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Myopia

What You Should Know About Night Blindness

If you don’t see well while driving at night, there’s a chance you have night blindness. Night blindness, or nyctalopia, is the inability to see well at night or in dim lighting. It’s not considered an eye disease, but rather a symptom of an underlying problem.  

Our eye doctor can help diagnose, manage and treat your night blindness so that you can enjoy being out at night again. 

Here are 4 things you should know about night blindness:

Causes of Night Blindness 

The inability to see well at night can be the result of a condition such as:

Vitamin A Deficiency — Vitamin A helps keep your cornea, the layer at the front of your eye, clear; it’s also an important component of rhodopsin, a protein that enables you to see in low light conditions. Although uncommon in North America, deficiency of this vitamin can induce night blindness. 

Cataracts — A buildup of protein clouds the eye’s lens, leading to impaired vision, especially at night and in poor lighting conditions.

Diabetic Retinopathy — Damage to the eyes’ blood vessels and nerves can result in vision loss, including difficulty seeing at night.  

Glaucoma — This group of eye diseases is associated with pressure build-up in the eye that damages the optic nerve. Both glaucoma and the medications used to treat it can cause night blindness. 

Myopia — Also called nearsightedness, myopia makes distant objects appear blurry, and patients with it describe a starburst effect around lights at night.

Keratoconus — An irregularly shaped cornea causes blurred vision and may involve sensitivity to light and glare which tend to be worse at night.

Retinitis Pigmentosa (RP) — A progressive genetic eye disease which can be associated with other diseases, RP leads to night blindness and peripheral vision loss.

Usher Syndrome — This genetic condition causes both hearing loss and vision loss, including night blindness and RP, mentioned above.

Symptoms of Nyctalopia

Since night blindness is a symptom of some serious vision problems, it’s important to get your eyes checked regularly to ensure that everything is in good working order. Contact your eye doctor as soon as possible if you notice that you don’t see as well in dim light as you used to, such as when driving at night or when adjusting from being outdoors in the sunshine to being indoors. 

Symptoms of Night Blindness Include:

  • Reduced contrast sensitivity
  • Difficulty seeing people outdoors at night
  • Difficulty seeing in places with dim lighting, like a movie theater
  • Trouble adapting to the dark while driving
  • Excessive squinting at night 
  • Trouble adjusting from bright areas to darker ones 

Treatments for Night Blindness

Your eye doctor will want to diagnose the cause of your night blindness in order to treat it. For example, in the rare case of vitamin A deficiency, it can be treated with vitamin supplements and vitamin-A rich foods; myopia can be corrected with eyeglasses or contact lenses. Other conditions may require medications or surgery. 

If night blindness is caused by a birth defect, Usher syndrome, or retinitis pigmentosa, low vision aids and devices can help you make the most of your remaining vision. 

Prevention

While there is no proven way to prevent night blindness resulting from genetic conditions or birth defects, consuming healthy, nourishing foods and taking certain vitamin supplements may prevent or slow the onset of some eye conditions that cause night blindness. 

If you experience poor vision at night or in dim lighting, we can help. Contact 20/20 Eyecare in Middle Village to schedule your appointment today. 

How Can My Child’s Myopia Be Corrected?

At 20/20 Eyecare, we help children like yours achieve clear and comfortable vision, so they can succeed at the important things in life.

Methods of Myopia Correction

Contact Lenses 

Contacts can be a great choice, especially for physically active children or teens who don’t want to worry about breaking or misplacing their eyeglasses. In some cases of very high myopia, contact lenses can offer clearer vision than glasses. 

Corrective contact lenses are usually placed in the eyes upon waking and removed at night before bedtime. There are several types, including: soft contacts, daily disposables, extended wear, and rigid gas permeable (hard) lenses. Navigating through the differences between them can be daunting. Fortunately, if you’re located in Middle Village our eye doctor will be happy to guide you. Speak with Melania Napolitano, O.D. to determine whether your child is ready for contact lenses. 

Prescription Glasses 

Glasses are a popular choice among our younger patients. Choosing from an array of styles makes the process fun and exciting! Allowing the children to be active participants in selecting their eyewear increases the likelihood that they’ll actually wear them. There are strong, flexible and resilient frames which look great and are comfortable too.

The optician can customize the lenses with additions and upgrades like impact-resistant or shatter-proof materials, scratch-resistant and anti-reflective coatings, UV filters, and transition lenses that darken in the sun. For those requiring vision correction for distance and near, we also offer bifocal or multifocal lens prescriptions. 

We Can Help Correct Your Child’s Myopia 

If you’re located near Middle Village, New York, an eye exam with our optometrist can determine your child’s exact prescription, and give you the opportunity to receive answers to any questions you may have about your child’s eye health and vision. Progressive myopia, where a growing child’s prescription continues to worsen, is why it’s important for myopic children to undergo eye exams at least once a year. 

At 20/20 Eyecare, our friendly and knowledgeable staff will be happy to recommend the most suitable method of correcting your child’s myopia to meet his or her individual needs. Thanks to the wide range options available, your child will walk away with eyewear that will not only enhance his or her style but will also be a boost of confidence. 

Let us help your child see the world in a whole new light. To schedule your child’s annual eye exam or if you have any further questions, contact 20/20 Eyecare at today. 

Orthokeratology in Hempstead, NY

Are you looking for an Orthokeratology doctor in Queens, New York?

Meet Melania Napolitano, O.D.

At 20/20 Eye Care, we offer advanced eye care services to help our Queens patients who seek expert advice, the latest in eye health technology, and highest level of professionalism.

Dr.-Melania-Napolitano-O.D..png

Melania Napolitano, O.D.

With modern digital retinal imaging, corneal topography, and diagnostic software, we’ve helped numerous patients achieve comfortable, clear vision and prevent the development of eye disease, such as macular degeneration, glaucoma, and myopia or nearsightedness.

Although many adults wear eyeglasses to correct their myopia, anyone with a prescription over -4 diopters has an increased risk of macular degeneration, cataracts, glaucoma, or retinal detachment.

Over the last 15 years, studies have surveyed children who started wearing eyeglasses at the age of 6 or 7, their nearsightedness had worsened as much as by -.5 or -1 diopter per year.

That means by the age of 20, many children will have vision over -6 diopters! That could mean they are over 4x at risk for eye disease compared to the average adult.

Child Glasses Smart 1280×480Today, research has concluded that we’re in a myopia epidemic.

Children are watching smartphones, televisions, and computer screens constantly, and their vision has overworked their near vision. This has ultimately harmed their ability to see at distances.

Nearsightedness or myopia in children has increased across the worldwide, (including , New York) where nearly half of all school children require prescription eyewear.

Fortunately, 20/20 Eye Care carries the solution to manage myopia in children — orthokeratology or Ortho-K.

Ortho-K or Corneal Refractive Therapy safely reshapes the cornea or surface of the eye to achieve perfect vision. The lenses are worn overnight, for amazing vision throughout the day without requiring eyeglasses or contacts.

Ortho-K’s major advantage is to STOP or at the very least drastically slow the rate of myopia progression and keep children’s eyesight at a healthy -1 or -2 diopters until they reach their adulthood.

Numerous patients from Queens, New York have begun wearing ortho-k lenses and have noticed that over 2 or 3 years, their children no longer required a stronger prescription as before.

While our eyes stop worsening when we reach our mid to late 20s, children’s eyesight is sensitive and can change rapidly. The earlier one begins Ortho-K, the more likely their eyesight will become stable later in life — meaning fewer risks of eye disease.

If you live in Queens, New York, and are interested in providing your child:

  • smile asian girlAmazing daytime vision without glasses or contacts
  • Reducing the rate of their nearsightedness
  • End the cycle of stronger prescription eyewear year after year
  • Improve their confidence
  • Improve their performance at school, sports, and extracurricular activities
  • Know that they will have the healthiest pair of eyes for life

Orthokeratology is the doorway to success and amazing vision.

For a orthokeratology consultation in Queens, New York, contact Melania Napolitano, O.D. at 20/20 Eye Care, today.

Welcome To 20/20 Eye Care In Middle Village

Your child’s prescription seems to get worse all the time. It’s more than an inconvenience. It’s a serious risk to your child’s vision.

If your child’s prescription for nearsightedness is getting worse all the time, it’s more than an inconvenience. Myopia can be aggressive. As incidence rates of myopia drastically rise, it’s also the case that aggressive or progressive myopia is rapidly increasing too. This situation is much worse than needing stronger and stronger corrective lenses, glasses or contacts. Myopia puts your child at risk for a wide range of serious and potentially devastating eye conditions later in life. These risks include:

      • Cataracts
      • Macular Degeneration
      • Retinal detachment
      • Glaucoma

The more advanced the progression, the greater the risks associated with the Myopia. However, the research is now showing that any amount of myopia is dangerous.

At , we specialize in providing the greater Middle Village area with effective, specialized treatment to control the progression of myopia. By stopping or even halting the progression of myopia, we reduce these long-term risks to best ensure that your child enjoys seeing the world with healthy eyes throughout his or her life.

happy blue eyed girl smiling

Welcome To 20/20 Eye Care Myopia Control In Middle Village

Your child’s prescription seems to get worse all the time. It’s more than an inconvenience. It’s a serious risk to your child’s vision.

If your child’s prescription for nearsightedness is getting worse all the time, it’s more than an inconvenience. Myopia can be aggressive. As incidence rates of myopia drastically rise, it’s also the case that aggressive or progressive myopia is rapidly increasing too. This situation is much worse than needing stronger and stronger corrective lenses, glasses or contacts. Myopia puts your child at risk for a wide range of serious and potentially devastating eye conditions later in life. These risks include:

      • Cataracts
      • Macular Degeneration
      • Retinal detachment
      • Glaucoma

The more advanced the progression, the greater the risks associated with the Myopia. However, the research is now showing that any amount of myopia is dangerous.

At , we specialize in providing the greater Middle Village area with effective, specialized treatment to control the progression of myopia. By stopping or even halting the progression of myopia, we reduce these long-term risks to best ensure that your child enjoys seeing the world with healthy eyes throughout his or her life.

What Is Myopia?

Myopia, also referred to as being “nearsighted” is a condition where light from objects in the distance focus in the front of the eye, instead of where it’s supposed to focus on―the retina. This causes distance vision to distort and become blurry. Myopia starts in childhood and progressively deteriorates into young adulthood.

Child Female Wearing Sunglasses

What Is Myopia?

Myopia, also referred to as being “nearsighted” is a condition where light from objects in the distance focus in the front of the eye, instead of where it’s supposed to focus on―the retina. This causes distance vision to distort and become blurry. Myopia starts in childhood and progressively deteriorates into young adulthood.

What Is Progressive Myopia?

What Is Progressive Myopia?

Myopia is very often progressive. This means that the distance vision gets worse and worse, meaning your child constantly needs an updated stronger prescription and new glasses or contacts. Since learning is by and large visual, the progression of myopia often outpaces your child’s eye exams. Myopia, therefore, negatively affects your child’s school performance. What’s more, the rate of progression of myopia directly correlates with the risk levels of developing vision-threatening eye diseases. Typically, myopia is broken down into these categories:

  • High Myopia
  • Moderate Myopia
  • Low Myopia

Low, High, and Medium correspond to how far along the myopia has progressed, in other words, how strong a prescription is needed. The higher the myopia and the higher the rate of progression, the higher the risks to your child’s vision.

What Causes Myopia?

Myopic vision is caused when the eye becomes elongated and and overly-curved in the front. This causes the objects we see to become blurry at a distance. In short, the signals to our eyes get distorted.

The exact cause of myopia is not entirely clear, although it seems to be a combination of genetics and environment. More and more, the evidence is pointing to two factors which seem to greatly affect the incidence rates around the world: greatly reduced time outdoors and rapidly increasing time spent in front of digital devices such as computers, smartphones, and tablets.

Boy Big Dark Eyes
Girl blowing dandelion
Teen Girl Smiling Window

Why Are Rates of Myopia Increasing? Is Myopia An Epidemic?

While the exact causes of Myopia are not entirely certain, what is certain is that rates of myopia are drastically on the rise throughout the world. In fact, over 10 million American children have myopia, nearly double the incidence rate of myopia as compared to only a 2 decades ago. Incidence of myopia in children is enough for it to be considered an epidemic, with the number expected to jump 40% worldwide by 2050. Myopia is currently the 6th leading cause of blindness worldwide, with that figure expected to rise.

You Treat Nearsightedness With Glasses Or Contact Lenses, Isn’t That Enough?

Corrective lenses such as regular glasses or contact lenses refocus the light to compensate for the myopia. This is what allows someone with myopia to see more clearly. However, Lenses DO NOT address the myopia itself: the elongated eyeball or overly curved front of the eye and the risks associated with it.

How Is Myopia Dangerous? Isn’t Myopia Just Inconvenient?

What many people don’t know is that myopia is dangerous. Over recent years, the research has conclusively shown that myopia significantly increases the likelihood of a number of serious conditions which can rob your child of sight as he or she ages. This includes: Cataracts, Glaucoma, Macular Degeneration, and Retinal Detachment.

  • Cataracts and Myopia
    A child with medium to high myopia is 5 times more likely to develop cataracts in his or her lifetime.
    Cataracts is condition where the lens of the eye clouds over and makes vision difficult or even impossible.

  • Glaucoma and Myopia
    Rates of glaucoma increase dramatically in children with myopia. A child with myopia is medium-high 3 times more likely to develop this serious condition, which occurs when fluid build up puts pressure on the eye causing irreversible damage to the optic nerve. Glaucoma is the leading cause of blindness.
  • Retinal Detachment: Even Mild Myopia is Dangerous
    New research is showing that medium and high myopia significantly increases the risk of retinal detachment. A child with mild myopia, -4 to -7, is 21 times more likely to develop retinal detachment, while children with high myopia, worse than -7, are 44 times more likely to develop this serious vision condition.

    Retinal Detachment is a condition where the retina literally detaches from the layers beneath it. This causes lost fields of visions, flashes of light, floaters, and even total loss of your child’s eyesight.

  • Myopic Macular Degeneration
    Myopia occurs because the eyeball becomes increasingly elongated. When the progression of myopia is extremely high, or, malignant, it can cause the retina to be stretched, causing tears to form in the macula and bleeding in the areas beneath the retina. This can cause irreversible vision loss and blindness. Children with -5 to -7 have a 44 time greater increased risk, and 126 time greater for children with high myopia.
Boy Big Dark Eyes

What Causes Myopia?

Myopic vision is caused when the eye becomes elongated and and overly-curved in the front. This causes the objects we see to become blurry at a distance. In short, the signals to our eyes get distorted.

The exact cause of myopia is not entirely clear, although it seems to be a combination of genetics and environment. More and more, the evidence is pointing to two factors which seem to greatly affect the incidence rates around the world: greatly reduced time outdoors and rapidly increasing time spent in front of digital devices such as computers, smartphones, and tablets.

Why Are Rates of Myopia Increasing? Is Myopia An Epidemic?

While the exact causes of Myopia are not entirely certain, what is certain is that rates of myopia are drastically on the rise throughout the world. In fact, over 10 million American children have myopia, nearly double the incidence rate of myopia as compared to only a 2 decades ago. Incidence of myopia in children is enough for it to be considered an epidemic, with the number expected to jump 40% worldwide by 2050. Myopia is currently the 6th leading cause of blindness worldwide, with that figure expected to rise.

You Treat Nearsightedness With Glasses Or Contact Lenses, Isn’t That Enough?

Corrective lenses such as regular glasses or contact lenses refocus the light to compensate for the myopia. This is what allows someone with myopia to see more clearly. However, Lenses DO NOT address the myopia itself: the elongated eyeball or overly curved front of the eye and the risks associated with it.

How Is Myopia Dangerous? Isn’t Myopia Just Inconvenient?

What many people don’t know is that myopia is dangerous. Over recent years, the research has conclusively shown that myopia significantly increases the likelihood of a number of serious conditions which can rob your child of sight as he or she ages. This includes: Cataracts, Glaucoma, Macular Degeneration, and Retinal Detachment.

  • Cataracts and Myopia
    A child with medium to high myopia is 5 times more likely to develop cataracts in his or her lifetime.
    Cataracts is condition where the lens of the eye clouds over and makes vision difficult or even impossible.

  • Glaucoma and Myopia
    Rates of glaucoma increase dramatically in children with myopia. A child with myopia is medium-high 3 times more likely to develop this serious condition, which occurs when fluid build up puts pressure on the eye causing irreversible damage to the optic nerve. Glaucoma is the leading cause of blindness.


  • Retinal Detachment: Even Mild Myopia is Dangerous
    New research is showing that medium and high myopia significantly increases the risk of retinal detachment. A child with mild myopia, -4 to -7, is 21 times more likely to develop retinal detachment, while children with high myopia, worse than -7, are 44 times more likely to develop this serious vision condition.Retinal Detachment is a condition where the retina literally detaches from the layers beneath it. This causes lost fields of visions, flashes of light, floaters, and even total loss of your child’s eyesight.
  • Myopic Macular Degeneration
    Myopia occurs because the eyeball becomes increasingly elongated. When the progression of myopia is extremely high, or, malignant, it can cause the retina to be stretched, causing tears to form in the macula and bleeding in the areas beneath the retina. This can cause irreversible vision loss and blindness. Children with -5 to -7 have a 44 time greater increased risk, and 126 time greater for children with high myopia.

Control The Progression Of Your Child’s Myopia.

Book A Myopia Management Appointment

What Is Myopia Management ?

In recent years, a number of advanced methods have been developed to management myopia. Unlike glasses or regular contact lenses, the goal of Myopia Management is to slow or even halt the progression of myopia entirely. At the, , Melania Napolitano, O.D. will begin with a full assessment of your child’s myopia. We will then recommend a personalized treatment plan to slow or even stop your child’s myopia from getting worse. This is what will minimize the risks to your child’s long-term vision.

When Should My Child Start Myopia Management?

The more advanced the myopia is, the greater the risks. Therefore, our Middle Village Myopia Management Experts recommend starting Myopia Management as soon as myopia is detected. It’s important to halt the myopia before your child’s vision deteriorates any further. This is the only way to minimize the risks. It also has the significant benefit of keeping your child from needing stronger and stronger lenses over time.

What Is Myopia Management?

In recent years, a number of advanced methods have been developed to control myopia. Unlike glasses or regular contact lenses, the goal of Myopia Management ol is to slow or even halt the progression of myopia entirely. At the, , Melania Napolitano, O.D. will begin with a full assessment of your child’s myopia. We will then recommend a personalized treatment plan to slow or even stop your child’s myopia from getting worse. This is what will minimize the risks to your child’s long-term vision.

The more advanced the myopia is, the greater the risks. Therefore, our Middle Village Myopia Management Experts recommend starting Myopia Management as soon as myopia is detected. It’s important to halt the myopia before your child’s vision deteriorates any further. This is the only way to minimize the risks. It also has the significant benefit of keeping your child from needing stronger and stronger lenses over time.

What Treatments Are There For Myopia? How Does Myopia Management Work?

There are a few main treatments that are used for effective Myopia Management rol, yet the most effective treatment is Orthokeratology (Ortho-k), also known as GVSS (Gentle Vision Shaping System) and CRT Each treatment option has its advantages and disadvantages. After assesses your child’s myopia, she will talk through the options and develop a treatment plan that works best for your family.

    Family Glasses Blowing Bubbles
    Pretty Young Teen Girl
    Child Sunset Mountain

    Ortho-K, or, orthokeratology goes by many names.

    • Gentle Shaping Vision System (GVSS)
    • Corneal Reshaping Therapy (CRT)
    • Vision Shaping Therapy (VST)
    • Corneal Molding (CM)

    All of these treatment names are more or less the same thing. A rigid contact lens is custom-made for your child’s eyes by our Middle Village Myopia Management experts. These special lenses are worn at night by your child. As your child sleeps, the lenses gently reshape the cornea of the eyes. This reshaping corrects the elongation of the eye which causes the myopia. What this means is that the wearer won’t need glasses or contact lenses during the day at all — an especially appealing option for kids who don’t want to wear glasses or young athletes. What’s more, ortho-k has been proven to be highly effective at slowing and halting the progression of myopia, so it also is protecting your child’s adult vision while freeing them from glasses in the here and now.

    Ortho-k allows adults and children alike to wake up with their vision adjusted, without the need to wear glasses or contacts during the day. For children, Ortho-k has been proven effective at slowing and even halting the progression of Myopia.

    Ortho-k for Adults: A Safe Vision Correction Alternative to LASIK Surgery
    Because corneal reshaping allows the wearer to see without glasses or contacts during the day, more and more adults are also being fitted for ortho-k. This could be for social or lifestyle reasons. Ortho-k is also appealing to certain professions such as:

    • Construction workers
    • Law Enforcement
    • Athletes
    • Pilots
    • Long-distance drivers

    Ortho-k is an effective and non-surgical alternative to LASIK, and will often work for people who, for whatever reason, don’t want or don’t qualify for LASIK surgery.

    Child Sunset Mountain

    What Treatments Are There For Myopia? How Does Myopia Management Work?

    There are a few main treatments that are used for effective Myopia Management,  yet the most effective treatment is

    Orthokeratology (Ortho-k), also known as GVSS (Gentle Vision Shaping System) and CRT

      Each treatment option has its advantages and disadvantages. After assesses your child’s myopia, she will talk through the options and develop a treatment plan that works best for your family.

      Ortho-K, or, orthokeratology goes by many names.

      • Gentle Shaping Vision System (GVSS)
      • Corneal Reshaping Therapy (CRT)
      • Vision Shaping Therapy (VST)
      • Corneal Molding (CM)

      All of these treatment names are more or less the same thing. A rigid contact lens is custom-made for your child’s eyes by our Middle Village Myopia Management experts. These special lenses are worn at night by your child. As your child sleeps, the lenses gently reshape the cornea of the eyes. This reshaping corrects the elongation of the eye which causes the myopia. What this means is that the wearer won’t need glasses or contact lenses during the day at all — an especially appealing option for kids who don’t want to wear glasses or young athletes. What’s more, ortho-k has been proven to be highly effective at slowing and halting the progression of myopia, so it also is protecting your child’s adult vision while freeing them from glasses in the here and now.

      Ortho-k allows adults and children alike to wake up with their vision adjusted, without the need to wear glasses or contacts during the day. For children, Ortho-k has been proven effective at slowing and even halting the progression of Myopia.

      Ortho-k for Adults: A Safe Vision Correction Alternative to LASIK Surgery
      Because corneal reshaping allows the wearer to see without glasses or contacts during the day, more and more adults are also being fitted for ortho-k. This could be for social or lifestyle reasons. Ortho-k is also appealing to certain professions such as:

      • Construction workers
      • Law Enforcement
      • Athletes
      • Pilots
      • Long-distance drivers

      Ortho-k is an effective and non-surgical alternative to LASIK, and will often work for people who, for whatever reason, don’t want or don’t qualify for LASIK surgery.

      What Our Patients Are Saying...

      Meet Our Myopia Control Optometrist

      Dr.-Melania-Napolitano-O.D..png

      Melania Napolitano, O.D.

      Dr. Melania Napolitano is a native of Brooklyn, NY who spent a large part of her childhood in Napoli, Italy. She is multilingual, speaking Spanish and Italian fluently, which benefits her in her professional life. Dr. Napolitano earned her Bachelor of Science Degree at Queens College, NY, and completed her...

      Serving Patients From:

      Serving Patients From:

      Melania Napolitano, O.D. is dedicated to protecting the long term vision health of children. Because of the overwhelming evidence now available proving the dangers of myopia, Melania Napolitano, O.D. founded the in order to provide the most advanced and effective Myopia Management throughout New York.

      The proudly provides advanced pediatric eyecare for patients from Middle Village as well as:

      Mineola|Queens|Elmhurst

      Myopia Control & Orthokeratology

      Myopia Control For Kids

      Boy wearing eyeglasses in Middle Village and Mineola, NY

      Middle Village And Mineola Eye Care For Children

      Myopia is a refractive error, better known as nearsightedness. Typically, this vision condition appears in kids around the age of 8-12, during their elementary school years. Until recently, the standard treatment for myopia was always to prescribe eyeglasses – and that was it.

      Yet eye care specialists are now giving nearsightedness more attention, and research studies are exploring ways to control myopia. Why? Our eye doctor at 20/20 Eyecare, in Mineola and Middle Village, NY, explains:

      Reasons For Myopia Control

      Nearsightedness is becoming increasingly common. At present, the number of Americans between the ages of 12-54 with myopia is close to 50%, and the numbers are growing to epidemic proportions. In addition, research has demonstrated a close link between high myopia and eye diseases that can threaten vision in the future. Risks to ocular health include:

      • Higher chance of developing cataracts and a decreased effectiveness of cataract surgery
      • 4-10 times increased risk of retinal tears and detachment, depending upon the severity of the myopia
      • 200% increase in the risk of glaucoma

      Therefore, there is good reason to reduce the progression of myopia.

      Types Of Myopia Control

      Now that we have established the need for myopia control in children, you may be wondering how it is possible to slow the progression of nearsightedness. Myopia control is currently a hot topic amongst eye doctors, and there are a few different types of treatment. In our Mineola and Middle Village eye care centers, we will perform a thorough pediatric eye exam in order to recommend the most suitable myopia control.

      Orthokeratology, AKA Ortho-k

      Vision shaping ortho-k lenses can slow the pace of eye growth and reduce the elongation process of kids’ eyes – thereby providing myopia control. Essentially, wearing these specialized gas permeable contact lenses during sleep reshapes your child’s cornea.

      During the day, ortho-k lenses are removed, yet the effects remain for a few days. Ortho-k contacts must therefore be worn nightly; similar to the way a retainer is worn to reinforce the new position of teeth after orthodontics. Numerous studies published in the American Journal of Ophthalmology conclude that ortho-k is safe and highly efficient as a non-invasive way to treat and control myopia in kids.

      Multifocal Lenses

      Clinical studies show that soft multifocal contact lenses designed with a central zone for seeing distance can slow elongation of the eye and the continuing advance of nearsightedness. This particular design of contact lenses appears to provide sharp vision by focusing light directly on the retina.

      In a 2014 study in Hong Kong, children who wore this type of multifocal lenses for five hours per day had 25% less myopia progression than those who wore single vision lenses over a two-year span.

      Atropine Eye Drops

      Research supports the use of atropine for pediatric myopia control, however there are numerous undesirable side effects to this topical medication. Patients may experience pupil dilation, glare, and loss of the ability to focus. Although studies are encouraging for this drug, the FDA has not approved its use for myopia control.

      Boost Outdoor Playtime

      When children spend more time outdoors – as opposed to indoors and gazing at a digital tech gadget – it appears to lower the speed of myopia progression.

      Bring Your Child For A Mineola And Middle Village Eye Exam!

      As your kid’s eyes grow throughout childhood, myopia generally grows and worsens too, until the eyes stabilize at about 20 years old. Even if you or your child do not notice any changes or have any vision complaints, our eye doctor strongly recommends visiting for a routine eye exam in Mineola or Middle Village.

      Remember, if myopia worsens and your child’s vision prescription isn’t up-to-date, it can threaten classroom learning and cognitive development. When eye exams lead constantly to a stronger vision prescription, it is time to inquire whether your child is a good candidate for myopia control. Call our Middle Village or Mineola eye care center to schedule a consultation.

      No More Glasses! No More Contacts!

      Get ready to throw away your glasses!

      Ortho-K Overnight Vision Correction In Middle Village & Mineola, NY has been shown to slow the progression of children’s nearsightedness.

      Custom-fitted, gentle vision shaping contact lenses are worn while your child sleeps to temporarily reshape the cornea to improve vision during the day. Your child will be able to see clearly without the need for eyeglasses or contact lenses.

      Studies show that the progression of myopia is also slowed with Orthokeratology therapy.

      What Is Myopia?

      While nearsightedness varies from a little blurry to nearly blind, myopia is an eye condition that many people live with on a daily basis.

      Although some procedures are available to help adults correct their myopia, children face a lot more challenges with myopia progression with very few options to stop the decline in visual acuity.

      Myopia can lead to various eye diseases

      Myopia has been linked to thinning of the retina. This increases the risk of retinal detachments, which can lead to permanent vision loss or blindness.

      High myopia significantly increases the risk of cataracts and glaucoma. Glaucoma is one of the leading causes of irreversible blindness in the adult population worldwide. Adults who have moderate (around -4 diopters) or high myopia have almost 3 times higher risk of glaucoma.

      Slowing the progression of Myopia in Children May Save Their Vision!

      Children with medium to high myopia are at greatly increased risk for serious eye diseases that can cause vision loss or even blindness later in life. In fact high myopia is the 3rd most common cause for vision loss (see the study). People with high myopia are 126 times more likely to have myopic maculopathy, 44 times more likely to have retinal detachments, 5.5 times more likely to have cataracts and 3.3 times more likely to have glaucoma.

      80% of learning is visual. Give your child the best chances for success!

      No More Eyewear! No Surgery!

      With Ortho-K in New York your child can enjoy
      all of the activities they love –
      without having to worry about eyewear!

      No more broken or lost glasses,
      no more contact lens care and no surgery.
      No kidding!

      Children Reading Newspaper Outside in Mineola & Middle Village,NY.

      What Are The Benefits Of Orthokeratology?

      Fortunately, Orthokeratology or Corneal Refractive Therapy is the leading solution for myopia control. The benefits of this program are numerous. Not to mention that orthokeratology has a high rate of success in children and adults, but the scientific research supports the effectiveness behind orthokeratology.

      Children who struggle with reading may feel handicapped or lose confidence when an optometrist fits them with thick eyeglasses. Orthokeratology removes the need for eyeglasses or contact lenses, which boosts confidence and provides the best vision possible. Never face a wrong prescription in glasses ever again!

      While parents may hesitate to start their children with contact lenses in general, as the maintenance can be too difficult, orthokeratology or corneal refractive therapy utilizes advanced molds to reshape the cornea overnight. The chances of losing a contact lens are slim compared to standard contact lenses. Plus, the parent can help supervise their children as they start orthokeratology.

      Eye Care,Studying reading boy  in Mineola & Middle Village,NY.

      What Are The Risks In Orthokeratology?

      Risks are minimal. Like with any contact lens device, proper maintenance is key to avoid chances of infection. This is true for adults as well. Since orthokeratology is worn before bedtime, a parent can easily assist their child in caring for their ortho-k lenses to ensure optimal results.

      How safe is Orthokeratology or Corneal Refractive Therapy? Orthok received FDA approved with two brands: Paragon Vision & Bausch and Lomb. Not only has the FDA approved their use with children, but orthokeratology has been around for nearly 20 years.

      Also, vision correct from orthokeratology is temporary. Even if a child decided to stop Corneal Refractive Therapy, their cornea will remain healthy and restore to its natural shape.

      While after a few days, a child’s vision will need to be corrected with standard contact lenses or eyeglasses, the myopia progression will have been slowed down throughout the process.

      Ortho-K is safe for children and adults. To see if Orthokeratology is right for you, you will need to schedule an Ortho-K evaluation with your Mineola & Middle Village optometrist.

      Candidates for Ortho-K

      Practices may rely on Paragon Vision’s “Corneal Refractive Therapy” to help correct nearsightedness in children with myopia under -6 diopters and mild astigmatism. In more advanced cases of myopia or high astigmatism, consult with a contact lens specialist about the alternative options to start myopia control.

      While high myopia might be seen as “too late” for some children, orthokeratology can still provide amazing benefits for correcting your child’s vision.

      Schedule a consultation with our contact lens specialist to evaluate the health of your child’s eyes.

      Vision Results from Ortho-k in Children

      Children who participate in CRT nearly always achieve 20/20 or better. That means they can read the small print on the blackboard. The ideal goal of orthokeratology is to provide perfect vision without any need for eyeglasses or contacts during the day.

      While orthokeratology works to reshape the cornea, results are noticeable almost immediately. However, to achieve the best vision, this requires a few weeks for the reshaping process to settle in.

      The cornea will adjust to the new environment, and the effects of orthokeratology can last the whole day and in some cases, even close to 2 days.

      Some side effects may occur as they start orthokeratology, and a temporary pair of eyeglasses may be needed. This is more common in adults as children’s eyes adapt quicker in general.

      Eye Care, Smiling little girl  in Mineola & Middle Village,NY.

      Ortho-K: CRT and VST

      Do You Dream of Waking Up to Perfect Vision? With Ortho-K Overnight Sight Correction, (also known as Corneal Reshaping Therapy or Vision Shaping Therapy) you can see naturally and clearly without glasses or contacts all day long.

      Eye Exam Little boy with ortho-k in Mineola & Middle Village,NY.

      Ortho-K & Your Child

      Nearsightedness, or the technical name Myopia is more and more prevalent in this digital day and age. Ortho-K can slow the progression and give your child the chance to see clearly without the need for glasses or contacts all day long.

      Eye Care, Sport Man with Ortho  in Mineola & Middle Village,NY.

      Ortho-K & Sports

      Are your glasses getting in the way of the game? With Ortho-K, you can get on the field, court or pool without worrying about your vision. See clearly and safely during your sport without the need for glasses or contacts.

      Our eye doctors are passionate about myopia control as a means of preventing vision loss in the future. When they realized that myopia in children was growing at such an alarming rate, they decided to offer advanced myopia control techniques such as orthokeratology.

      “We consider it our duty as optometrists to educate the public about the dangers of high myopia in children. We have made considerable investments in time and money to bring the most effective methods of myopia control. It is always great to see the smiles on our patients faces when they realize they have great vision without needing glasses or contact lenses during the day”

      In addition to orthok, our optometrists’ are also well versed in Scleral Lenses so you can be sure your family is getting the correct treatment.

      Dr.-Melania-Napolitano-O.D..png

      Melania Napolitano, O.D.

      Dr. Melania Napolitano is a native of Brooklyn, NY who spent a large part of her childhood in Napoli, Italy. She is multilingual, speaking Spanish and Italian fluently, which benefits her in her professional life. Dr. Napolitano earned her Bachelor of Science Degree at Queens College, NY, and completed her...

      Seeing is Vital to the Quality of your Life

      Eyes are important indicators of overall health, and comprehensive eye care goes beyond a prescription for glasses or contact lenses. At 20/20 Eye Care in Mineola & Middle Village,NY. we take the time to get to know you, your eye care history, and all of your vision needs. Our optometrists provide the expert care, advice, options, and the follow up you need whether you are a new patient or an existing one. Contact us, today!

      Orthokeratology (CRT & VST)

      Orthokeratology, commonly called ortho-k, is a method used to correct myopia (nearsightedness) by wearing rigid gas permeable contact lenses overnight, so that no vision correction is needed during daytime hours.

      Gas permeable (GP) lenses specialized for ortho-k are inserted at bedtime and worn as you sleep. Throughout the night, the lenses reshape your cornea gently so that your vision becomes clear on the following morning. The correction is temporary, and ideally no eyeglasses or contact lenses will be needed on the next day or two. In order to maintain sharp visual acuity on a daily basis, you need to wear the ortho-k reshaping lenses every night.

      At present, two brands of ortho-k contact lenses are approved for use by the FDA. Paragon Vision Sciences produces “Corneal Refractive Therapy” (CRT), and Bausch and Lomb manufactures “Vision Shaping Treatment” (VST).

      Candidates for Ortho-K

      Ortho-k is very suitable for nearsighted people who are not appropriate candidates for vision correction surgery, such as children. Individuals of all ages with healthy eyes can try ortho-k, namely because it can be discontinued at any point without permanent effects to the eyes.

      Read more about Myopia/nearsightedness

      People who require vision correction and engage regularly in sports or work in extremely dusty, dirty environments will also appreciate the convenience of ortho-k.

      Vision Results from Ortho-k

      Success rates for ortho-k are generally higher for more mild vision prescriptions. The ideal goal is to provide 20/20 vision without any need for eyeglasses or contacts during the day.

      According to FDA trials conducted on both CRT and VST lenses, more than 65% of ortho-k patients achieved 20/20 visual acuity. A whopping number of more than 90% of ortho-k patients achieved 20/40 vision or better (this is the legal requirement for driving without vision correction in most states). Consult with your eye doctor to find out if your vision prescription is within range for successful ortho-k treatment.

      Note that although improvement in vision is generally reported within a day or two of wearing ortho-k overnight, the full effects may not be experienced until the lenses are worn for a few weeks. During this transition period, your vision will probably not be as crisp as it was with regular contacts or eyeglasses, and glare or halos around lights may be visible. Until ortho-k works fully, a temporary pair of eyeglasses may be required for specific actions, such as driving at night.

      How Does Ortho-k Feel?

      Although some people have trouble wearing regular gas permeable contact lenses during the day, ortho-k GP lenses are worn while sleeping – so discomfort and awareness of the lenses in your eyes is generally not an issue.

      Is Ortho-k expensive?

      Professional fitting for ortho-k requires a series of visits to your eye doctor. A number of pairs of contact lenses are also generally needed. GP lenses that are special for ortho-k are more costly than standard contacts. In sum, the fees for ortho-k add up to a higher total than regular contact lenses.

      LASIK after Ortho-k

      Refractive surgeries, such as LASIK, are possible after treatment with ortho-k lenses. Yet because ortho-k works to reshape your cornea, you are required to stop wearing the lenses for approximately several months before undergoing LASIK. This allows your eyes to return to their original shape.

      It’s important to inform your LASIK surgeon if you’ve been wearing ortho-k lenses, and you will be advised as to how long of a wait is necessary before having the laser procedure.

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      82-20 Eliot Ave
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      Eye doctor, woman suffering from dry eyes in winter, in Mineola & Middle Village, NY

      One of the most common patient complaints during the winter months is dry eyes.

      Controlling Nearsightedness in Children

      Childhood myopia or nearsightedness is a common condition that causes blurred distance vision and can usually be easily corrected with either glasses or contact lenses. Unfortunately, simply getting a pair of glasses doesn’t always solve the problem, because often myopia is progressive which means that every year the vision gets worse. This usually continues until sometime around the child’s 20th birthday when his eyes stop growing and eyesight levels off.

      It can be worrisome and quite disconcerting for both the parent and the child when each visit to the eye doctor results in a higher prescription. There could be a number of factors involved in progressive myopia, involving hereditary factors as well as possible environmental or behavioral factor such as frequent close-up tasks such as reading or using an electronic device. In fact, studies show that children that spend more time outdoors playing have a lower incidence of myopia. Much research is currently being done into treatments for slowing or stopping myopia progression in children. Here are some of the treatment options currently being offered:

      Orthokeratology (Ortho-k)

      Ortho-k is a process that uses specially designed rigid gas permeable contact lenses worn at night to gently reshape the cornea, eventually allowing clear vision during the day. The lenses are worn every night or every couple of nights depending on the results of the individual. Ideal for mild to moderate myopia, ortho-k usually takes a few weeks to show results, during which time the patient may need to temporarily continue wearing glasses or contact lenses.

      Studies show that the use of ortho-k can permanently reduce the progressive lengthening of the cornea which is responsible for nearsightedness and can therefore slow or stop the childhood progression of the condition. Therefore, in addition to being used for myopia correction, it is now also being offered as a therapeutic treatment to halt myopia progression in children.

      Multifocal Eyeglasses or Contact Lenses

      Bifocal or multifocal soft contact lenses or glasses have been shown in some studies to slow myopia progression. This therapy is based on the idea that the eye is strained from accommodating to see close up and that by providing multiple focusing powers, this allows the eye to relax when doing near work, which reduces the progression of the refractive error. This treatment has been shown to delay or slow the advancement of myopia in some children.

      Atropine Drops

      Treatment with atropine drops is another therapy that is used to relax the eye from “focusing fatigue” which may be a culprit in myopia progression. Research is still being done but some studies show that daily use of low doses of atropine drops do slow the progression of myopia. Atropine drops dilate the pupil which temporarily prevents the eye from being able to focus, thereby allowing this mechanism to relax. Research is still being done to determine dosages, but the results are promising.

      If your child has progressive myopia, seek out a pediatric optometrist who is knowledgeable about the options available. Finding the right treatment could give your child the gift of better eyesight for life.

      No More Glasses! No More Contacts!

      Book an Ortho-K Consult

      Get ready to throw away your glasses!

      Ortho-K Overnight Vision Correction has been shown to slow the progression of children’s nearsightedness.

      Custom-fitted, gentle vision shaping contact lenses are worn while your child sleeps to temporarily reshape the cornea to improve vision during the day. Your child will be able to see clearly without the need for eyeglasses or contact lenses.

      Studies show that the progression of myopia is also slowed with Orthokeratology corneal reshaping therapy.

      Slowing the progression of Myopia in Children May Save Their Vision!

      Children with medium to high myopia are at greatly increased risk for serious eye diseases that can cause vision loss or even blindness later in life. In fact high myopia is the 3rd most common cause for vision loss (see the study). People with high myopia are 126 times more likely to have myopic maculopathy, 44 times more likely to have retinal detachments, 5.5 times more likely to have cataracts and 3.3 times more likely to have glaucoma.

      80% of learning is visual. Give your child the best chances for success!

      No More Eyewear! No Surgery!

      With Ortho-K your child can enjoy all of the activities they love
      without having to worry about eyewear. No more broken or
      lost glasses, no more contact lens care and no surgery.
      No kidding!

      Ortho-K is safe for children and adults. To see if Orthokeratology is right for you, you will need to schedule an Ortho-K evaluation with our Mineola & Middle Village optometrist.

      Smiling little girl

      Ortho-K: CRT and VST

      Do You Dream of Waking Up to Perfect Vision? With Ortho-K Overnight Sight Correction, (also known as Corneal Reshaping Therapy or Vision Shaping Therapy) you can see naturally and clearly without glasses or contacts all day long.

      Little boy in Algonquin IL

      Ortho-K & Your Child

      Nearsightedness, or the technical name Myopia is more and more prevalent in this digital day and age. Ortho-K can slow the progression and give your child the chance to see clearly without the need for glasses or contacts all day long.

      Soccer goalie

      Ortho-K & Sports

      Are your glasses getting in the way of the game? With Ortho-K, you can get on the field, court or pool without worrying about your vision. See clearly and safely during your sport without the need for glasses or contacts.

      Our Eye Doctor - Melania Napolitano, O.D.

      Dr. Melania Napolitano

      Learn More About Our Mineola and Middle Village Optometrist

      Dr. Napolitano is passionate about myopia control as a means of preventing vision loss in the future. When she realized that myopia in children was growing at such an alarming rate, she decided to offer advanced myopia control techniques such as orthokeratology.

      “I consider it my duty as an optometrist to educate the public about the dangers of high myopia in children. We have made considerable investments in time and money to bring the most effective methods of myopia control. It is always great to see the smiles on our patients faces when they realize they have great vision without needing glasses or contact lenses during the day”

      Book an Ortho-K Consult

      Seeing is Vital to the Quality of your Life

      Eyes are important indicators of overall health, and comprehensive eye care goes beyond a prescription for glasses or contact lenses. At 20/20 Eye Care in Mineola & Middle Village, NY we take the time to get to know you, your eye care history, and all of your vision needs. Our optometrist provides the expert care, advice, options, and the follow up you need whether you are a new patient or an existing one. Contact us today!

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