Contact Lenses

OCR is a nonsurgical method used to correct your vision while getting a full night’s rest with specifically-designed contact lenses to improve or eliminate your glasses prescription for children and adults.

CONDITIONS TREATED

Prevent myopia from getting worse
Stop the progression of nearsightedness in children

BENEFITS OF OCR

Freedom from daytime glasses
Affordable
Immediate effects
Alternative to surgery

Scleral lenses were first conceived by Leonardo DaVinci in the early 16th century. It was not until 1887 that the first scleral lenses were made by Fredrich and Albert Muller from blown glass. The original purpose of these lenses is the same as today — to compensate and correct for irregularities in the ocular surface. Contemporary scleral contact lenses are now easily reproducible and made from extremely oxygen permeable plastic materials. Scleral lenses have exploded in the growth and variety of designs and fitting techniques. Many practitioners are just being introduced to this whole family of technology. The science and art of fitting these lenses have resulted in the difference in being virtually blind from keratoconus, to having eyesight that is fully functional. Brill Eye Center has the know-how, along with over ten years of experience to make scleral lens fitting and management appear easy and make the patient experience more enjoyable.

CONDITIONS TREATED

• Keratoconus
• Keratoglobus
• Pellucid marginal degeneration
• High prescriptions
• Corneal Scarring and trauma
• Dry eye and ocular surface protection
• Terrien’s marginal degeneration
• Inflammatory corneal conditions
• Persistent epithelial defects and erosions
• Irregularly shaped eyes
• Corneal injuries and transplants
• Secondary corneal ectasias post-refractive surgery
• Graft vs host disease
• Neuropathic pain
• Neurotrophic keratopathy
• Exposure keratopathy
• Limbal stem cell deficiencies
• Corneal dystrophies and degenerations
• Visual improvement
• Multifocal lenses
• Sports special use

BENEFITS OF SCLERAL LENSES

1. To create a pristine artificial surface to the eye to negate any ocular surface irregularities.
2. To protect the delicate surface of the cornea from exposure and dryness, inflammation, and injury.
3. To re-establish proper optical focusing by correcting refractive error made difficult to otherwise correct due to injury or disease
4. To assist the normal non-diseased eye by improving the contact lens wearing experience for strong corrections of astigmatism and presbyopia. Often better comfort and visual acuity can be obtained when compared to soft lenses or smaller corneal gas permeable designs.

Keratoconus describes the condition where the front of the eye is misshapen and takes on the contour of a cone. The front of the eye may appear to be pointy. Light passing through the conical part of the cornea is distorted and cannot be focused well with glasses.

HOW ITS TREATED

Specialty prescription glasses
Corrective contact lenses

TYPES OF CORRECTIVE LENSES

Soft lenses
Corneal Gas Permeable Lenses
Scleral Keratoconus Lenses
Hybrid Keratoconus Lenses

Patients with very strong optical corrections may be able to wear glasses, but often the magnification or caused by strong Rx’s is often too difficult to tolerate. The patient just cannot wear the glasses and navigate the world. This is especially true if only one eye is bad and the other eye has a correction in a mild range. The brain cannot tolerate a greater than 5% magnification difference between the two eyes. The brain has difficulty fusing two very disparate sized images into one, otherwise double vision results. No one tolerates double vision or diplopia for very long.

CONDITIONS TREATED

Aphakia: The condition where the human lens has been removed but no intraocular lens has been placed
High myopia: Highly nearsighted
High hyperopia: Highly farsighted
High astigmatism: High amount of curvature difference in the eye
Anisometropia: The condition where one lens is significantly different than the fellow eye

CORRECT VISION WITH LENSES

Contact lenses are often the most logical answer to minimizing the magnification difference between the two eyes. They could be soft, rigid, scleral, hybrid, or even piggyback. The main point is that correction should be attempted for fear that the vision in the opposite eye may deteriorate, especially in infants and young children. Amblyopia can be dealt with early on by allowing both eyes to see equally. Patching may be needed full- or part-time. For patients who have just one cataract removed, a contact lens may be placed until the second cataract surgery can be performed to balance out vision.

People who are color blind, or color deficient, lack the ability to distinguish certain colors from each other. The most common form of color blindness is a red-green deficiency. This type of color deficiency is classified as deuteranopia or deuteranomaly. Those who are color deficient are unable to see certain colors under normal light. Red-green color deficiency is the most common and these people see the world differently. Their red and green photopigments overlap abnormally making it difficult to distinguish colors from each other.

DEUTERANOPIA

Deuteranopia, a form of red-green color blindness, is the most common deficiency. Individuals with this type of color blindness either experience deuteranopia (green-color blind) or deuteranomaly (green weak).

PROTANOPIA

Protanopia is another type of red-green color blindness. Those affected are less sensitive to red light and have a hard time differentiating between blue and green colors and red and green colors.

TRITANOPIA

Tritanopia is known as blue-yellow color blindness. Individuals who experience this type of color deficiency often confuse blue with green and yellow with violet.

EnChroma® lenses incorporate a mix of optical technology and color vision science to allow you to see colors differently. These extraordinary color blind glasses mainly help people with a color deficiency distinguish between reds and greens.

EnChroma functions similar to antibiotics when you are sick. Antibiotics work by attacking specific bacteria that are making you ill. EnChroma works by using a filter to target certain photopigments that cut out select wavelengths of light to enhance specific colors.

This patent-pending method is called ‘multinotch’ filtering. EnChroma lenses divide the overlapping red and green colors, thereby improving vision for this type of color deficiency.

Warning: We are altering your color perception. It will take time for your brain to learn how to perceive this change in perception. EnChroma lenses get better as you gain more experience.

Some people need lenses made just for them in a rigid gas permeable or soft lens material due to special eye conditions: aniridia, keratoconus, pediatric aphakia, rod monochromacy, color blindness, migraines, albinism, nystagmus

Conveniently wear your contacts overnight or up to a month continuously. There are some added risks of infection involved when sleeping in lenses. Your lens hygiene must be very good. Make sure you apply moisturizing eye drops at bedtime and in the morning to ensure that no debris is trapped beneath the lens.

The most hygienic and convenient way to wear contacts. Put a fresh pair in every day and toss out at bedtime. This category is leading the way in growing popularity around the world for its convenience, cleanliness, and carefree wearing experience.

When you wear contact lenses, it’s important to receive a yearly eye exam to ensure you are still seeing crystal clear and that your eyes are healthy. Although you may have an ample supply of contact lenses, it’s still recommended to have an exam every year for preventative reasons. Seeing well is one thing. The internal health of your eyes is another. Most things that go wrong with eyes have no pain, no symptoms, or awareness. For example, patients that have the blinding disease called glaucoma have elevated eye pressure, but may have no pain. It’s always cheaper to keep you healthy, rather than fixing you up when you are sick!