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Nighttime contact lenses show promise in controlling nearsightedness

There is increasing clinical evidence that orthokeratology is an effective method of reduce myopic progression. The latest study, the SMART (Stabilization of Myopia by Accelerated Reshaping Technique) Trial, a national study led by Chicago researchers Drs. S. Barry Eiden and Robert Davis, adds additional evidence:

“At the end of one year, the test group was absolutely rock solid, no progression (of nearsightedness) at all,” Eiden said. “The control group had two power steps of progression on average.” One power step equals a change of .25 diopters in prescription strength.

If the study’s hypothesis holds up, children with mild nearsightedness could have healthier eyes as adults, with a greater chance of successful LASIK, vision-correcting surgery and less risk of retinal complications later in life, Eiden said.

This is exciting because many parents ask me about methods to reduce or eliminate the development of nearsightedness. This study is far from over, but it appears to be supporting the efficacy of orthokeratology as a means to control myopia.

Bright Eyes is one of the few offices in Tampa and the only in Westchase to offer orthokeratology. If you have any questions about orthokeratology, or whether or not you or your children are candidates, contact the office at 813-792-0637.

Be Well!

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

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A Brief and Wonderful Note From a Patient

The other day when I was beginning the follow-up for a patient who is doing Precise Corneal Reshaping, I was handed a small Thank You card.

This patient is a wonderful 10 year old girl who is very funny. She and her mother were very interested-enough to drive from Pinellas to the Westchase area of Tampa, several times- in PCR because the girl’s prescription in her glasses had been increasing every six months . When she started, we talked about how PCR might be difficult because her prescription was high, but that it would give her the best chance of minimizing an increase in her prescription.

Well, after 1 week of wearing the reshaping lenses, she was seeing almost 20/20 without glasses or contacts. She was able to swim and do other summer activities without worry. She was so excited that she wrote the note below:

thankyou

This is the great thing about being a doctor! Letters like this!

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

enough to drive from Pinellas to the Westchase area of Tampa, several times

Video on Children’s Ortho-k

While people are now learning about Corneal Reshaping, or Orthokeratology, here in the United States, it has been very popular in Asia for quite some time. This is due to the fact that there is a very high prevalence of myopia in many Asian countries and corneal reshaping has been shown to not only temporarily eliminate nearsightedness, but can also reduce its progression.

This 7 minute video was not made in Tampa, but in Asia where ortho-k is very popular, so the girls speak little English. Still, the video demonstrates how well two young girls do with the reshaping lenses. One girl is quite young and gets help from her parents. Another girl is perhaps 8 or 9 years old and shows how well she handles the lenses by herself.

Click here

Be well!

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

“Reshaping the World” in San Diego

While everyone at Bright Eyes is getting ready for the Tiffany and Co. launch party tomorrow, I won’t be able to join in the fun. In fact, I’ll be flying from Tampa to San Diego.

For the next 4 days, I am going to be attending the American Academy of Orthokeratology annual meeting. Orthokeratology is the scientific name for Precise Corneal Reshaping (PCR) and the Academy is the primary organization for doctors that offer corneal reshaping.

I love these meetings because every day is nothing but focused discussion, lecture, and hands-on experience from 7 a.m. until I get too sleepy to stay up any longer. Conferences like this allow me to talk in person with friend and specialists from all over the country and world that I normally only communicate with by email.

The topics at this year are very exciting. There will be several lectures on very recent advances in the science behind PCR and myopia control, which is an issue that is interesting to many. There are also lecture on the science behind the corneal responses to reshaping to make PCR more effective. There will discussions of new techniques and technology that will allow PCR to meet the needs of a wider group of people.

Of course, coming from the Eastern time zone, means that I wake up at 4 a.m., each day, but that is a small price to pay for all this information.

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

Dr. Jo from Fox 13 Covers Ortho-K

Here is a recent health news story on PCR (a.k.a. Orthokeratology) by Tampa’s own Dr. Jo of Fox 13. The brief segment nicely shows the benefits of rehsaping lenses. It features two young patients, one of whom can now play volleyball without glasses or contacts. She also mentions the importance of taking care of your lenses to reduce the risk of infection. Remember, this applies to reshaping lenses as well as all other kinds!

Click here to watch the video.

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

 

Can Precise Corneal Reshaping Treat Farsightedness/Presbyopia ?

qm1I am interested in attending your upcoming informational seminars however, can I assume from reading the above information that an individual that is farsighted and has the beginnings of presbyopia is not going to be a candidate for this type of visual correction.

Thanks and I await your response. – Steve.

Steve, thanks for writing. That is a very, very good question. You are right that we primarily promote PCR for myopia because that is the most straightforward condition to treat with PCR. However, for the right patient, it may be possible to treat either farsightedness or presbyopia with PCR. But that patient would have to understand that the process is more complex, it may take longer, and the results are less likely to be consistent.

However, I would still encourage you to come to one of the seminars or schedule a free PCR screening and we can talk about your specific case in more detail.

Be Well!

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

 

Disclaimer: Nothing in this post shall be considered specific medical advice, nor the establishment of a doctor-patient relationship. This email is intended for general information only. If specific advice is desired to evaluate, diagnose, or treat any condition, an exam with complete medical history is required.

Here Comes Ortho-K!

In 2003 I completed my contact lens externship. It was a chance to see how contact lenses helped a variety of patients in different settings. The majority of these patient encounters were relatively routine in that I was determining the contact lens that provided the patient with clear vision. Some people simply needed a modification of their current contact lens prescription, some were having difficulty with their contacts for astigmatism, and others were experiencing multi-focal contact lenses for the first time.

But there were also some special patients that were trying something that at the time was new and exciting: Precise Corneal Reshaping (ortho-K). Although it goes by many names, including orthokeratology, PCR is the wearing of a reshaping lens (similar to rigid gas permeable contact lens) during sleeping hours to mold the cornea and eliminate the need for daytime glasses and contacts.

When orthokeratology was first created in 1962, it was rather crude and unpredictable. The process was refined over time but it has only been in the last 5 years that we have seen a tremenedous increase in both scientific studies and utilization of PCR. In 2002, Corneal Refractive Therapy ™ (CRT) by Paragon was the first modern system to receive FDA approval. In those days there were very few practitioners doing CRT and I was lucky enough to have this experience early on.

In the last year I have been asked several times if I am still providing this service. Well, after some work and investment in equipment, I am happy to announce that Bright Eyes Family Vision care is now offering PCR for eligible candidates! We are the only eye care office in Westchase and one of the few in Tampa to offer this service.

Who is an eligible candidate? Well, the procedure can correct myopia (nearsightedness) with or without some astigmatism. It is approved for all ages and is reversible, so it can be prescribed for kids and teens as well as adults. Since PCR changes the shape of the cornea, candidates must have healthy eyes and corneas that will respond to the treatment. Through a series of tests, such as computerized corneal topography, I can determine whether or not a patient will be a good candidate. Because not everyone is a candidate, we are offering the PCR Pre-Evaluation at no charge. This also gives patients (and parents) a chance to ask questions before deciding on the procedure.

PCR will be a great vision correction option for active adults – no worries about contacts while swimming, biking, playing sports, etc. It will be great for kids and teens – no worries about breaking glasses or losing contacts, since the reshaping lenses stay at home and are only worn at night.

In time, I will write about some of the latest research about PCR slowing the progression of myopia, but if you have any questions, you can always call the office for a patient information packet. You can also attend one of the seminars that I will be offering on November 8th, and 15th. Call 813-792-0637 for more information.

Dr. Nate

Nathan Bonilla-Warford, OD
Bright Eyes Family Vision Care
Located in the Westchase area of Tampa.

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