Vision with Pediatric Bifocal Contact Lens Wear

Center-distance soft multifocal contact lenses have been shown to slow the progression of myopia,1-5 but practitioners around the world are concerned about the vision produced by soft multifocal contact lens wear in children. Many doctors place soft multifocal contact lenses with center-distance design on children’s eyes and measure the vision. If the child can only read 20/30 to 20/40, the …

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My patient, my life, their care: the timeless, perpetual thirst for knowledge in the field of eyecare

It is a truth universally acknowledged, that a single person in possession of an intelligent mind, must be attempting to juggle it all in their lives. For you and I, as eyecare practitioners, it means to balance the needs of our patients, our work, our families, and our work/life balance in harmony. In the field of eyecare, in order to …

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A Novel Soft Radial Refractive Gradient (SRRG) contact lens for myopia control

Recently, I completed my PhD on myopia control with a soft Radial Refractive Gradient (RRG) design contact lens. This experimental design was primarily based on the peripheral retinal blur theory, that E. Smith developed,1 providing an incremental, progressive, refractive change from the central visual axis to peripheral retina, reaching a +2.00D add plus power at about 35 degrees of retinal …

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Using Myopia Profile

In this short video, I introduce Myopia Profile, explain how I use it in practice, and describe two typical childhood myopia cases. I routinely use the profile when I am examining a child who is already myopia or is showing risk of developing myopia. By stepping through the different stages I am able to explain to the child, and their …

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SMART study – orthokeratology slows progression of myopia

The recently published outcome from this multi-site USA based study is in agreement with previous studies comparing effect of orthokeratology in slowing progression of myopia in children compared to disposable soft contact lenses. Multi-site study across USA with patients followed for 3 years Children aged 11-14 Emerald lens design vs PureVision OK group progressed by -0.13D over 3 years, and …

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Prescribing adds for accommodation lag

Essential reading to preface the below are my notes on how to measure near lag of accommodation and how to measure accommodative facility. You can also watch how to measure accommodative lag on our Youtube channel. You’ll have already read how assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in …

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Measuring accommodative facility

Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function. There is a reported association between higher levels of esophoria and accommodative lag at near in myopic children and young adults as compared to emmetropes.1-5 Myopic children and young adults …

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Measuring near lag of accommodation

Assessing accommodative function at near is a vital component of understanding the myopia profile of your patient. Myopic progression in children and adults can be influenced by binocular vision function. There is a reported association between higher levels of esophoria and accommodative lag at near in myopic children and young adults as compared to emmetropes.1-5 Myopic children and young adults …

Read MoreMeasuring near lag of accommodation