Regular eye exams are an invaluable tool in maintaining healthy eyes by detecting and preventing disease. Some diseases develop slowly without causing pain or vision loss. Early detection of any problems can reduce the risk of further harm and allow for a choice of treatment options. Part of your exam includes the following procedures: Slit Lamp Examinations, Dilated Eye Exams, Refraction for Glasses and Contact Lenses and Glaucoma Pressure Testing as well as a series of computerized tests to determine the health of your eyes.
Guarding against vision loss is essential to maintaining your quality of life. That is why we employ the most advanced medical technology to assess your vision and the health of your eyes.
As part of the comprehensive eye exam at Chagrin Valley Optometrists you will be checked for the development of eye diseases that can lead to vision loss. Many eye diseases including glaucoma, macular degeneration, diabetic retinopathy, as well as other conditions affecting the retina, demonstrate few if any overt signs or symptoms until irreparable damage to your eyesight has occurred.
The iWellness Exam utilizes state-of-the-art technology designed to reveal changes in retinal anatomy to identify if you are displaying any early signs of retinal disease or glaucoma. With an iWellness Exam our doctors can obtain detailed views and information about your retinal health that are not available with other current in-office techniques. An iWellness Exam is a quick, non-invasive, and painless scan that utilizes high resolution OCT imaging technology (optical coherence tomography) to visualize and then analyze the structures deep within your eyes. Your iWellness Exam will generate a comprehensive report of the status of your eye health, which will be reviewed with you during your visit.
Detecting diseases that can threaten your eyesight in their earliest stages facilitates the most effective management and care.
As highly skilled eye care professionals, the optometrists at Chagrinvalley are well equipped to handle many types of eye emergencies and stand ready to provide you, as well as any member of your family, with prompt and effective care.
If you have received an injury to your eye, gotten something stuck in your eye, your eye is red or painful, or are experiencing a sudden loss of vision or unusual visual disturbances, it is important that you contact our office right away for care. These are urgent situations that may require immediate attention to prevent more serious consequences, including increased injury, infection, and even vision loss. By utilizing state-of-the-art diagnostic technology and providing expert care, our optometrists at Chagrinvalley will precisely diagnose, treat, and help you to manage your eye care emergency.
Taking your child for a comprehensive eye exam at an early age, and then maintaining the recommended eye care schedule as they are growing up, is the very best way that you can ensure your child’s vision development and make certain that they acquire the visual skills they need to fully participate in all of their activities. According to guidelines established by the American Optometric Association a child should receive an eye exam at the ages of 6 months, 3 years, before kindergarten, and then once every two years. However, in the presence of certain risk factors or diagnosed vision issues, more frequent exams may be recommended. Furthermore, children who are wearing eyeglasses or contact lenses should be checked annually.
At Chagrinvalley Optometrists we are skilled and experienced providers of comprehensive vision care for children and will do our very best to make sure that their eyes are strong and healthy as they grow. Our specialized pediatric eye care services include child friendly and age appropriate exams to check visual acuity, eye tracking, and focusing skills, as well as problems such as nearsightedness, farsightedness, lazy eye (amblyopia), crossed eyes, dyslexia, a color blindness, disease or medical conditions. Depending upon the findings at your child’s eye exam visit, eyeglasses, vision therapy, or additional procedures will be prescribed as needed.
Thanks to the advances in optical technology, almost everyone is a candidate for contact lens use. This includes patients with astigmatism and also those who prefer bifocal or multifocal lenses. We offer a comprehensive array of contact lenses to suit each individual patient's needs. We offer daily disposables, extended wear soft lenses and gas permeable contact lenses.
We do fit specialty contacts for corneal disease such as keratoconus and pellucid marginal degeneration. We also do duette hybid lenses for astigmatism.
Some conditions can not be treated adequately with just glasses, contact lenses, or patching, and are best resolved through vision therapy programs. Visual skills such as; accommodation (focusing), binocular eye coordination (eye teaming and depth perception), and tracking and jump eye movements can be developmentally delayed or disrupted by head/brain trauma. In these cases, vision therapy is implemented to improve visual skills, reduce visual fatigue and stress, and in turn, help to improve work and school performance.
Myopia or nearsightedness is reaching epidemic proportions. In a single generation the incidence of myopia has doubled. What is more startling is that researchers predict the incidence will increase an additional 40% over today’s numbers by the year 2050. Although genetics play a role in myopia development, studies are showing more evidence of behavioral and environmental factors contributing to the increase. The most prominent of them being less outdoor play during a child’s developmental years and more screen time both at play and at school.
While there is no outright cure for myopia, there are now options available to treat it. Instead of giving our children thicker glasses or stronger contacts every year, we are able to slow down or even halt its progression ensuring better vision for life. At the same time, we can reduce their risk for serious eye diseases associated with high myopia such as retinal detachments, early cataracts, and glaucoma. The chart below details these health risks associated with myopic progression.1
1. Flitcroft, D. I. (2012). The complex interactions of retinal, optical and environmental factors in myopia aetiology. Progress in retinal and eye research, 31(6), 622-660.
There are three treatment options currently available which have proven through research to be most effective in myopia control. These are: compounded atropine eyedrops; orthokeratology; and specialized daily soft contact lenses. While the efficacy of each method has proven to be essentially equal, a particular method may be chosen do to the fact it fits best into lifestyle for the child. Methods can be combined if a child still shows myopia progression on a single method.
Atropine drops have been used for many years especially in other countries to slow myopia progression. Atropine works on relaxing the accommodative or focusing mechanism of the eye. There is belief that progression occurs due to “focusing fatigue” from all the sustained near work children are doing. The problem with commercially available full-strength atropine is that it has the undesirable side effects of pupil dilation, as well as too much relaxation of the eye’s ability to focus. These side effects leave children light sensitive along with having difficulties reading without bifocals or reading glasses. This has led researchers to study diluted or compounded atropine. Multiple clinical studies have shown Atropine 0.01% to be as effective in controlling progression as full-strength atropine without giving children the negative side effects. Atropine is relatively easy to adapt into a child’s lifestyle. Typical dosing is one drop in the eyes once per day.
Orthokeratology or ortho-k is a method where a variation of a gas permeable contact is placed on the eye before sleeping. It harnesses the tear film to apply a gentle pressure causing a measured amount of flattening to the central cornea. This flattening allows the image to be aligned on the retina providing clear vision in much the same way LASIK does. This allows the patient to see clearly during the day without glasses or contacts. The difference between ortho-k and other treatments is that the effect is reversible. The effect must be maintained by continued nightly wear of the lenses, much like a retainer for the eyes. Once the patient stops wearing the molds, the eye returns to its pretreatment level within a few days or weeks depending on how long the lenses have been worn. The technique has been around for decades, but improvements in lens design and material, as well as its ability to control myopic progression, have caused in rise in usage. It still remains a specialty practice however, due to the time and skill level required to properly fit the lenses.
Control of myopic progression through ortho-k is achieved through a process known as “myopic defocus” as illustrated in the diagram below.
In the myopic eye, traditional spectacle or contact lens correction pushes the image back to the central retina to allow us to see. However, it does so in a single focal plane. Due to the fact that the eye is curved causes the peripheral light rays to be focused behind the retina. This leads to an area of hyperopic defocus as illustrated by the blue line. The theory is this area of hyperopic defocus acts as a stimulus for the eye to grow longer, causing it to become more myopic due to the fact that the eye wants to “catch up” to that peripheral image. With ortho-k, the central cornea is flattened to allow vison correction resulting in a slight steepening of the mid-peripheral cornea. This results in the peripheral light rays being refracted to land in front of the retina causing an area of myopic defocus as illustrated by the red lines in the diagram above.
Research has shown that while hyperopic defocus of the peripheral retina acts as a stimulus for progression of prescription, myopic defocus of the peripheral retina does the opposite. It acts to slow down or even halt progression since the eye no longer needs to “catch up” to that peripheral image.
Ortho k does have some advantages over the other methods. The biggest advantage of ortho-k is that after a few nights of lens wear, the child achieves full time vision correction, much like LASIK. This is due to the fact that the child is able to see clearly with the lenses on as well as off. The lenses only need to be worn at night allowing the child freedom from any type of vision correction during the daytime. This can be especially helpful for swimmers or other athletes, as they do not have to worry about losing a contact or breaking their glasses. Also, the ortho-k lenses are smaller than regular soft contacts, making them easier for children to handle, insert, and remove. Lastly because of the consistency of ortho-k, the area of myopic defocus of the peripheral retina is maintained around the clock, contributing to myopia control.
However, this is the most time-consuming method on the side of the doctor and patient in the beginning. Each ortho-k lens is custom designed for the eye and requires multiple follow up visits initially to ensure it is molding the eye appropriately. Due to the work involved with this process, it is also initially the most expensive of the methods. Lastly for the process to be effective, the lenses need to be worn during a normal sleep cycle, ideally for 8 or more hours per night. This can be difficult for some patients, especially during the teenage years.
There are soft contact lens options that have come onto the market that optically mimics what ortho-k does as far as creating myopic defocus of the peripheral retina. For this reason, it is thought to control the progression of myopia in this same manner. Most children notice no difference in vision when wearing this lens as compared to a normal contact lens.
Due to the fact this is a soft disposable daily lens very little maintenance required. The child wears the lens for the day and throws them away at the end of the day. No cleaning is required. On most occasions, these lenses are immediately very comfortable on the eye.
Just like any other contact lens the child will still require glasses for when they are not wearing their contacts. This differs from ortho-k where the child maintains constant vision with nightly wear of their molds. Also, the myopic control or myopic defocus will only occur when wearing the lenses.
All three methods of myopia control have their advantages and disadvantages. There is no correct or incorrect choice, it just depends on what you feel would best fit your lifestyle and the lifestyle of your child. The important thing is, whichever choice you make, you are doing something to help stop their eyes from getting worse.
Despite mounting research to support its efficacy, all methods of myopia control are currently considered “off label”. For this reason, insurance companies do not cover the cost of the programs. Insurance allowances can be used towards the cost of materials for ortho-k and the NaturalVue lenses, but not toward the program fees.
If you have any specific questions about myopia control please feel free to email the doctors directly.
Dr. Jenna Lewis: firstname.lastname@example.org
Dr. Ronald Jurcak: email@example.com
Macular degeneration is a chronic eye disease that can severely impact vision. The most common type is called dry macular degeneration. The less common wet form is more severe and can be very disabling. Today, through early detection and treatment, eye care professionals are better able to manage this disease.
Glaucoma, the leading cause of blindness and visual impairment, is an eye disease that can lead to a permanent loss of vision. We provide all diagnostic and treatment options for glaucoma care. Glaucoma generally provides no warning signs or symptoms of disease, making testing an important part of a full vision exam.
For those patients needing glasses or contact lenses, we offer a complete optical department. We carry a wide selection of luxury eyewear and designer frames.
If you suffer from seasonal or chronic dry eye syndrome, then you know how uncomfortable it can be. You also know what it’s like to feel self-conscious about your eyes being bloodshot all the time. What you might not know, however, is some of the science behind dry eye syndrome.
Dry eye syndrome is the result of one of two issues. The first is eyes that don’t produce enough tears to keep up with evaporation. (This, as you might expect, can be easily exacerbated by windy, sunny or otherwise dry conditions.) The other cause of dry eye syndrome is eyes that produce low quality tears that fail to adequately lubricate the eyes. Old age, being female, having rheumatoid arthritis and a history of LASIK eye surgery all make a person more likely to suffer from both of these problems. And while you may focus on the discomforts and aesthetics of dry eyes, there are significant eye health risks that also accompany the condition, including corneal damage. What are your treatment options exactly? First, at-home remedies like avoiding exposure to potential allergens and using over-the-counter eye drops. If this doesn’t work, prescription drops and pills may be necessary. Finally, if these fail, surgery or specially-designed tear duct plugs may be the answer. Are you ready to take control of your dry eye symptoms? Why wait another day to seek professional advice? All you have to do is pick up with phone or use our online scheduler to set up an eye exam.