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6 Things To Know About Keratoconus

happy couple in winter 640×350Keratoconus is an eye disease that causes the cornea, the clear dome-shaped front surface of the eye, to become misshapen and bulge. This progressive disease usually occurs in both eyes and affects approximately 50-200 in every 100,000 individuals.

People who have keratoconus often experience problems like blurred vision, distorted vision, night blindness and sensitivity to light. Clear vision correction for keratoconus can be challenging to achieve because the irregular corneal shape makes it difficult or impossible for standard eyeglasses or contact lenses to provide you with sharp vision.

Thankfully, there are ways for people with keratoconus to achieve clear and comfortable vision, something we explore below, along with several other key points about keratoconus.

1. Everyone has different risk factors for developing keratoconus

Some risk factors for developing keratoconus include:

  • Hereditary predisposition
  • Eye rubbing
  • Other medical conditions like Down syndrome, allergic dermatitis and connective tissue disorders
  • Eye inflammation

2. Keratoconus can develop at any age

Although most cases of keratoconus are first diagnosed in adolescence or young adulthood, it can appear during any stage of life. That’s why regular eye exams are crucial, even if your vision seems clear and your eyes appear to be healthy.

3. Early diagnosis is key

This rings true for almost every eye disease, especially keratoconus. Catching it early in its tracks can allow the eye doctor to implement various treatments to slow down its progression during the initial stages, when this condition tends to worsen more rapidly.

4. Keratoconus progresses at different rates throughout life

Keratoconus progression varies from person to person, and one person can experience varying degrees of progression in each eye. Some patients live with mild keratoconus their entire lives, while other patients develop severe keratoconus early on.

Often, optometrists will recommend that patients undergo certain procedures to strengthen the cornea and prevent or slow down further progression.

5. Keratoconus can be treated with surgery or scleral contact lenses

Corneal cross-linking surgery is an effective option to provide enhanced strength to the cornea and is the only FDA-approved method of stopping or slowing keratoconus progression. However, if the condition develops into severe keratoconus, a corneal transplant may be the best option for treating the condition and restoring clear vision.

Scleral contact lenses offer another option to surgery. They are ideal for patients with early or moderate levels of keratoconus because they safely and effectively correct vision without irritating the misshapen cornea. In fact, studies have shown that patients with keratoconus who wear scleral contact lenses greatly reduce their risk of needing keratoplasty (corneal transplant surgery).

The large diameter of scleral contact lenses allows them to vault over the sensitive corneal tissue and then also coat the cornea in a nourishing reservoir of fluid for optimal comfort and visual clarity. Because eye rubbing and corneal irritation are significant risk factors for the progression of keratoconus, the protective qualities of scleral lenses can help to minimize keratoconus progression.

6. You can live a normal life with keratoconus

With the proper care and treatment from your optometrist, keratoconus shouldn’t stop you from living your life to the fullest. Although it can be discouraging to experience vision problems that can’t be resolved with standard lenses or glasses, know that there are other options available.

At Advanced Eye Center, we help patients with keratoconus and other corneal abnormalities achieve crisp and comfortable vision using scleral contact lenses and other specialty lenses.

Our practice provides scleral lenses to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: Who else can benefit from wearing scleral contact lenses?

  • A: Scleral contact lenses are ideal for patients with any of the following conditions: corneal abnormalities, severe dry eye syndrome, post-LASIK or corneal transplant, eye allergies, high refractive error or corneal trauma. Speak with your optometrist to find out if scleral lenses are right for you.

Q: Do all optometrists fit specialty contact lenses like sclerals?

  • A: No. If you are interested in scleral contact lenses, be sure to choose an optometric practice that has years of experience fitting specialty lenses. At Advanced Eye Center, we have the knowledge, skill and experience necessary to provide you with the best lenses for your eyes. Call us to learn more or schedule your scleral lens fitting.

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Can Scleral Lenses Help You? 225-769-6010

The Link Between Myopia Progression and COVID Confinement

The Link Between Myopia Progression and COVID Confinement 640×350Several months into the COVID-19 pandemic eye doctors began to notice that children’s myopia was worsening. Researchers set out to learn whether there was, in fact, a link between the pandemic and increased myopia progression, and if so, why.

How The Pandemic Affected Children’s Vision

A recent study published in JAMA Ophthalmology (2021) found that children aged 6 to 13 experienced an increased rate of myopia progression since the beginning of the pandemic, and the lockdowns and restrictions that accompanied it.

The researchers examined the rate of myopia progression from 2015 to 2020 in more than 120,000 children from 10 elementary schools, based on school vision screenings. By the end of the study, children were shown to have significantly higher rates of myopia progression in 2020 than in previous years.

The higher rate of progression was especially severe in children between the ages of 6 and 8. Researchers theorized that the children’s earlier stage of visual development might have been the crucial factor.

Other studies have already determined that children who spend at least 2 hours a day outdoors experience less myopia progression than their peers who stay mostly indoors.

Researchers from the National Eye Institute found that children who spent significant time outdoors — about 14 hours a week — significantly reduced their chances of needing glasses for myopia. Among children with two myopic parents, the chances of needing glasses are roughly 60% if they don’t spend significant time outdoors. However, this study found that, after spending the prescribed 14 hours per week outside, the same children’s risk of myopia dropped to around 20%.

Similar results appear in a study published by the journal of the American Academy of Ophthalmology (February 2019), that shows a significant link between the amount of time children spend engaged in near-work tasks and increased myopia progression.

Taken together, these studies give us a clearer picture of the challenges children have faced during the COVID-19 pandemic, and why myopia rates in children have soared.

What Can Parents Learn From All Of This?

Parents should make an effort to encourage their children to go outside as often as possible and to spend more time away from screens and other near-work tasks. Moreover, progressive myopia in childhood has been linked to heightened risks of developing sight-robbing eye diseases later in life, such as glaucoma, macular degeneration and cataracts.

If you’re concerned about your child’s myopia, make an appointment with their eye doctor as soon as possible, as delays in seeking professional advice can make myopia management more challenging in the future.

Our practice offers myopia management to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

 

References:

https://pubmed.ncbi.nlm.nih.gov/33443542/

https://www.aaojournal.org/article/S0161-6420(17)33464-4/fulltext

 

Myopia Management Appointment
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Can Restricting Online Gaming Time Reduce Myopia Progression?

Two kids playing online gamesThe Chinese government recently implemented a new policy that’s sparked conversations about childhood myopia and online gaming.

Under the policy, Chinese children and teens under the age of 18 are only permitted to play online video games for one hour on weekend evenings and public holidays — a significant reduction compared to their previous online gaming allotment. This restriction includes all forms of video games, from handheld devices to computer and smartphone gaming.

The government hopes to combat a common condition called online gaming disorder, or video game addiction, which affects more than 30% of children in China. Another potential benefit of limiting online gaming may be a reduction in childhood myopia progression, something we explore below.

The Link Between Online Gaming and Myopia Progression

Myopia, or nearsightedness, is a condition that causes blurred distance vision. Several factors contribute to the onset and progression of myopia, including genetic and environmental.

Several studies have found that screen time, along with other forms of near work, is associated with higher levels of myopia and myopia progression in children.

According to a study published in the British Journal of Ophthalmology (2019), children who engage in screen time for more than 3 hours per day have almost 4 times the risk of becoming myopic. Younger children, around ages 6-7, are even more susceptible to experiencing screen-related nearsightedness, with 5 times the risk compared to children who don’t use digital screens.

Limiting screen time may also encourage children to spend more time outdoors in the sun, a protective factor against developing myopia and slowing its progression.

In The Sydney Adolescent Vascular and Eye Study (2013), researchers found that spending at least 21 hours outdoors per week was more important for delaying the onset of myopia than limiting near work in both younger and older children, although both were effective.

What’s the Bottom Line?

Although online gaming can give children a sense of community and togetherness, excessive online gaming can increase a child’s risk of developing myopia and contribute to its progression.

The good news is that parents can make eye-healthy choices for their children that can have lifelong benefits. Limiting near work activities like online gaming and other screen time, and encouraging your children to play outdoors can significantly reduce their chances of developing high (severe) myopia.

How Myopia Management Can Help

The best thing that parents can offer their children to prevent myopia and halt its progression is a custom-made myopia management treatment plan with an eye doctor.

Whether or not myopia has set in already, we can help preserve your child’s eye health and lower their risk of developing sight-threatening eye diseases like glaucoma, cataracts, macular degeneration and retinal detachment in the future.

To learn more about our services or schedule your child’s myopia consultation, contact Advanced Eye Center in Baton Rouge today!

Advanced Eye Center offers myopia management to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: Who is an ideal candidate for myopia management?

  • A: Children, teens, and young adults who are nearsighted or are at risk of becoming nearsighted are ideal candidates for myopia management. If you think myopia management is right for you or your child, speak with us about how we can help. Remember, the sooner your child starts myopia management, the better their outcome will be.

Q: Is myopia management based on scientific evidence?

  • A: Yes! The treatments used in myopia management are all safe and clinically proven to slow the onset and progression of myopia in children and teens. There have been several scientific studies that support its effectiveness.

Myopia Management Appointment
Want To Discuss Myopia? Call 225-769-6010

How Sports Vision Training Can Improve a Quarterback’s Game

How Sports Vision Training Can Improve a Quarterbacks Game 640×350Quarterbacks (QBs) work hard to increase their physical strength but often don’t realize that improving their visual skills can also improve their effectiveness on the field.

In addition to having a powerful throwing arm, quarterbacks must be able to precisely judge distances and the speeds of other players. They need to be aware of everyone and everything around them, as well as every player’s specific location and course of movement — all while following the ball.

Visual skills like accurate peripheral vision and split-second reaction time are crucial to a quarterback’s success. Sports vision training provides the foundation for these abilities and allows players to be the best athletes they can be.

Contact Dr. Susan Jong to see how sports vision training can help you improve your game.

Which Visual Skills Can Sports Vision Training Improve?

Here are examples of how a quarterback depends on visual skills.

Eye Focusing

QBs need to be able to sustain sharp focus and to shift their eyes and focus rapidly and precisely to judge the exact position of the tight end as the linebackers close the space.

Depth Perception

The quarterback’s ability to accurately judge the position of his receivers sprinting full speed into the end zone depends on sharp and precise depth perception.

Peripheral Vision

All eyes are on the quarterback in possession of the ball, but it’s just as important for the quarterback to keep track of the defensive players as they attempt a sack. QBs with good peripheral vision can see where all the defenders are at any given time.

Visual Reaction Time

Visual reaction time is the speed with which a quarterback’s brain analyzes and reacts to the opponent’s actions. A QB’s next move will be determined by how quickly and well their brain integrates visual and motor functions.

Gross-Visual Motor Integration

While on the move, a quarterback needs to analyze all of the information the eyes are transmitting, and act on it quickly. This requires a high level of coordination between the QB’s brain, eyes and body. The more the quarterback’s vision and movement are synchronized, the more successful the plays will be.

All of this takes a matter of seconds. With good visual skills, a quarterback can make that play seem flawless.

Enhancing the Performance of a Quarterback

We offer sports vision training to help all kinds of athletes achieve their goals and take their game to the next level. A functional eye exam will evaluate visual skills, after which we can create a personalized sports vision training program.

At Advanced Eye Center, we help players be the athletes they know they can be. We offer sports vision training to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: What is sports vision training?

  • A: Sports vision training is a custom-made program that improves coordination between your brain, eyes and body while playing sports. Through a series of eye exercises and techniques, it helps athletes react faster and more accurately to what they see on the field.

Q: Who can benefit from sports vision training?

  • A: Whether you’re a quarterback or a linebacker, an avid baseball or hockey player, sports vision training is perfect for athletes of any age and ability seeking to improve their sports performance.

Request A Sports Vision Appointment
Call About Sports Vision 225-769-6010

Screen Time Can Lead To Eye Strain And Convergence Insufficiency In Children

Screen Time 640×350Now that a couple of years have passed since the start of the COVID-19 pandemic, researchers have gotten a clearer picture of the impact that online schooling has had on children’s eyes.

Not only have myopia cases increased, but more children are experiencing symptoms of eye strain and convergence insufficiency due to extended screen time.

Below, we explore what eye strain and convergence insufficiency are, and how vision therapy can help counteract the negative effects of online learning.

Symptoms of Digital Eye Strain

Prolonged use of digital devices like computers or smartphones can cause a condition called computer vision syndrome, also known as digital eye strain. This condition affects around 50% of adults and children.

Symptoms of digital eye strain include:

  • Sore eyes
  • Blurred vision
  • Neck and shoulder pain
  • Headaches

Children who complain of any of these symptoms should have their eyes evaluated by a developmental optometrist to ensure that vision problems aren’t exacerbating their symptoms.

What is Convergence Insufficiency?

Normally, when your eyes focus on a very near object, like a pencil near your nose, they must point slightly inwards to see a unified and clear image.

With convergence insufficiency, the eyes aren’t able to work in unison to point inward. Instead, one eye may point outward when trying to focus on a near object, leading to blurred or double vision.

Children with convergence insufficiency may struggle to perform visually demanding near tasks like reading and homework. In fact, many children who have vision-related learning problems are often misdiagnosed as having learning disabilities.

How Does Screen Time Lead to Eye Strain and Convergence Insufficiency?

Experts at Wills Eye Hospital recently studied the correlation between prolonged screen time and its effects on children’s eyes. They surveyed 110 students aged 10-17 who attended classes online. Prior to the beginning of online sessions, the students all had healthy vision.

The researchers discovered that the number of hours spent in front of a screen directly correlated to the likelihood of developing digital eye strain and convergence insufficiency. More than half of the students experienced symptoms of both visual conditions, with 17% of cases being severe convergence insufficiency.

These important and timely findings should alert parents to the risks that come with online learning, and encourage them to find solutions and take preventative measures to keep their kids’ eyes healthy. Fortunately, that’s where vision therapy comes in.

How Can Vision Therapy Help?

Vision therapy trains the eyes and brain to work together efficiently to resolve a wide range of visual dysfunctions.

Restoring healthy binocular vision is the goal for children with convergence insufficiency, and vision therapy is a primary treatment for accomplishing that.

According to the National Eye Institute, most children with convergence insufficiency experience significant improvement after just 12 weeks of vision therapy.

Vision therapy can also be effective for treating symptoms of digital eye strain in children. According to the Optometrists Network, a free and extensive online library for eye care, vision therapy can relieve symptoms of digital eye strain by strengthening the visual system.

To learn more about the benefits of vision therapy or to schedule your child’s functional visual evaluation, contact Advanced Eye Center today!

Advanced Eye Center offers vision therapy to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: What is a functional vision evaluation?

  • A: A functional visual evaluation assesses a multitude of visual skills that normally aren’t tested in standard eye exams or vision screenings. Some examples of those visual skills include convergence, eye tracking and teaming, visual processing, eye movement, focusing, eye alignment and accommodation flexibility.

Q: Who is a candidate for vision therapy?

  • A: Children and adults who have varying degrees of visual dysfunction are ideal candidates for vision therapy. Many patients may not be aware of problems with their visual systems but suffer from symptoms like headaches or dizziness, which may be rooted in their vision. Children with learning problems or any visual symptoms may benefit from a customized vision therapy program.

Request A Functional Visual Exam
How Can We Help You? 225-769-6010

6 Tips For Adjusting To Wearing Scleral Lenses

6 Tips For Adjusting To Wearing Scleral Lenses 640×350Congratulations on your new pair of customized scleral contact lenses! As with most new things, there can be a learning curve when getting your scleral contacts to feel and fit just right.

Whether you’ve been prescribed sclerals for keratoconus, dry eye syndrome, corneal abnormalities or other conditions, it can take up to two weeks for you to feel completely comfortable in your new contacts.

Here are some tips to help shorten the adjustment period on your scleral lens journey:

1. Stick to proper hygiene protocol

Even the most perfectly fitted scleral lenses won’t feel right if they aren’t cleaned and cared for properly. Carefully follow the hygiene guidelines prescribed by your optometrist without cutting any corners. Although it may seem tedious at first, your efforts will be well worth the results.

2. Practice makes progress

The only way to make inserting and removing your lenses second nature is to wear them. Don’t be discouraged if it takes a bit more time to insert them than you’d anticipated. Wearing your sclerals daily will give you the opportunity to practice wearing and caring for your lenses.

3. Try out different insertion tools and techniques

At your initial fitting or follow-up consultation, your eye doctor will show you ways to safely and comfortably insert your lenses. Some patients prefer using a large plunger, while others prefer the scleral ring or O-ring. If neither of these recommended techniques are working for you, seek advice from your eye doctor.

4. Overfill the lens

A common problem that many patients encounter when they begin wearing scleral contact lenses is how to get rid of tiny air bubbles that get trapped in the lens’ bowl. Try filling up the lens with the recommended solution until it is almost overflowing. That way, you’ll have enough fluid left in the lens even if some spills out when you bring it up to your eye.

5. Give it time

If your scleral lenses feel slightly uncomfortable upon insertion — don’t worry. It’s recommended to wait 20-30 minutes to allow them to settle on the eye’s surface before attempting to readjust or remove them. Of course, remove them immediately and try again if you feel significant discomfort.

6. Follow up with your optometrist

Even once you leave your optometrist’s office, we encourage you to remain in touch with your eye doctor if something doesn’t feel right or if you have any questions regarding your scleral lenses.

To learn more or to schedule a scleral lens consultation, call Advanced Eye Center today!

Advanced Eye Center provides scleral lenses to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: What are scleral contact lenses?

  • A: Scleral contact lenses are rigid gas permeable lenses with a uniquely large diameter. They rest on the sclera (whites of the eyes) instead of the cornea, making them a more comfortable and stable option for people with corneal irregularities or dry eye syndrome. Scleral contacts hold a reservoir of nourishing fluid between the eye’s surface and the inside of the lens, providing the patient with crisp and comfortable vision.

Q: Who is an ideal candidate for wearing sclerals?

  • A: Patients with keratoconus, corneal abnormalities, ocular surface disease (dry eye syndrome) and very high refractive errors can all benefit from scleral lenses. Moreover, those with delicate corneas due to disease or after surgery find scleral lenses to be comfortable and therapeutic, as the lenses don’t place any pressure on the sensitive corneal tissue.

Request A Scleral Lens Appointment
Can Scleral Lenses Help You? 225-769-6010

Long-Term Risks of Repeated Head Impacts Among Athletes

Long Term Risks of Repeated Head Impacts Among Athletes 640×350If you’ve ever had a concussion or any other type of brain injury, you likely experienced at least some of the symptoms caused by head impacts: headaches, difficulty concentrating, problems with balance, visual problems and even anger management issues.

A single concussion is bad enough, but multiple studies published in National Academies Press (2014) revealed that experiencing as little as two concussions can sometimes lead to serious life-long problems.

Unfortunately, head hits that occur while playing contact sports are common, and the health repercussions of these impacts can be severe.

Here are six long-term risks of multiple concussions and repetitive head impacts:

Chronic Traumatic Encephalopathy (CTE)

CTE is a degenerative brain disease that affects athletes, military veterans and anyone who has experienced repeated brain trauma. Specific proteins (called tau proteins) form clumps in the brain of those with CTE, and these clumps eventually spread throughout the brain, permanently damaging and causing the death of brain cells. Progressive memory and cognition loss, depression, suicidal ideation, poor impulse control, aggression, Parkinsonism, and dementia are among the clinical indications of CTE.

Two case reports published in Neurosurgery involving two National Football League (NFL) players were the first to use the phrase. After long careers playing football in high school, college and professionally, these players suffered from a variety of neuropsychological symptoms.

Evidence suggests that CTE is caused by repeated head blows over a period of years, according to Clinics in Sports Medicine (2011). It’s crucial to understand that you don’t have to have a full-fledged concussion to develop this disease.

Depression

Depression is a mental disorder that affects one’s feelings, thoughts and actions. It can limit a person’s ability to perform at work, at school and at home. Loss of interest in previously loved hobbies, changes in appetite, sleep disturbances and thoughts of death or suicide are all possible symptoms.

Research published in Medicine and Science in Sports and Exercise (2007) discovered a growing linear association between concussion history and being diagnosed with long-term depression. Retired athletes who had three or more concussions were three times more likely than those who had never had a concussion to be diagnosed with depression. Those who had one or two previous concussions had 1.5 times the chance of being diagnosed with depression.

Dementia Pugilistica

Dementia pugilistica, sometimes known as ‘punch-drunk condition,’ is a neurological disease that affects people who have experienced many concussions. The term ‘pugil’ comes from Latin and means ‘boxer’ or ‘fighter.’ The condition was initially diagnosed in boxers in the 1920s. Tremors, sluggish movement, speech difficulties, disorientation, a lack of coordination and memory loss are all prominent symptoms of this disease.

Dementia pugilistica is a kind of CTE that has some microscopic histological characteristics in common with Alzheimer’s disease. While it was first discovered in boxers who were subjected to repeated head hits in a 1973 study published in Psychological Medicine, athletes in other sports may be affected as well.

Neurocognitive Impairments

A concussion’s signs and symptoms can often affect one’s cognitive abilities, resulting in the inability to concentrate, disorientation, irritation and loss of balance. When you have more than one traumatic brain injury in your life, you may be more likely to experience long-term, possibly progressive, disability that impairs your ability to function.

According to the National Academies Press (2014), studies show that recurrent head impacts in football and hockey players cause abnormalities in cognitive function in the brain. In one study, researchers discovered that the impacted athletes had neurocognitive abnormalities in both working and visual memory. In another study, affected football players were found to have problems with impulse control and balance after the sports season concluded.

Slower Neurological Recovery

Despite the fact that millions of people suffer concussions each year, the risks of a prolonged neurological recovery after multiple concussions are still largely unknown. Nonetheless, according to a study published by the National Academies Press in 2014, a history of many concussions may be linked to a longer recovery of brain function after another concussion. According to the findings, repeated concussions may result in lifelong neurocognitive impaieyerment.

This is why it’s crucial to refrain from engaging in any sports or dangerous activities until you’ve fully recovered from a head impact.

Brain Injury and Your Vision

Head trauma and concussions can have major effects on the visual system, despite normal medical imaging results. The group symptoms causing blurred vision, eye coordination issues and dizziness following head trauma is called post-trauma vision syndrome.

Even mild concussions can cause visual dysfunction, such as double vision, accommodative dysfunction, convergence insufficiency, sensitivity to light, eye tracking problems and delayed visual processing.

How Can A Neuro-Optometrist Help?

Neuro-optometry is a branch of optometry that focuses on helping individuals with neurological disorders regain their visual and oculomotor skills. Neuro-optometric rehabilitation therapy aims to improve a patient’s ability to function independently in a multisensory environment.

At Advanced Eye Center, we know all too well the challenges that accompany repeated head impacts. To schedule a functional vision evaluation and determine if there is a problem with your visual system, call Advanced Eye Center today.

Advanced Eye Center offers neuro-optometric rehabilitation therapy to patients from Baton Rouge, Denham Springs, Prairieville and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: What is a concussion?

  • A: A concussion is a type of brain injury in which a blow to the head causes a momentary loss of brain function. When a person’s brain is violently moved back and forth or twisted inside the skull due to a direct or indirect force, an injury occurs. A concussion causes disruption in brain function and should be treated as a serious injury. Following a concussion, proper healing and recovery time are critical in preventing additional injury.

Q: What does a neuro-optometrist do?

  • A: A neuro-optometrist can assess functional binocularity, spatial vision and visual processing abilities, as well as functional binocularity and visual processing abilities. Following diagnosis, a comprehensive management program will be prescribed. Neuro-optometrists can also diagnose general eye health problems and correct refractive errors with glasses or contact lenses to increase visual acuity.

Request A Functional Visual Exam
How Can We Help You? 225-769-6010

4 Reasons Why Your Child May Be Refusing to Read

4 Reasons Why Your Child May Be Refusing to Read 640×350Reading involves the simultaneous coordination of a number of basic visual skills. For children who have not yet mastered some of these skills, reading can be an exercise in frustration, leading them to avoid reading altogether.

While many of us take our eyes’ ability to converge, focus and track for granted, those with underdeveloped visual skills often struggle to keep track of where they are on the page and to fully understand and remember what they’ve just read.

We’ve outlined four of the top vision-related reasons why children refuse to read, and how vision therapy can help your child become a more confident reader.

1. Eye Tracking Problems

Eye tracking is the eyes’ ability to move smoothly and accurately from place to place. Good eye tracking skills allow a child to keep their eyes on an incoming baseball or move successfully from word to word on a page of text without losing their place.

For a child with eye-tracking issues, eye movements will be slow and inaccurate, often seen as eye flickering or requiring extra head movements, to compensate for the reduced visual skill.

Poor eye tracking can cause a child to frequently lose their spot and skip words or even whole lines of text while reading. In this case, the child uses a lot more energy than their peers to simply keep track of where they are on the page, causing difficulty with reading comprehension and fluency.

2. Difficulties With Eye Teaming

Eye teaming is the eyes’ ability to work together to send accurate visual information to the brain. Although each eye sends a slightly different image, the brain is able to combine these two images into a single picture, allowing for three-dimensional vision and depth perception.

When children have problems with eye teaming, their eyes are unable to work together. They send two very distinct images to the brain, which struggles to easily combine the two images into a single clear, cohesive image.

A child attempting to read with eye teaming issues may experience eye strain, headaches or even double vision. Often, words on a page will look blurry or appear to ‘float’ on the page. Eye teaming difficulties may also cause the child to have a reduced attention span, and lead them to avoid reading or not read at grade level.

3. [Visualization] Problems

Visualization refers to the ability to see something in the mind’s eye even if that thing is not right there in front of us. This skill allows a child to recall words and remember how to spell words that they’ve previously seen. [Visualization] allows many of us to read a story and then ‘see’ the characters and events play through our mind as if we are watching a film.

For some children, however, this doesn’t happen. The brain has a hard time taking the visual information it’s receiving from the eyes and interpreting it into larger images and concepts. This can result in poor reading comprehension and may render that reading is a chore and an unenjoyable experience.

4. Issues with Accommodation

Accommodation is the ability to refocus the eyes each time we shift our gaze from one image or object to the next. This happens as a result of the swift and accurate contraction and relaxation of muscles in the eye to quickly focus and refocus as the eye moves.

In children with accommodation problems, the focusing muscles in the eyes do not smoothly contract and relax efficiently as their eyes move across the page from word to word or from a book (or screen) to the board and back. They need to stop and refocus their vision every time they read another word. This stop-and-start type of reading harms reading comprehension, and the constant need to refocus can cause headaches and eye strain.

So What’s The Solution?

All of the problems mentioned above are due to reduced visual skills and can be frustrating for children and parents alike. Fortunately, there is a solution: vision therapy.

Vision therapy is a personalized, doctor-prescribed evidence-based regimen of in-office and at-home eye exercises to teach your child’s eyes and brain to more effectively work together. Depending on your child’s needs, the customized program may include vision therapy aids such as prism glasses, devices and specialized therapy computer programs.

Contact Advanced Eye Center to help your child get back on track with their reading and learning.

Advanced Eye Center offers vision therapy to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Request A Functional Visual Exam
How Can We Help You? 225-769-6010

Why Ortho-K Is A Great Alternative To LASIK

Why Ortho K Is A Great Alternative To LASIK 640×350Most people elect to have refractive surgery like LASIK for the hassle-free, crisp vision it provides. But did you know that you can achieve the same results as LASIK without undergoing surgery?

Orthokeratology, commonly referred to as ortho-k, safely eliminates the need for daytime glasses or contact lens wear by correcting myopia (nearsightedness), and is a popular alternative to LASIK surgery.

What Is Ortho-K?

Ortho-k uses rigid gas-permeable contact lenses to gently and safely reshape the front surface of the eye, the cornea, for clear daytime vision. These specialized lenses are designed to be worn overnight while you sleep, and removed in the morning, leaving you with corrected, stable vision throughout the day.

These custom-designed lenses work by gently applying light pressure to the epithelial layer of the cornea and molding its shape to alter its focusing power.

What are the Advantages of Ortho-K Over LASIK?

Lower Risk of Complications

Any medical device or procedure involves some risk of complications. Both ortho-k and LASIK have associated risks, but those of LASIK are considered more serious.

LASIK complications, while rare, can leave patients with corneal disorders, such as astigmatism or severe dry eye syndrome and — more commonly — visual problems like glare, distortion and seeing halos around lights.

In contrast, the risks associated with ortho-k lenses are no different from those connected to any other rigid contact lenses. Poor hygiene is the biggest risk factor for developing contact-lens irritation and complications.

Orthokeratology is Reversible

LASIK surgery is not reversible, and in the event of complications, further medical procedures may be necessary to correct any resulting problems.

Ortho-k, on the other hand, is non-invasive and completely reversible if you ever decide to cease treatment. After a few nights of not wearing the lenses, your corneas will slowly revert back to their original, natural shape.

Better For Dry Eyes

If you have symptoms of dry eye syndrome like dryness and irritation, you may want to think twice before undergoing LASIK. A common side effect of LASIK is dry eye syndrome, and many people who already have the condition are advised to not have refractive surgery.

Dry eye syndrome can also make it uncomfortable to wear standard contact lenses.

Ortho-k is great for people with mild to moderate dry eyes because there’s no need to wear eyewear, such as standard contacts, during the day.

More Cost-Effective

Both LASIK and ortho-k will most likely save you money in the long term, as eyeglasses, contact lenses and other related expenses are no longer incurred. That said, in most cases, the up-front expenses of ortho-k lenses are about half the cost of LASIK surgery.

The exact cost of ortho-k lenses will vary depending on many factors and the degree of your refractive error.

Reduce Myopia Progression

Myopia, or nearsightedness, significantly increases the risk of developing sight-threatening diseases like glaucoma, cataracts, retinal detachment and macular degeneration later in life. The higher (worse) the myopia, the greater the risk. As myopia progresses and worsens, the risks further increase.

Slowing myopia can effectively reduce this risk. Myopia can continue to worsen into a person’s 20’s, and at least 10% of nearsighted adults from ages 20 and older will still experience some degree of myopia progression.

Ortho-k has been clinically proven to slow the progression of myopia in children and young adults, making it an excellent treatment for nearsightedness.

LASIK, on the other hand, offers no such benefits. Refractive surgeries simply alter the focusing power of the cornea to produce clear vision, while ignoring the underlying problem that causes the eyeball elongation associated with myopia.

LASIK is only offered to those whose eyes have stopped growing, usually people 21 and older. So, unlike ortho-k, it generally cannot slow the myopia progression in teens and young adults.

In fact, many teenagers and young adults who are interested in eventually choosing LASIK use ortho-k lenses to stabilize their myopia and increase their chance of successful LASIK outcomes in their 20s, once their eyes stop growing.

Interested in Ortho-K? We Can Help!

If you are interested in correcting your vision without surgery or the need to wear daytime contact lenses or glasses, contact us to learn if ortho-k lenses are right for your eyes and lifestyle.

At Advanced Eye Center, our friendly and knowledgeable optometric team will guide you through all of your options and help you achieve optimal vision.

To learn more about ortho-k or to schedule a consultation, call Advanced Eye Center today!

Advanced Eye Center offers myopia management to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: Who is a candidate for Ortho-K?

  • A: Children (ages 8 and above) and adults with mild to moderate nearsightedness/astigmatism who want clear vision without daytime eyewear are great candidates for orthokeratology. Ortho-k is also a great option for athletes who require stable vision without worrying about eyewear that can be damaged.

Q: Are there any disadvantages of Ortho-K?

  • A: Ortho-k lenses must be cleaned after each use to maintain hygiene and reduce the risk of contact lens-related problems. Occasionally, ortho-k lenses aren’t suitable for patients with very high prescriptions.

References

Myopia Management Appointment
Want To Discuss Myopia? Call 225-769-6010

How Concussions Can Affect Self-Esteem

How Concussions Can Affect Self Esteem 640X350When you consider the abundant functions of the brain, it’s no surprise that even slight damage to its sensitive tissues can wreak havoc on one’s physical and mental health. Many people experience some degree of emotional distress after suffering a head injury. But how can you tell if your symptoms are serious?

If you or a loved one has ever experienced a concussion, we urge you to learn more about the emotional and physical side effects it may bring, and discover how a neuro-optometrist can help.

What Occurs During a Concussion?

The nerves of the brain are surrounded by soft and fatty tissues, and these fragile nerves are further protected by a layer of fluid and the bony skull. During a sudden and forceful jolt or bump to the head or neck region, such as whiplash, the brain continues to move while the head has stopped moving. This causes the brain to slam into the inner walls of the skull or be shaken back and forth, resulting in a concussion.

This mild form of traumatic brain injury can damage or destroy brain cells, and may also negatively impact the healthy protective tissues surrounding the damaged cells.

Although concussions are considered ‘mild’ because they aren’t life-threatening, they can cause debilitating symptoms like headaches, nausea, vomiting, light sensitivity, blurred vision, balance problems, confusion and emotional distress, among others.

The Link Between Concussions and Self-Esteem

A concussion can negatively affect emotional well-being and self-esteem, both directly and indirectly.

A post-concussion patient may find it difficult to do the things they once enjoyed, like exercising, reading, doing schoolwork or even watching TV. Withdrawing from these activities, even temporarily, may result in feelings of depression, anxiety, and reduced self-worth. When you can’t read, concentrate or complete day-to-day activities as you once did, your limitations can become your main focus.

Concussions can also directly damage areas of the brain responsible for emotional regulation, directly affecting how a person relates to themselves and others.

A study published in Brain Injury (2014) concluded that a person’s self-concept may be impacted following a concussion/traumatic brain injury and that patients should seek treatment for emotional distress following a head injury.

Signs of Lowered Self-Esteem

Because each brain is unique, it’s hard to tell how a concussion will affect the patient, both in the short and long term. Here are a few signs that may reveal emotional distress and reduced self-esteem following a concussion:

  • Withdrawal from social events
  • Avoiding activities that were once enjoyable
  • Lack of motivation
  • Feeling unloved or unwanted
  • Feeling hopeless
  • Negative self-talk
  • Neglecting personal hygiene or appearance
  • Inability to accept compliments
  • Feelings of shame, depression or anxiety

If you or a loved one displays any of the above symptoms, rest assured that help is available.

How We Help Post-Concussion Patients

Recovering from a concussion can be difficult, but neuro-optometric rehabilitation therapy can help by improving the neural communication between the eyes and the brain and how an injured brain processes visual information.

Concussions can significantly affect the eye-brain connections, resulting in symptoms like dizziness, inability to concentrate, light sensitivity and headaches, as well as emotional distress.

A neuro-optometrist can improve the functioning of the visual system in ways that other professionals aren’t trained to, thereby reducing — even eliminating — these debilitating symptoms.

By training the brain and eyes to efficiently work in unison, visual skills will improve and you’ll find it easier to do things like reading, watching TV, using a computer and concentrating without taking as many breaks.

If you or a loved one has ever sustained a concussion, a functional vision evaluation may be called for to rule out visual dysfunction. Even if you’ve been told that nothing can be done by other health care professionals, we may be able to help, even years after the injury.

Let us help you get back to doing the things you love. To schedule a functional visual evaluation, call Advanced Eye Center today.

Advanced Eye Center offers neuro-optometric rehabilitation therapy to patients from Baton Rouge, Denham Springs, Prairieville, and Central, Louisiana and surrounding communities.

Frequently Asked Questions with Dr. Susan Jong

Q: What other conditions can neuro-optometry treat?

  • A: Neuro-optometrists help patients who’ve survived a stroke, sustained varying degrees of brain injury or have a neurological condition that impedes visual function. All of these conditions can adversely impact visual skills and may cause symptoms that hinder independent functioning and reduce one’s quality of life. By rehabilitating the visual system, a neuro-optometrist can provide relief and promote a greater degree of recovery to these patients.

Q: Do all optometrists provide neuro-optometric rehabilitation therapy?

  • A: No. A neuro-optometrist is a Doctor of Optometry with specialized training in the area of visual system rehabilitation. A general optometrist performs eye exams, diagnoses and manages eye diseases and prescribes corrective lenses to patients. General optometrists do not have the training or experience to perform neuro-optometric rehabilitation therapy.

Request A Functional Visual Exam
How Can We Help You? 225-769-6010