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Myopia control has recently been in the news, and now even ophthalmology studies confirm that bifocals can slow down myopia progression. Eye Doc News reports that:

A good study in Archives demonstrates that executive bifocals (+1.50) do retard myopia in fast-progressing myopes among children. After 2 years, axial length was .62 and myopia about -.50 more in the single vision compared to bifocal group- statistically significant, and if true over several years, very important to public health.

So set up an appointment to see if your child could benefit from bifocals to slow his/her nearsighted progression.

Happy New Year!

I hope you all had a very happy new year. As I mentioned before, this year my fees had to rise since my costs are going up. I now have to bill more insurances, which requires more time and money.

To offset your increased cost, I’ve changed one fee policy. From now on when dilation is needed as part of your eye exam, there is no extra charge for it.

Please review my new fees and keep updated on the new insurances that I can bill at the “Fee” page.

Myopia in the News

Myopia (nearsightedness) has been in the news lately thanks to a new study showing that it has increased in our society from 1971 compared to 2004.

Another doctor wrote an excellent piece about what this could mean for you or your kids, so instead of me writing something similar, just click to read what Dr. Nathan Bonilla-Warford wrote.

By the way, I have experience with all the treatments he outlines, including Ortho-K.

FYI, due to a variety of reasons, my exam fee will increase by $5 effective January 1, 2010. What that means for you is, why not give yourself or a family member the gift of an eye exam during December? Get it while it’s still the same price it has been at since April 2007!

It is important while swimming in a pool or relaxing in a hot tub that you remove your contacts. It doesn’t matter to me if you are in extended wear, daily wear, or daily disposable.

Don't wear contacts in a hot tub!

Don't wear contacts in a hot tub!


Take out the contacts in the pool or hot tub because you don’t want to get this:
Serious eye infections can be caused by hot tubs or swimming pools with your contacts in!

Yucky Eye Infection

Also, replace your contact lens case more often. How old is that thing, anyway?
For more information about avoiding serious eye infections, please read here and here.

With all the hope and change in our economy lately, I’ve actually seen an increase in eye infections. Apparently, when money is short, people wear their contact lenses longer than they are supposed to. Typically, a contact lens is either manufactured to be a 2 week or a 4 week disposable lens. Please follow the recommended replacement schedule for your lens, otherwise, you will be at much more risk of getting something like this:

Painful Eye Infection Because of Contact Lens Abuse

Painful Eye Infection Because of Contact Lens Abuse

The left picture is just normal light. You can see two small, white-ish circles at about 6 and 8 O’clock. The right picture is after I put in a temporary yellow die to see it a little better using a blue light. The eye infection/inflammation lights up green.

This condition usually presents when a contact lens wearers stretches their lenses too long and/or has been sleeping in a lens not designed for overnight wear. The eye is typically red, painful, light sensitive, and teary.

When this happens, you’ll need a medical eye visit (from $45-65) and medicated eye drops (from $4-95).

So, if you think you are going to save money on a $34 box of contacts by stretching their useful life, think again.

Also, this is mild compared to a central corneal infection that one could get. Those leave permanent scars in your line of sight, which means permanent vision loss.

Back to School 2009

Your North Logan Walmart Vision Center has already started their Back-to-School specials. Kids lenses start at just $29. A well worth it upgrade to anti-reflective (no-glare) lenses is just $48. Select frames start at just $9, and don’t forget they have a huge selection that your student son or daughter is sure to like.

They are also sponsoring a coloring contest and the winner will be awarded a Sponge Bob back pack.

Win this backpack in a coloring contest!

Win this backpack in a coloring contest!


Select one of these pictures for your child to color (Lost or Cowboy) and drop it off at the North Logan Walmart Vision Center.

While you are there, schedule an eye exam while they are still just $45*.

*For basic eye exam. See my full list of exam upgrades and fee schedule.

When thinking about the kind of contacts you want, there is a whole lot more to think about than simply price. Most standard contacts are taken out every night. If you don’t, then eye health problems like infection, inflammation, and new blood vessel growth on the cornea are more likely to occur.

But realize you have other choices. There are some lenses on the market that you can officially sleep in, like the Ciba Focus Night & Day. I can already hear you say, “No, I can’t sleep in my contacts- too uncomfortable.”

That’s because you tried it in those standard lenses. If you really want the convenience of just taking your lenses out once a week or once a month, then at your next contact lens evaluation ask me about the newer, more breathable silicone hydrogel lenses.

Another thing, maybe you have had poor luck with wearing contacts because they dry out your eyes too much. I have strategies for that as well. If your eyes match the lens, we can try out the Acuvue Oasys material or the CooperVision Avaira or Biofinity. Also, it’s a little known fact that contact lens solutions can effect contact lens comfort. We can switch your multi-purpose solution to Opti-Free or try the Clear Care system because in a study, these two were shown to cause the least amount of trouble for the most people.

Allergy suffers sometimes think it’s not possible to wear contacts. Prescription eye drops like Pataday in conjunction with daily disposable contacts or frequent replacement contacts while using Clear Care can make all the difference for allergy eyes.

Another contact lens option is Ortho-K. A hard contact lens is worn during the night. You take it out in the morning, and you see great all day long without any glasses or contacts. Then at night you put it back it. It’s like a retainer for your eyes. It molds the surface cells of your cornea into a lens shape so you can see clearly during the day. Its benefits include being completely reversible if you ever want LASIK in the future from a place like TLC in Ogden. Also, studies indicate that for kids whose eyes seem to rapidly progress in nearsightedness from year to year Ortho-K slows down this acceleration (see here, here, and here). Ask me at your next eye exam if you are a good candidate because I can only do it for low to moderate nearsightedness with low astigmatism.

Another contact lens option you should be aware of is bifocal/multifocal contact lenses. The optics are a little complex, which means your vision probably won’t be as crystal clear as your glasses with Nikon or Zeiss progressive lenses, but at least you can take a break from glasses when you want and still see pretty good far away and up close. You should try them out and see what you think.

Your contact lens options will sometimes be dictated by your eye shape and glasses prescription, but more often than not it can be a lifestyle choice. During my exams we’ll talk about what contacts are available to you that will match your budget and, more importantly, which ones can keep up with your lifestyle.

Family Heath Radio

Family Health Radio is a brief radio procuction broadcast on over 300 stations. It is produced by Dr. Harold C. Thompson at the College of Osteopathic Medicine and The WOUB Center For Public Media at Ohio University. Since Dr. Thompson is a medical doctor, the topics are typically whole-body-health related; however, he often has topics relating to your eyes.
I recommend that you visit their website and subscribe to their podcast in iTunes or other podcatcher.

Some interesting topics include:

Eye Vitamins: Popeye was right.We have been telling patients at risk for Macular Degeneration to take megadoses of certain vitamins, but it turns out more research is saying to limit Vitamin A (beta-carotene). Dr. James Folk, M.D. in his blog about Age Related Macular Degeneration (AMD) says:

A recent study from Australia showed that dietary lutein and zeaxanthin reduced the risk of the development of AMD long-term.(2) The same study showed that a high intake of beta-carotene was associated with an increased risk of AMD…
…I would recommend an AREDS supplement with lutein especially and also zeaxanthine if you can get it. The doses used in AREDS II are 10 mg lutein and 2mg zeaxanthine. Don’t take beta-carotene if you’re a smoker since it increases the risk of lung cancer. I would also limit or eliminate the amount of beta-carotene supplements even if you’re not a smoker.

Just eat your vegetables.

So everyone just needs to have a healthy diet with green, leafy vegetables (like spinach) and those at risk for AMD should use eye vitamins with C, E, zinc, copper, and lutein with zeaxanthine instead of Vitamine A. Oh, and if you smoke, quit. Carrots are good for you, but megadoses of its vitamin A are not.

The next time someone makes a comment about eating carrots to help their eyes, I’ll hope you will correct them by informing them that it’s really spinach that helps the most. Popeye had it right after all. The only other thing besides eating spinach that he should have done to protect his one good eye would be to wear polycarbonate glasses full time.


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