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What Happens If You Don’t Treat Dry Eye Syndrome?

girl sitting in the pool 640×350Dry eye syndrome (DES) is a condition where your eyes either produce low-quality tears or don’t produce enough tears to keep your eyes hydrated. Sometimes the meibomian glands inside your eyelids, which produce the oily layer of your tears, don’t function properly or are blocked, causing your tears to dry out. Environmental factors, certain medical conditions and several medications can also cause DES.

Tears are essential for maintaining eye health and comfort. They moisten your eyes and remove debris. In severe cases, untreated dry eye syndrome can actually damage your cornea and cause vision loss.

The amount of dryness varies in severity from person to person. If you have a minor case of dry eye, you may be able to manage it with over-the-counter eye drops. However, if the problem persists or appears to be getting worse, it’s time to visit your eye doctor, who will assess your eyes, find the underlying problem and offer treatment for lasting relief.

Below is a list of complications that may occur if chronic dry eye syndrome isn’t treated:

Conjunctivitis

Conjunctivitis refers to infected or inflamed conjunctiva — the clear layer of cells that covers the white part of your eyeball and the inner surface of your eyelids. Symptoms include grittiness, redness and sensitivity to light.

Keratitis

Keratitis refers to an inflammation of the cornea. It can be caused by different types of infections, abnormalities of the eyelids, injury and dry eye. If the deeper layers of the cornea are involved, scarring or a corneal ulcer may result, particularly if left untreated.

Corneal Ulcer

A corneal ulcer is an open sore that develops on the cornea—the clear, protective outer layer of your eyes.

While corneal ulcers typically develop following an injury, they can also be caused by severe dry eye.

On a daily basis, debris, like dirt and sand particles, enter your eyes and scratch the surface of the cornea. When your tear glands don’t produce enough tears to wash away the particles, bacteria can infect the scratch and cause an ulcer.

Luckily, corneal ulcers are easily treated with antibiotic eye drops. Left untreated, however, these ulcers can spread and scar the eyeball, causing partial or even complete blindness.

Inability to wear contact lenses

Unless your eyes produce enough good-quality tears, your contact lenses can become overly dry, leading to a gritty sensation, irritation and redness. Without sufficient moisture, your contacts may stick to your eyeball, making it difficult to remove them.

Though chronic dry eye syndrome may prevent you from wearing standard contact lenses, certain specialized contact lenses can improve ocular hydration and comfort.

Difficulty keeping your eyes open

Depending on the severity of dry eye, it may be difficult to keep your eyes open. This may occur if dry eye syndrome causes extreme light sensitivity or a chronic sensation that something is stuck in your eye.

While artificial tears may provide enough moisture to partially open your eyes, you may still feel the urge to squint, especially when exposed to a computer screen or sunlight.

Difficulty reading or driving

While blurred vision often signals that you need a stronger prescription, it’s also a common symptom of chronic dry eye syndrome.

Left untreated, the blurriness may worsen and even lead to double vision. Naturally, this makes driving and reading a real struggle.

Headaches

While there’s room for more research, studies have shown that there may be a connection between headaches and dry eye. A population-based case study of more than 72,000 patients published by JAMA Ophthalmology (2019) found that people who suffer from migraine headaches are more likely to have dry eyes compared to the general population.

It’s not clear why. According to the paper, being female and of advanced age play an important role in determining the strength of this association.

Depression

A 2015 study, published in the journal Cornea evaluated the connection between dry eye disease and depressive symptoms in more than 6,000 women. Researchers found that women diagnosed with dry eye had a higher likelihood of developing depressive moods, anxiety, and psychological stress.

While the connection isn’t fully understood, researchers noted that some medications for treating depression have a drying effect on the eyes, and that dry eye syndrome may limit a person’s participation in activities, to the point where they may become anxious, withdrawn and even depressed.

If you have dry eye, we encourage you to schedule an appointment with in order to find the best treatment options and thus increase the quality of your tears and life.

serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, Florida and surrounding communities.

Frequently Asked Questions with Dr. Lianne Pino

Q: How do I know if I have dry eye syndrome?

  • A: If you experience itchiness, light sensitivity, tearing and tired eyes, it could indicate that you have dry eye syndrome. Get your eyes checked by an eye doctor, who will thoroughly diagnose your symptoms and offer lasting treatment.

Q: What causes dry eye?

  • A: Various things can cause dry, itchy eyes. Some of the most common causes include blocked glands, environmental factors (wind, air pollution), infrequent blinking, certain medications, standard contact lenses and Demodex mites.


Are Your Eyes Sensitive To Light? Consider Scleral Lenses!

Are Your Eyes Sensitive To Light 640×350For some people, standard soft contact lenses are a great way to conveniently correct vision. For those with very dry eyes or corneal conditions like keratoconus, standard contacts simply aren’t an option.

Scleral contact lenses, however, are a great alternative for these patients with hard-to-fit eyes. They provide several benefits, such as reducing sensitivity to light (photophobia).

What Does Light Sensitivity Feel Like?

Patients with keratoconus and other corneal conditions tend to experience discomfort or unclear vision in brightly lit environments, even after undergoing treatment for their conditions.

They may see halos around lights while driving or may not be able to drive at all due to the worsening or clouding of vision that comes with light sensitivity. Bright fluorescent lights, like in an office setting, can trigger eye pain and interfere with their productivity and creativity.

Moreover, a photophobic person may not be able to comfortably look at a computer screen or other digital device. Even with the brightness setting turned all the way down, the light that’s emitted from the screen may be too intense.

How Can I Reduce Light Sensitivity?

While implementing the following suggestions can ease your symptoms of light sensitivity, we recommend that you speak with your optometrist for a more personalized approach.

  • Try to stay out of the sun whenever possible, but when you do go outside, wear dark sunglasses to block out the light.
  • Consider installing filters on fluorescent light sources.
  • Take frequent breaks when using a digital device.
  • Reduce glare in your home by turning mirrors away from light sources and keeping windows clean and streak-free. You may want to consider removing reflective surfaces from your home altogether.
  • Speak with your optometrist about whether scleral contact lenses can help you.

What are Scleral Contact Lenses?

Scleral lenses are larger in diameter than standard lenses and rest on the white part of the eye (sclera). Their large surface area vaults over the entire cornea (the eye’s top layer), and thus avoid placing pressure on the sensitive corneal tissue.

The scleral lens holds a reservoir of nourishing fluid between the inside of the lens and the surface of the eye, providing visual clarity and optimal comfort. In fact, many patients report that they are able to wear scleral contacts for longer amounts of time as compared to standard contacts.

Scleral lenses are customized to fit each individual eye, and are suitable for patients with keratoconus, dry eye syndrome, irregular/excessive astigmatism, Sjorgen’s syndrome, other corneal abnormalities and for those having undergone LASIK surgery.

How Do Scleral Lenses Reduce Light Sensitivity?

Light sensitivity, or photophobia, is a common side effect of several eye conditions, such as dry eye syndrome and keratoconus. When the cornea is irregularly shaped, it doesn’t properly reflect light onto the retina, which can lead to light sensitivity.

Thanks to their unique and customized design, scleral lenses act as a new, accurately curved cornea that is able to reflect light in a healthy way. Because of their large diameter, scleral lenses are more stable and have a wider optic zone than other lenses. They offer a more accurate perception of peripheral vision and help minimize glare and sensitivity.

An irregularly shaped cornea is not the only reasons one experiences photophobia. In fact, there are several conditions that can cause it. Your optometrist will determine what’s causing your discomfort through a comprehensive eye exam and will determine whether scleral lenses are the optimal solution for you.

Exceptional Vision serves patients from Palmetto Bay, Miami, Cutler Bay, Pinecrest, and throughout Florida.

 

Frequently Asked Questions with Dr. Lianne Pino

Q: How long does it take to adjust to scleral contact lenses?

  • A: Scleral lenses are usually very comfortable right off the bat, but some patients may find that it takes up to 10 days to get used to the lenses. Your optometrist will guide you on how to shorten the adjustment period.

Q: How long do scleral contact lenses last?

  • A: Under normal conditions, scleral lenses last between 1 and 3 years — far longer than standard lenses. Your tear film composition and your lens care habits will influence your lenses’ lifespan.
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What’s the Link Between Vision Therapy and Self-Confidence?

Whats the Link Between Vision Therapy and Self Confidence 640×350When most people think of vision, they think of how well a person can see up close or from afar. Many schools perform a simple vision screening to identify students who may be having difficulty seeing the board in the classroom.

Unfortunately, these vision screenings don’t evaluate a child’s functional vision, which comprises all of the fundamental visual skills required for learning.

As a result, many children with inadequate vision skills go undiagnosed and end up struggling in school and on the sports field. Often, these children are considered clumsy and sluggish and tend to be misdiagnosed and labeled as having a learning disability, dyslexia or ADHD.

Improving visual skills enables many of these students to read more effortlessly, boost grades and improve athletic performance.

Visual skills can be learned and retrained with vision therapy, particularly during childhood and adolescence, when the brain is still developing.

What Is Vision Therapy?

Vision therapy is a specialized treatment program that aims to enhance visual processing by developing and/or improving the communication between the eyes and the brain. The training is typically made up of specialized lenses, prisms, and eye exercises.

The following eye conditions can be effectively treated with vision therapy:

  • Amblyopia (lazy eye)
  • Strabismus (eye turns)
  • Convergence insufficiency
  • Eye movement problems
  • Binocular vision problems
  • Accommodative/focusing disorders
  • Visual processing difficulties
  • Visual disturbances from a brain injury

Vision Therapy Can Boost Your Child’s Confidence

Children who endure difficulty in school or on the sports field in reaction to subpar visual skills tend to feel frustrated that they cannot perform like their peers. This, in turn, affects their confidence levels and may lead them to exhibit behavioral issues and thwart their ability to make friends.

Vision therapy has been shown to transform lives. Children who previously struggled to read or catch a ball due to a deficit in visual skills usually see a significant improvement in their abilities and results in increased self-confidence and competence.

Vision therapy can help a child become a better student and achieve his or her academic goals. Moreover, vision therapy can be indispensable when preparing for higher education, since accomplishments can lead to a greater belief in one’s own talents and abilities. This newfound self-assurance will undoubtedly spill over into other areas, improving the child’s quality of life.


Don’t let your child’s visual dysfunction prevent them from experiencing self-confidence and self-assurance. Contact The Exceptional Vision Therapy & Learning Center to learn how vision therapy can unlock your child’s hidden potential.

The Exceptional Vision Therapy & Learning Center provides vision therapy and other services to patients from Palmetto Bay, Miami, Cutler Bay, Pinecrest, and throughout Florida.

Frequently Asked Questions with Dr. Lianne Pino

Q: How long does a vision therapy program last?

  • A: Since each case differs based on the nature and severity of the visual condition, there is no defined time limit. Patients can observe progress after just a few sessions, but treatment might last for several months. In general, once a child has completed a vision therapy program, the effects are permanent.

Q: How young can a child start vision therapy?

  • A: Children as young as 5-6 years old can begin vision therapy, but formal in-office sessions are recommended for children aged 7 and up since they are better able to follow instructions.

 

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Call Us 305-363-1414

Do You Struggle With Contact Lens Comfort? Scleral Lenses May Be the Answer!

boy wearing a gray hoodie 640Most people are familiar with traditional soft lenses, which provide clear vision for those who are nearsighted or farsighted.

In certain cases, particularly for those with corneal irregularities or astigmatism, standard gas permeable (GP) lenses may be recommended. However, people with several eye conditions can’t tolerate standard GPs and find scleral lenses a much better, more comfortable alternative.

What are Scleral Lenses?

Patients with sensitive eyes or corneal abnormalities may benefit from custom-designed scleral lenses, which provide crisp vision and comfort thanks to their unique design.

Scleral lenses are usually recommended for those with keratoconus, severe dry eye syndrome, astigmatism or anyone who find it difficult or impossible to wear standard contact lenses.

Scleral lenses are large gas permeable lenses that vault over the cornea and rest on the sclera, the white part of the eye, instead of the cornea. This creates a new optical surface and prevents corneal irritation. Furthermore, a reservoir of pure saline solution between the back surface of the lens and the front of the cornea keeps the eye hydrated all day long.

Benefits of Wearing Scleral Lenses

Scleral lenses provide comfort, visual acuity and stability.

Stable Vision

With scleral lenses, you’ll experience continual clear vision. Because of their wide diameter, the lenses remain centered on your eye. Even if you play sports or lead an extremely active lifestyle, scleral lenses will stay in place and won’t easily pop out.

Long-Lasting Lenses

These gas permeable lenses are made of high-quality long-lasting materials. As a result, scleral lenses usually last between 1-2 years. While the initial cost of scleral lenses is higher than the cost of regular contacts, they give you more bang for your buck.

Safe and Easy-to-Use

Scleral lenses are easier to insert and remove from your eyes than regular GP lenses, thanks to their large size and rigid material. This also limits the risk of damaging your cornea while handling your lenses.

Comfort for Dry Eyes

It’s not uncommon for certain contact lens wearers to suffer from eyes that feel dry, red, itchy, uncomfortable, and at times very painful. Eye drops and artificial tears can deliver relief, but they are no more than a temporary solution.

One of the best contact lenses for optimal comfort and hydration are scleral lenses, as they simultaneously provide vision correction, protect the eyes, and lubricate them.

If you’ve experienced discomfort while wearing regular contact lenses, you may have keratoconus, irregular corneas, dry eyes or hard-to-fit eyes. Find out whether custom-designed scleral lenses are right for you by scheduling an eye exam at Dr. Lianne Pino today!

Exceptional Vision serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, Florida and surrounding communities.

Frequently Asked Questions with Dr. Lianne Pino

Q: Can you sleep with scleral lenses?

  • A: It’s not recommended to wear scleral lenses while you sleep. Sleeping with your scleral lenses on can cause the tear layer behind the lens to become stagnant, thus increasing the risk of eye infections.

Q: Are scleral lenses more comfortable than standard gas permeable lenses?

  • A: Scleral lenses provide clear vision and long-term comfort for those with irregularly shaped corneas. This is due to their unique design that covers a wider area of the eye while avoiding direct contact with the cornea.

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Call Us 786-667-8872

Children’s Vision and Learning Awareness

Children’s Vision and Learning Awareness 640×350Brain scans show that up to 80% of the sensory input that the brain receives comes through vision. In fact, no other sense takes up as much brainpower or contributes to learning as much as vision does.

So, if a child is having learning difficulties, it may be time to take a closer look at how well their visual system is functioning.

How are Vision and Learning Linked?

Experts agree that the majority of classroom learning is based on a child’s vision and the functioning of their visual system. Optimal visual skills allow a child to read easily, process visual information efficiently and concentrate for extended periods of time.

Children with visual problems may experience difficulties with writing, reading, math, sports and even social skills. Poor vision can also cause a child to withdraw in the classroom and shy away from raising their hand to answer questions.

What Can Parents Do for Their Children’s Vision?

Know the Warnings Signs to Watch For

Bring your child to your family’s optometrist if you notice any of the following signs or symptoms:

  • Reading or learning difficulties
  • Poor attention or concentration
  • Frequent eye rubbing
  • Disinterest or refusal to engage in visually demanding activities
  • Squinting or closing one eye while reading
  • Frequent head tilting
  • Headaches or eye strain
  • Short attention span, especially when reading
  • Poor reading comprehension
  • Poor hand-eye coordination

Schedule Regular Eye Exams

A child’s vision can change rapidly. The only way to detect changes in your child’s visual system is through regular comprehensive eye exams with an optometrist. Even the most motivated child may not be aware that something is wrong with their vision and believe that they see the way everyone else does.

Parents, please take note: School vision screenings are not enough, as they only check for a handful of vision problems and don’t take into account the important visual skills needed for efficient learning. Moreover, school vision screenings fail to identify up to 75% of children with visual problems.

To make sure this doesn’t happen to your child, it’s recommended that they get their vision evaluated with an optometrist annually, or as often as their eye doctor recommends.

Consider Vision Therapy

If your child is diagnosed with a vision problem, there is hope!

Your optometrist may recommend a custom-made vision therapy program to target the root cause of the issue and correct the problem. Children who complete vision therapy often do better in school, start to enjoy reading and have more confidence.

If your child is struggling with any aspect of classroom learning or homework or is exhibiting behavioral problems, bring them in for a functional vision assessment to rule out visual dysfunction as an underlying cause or contributor.

To schedule your child’s appointment and learn more about what we offer, call The Exceptional Vision Therapy & Learning Center today!

The Exceptional Vision Therapy & Learning Center serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, Florida and surrounding communities.

Frequently Asked Questions with Dr. Lianne Pino

Q: What is vision therapy?

  • A: Vision therapy is an in-office series of visual exercises that help enhance and strengthen the communication between the brain and eyes. This specialized form of vision care helps treat adults and children with conditions like crossed-eyes and eye-turn, as well as problems with eye tracking, eye teaming, convergence insufficiency and hand-eye coordination, among others.

Q: How long does a vision therapy program last?

  • A: There is no set length of time since each case varies depending on the type and severity of the visual condition. Patients can see results within a few sessions but may continue treatment for several months. Generally speaking, once a child completes a vision therapy program, he or she experiences lasting results.

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Call Us 305-363-1414

6 Reasons Scleral Lenses Can Manage Your Dry Eye Syndrome

6 Reasons Scleral Lenses Can Manage Your Dry Eye Syndrome 640×350If your eyes are chronically itchy, dry, red or irritated, there’s a good chance you have dry eye syndrome.

Eye drops and artificial tears may provide temporary relief, but they often don’t help individuals with chronic or severe dry eye syndrome. That’s why so many people seek out other treatment options.

One such option is scleral lenses. Although custom-made scleral contact lenses are widely used to correct corneal abnormalities and refractive errors, they can also help patients with intractable dry eye symptoms. Here’s why:

1. Scleral lenses don’t irritate the cornea

Standard contact lenses are typically not an option for people who need vision correction and also have persistent dry eye syndrome. Standard soft lenses sit on the cornea, which can be exceedingly irritating. In contrast, scleral lenses vault over the cornea and sit on the sclera (the white of the eye). The lenses do not come into contact with the corneal surface, reducing discomfort.

2. The scleral lens design ensures constant hydration of the eye

Thanks to sclerals’ unique design, saline solution fills the space between the surface of the cornea and the scleral lens. This provides the eyes with constant hydration. To help lubricate and promote healing of the ocular surface, artificial tears and antibiotics can be administered to the lens’ bowl prior to insertion.

3. Scleral lenses protect the cornea

Dry eye syndrome makes the corneas more susceptible to injury. Due to the mechanical friction of the eyelids on the cornea, even something as basic as rubbing the eye or even blinking can exacerbate any current corneal damage. Sclerals can act as a barrier between a patient’s eyes and their eyelids, as well as the outside environment.

4. Sclerals allow the eye to regain a healthier appearance

Dry eye patients frequently present with eyes that are red or bloodshot. Scleral lenses perform a therapeutic role by providing a shield from the outside world and ensuring a constant supply of hydration. The redness will begin to dissipate once the eyes receive enough moisture.

5. Patients can continue using artificial tears and eye drops while wearing scleral lenses

Patients can continue to moisten their eyes with preservative-free eye drops or artificial tears while wearing scleral lenses. With that said, many patients discover that after they start wearing scleral lenses, they can reduce the frequency of artificial tear use. Some need eye drops only at night, after they have removed their lenses.

6. Scleral lenses can dramatically improve quality of life

Patients with dry eye syndrome can feel worn down by the almost constant discomfort and eye fatigue, not to mention looking tired all the time due to eye redness.

For patients who have suffered from severe dry eye syndrome for months or years, finding relief while enjoying clear and comfortable vision definitely boosts their quality of life.

If you suffer from dry eye syndrome and have been looking for a more effective treatment option, ask Dr. Lianne Pino about scleral lenses. Call Exceptional Vision today to schedule your consultation and learn more about these special lenses.

Exceptional Vision serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, Florida and surrounding communities.

Frequently Asked Questions with Dr. Lianne Pino

Q: What are scleral lenses?

  • A: Scleral contact lenses are gas-permeable lenses that sit on the sclera (the white area of the eye) and form a dome over the cornea. This dome forms a new optical surface over the injured, uneven or dry cornea, allowing for sharper and more comfortable vision.

Q: How long do scleral lenses last?

  • A: These rigid gas permeable contacts are made of high-quality, long-lasting materials and typically last 1-3 years. While scleral lenses are more expensive than standard contact lenses, they’re a worthwhile investment, particularly for those with hard-to-fit eyes, keratoconus, astigmatism or dry eye syndrome.

Book An Appointment
Call Us 786-667-8872

Does your Child Have a Vision Problem? Here are 20 Signs to Look Out For

Does your Child Have a Vision Problem640x350A vision problem may directly impact a child’s performance in the classroom and on the sports field, negatively affecting self-esteem and confidence levels. Given that an estimated 80% of learning is visual, good vision can be the difference between making the game-winning catch and watching the opposing team score runs.

An estimated 25% of children have an undetected vision problem holding them back from succeeding in school and sports. If your child is struggling to keep up with their peers in the classroom or on the sports field, they may have certain lagging visual skills. Any of the following 20 signs may indicate that your child has a vision problem.

20 Signs of Child May Have a Vision Problem

  1. Blurred vision
  2. Double vision
  3. Headaches
  4. Eye strain or fatigue
  5. Sensitivity to bright light
  6. Excessive blinking or squinting
  7. Drifting or turning of one eye
  8. Poor eye-hand coordination
  9. Misjudging distances while moving in space
  10. Frequently falling or bumping into objects
  11. Difficulty maintaining attention
  12. Closing one eye while reading
  13. Turning or tilting head while reading
  14. Reduced reading speed or fluency
  15. Difficulty with reading comprehension
  16. Skipping words or lines of text while reading
  17. Losing place while reading
  18. Seeing words floating on the page
  19. Bringing text close to or far away from eyes to improve clarity
  20. Difficulty copying text

Keeping your eye out for telltale behaviors and symptoms is the first step in identifying a vision problem. The next step is to visit your [eye-doctor], who will assess your child’s functional vision. If any lagging visual skills are identified, your child may greatly benefit from vision therapy.

How Can Vision Therapy Help?

Vision therapy is a specialized program designed to improve the eye-brain connections in order to strengthen the visual skills necessary for academic and athletic success.

Each vision therapy program is customized to the individual needs of the patient and may include the use of lenses, prisms, occluders, filters and other equipment.


Is your child showing signs of a vision problem? Call Dr. Lianne Pino in The Exceptional Vision Therapy & Learning Center to schedule an appointment for a comprehensive vision evaluation.

The Exceptional Vision Therapy & Learning Center serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, all throughout Florida.

Frequently Asked Questions with Dr. Lianne Pino

Q: Isn’t 20/20 Vision Good Enough?

  • A: Vision involves a lot more than just how clearly you can see from a distance of 20 feet. There are 17 visual skills that are absolutely essential for success in reading, writing, math, and even athletics. A problem with any of these visual skills can cause poor academic and athletic performance.A comprehensive eye exam is the best way to rule out any vision problems that may be getting in the way of your child’s success.

Q: Why Are Comprehensive Eye Exams Important?

  • A: Basic vision screenings conducted at schools or by pediatricians may detect a distance vision problem, but they cannot detect other vision problems that can interfere with learning. During a comprehensive eye exam, your eye doctor will not only determine your prescription for eyeglasses or contact lenses but will also check your eyes for common eye diseases, assess how your eyes work together as a team, and evaluate your eyes as an indicator of your overall health.

 

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Call Us 305-363-1414

5 Common Keratoconus Questions, Answered

5 Common Keratoconus Questions, Answered 640If you’re reading this, you or someone you care about may have been recently diagnosed with keratoconus. We’ve compiled a few commonly asked questions about keratoconus to help you understand what it is, what causes it, and how your eye doctor can help.

1. What Is Keratoconus?

Keratoconus is a progressive, non-inflammatory disease that causes the cornea to thin and bulge, resulting in a cone-shaped cornea. Over time, this bulge leads to myopia and irregular astigmatism, and vision becomes progressively distorted. Ongoing treatment is crucial to prevent significant vision loss.

2. What Are the Symptoms of Keratoconus?

Many patients aren’t aware that they have keratoconus, which typically begins during the teenage years.

Symptoms of keratoconus include:

  • Difficulty seeing at night
  • Blurry vision
  • Halos and glare around lights
  • Increased sensitivity to bright light
  • Headaches or eye irritation associated with eye pain
  • Progressively worsening vision that’s not easily corrected

3. What Causes Keratoconus?

While there is no one cause of keratoconus, a paper published in Biomed Research International (2015) identified these risk factors:

  • Genetics. About one in 10 people with keratoconus also has a family member with the condition.
  • Inflammation. Irritation and inflammation from allergies, asthma and other atopic eye diseases can lend to the development of keratoconus.
  • Frequent eye rubbing. Intense and frequent eye rubbing is thought to thin out the cornea and can worsen the condition.
  • Underlying disorders. Keratoconus has been associated with several conditions, including Down syndrome, Ehlers-Danlos syndrome, Leber congenital amaurosis, Marfan syndrome and Osteogenesis imperfecta.
  • UV light. UV light can cause oxidative stress, which weakens the corneas in predisposed eyes.
  • Weak collagen. In a healthy eye, small protein fibers called collagen help keep the cornea in a dome-like shape and free from bulges. In the case of keratoconus, the collagen fibers become weak and therefore can’t maintain the shape of the eye, which causes the cornea to bulge.

4. How Is Keratoconus Treated?

Scleral lenses are the most common and successful treatment for patients with keratoconus. These are specialized rigid, gas permeable contact lenses that have a very wide [diameter] and vault over the entire corneal surface, making them effective and comfortable for people with keratoconus.

5. Is There a Cure for Keratoconus?

Currently, there is no cure for keratoconus. However, in most cases, it can be successfully managed.

For mild to moderate keratoconus, scleral contact lenses are typically the treatment of choice, as they provide clear, comfortable vision.

A relatively non-invasive procedure called corneal cross-linking (CXL) can stabilize and strengthen a thinning and irregularly shaped cornea.

At Exceptional Vision, we can recommend the best treatment options for your keratoconus, to help preserve your vision, and ensure the highest level of comfort and visual acuity. Call to schedule an appointment to start discussing your keratoconus treatment options.

Exceptional Vision serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, all throughout Florida.

Frequently Asked Questions with Dr. Lianne Pino

Q: Can You Go Blind If You Have Keratoconus?

  • A: Keratoconus does not typically cause total blindness. However, as keratoconus progresses it can cause visual impairment including blurred distance vision, distortion, glare, astigmatism, extreme light sensitivity and even vision loss that can be classified as “legal blindness.

Q: Does keratoconus affect both eyes?

  • A: Yes, in approximately 90% of keratoconus cases, the disease will manifest in both eyes. However, the rate of progression and the timing of the onset of the disease is different for each eye.



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3 Causes of Lazy Eye in Children

3 Causes of Lazy Eye in Children 640Amblyopia, commonly known as ‘lazy eye,’ is a neuro-developmental vision condition that begins in early childhood, usually before the age of 8.

Lazy eye develops when one eye is unable to achieve normal visual acuity, causing blurry vision in the affected eye—even when wearing glasses. Left untreated, amblyopia can lead to permanent vision loss in one eye.

It’s important to understand that a lazy eye isn’t actually lazy. Rather, the brain doesn’t process the visual signals from the ‘lazy’ eye. Eventually, the communication between the brain and the weaker eye deteriorates further, potentially leading to permanently reduced vision in that eye. Fortunately, vision therapy can improve the condition by training the brain to work with both eyes equally.

What Causes Lazy Eye?

When the neural connections between the eyes and the brain are healthy, each eye sends a visual signal to the brain. The brain combines these two signals into one clear image, allowing us to properly see what we are looking at.

In the case of amblyopia, the brain doesn’t recognize the weaker eye’s signals. Instead, it relies only on the visual input from the stronger eye.

Amblyopia can be caused by strabismus, anisometropia and deprivation.

Strabismus

Strabismus occurs when the eyes are misaligned and point in different directions. The most common cause of amblyopia is eye misalignment, which causes the brain to receive two images that cannot be combined into one single, clear image.

A child’s developing brain cannot process images when both eyes are not aligned in the same direction, so it ‘turns off’ the images sent by the weaker eye. This is the brain’s defense mechanism against confusion and double vision.

As the brain ‘turns off’ the weaker eye, this eye will eventually become ‘lazy’—unless treatment is provided.

Anisometropia

Anisometropia is when the refractive powers (visual acuity) of your eyes differ markedly, causing your eyes to focus unevenly – rendering the visual signal from one eye to be much clearer than the other. The brain is unable to reconcile the different images each eye sends and chooses to process the visual signal from the eye sending the clearer image. The brain begins to overlook the eye sending the blurrier image, further weakening the eye-brain connection of the weaker eye. If not treated, this results in permanent poor vision in that eye.

Deprivation

Deprivation refers to a blockage or cloudiness of the eye. When an eye becomes cloudy, it directly impacts the eyes’ ability to send a clear image to the retina, harming the child’s ability to see images clearly from that eye. When clear images can’t reach the retina, it causes poor vision in that eye, resulting in amblyopia. Deprivation is by far the most serious kind of amblyopia, but it is also incredibly rare.

There are several types of deprivation: cataracts, cloudy corneas, cloudy lenses and eyelid tumors. Each of these can affect a child’s vision, resulting in amblyopia. Because these are also difficult to notice from a child’s behavior, it’s crucial to have your child tested for eye-related problems so that treatment can begin right away.

How To Treat Amblyopia

The goal of most amblyopia treatments is to naturally strengthen the weaker eye so that your child’s eyes can work and team with the brain more effectively. Amblyopia treatment will be determined by the cause and severity of their condition.

Common types of treatment include:

  • Corrective eyewear
  • Eye drops
  • Patching
  • Vision Therapy

Vision Therapy

Vision therapy is the most effective treatment for amblyopia, which may be used in conjunction with other treatments.

A vision therapy program is customized to the specific needs of the patient. It may include the use of lenses, prisms, filters, occluders, and other specialized equipment designed to actively make the lazy eye work to develop stronger communication between the eye and the brain.

Vision therapy is highly successful for the improvement of binocular vision, visual acuity, visual processing abilities, depth perception and reading fluency.

Vision therapy programs for amblyopia may include eye exercises to improve these visual skills:

  • Accommodation (focusing)
  • Binocular vision (the eyes working together)
  • Fixation (visual gaze)
  • Pursuits (eye-tracking)
  • Saccades (eye jumps)
  • Spatial skills (eye-hand coordination)
  • Stereopsis (3-D vision)

Contact The Exceptional Vision Therapy & Learning Center to make an appointment and discover how vision therapy can help improve your child’s vision. Our eye doctor will ask about your child’s vision history, conduct a thorough evaluation, and take your child on the path to effective and lasting treatment.

Frequently Asked Questions with Dr. Lianne Pino

Q: How do I know if my child has lazy eye?

  • A: It’s difficult to recognize lazy eye because the condition usually develops in one eye, and may not present with a noticeable eye turn. As such, children generally learn how to ignore the lazy eye and compensate by mainly relying on the sight from the ‘good’ eye. Some symptoms of lazy eye include:
  • – Closing one eye or squinting
    – Difficulty with fine eye movements
    – Poor depth perception
    – Poor eye-hand coordination
    – Reduced reading speed and comprehension
    – Rubbing eyes often

Q: How is lazy eye diagnosed?

  • A: Your child’s eye doctor will conduct specific tests during their eye exam, to assess the visual acuity, depth perception and visual skills of each eye.


The Exceptional Vision Therapy & Learning Center serves patients from Palmetto Bay, Miami, Cutler Bay, and Pinecrest, all throughout Florida.

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Call Us 305-363-1414

4 Reasons Why Scleral Lenses Are a Big Deal

happy girl wearing contact lenses 640Scleral contact lenses have been called “life-changing” and “transformative” by patients who wear them.

What makes these contact lenses so revolutionary?

What Are Scleral Lenses?

Scleral lenses are contacts that vault over the entire cornea and rest on the white part of the eye (sclera). Their diameter is much larger than standard lenses, which adds to their comfort and compatibility with hard-to-fit eyes.

Here’s why they’re gaining popularity in the contact lens world and why patients and doctors are calling sclerals a big deal.

1. Sclerals are Ideal for People with Corneal Irregularities or Dry Eyes

There was a time when patients with corneal irregularities or severe dry eye syndrome weren’t able to wear contact lenses at all, due to the discomfort associated with direct corneal contact. Nowadays, patients with keratoconus, other corneal aberrations or dry eye can successfully wear scleral contact lenses and enjoy comfortable and crisp vision.

Scleral lenses are also great for patients with corneal dystrophy, high astigmatism, Sjorgren’s syndrome, corneal trauma and corneal ectasia, or who have undergone cataract surgery.

2. They’re Completely Custom-Made

Each pair of scleral contact lenses is custom-designed to gently and securely rest on your unique eyes. The fitting process for scleral lenses starts with corneal topography, where the optometrist creates a digital map of your eye’s surface. This information is then used to customize your perfectly fitted pair of sclerals.

3. They Offer Optimal Visual Clarity and Comfort

The liquid reservoir that sits between the lens and the eye helps enhance the visual optics of the lens. Moreover, scleral lenses are made of very high-grade materials and don’t place any pressure on the cornea, delivering ultimate all-day comfort. Many patients have reported that they comfortably wear sclerals for up to 14 hours a day, which is longer than the wear time for standard soft contact lenses.

4. They Promote Eye Healing

Scleral contact lenses protect the eye by surrounding it with an oxygen-permeable, liquid-filled chamber. This hydrating environment gives the eye the moisture and oxygen it needs to stay healthy and ward off outside irritants.

This can also explain why scleral lenses promote healing of the eye’s surface, whether after a corneal transplant or when recovering from a chemical burn or other eye injury.

If you or a loved one have been diagnosed with a corneal condition that prevents you from wearing standard lenses, consider scleral lenses. To schedule an appointment or to learn more, call Exceptional Vision in Palmetto Bay today!

Exceptional Vision serves patients from Palmetto Bay, Miami, Cutler Bay, Pinecrest and throughout Florida.

Frequently Asked Questions with Dr. Lianne Pino

Q: #1: How long do a pair of scleral lenses last?

  • A: Scleral lenses can last 1-2 years before requiring replacement. Your optometrist will provide you with instructions on how to wear and care for your lenses to keep them feeling fresh and clean, day in day out.

Q: #2: Are scleral lenses expensive?

  • A: Just like any other customized product, scleral lenses tend to be more expensive than standard soft contact lenses. Although they have a higher price point, most patients who wear them will tell you that their comfort, visual clarity and stability make them worth the cost.


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Call Us 786-667-8872