Increasing Nearsightedness During This Pandemic

The Pandemic and Nearsightedness

During this pandemic, albeit less people are coming out for their annual vision check-up; we have been seeing kids with eye grade of -0.50D 2 years ago, to a -3.00 D now. To put things in perspective, that is 10 steps increase in 2 years. The average increase per year is usually 1 to 2 steps.  A study conducted by researchers from the Hong Kong School of Ophthalmology linked the COVID-19 pandemic to an increase in myopia among young children.1 During the pandemic, the prevalence of myopia was almost 26 percent. It was more than 3 times higher than the pre-pandemic rate.

The pandemic has forced everyone to be in a bubble, with the eyes receiving a lot of toll from constant near work.  Being in the 4 walls of the house prevents a lot of children and teens to have the recommended 90mins daily outdoor activity that was supposed to help in preventing eye elongation which translates to increasing in nearsightedness. Zhang et al. study showed that during the pandemic, there was a decrease in outdoor time spent and an increased to screen time from 2 -4 hours  to a 6- 10 hours. 1

What are the Risk of Having Progressive Nearsightedness

In fact, a lot of these kids do not notice their eyes are becoming blurry, mainly because many gen z’s and generation alpha do not watch television anymore. All resort to their digital gadgets for entertainment and so there is typically less opportunity for them to look far. So what does it mean if the grade keeps on increasing? An additional -1.00 D or 4 steps increase in nearsightedness has a 40% increased risk of myopic maculopathy in the person’s lifetime. 2

 

Nearsighted Control in Kids Can Be Done

This is the best time to consider doing nearsighted control. It may not be possible to stop nearsighted increase, but we can surely slow down the progression of their eye grade. Methods we used to control nearsightedness are special design contact lenses such as orthokeratology, multifocal contact lenses, special designed glasses. Discussions were done in our previous blog Myopia or Nearsighted Control

 

How to Know If My Child Is At Risk of Nearsighted Progression

Know the risk of your kid’s to nearsighted progression in My Kids Vision.

 

References:

 

  1. Zhang X, Cheung SSL, Chan HN, et al. Myopia incidence and lifestyle changes among school children during the COVID-19 pandemic: a population-based prospective study. Br J Ophthalmol. 2021 Aug 2:bjophthalmol-2021-319307. doi:10.1136/bjophthalmol-2021-319307.
  2. Bullimore, Mark A. MCOptom, PhD, FAAO1*; Brennan, Noel A. MScOptom, PhD, FAAO2 Myopia Control: Why Each Diopter Matters, Optometry and Vision Science: June 2019 – Volume 96 – Issue 6 – p 463-465

    This pandemic has caused a lot of kids to have increasing eye grade

Know the risk of your kid’s to nearsighted progression in My Kids Vision.

 

 

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What is Keratoconus?

KERATOCONUS 

WHAT IS KERATOCONUS?

 According to the American Optometric Association, KERATOCONUS is a condition that occurs when the normally round cornea (outer, transparent part of the eye) becomes thin and cone-shaped.  This irregularity prevents the light entering the eye from being focused correctly on the retina which then causes distortion and blurring of vision.

Growing up, parents would notice that there was a need to change the prescription of their child more frequently.  It seemed that the prescription was always taken incorrectly, and your child’s astigmatism and nearsightedness got higher with each vision examination. Then eventually, the prescription was not enough to provide the patient with the usual coveted 20/20 perfect vision with their glasses or conventional contact lenses.  And it is because a person with keratoconus would usually not achieve the 20/20 vision, many would mistake the condition as a simple amblyopia or lazy eyes. A keratoconic cornea becomes irregular thus the astigmatism created is also irregular, causing conventional glasses or contact lenses to be unsuitable for correction.

How many people have keratoconus?

Originally, keratoconus was deemed rare, having an incidence of 1:2000 during a published study in 1986. However, recently, a study involving the population in the Netherlands resulted in a prevalence of  1:375 of keratoconus in the general population.  Over the years, we have seen a greater amount of keratoconus referrals and realized that indeed this condition is not at all rare, with a pool of patients being detected during the screening for refractive surgery consults.

How keratoconus can be managed?

Corneal Collagen Cross Linking

Usually, the protocol in managing keratoconus patients would include a discussion about corneal collagen cross-linking that aims in controlling the worsening of the disease. If there is an indication that the keratoconus of the patient is progressing, collagen cross-linking may be performed. In collagen cross-linking, riboflavin (vitamin B2) is administered in conjunction with ultraviolet A which leads to biomechanical stiffening of the cornea.   It was shown that this procedure flattens the cornea by about 2 Diopters and may improve vision to about 2 lines or 10 letters.  Some patients would delay this procedure, but note that there is a minimum cut-off corneal thickness for the surgeon to still allow to do the procedure for safety purposes.

Intrastromal Corneal Ring Segments

These are small, crescent-shaped plastic rings that are placed in the deep, peripheral corneal stroma in order to flatten the cornea. They are made of polymethylmethacrylate (PMMA).   This too may flatten the cornea to about 2 Diopters, and may improve uncorrected vision to about 2 – 4 lines as noted in different studies. This is not a must in the keratoconus management, however, it may be indicated if contact lenses cannot be fitted due to the very steep cornea.

Corneal Transplants

In the worst cases, corneal transplantations are considered. Only about 10-28% of keratoconus patients would need corneal transplantation to improve their vision.   Corneal transplant is only indicated if vision cannot be improved anymore with contact lenses and if lenses are intolerable already.  The average long-term graft survival is nearly 20 years.  This means that a young patient can have more than one corneal transplant in a lifetime. Vision with correction will definitely be improved however note that uncorrected, patient may still have astigmatism. If your keratoconus was severe before the transplantation, it is possible for you to see a dramatic change in your uncorrected vision. Some patients may be happy with their uncorrected vision post the transplant, but most would still need contact lenses to achieve good vision.

Special Designed Contact Lenses

RGP for Keratoconus

In general, to attain good vision, specially designed contact lenses would still be needed after the collagen cross-linking, intrastromal ring implantation and corneal transplant.  This is why, before considering corneal transplants, all contact lens options should be exhausted to see if vision can still be satisfactory with them.    Most often than not, one can achieve good vision with contact lenses.  Attaining a 20/20 vision is not impossible but it is also not the default. It all depends on the severity of the condition and if the cornea does not have scars. 

What are the different types of contact lenses for keratoconus?

Scleral Contact Lenses

Special contact lenses include small GP (gas permeable) lenses, large GP lenses (scleral lens), soft customized contact lenses and hybrid contact lenses.  Small gas permeable lenses, hybrid contact lenses and Keraosft IC soft customized contact lenses are indicated for mild to moderate cases, while scleral contact lenses are often used for patients who cannot tolerate small gas permeable lenses and for all stages of keratoconus.

Here is the link  https://goldheartoptical.com/scleral-lens-and-kerasoft-ic-fitting/ to know more about the different types of contact lenses for keratoconus and to get a copy of the FAQs on Keratoconus.

 

References:  

  1. Javadi M. A., Motlagh B. F., Jafarinasab M. R., et al. Outcomes of penetrating keratoplasty in keratoconus. Cornea. 2005;24(8):941–946. doi: 10.1097/01.ico.0000159730.45177.cd.
  2.    Sykakis E et al.Corneal Collagen Cross-linking for treating keratoconus.  Cochrane Database Syst Rev. 2015 Mar 24;93): CD010621.
  1. Wollensak G, Spoerl E, Seiler T. Stress-strain measurements of human and porcine corneas after riboflavin-ultraviolet-A induced cross-linking.Journal of Cataract and Refractive Surgery.  2003;29(9):1780-1785.
  1. Zadnik K, Money S, Lindsley K.Intrastromal corneal ring segments for treating keratoconus. Cochrane Database Sys Rev. 2019 May 14.
  1. Kelly T, Williams KA, Coster DJ, Australian Corneal Graft Registry. Corneal Transplantation for Keratoconus: A Registry Study. Arch Ophthalmol.2011;129(6):691–697. doi:10.1001/archophthalmol.2011.7
  1.  Kennedy RH, Bourne WM, Dyer JA, 1986. A 48-year clinical and epidemiologic study of keratoconus. Am. J. Ophthalmol101, 267–273.
  1. Godefrooij DA et al.Age-specific Incidence and Prevalence of Keratoconus:  A Nationwide Registration Study. Am J Ophthalmol. 2017 Mar; 175:169-172.
  1. Grentzelos MA, Kounis GA, Diakonis VF, Siganos CS, Tsilimbaris MK, Pallikaris IG, Kymionis GD, 2017. Combined transepithelial phototherapeutic keratectomy and conventional photorefractive keratectomy followed simultaneously by corneal crosslinking for keratoconus: cretan protocol plus. J. Cataract Refract. Surg43, 1257–1262

 

About the Doctor:

Dr. Millette Romualdez is a Fellow of the American Academy of Optometry, Scleral Lens Society, Philippine College of Optometry and International Association of Contact Lens Educators. She has also received a Certification of Advanced Contact Lenses from the Australian College of Optometry.

To book an appointment for a doctor that fits keratoconus contact lenses such as scleral contact lenses, GP lenses and Kerasoft IC , contact us via 09215452389 or docmillette@goldheartoptical.com.

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Myopia or Nearsighted Control

Myopia Control Clinic

What is myopia or nearsightedness?
This is where you see blurry at far, but clear at near. It is usually due to a longer eyeball length.

The environment plays a significant role for one to develop myopia. The risk becomes higher when 1 or 2 of the parents have myopia. In the old days, when your child’s grade increases, regular glasses or contact lenses were given. However, these were not beneficial in stabilizing the eye grade.

Why do we need to control nearsightedness?
Vision threatening conditions such as retinal degeneration, glaucoma, cataract, and retinal detachment can develop due to nearsightedness. That is why every 1 Diopter (grade of 100) counts. Every 1 Diopter reduction of nearsightedness can reduce the risk of myopia maculopathy by 40%, primary open-angle glaucoma by 20%, and retinal detachment by 30%.

At Gold Heart Optical, we use different ways of controlling the nearsightedness of patients:

Option 1. Soft Bifocal /Progressive Contact Lenses. These contact lenses were initially designed to help people with presbyopia (loss of ability to see at near when they get to above 40 years of age) to see objects clearly at distance and near. Studies show that this has up to 50% efficacy in controlling nearsightedness.

Option 2. Soft Daytime Ortho-K Contact Lenses. These soft contact lenses mimic the design of overnight orthokeratology. There is a change in the prescription towards the edge of the lens, which allows the light to enter the eye to focus on the correct areas, enabling the nearsightedness to be more stable.

Option 3. Overnight Ortho-K Contact Lenses. These contact lenses are worn while sleeping to reshape the cornea (the transparent part of the front of the eye). Patients can see clearly during the day without contact lenses. Research suggests that these contact lenses optically alter the eye in a way that slows nearsightedness progression. In our clinic, we fit this for patients younger than 18 years old. For older patients, we recommend using option 1 or 2. Effectivity of this system is up to 50%.

Option 4. Specially Designed Eyeglass Lenses. Not all patients will have good results with them. But this option is better than conventional single vision glasses. A particular group of patients may have good results with them.

When should we stop nearsighted control?
It was previously mentioned that nearsightedness stops progressing when the patient gets to 17 -18 years of age. However, we continuously see young adults with increasing eye grade. In this population,

A thorough evaluation is needed for us to recommend the best option for your child.

Book your appointment with us at 09215452389 or goldheartoptical@gmail.com.

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Keratoconus In Teens and Kids

Keratoconus in kids or teens? What to do?

Hearing the words that your child has keratoconus can be daunting. What does it mean? Will this affect his future? Keratoconus is a progressive corneal thinning condition, making the outer transparent part of the eye look like a cone. The instability of the corneal structure in susceptible patients may lead to the worsening of keratoconus. Keratoconus is usually diagnosed in the 2nd decade of life, but we have also seen an increased number of patients referred to us who are still in their teens. The youngest keratoconus patient recorded in publications was a 4-year-old boy.

When we have kids in our chair, we discuss cross-linking, which stabilizes the keratoconus progression; and contact lenses for vision rehabilitation. We also discuss issues of eye itchiness. An important thing to consider too is to stop your child from eye rubbing. Eye rubbing is associated with keratoconus and its progression. Manage the reason why he rubs his eyes. Is it an allergy? Could it be his hair is irritating his eyes? Is it eyelashes poking his eyes? Is it mannerism? In kids, the advancement of the condition is more aggressive than adults, so we extensively advise controlling the situation and then contact lens wear. Without cross-linking, the rate of the changing of contact lenses will be higher, as the increased curving (steepening) of the cornea will need an alteration of the contact lens fitting.  

Our clinic’s youngest was 9 years old. An ophthalmologist referred him to us for contact lens fitting. His cone was so steep that we cannot fit him with a GP (gas permeable lens) anymore as the lenses pop out. Since he was still young, and the goal is to delay corneal transplant for as long as possible, we fitted him with scleral contact lenses. The scleral lenses allowed him to see well for far and near, which significantly helped his studies. If you think that 9-year-old is too young to wear contact lenses, not really, kids follow instructions well. The safety of contact lens wear is similar to adults, if not better. 

Contact lenses for keratoconus patients can improve their self-esteem. Some keratoconus patients feel down due to their blurred vision, so we encourage parents to explore contact lenses for them to wear. These will help your child reach his potential. 

There are several contact lens options for keratoconus patients; visit our clinic for an evaluation to know which one will work best for you. We will be with you on this journey.

You can reach us via the following:

https://goldheartoptical.com/

https://www.facebook.com/GoldHeartOptical

Email: goldheartoptical@gmail.com

Mobile: 09215452389

Reference:

  1. Kankariya VP, Kymionis GD, Diakonis VF, Yoo SH. Management of pediatric keratoconus – evolving role of corneal collagen cross-linking: an update. Indian J Ophthalmol. 2013;61(8):435-440. doi:10.4103/0301-4738.116070
  2. Sabti S, Tappeiner C, Frueh BE. Corneal Cross-Linking in a 4-Year-Old Child With Keratoconus and Down Syndrome. Cornea. 2015 Sep;34(9):1157-60. doi: 10.1097/ICO.0000000000000491. PMID: 26165788.
  3. Walline JJ, Lorenz KO, Nichols JJ. Long-term contact lens wear of children and teens. Eye Contact Lens. 2013 Jul;39(4):283-9. doi: 10.1097/ICL.0b013e318296792c. PMID: 23771010.
  4. Wu Y, Tan Q, Zhang W, Wang J, Yang B, Ma W, Wang X, Liu L. Rigid gas-permeable contact lens-related life quality in keratoconic patients with different grades of severity. Clin Exp Optom. 2015 Mar;98(2):150-4. doi: 10.1111/cxo.12237. Epub 2014 Dec 29. PMID: 25557946.
  5. Picot C, Gauthier AS, Campolmi N, Delbosc B. Qualité de vie des patients équipés en verres scléraux [Quality of life in patients wearing scleral lenses]. J Fr Ophtalmol. 2015 Sep;38(7):615-9. French. doi: 10.1016/j.jfo.2014.10.018. Epub 2015 May 20. PMID: 26001955.

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Anxiety and Depression Are Linked with Dry Eyes

What is the relationship between mental health and dry eyes?

The COVID-19 pandemic has resurfaced hidden anxiety and depression. As the days come and the number of cases rises, we wonder when will this end? When will we flatten the curve, when can we go back to our old lives? Losing jobs, separation from family and friends, juggling finances. Not knowing what tomorrow will bring can build up the psychological stress one has to endure.

A study has found that dry eye patients have higher anxiety and depression scores, with more severe dry eyes as the anxiety and depression deepens. Dry eyes can manifest as the feeling of dryness, sandy, burning and stinging of the eye. Vision may also fluctuate over the course of the day. Others may describe some eye pain. Dry eyes can be debilitating in some people affecting them to function well. Factors that may cause this association may be due to medications taken as well as odd hours of sleep. However, another study had newly diagnosed anxiety and depression patients as subjects, and they too, even without starting their medications, also experienced dry eyes. This study looked at the reduced serotonin levels of these patients. This chemical produced by the nerve cells also influence the function of the tear glands. Thus low levels can disrupt proper tear gland functions. Weakened immune-system due to psychological stress can also induce dry eyes.

Now that mental health concerns are on the rise, we may see more dry eyes developing. Having enough sleep, reducing gadget use, avoiding direct fan, and aircon exposure to the face can reduce dry eyes. Your doctor will recommend warm compresses and lid hygiene to improve the health of your meibomian glands and use of eye lubricant to relieve symptoms. Nutraceuticals such as Omega 3’s and flaxseed are also an integral part of dry eye management. In more severe conditions, anti-inflammatory medications and steroids may also be prescribed.

A holistic approach is needed. In fact, another study found that happiness can reduce the dry eye symptoms one can feel.  Medical management can help ease your dry eye symptoms, but most especially,  during this pandemic,  improve your disposition,  pray, meditate, and reconnect with family and friends.  We are all in this together.

References:

1. Wu M, Liu X, Han J, et al. Association between sleep quality, mood status, and ocular surface characteristics in patients with dry eye disease. Cornea. December 31, 2018. [Epub ahead of print].

2. Hyon JY, Yang HK, Han SB. Dry eye symptoms may have association with psychological stress in medical students. Eye Contact Lens. December 21, 2018. (Epub ahead of print].

3. Imada, Toshihiro et al. “Serotonin hormonally regulates lacrimal gland secretory function via the serotonin type 3a receptor.” Scientific reports vol. 7,1 6965. 31 Jul. 2017, doi:10.1038/s41598-017-06022-4

4. Kawashima, Motoko et al. “Associations between subjective happiness and dry eye disease: a new perspective from the Osaka study.” PloS one vol. 10,4 e0123299. 1 Apr. 2015, doi:10.1371/journal.pone.0123299

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Prosthetic Contact Lenses

How Can Prosthetic Contact Lens Help People With Scarred Eyes?

Prosthetic contact lens is a type of cosmetic lens that is opaque or black underneath and is usually fitted in one eye to cover the eye below it. Unlike regular colored lenses that still allow your natural eye color to be seen, prosthetic lenses completely override the eye’s color.

These lenses are used for patients with scarred eyes due to trauma, non-reactive pupils, light-sensitivity complaints, eyes with incomplete or absent iris, non-seeing eye due to hypermature cataracts, corneal infection, glaucoma or retinal detachment.

How to care for your prosthetic contact lens? Similar to caring for a regular contact lens, this lens needs to be cleaned and disinfected with contact lens solutions only.

No water should come in contact with the lens and the lens case. Note that a contact lens cannot be worn when showering or swimming.

There are different designs of prosthetic contact lenses.  Some may cover the whole coloured portion of the eye, others may have a hole in the middle to maximise any remaining vision, while some may opt to cover the central are with a black circle.   These lenses are usually customised, with the goal of matching the color of the natural eye.  We have to remember though that we can only come as close to the natural eye, but at a very close range, the lens may still not perfectly match your good eye.

It is proven that a prosthetic contact lens can improve the self-confidence of the wearer. We have seen kids excelling in their academics and growing in their social skills after wearing the lens. Adults who are wearing prosthetic contact lenses have also become less conscious and see themselves more positively.  A thorough evaluation is needed to design the most suitable design for you.

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Do not hide behind dry eyes

Dry eye condition affects many individuals, whether children or adults.   According to the American Optometric Association, 38% of adults suffer from dry eyes, while a Korean Study found 6.6% of children have the said condition.  What causes dry eyes?  Well we can avoid some of these activities such as prolonged gadget use (computer, mobile phones, e-readers, game players), direct exposure of the face to car or room AC’s and fans.  Older age, women who are pregnant or experiencing menopause, taking medications such as decongestants, antihistamines and antidepressants are just some of the reasons why one gets dry eyes. How will you know if you have dry eyes? A person with dry eyes can feel well…. dry eyes (no pun intended), burning sensation, foreign body sensation such as sandy feeling, possible tearing (this is not the normal basic tears), sometimes difficulty to open the eyes in the morning.  In more severe cases, one may feel glare and blurring of vision.  I guess the question is, how to get rid of dry eyes?  Generally, we can only make it better, but not really get rid of it permanently. You can imagine dry eye as an individual going up the mountain, once you are diligent with the dry eye therapy, you are gaining momentum and going up the mountain slowly but surely.  Now that you feel better and that you are about to reach the mountaintop, you become complacent and start skipping your dry eye regimen, this causes you to roll back down the mountain. Experts in dry eyes released TFOS DEWS II Management and Therapy Report, which discussed the management protocol of dry eyes depending on the severity of the condition.  It ranges from regarding avoiding some environmental factors, dietary modifications, artificial tears, lid hygiene, warm compresses, autologous serums, punctual occlusion, topical antibiotics/steroid use, therapeutic contact lens options, amniotic membrane grafts and oral secretagogues. Also included in the protocol is the use of MOISTURE CHAMBER SPECTACLES/GOGGLES.    These glasses are made to trap moisture which can be beneficial and prevent tear evaporation in dry eye patients.  The difference of moisture chamber spectacle is that a silicon shield or foam is attached to it on the side, thus preventing unwanted air from irritating the eye. Moisture chamber glasses by Ziena and sunglasses 7eye by Panoptx are now available in the Philippines.  To know if you have dry eyes, schedule a dry eye evaluation now.

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孩子近视度数太高怎样控制？ 菲律賓眼科診所配角膜矯視眼鏡片來矯正近視

菲律賓 Gold Heart Optical Centre 眼科診所配角膜矯視眼鏡片來矯正近視方式其中之一

近视是因为眼球过长，导致远距离的景物模糊，而近距离的景物清楚。

我们为何要控制近视呢？为什么不等成年时去作雷射矫视手术？
这是因为一般近视眼度数如果一年比一年升高。 深近视患者患上白内障， 青光眼 和视网膜脱落的风险机率比较高。

近视度数 白内障 青光眼 视网膜脱落
－1.00 至 －3.00 2倍 4倍 4倍
－3.00至 －6.00 3倍 4倍 10倍
超过－6.00 5倍 4倍 16倍

在菲律宾， 我们已经开应始用不同的方法控制近视。 Gold Heart Optical Centre 的专业眼科医生会为你的孩子评估哪一种矫正近視方式会最为适合。

矫正方式有：

菲律賓 Gold Heart Optical Centre 矯正近視

1. 渐进镜片 (progressive lens)
2. 特殊设计的镜片 (myopia control lens)
3. 多交点软性隐形眼镜 (dual focus lens)
4. 角膜矫视眼镜片 (Orthokeratology)

这是一个全新的不需手术的视力矫正方式， 可免除视力不良患者在白天配戴眼镜或隐形镜片。 通过睡眠时配戴特制的矫正性隐形镜片， 而达到改善视力的效果。
这种安全有效的治疗法可以纠正近视，使那些不希望面对手术风险或不准备接受激光矫正手术的人说， 这是一种正面理想的治疗方式。

这种矫正近视的方式需要家长和孩子们的承诺配合。 中国， 香港，日本， 台湾， 美国， 澳洲，西班牙，英國， 等国家， 地区，都已经广为使用。

为什么用普通的眼镜片或者普通的隐形眼镜不能控制近视呢？
普通镜片无法控制眼睛变长， 所以无法避免近视升度。

Gold Heart Optical Centre now offers myopia control to prevent nearsightedness from getting higher each year.  Why is it not recommended  to wait until your child becomes old enough for LASIK?  It is because nearsightedness higher than -3.00 increases the risks of glaucoma, retinal detachments and cataract.

Nearsighted control in the Philippines is evolving.  Prevention is the new standard of care.  Myopia control options include soft bifocal contact lenses, soft orthokeratology lenses, overnight orthokeratology lenses, progressive lenses and Myopilux eyeglass lenses.  Gold Heart Optical is one of the clinics in the Philippines that offer orthokeratology lenses.  Visit us to know what is best for your kids.

www.goldheartoptical.com

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Scleral Contact Lens Fitting in the Philippines

Scleral contact lens fitting is available in the Philippines.  It was not available though in the earlier years.  I have come across one foreign keratoconus blog with a Filipino with keratoconus asking where to get scleral lenses in the Philippines.  He seemed desperate, I tried to reach out but the blog was no longer active.  That was where the idea started.  I used to think that small rigid gas permeable lens is  the answer for all corneal irregularities, now I know I am wrong.

As more literatures are coming out, I realised that scleral lenses are invaluable in managing complicated corneas such as keratoconus, post surgical corneas such as in post LASIK and other post refractive surgery complications and corneal transplants.   These lenses act as band-aids with cushions, vaulting the entire injured or compromised area.  And since the lenses are filled with  saline, these are great too for patients with ocular surface diseases such as dry eyes.  The skirt of the scleral lens lands on the least sensitive part of the eye which is the sclera, that is why patients tolerate scleral lenses more than small rigid gas permeable lenses.  As to the cost, it may be more than what conventional rgp’s would cost, but the outstanding vision and comfort that these lenses provide make it all worth it. When we do scleral contact lens fitting, we do series of tests and fittings before finalising the best fit for you.

How long does a scleral contact lens last?  Well, depends on the progression of the condition as well as how well you clean them.  A safe estimation will be  2 years or so.

We welcome inquiries on scleral contact lens fittings.

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Fitovers Polarize Sunglasses Available in the Philippines: Meant to be worn over your eyeglasses

Yep, Fitovers Polarize Sunglasses are available already in the Philippines and so there is no excuse for you to say you cannot wear sunglasses because you have prescription. I saw someone the other day wearing regular sunglasses over his eyeglasses.  I do not know how it worked for him, but the sunglasses kept on dropping, and the eyeglasses with more than half of his eyes were peering out.  And I ask myself, where is sun protection ? No wonder he still squints.  If only I was close enough to talk to him about Fitovers Polarize Sunglasses.    Fitovers Polarize Sunglasses are meant to be worn on top of your eyeglasses. Here are just some of their  advantages:

  1.  These are very helpful for patients who have prescription and do not want to have their lenses made in transitions for economical purposes. So even when they change prescription or change their eyeglasses the next year, they may still use these sunglasses.
  2. Regular transitions lenses do not get dark enough for driving.
  3. Some clip-ons can scratch your eyeglass-frame and lenses.
  4. These are also helpful to cut glare because of the top and side shields, cutting glare from all possible entry points.  Because of this, so many who do not  have prescriptions also enjoy the glare-free feature of Fitovers Polarize Sunglasses.
  5. Fitovers Sunglasses are made with polarized lenses.  Beach lovers, bikers and those who drive love them.

These sunglasses are cool that they sit nicely over your eyeglasses.    It is great for all ages.  Nowadays, one has to be practical in finding the best protection for one’s budget.  Fitovers Polarize Sunglasses come in different sizes and lenses.  Included in this blog is how to know which Fitovers is the best for you.  Protect your eyes from glare and UV rays with Fitovers Polarized Sunglasses!Fitovers Polarized Sunglasses

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