbow.
  • Use reading or close work glasses if they have been prescribed for you.

If you have any questions, let us know. If you or your children have symptoms such as blurry vision, headaches, or double vision, definitely let us know.

-Dr. Nate

 

 

Bright Eyes Coronavirus Clinical Update

Our patients’ health and safety is our number one concern. The CDC has recommended that all patients “postpone routine dental and eyecare visits“. Everyone is rightfully concerned about health and safety during the COVID-19 pandemic.

  • We are available by appointment only for urgent and emergency eye care at both offices.

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At Bright Eyes, we take the health and safety of our staff and patients very seriously, so we are taking action. Even though we are closed for routine care, we will continue to see urgent care patients as needed. Please call/text 813-792-0792 or email office@brighteyestampa.com.

Don’t come in sick! If you or a family member has any symptoms of illness, please call our office and we will gladly reschedule your appointment for a future date. If a patient comes into the office sick, we will ask them to leave and reschedule.

  • Fever
  • Cough
  • Shortness of Breath

Handwashing: Every person who comes into the office must wash their hands, and everyone trying on glasses must sanitize their hands thoroughly prior to handling any frames. Our staff we wash hands even more frequently during this time.

Disinfection: We always sanitize equipment prior to use and we are implementing even more frequent cleaning throughout the office, including doorknobs, hard surfaces and eyeglass frames. We have also removed non-essential shared items such as magazines and Legos.

If you have any questions or concerns, please reach out to us! We will remain vigilant, constantly monitoring the CDC’s standards, as well as city and state government advisories, and will openly communicate with you as the situation progresses.

We care about our patients and staff, and will continue to work hard to keep everyone safe and healthy! Thank you for trusting us with your family’s vision!

We hope to reopen to business as usual soon!

– Dr. Nate, Dr. Beth and the Bright Eyes Family

Order contacts through Bright Eyes NEW Contact Lens Webstore!

BE BlogPostGraphic

At Bright Eyes, we take the health and safety of our staff and patients very seriously. Nationwide, people are practicing social distancing and enhanced hygiene to avoid the coronavirus.

While we are not usually crowded at Bright Eyes, we are adjusting the flow of patients overall – to continue to offer services, while keeping patient-to-patient contact to a minimum.

Want to order contacts, but don’t want to travel to the office?

Check out Bright Eyes’ new contact lens webstore: https://brighteyes.myclstore.com/

Enter your prescription yourself, or call the office and we will enter your prescription into the system.

We already offer competitive pricing, compared with major online retailers. Through April 30, we are adding special promos on all contact lens orders:

  • Extra 10% off our already competitive pricing (in-office or online)
  • If you buy an annual supply of contacts, you are eligible for an extra 10% off – meaning 20% off your contact lens order! (Please call or email our office to receive this extra discount!)
  • Free shipping for any number of boxes.

 

Many people don’t realize that Bright Eyes is a family-owned business, not a chain optical! Support your local business while enjoying the convenience of shopping online!

Thank you for your business! If there is anything we can do to help, just let us know.

 

-Dr. Nate and the Bright Eyes Staff

 

 

 

Can Neuro-Optometric Rehabilitation Help Stroke Patients With Vision Problems?

senior woman with middle aged womanIf a loved one recently suffered a stroke and is still struggling with the after-effects, you will want to do everything in your power to help them quickly recover. Unfortunately, it can be painstaking to find the right treatment for their specific needs.

The first thing to keep in mind is this: a single treatment is not going to cure everything. Instead, combining a set of complementary therapies promises optimal results. Read on to find out how neuro-optometric rehabilitation plays an important role in the recovery process from a stroke.

How Does a Stroke Affect Vision

A stroke occurs when the blood flow to the brain (or a section of it) is interrupted. In other types of strokes, a blood vessel in the brain bursts causing major damage in the area. Depending on where in the brain the stroke occurs, it affects different body functions.

Because visual information is processed through the visual cortex of the brain, any brain damage may also affect vision-related processes and quality of vision. Such visual defects are not always obvious and frequently overlooked in initial evaluations following a stroke.

Try to help the stroke victim identify any of the following symptoms:

  • Blurred vision (even over short periods)
  • Sensitivity to light (photophobia)
  • Reduction or loss of visual field
  • Headaches when engaged in visual tasks
  • Reading difficulty
  • Difficulties with eye movements

If any of these symptoms are present, a thorough assessment by a neuro-optometrist is needed.

Why Consult a Neuro-Optometrist?

A regular eye exam by an optometrist checks for eye diseases and visual acuity. A functional eye exam by a neuro-optometrist takes a completely different approach. The goal is to identify neurological vision-related issues and address the types of vision loss caused by a stroke.

About one-third of post-stroke patients experience one or more of these conditions:

  • Loss of visual field – Part of the person’s visual field disappears. In many cases, they will see only the right or the left half of it.
  • Lack of control over eye movements – When the eye nerves are damaged, the eyes may not move as desired or move involuntarily, causing eye turn (strabismus), double vision (diplopia), or other similar issues.
  • Constant, unsteady eye movement (nystagmus) – A continuous fidgety jiggle of the eye, which can move up and down, sideways or in a circle.
  • Visual neglect – When the person is not aware of or does not respond to something he/she sees. There is nothing wrong with the eyes themselves, but the brain does not interpret the images it receives.
  • Agnosia – Often people have trouble recognizing familiar objects and even faces. The cause is similar to visual neglect.

It is easy to see how these affect the overall behavior of a person. At the same time, many may mistake their lack of orientation, bumping into things and/or ignoring people for a problem unrelated to vision.

senior woman eye exam 640Choosing the Right Neuro-Optometrist for a Stroke Patient

An exam by qualified professionals will provide clarity into the situation, so make sure to choose an optometry practice that includes a neuro optometrist with extensive training and experience in neuro-optometric rehabilitation such as Bright Eyes Family Vision Care's Vision Therapy Center.

The therapy may include prism lenses to shift images into the visual field or join the images in case of double vision. Exercises to train the brain to manage vision and compensate for vision loss are also part of the therapy.

Your loved one deserves optimal healing, and to ensure this, rehabilitative vision therapy should be part of the overall treatment plan. If he or she is already undergoing physical or occupational therapy, consider adding neuro-optometric rehabilitation for a more holistic approach and better results.

How Successful Is Neuro-Optometric Rehabilitation Therapy?

Vision therapy will help improve the condition of your family member or friend. The speed and extent at which the patient will recover depend on the severity of the condition. Having said that, keep in mind each person is unique and reacts differently to the same treatment.

Neuro-optometric rehabilitation therapy is not a cure, but it will enhance visual skills and quality of life for the person you care for.

When vision is dysfunctional, so is everything else. Getting one’s vision back on track can greatly enhance daily function and quality of life. Help your loved one get his/her life back, contact Bright Eyes Family Vision Care's Vision Therapy Center today.

Serving patients in Tampa, Westchase, Town 'N' Country, University, and throughout Florida.

Resources:

https://noravisionrehab.org/patients-caregivers/about-brain-injuries-vision/stroke-and-vision

https://www.stroke.org/en/about-stroke/effects-of-stroke/physical-effects-of-stroke/physical-impact/visual-disturbances

https://noravisionrehab.org/patients-caregivers/conditions-treated-by-neuro-optometric-rehabilitation

https://noravisionrehab.org/patients-caregivers/what-is-neuro-optometric-rehabilitation

https://strokefoundation.org.au/About-Stroke/Help-after-stroke/Stroke-resources-and-fact-sheets/Vision-loss-after-stroke-fact-sheet

Dr. Nate Talks about Screen Size on Bay News 9

BN9

 

The end of the year is gift-giving time and for many children, that means digital devices and video games. Roy de Jesus of Bay News 9 reached out to Dr. Nate to talk about how the size of the screen matters.

Many people are have learned that more screen time at younger ages is not best. Man parents are familiar with the recent World Health Organization’s screen time recommendations for chidlren. Here are WHO’s screen time recommendations by age:

  • Infant (less than 1 year of age): Screen time is not recommended.
  • 1-2 years of age: No screen time for a 1-year-old. No more than an hour for 2-year-olds, with less time preferred.
  • 3 to 4 years old: No more than one hour.

But not everyone realizes that the size of the screen matters, too. It is not just whether kids can see the device but how harder their eyes have to work to be able to see it. Basically, the smaller the screen the more the eyes have to work.

Here is what happens:

  • Kids want to see more detail on the small screen.
  • They hold the device closer than they would normally hold a book or a larger screen.
  • The closer the eyes have to focus, the harder the eyes have to work to make the screen clear
  • The eyes have to turn inward to keep the screen from becoming double.
  • This extra effort can cause eyestrain.
  • In the short team, this discomfort may lead to unwanted behavior or frustration.
  • Long term, this can contribute to myopia or other vision problems.

Fortunately, you do not need to throw out the new devices. Here are some things you can do:

  • As parents, role model proper device use yourself
  • Participate in screen time with your children and observer their behavior.
  • Enforce regular screen breaks with outside time.
  • Educate kids on Harmon Distance AKA Elbow Distance and enforce it.

If children complain of persistent symptoms such a burning eyes, blurry vision, double vision, and symptoms such as headaches, it is important that a thorough eye exam is done to look for underlying eye and vision problems. Both Dr. Nate and Dr. Beth are residency-trained in children’s vision. You can request an appointment or call (813)-792-0637.

 

 

 

 

 

 

 

 

So Thankful!

 

Thanksgiving

Like many families, ours has a tradition of taking time each Thanksgiving of taking time to be appreciative of the many blessings in our lives. For many years our family has gathered in the living room and took turns listing people, organizations, and other things that we are thankful until we reached 100.

While I will not fill this blog with 100 entries, I do want to make a short list of just a few of the many things I am thankul for (in no particualr order):

  • Our Patients – Every day it is such an honor to provide care for you and your family. It is a responsibility that we deeply appreciate. Thank you.
  • Local Professionals – We are thanskful for every doctor, therapist, teacher, or other professional who puts their trust in us when they refer for specailized services such as vision therapy, myopia management, or sports vision. It means the world to us!
  • Bright Eyes Staff – We have grown from a staff of four people to almost 20 and they are such hardworking, pleasant, dedicated people. We would not be able to provide the care we can without them.
  • Cristina – To single one staff member out, Cristina is the office manager and the unsung hero of Bright Eyes. While the doctors get the credit and everyone knows the smiling faces at the front desk, Cristina works day and night to keep Bright Eyes running smoothly.
  • Dr. Beth – Likewise Dr. Beth routinely goes above and beyond to empower both patients and staff. She is smart and creative and helps make everyone around her a better person.
  • Neighborhoods – We are so lucky to have diverse neighborhoods like Westchase and New Tampa to call home and wonderful business neighbors to interact with.
  • People who work with their hands – This year we undertook a major construction project that involved concrete, electrical, plumbing, carpentry, glasswork, and the knowhow to turn all of this into the new Bright Eyes! We are thankful for their very hard and dedicated work.
  • Professional help – Although we all work very hard, the staff and I cannot do it all. We rely on consutlants and other experts to help us run the business properly. We thankful for their advice and expertise.
  • Scientists and Researchers – Every year Dr. Beth and I improve and advance our recommendations and we make these decisions based on new research and publications in scientific journals. Without them we’d either be stuck in a rut or have to make recommendations just by guesswork. Neither would be ideal.

I hope every one of you has a wonderful holiday season with your friends and families and are able to take time to tell special people that you appreciate them.

Thank you!

-Dr. Nate

(PS – I’ve gotten a lot mileage out of that Lego Thanksgiving creation. I should make a new one next year.)

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.

 

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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.

 

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