The Official Blog from Focal Pointe Eye Care in West Chester, Ohio

A New Way to Slow Nearsightedness in Children: How Stellest Lenses Support Lifelong Vision Health

Wed, 01 Apr 2026 21:20:41 GMT

Summary

Childhood myopia is increasing rapidly, and many children experience a stronger prescription each year. Stellest® lenses offer a scientifically proven way to slow this progression while providing clear vision and exceptional comfort. This blog explains what Stellest lenses are, how they work, who they benefit, and how they fit into a full myopia-control program at Focal Pointe Eye Care.

What You’ll Learn

• Why childhood myopia needs more than just stronger glasses
• How Stellest lenses use advanced optical technology to slow eye growth
• Which children make the best candidates for Stellest treatment
• How Stellest compares to other myopia-control options
• What to expect during a myopia management consultation
• The long-term benefits of early intervention

Childhood myopia —also known as nearsightedness—is becoming more common every year. Many parents notice a familiar pattern: their child’s glasses prescription increases annually, even with consistent wear. This can feel concerning, but there is good news. Advances in pediatric eye care now allow us to slow down this progression and protect long-term vision.

One of the newest and most promising technologies is the Stellest® lens , now available at Focal Pointe Eye Care.

Why Myopia Progression Matters

Myopia is more than blurry distance vision. As the eye elongates during childhood, it increases the risk of several eye diseases later in life, including:

• Retinal detachments
• Glaucoma
• Early cataracts
• Myopic macular degeneration

The earlier myopia starts—and the faster it progresses—the higher these risks become. That is why early intervention is essential.

What Are Stellest Lenses?

Stellest lenses are specialty eyeglass lenses developed specifically to slow myopia progression in children. They look and feel like ordinary glasses but contain advanced optical technology backed by years of clinical research.

In long-term clinical trials, children who wore Stellest lenses as recommended experienced an average 67% reduction in myopia progression compared to those wearing standard single-vision lenses. That means fewer prescription changes and healthier eye development over time.

These lenses are simple, non-invasive, and easy for children to adapt to—making them one of the most convenient ways to begin myopia management.

How Do Stellest Lenses Work?

To understand Stellest technology, it helps to know what drives myopia progression: the eye grows too long from front to back. Stellest lenses use H.A.L.T. (Highly Aspherical Lenslet Target) technology—hundreds of tiny, precisely shaped “lenslets” surrounding a clear central zone. These lenslets create a subtle treatment signal that helps control how the eye grows, all while the center of the lens provides sharp, clear vision.

Children don’t feel or see the lenslets in their daily activities. To them, Stellest lenses simply look like normal glasses.

Who Is a Good Candidate?

Stellest lenses are an excellent option for children who:

• Have been diagnosed with myopia
• Experience yearly increases in prescription
• Have a family history of nearsightedness
• Spend significant time indoors, on screens, or reading
• Are not yet ready for contact lens–based treatments

At Focal Pointe Eye Care, we use advanced testing—including axial length measurements—to determine each child’s level of risk and recommend personalized treatment options.

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How Stellest Fits Into a Full Myopia-Control Program

While Stellest lenses are highly effective, they are one of several evidence-based treatments available today. Depending on a child’s age, lifestyle, prescription, and rate of progression, our doctors may also discuss:

• Orthokeratology (overnight contact lenses)
• Soft myopia-control contact lenses
• Low-dose atropine therapy

Each option plays a unique role, but Stellest lenses are often an ideal starting point—especially for younger children or those already comfortable wearing glasses throughout the day.

What Parents Can Expect

A Stellest fitting is similar to a standard pediatric eye exam, with additional measurements and counseling tailored to myopia control. We will:

• Evaluate your child’s vision and eye health
• Measure eye length to assess progression risk
• Review lifestyle factors (outdoor time, near work, screen habits)
• Recommend whether Stellest is the right treatment
• Create a personalized plan for follow-up care

Most families appreciate that Stellest lenses are easy, low-maintenance, and fully compatible with a busy school or activity schedule.

The Long-Term Benefits Are Significant

By slowing prescription changes during childhood, Stellest lenses can help:

• Reduce lifetime risk of serious eye diseases
• Improve long-term visual stability
• Lower the likelihood of developing high myopia
• Provide clearer, more comfortable functional vision

The earlier we intervene, the better the outcomes tend to be.

Take the First Step Toward Healthier Vision

If your child’s prescription has increased in recent years, now is the ideal time to explore myopia-control options. Stellest lenses offer a safe, effective, and scientifically validated way to protect vision during the most important developmental years.

Our team is here to guide you through every step and ensure your child receives the highest level of care.

Schedule a myopia management consultation with Focal Pointe Eye Care today to learn whether Stellest lenses are the right choice for your family.

About Focal Pointe Eye Care

Focal Pointe Eye Care is a premier provider of optometric and medical eye care serving individuals and families throughout the greater Cincinnati region. Our team is committed to delivering the highest standard of care by combining advanced diagnostic technology with a patient-centered approach.

Herpetic Eye Disease: What You Need to Know

Tue, 07 Oct 2025 22:25:18 GMT

Did you know the same viruses that cause cold sores, chicken pox, and shingles can also infect your eyes? These conditions, called herpetic eye diseases, are more common than many people realize—and if left untreated, they can cause serious vision problems, including permanent vision loss.

What Causes Herpetic Eye Infections?

Herpetic eye disease is caused by viruses from the herpes family. There are two main types:

Type 1 (HSV-1):

The same virus that causes cold sores or “fever blisters.”
Most common cause of herpes infections in the eye.

Type 2 (HSV-2):

A sexually transmitted form of herpes.
Rarely infects the eye.

A patient with shingles (herpes zoster) in the eye.

Once a person is infected, the virus hides in the nerve cells of the skin or eye and can “wake up” later. Common triggers include stress, sun exposure, fever, trauma, menstruation, or certain medications.

Herpes Simplex Keratitis

Herpes simplex keratitis is the most common herpes-related infection of the eye. It usually begins in the outermost layer of the cornea, called the epithelium, but in more serious cases it can spread deeper into the cornea, leading to stromal keratitis or endotheliitis.

Herpes Zoster Virus (Shingles)

Caused by the varicella-zoster virus (VZV) , the same virus responsible for chicken pox.
After someone has chicken pox, the virus stays dormant in the body and can reactivate years later as shingles.
When shingles affects the eye, it’s called Herpes Zoster Ophthalmicus .

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Symptoms You Shouldn’t Ignore Empty heading

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Herpes Simplex Eye Infection (HSV)

Red, painful eye (usually one eye)
Blurred vision
Sensitivity to light
Tearing or watery eyes
History of cold sores
Hallmark sign: branching “dendrites” on the cornea with tiny bulbs at the ends.

You can see the classic dendrite of Herpes Simplex Keratitis in this image.

Shingles in the Eye (Herpes Zoster)

Painful, blistering rash around the eye or on the face (often on one side only)
Rash or sores on the tip of the nose ( Hutchinson’s sign ) – a strong warning sign for eye involvement
Redness and tearing
Pressure sensation in the eye
Blurred or reduced vision

How Doctors Diagnose and Treat It

Diagnosis:
Eye doctors use a slit-lamp exam to look for the characteristic signs of herpes on the cornea and eyelids.

Treatment:

Antiviral Medications – Oral or topical medications are the first line of defense.
Topical Steroids – May be prescribed for deeper inflammation inside the eye (iritis).
Glaucoma Medications – If eye pressure increases.
Antibiotic Ointments – To keep skin lesions moist and prevent bacterial infection.

I mportant: These infections can recur. Managing triggers and following your doctor’s recommendations are key to preventing repeat episodes.

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Why Prompt Care Is Critical

Herpetic eye infections are medical emergencies . If left untreated, they can lead to scarring, nerve damage, or permanent vision loss.

At Focal Pointe Eye Care, we’ve helped patients across Tri-State area protect their vision from herpes-related eye disease. Our doctors understand how urgent these infections are and provide the care you need, when you need it.

Frequently Asked Questions About Herpetic Eye Disease

Q: Can herpes in the eye be cured?
A: While there is no cure that eliminates the herpes virus from the body, antiviral treatments can control outbreaks and prevent damage. Many patients go long stretches without symptoms if triggers are managed.

Q: Is shingles in the eye contagious?
A: The shingles rash itself is not contagious, but the virus can spread to someone who has never had chicken pox, causing them to develop chicken pox. Good hygiene and avoiding direct contact with skin lesions reduce the risk.

Q: How long does it take for herpes eye infections to heal?
A: With proper treatment, mild infections can improve within 2–3 weeks. More severe cases may take longer, especially if the cornea or inside of the eye is affected.

Q: Can herpetic eye disease cause permanent vision loss?
A: Yes. Untreated or recurrent infections can scar the cornea, reduce corneal sensitivity, and cause permanent vision loss. That’s why early treatment is so important.

Q: What should I do if I think I have herpes in my eye?
A: Contact an eye doctor immediately. Do not try to treat it yourself with over-the-counter drops. Prompt treatment is the best way to protect your vision.

When to Call the Eye Doctor

If you experience:

Sudden eye pain or redness
Blurred or reduced vision
A shingles rash on the face or near the eye
A cold sore with new eye symptoms

�� Call our office immediately to schedule an emergency appointment. Early treatment is the best way to prevent permanent vision damage.

Herpetic eye disease is serious—but with fast diagnosis and proper treatment, vision can often be preserved. If you ever notice the warning signs, don’t wait. Contact our office right away.

About the Author

Dr. Megan Fisher is an optometrist at Focal Pointe Eye Care in West Chester, Ohio. She is dedicated to providing comprehensive eye care for individuals and families.

Flashes and Floaters: When to Be Concerned About Changes in Your Vision

Thu, 24 Apr 2025 11:00:04 GMT

Seeing Flashes or Floaters? Here’s What You Need to Know

Imagine going about your day when you suddenly notice flashes of light or floating shapes drifting across your vision. It might feel alarming—especially if it’s the first time. Many patients call us right away, understandably worried. One common cause of these symptoms is a posterior vitreous detachment (PVD), a condition we’ll explore in detail below.

What Is a Posterior Vitreous Detachment?

A PVD occurs when the vitreous gel, which fills the back of the eye, begins to separate from the retina—the light-sensitive layer lining the back of your eye. As we age, the vitreous becomes more liquefied, and this separation is a natural part of the aging process.

During a PVD, many patients notice:

New or increased floaters—tiny shapes that seem to drift in your field of vision
Flashes of light, especially in peripheral vision
A shadowy web or clump that moves with your eye movements

While PVD most commonly occurs after age 60, it can appear earlier in people who are nearsighted , have had eye surgery, or experienced eye trauma.

Is a PVD Dangerous?

In most cases, a PVD is harmless. However, the symptoms can mimic those of more serious conditions, like a retinal tear or retinal detachment, which require immediate treatment to prevent vision loss.

Here's what you should know:

A retinal detachment occurs when the retina pulls away from its normal position, and it can lead to permanent vision loss if not treated promptly.
Roughly 10–15% of patients who develop a PVD will experience a retinal tear or detachment.
The risk is highest during the first 6 weeks after symptoms begin.

That’s why it's so important to schedule an eye exam immediately if you notice any new flashes or floaters. Early detection can protect your vision.

What Can Be Done About the Floaters?

Floaters caused by a PVD can be bothersome at first, but most people find that their brain adjusts over time and learns to ignore them. However, in rare cases where floaters significantly interfere with daily life, a surgical procedure called a vitrectomy can be considered. This involves removing the vitreous gel and replacing it with a clear solution—but like all surgeries, it carries risks and is typically reserved for severe cases.

What to Avoid After a PVD

Most people with a PVD can continue their normal routines, including:

Reading and screen time
Wearing makeup or contact lenses
Light exercise and daily activities

However, we may recommend avoiding high-impact sports or activities for the first 4–6 weeks to reduce the risk of trauma to the eye during the most vulnerable period.

When to Call Us

If you experience:

A sudden shower of floaters
Bright flashes of light in your peripheral vision
A shadow or curtain across part of your vision

Please contact our office immediately for a dilated eye exam . These may be signs of a retinal tear or detachment, and early diagnosis can make all the difference.

Our team at Focal Pointe Eye Care is here to provide comprehensive, compassionate care—from early diagnosis to long-term vision management. If you’ve noticed new floaters or flashes, don’t wait. Schedule an appointment today .

About the Author

Dr. Megan Fisher is an optometrist at Focal Pointe Eye Care in West Chester, Ohio. She is dedicated to providing comprehensive eye care for individuals and families.

Morning Eye Pain? You Could Have Recurrent Corneal Erosion (RCE)

Wed, 23 Apr 2025 10:06:40 GMT

Have you ever woken up to intense eye pain, light sensitivity, blurred vision, or excessive tearing? If so, you may have experienced Recurrent Corneal Erosion (RCE)—a frustrating condition that affects the cornea’s ability to heal properly .

What Is Recurrent Corneal Erosion (RCE)?

RCE occurs when the corneal epithelium (the outermost layer of the cornea) does not adhere properly to the underlying basement membrane. This results in repeated breakdowns of the corneal surface, often leading to pain and discomfort, especially in the morning.

Any damage or injury to the corneal surface that causes an epithelial defect will have 3 phases of healing.

Epithelial cell migration - corneal cells next to the injury site will move towards the defective area.
Epithelial cell proliferation - once the cells migrate, that layer grows to restore normal thickness of the epithelium to fill in the defect.
Epithelial reattachment - Anchoring fibers will attach the epithelium to the underlying basement membrane to create a strong corneal surface.

Common Cuses of RCE

The most common cause of RCE is previous eye trauma, including:

Scratches from fingernails
Foreign bodies such as dust, debris, or sand
Tree branches or paper cuts to the eye

Past injuries account for 45 to 64 percent of all RCE cases. Other risk factors include:

Corneal dystrophies (genetic conditions affecting corneal structure)
Dry eye disease (reducing moisture needed for healing)
Meibomian gland dysfunction (impacting tear film stability)
Ocular rosacea (inflammatory condition affecting eyelid oil glands)
Nocturnal lagophthalmos (incomplete eyelid closure during sleep)

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Symptoms of RCE: What to Watch For

Sudden eye pain, often upon waking
Light sensitivity (photophobia)
Blurred vision
Watery eyes or excessive tearing
Feeling like something is stuck in your eye

Why Does RCE Happen in the Morning?

At night, the ocular surface dries out while your eyes are closed. When you wake up and open your eyelids, they may stick to the cornea, pulling off fragile cells in the same area where the injury first occurred. This leads to recurrent pain and delayed healing.

How Is Recurrent Corneal Erosion Treated?

The first line of treatment typically includes a combination of:

Lubricating artificial tears and ointments to keep the cornea moist
Antibiotic eye drops to prevent infection
Oral doxycycline to improve corneal healing
Steroid eye drops to reduce inflammation
Bandage contact lenses to protect the cornea
Hypertonic saline drops or ointments to draw out excess fluid and strengthen adhesion
Amniotic membranes to promote healing
Punctal plugs to conserve tears
Corneal debridement to remove damaged tissue

If RCE continues despite treatment, an eye doctor may refer you to a corneal specialist for advanced procedures. These surgical options are effective but require a longer healing period.

When to See a Doctor

While complications of RCE are rare, there are a few that still exist. With each subsequent RCE, there is an increased risk of developing haziness or scarring of the cornea which could result in reduced vision. During an active RCE, infections could also occur. The prognosis of full recovery from an RCE with treatment is wonderful!

If you suspect you have RCE, do not wait for another painful morning. Early treatment can prevent complications such as scarring, corneal haze, and vision loss.

Schedule an eye exam at Focal Pointe Eye Care for fast relief and expert treatment.

About the Author

Dr. Megan Fisher is an optometrist at Focal Pointe Eye Care in West Chester, Ohio. She is dedicated to providing comprehensive eye care for individuals and families.

The Link Between Diet & Eye Health: How to Improve Your MPOD Naturally

Wed, 02 Apr 2025 17:00:21 GMT

If you’ve had a comprehensive eye examination at Focal Pointe Eye Care, you may have heard the term Macular Pigment Optical Density (MPOD). But wh at does it mean, and why is it important for your eye health?

What is MPOD?

Macular Pigment Optical Density (MPOD) measures the pigmentation in the macula, the central part of the retina responsible for sharp, detailed vision. This pigmentation plays a crucial role in protecting the eyes from oxidative damage caused by blue light from digital screens and ultraviolet (UV) light from the sun.

The macular pigment is composed of two powerful antioxidants: lutein and zeaxanthin. These carotenoids help defend photoreceptors in the retina, reducing the risk of vision loss from age-related conditions.

Why is MPOD Important?

Higher macular pigment levels offer several benefits, including:

Improved visual acuity – Helps maintain sharp and detailed vision.
Enhanced contrast sensitivity – Makes it easier to distinguish objects from their background.
Better night vision – Improves the ability to see in low-light conditions.
Faster glare recovery – Reduces the discomfort and visual disruption caused by bright lights.
Lower risk of Age-Related Macular Degeneration (ARMD) – MPOD levels are an important indicator of ARMD risk.

Since the body does not produce lutein and zeaxanthin naturally, these nutrients must come from diet. Eating the right foods can help maintain and increase macular pigment levels, protecting long-term eye health.

Best Foods for Eye Health

A diet rich in lutein and zeaxanthin can help strengthen the macular pigment and safeguard your vision. Below are some of the best sources of these nutrients:

Top Lutein-Rich Foods

Leafy greens – Spinach, kale, and broccoli
Vegetables – Bell peppers, carrots, and corn
Egg yolks – A bioavailable source of lutein
Nuts – Pistachios, which a recent study found to significantly improve MPOD levels

Top Zeaxanthin-Rich Foods

Orange bell peppers – The highest dietary source of zeaxanthin
Fruits – Kiwi, grapes, and oranges
Vegetables – Squash, spinach, corn and zucchini
Egg yolks

Incorporating these foods into your diet can help reduce your risk of vision loss and keep your eyes functioning optimally.

Prioritizing Macular Health

Imagining life without clear, detailed vision is difficult. However, age-related vision decline is preventable with proactive care. A diet rich in lutein and zeaxanthin, combined with regular eye exams , is one of the best ways to protect your eyesight.

If you are curious about your Macular Pigment Optical Density, schedule a comprehensive eye exam at Focal Pointe Eye Care. Our team can assess your MPOD levels and provide personalized recommendations for maintaining healthy vision.

Schedule your eye exam today and take the first step toward long-term eye health.

About the Author

Dr. Megan Fisher is an optometrist at Focal Pointe Eye Care in West Chester, Ohio. She is dedicated to providing comprehensive eye care for individuals and families.

Everything You Need to Know About Freckles of the Eye

Tue, 25 Feb 2025 14:00:01 GMT

As we know, freckles are a very common finding on the skin. Freckles are a direct result of an overproduction of melanin, or skin pigments. In fact, we produce more melanin to protect our skin from sun damage by absorbing or reflecting UV light. Freckles can occur anywhere on the body, including the eye!

Freckles in the eye are very common. Freckles can occur anywhere from the eyelids to the back of the eye. The technical term that is used to define a freckle is a nevus (or nevi if more than one is present). On the front of the eye, nevi can occur on the eyelid, conjunctiva, or iris

Eyelid nevi are brown, yellow, gray, or a combination of colors. They are typically harmless.

Conjunctival nevi appear as brown/yellow spots that present on the white portion of the eye. The color can vary overtime, but most are benign and have minimal risk of being cancerous.

On the iris (or colored part of the eye), there are 2 different types of pigmented spots we can see. Iris freckles are tiny, dark brown flecks on the surface of the iris. This occurs due to a buildup of melanin and is completely harmless. Iris nevi may appear similar to iris freckles, but they are larger and grow deeper into the iris tissue. These will typically grow in size overtime and are benign but pose a small risk of becoming cancerous.

An eye with a freckle on the iris

Not only are nevi found on the front of the eye, but they can also be found further back in the eye where they are not visible to you. Inside the eye, choroidal nevi are very common findings. The choroid is a layer of tissue found beneath the retina (inner lining of the eye). Typically, choroidal nevi are found on routine eye examinations. A choroidal nevus will appear gray, yellow, or brown. It may be speckled or uniform in color. Many choroidal nevi of small or medium size are benign. The larger the nevus, the more concerned we become about choroidal melanoma.

Just like any freckle, or nevus, on the skin, there are many characteristics that are monitored to determine if it is benign or cancerous. For the eye, we follow the same ABCDE method to closely monitor these lesions. With any of these characteristics, the concern of cancer becomes elevated:

A is for Asymmetry : If an imaginary line is drawn through the lesion, the sides would not be mirror images of one another.
B is for Border : If the edges of the lesion are not crisp and defined but rather ragged, blurred or irregular.
C is for Color: Variability in color meaning the lesion isn’t the same color all over. For choroidal nevi, that could mean orange pigment overlying the lesion.
D is for diameter : For choroidal nevi, if the lesion is > 2.5mm.
E is for Evolving : Changes or growth in nevus size, shape, and color.

Management of a nevus will vary depending on the characteristics it contains. Patients with no suspicious features will typically be monitored every year at their routine evaluations. With 2 or more suspicious features, a patient may be monitored more frequently. Other diagnostic tests may be performed to monitor a nevus including photography or OCT. It is important to have yearly routine eye exams with your doctor for early detection of any suspicious spots in the eye!

About the Author

Dr. Megan Fisher is an optometrist at Focal Pointe Eye Care in West Chester, Ohio, dedicated to providing comprehensive eye care for individuals and families.

Sudden, Painless Vision Loss: What You Need to Know About Ischemic Optic Neuropathy

Fri, 14 Feb 2025 16:01:29 GMT

I magine waking up one morning and noticing a sudden change in your vision—perhaps a dark shadow in your field of view or significant blurriness. If this vision loss occurs without pain, it could be a sign of ischemic optic neuropathy (ION)—a rare but serious eye disease caused by poor blood flow to the optic nerve.

What is Ischemic Optic Neuropathy?

The optic nerve is responsible for transmitting visual signals from the eyes to the brain. If it does not receive enough oxygen due to a disruption in blood flow, it can lead to irreversible vision loss. This is called an ischemic event, similar to what occurs in a stroke but affecting the optic nerve instead of the brain.

There are two types of ischemic optic neuropathy, each with different causes, risk factors, and symptoms.

Non-Arteritic Ischemic Optic Neuropathy (NAION)

NAION is the most common form of ischemic optic neuropathy. It typically affects adults between 40 and 60 years old and usually impacts only one eye.

Causes of NAION

The exact cause of NAION is not always clear, but it has been linked to several underlying conditions, including:

Diabetes
High blood pressure (hypertension)
High cholesterol
Anemia
Sleep apnea

Additionally, individuals with a “disc at risk”—a small, crowded optic nerve structure—are more vulnerable. In these cases, the blood vessels supplying the nerve are more easily compressed, reducing blood flow.

Symptoms of NAION

Sudden vision loss in one eye
Loss of peripheral (side) vision, often in the upper or lower half
Blurry or dim central vision

Unlike other eye diseases, NAION does not cause pain. Once vision loss occurs, the condition usually stabilizes, but in about 35 percent of cases, it progressively worsens. Some patients, however, experience slight vision improvement over several months.

Treatment for NAION

There is no cure for vision loss caused by NAION. However, managing underlying conditions like high blood pressure and sleep apnea may reduce the risk of further vision loss. A comprehensive medical evaluation, including blood work and sleep studies, is essential for identifying potential causes.

Arteritic Ischemic Optic Neuropathy (AION)

AION is a more severe and urgent form of ischemic optic neuropathy. It is linked to Giant Cell Arteritis (GCA)—a systemic inflammatory disease that causes swelling in the arteries and severely restricts blood flow.

Who is at Risk for AION?

AION primarily affects adults over 55 years old and typically starts in one eye. If untreated, it can affect both eyes within a few days to a week.

Symptoms of AION and Giant Cell Arteritis

Severe vision loss, often worse than in NAION
Headache
Pain while chewing
Scalp tenderness, especially near the temples
Unexplained weight loss, muscle or joint pain, or fever

Since AION is caused by inflammation, immediate medical intervention is critical.

Diagnosis and Treatment of AION

If AION is suspected, blood tests—including ESR (erythrocyte sedimentation rate), CRP (C-reactive protein), and platelet count—are ordered. A temporal artery biopsy may also be necessary to confirm Giant Cell Arteritis.

Unlike NAION, AION can be prevented from progressing. If GCA is diagnosed, high-dose steroids must be started immediately to reduce inflammation and prevent blindness in the other eye.

Diagnosing Ischemic Optic Neuropathy

A comprehensive eye exam is essential for detecting signs of ischemic optic neuropathy. An eye doctor will look for optic nerve swelling and potential bleeding, which can help distinguish between NAION and AION.

Diagnostic tests include:

Retinal photography and Optical Coherence Tomography (OCT) to assess optic nerve swelling
Visual field testing to measure changes in peripheral vision
Blood work and imaging to identify underlying causes, particularly in suspected AION

Managing Vision Loss from Ischemic Optic Neuropathy

While lost vision cannot be restored, there are vision aids and lifestyle adjustments that can help individuals maintain independence.

Magnifiers and assistive devices can improve reading ability
Low-vision specialists can offer guidance on adapting daily activities
Managing risk factors such as blood pressure, diabetes, and cholesterol may reduce the chances of further vision loss

If you or a loved one experience s sudden, painless vision loss, it is essential to seek immediate medical attention. Early detection and proper management can prevent further complications and help protect remaining vision.

Concerned About Vision Changes? We Can Help.

Regular eye health examinations are essential for catching vision-threatening conditions early. At Focal Pointe Eye Care, our team is dedicated to providing expert care and advanced diagnostic technology to safeguard your sight.

If you notice sudden vision loss, do not wait— schedule an urgent eye exam today.

About the Author

Dr. Megan Fisher is an optometrist with Focal Pointe Eye Care in West Chester, Ohio, dedicated to providing comprehensive eye care for individuals and families.

You Said I Have A Wrinkly Retina?

Thu, 26 Dec 2024 15:27:06 GMT

There are numerous eye diseases and conditions that can impact the ability of the retina to function appropriately. One condition that is commonly seen in our clinic is a “wrinkly retina,” also known as an Epiretinal Membrane (ERM) . Other names for ERM include cellophane maculopathy and macular pucker. ERMs are known to occur in approximately one-third of the population over 60 years of age.

To understand an ERM, first we need to review a few ocular basics. The retina is the inner lining in the back of the eye that contains all the neuro-sensory cells that detect light. This layer sends signals to the brain which allows us to see. This “wrinkling of the tissue” is actually a film or membrane that has formed over the retina. The membrane is formed from cells that have risen to the surface through microscopic cracks. Over time, this membrane will start to contract and pull away from the retina causing it to “pucker” or “wrinkle,” which then distorts vision

ERMs can be associated with many ocular conditions but most commonly occur alongside posterior vitreal detachments (PVD). A PVD is a normally occurring detachment of the vitreous, the jelly-like substance in the back of the eye, from the retina. Over 80% of ERMs are associated with PVDs. The pulling of the vitreous from the retina creates micro-fractures in the internal limiting membrane (ILM), the top-most layer of the retina, which glial cells move through creating an ERM.

Will this make your eyes look wrinkled? The answer is no. Epiretinal membranes are not visible from the outside of the eye. They are typically detected incidentally during routine eye exams. This membrane will appear as a shiny film on the retinal surface. Imaging tools, like OCT, aid in diagnosis by giving an in depth view of the retina. This provides the ability to view the film and measure the retinal thickness for close monitoring. Patients will also be asked to monitor their vision at home using a home Amsler Grid. The Amsler Grid will allow the patient to visualize distortion within their vision between visits at the eye doctor.

ERMs typically have an initial period of growth before remaining stable. Thankfully, the majority of cases have no or minimal effect on the vision! Close monitoring over time is imperative. If there is progression and/or vision is compromised, surgery may be needed to prevent further changes from occurring. Surgical options can gently peel the membrane away, but may not fully restore vision.

A wrinkly retina can seem concerning if mentioned at your eye exam, but have no fear! Our team at FPEC is here to ensure you are being treated and monitored appropriately to keep you seeing your best! If you notice any sudden changes in vision, call to schedule a dilated examination as soon as possible.

A Twinkle Restored: How Dr. Lyons Helped Santa Shine Again

Tue, 10 Dec 2024 15:00:01 GMT

Christmas is a very special time of year. Families flock to malls, stores, and events to give their children an opportunity to meet “Santa Claus.” These children share letters, hugs, and sometimes even tears with Santa. Becoming Santa is not as simple as putting on a red hat; the men that fill the velvet suits take great pride in truly becoming the character for children to have the best visit possible. John Williams is one of these dedicated actors who spends his winter spreading holiday cheer, but he began to have an issue.

Due to multiple ocular conditions, Mr. Williams lost vision in his left eye. Throughout his life, multiple treatments and surgeries were attempted to correct, restore, and stabilize his vision. Mr. Williams' vision continued to worsen despite these efforts. His left eye could no longer distinguish light and became severely scarred from procedures. Staying resilient, he carried on and learned to adapt to a new monocular lifestyle. However, an unforeseen consequence began to show in early winter. Children who came to meet “Santa” noticed he looked different than how movies and books describe. His typically excited and enamored guests became inquisitive and apprehensive.Santa Claus traditionally has two “blue eyes that twinkle,” but this Santa only has one.

Mr. Williams knew he needed a solution and began his research. The countless online resources available quickly overwhelm someone who is new to these conditions and often leads to more questions than answers. Mr. Williams' research directed him to Dr. Lyons, here at Focal Pointe Eye Care, an expert in the specialty contact lens field. Mr. Williams was confident this was a step in the right direction.

The first step towards specialty contact lenses is a consultation. Dr. Lyons led an in-depth conversation with Mr. Williams to answer his questions and discuss his ocular goals. After numerous tests and measurements, Dr. Lyons directed him to a painted soft prosthetic contact lens. This is no ordinary colored soft contact lens. These contact lenses are handcrafted by artisans using many photos of the other eye to make a perfect match. Fine details such as freckles, blood vessels, and pupil size cannot be overlooked to create the most lifelike appearance. It is completely custom, and cannot be premade or pre-ordered.

Mr. Williams made many trips to and from Focal Pointe Eye Care trying on samples received from the contact lens lab. Over the course of roughly three months, Dr. Lyons made adjustments to fine tune the fit and color of the lens until it was a perfect match. Finally, Mr. Williams was able to take home the contact lens that could restore his life.

Back at his local “North Pole,” Mr. Williams became Santa once again. He no longer faced children who were skeptical or scared of who they were meeting. The hand-painted prosthetic contact lens brings life back not to just John Williams, but also to every family he meets along the way.

If your vision cannot be saved, that does not mean all is lost. We are here to help. Millions of Americans lose vision each year from disease and injury and become confused about how to move forward. Custom prosthetic contact lenses are a small way to restore “normalcy” into a new life. Dr. Lyons and his team will walk with you every step of the way. Ready to see what results you can achieve? Schedule a consultation today.

What To Expect During Your Yearly Eye Exam

Tue, 19 Nov 2024 16:00:02 GMT

At Focal Pointe Eye Care, we strive to provide the most comprehensive and in-depth eye exam to every patient we see. During your exam, you may be presented with tests and assessments that might seem unfamiliar to you. Every step is an important part of the process, so please allow 1-1.5 hours for your visit. This will serve as your guide to walk you through the steps that help you look and see your best!

Before you leave your home, make sure you have the following information with you:

Photo ID
Medical Insurance card: Even if you have a separate vision plan for exams and materials, medical insurance is kept on file in case of emergencies.
Glasses, sunglasses, and contact lenses you currently wea r: Understanding how you are seeing with your current corrective lenses helps our doctors make the appropriate changes that may be needed.
-Contact lens wearers, please arrive with glasses on and contact lenses in a case.

Before you leave your home, make sure you have the following information with you:

Photo ID
Medical Insurance card: Even if you have a separate vision plan for exams and materials, medical insurance is kept on file in case of emergencies.
Glasses, sunglasses, and contact lenses you currently wea r: Understanding how you are seeing with your current corrective lenses helps our doctors make the appropriate changes that may be needed.
-Contact lens wearers, please arrive with glasses on and contact lenses in a case.

List of medications or vitamins you are taking, including OTC eye drops : Many medications and supplements impact the health of your eyes.
List and details of previous eye surgeries: This will help our doctors better manage any ongoing conditions you may have.

After being greeted by a doctor assistant, they will walk you back to a “Pretest” room. Here they will go over a series of questions and measurements to help the doctor better understand your vision, history, and other concerns you may have.

List of medications or vitamins you are taking, including OTC eye drops : Many medications and supplements impact the health of your eyes.
List and details of previous eye surgeries: This will help our doctors better manage any ongoing conditions you may have.

Be Prepared to Answer Questions About:

Medical history : Many systemic conditions can cause complications to the eye.
Eye history : Many eye diseases are chronic and worsen with time, so it is important we know any prior mention of eye diseases, conditions, or injuries.
Family history : Many eye and systemic conditions are genetic. It is important for the doctor to understand your background to ensure your long-term health.
Hobbies : We want to help you see your best and ensure your eyes are protected while doing the things you love.

Eye Health Screening:

Retinal photography : Images of the back of the eye (retina) that allow us to view your macula, optic nerve, and blood vessels to monitor for disease.
Autorefractor: Also known as the “hot air balloon” machine, it takes an objective measurement of your cornea and optical prescription as you focus on an image.
Meibomian gland screening : Non-invasive infrared imaging of the oil gland structures within your eyelid to determine your risk of developing dry eye disease.

Eye Health Screening:

Retinal photography : Images of the back of the eye (retina) that allow us to view your macula, optic nerve, and blood vessels to monitor for disease.
Autorefractor: Also known as the “hot air balloon” machine, it takes an objective measurement of your cornea and optical prescription as you focus on an image.
Meibomian gland screening : Non-invasive infrared imaging of the oil gland structures within your eyelid to determine your risk of developing dry eye disease.

Macular pigment screening (>18 only ): A test that allows us to measure the amount of pigmentation within the macula to determine your risk of developing macular degeneration.
Myopia risk screening (<18 only) : A measurement of the length of the eye to determine if the child is at risk of becoming near-sighted.
Intraocular Pressure (IOP) : Eye pressure is measured to screen for glaucoma or other conditions that affect IOP. This is done with a small device that flutters closely to the eye. No puff of air needed! :)

Macular pigment screening (>18 only ): A test that allows us to measure the amount of pigmentation within the macula to determine your risk of developing macular degeneration.
Myopia risk screening (<18 only) : A measurement of the length of the eye to determine if the child is at risk of becoming near-sighted.
Intraocular Pressure (IOP) : Eye pressure is measured to screen for glaucoma or other conditions that affect IOP. This is done with a small device that flutters closely to the eye. No puff of air needed! :)

After your screening with the doctor assistants, you will then have your visit with the doctor.

Your doctor will:

Check the function of your neurological system and your eye muscles.
Perform a detailed check of your glasses prescription to ensure best vision possible and protection for your daily life, activities, and other visual needs.
In depth, dilated observation of retina and other internal structures of the eye.
Review all screening tests performed earlier in the visit.
(If you’re a contact lens wearer) Select contact lenses that are the best fit and prescription to make sure the eyes remain healthy.

Once your prescription is finalized and your examination is complete, your doctor will call an optical specialist to your room.

The Optical Specialist Will:

Help you select the proper lenses that meet your visual needs, match what you have been prescribed, and offer protection to keep your eyes healthy for years to come.
Offer one-on-one styling to get you feeling and looking your best in your new eyeglasses and sunglasses.
Personally review your insurance to maximize your savings!
Order contact lens trials or annual supply to be delivered to your home.
Assist you in scheduling any future appointments with your doctors or opticians.

We want to ensure you have the best experience at Focal Pointe Eye Care. If you have any questions leading up to your appointment, please do not hesitate to contact the office by email, call, or text and we will respond promptly. We look forward to seeing you!

I Have Diabetes-What Eye Problems Do I Need to be Concerned About?

Tue, 05 Nov 2024 16:00:04 GMT

What does diabetes do to my eyes?

In the United States in 2021, approximately 38.4 million people were diagnosed with diabetes. Nearly 23% of those people were unaware that they had the disease. Every year, another 1.2 million Americans are diagnosed with diabetes. The prevalence of diabetes has been increasing at an alarming rate, so let’s learn more about this disease and the effects it can have on our eyes and vision.

FLUCTUATIONS IN VISION AND BLURRED VISION are common complaints. When the blood sugar is high, it will cause a swelling of the lens inside the eye resulting in blurred vision. As the blood sugar normalizes, the swelling will decrease allowing you to see normally again. This instability of vision will make it challenging for your eye doctor to give you the correct glasses prescription. Often your prescription for the glasses will not be finalized until the blood sugar is under control.

DIABETIC RETINOPATHY occurs when elevated blood sugar causes a breakdown of the blood vessel walls. This causes blood or fluid to bleed into the retina. 1 in 3 diabetics have diabetic retinopathy and 1 in 10 patients will experience vision-related complications from the disease. In the mild stages, most patients are asymptomatic. As the condition advances, patients may experience blurred or distorted vision. The most advanced stages will cause new blood vessels to form in the retina, increasing the risk of retinal detachment. Without proper control, diabetic retinopathy can cause permanent vision loss and blindness.

MACULAR EDEMA is the term for swelling in the macula from leaking blood or fluid, resulting in blurred or distorted vision. This is a complication of diabetic retinopathy in which the central, most fine tuned visual area of the retina is affected. This is typically a sign that the disease has advanced and blood sugar levels are uncontrolled.

DRY EYE is a common complication of diabetes due to neuropathy that occurs in the nerves within the cornea. The corneal nerves are responsible for producing tears.They are also responsible for the blinking reflex, which activates in response to unwanted stimuli, like dust or wind in the eyes. neuropathy exists, those protective reflexes do not exist, therefore increasing the risk of potential damage to the eye. Neuropathy can also be caused from uncontrolled dry eye disease. Interestingly, the front of the eye supplies healing and nutrients to the corneal nerves, and then the nerves give them right back to the front of the eye! When the cycle is broken and the cornea is unable to heal properly, dry eye symptoms increase. Learn more about neurotrophic keratitis and treatments here.

CATARACTS are a normal change in the eye in which the lens becomes clouded slowly over time with age, typically beginning around 60. Patients with diabetes can develop cataracts at younger ages and tend to progress at a much quicker rate. In fact, the rate of development is 2 to 5 times greater in those that have diabetes compared to the rest of the population.

GLAUCOMA is an eye disease that causes damage to the optic nerve, often related to increased intraocular pressure (IOP). It does not show any symptoms until irreversible vision loss occurs, beginning peripherally and increasing with severity to total blindness. Those with elevated IOP have a greater risk of developing glaucoma. Those with Diabetes have double the risk of developing glaucoma. link connecting the two is diabetic retinopathy; weakened blood vessels cannot carry the nutrients and oxygen the optic nerve needs, making it more susceptible to damage.

Understanding Diabetes

Diabetes is a chronic disease that affects the way your body turns food into energy. Specifically, the pancreas does not produce enough insulin or is unable to effectively use the insulin that it produces. Insulin is important because it regulates the glucose (sugar) in your blood by moving the sugar from your blood to the other cells throughout the body. Glucose provides energy to our muscles and tissues, and it is the main source of fuel for the brain. When insulin is not working properly, the glucose builds up in the bloodstream, leading to diabetes.

As many of us know, there are two types of diabetes: Type 1 diabetes (also known as juvenile-onset or insulin-dependent diabetes) is an autoimmune condition where the body’s immune system destroys the cells in the pancreas that produce insulin. Type 2 diabetes (also known as adult-onset or non-insulin-dependent diabetes) occurs when the pancreas produces less than the normal amount of insulin or the body becomes resistant to insulin. Both types of diabetes result in unbalanced glucose that can negatively impact your eyes, vision, and overall health.

General health providers and endocrinologists are great advocates for healthy eyes in their diabetic patients, typically requiring a dilated eye exam annually. Your eye doctor may recommend more frequent visits if there are any signs of diabetic eye disease.

To keep your eyes healthy, it is important to monitor blood sugar and Hemoglobin A1c as instructed by your treating physician. The American Diabetes Association recommends keeping HbA1c at or below 6.5-7.0% depending on the target that is individually set for each patient.

If you experience any of the symptoms listed here, please call our office as soon as possible to schedule a dilated eye exam. Dr. Lyons and Dr. Fisher will discuss in depth how diabetes may be affecting your eyes and vision.

Relax, See Well, and Look Good.

The Scary Truth about Costume Contact Lenses

Wed, 16 Oct 2024 15:00:00 GMT

Spooky season is upon us! It’s time to start thinking about your Halloween costume for all your parties and events. We all want to look the part, so no costume is complete without the right accessories. To complete the look, many Halloween fans take it to the next level by choosing decorative contact lenses to fully embrace their new persona. While costume contacts may look fun, they can pose a serious risk to your eye health and can lead to permanent blindness.

Many costume contact lenses are sold without a prescription, which is ILLEGAL. In a study, the FDA analyzed 300 counterfeit lenses and found that 60% of costume contact lenses purchased online without a prescription were contaminated with harmful bacteria. How SCARY ! Of all contact lens wearers, 85% of people wearing contacts had at least one non-hygienic behavior that increased their risk of eye infections. Another study of more than 600 participants performed in Texas found that 25% had used non-prescription contact lenses. 60% of those patients reported irritation, pain, and redness while wearing illegal contact lenses. Alarmingly, 88% of participants reported complications from borrowing someone else’s contact lenses. Eye infections were the most common eye injuries with costume contact lenses.

All contact lenses are medical devices overseen by the FDA to monitor their safety and effectiveness. All contact lenses can pose the risk of permanent, blinding complications such as corneal abrasions, corneal ulcers , and bacterial infections. On top of the normal risk of contact lenses, costume contact lenses use pigments and dyes that reduce the amount of healthy oxygen that reaches the eye. This can lead to more inflammation and increase the risk of complications. Contacts also require proper cleaning and disinfection to keep your eyes safe.

These facts are horror movie-worthy, but not all costume contact lenses are bad. The first step in wearing Halloween contacts safely is to meet with your eye doctor. Your eye doctor will take your measurements and find a prescription that works well for you. They will require the commitment to wear and care for your lenses appropriately, limiting any chance of harming your eyes. Once your eye doctor has determined you can wear contact lenses safely, they can provide resources for FDA-approved contact lenses.

Here at FPEC, we want to ensure your safety in costume contact lenses for all your Halloween fun this season. Our contact lens distributor can supply FDA-approved prescription contact lenses with a variety of colors that will help elevate your costume. If you are considering costume contact lenses, please call our office to consult with our team to determine how we can boost your look without risking your sight.

Have a safe and spooky Halloween season!

Humble Beginnings to Eye Care Legacy: The Story of Focal Pointe Eye Care

Wed, 02 Oct 2024 15:11:32 GMT

Focal Pointe Eye Care was founded in 2008, but the idea existed long before. Dr. Lyons was working in a large referral center setting, and while he loved the complexity of what he was learning, he knew there was a better way to care for his patients. The vision of providing exceptional, patient-focused care with access to the very best products became a reality when Liz and Dr. Lyons attended a conference in Las Vegas centered around determining your destiny. From there, the two of them set out to make it happen.

Starting Focal Pointe Eye Care (FPEC) did not come without its struggles. “We opened cold in a building that did not have a storefront. Dr. Lyons has always practiced medical optometry so when picking a location, the medical condo made the most sense. But it also made for a more difficult road to show that we were there!” Liz recalls. In addition, FPEC opened its doors in September of 2008, just a month before the stock market crashed. “The economy was down and people were not investing in eyewear. We did not examine enough patients to cover our expenses for nearly 3 years.” Dr. Lyons said. Both Liz and Dr. Lyons worked other jobs throughout that time to support their dream.

When asked about some of their favorite memories of FPEC’s early days, Dr. Lyons and Liz both fondly recalled the first time that Dr. Lyons saw 12 patients in one day. “It felt like we hit the lottery! We were so excited. Unbeknownst to me, Liz spent her afternoon making me a surprise cake to celebrate when I arrived home. She fabricated two square cakes and attempted to make black dice with white markings. The most memorable part was that the frosting dye had the incorrect lid, and was actually navy. So she continually added more dye thinking it would turn more black, but it just stayed navy. So I came home to navy dice with a total of 12 dots facing up, and a wife with very blue fingers that stayed stained for weeks!” Dr. Lyons recounts.

As their patient base grew and their staff expanded, it became clear that processes needed to be established. After all, they were building a business. Liz took over the role of full-time CEO/CFO which allowed Dr. Lyons to focus full-time on clinical care. Dr. Lyons credits this change for a positive shift for FPEC stating, “this led to better leadership, structure, and consistency.”

They didn’t stop there! In 2016, they decided it was time for a space FPEC could call its own. Dr. Lyons remembered standing at the empty lot across from where FPEC is located now, (where Wawa is being built as this is being written), looking at the realtor, pointing across the street, and asking, “What about that one?” Ground broke on October 29, 2018 and the new location was underway. Focal Pointe Eye Care officially moved into the new building in 2019, just a few months before COVID-19 hit. Yet again, Liz, Dr. Lyons, and their team persevered, and the business came out on the other side even stronger. Dr. Megan Fisher joined the practice in 2021, allowing FPEC to help even more patients.

Focal Pointe Eye Care has made it to 2024 and we have our sights set on the future. We want to continue investing in and offering the newest technology. We want to make sure we are finding the best ways to keep our eyes and our vision healthy, and how to educate our community on how to care for their visual health. FPEC was never intended to start and end with Liz and Dr. Lyons. The vision and mission are to build a legacy and to continue to empower thousands of people to see their best, whatever that may look like for each person who walks through the doors. Thank you for supporting and celebrating us for 16 years, and here’s to many more!

Dry eyes AND dry mouth? How to treat symptoms and the underlying cause

Tue, 24 Sep 2024 15:00:03 GMT

Dryness can affect many areas in the body and is common to experience occasionally. When dryness becomes a part of your everyday life, it’s time to seek out a professional. We notice dryness quickly in areas that are supposed to stay moist, like our eyes and mouth. It can make daily activities uncomfortable and painful. Dry eyes lead to blurred vision, itching, light sensitivity, and chronic infections or ulcerations. Dry mouth makes speaking and chewing difficult, causes sores, and leads to dental decay. So how do we control this?

Running humidifiers, using artificial tears, and drinking more water can help, but could only be masking an underlying condition. Systemic dryness is a red flag and is the most common symptom of Sjögren's (“SHOW-grens”) syndrome - a chronic autoimmune disorder that disrupts the production of moisture that our bodies need to stay healthy. The severity and number of symptoms varies from person to person.

Working with a rheumatologist is key for diagnosing Sjögren's syndrome and long-term treatment. Seeing an eye care provider will help you manage ocular symptoms as they occur. With Sjögren's, the body attacks the small glands within the eyelids that produce healthy tears. Regular visits with your optometrist will determine exactly how damaged these glands are and give you the tools to fight back . Prescription eye drops are available to reduce uncomfortable inflammation and keep eyes lubricated throughout the day. Advanced treatments like TearCare and Intense Pulsed Light give your eyes a jump start to begin producing healthy tears again.

These regular visits with eye care professionals make a world of a difference. Without regular assessment and management, Sjögren's syndrome can lead to irreversible damage to the eyes. Symptoms can vary by the day, so be vigilant and follow our list of tips below!

Always keep artificial tears with you! Especially when traveling. Air blowing from vents in cars and airplanes can escalate dryness.
Try to avoid preservatives. Preservative-free eye drops are gentler on the eyes.
Use a moist heat mask nightly. Warmth encourages oil and tear production, and adding a dampened layer between your eyes and the mask brings in more moisture.
Leave extra space around your eyes when applying skincare products and creams. As your skin absorbs products, they migrate. Keeping extra space from the eye stops them from irritating the sensitive skin or getting in the eye.
If eye symptoms worsen seasonally, add an OTC allergy drop to your routine.
Gel tears and eye ointments are best at night. The thicker consistency lasts longer periods and can blur vision, so wait until bedtime!
Follow the 20/20/20 rule when using computers or phones for long periods. Every 20 minutes, look at something 20’ away, and blink HARD 20 times.
Try moisture chamber glasses or wrap-around sunglasses. Both offer a larger shield from air currents that irritate eyes. Moisture chamber glasses seal completely and are perfect for those who experience worse symptoms overnight or in the mornings!
Discuss contact lenses with your doctor. Daily disposable soft lenses are the most comfortable option. Scleral lenses hold moisture on the eye, keeping it comfortable for extended periods.
Take an omega-3. These supplements help produce better quality oils in the body.
Bring in more water. This means drink more during the day and have a humidifier in your home or office.
Research your medications. Some drugs increase dryness as a side effect.

A little more about Sjögren's syndrome: Sjögren's can develop on its own or can be triggered from other conditions. Autoimmune conditions like rheumatoid arthritis and lupus, and some viral infections like Epstein-Barr, Hepatitis C, and COVID-19 have been linked to Sjögren's. In addition to dry eyes and mouth, other systems can be affected such as; dry throat causing chronic cough and trouble swallowing, dry skin with rashes, dry nose with frequent nosebleeds, joint pain, peripheral neuropathy, fatigue, vaginal dryness, brain fog, and more. Two million people in the United States alone have Sjögren's syndrome! More than 90% of those with Sjögren's are women, and over 50% have at least one other autoimmune condition.

Do you have Sjögren's and want to find a support network? Visit https://sjogrens.org/

Sjögren's disease can significantly affect daily life, especially for those experiencing severe dry eyes and mouth. Early diagnosis and appropriate management are key to reducing symptoms and preventing complications. If you suspect you or a loved one have Sjögren's disease or are experiencing symptoms, schedule an appointment with us today. Our expert team is here to provide comprehensive care and help you manage your eye health effectively.

LASIK Complications: Is it worth the risk?

Mon, 09 Sep 2024 21:51:52 GMT

LASIK is an eye surgery that uses lasers to correct refractive error, freeing the patient of glasses and contacts. This is a very popular procedure that roughly 700,000 people have annually. Since its FDA approval in 1999, over 20 million patients have made the jump. It is a completely elective procedure not typically covered by medical insurance or vision plans. Interested individuals have to go through preliminary testing to ensure they are a good candidate for surgery, since LASIK can exacerbate many negative side effects from other medical conditions. Most patients believe LASIK provides clear vision for a lifetime, but for many that is not the case. Results are permanent and irreversible, so it is best to do thorough research before making your choice.

Dry Eye: Approximately 30% of patients who have LASIK will have dry eye symptoms immediately after the procedure. For some, symptoms begin to improve in the months following and resolve after one year. Other patients are not so lucky and develop chronic, severe dry eye disease (DED). Dryness can be caused by several factors, such as:

The destruction of corneal nerves that are severed during treatment by the laser to create the corneal flap. Loss of sensation in the cornea results in Neurotrophic Keratitis related Dry Eye Disease.
Inflammation. If pre-existing DED is present but undiagnosed, this inflammation changes the previously asymptomatic dryness into debilitating pain, light sensitivity, and more.
The interaction between the eyelids and front of the eye. Due to the change in shape of the cornea from the surgery, abnormal distribution of the tear film causes DED.

Glares, halos and starbursts: This is an extremely frequent side effect but can be frustrating to deal with, typically most noticeable while driving at night. Oftentimes, these visual symptoms can subside in about two to three weeks, but sometimes they will remain permanently. Approximately 20% of patients at 6 months post-surgery are still suffering from these symptoms. Those with larger pupils and higher prescriptions are at greater risk. Glare and halos can also be caused by DED.

Corneal ectasia: A rare but devastating complication experienced by 1 in every 166 LASIK patients. Corneal ectasia covers a group of conditions that changes the shape and thins the cornea. LASIK increases your risk of ectasia due to the weakened strength of the cornea following surgery. 95% of corneal ectasia diagnoses occur after LASIK. Corneal ectasia results in irregular astigmatism causing instability in the vision. This instability means vision can fluctuate throughout the day, typically worsening as the day goes on. Many patients with post-surgical corneal ectasia are unable to wear glasses or soft contact lenses to correct their vision. Gas permeable or scleral contact lenses have been a lifesaver for those struggling with their vision post-LASIK (LINK?). Under rare circumstances, some patients may require a corneal transplant if all other treatment options fail.

So I’m glasses-free forever, right? Over time, we all lose our ability to focus up close. Symptoms begin around the ages of 40 to 45 and progressively worsen with time. LASIK does not have any impact on this aging change. This means that all patients who have LASIK to correct their distance vision will be back in glasses to help with reading. Sometimes the eye will continue to change prescription over time. LASIK does not halt progression in near or far-sightedness ; it only corrects for the prescription of the eye at that moment in time. Up to two-thirds of patients are disappointed by the fact that they will have to wear glasses again.

While relatively safe, LASIK still has debilitating side effects that may encourage a second thought before taking the plunge to have surgery. We all know friends or family members that have had LASIK that are extremely happy with their outcome. Those that are not as fortunate regret even considering the procedure.

Do your research. Talk to your optometrist. Think about how important your vision is and how these side effects could impact your life.

Beyond Glasses: Diegan's Journey to Clear Vision with VRS

Thu, 22 Aug 2024 15:00:00 GMT

Diegan has been a part of the VRS program since 2016 and is a very special patient at Focal Pointe Eye Care, since he is Dr. Lyons’ son! It has been a few years since we last checked in with him. He has grown in many ways but one constant remains; he wears VRS lenses every night.

Curious about Diegan's experience with the VRS program over the years? We asked him how the lenses have impacted his life, both in terms of vision and daily activities. Here’s what he had to say:

Has the VRS process gotten easier over the years?

“I’ve been doing the VRS program for more than half of my life. It has gotten a lot easier over the years. I struggled putting them in the first year but after that it has been easy.”

What was the hardest part to overcome?

“Since I was so young to start, the hardest part to overcome was my dad putting them in my eyes, then learning how to put them in my eyes myself. I’ve really had no struggles with VRS at all.”

What activities has the VRS program allowed you to enjoy by being glasses free?

“I used to have to play any sport with annoying sports goggles that I did not like. Since starting VRS, I have never had to wear prescription glasses again. I have 20/10 vision the day after I wear them.”

How often do you wear glasses?

“I always wear sunglasses when I am outside or driving. I will wear my device glasses while editing my pictures or playing video games.”

Would you recommend VRS to someone new?

“I would 1000% recommend VRS to anyone who is considering them. I know I recommended them to my friends all the time and some have gotten them. I’ve never had a bad experience with VRS.”

What advice would you share with them?

“I would say keep going. Even if you don’t like putting them in or you don’t want to, it’s worth it. I wear mine every day because I see so good with them.”

Nowadays, you can find Diegan on the lake surfing in the summer, playing hockey in the winter, and with a camera in his hands every other moment. VRS can be liberating, especially to children who are active with sports and hobbies. Removing the physical limitations of eyewear that often gets in the way, they are now free to explore new activities and find new passions that could change their life.

Call 513-779-3937 to schedule a consultation with Dr. Lyons to see if your child is a candidate for the VRS program. No history of contact lens wear required. Learn more about VRS here.

New Technology to Help Monitor and Treat Myopia at Focal Pointe Eye Care

Tue, 06 Aug 2024 17:45:31 GMT

Dr. Mike has myopia. He joins the other approximate 2.5 billion in this world that also suffer from myopia. Myopia is the medical term for nearsightedness or shortsightedness. This occurs when the eye becomes elongated and causes the eye’s focal point to form in front of the retina, resulting in blurred distance vision. The condition typically develops between 5 and 18 years of age. Myopia is irreversible .

The more elongated the eye becomes, the more myopic the person becomes. A normal full-grown eye is about 24.0 mm long. If the myopia is greater than -5.00 D and/or the axial length of the eye is greater than 26.0 mm, it is considered “severe myopia.” With myopia, especially severe myopia, comes greater risk of retinal detachments, macular degeneration, glaucoma and cataracts.

According to the World Health Organization (WHO), myopia is the most commonly occurring vision defect. Projections have shown that by 2050, more than half of the world’s population will be myopic.

Myopia used to be thought of as a refractive problem, using glasses, contacts, or even surgery to “fix” the condition. With the long-term visual implications associated with myopia and the new research on how to treat it, today the focus is on how to prevent myopia in children and to slow down progression if myopia has already developed. The earlier a child becomes myopic, the faster the progression to severe myopia and increased risk of eye disease in the future.

Focal Pointe Eye Care adds Lenstar Myopia technology to West Chester, Ohio

The Lenstar Myopia instrument is an optical biometer (or ruler) that measures the length of an eye, front to back, with accuracy to the hundredth of a millimeter. Once the length and power of the eye are measured, the Lenstar software helps predict the onset of myopia in children and the progression of myopia if the condition has already developed. This allows our doctors to start having conversations about myopia management at much earlier stages, even before the onset of myopia. If myopia management is started early enough in children, myopia may never develop!

Myopia management includes:

Mitigation of environmental activities that can increase myopia
Atropine eye drops
Soft multifocal contact lenses designed for myopia control
Overnight orthokeratology lenses
Myopia control spectacle (glasses) lenses (not yet available in the United States)

The above-mentioned methods for myopia management are well-tolerated by children. In some

cases, treatment modalities can be combined for increased control of myopia if needed. At present, no treatment can completely control or prevent the progression of myopia and effectiveness is not the same for all children. However, all options have been studied and continuously show success when properly prescribed. The right method for a child will depend on measurements, risk assessments and lifestyle.

Focal Pointe Eye Care has now incorporated the Lenstar Myopia measurement into our yearly health screening for all children from the ages of 5 to 17 years of age. We believe that managing myopia and doing our best to prevent it could be an invaluable option for many of our patients. We look forward to sharing the results and data with you at your next appointment. Contact us to schedule today!

Amniotic Membranes and Their Magical Healing Properties!

Tue, 23 Jul 2024 15:00:01 GMT

Amniotic membranes provide super healing properties to the eye. These innovative techniques have given a new outlook on how to manage challenging cases. For over a century, they have been used to heal ulcers, burns, skin grafts, orthopedic pain, and more. Recently optometrists have adopted their use to restore the ocular surface. Corneal abrasions and recurrent corneal erosions benefit significantly from the use of the amniotic tissue. Another use which has gained more traction in optometry is for healing Neurotrophic Keratitis (NK) in Dry Eye Disease (DED). Learn more about NK from our blog.

Dr. Lyons removing an amniotic membrane from a patient's eye.

The amniotic tissue is composed of several characteristics that promote wound healing and growth. Membranes are collected from the innermost layer of the placenta during healthy, voluntary cesarean sections. The donors and membranes are screened for transmissible diseases, and tissues are treated with antibiotics after removal.

For optometric use, the membranes are encased in a ring to be placed in the eye, similar to a contact lens. The 3 different layers of the tissue closely mimic that of the cornea, which makes it a perfect choice in healing the eye. The amniotic tissue itself acts as a “bandage” to protect the ocular surface as it is healing. The basement membrane layer promotes tissue growth and prevents cell death. The stromal layer prevents scarring and reduces inflammation. Other properties include antimicrobial benefits, prevention of new blood vessel growth, and promotes nerve regeneration- amazing news for treating NK!

To receive maximum healing benefits, the amniotic membrane only needs to remain in place on the eye for about 24-48 hours. Typically, the eye will be taped while the lens is in place to allow it to settle. Prescription drops can be used while the lens is in place. Most patients can find the lens a bit uncomfortable, but the long-term benefits outweigh the short-term inconvenience. If both eyes need treatment, amniotic membranes are placed one at a time. Benefits from amnion placement can last up to 6 months!

Contact our office more information about amniotic membranes or to schedule a dry eye exam.

My Doctor Says I Have Dry Eyes, but I Don’t Notice Any Symptoms. Is Neurotrophic Keratitis Really That Rare?

Tue, 09 Jul 2024 15:00:01 GMT

Neurotrophic keratitis (NK) is a rare, degenerative disease only 16 per 100,000 people have, or so we thought. It is caused by damage to the trigeminal nerve, which is responsible for relaying pain, touch, and temperature sensations from your face to your brain. There are 3 branches of this nerve, including an ophthalmic branch which allows you to feel these sensations with your eyes. We care so deeply about ocular sensitivity because it plays a vital role in preserving your vision!

Damage to the ocular branch of the trigeminal nerve reduces corneal sensitivity. If your eyes cannot detect an injury or other red flags, it does not know to begin the healing process. The two responses your brain triggers in response to a stimulus, like wind or a foreign body, are blink rate and reflex tears. Tears are produced to flush away any unwanted invaders. Blinking releases oils from the eyelids that prevent tears from evaporating. Combining tears and oils together keeps your eyes moisturized and protected. Without blinking and tears, the corneal surface will break down and develop irregularities that impact your vision. But, since the ocular nerves are damaged, you may not notice any symptoms at all.

Is this Dry Eye Disease (DED) or Neurotrophic Keratitis (NK)? The answer is: It's BOTH. In the early stages, NK can trigger the most severe stages of DED. As DED progresses, it causes a loss of corneal nerve function, leading to the worsening of NK. These conditions share similar signs and symptoms, making them challenging to distinguish. Due to the striking similarities between NK and DED, NK is often not thoroughly examined, resulting in under-diagnosis. Its prevalence is more widespread than commonly believed.

Common Causes of NK include:

Chronic contact lens wear
Overwear of contact lenses
Use of eye drops containing preservatives
Glaucoma medications
Herpetic infections
LASIK eye surgery
Cataract surgery
Systemic conditions like diabetes and multiple sclerosis.

To diagnose NK, a corneal sensitivity test is performed. A small filament is used to test the cornea in a few different locations to determine the response to the stimulus. This condition progresses with time and may not be equal across the cornea. Some areas of the cornea may remain responsive while others may not be responsive at all. Dye stains are used to assess the degree of inflammation present on the ocular surface. Typically, the eye is more inflamed than the symptoms a patient feels. If symptoms are present, patients will feel irritation, burning, stinging, fluctuating vision, light sensitivity, redness, foreign body sensation, and contact lens intolerance. The results of these tests combined will be used to determine the best treatment possible.

Treatments for NK vary by stage of the disease. Within the last few years, there have been major leaps in cutting edge technology that have expanded the number of options a patient has. First line defenses typically include preservative-free artificial tears and punctal plugs. If those treatments are ineffective, more advanced options such as bandage contact lenses, amniotic membranes , and Oxervate, a medication to promote corneal nerve growth, are available. To find your personalized treatment options, schedule a Dry Eye Evaluation with Dr. Lyons or Dr. Fisher.

What's New In Dry Eye Medications?

Wed, 19 Jun 2024 19:10:07 GMT

Exploring the Latest Treatments to Relieve Dry Eye Symptoms

Dry Eye Disease (DED) is a multifactorial eye disease that causes damage to the ocular surface and instability of the tear film. In layman’s terms, your dry, itchy, watering eyes may be due to your tear film not functioning properly. This can then lead to damage of the front of the eye. For over a decade, medications such as Restasis and Xiidra have been available to improve tear production in patients with DED. Within the past few years, new medications have been approved. FINALLY!

Receiving FDA approval in the fall of 2021, Tyrvaya (Varenicline) was introduced as the first nasal spray to treat the signs and symptoms of DED. Tyrvaya activates the trigeminal sympathetic pathway in the nose that innervates the lacrimal gland. This improves natural tear production without using an eye drop! In other words, the spray activates a pathway in the nose that triggers an increase in your tear production. Tyraya is used twice daily, ~12 hours apart. Clinical research has shown an improvement in dry eye symptoms, such as, burning, stinging, scratchy/gritty eyes, in as little as three weeks! Common side effects of Tyrvaya include: sneezing, coughing, and throat and nose irritation.

Vevye (0.1% cyclosporine) was released in May 2023 as an eye drop to improve tear production in DED. The active ingredient, cyclosporine, is the same ingredient in Restasis but twice as strong! Another distinction that differentiates Vevye from Restasis is the exclusion of water! Vevye uses a lipophilic vehicle which helps dissolve the lipophilic cyclosporine to more evenly spread the medication across the surface of the eye. This improves the penetration of cyclosporine to maximize the effects of the medication. The lipid-loving vehicle also improves side effects with less than 1% of patients experiencing burning on instillation! Vevye is used twice daily with relief from DED in the first two weeks of use!

In May of 2023, another new medication, Miebo (perfluorohexyloctaneis) received FDA approval. Miebo has taken a different approach and is the first and only prescription eye drop that directly targets tear evaporation. This single ingredient medication is preservative and steroid free. Miebo works by preventing the tears from drying up by mimicking the oil layer of the tears. This medication is taken four times per day with minimal side effects. Only 2% of patients report temporary blurred vision, while less than 1% of patients had burning, stinging or pain.

Tyrvaya, Vevye, and Miebo have been great additions to our dry eye treatment repertoire. The vast differences and innovative designs have given a whole new outlook on the way we treat our dry eye patients. If you feel you may be suffering from dry eye, call our office to schedule an appointment today!

How to Prevent Corneal Ulcers in Contact Lens Wearers

Tue, 21 May 2024 15:00:02 GMT

What is a Corneal Ulcer?

Corneal ulcers are one of the most serious conditions related to contact lens wearers. A corneal ulcer is an infection of the front, clear dome of the eye. Ulcers will lead to a corneal scar that can lead to a permanent reduction or loss of vision.

As a contact lens wearer, how do you prevent this devastating infection?

Wash your hands! The easiest way to prevent infection is to keep your hands clean prior to inserting your lenses.

Dispose of the lenses as prescribed. A daily disposable lens is designed to be disposed of daily, just like a 2-week lens is designed to be thrown away every 2 weeks. By keeping the lenses longer then they are designed for, your risk of infection goes up.

NEVER sleep overnight in your lenses. It seems harmless, but leaving your lenses on your eye through the day and then overnight leads to what is called corneal hypoxia, or a reduction of oxygen to your eyes. This leads to corneal swelling that breaks down the surface of the cornea, dramatically increasing your risk of infection.

Change to a daily disposable lens. Although the initial cost of daily lenses is usually more, people that wear daily disposable lenses have the lowest chance of getting a corneal ulcer. We can’t put a cost on that!

Like sleeping in your lenses, you should NEVER expose your eyes to water while wearing soft lenses in your eye unless otherwise told by your eye care provider. Swimming in your pool, a lake, or relaxing in a hot tub while wearing soft lenses puts you at a significantly higher risk for an infection caused by a Acanthamoeba, a severe parasitic infection. Even taking a shower in your lenses puts you at risk. It is not worth it!

Lid hygiene is often overlooked, but can certainly also be a cause of eye infections. Blepharitis is a manageable eye condition but if left untreated, can lead to a buildup of bacteria on the lid margins, leading to an increased chance of a corneal ulcer.

If wearing a lens that is not a daily disposable lens and that needs to be cleaned daily, be sure to follow the manufacturers cleaning instructions. It is easy to take shortcuts, but most cleansers require you to rub the lenses prior to soaking overnight for a certain amount of time. Additionally, the solution in the case must be replenished daily. Most importantly, we recommend changing out the actual lens case every 1-3 months. The infectious agent often resides in the lens case.

If you had an ulcer that has led to a corneal scar that is affecting your vision, scleral lenses have been one of the best ways to restore your vision.

If you are a contact lens wearer and suspect a corneal ulcer, don’t wait for symptoms to worsen. Reach out to us today at 513-779-3937 to book a consultation. We’re here to help you maintain optimal eye health and prevent complications before they arise. Protect your vision—your eyes are irreplaceable!

Demodex Mites and Blepharitis: What You Need to Know About Your Eyelid Health

Tue, 07 May 2024 19:01:16 GMT

Do you have red, inflamed, and itchy eyelids? What’s the cause and how do we stop the annoying cycle?

These symptoms are very common and typically caused by a condition called blepharitis . How do we get blepharitis? This condition can be caused by having too many of the “good” bacteria that live on and around our eyes, clogging the oil glands within our eyelids. But more often, blepharitis is caused by microscopic mites that live within our eyelash follicles, called Demodex. Up to 81% of patients who have blepharitis have an infestation of Demodex mites !

You may be wondering why you have these little creatures living in your eyelash follicles. The answer is: They are a part of the natural biome of the skin and we all have them! The role that Demodex plays on the skin is to clean up the dead skin cells and sebum. With a lifespan of only a few weeks, they burrow themselves in the follicle and crawl out at night to mate and lay their eggs. Just like head lice, there is no connection between Demodex and poor personal hygiene.

Now if these mites are normal and healthy for our skin, why do they cause such a problem for the eyes? An overpopulation of Demodex has been linked to chronic blepharitis. Under the microscope, Demodex blepharitis appears as cylindrical sleeves, known as collaretes, which coat the lashes at their base. A surplus of collarettes can make eyelids inflamed, irritated, red, crusty, sensitive, itchy, and more.

First line treatments have always included increased lid hygiene to clear away collarettes and warm compresses to open clogged oil glands. Our personal favorite is a low concentration tea tree oil foaming cleanser used once or twice daily. Tea tree oil has antimicrobial, antiviral, antiseptic, and acaricidal properties that clean the ocular surface and help it stay clean longer. While tea tree oil is helpful for the symptoms from Demodex blepharitis, it has not been shown effective in completely clearing the lids of mites. Thankfully, we have a new treatment that has great results!

On July 25, 2023, the medication Xdemvy (lotaliner) was FDA approved as the first and only medication that directly targets Demodex mites! Xdemvy is a twice daily eye drop used for 6 weeks. The active ingredient works to paralyze the nervous system of the mites resulting in eradication, not just management of symptoms. Mild side effects such as burning upon instillation or hordeolum/chalazion are common, but only occur in less than 10% of patients.

Are you ready to try the best option for relief from these common symptoms? Contact our office to schedule an appointment with Dr. Lyons or Dr. Fisher today!

Shield Your Sight: Why Sunglasses Are More Than a Style Statement

Wed, 17 Apr 2024 17:51:57 GMT

In recent decades, we’ve become increasingly aware of the dangers of sun exposure and the lasting effects it can cause. Thanks to the effort of organizations such as The Skin Care Foundation and the EPA, we’ve made leaps and bounds in knowing what the sun is capable of and how devastating UV damage can be to our skin. However, research shows that there is still progress to be made especially in terms of protecting our eyes from the sun. In a recent study, 75% of Americans report being concerned about UV light exposure to their eyes, but only 31% wear sunglasses every time they go outside. This disconnect is even more astounding in younger populations, where it’s reported that among people in their 20’s, approximately 50% rarely wear sunglasses. Children are among the least protected group of Americans with only 29% wearing sunglasses. This is a concerning statistic, as children are the most at-risk of sun damage due to receiving three times the annual sun exposure of adults, totaling roughly 55 days per year exposed to the sun.

We know that the sun can be dangerous to our eyes, but what are the risks? One of the better-known consequences of sun exposure without proper protection is sunburn. The skin around the eyes, as well as the cornea can be susceptible to sun damage. While the visible effects are short term, sun damage is cumulative and therefore can lead to long term problems. Polls show that Americans fear the loss of vision over the loss of any other sense, so it’s important to note that long term sun exposure contributes to several eye conditions that cause vision loss and even blindness. Cataracts , age-related macular degeneration (AMD) , pterygiums and pingueculae, as well as cancer of the eye, eyelid and surrounding skin are all possible outcomes of long term exposure to unfiltered UV rays.

Now that we’ve talked about all the scary parts of sun damage, here’s the good news; there are ways we can be proactive and take steps to prevent sun damage! The most important thing we can do to help protect our eyes is to wear quality sunglasses. Keep in mind that not all sunglasses are created equal. The most harmful radiation that comes from the sun is UVA and UVB, so finding sunglasses that block both types is key. Keep in mind that many sunglasses found at CVS, Walmart or your local gas station may have the sticker stating they block UVA/UVB but due to a lack of regulation, most have a spray-on coating that can wear off over time. Ultimately wearing glasses with little or no UV blocking can do more harm than good. To be absolutely sure you’re getting the protection you need, we advise that you go with a quality pair of sunglasses from a trusted optical retailer. Lenses from reputable optical locations have the UVA/UVB protection built into the lens so that it cannot be washed or scratched off over time.

Once you’ve chosen a quality pair of sunglasses, now all you need to do is wear them! Building good habits around sunglass wear is truly an investment in the future of your vision and your eye health, so being sure to put them on whenever you are outside is one of the best things you can practice. If you have children or grandchildren, help them create good habits now so that they will be wearing proper sun protection for years to come. We cannot change that sun damage is irreversible, but we can change the actions and steps we take to protect ourselves and those around us. We’ve never had anyone express regret over taking steps to preserve their vision and the health of their eyes.

Common Myths:

The darker the lens, the better the protection.

This is a common misconception. You do not have to wear the darkest lens in order to be protected. Lenses that come in many different tint shades and colors can still have UVA/UVB protection, so you aren’t limited to just the darker lenses.

I’m not light sensitive, so I don’t need them.

While there are certain factors that can affect how light-sensitive we are, and even some components that make us more or less susceptible to UV damage, no one is immune. Even if you don’t experience light sensitivity, you can still experience UV damage.

I’ll stick to cheap sunglasses because I lose/break them too often.

While ultimately the decision is yours, we think that wearing quality sunglasses is worth it. Oftentimes some of the activities we perceive carry the most risk for loss or damage are the times when we need sun protection the most. (Boating, hiking, the beach, sports activities, etc.) Quality sunglasses don’t have to be expensive, either. It is possible to find a balance between good sun protection for your eyes and pricing that is within your budget.

They’re not comfortable/I don’t like wearing them.

We get it. Some people just don’t like wearing glasses. Luckily there are thousands of shapes, sizes and fits so odds are you can find something you love (or at least tolerate!). From lightweight to sturdy to stylish, there’s something out there for everyone.

Fun Facts :

The first SPF products were released to the US market in 1978, marketed as a “tan enhancer”!
36% of Americans spend time outdoors between the hours of 2 and 4 pm when UV exposure is at its highest.
UV light is reflected all around us. Water reflects up to 100% of UV, snow reflects up to 80%, while concrete/dry sand can reflect up to 15%. Grass comes in at about 3% of UV reflected, so no matter the activity, it’s important to wear your sunglasses.
Elton John is said to have accumulated over 1,000 pairs of sunglasses. So there’s no excuse for you not to have a backup or two!

As we've explored the significant risks of UV exposure to our eyes, it's clear that taking preventative measures is not just wise—it's essential. Don't wait until you notice problems; be proactive about your eye health. Visit our office today to find the perfect pair of high-quality sunglasses that provide full UVA and UVB protection. While you're here, schedule a comprehensive eye exam to ensure your vision remains sharp and your eyes are healthy. Protecting your sight is an investment in your future, and our team is here to help you every step of the way.

Works Cited

The Vision Council. 2016 UV Protection Report. 2016, https://thevisioncouncil.org/sites/default/files/TVC_UV_Report2016.pdf .

World Health Organization. Radiation: Ultraviolet (UV) radiation. 2016, https://www.who.int/news-room/questions-and-answers/item/radiation-ultraviolet-(uv) .

ARVO. New poll: Americans fear blindness more than loss of other senses, strongly support more funding for research. ARVO, 2014, https://www.arvo.org/About/press-room/press-room/2014-press-archive/new-poll-americans-fear-blindness-more-than-loss-of-other-senses-strongly-support-more-funding-for-research/ .

Your Path to Eye Health: A Comprehensive Overview of Glaucoma Testing

Fri, 19 Jan 2024 15:32:34 GMT

Understanding Your Glaucoma Tests and Follow-Ups

Your Path to Eye Health: A Comprehensive Overview of Glaucoma Testing Empty heading

Welcome to your guide on navigating the journey of glaucoma screening and testing. If your recent visit to the doctor has indicated a potential risk for glaucoma, it's natural to have questions and concerns. Glaucoma is a condition characterized by chronic and progressive damage to the optic nerve and it can lead to vision loss if left unchecked. There are a number of factors that can put a patient at risk, such as optic nerve size, asymmetry between eyes, high intraocular pressure (IOP), and/or family history of glaucoma.

Understanding the variety of tests and their importance in monitoring your eye health is crucial. This article will demystify the process, explain each test and its purpose, and provide a clear roadmap of what to expect in the coming year. Our goal is to arm you with knowledge and confidence as you embark on this important journey towards safeguarding your vision.

Frequently Asked Questions:

Why do I have to come back for these tests? Can’t I do them all today?  Certain tests are done in conjunction with a visit with your doctor, but others need their own appointment time. Visual fields and ERGs require extra time and focus so they are not able to be combined with other visits. These testing appointments can take about 30 to 40 minutes. Be sure to arrive for medical testing rested, alert, and attentive.

How many visits are needed?  In your first year, about 5 total visits are expected. You will alternate between medical testing appointments and visits with your doctor. After consistent and reliable results are achieved, visits may be spaced further apart. You can see the full schedule for the initial screening process below.

Why are my visits spaced out?  Your first two visits are within 1 month to obtain baseline information. Moving forward, visits are spaced 3 months apart to closely monitor eye health and document changes over time. It is important to stay on schedule with glaucoma follow up visits so a timeline can be established. Scheduling appointments too far, or too soon, can make it harder for your doctor to accurately assess your risk of progression.

Why do I need to repeat tests?  To ensure results are consistent and accurate.

If I still don’t have glaucoma, why do I have to keep coming back?  Once you go through all tests, the risk does not go away . It is something your eye doctor will continue to monitor as risk may change with time.

Glaucoma Protocol

2 weeks after your initial exam - HVF (testing only)
1 month after your exam - Visit with your doctor to review HVF, capture fundus photos, and pachymetry
3 months after exam - HVF and OCT (testing only)
6 months after exam - Visit with your doctor to review prior testing and capture OCT
9 months after exam - ERG (testing only)
12 months after exam - Annual comprehensive exam with fundus photos

As you navigate through your glaucoma testing journey, remember that each test and visit is a step towards ensuring the best possible outcome for your eye health.

Feel free to discuss any concerns or questions with us– we are here to support you every step of the way. Together we can work towards maintaining your vision and eye health for years to come.

The videos below provide more information about glaucoma and risk factors.

Say Goodbye to Styes with Intense Pulsed Light (IPL) Therapy in West Chester, Ohio

Fri, 28 Jul 2023 19:30:43 GMT

What is that bump on my eyelid? These bumps are referred to as styes, but they are actually either a hordeolum or chalazion.
What exactly is the difference between the two?

A hordeolum is an acute bacterial infection of an oil gland, or Meibomian Gland, that lines your eyelid. Symptoms of a hordeolum include; swelling, redness, and pain/tenderness to the touch. First line treatment usually involves warm compresses/massage and an oral antibiotic. Sometimes a topical antibiotic will be prescribed if the hordeolum is located right along the eyelid margin versus deep into the tissue.

A chalazion is a red bump that forms inside the eyelid due to a blockage of a Meibomian Gland. This is an inflammatory process rather than an infection. A chalazion will not be painful and is usually farther back on the eyelid. If you palpate that area, you will be able to feel a small nodule inside your lid. Some patients will have blurred vision if the chalazion is larger and presses on the eyeball. Traditionally, first line treatments include warm compresses/massage, oral doxycycline (for its’ inflammatory properties), or topical antibiotic/steroid medications. When those treatments don’t work, often a referral for incision and drainage or steroid injections is necessary. That is not the case anymore!

There are new treatment options available for new and stubborn styes!

Focal Pointe Eye Care in West Chester, Ohio now offers IPL, or Intense Pulsed Light therapy, as a successful stye treatment option for our patients!

The mechanism of action of IPL has anti-inflammatory, anti-microbial, and anti-telangiectatic properties. These properties all address the inflammatory nature of a chalazion. After treatment, acute chalazia, which are present less than 2 weeks, can be resolved in 3-5 days. Chronic chalazia may require 2-3 treatments for complete resolution.

IPL has also been shown to be effective for chalazia that have returned after incision and drainage and have a lesser risk of recurrence!

Watch the video above to see why patients find IPL stye treatment to be the most comfortable option.

Patients love the medication-free, injection-free, incision-free approach that IPL therapy offers!

For more information about this treatment, call or text us at 513-779-3937.

Dr. Lyons Helps Patient with Extreme Dry Eye Disease

Fri, 09 Dec 2022 15:38:15 GMT

Ocular surface disease (OSD) is a common problem, resulting in blurred vision, increased sensitivity, and often red eyes. All these things can limit the daily activities of a person who suffers from dry eyes.

Scleral lenses offer a way to not only improve the ocular surface with constant hydration, but also shield the eyes from the drying environment.

Dr. Lyons treated a patient who was referred by her corneal specialist for scleral lenses due to her severely dry eyes. In fact, her dry eye disease was so severe that she was unable to fully open her eyes in the exam room due to photosensitivity.

Over the course of several months, Dr. Lyons’ treatment was focused on controlling the inflammation of the ocular surfaces with a combination of scleral lenses, ocular medications and the use of cryopreserved amniotic membrane which has anti-inflammatory and anti-scarring effects to help heal the surface of the eye.

The treatments were successful thus showing that multiple dry eye therapies can be utilized to achieve the right combination for each patient. Once her topographical surface improved and became more regular, the patient was able to comfortably wear the scleral lenses the entire day and she had improved vision with and without the lenses. This was a life-changing experience for the patient and highlights the benefits of scleral lenses for patients with dry eye disease.

While this was an extreme case, treatment options exist for patients suffering from mild to extreme dry eye disease. If dry eyes are affecting your vision, schedule an eye exam with Focal Pointe Eye Care today, and get the relief you deserve to enjoy life to the fullest.

Read the full article by Dr. Lyons in the “Scleral Case Reports” publication in Contact Lens Spectrum.

Controlling Progressive Myopia in Children

Thu, 22 Sep 2022 20:20:25 GMT

Myopia or nearsightedness is a common vision condition that affects nearly half of all Americans. When nearsightedness worsens, it is known as progressive myopia.

The incidence of progressive myopia in children has doubled in the last 20 years and is now being recognized as a national epidemic.

If left undetected or untreated, progressive myopia can affect learning, sports and hobbies. It can also increase the risks of ocular diseases in adulthood such as glaucoma , macular degeneration , retinal detachment and an earlier onset of cataracts .

The best way to control myopia is to detect and treat it early. Routine eye exams should start before a child enters preschool.

Fortunately for children with myopia, there are a number of interventions that can help slow the progression.

They include:

Orthokeratology (Ortho-K)

Unlike traditional contact lenses that are worn during the day, orthokeratology lenses are worn only at night. These specially designed lenses gently re-shape the eyes during sleep. In addition to slowing the progression of myopia, Ortho-K lenses also have the benefit of providing clear vision all day without the use of glasses or contacts.

Atropine Drops

Atropine has a long history of use and is an effective form of myopia management. Atropine drops are a good option for children who are not candidates for other treatment methods and are sometimes used in conjunction with other forms of myopia management. Atropine drops can slow the progression of myopia but are not considered a cure.

Contact lenses

The FDA recently approved a soft contact lens for the treatment of myopia in children ages 8-12. MiSight is a daily lens that has alternating treatment and correction zones and provides clear vision during wear.

Specialty eyeglasses

In children who are not suited to contact lenses or eye drops, multifocal eyeglasses can help slow the progression of myopia.

For more information regarding progressive myopia treatment or to schedule a consultation, call our office at 513-779-3937.

I Have Keratoconus, Now What?

Fri, 09 Sep 2022 12:39:27 GMT

Chances are you went to see your eye doctor because you were not seeing as well as you used to. But, instead of getting a prescription for glasses or contacts, you were diagnosed with keratoconus, a condition that is progressive and can threaten your sight. Now you’re wondering, what is keratoconus and what are my treatment options?

Simply put, keratoconus occurs when the normally round cornea thins and becomes cone shaped. This change in shape alters the way light rays are focused on the retina and causes vision to become blurry and distorted.

Treatment for keratoconus depends on the severity of your condition and how quickly the condition is progressing. The goals of treatment are to slow the progression of the disease and to improve your vision.

SLOWING THE PROGRESSION OF KERATOCONUS

There are several things you can do to help slow the progression of keratoconus.

Stop rubbing your eyes

Eye rubbing has been linked to accelerated progression of keratoconus, so it is important that you stop rubbing your eyes. Rubbing your eyes too often or too hard can scratch or damage the cornea and lead to further thinning of the cornea. If your eyes are uncomfortable, try lubricating drops instead of rubbing. In addition, antihistamine eye drops are useful for preventing and treating itchy eyes caused by allergies.

Have a complete eye exam with topography every 6-12 months

Corneal topography takes a unique picture that maps the surface of the cornea and is an important tool in managing keratoconus. Using topography scans, your doctor can monitor for any changes in the curvature of the cornea.

Make sure your contacts fit properly

Poorly fitting lenses can rub against the diseased part of the cornea. This rubbing causes symptoms to worsen by irritating the already thin cornea. An evaluation every 6-12 months can help make sure your lenses continue to fit properly.

Corneal Cross-Linking

If your keratoconus has progressed, a procedure called corneal cross-linking is highly effective in slowing the progression. Corneal cross-linking is an in-office procedure where the cornea is saturated with riboflavin (vitamin B2) eye drops and treated with ultraviolet light. This treatment physically hardens the cornea which helps prevent further changes in shape.

IMPROVING YOUR VISION

The severity of your disease will determine the best options for you.

In the early stages of keratoconus, your vision can often be corrected with glasses or soft contact lenses to treat nearsightedness and astigmatism.

As keratoconus progresses, specially fitted contacts are needed to provide better vision. These include gas permeable lenses , hybrid lenses or scleral lenses.

For most people with keratoconus, a scleral lens is the best treatment option for better vision. A scleral lens is a large diameter gas permeable lens that vaults over the cornea and sits on the less sensitive sclera. This design provides a smooth refracting surface and prevents discomfort by reducing pressure on the cornea. Scleral lenses also have a fluid layer that ensures that the eye remains hydrated and increases the comfort of the lens. The fluid layer also helps smooth out any irregularities in the shape of the cornea which improves vision.

OTHER TREATMENTS

In fewer than 10% of people with keratoconus, the cornea will eventually become too scarred or wearing contact lenses will become too difficult. In these people, corneal transplant surgery may be needed.

Dr. Michael Lyons with Focal Pointe Eye Care in West Chester, Ohio has been recognized for his work in diagnosing and treating patients with keratoconus. He is one of the leading fitters of scleral lenses in the Cincinnati region and is a Fellow of the Scleral Lens Education Society.

Schedule an appointment with Dr. Lyons to discuss treatment options for keratoconus.

TearCare Treatment for Dry Eye

Mon, 06 Jun 2022 15:35:15 GMT

This is Dawn; she is a patient who has been suffering from dry eye symptoms for over 15 years. She came to Dr. Fisher last fall after her online search showed the many treatment options that Focal Pointe Eye Care offers. Her eyes felt like sandpaper and burned throughout the day, causing even blinking to be painful. Living with dry eye symptoms affected her life in many ways; she has not been able to wear contacts or makeup, was prone to eye infections, and could not get a full night of sleep. She would wake up nightly with painfully dry eyes. Dawn went through three TearCare treatments with Dr. Fisher and “it has made a world of a difference!”

Within a few weeks, Dawn began to notice improvements in her eyes and she was no longer in pain throughout the day. “The best way to describe it was that I stopped noticing my eyes. I didn’t need drops in the middle of the day or first thing in the morning. That is a big deal!” Even her sleep improved, too. “I no longer lose sleep over my dry eyes, which often, I did. It was hard to go back to sleep after waking up to use drops in the middle of the night,” she explained.

TearCare is a treatment developed for patients with Meibomian gland dysfunction (MGD) , which is the leading cause of dry eye symptoms. MGD causes inflammation and clogging of small glands in your eyelids that produce the oily layers of your tears. During the TearCare treatment, warming pads are placed on the upper and lower lids like you see in the photo. This will gradually heat the area which softens the oils in the Meibomian glands. It is common for patients to feel so relaxed they even fall asleep during this portion of the treatment! After 15 minutes the pads are removed and the doctor massages the lid area to express any clogged glands. TearCare is an in-office treatment that takes multiple visits to get best results, similar to what Dawn experienced.

MGD is a condition that continually needs treatment to stop advancement and further damage to the eye. In addition to the in-office treatment, Dawn’s at-home regimen included cleansers, warm eye masks, taking supplements, and performing daily blinking exercises. This “homework” allows her progress to be long lasting. It is important to both Dr. Fisher and Dr. Lyons that improvements in dry eye symptoms are maintained between appointments to allow for clearer vision and a more comfortable life in the future.

For questions or to schedule a Dry Eye Consultation, please call or text 513-779-3937 or email info@fpeye.care.

COVID-19 Check-In Procedures

Tue, 21 Jul 2020 18:39:10 GMT

Margaret Mead once said, “Never Doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.”

The emergence of COVID-19 has brought about change in all of our daily lives, which means “we” as Focal Pointe Employees needed to thoughtfully reevaluate some of our processes. Given these new measures comes change – and that includes our Check-In process.

Erring on the side of continuing to providing high quality care, Focal Pointe Eye Care is committed to keeping our patients and employees protected. We have adapted some new- and different- procedures for Check-In. Here’s what you can expect from us for the Check-In process, keeping in mind this is an ever evolving process.

IN-OFFICE PATIENTS

1. We will be requiring you to wear a mask into your appointment.

2. We will be asking you to TEXT or CALL us from your car when you arrive to the office.

a. When you call/text from your car we will be verifying your Medical Insurance and Vision benefits, address, phone

number, email, etc to keep our records up to date.

3. We will be asking you the following COVID-19 questions.

a. Have you traveled outside of the United States in last 14 days?

b. Do you have a cough?

c. Have you experienced any shortness of breath?

4. We will be collecting any balances due or copays prior to your appointment. We can take credit or debit over the phone while you are in your car or if you choose to pay by check/cash we will receive your payment inside.

5. We will bring you in and check your temperature with a contactless thermometer. If your temperature were to read over 100.4 degrees, we would have to reschedule the appointment.

6. You will then be taken directly back to an exam room.

a. If there is any paperwork needed we will have you fill out the paperwork in your assigned exam room

TELEHEALTH CALLS

1. You will receive a phone call or text message to verify your insurance. In most cases we will be asking you to text us a picture of your Medical Insurance Card.

2. We will be verifying your address, phone number, and email address to keep our records up to date.

3. You will need to have a device with camera capabilities. (ie- cell phone, I-pad, computer)

a. This is a Video enabled office visit with the doctor- we can see you and you can see us!

4. After you enter the “virtual” waiting room the first person you see will be one of our Doctor’s Assistants.

a. Should you have any difficulties logging in we will be there to help walk you through the process of getting started!

Here at Focal Point Eye Care we truly work every day to make a difference in this world. So, at a time when a lot of things are uncertain right now, we are controlling what we can and making sure we are providing a safe atmosphere for all.

The importance of checking intraocular pressures

Wed, 01 Jul 2020 21:35:45 GMT

Why test for intraocular pressures?

Checking eye pressure is a necessary test that is typically performed at every eye exam. Fluid inside of the eye is produced every day by the part of the eye called the ciliary body. This fluid keeps the eye “inflated” in order to maintain a round shape. The purpose of measuring the pressure inside of the eye is to ensure that it is within normal range. Just like a tire on a car, an eye can have pressure that is too low or too high. An eye that has an elevated pressure may be at risk for a condition called “glaucoma.” Glaucoma is a disease where the optic nerve is damaged over time, leading to vision loss. Glaucoma is usually associated with elevated eye pressures. There are two types of glaucoma that can lead to an increase in intraocular pressure, open-angle glaucoma and narrow-angle glaucoma.

Open-angle glaucoma

Open-angle glaucoma refers to a group of conditions that most-often leads to an elevated intraocular pressure, but the relationship between the iris and cornea is normal. In other words, the “angle” between the iris and cornea is “open.” This is the most common form of glaucoma and is referred to as an insidious condition, meaning one that has very few symptoms but is capable of profound vision loss if left undetected. After the age of 40, it is recommended by the American Optometric Association to get your pressures checked yearly in order to properly screen for this condition. If open angle glaucoma is detected, treatment usually begins with topical eye drops or laser therapy.

Watch a 1 Minute video about Open-Angle Glaucoma

Narrow-angle glaucoma

Narrow-angle glaucoma occurs when the relationship of the iris and cornea becomes so narrow that it blocks the normal outflow of the eye. The blockage can lead to an “acute attack” that, if not treated urgently, can cause significant vision loss. Symptoms of having an acute angle-closure attack are:

• Your vision is suddenly blurry

• You have severe eye pain

• You have a headache

• You feel sick to your stomach (nausea)

• You throw up (vomit)

• You see rainbow-colored rings or halos around lights

Just like open-angle glaucoma, it is important to have routine eye exams at regular intervals. If narrow angles are detected, a simple laser procedure will often cure the condition. People that are hyperopic (farsighted) are at much greater risk for developing narrow angles.

Watch a 1 Minute Video about Narrow Angle Glaucoma

What is normal eye pressure?

A normal pressure range is from 8-21 mmHg (millimeters of Mercury). Most of the time, eyes with glaucoma measure higher than 21 mmHg. There are cases when the pressures can be high but glaucoma doesn’t exist. This is called ocular hypertension, and with this condition it is important to have pressures monitored regularly so it doesn’t lead to glaucoma overtime.

According to WebMD, a person is more at risk for glaucoma if you fall under the following:

Are over 40
Have a family member with glaucoma
Are African, Hispanic or Asian
Have had an eye injury
Are far-sighted or near-sighted
Have been told your corneas are thin in the middle
Have diabetes
Get migraines
Have circulation (blood flow) problems

How to prevent glaucoma?

Although there is not necessarily any way to prevent glaucoma, the best way to insure proper eye health is to get regular eye exams performed by your eye care provider.

The new way of checking eye pressure

Say goodbye to the old “air puff” machine that one would sit in front of in fear, anticipating a puff of air to hit the eye. The newest way to check eye pressure is by using an instrument called “I-Care”. With I-Care, checking eye pressure is fast and painless while being more accessible to everyone, including children. I-Care is a hand-held tonometer that is held just a few inches away from the patient. With a touch of a button, the device gently and rapidly sends a tiny probe to the eye in order to get a reliable pressure reading. Most people report that it feels like a feather touching the surface of the eye, while others say they can’t feel anything at all.

Glaucoma is often symptomless and the best way to minimize the risk of vision loss is to schedule an annual eye exam. If you are in the greater Cincinnati area, contact Focal Pointe Eye Care to schedule your exam. Call 513-779-3937.

Product Spotlight-Optifog

Wed, 03 Jun 2020 19:01:56 GMT

Just three months ago, an article about glasses that don’t fog wouldn’t have crossed my mind. Now we are reminded daily of the importance of wearing a cloth mask to help protect those around us from COVID-19 and the fogging of spectacles has become relevant. The CDC continues to encourage the use of cloth masks to prohibit water droplets that arise from our mouth and nose from spreading to others. Those of us that wear glasses realize that those same water droplets can escape from around the mask, particular by our nose, and make it challenging to keep our lenses clear and fog-free. What if I were to tell you that there is a magical lens that remains fog-free all day? Read on!

I first heard about the product “Optifog” over ten years ago. I thought the concept sounded great: a lens that wouldn’t fog! Fogless lenses would be convenient for many different people; people that spend a lot of time in a kitchen, delivery people that are constantly going from outdoors to indoors, and even athletes. At the time, however, the lenses required a special solution to “activate” the antifog characteristics, and it was relatively expensive.

With the new generation of Optifog now available, and the CDC’s encouragement to wear a mask set for the unforeseeable future, I decided it is a good time to learn more. I sat down with our optical expert, licensed optician Kathryn LaClair, to learn more about the Optifog lens. As Kathryn explained, “Optifog is a patent-pending lens enhancement that was developed by Essilor and released in 2012. Optifog is a permanent lens treatment that is applied as the lenses are being manufactured for the patient’s prescription. Optifog consists of a hydrophilic lens layer that is activated by an Optifog Activator Cloth.” The Optifog Activator Cloth replaced the solution in 2014, making it more convenient to keep the lenses fog-free. “You simply clean the lenses every morning with the Activator Cloth, just like you would clean the lenses with a regular microfiber cloth, and the lenses stay fog-free all day,” explains Kathryn. The Activator Cloths are to be replaced every 3 months per the directions, and Essilor supplies every new pair of glasses with Optifog with a year supply of Activator cloths.

Lenses fog as a result of tiny water droplets in our breath adhering to the surface of the lens, creating a film of mist. Optifog counteracts the mist by allowing the droplets to flatten and spread evenly to the surface of the lens, creating the illusion of transparency. “A soap film applied to lenses utilizes this same principal – with a catch. We recently published two videos demonstrating that a soap film does not adhere to a lens with an antireflective coating, so it only works with a basic ophthalmic lens.”

How do you get the Optifog on your glasses? “Optifog must be specified at the time of ordering your lenses. So if you want Optifog, you will need to get new lenses.” And the cost? “Expect to pay around $100-150 to have this feature added to your lenses. This will be a technology that our patients will have to balance budget with necessity.” If our use of masks extends into 2021, as Kathryn points out, “How much is clear vision worth to you?”

Want to see how well Optifog performs? We tested Optifog against other methods of preventing lens fogging. View the challenge video below.

COVID-19 and the Eyes

Tue, 19 May 2020 22:29:29 GMT

Gradually we see the State of Ohio reopening, and day-by-day it seems we learn something new about SARS-CoV-2, the coronavirus responsible for COVID-19. In addition to systemic complications, more information is being discovered regarding ocular complications associated with COVID-19.

There have now been many reports of individuals infected with COVID-19 that have displayed signs of conjunctivitis as well. A virus causing eye issues is not a new thing; in fact, we’ve known for decades that adenoviruses have been responsible for the well-known “pink eye” that characteristically causes watery and red eyes, discharge, and practically sealed-shut eyes upon awakening. The most famous COVID-19 conjunctivitis case to date is the woman that had a confirmed conjunctivitis secondary to COVID-19 that lasted 20 days, nearly triple the length of a conjunctivitis caused by an adenovirus.

What Makes COVID-19 Conjunctivitis Different

The differentiating factor of COVID-19 is that it spreads primarily from person-to-person via respiratory droplets through the air. When an infected person coughs, sneezes, or even talks, the virus can enter a nearby individual through the mucosal membranes of the nose, mouth, or lungs. Furthermore, people that may be infected with COVID-19 may not be displaying any symptoms. To prevent further spread, the CDC published a protection guide that states we need to wash our hands often, avoid close contact via social distancing, cover our mouths and noses with a cloth face cover when around others, cover our coughs and sneezes with a tissue or use the inside of our elbow, and clean and disinfect frequently touched surfaces daily

Eye Allergies or Viral Conjunctivitis?

Recognizing viral conjunctivitis is now made more complicated since we are entering allergy season in Ohio. Some symptoms of allergies do overlap with a viral conjunctivitis; however, the symptoms of allergies are typically mild when compared with “pink eye.”

Eye allergies usually present with redness, watering, itching, and some foreign body sensation ( Learn more about eye allergies ). It would be unusual to have mucous discharge or sealing of the eyelids, symptoms that are highly associated with viral conjunctivitis.

The good news is that viral conjunctivitis is usually self-limiting and not visually threatening, but there are treatments available that can shorten the duration of your symptoms. The question that now weighs more heavily is that if you are diagnosed with viral conjunctivitis, is the culprit COVID-19? A virus culture can be obtained from the surface of the eye; however, at this time it is more likely that you would be monitored for additional signs of COVID-19 such as fever, shortness of breath, cough, chills, muscle pain, sore throat, and new loss of taste or smell. If at any point you feel you may have a viral conjunctivitis, please immediately seek an exam with your local eye care provider.

Do I need to wear protective eyewear?

There has been also conflicting reports on the need of protective eye wear and the use of contact lenses. To clear up some of those myths, Dr. Elizabeth Muckley, current President of the Ohio Optometric Association, issued the following statement: “There currently is no evidence that discontinuing contact lens wear or wearing glasses will decrease your risk of contracting COVID-19.”

For Contact Lens wearers , the American Academy of Optometry has issued the following guidelines for safe contact lens wear:

1. Wash hands thoroughly, at least 20 seconds with soap and water, and dry hands completely.

2. Use daily disposable contact lenses if possible.

3. If solutions are required, use them appropriately. Specifically, do not top-up or re-use solutions.

4. Replace cases monthly or more frequently. Rinse wipe and air-dry contact lens cases every day.

5. Do not wear contact lenses when you are ill.

6. Do not sleep in your contact lenses unless it is medically necessary.

For Spectacle wearers (Watch the video below).

1. Carefully rinse the glasses under lukewarm water to wash away dust and debris.

2. Apply a pea-sized amount of anti-bacterial, lotion-free dish soap to each lens. Use your fingers to gently clean every part of the frame.

3. Rinse off all of the soap with warm water, shake off excess water, and dry gently with a microfiber cloth.

More information will certainly arise as we continue to learn more about COVID-19 in the upcoming months. Rest assured in a time of much uncertainty, with the practice of good hygiene and safe wearing habits as outlined above, you should be able to wear your contact lenses and glasses worry free.

What is eye dilation and why is it so important?

Tue, 12 May 2020 22:44:32 GMT

The actual definition of the word dilation, according to Cambridge Academic Content Dictionary, is the process of becoming wider or more open. So dilating in reference to your eyes is the process by which the pupils (black center portion of your eye) are enlarged. Your pupils naturally enlarge and constrict throughout the day without you even noticing.

When you are exposed to bright light your pupils constrict (get smaller) in order to prevent too much light entering and causing damage to the very back of your eye, the retina. When you enter a dark room your pupils enlarge (get bigger) to allow more light to enter your eye which gives you better vision in dim lighting. So why does your optometrist need your pupils dilated during your exam?

When your pupils are dilated they give your optometrist a much better view of the back of your eye, called the retina, along with your optic nerve. Examining the retina and optic nerve is very important for diagnosing, preventing, and treating eye conditions such as glaucoma and macular degeneration; both of which could lead to vision loss if left untreated. When your pupils are not dilated the optometrist can still view the back of your eye, but his or her view is much more limited (see diagram below) and prevents them from thoroughly seeing your entire retina.

How do eye dilation drops work and what should you expect when getting dilated?

There are many different types of dilation drops that can be used, each varying in how long they last. 2.5% Phenylephrine is commonly used. This is a clear, colorless, and sterile topical ophthalmic solution that prevents the iris muscles (colored part of the eye) from constricting the pupil, thus causing dilation. When your pupils are dilated you can expect some light sensitivity, or photophobia, due to more light entering your eye. You can also expect some blurred vision which is caused by the iris muscles being unable to constrict and contract to allow you to focus.

Dilation drops affect everyone differently and according to the American Academy of Ophthalmology; can last from a few to several hours depending on the type of dilating eye drop used and how your specific eyes react. To help with the effects of dilation, you can bring sunglasses to wear after your eye exam to help with the light sensitivity. If you are worried about having blurred vision and how long it may last, speak with your optometrist about your concerns and perhaps bring along someone who is willing to drive for you after your appointment.

Overall, dilation is painless and is a very important diagnostic tool used by optometrists to help with diagnosing and treating eye conditions. A dilated eye exam is recommended yearly. Tolerating some light sensitivity and blurred vision for a few hours definitely outweighs the possibility of vision loss in the future from not getting a thorough eye health exam. Don’t hesitate to speak with your optometrist about your concerns and uncertainties pertaining to a dilated eye exam.

Focal Pointe Eye Care is located in West Chester, Ohio and provides comprehensive eye exams for individuals and families in the greater Cincinnati area. Learn more about eye exams. For the very best in eye care, contact Focal Pointe today at 513-779-3937.

Are my lenses scratch proof?

Wed, 06 May 2020 19:10:37 GMT

This Question is easy to answer; no lenses are completely scratch proof.

All lenses have some kind of scratch coating.

The big difference is how thick the coating is and the material that it is applied to.

A scratch coating may be directly on the lens surface or included in the anti-reflective coatings.

Other coating that make the lenses easier to clear or that repel dust and oils or even water keep lenses from scratching simply because they stay cleaner longer.

Our staff decided to have a little fun sharing tips for caring for your eyewear. Check out the 1 minute video below.

Is My Child Nearsighted (or Myopic)?

Wed, 29 Apr 2020 01:00:46 GMT

Nearsightedness, or myopia, is often considered a refractive condition that requires glasses or contacts in order to see. It results in the inability to see things far away when not wearing the proper correction.

A child that is nearsighted may squint or get closer to things in order to see more clearly. A parent or teacher may also notice a decrease in performance at school or in sports. This can occur at any time during a child’s life, and can even continue to progress as an adult. It is estimated that by the year 2050 that over half of the world will be nearsighted¹.

WHAT CAUSES MYOPIA?

Nearsightedness is a result of the eye growing too long or the eye being too round, both causing the incoming image to focus short of the retina. A child with nearsighted parents is at a much greater risk of being nearsighted. Other contributing factors that are being researched include prolonged near work (especially under dim lighting conditions), short working distances, decreased time spent outdoors, and an unhealthy diet.

MYOPIA CONCERNS

A new level of concern exists because of the growing number of nearsighted individuals worldwide, with some professional organizations referring to this as a “myopia epidemic.” As the level of myopia increases in an individual, the risk for cataracts, glaucoma, retinal detachment, and macular degeneration all exponentially increase as well².

MYOPIA TREATMENT

Once diagnosed by an eye care provider, nearsightedness is commonly corrected with eyeglasses or contact lenses that are worn during the day. Depending on the level of nearsightedness, the correction may be worn all the time, or just during certain activities like school or sports.

A new focus is being devoted into Myopia Prevention and Myopia Control. Myopia Prevention is based on an educational platform to inform parents and young children on healthy habits to start at a young age in order to help prevent the onset or minimize the progression of the condition. The C.L.E.A.R. Awareness Program is a platform that Dr. Lyons created to help children and parents remember the steps of Myopia Prevention.

Myopia Control utilizes custom overnight lenses (orthokeratology), special daily lenses (multifocal lenses), and/or eye drops (atropine) in order to minimize the progression of myopia. If you are interested in learning more regarding which form of Myopia Control is best for your child, contact us at 513-779-3937.

1. Holden et al, Global Prevalence of Myopia and High Myopia and Temporal Trends from 2000 through 2050. Ophthalmology. 2016 May; 123(5): 1036-42.

2. Jones et al, Industry Guidelines and Ethical Considerations for Myopia Control Report, Invest Ophthalmol Vis Sci. 2019.

Suffering from eye allergies in Southwest Ohio? Here's what you need to know.

Wed, 22 Apr 2020 18:52:21 GMT

Oh yes, it is officially springtime in Cincinnati and with that that comes the dreaded start of allergy season. It comes around every year like clockwork and brings all kinds of uncomfortable symptoms that make it difficult to enjoy the change in weather and time outdoors. Most are aware that seasonal allergies cause symptoms like a runny nose or sneezing, but the eyes can also be affected. Today, I would like to specifically review ocular (eye) allergies, the symptoms you should expect, and the best way to manage the condition.

What causes eye allergies?

Eye allergies are caused by an immune reaction to an offending agent. Your body’s defense mechanism is to release histamine, which is a chemical that causes swelling and inflammation. The most common triggers for many of us include tree, grass, and ragweed pollen. Common indoor allergens include mold, dust mites, and animal dander.

How can I tell if I have eye allergies?

There are three common symptoms associated with ocular allergies: itching, redness, and watering.

Itching is the most common of the three symptoms and is an important differentiating factor. The location of the itching sensation is very important in ruling out other conditions with similar symptoms, such as blepharitis and possibly an infection.

With eye allergies, you’ll usually notice itching toward the corner of the eyes where stagnant tears filled with allergens and allergic mediators have collected. With blepharitis, you’ll notice itching along the eyelid.

What not to do for eye allergies

With treatment of ocular allergies, one of the biggest issues I see as an optometrist is the use of over the counter red eye solutions that neither address the problem nor relieve the symptoms. Visine and similar drops contain drugs that work by shrinking the blood vessels in the white part of the eye.

Prolonged use of these types of drops can cause those vessels to permanently enlarge, which can make your redness even worse. Use of these drops is not recommended for chronic use, especially for the treatment of eye allergies.

Getting relief for eye allergies

Topical antihistamine drops are very effective at relieving symptoms and many are available at your local drugstore.

Zaditor, Alaway, and Pataday are the best over-the-counter options available currently. Pataday was previously available by prescription only, but recently became available to the public in early 2020.

Other options for eye allergy relief

Allergen avoidance, cool compresses, regular linen cleaning, and preservative-free artificial tears can also help with symptom relief. For contact lens wearers who suffer from chronic allergy symptoms, switching to a daily lens modality or using a hydrogen peroxide disinfection system can be very beneficial.

What if my symptoms are more severe?

Conservative therapies are in some cases not enough to control allergy symptoms, especially for patients who have severe symptoms.

In this case, additional therapies may be indicated. Ultimately, preventative measures and identification of the offending allergen are the most important steps in controlling your allergy symptoms. Allergen testing can be very helpful in determining your specific allergies.

If you’re concerned that you may be suffering from ocular allergies and you’ve already tried the aforementioned strategies, please contact your eye care provider for further evaluation. You can also find more information including a video from Dr. Charry on our Eye Allergies page.

If you live in Southwest Ohio, consider contacting Focal Pointe Eye Care in West Chester. We can help end your suffering from eye allergies and get you back to enjoying life. Call or text us at 513-779-3937.

Nicole Charry is an optometrist with Focal Pointe Eye Care in West Chester, Ohio and has helped many patients find relief from seasonal and persistent eye allergies.

FDA Approves Contact Lens for Treating Pediatric Progressive Myopia

Wed, 04 Mar 2020 14:42:10 GMT

Dr. Michael Lyons discusses the importance of this new treatment option.

Dr. Michael Lyons has been treating Ohio children with progressive myopia for several years and is regarded as an authority on the topic.

In a recent interview, Dr. Lyons shared his thoughts on the impact of progressive myopia, and the significance of having an FDA approved treatment option. Below are excerpts from that interview.

What is progressive myopia?

Myopia is the technical term for nearsightedness, an eye condition that affects nearly 2 out of 5 Americans. When a person experiences a worsening of their nearsightedness, that is known as progressive myopia.

Progressive myopia and children

The biggest concern here is the increase in the number of children diagnosed with progressive myopia. Left untreated, children are at greater risk of developing serious vision complications later in life, including irreversible vision loss.

For detailed information on progressive myopia, check out our previous blog article https://www.focalpointeeyecare.com/myopia-control-for-ohio-children

What has changed?

The US Food and Drug Administration has approved a special daily use contact lens for treating progressive myopia. While there are several options for treating progressive myopia, this is the first to receive FDA approval.

Developed by Coopervision, a leader in contact lens technology, the MiSight 1 Day contact lens is clinically proven to slow the progression of myopia when initially prescribed for children 8 – 12 years old.

MiSight 1 Day contact lenses were clinically validated in a multi-year comprehensive study that enrolled children between 8 and 12.

The 3-year study concluded MiSight 1 Day contact lenses reduced myopia progression by 59%, when compared to a single vision 1-day lens. In addition, the study showed a 52% reduction in axial lengthening (with myopia, the cornea or front of the eye elongates to a degree the eye is no longer round but oval or even conical in shape).

How is the MiSight different for treating progressive myopia?

Historically when a child was diagnosed as nearsighted, the typical solution was to prescribe a pair of glasses to correct the vision. If the child’s myopia worsened, the prescription would change. While this solution certainly helped the child see clearly, it wasn’t doing anything to treat the underlying cause of the worsening myopia.

The MiSight contact lenses are unique because they provide vision correction, and they also treat the underlying cause by changing the image focus of the eye to reduce elongation.

Won't a normal contact lens do this?

Single vision contact lenses are only equipped to correct simple vision conditions. The MiSight lens has two treatment zones specially designed and clinically proven to correct vision and slow the progression of myopia.

Why is FDA approval meaningful?

Up until this point we have relied on treatments that were not FDA approved. These treatments have been used for years and are still safe, but the FDA approval can provide additional reassurance to parents considering treatment options.

Will these contact lenses stop progressive myopia?

The treatment options currently available for progressive myopia are able to slow the progression. The impact of slowing the progression can be significant to the point of preventing eye diseases like glaucoma, retinal detachment, macular degeneration and other vision threatening diseases.

Are these contact lenses designed only for children or could adults benefit from them as well?

The eyes grow most actively up until around age 18 and research has shown that they can continue to elongate during post-high school education. As a result, an ideal treatment age for these contact lenses begins around 6-8 years old, dependent on the maturity level of the child. The sooner we can treat progressive myopia, the greater we can impact the outcome.

What should parents do to protect their children against progressive myopia?

In Ohio, we have wonderful program called Infantsee which provides free eye screening for infants between 6 and 12 months. It may sound crazy, but even at that age we can determine the refractive power of the eyes and predict at what age they will need glasses.

That provides the parent with a target age for a more complete eye exam for their child. From there, we can easily monitor any progression and like most any health condition, diagnosing a health condition early allows for more treatment options and increases the chances for successful outcomes.

When will MiSight 1 Day contact lenses be available?

Coopervision expects these contact lenses to be available in Spring 2020. You can contact our office to inquire about availability and schedule an eye exam for your child.

Focal Pointe Eye Care is committed to educating our community about eye health and providing answers and solutions to help you achieve your best vision. Contact us today to schedule an eye exam. Call 513-779-3937

Sources:

1. Chamberlain P, et al. A 3-Year Randomized Clinical Trial of MiSight Lenses for Myopia Control. Optom Vis Sci. 2019;96(8):556-7.

2. Tideman JW, et al. Association of Axial Length With Risk of Uncorrectable Visual Impairment for Europeans With Myopia. JAMA Ophthalmol. 2016;134(12):1355-63.

Focal Pointe Eye Care website recognized by Web Marketing Association

Wed, 02 Oct 2019 01:31:24 GMT

Focal Pointe Eye Care of West Chester, OH is pleased to announce their website has been recognized for Outstanding Achievement in Web Development by the Web Marketing Association . Results of the juried competition were announced on September 11, 2019.

Websites are judged on seven criteria including design, innovation, content, technology, interactivity, copywriting and ease of use.

Focal Pointe Eye Care owners Dr. Michael Lyons and Liz Lyons worked with digital marketing agency WSI Summit to develop the website with a goal of making the website an extension of the in-office patient experience.

"In the last year, we have invested in both a new office and a new website. The goal of both is to help us continue to deliver exceptional eye care to our patients." Said Dr. Lyons.

Liz Lyons commented "Working with Gunnar Hood at WSI Summit to develop our website and online presence was great. We talked about the importance of providing educational content for our patients and making the site interactive and easy to navigate. We were very pleased with how it all turned out."

"We are rewarded each time a patient tells us their life has changed for the better because of improved vision," said Dr. Lyons, adding "so it is humbling when we are recognized by organizations like WMA for just trying to do a better job for our patients".

Speaking on behalf of WSI Summit, Gunnar Hood said "Working with Mike and Liz has been a wonderful experience. Their passion for helping people is positively contagious. When planning the website project, we talked about the number of people in the region who suffer from conditions like Keratoconus or progressive myopia and the importance of helping those patients connect with resources offered by Focal Pointe. So we not only developed content to help those patients, we worked to ensure the content could be found in online search."

Focal Pointe Eye Care provides vision screening for Upspring youth campers

Fri, 12 Jul 2019 12:13:01 GMT

Bringing vision care to kids in need

Upspring.org, a Cincinnati based non-profit organization provides educational opportunities for area homeless children and youth.

During the recent Summer 360 camp, 42 children aged 5 to 14 received free vision care from Focal Pointe Eye Care of West Chester, Ohio.

Owner and practitioner Dr. Michael Lyons commented: “Over 80 percent of what a child learns is visual. Blurry vision not only makes learning difficult, it can also affect many other aspects of day-to-day life”.

The team at Focal Pointe Eye Care love to work with children, so they closed the office for a day, loaded up their equipment and set up temporary shop at Upspring.

“Life circumstances for these children doesn’t always allow for regular healthcare and usually eye care is at the bottom of the list.” Said Liz Lyons, office manager for Focal Pointe Eye Care. “It is heart-warming to know that we can positively impact their lives by helping them see clearly”.

For many children, this was the first time they had experienced a vision screening, so the Focal Pointe team took the time to introduce the children to the equipment used in the eye exam.

Nearly half of the children examined required vision correction with glasses. The Essilor Group, an optical lens and eyewear company, is providing free eyewear to the children in need of vision correction.

“We were thrilled that Essilor Vision Foundation wanted to be a part of the day of caring and help improve the lives of these children by improving their sight.” Commented Liz Lyons.

“We love what we do because we know when we can change how a person sees, we can change their outcomes in life for the better.” Said Dr. Lyons.

Focal Pointe Eye Care is an independent optometric practice in West Chester, Ohio providing comprehensive eye care to families from Dayton to Cincinnati. Dr. Michael Lyons is also known for his expertise in treating keratoconus and progressive myopia. Visit the Focal Pointe Eye Care website for more information.

Progressive Myopia - Concerning increase in children

Sun, 03 Feb 2019 18:25:38 GMT

What parents need to know

Myopia, otherwise known as nearsightedness, is a fairly common eye condition for adults and children. Unfortunately, it has become far too common among children in the last 20 years and is actually threatening the future health of kids. As parents, we do all we can to help and protect our kids and often that starts with knowledge. This is one blog post every parent of young children should read.

What's the concern?

Ideal eyesight is 20/20 and many people have 20/20 vision without the need for glasses or contacts. When you can clearly see things up close but not far away, it is called nearsightedness or myopia. Myopia is typically easily corrected with glasses or contacts.

In the last 20 years, we have seen an increase in a condition called progressive myopia among school aged children.

This means the degree of nearsightedness increases rapidly, resulting in severe or high myopia.

What is progressive myopia?

For the sake of illustration, let's say that a normal eye is round.

As a child grows, their eyes also grow and the shape of the eye can change. Nearsightedness occurs when the surface of the eye elongates or lengthens.

With progressive myopia, the eye surface continues to stretch, resulting in ever worsening vision. If a rubber band is stretched too far, it may snap. Similarly, if the eye stretches too far, it can result in retinal detachment.

What are the risks of progressive myopia in children?

The biggest risk is the quality of future vision, as progressive myopia presents increased risks for vision threatening conditions at ever younger ages. Some of the specific risks include:

Retinal detachment
Glaucoma
Cataracts

Many of these diseases are typically associated with older adults. Any increase in the frequency of these diseases is concerning, and when combined with onset at substantially younger ages, it is alarming.

Why is this happening?

Studies conducted over recent years have suggested a couple of reasons to explain the increase in progressive myopia among children.

Increased academic rigor - ABC News in Australia reported a study that found a higher rate of myopia in children attending academically selective schools compared to normal school populations.

Increased use of technology - compared to twenty years ago, children are interacting with more types of technology more often. This includes electronic games, laptops, computers, tablets, smartphones and other handheld technology. As technology has improved, it has become more personal and is being used at ever closer distances.

Decrease in outdoor time - concerns over unsupervised child safety are different today than 20 years ago. When combined with access to technology, time spent playing outdoors has decreased.

The studies concluded that time spent outdoors allows eyes to benefit from improved light and the ability to focus at distance.

What parents can do for children

The good news is there are many things parents can do to help minimize or even eliminate the risks of progressive myopia for their children.

Reading articles like this is a great start. We even encourage you to share this with other parents.

Next, be sure to schedule an annual eye exam for children. It is important to have a baseline measure of their vision as early as possible to make it easier to detect changes. You can find recommended examination frequency guidelines from the American Optometric Association located on our c hildren's eye exam page.

Many eye conditions are controllable or curable when diagnosed early, and progressive myopia is one of those conditions.

Watch for signs of changes in vision. A list of common signs of vision change can be found on our children's eye exam page .

We also suggest monitoring and limiting technology use for children in three ways: frequency of use, length of use and time of use. The time of use is also important because the blue light emitted from technology can disrupt normal sleep patterns and cause other problems.

Offset technology time with time spent outdoors.

A medical study in Great Britain followed 7,000 children aged 8-9 years old and found that those who spent little time outdoors were 40% more likely to develop myopia than those who spend 3 or more hours outside in the summer and at least 1 hours in the winter.

In an Australian study named the Sydney Myopic Study, 4,000 school aged children were assessed. Professor Kathryn Rose, head of orthoptics at University of Technology Sydney, which led the study, said "An eye that's myopic is an eye that's growing too fast, too quickly and what we are actually thinking may be occurring is that when children spend time outdoors they are getting enough release of retinal dopamine to actually regulate the growth of their eye."

Time outside may not be enough

While spending time outdoors can have many health benefits, that alone may not be sufficient to prevent myopia or slow its progression for some children. Fortunately, there are other controls that have proven effective. Those include:

Orthokeratology aka Ortho-K. Similar to how orthodontics are used to align teeth, with Ortho-K the patient wears special contact lenses while sleeping to help mold the shape of the eye. Most patients are then able to see 20/20 and stop using glasses or contact lenses during waking hours. In addition to providing immediate vision correction, when used at the right ages, Ortho-K can slow, stop or even reverse the effects of progressive myopia and thus the associated risk for other eye diseases. Learn more about Ortho-K lenses.

Medication - Eye drops containing atropine used once a day have been found in studies to slow the progression of myopia, but this is not considered a cure.

Contact lenses - Distance center multifocal soft contact lenses are worn just like normal contact lenses but have more than one focal zone. Several studies found these lenses effective in slowing the progression of myopia.

Specialty eyeglasses - bifocal and multifocal eyeglasses can be an option for patients with eye-muscle positioning challenges and may be more appropriate for young children not suited for contacts or eye drops.

What to do next

Did you know that nearly 80% of what a child learns is captured visually? If they are struggling to see, it is likely to affect their grades, their sports performance and even their behavior.

As we mentioned earlier, scheduling a regular eye exam can be the single most important action a parent can take to help their child perform at their very best.

If you are in the Cincinnati metro area and want to schedule an eye exam for your child, give us a call or text at 513-779-3937.

Dr. Michael Lyons is the Founder and Owner of Focal Pointe Eye Care in West Chester, Ohio. As a leading optometric practitioner of Orthokeratology for children, Dr. Lyons successfully applied Ortho-K for his then 8 year old son who achieved 20/20 vision within 3 days of beginning treatment. Read more about his son's journey here.

DIEGAN’S JOURNEY PART 2: THE FIRST FEW NIGHTS OF ORTHOKERATOLOGY

Tue, 23 May 2017 00:00:00 GMT

And so the story continues….

After convincing Diegan that he could give up his glasses and still look cool, we decided that the week of Thanksgiving would be best for Diegan to start orthokeratology. He would be off school and we would be around to monitor his vision during the day. As a parent, I was honestly nervous because I still vividly recall the time I had to flush something out of Diegan’s eye – catching a cheetah would have been easier! This is why having an eye doctor as a Dad comes in handy…“Of course Dad can put in your contacts.” And on that Wednesday night, reluctantly, Diegan kept his eyes open and remained still enough to get the contacts in.

I had not anticipated my motherly concern as he sat there seemingly in discomfort, the sensation amplified by our 9 PM fatigue. I also had not anticipated the tear-filled 4 AM wake up call to “take them out, they hurt!” Equally and if not more, did I not anticipate the excitement (still at 4 AM) when Dad removed his lenses and Diegan could still see clearly! Thankfully, we all went back to sleep and the next day Diegan went to the Aquarium without his glasses. He made it until about noon that day before the initial orthokeratology treatment wore off and he needed to put his glasses back on for clear vision.

Night 2 was a lot easier. Like anything, we had learned from our first try and on night 2, we let Diegan watch TV while Dad first put in numbing drops and then the contacts. Diegan slept all night with the lenses in and once again, upon removal of the orthokeratology lenses, experienced crystal clear vision.

That morning he enjoyed our annual Thanksgiving Day walk without glasses. He also made it the majority of Thanksgiving Day without his glasses. We couldn’t help ourselves to obsessively and repeatedly ask him, “Can you see that? Now how can you see? Diegan, can you still see?” The wonderment of the treatment was really sinking in. We helped so many people over the years with orthokeratology at the practice, but to live it as a parent was an entirely different emotional experience.

On day 3, our curiosity brought us to Focal Pointe Eye Care so we could check Diegan’s vision on an eye chart. Let me remind you that Diegan is only 8 and he did not find any of this as exciting as we did – he found the insertion process at night to be an annoyance, he missed “his look” with his glasses, and he certainly didn’t want to get his eyes checked on his day off school.

But then something happened.

With a smile ear-to-ear, a little boy ran from the exam room and over to me to give me a big hug and said “Mama, I AM 20 FOR 20!” There are no words to express the instantaneous gratitude that I felt as the magnitude of giving vision to our son pierced my heart. Now, it was my turn to cry a little. Diegan kept his vision all day that day…and the next…and the next.

Finally, I understand why his Dad is so excited about orthokeratology and why I am so lucky to be part of this opportunity to give vision, not only to the ones I love, but to the countless patients I do not yet know. What an amazing Thanksgiving we had.

But now, how do I get Diegan to go to school without his glasses on Monday?

-LL

MEET DIEGAN – HIS ORTHOKERATOLOGY JOURNEY

Tue, 07 Feb 2017 00:00:00 GMT

Hi, this is Diegan. Diegan is a little special to us, not only because he is Dr. Lyons’ son, but he is one of the youngest members of our Vision Reshaping System/Orthokeratology program. Diegan is 8 and has a passion for eyewear just as much as the rest of us here at Focal Pointe. Check out his wardrobe of eyewear:

You may be asking yourself, “Why is this important?” Well… shortly Diegan will not need his glasses! YUP, you read that right, NO GLASSES, no soft contact lenses, and no surgery. How is this possible?!? The answer is orthokeratology. Orthokeratology is a form of overnight vision correction, similar to wearing a retainer for your teeth, where custom contact lenses are utilized to temporarily reshape the cornea and allow nearsighted folks, like Diegan, to see without correction during the day. The orthokeratology lenses are inserted at night, worn during sleep, removed in the morning and – BAM!- clear vision throughout the day without glasses. The program produces similar results to LASIK, however, orthokeratology is reversible and noninvasive.

The coolest part of the story is to follow, and is exactly the reason why we are introducing Diegan and his orthokeratology journey to you. Diegan is currently 20/100 without glasses and wears -2.00 lenses to correct his vision. Research shows that as Diegan ages and physically grows in height that his
prescription will continue to increase and his vision worsen. Orthokeratology has been found in multiple studies to slow this progression. Meaning, if Diegan continues the program throughout his teen’s and then decides to stop wearing the lenses and return to glasses, his prescription may not be much worse than it is today! For Diegan, this is life changing. Yes, he will always need some correction, but he will never be 20/1600 or a -7.00, like his dad.

To emphasize the magnitude of this difference in prescription, a person with a -7.00 prescription cannot see the well-known “E” on the eye exam chart. In comparison, a person with a -2.00 can fully function without any glasses; life is just a little blurry.

I know, as a parent myself, we try to do all we can for our children. We give them vaccines from an early age to help prevent them from obtaining diseases. We get them braces to fix crooked teeth. Now, finally, we can help change vision and not just aid it. We can STOP their prescription from progressively getting worse throughout their adolescence.

Although we have this amazing therapy available, I have to be honest…Diegan is not thrilled. He likes wearing his glasses (what can we say, he takes after his father) – he loves glasses! Not to mention, he does not want to wear contacts. Nevertheless, sometimes parents know best; and on the night of November 22, 2016, Diegan started his journey to new vision. His story will continue, but for now, I leave you with the knowledge that there is a non-surgical therapy that allows you to have 24 hour vision that keeps your vision from getting worse. How amazing is that?

-Rachel, LDO

The Official Blog from Focal Pointe Eye Care in West Chester, Ohio

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What Are Stellest Lenses?

How Do Stellest Lenses Work?

Who Is a Good Candidate?

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How Stellest Fits Into a Full Myopia-Control Program

What Parents Can Expect

The Long-Term Benefits Are Significant

Take the First Step Toward Healthier Vision

Herpetic Eye Disease: What You Need to Know

What Causes Herpetic Eye Infections?

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Symptoms You Shouldn’t Ignore Empty heading

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Herpes Simplex Eye Infection (HSV)

Shingles in the Eye (Herpes Zoster)

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Why Prompt Care Is Critical

Frequently Asked Questions About Herpetic Eye Disease

Flashes and Floaters: When to Be Concerned About Changes in Your Vision

Seeing Flashes or Floaters? Here’s What You Need to Know

What Is a Posterior Vitreous Detachment?

Is a PVD Dangerous?

Here's what you should know:

What Can Be Done About the Floaters?

What to Avoid After a PVD

When to Call Us

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What Is Recurrent Corneal Erosion (RCE)?

Common Cuses of RCE

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Symptoms of RCE: What to Watch For

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Top Lutein-Rich Foods

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Everything You Need to Know About Freckles of the Eye

Sudden, Painless Vision Loss: What You Need to Know About Ischemic Optic Neuropathy

What is Ischemic Optic Neuropathy?

Non-Arteritic Ischemic Optic Neuropathy (NAION)

Arteritic Ischemic Optic Neuropathy (AION)

Diagnosing Ischemic Optic Neuropathy

Managing Vision Loss from Ischemic Optic Neuropathy

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A Twinkle Restored: How Dr. Lyons Helped Santa Shine Again

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Humble Beginnings to Eye Care Legacy: The Story of Focal Pointe Eye Care

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Beyond Glasses: Diegan's Journey to Clear Vision with VRS

New Technology to Help Monitor and Treat Myopia at Focal Pointe Eye Care

Focal Pointe Eye Care adds Lenstar Myopia technology to West Chester, Ohio

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As a contact lens wearer, how do you prevent this devastating infection?

Demodex Mites and Blepharitis: What You Need to Know About Your Eyelid Health

Shield Your Sight: Why Sunglasses Are More Than a Style Statement

Common Myths:

The darker the lens, the better the protection.

I’m not light sensitive, so I don’t need them.

I’ll stick to cheap sunglasses because I lose/break them too often.

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