Category Archives: children

Excellent OrthoKeratology Video

With the increased rate of myopia in the US population, orthokeratology is becoming an increasingly important treatment option for our patients.  Dr. Driscoll is a member of the Orthokeratology Academy of America that produced the excellent video shown below.  The video gives a comprehensive overview of orthokeratology, including its pros, cons, and how it works. We highly recommend that any patients considering refractive surgery, such as LASIK and PRK, or orthokeratology view this video. By the way, comments are much appreciated so don’t be shy.

Dr. Meghna Lilaram Joins Total Eye Care

Photo Dr. Meghna S. Lilaram, Pediatric Eye SpecialistDr Driscoll, Dr. Green and our entire staff welcome Dr. Lilaram, a 2007 Graduate of the Nova Southeastern University College of Optometry, to Total Eye Care.

Dr. Lilaram specializes in sports vision and rehabilitative eye care. Says Dr. Lilaram “My optometric and post doctoral training have allowed me to aid the sports performance of athletes and rehabilitate the vision of both children and adults alike. It is wonderful to see the improvement in my vision therapy patients.”

With the addition of Dr. Lilaram Total Eye Care has expanded it’s available services to include;

  • Sports Vision Therapy
  • Treatment of learning-related disabilities such as dyslexia & ADD
  • Amblyopia Treatment “Lazy Eye”
  • Strabismus Therapy “Wandering Eye”
  • Computer Vision Syndrome

You can read Dr. Lilaram’s entire bio on the Total Eye Care website.

Contact Lens Cases – An Often Overlooked Source of Eye Infections

When was the last time you replaced your contact lens case? Next to dirty hands contact lens cases are probably the most common source of bacteria that will contaminate your contact lenses.  The best time to replace your contact lens case is when you get a new bottle of contact lens solution, or better yet make the move to daily disposable contact lenses and skip the contact lens case and solutions altogether.

Contact lens casesTo prevent the contamination of your contact lens case the eye doctors at Total Eye Care recommend that you thoroughly rinse the entire empty contact lens case, including the lid or caps with tap water. Next air dry your case by placing it upside down on the counter.

Back to School Means Eye Exam Time for Children and Families

Total Eye Care and Optos partner in using scanning laser technology for children’s back to school eye exams.

COLLEYVILLE, TEXAS – August 1, 2010 – In conjunction with Back to School time, Dr. Richard Driscoll and Dr. Alycia Green, eye doctors at Total Eye Care in Keller and Colleyville, are working with Optos to launch a program aimed at educating parents about the importance of regular eye examinations for children. It is estimated that 80 percent of what children learn during their first 12 years is related to sight, yet unfortunately 86 percent of children in the U.S. start school without first having a comprehensive eye exam.  Read more…..

FDA Study Cites Contact Lenses as Leading Cause of Medical Device Related Emergency Room Visits

During a 24 month study of 100 hospitals contact lenses accounted for 23% of
medical device related emergency room visits involving children.

In a study published online this week in the journal Pediatrics entitled “Emergency Department Visits for Medical Device-Associated Adverse Events Among Children” it was found that 23% of the medical device related emergency room visits involving  children from birth to 21 years of age were contact lens related, this is in contrast to the next closest category,  injuries due to a puncture by a hypodermic needle, which placed a distant second at 8%.   An additional noteworthy finding was that an another 6% of the ER visits  involved lacerations caused by eyeglasses.

The study did not outline how the children were using their contact lenses.  Were they caring for and cleaning them properly?  Did they discard the lenses according to the replacement interval prescribed by their doctor and what type of contact lenses were involved in the study?  The injuries incurred while wearing eyeglasses did not specify the type of activity the child was participating in when the incident occurred.

Contact lenses are medical devices and as such require a prescription from an eye doctor with professional fitting and followup. In clinical practice we have found that patients that follow the guidelines below rarely experience contact lens related complications.

Injuries due to eyeglass lenses and frames was also a significant source of injuries in the study. We must therefore, not forget to provide our children with protective eyewear when they participate in sports.  Sports eyewear has come a long way since the days when Kareem Abdul-Jabbar captured his trademark look.  Sports eyewear has now become fashionable and safe.

More information on contact lenses.

Total Eye Care and Bausch + Lomb Announce Back to School Contact Lens Program

From July through September, Total Eye Care is partnering with Bausch + Lomb to raise awareness about the benefits of daily disposable contact lenses for children.

As parents prepare to send their children back to school, it’s important to make sure that our children are getting proper vision care for optimal performance in and out of the classroom.

“Daily disposable contact lenses are easily the safest and most convenient contact lens option.  Now through our partnership with Bausch + Lomb, we hope that more children and adults will experience the convenience and safety of daily disposable contact lenses” says Dr. Richard Driscoll of Total Eye Care in Colleyville.

Through our partnership we will be able to offer a 90 pack of daily disposable contact lenses for only $35…….read more

My Child Sees Fine – Why Does She Need an Eye Exam

As parents we often think that our son or daughter has good vision and therefore does not need an eye exam.  Common misperceptions of why eye exams in children are not important include, my son doesn’t complain of blurry vision, my child’s grades are good, or the parents have good vision therefore the kids probably do too.

School screening don’t qualify as an eye exam.  While an essential part of protecting the visual and physical health of our children, school screenings were never intended to replace a professional eye exam.  School screenings prevent children from “falling between the cracks” and are best used to supplement regular eye care.  Read more about safeguarding our children’s vision.

National Public Radio’s Medical Detectives Explore Increased Nearsightedness in the US

Photo of Child gazing out windowIn December 2009 we covered the results of a recent study Myopia Increasing Rapidly in The US Population. Recently National Public Radio’s Medical Detectives interviewed, Dr Susan Vitale, principle author of the study “1994-2004 National Health and Nutrition Examination Survey” and Dr. Don Mutti, an expert in myopia.  It’s a good listen and only a little over 3 minutes.

With myopia increasing at such a rapid rate in our population will it be long before the use of orthokeratology to slow the progression of myopia in our children becomes the standard of care?

Photo courtesy of Flickr user Pink Sherbet Photography,  D Sharon Pruitt

Study Says: Myopia Increasing Rapidly in The US Population

The rate of nearsightedness in the US  has increased by over 66% in the past 30 years says a study published in the December 2009 issue of Archives of Ophthalmology

Thick GlassesA 66% increase in myopia is a huge change over a 30 year period. The new study tried to simulate the testing methods of the original 1972 study on nearsightedness in the US population.  The 1971-1972 National Health and Nutrition Examination Survey found that 25% of the US population between the ages of 12 and 54 were nearsighted vs the 1994-2004 National Health and Nutrition Examination Survey’s finding of 41.6%.  Increased nearsightedness was noted regardless of age, sex, race or education.

The authors concluded that it would be beneficial to identify behavioral risk factors that cause increased myopia.  If risk factors for increasing myopia are identified we may be able to slow the progression.

The big question is “what caused this increased nearsightedness in the US population”?  As eye doctors we are often asked what causes nearsightedness and the usual answer is that that we believe nearsightedness is a combination of genetics and environmental influences.  In the last 30 years our society has become much more near centric.  People spend hours glued to their computer monitors at work and home. Kids spend more time at near now then ever before with computer games, hand held games etc.

Numerous recent studies have shown that orthokeratology contact lenses can greatly slow the progression of nearsightedness

Finding ways to slow or halt the progression of myopia has been a longstanding subject of study in eyecare.  The process of using special contact lenses to reshape the front part of a patient’s eye to prevent the progression of nearsightedness and to allow the patient to see without glasses is called orthokeratology.  There are a number of different names for orthokeratology, orthoK, corneal molding, corneal reshaping and corneal refractive therapy are some of the most common names.

Almost a year ago the study, Controlling Astigmatism & Nearsightedness in Developing Youth (CANDY) showed that orthokeratology contact lenses reduced the progression of nearsightedness in kids between 9 and 16.  The authors of the CANDY study found that the amount myopia in children that did not wear the overnight Corneal Refractive Therapy lenses increased at a rate of .37D per year while those children wearing  the lenses progressed at only .03 diopters per year.

Another study, Corneal Reshaping and Myopia Progression published in the British Journal of Ophthalmology, conducted at the Ohio State University College of Optometry found that the eyes of the children wearing overnight orthokeratology lenses increased in length at a markedly slower rate than the studies’ non ortho-K lens wearers.

Lastly, the study Stabilization of Myopia by Accelerated Reshaping Technique (SMART) is in the first  of its five years and this past summer released preliminary results showing that again, orthokeratology lenses appear to markedly slowing the progession of nearsightedness in children.

While the rate of nearsightedness in the US population has increased significantly in the last 30 years it is comforting to know that there are safe and effective methods of slowing the progression of myopia.  Download a PDF of the study Increased Prevalence of Myopia in the United States Between 1971-1972 and 1999-2004

Image courtesy of Flickr member Foxtongue.

Preventing Vision Problems in Children Must Become a Priority in The US

That is the opinion of The National Commission on Vision & Health, in a new report entitled “Building a Comprehensive Vision Care System“, found that 25% of school age children have undiagnosed vision problems and that correcting this must become a national health care priority.

91837233_f94352da20_mSome of the vision problems cited in the literature review included undiagnosed nearsightedness, farsightedness, amblyopia, retinoblastoma, congenital defects, and strabismus.  The report went on to state that a vision screening was not a substitute for an eye exam and that eye exams from an optometrist or ophthalmologist were a very effective way to detect vision problems in children.

In 2004 The Vision council of America estimated that the rate of undetected vision problems in children to be 25%.  The 2010 National Health Objective 28-4 to reduce blindness and visual impairment in children and adolescents has experienced little progress in it’s goal to reduce childhood blindness.

In 2002 the American Public Health Association (APHA) issued a statement supporting regular eye exams in children to improve the detection rate of vision problems instead of regular screenings.  APHA recommended eye exams at age 6 mos, 2 years and 4 years.  A failure of the current screening program is the lack of follow through for children when problems are detected.  “Most forms of vision loss in children are preventable.  Improving the access to eye care for children should be as important as are our current childhood vaccination programs” said Dr. Richard Driscoll.

Sixteen states do not require any vision assessment prior to a child entering school.  The remaining states require some for of vision assessment prior to a child entering school, however only five states require a follow up examination to the screening.  Screenings are clearly not effective if the results are not acted upon.  Only three states, Illinois, Kentucky and Missouri have legislated mandatory eye exams prior to a child entering school.

Cost was found to be an issue with getting visual assessments for children.  Uninsured children did not receive a well child visit 54% of the time.  Often a well child visit includes a visual assessment.

The recommendations of the study to improve access to eye care for children  included funding national campaigns to educate the public regarding the need to seek care for their child, setting up national standards to be adopted by all states, assure adequate vision coverage by all public and private insurers.

For more articles written on The Eye Doc Blog on vision problems in children see