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    Interview with VT Blogger Heather Fitzpatrick

    April 30th, 2009

    Not too long ago, I posted a link to a new blog that I had found called
    ONE EYED GIRL – My Life With Strabismus. It is written by Heather Fitzpatrick who has had strabismus her entire life. She is now writing about her experiences and progress with vision therapy.

    Recently, I had a chance to ask Heather some questions about her vision therapy:

    Dr. B: You’ve written that you first found out about vision therapy from reading about Stereo Sue’s story. Before finding out about Stereo Sue, how much did you want to address your vision problem?

    Heather: I never knew that my vision was different, as I never knew any other way of seeing, so changing my vision never crossed my mind.  It was the way my eyes looked that I wanted to change. The doctors told my parents that I would have no “depth perception”.   I never knew what that was anyway, so I never guessed that I needed to change my vision or that I even could.

    Dr. B: Do you ever recall vision therapy being brought up as an alternative or an adjunct to your eye surgeries as a child?

    Heather: Never discussed. It was always, ‘Heather is such a severe case, and surgery is the only option…’ I also saw a prominent optometrist/vision specialist in New York City after reading Oliver Sacks’ article, Stereo Sue, and after many tests he said that Vision Therapy would not do anything for me. It wasn’t until I met Dr. Carl Gruning, (who was referred to me by Dr. Sue Barry), at Eye Care Associates in Fairfield, CT, that I had any idea that this might be an option for me.  He agreed that I was a severe case of vertical strabismus, and that corrective surgery would probably be the action to take, but he also thought that some vision therapy might help. Well, he was right! After some months of work, things began to look different. One day the therapist put me in these one-inch thick prism glasses and suddenly the room POPPED! The walls loomed way up, the people in the room were on all these different planes of space, and objects on a table were all in their own areas. It was absolutely mind blowing! I wanted to touch everything. I felt like I had landed on a different planet and there was all this space between things.

    I believe I was 80-90 PD and now I am 30-40 PD.  So over time I have corrected my vertical misalignment significantly. Eventually, I got a pair of prism glasses that I could wear on walks without scaring the neighbors.  They have decal prisms, and while the acuity is pretty low (there are about 20 lines going across each of the lenses), I can still see a lot of depth with them.

    Dr. B: You mentioned in your blog that you compensated for your eye turn by always taking photos with a head turn. What other ways did you compensate?

    Heather: I eventually learned that things seemed closer than they really were, so I would compensate by telling myself I probably had more room than I thought I had.  I competed in triathlons.  During cycling workouts, I am always the one too far away from the cyclist ahead of me in the pace line. Other cyclists say, “Close the gap Heather!”  But not seeing the space, the person’s wheel in front of me looked much closer than it really was. In swimming workouts, I had to learn that when doing a flip turn at the end of the pool, to look at the black line at the bottom of the pool rather than trying to judge where the wall was.

    When I drive a car, I gauge where I am when stopping at a light by looking at the white line on the road ahead, otherwise I end up underneath the stoplight!

    Apart from these minor things, I have not had depth perception my whole life, so I think I learned how to navigate from years of never having had it, if that makes sense.

    Dr. B: Do you find it difficult to stay motivated for vision therapy?

    Heather: No, I truly enjoy every moment of it. Sometimes I get frustrated because I want to see results more quickly, but I have come to realize that patience is key.

    Dr. B: What is the hardest thing about vision therapy for you?

    Heather: A few months after I began to see in stereo, it dawned on me that I had gone my entire life seeing the world differently. This brought some low moments thinking about all the years I didn’t have this type of vision. I had no idea I saw the world as one big flat movie screen!

    I began to realize that much of the trouble I had as a child in school was not because I wasn’t paying attention, (well maybe some of that!) but because I could not track things as well as the other children. My eyes were not able to keep a lot of things on a page in order, so I would become overwhelmed. It was hard to keep my visual world organized, so I preferred to talk rather than focus! I have come to get more clarity on my childhood schooling. I wasn’t stupid. I just couldn’t see like other children! Unfortunately, no one recognized this, and I was put in LD classes that did not address my visual problems.

    Dr. B: I’m glad you shared that, because that is one of the most common things I hear from parents.  Things like, “He is just lazy, ” or “He just doesn’t try very hard.” It is sad to hear, but the silver lining is that if their child were succeeding while dealing with his visual problems, he can achieve anything after therapy!

    Heather: Oh, yea, I have heard those things, too.  Not from my parents, but from teachers that just did not understand how someone’s vision could be making him or her bounce off the walls (sugar probably also helped!!) or become overly frustrated when trying to learn something new.

    Dr. B: You blog a lot of what happens with your vision at home. Like most of my patients, I’m sure that your job is visually demanding. Have you noticed any if anything is better, worse, or just different at work since starting vision therapy?

    Heather: In the beginning, I was very tired. Early on I had to take naps! I run a business as a recruiter (www.traberfitz.com) and part of my job requires that I work on a computer for hours at a time. Early on in VT, it became exhausting to look at the computer for longer than 3-4 hours a day, but that has improved and I have learned to take eye breaks.

    Also, my eye that is normally looking down has been activated through the therapy, so now when I walk or ride my bike, I see straight ahead with one eye and the ground rushing past me with the other eye, which is a bit disconcerting. Usually, I can turn it on and off. Also, I have started to see double in some exercises in VT. I can’t seem to fuse small objects yet.

    Dr. B: Have you blogged about other things before?

    Heather: No. The experience of seeing a whole new way at the age of 42 moved me to write about it. I thought there must be others and I could create a network of people who may get help from my story. A few people have contacted me, and their support has been so amazing and they have been inspired to seek out VT for themselves. One person contacted me that she was told that her infant daughter would never see in stereo due to an in vitro stroke. She was devastated and worried that her daughter would be missing out on a lot in life. I told her that my life has been just fine and that never knowing what depth perception was, I never missed anything!
    Dr. B: Any thing else you’d like to share?

    Heather:  I would just like to say that this is amazing work and has changed my life in a meaningful way. I know this may sound strange, but it has changed more than my vision. Sometimes I think that my brain has wanted to see this way for a long time and giving it that chance was almost like an awakening of sorts.  It lets light into a dark part of my brain. My visual life is not dead anymore.  When I wear my prism glasses, it opens up to this whole new place that seems more alive. Space is this incredible thing and so entirely magical that it is hard to describe to someone who has always seen it. Overall, I have become a more contemplative person. I took up oil painting and enjoy looking at things more…especially nature.

    Dr. B: Thanks so much for sharing your time and story, Heather. I wish you all the best and much progress in vision therapy!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Nighttime contact lenses show promise in controlling nearsightedness

    April 29th, 2009

    There is increasing clinical evidence that orthokeratology is an effective method of reduce myopic progression. The latest study,  the SMART (Stabilization of Myopia by Accelerated Reshaping Technique) Trial, a national study led by Chicago researchers Drs. S. Barry Eiden and Robert Davis, adds additional evidence:

    “At the end of one year, the test group was absolutely rock solid, no progression (of nearsightedness) at all,” Eiden said. “The control group had two power steps of progression on average.”  One power step equals a change of .25 diopters in prescription strength.

    If the study’s hypothesis holds up, children with mild nearsightedness could have healthier eyes as adults, with a greater chance of successful LASIK, vision-correcting surgery and less risk of retinal complications later in life, Eiden said.

    This is exciting because many parents ask me about methods to reduce or eliminate the development of nearsightedness. This study is far from over, but it appears to be supporting the efficacy of orthokeratology as a means to control myopia.

    Bright Eyes is one of the few offices in Tampa and the only in Westchase to offer orthokeratology. If you have any questions about orthokeratology, or whether or not you or your children are candidates, contact the office at 813-792-0637.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Tampa Coach Eyewear Show – Saturday, May 9th

    April 27th, 2009

    coach

    Get ready for the most exciting Bright Eyes event of the year! We will have a Coach representative on-site.  All Coach frames, in every style and color, will be on sale. Not only that, this is the biggest sale we have ever had. 50% off on all Coach sunglasses, just in time for summer.

    This one-time event will be on Saturday, May 9th from 10 a.m. to 4 p.m.  Discounts may not apply with vision plan and insurance plans. Stop by the office to learn more.

    Hope to see you there!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    70% of Contact Lens Cases are Contaminated

    April 20th, 2009

    This is why I tell my patients to throw away their contact lenses cases every two or three months. And if it is hard to keep track, just throw away your cases every time you replace your toothbrush.

    Several contact lens solutions come with a free case. Use it! If you need a free one, come by our office. The staff will be happy to give you one.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Bright Eyes Vision Therapy Scholarship for Tampa Bay Children

    April 13th, 2009

    At Bright Eyes Family Vision Care,  we understand the importance of vision. We  are one of the few facilities in Tampa and the only one in Westchase to provide vision therapy and we know that in order to help our patients  reach their potential in school, at work, and in life,  their eyes and vision need to work well.   Therefore, it is our mission to provide eye care to all who need it.

    We also understand that necessary vision care can involve considerable costs.  This is especially true for vision therapy  because it requires a lot of one-on-one time with each patient.  In order to get the most benefits from the program, the patient needs to complete the program in its entirety.  At times,  our patients and parents understand the important benefits of vision therapy  but find that the fees associated with the program can exceed the amount they have budgeted for medical expenses, especially in the current difficult economic climate.

    As we do not want to see vital treatment delayed due to purely financial reasons, we assist our patients  by participating in health care plans such as Medicare and Medicaid.  We also offer interest-free financing through Care Credit.   Since the beginning, we have also offered the needs-based Bright Eyes Vision Therapy Scholarship Program.  For individuals who qualify, there is a designated dollar amount that can be counted toward the professional fees of vision therapy for each therapy unit.  Once a scholarship is offered, it remains in effect during the entire length of the vision therapy program.

    If you would like more information about the Bright Eyes Vision Therapy Scholarship, please call our office at (813) 792-0637.  One of our staff members will be happy to explain the application process to you and help you understand if you might qualify.  If you have any other questions about the vision therapy program, please feel free to call.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    True or False: A Teacher's Story

    April 13th, 2009

    A quick link to sweet story that I spied on LittleFourEyes. It is written by Pat Fortunato.

    True or False: A Teacher’s Story

    This is how it ends:

    One of my most prized possessions is a letter from his father telling me that I changed the course of his son’s life. Well, a little bit of luck didn’t hurt either, but still. When I get down on myself for all the mistakes I make (and I make more mistakes per square inch than most), I think about this episode in my life, and figure that hey, I’m not as dumb as I look .

    Check it out!

    -Dr. B

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Ask Dr. B: Will Contacts Help Duane Syndrome?

    April 8th, 2009

    My son has Duane Syndrome and the doctor today said that he has to wear contact lenses as he is not cooperating to wear glasses ……. What do you think?

    Does wearing glasses or contacts ever help people with Duane? I get mixed messages on this.

    First, a couple of things. I haven’t examined your son so I can only give you general advice. Also, I always recommend that you should follow the advice of your doctor or get a second opinion from another if you don’t feel comfortable with the advice. If you live in the Tampa area, I would be happy to evaluate your son and give specific recommendations.

    Now, on to your questions. First, can your son wear contacts? Well, as I discuss in this post, even very young babies can wear contacts with the help and training of your doctor. Of course, the younger your son is, the more help he will need. As he gets older, he’ll become better and more independent with them. There indeed are some conditions that glasses cannot help but contacts can.

    Second, can contacts help the Duane Syndrome? Duane syndrome is a condition of the nerves and muscles of the eyes so contacts will not improve the Duane Syndrome directly. Surgery or, less commonly, vision therapy may be helpful. But it is extremely common for there to be other vision problems that occur at the at same time. Treating these problems may minimize the head turns and double vision that are caused by Duane syndrome.

    If you haven’t seen these, you can get more detailed info here, here, and here.

    I hope this helps!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Specs4us are here!

    April 5th, 2009

    OK, Tampa Bay. Just a brief note to say that we finally have the Specs4us frames in stock, in a variety of models and colors. In fact, we are one of four places in Florida and the only one in Westchase or Tampa to carry them.  I am excited to have them.

    We had a patient come in today to check them out and they work as advertised. They fit beautifully and her mother was excited to have  them.

    The Specs4us line was created specifically for patients with Down Syndrome. These patients have specific facial features that make it difficult to find glasses that fit. You can read an interview with the creator, Maria Dellapine  here.

    Update: 7/5/09: These frames now come in larger sizes and have sunglass clips.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    The Top Twenty Posts

    April 3rd, 2009

    Looking back since I have started this blog has been interesting. I have met some other interesting Tampa Bloggers and picked up some hints. One thing that I have learned: I can never predict what posts are going to be popular and which ones won’t. For example, I personally thought the  Paul MacCartney post would have garnered more interest. Also, I never in my wildest dreams would have thought that Tiffany and Co. would have been more popular than the next 4 top posts combined. But there is a good diversity in the topics, so I guess I am  doing my job.

    Below I have listed the top twenty posts and how many times that particular post has been viewed:

    Title Views
    Tiffany and Co. is Here! 3,620
    Why Do Some People Have Blue Eyes ? 913
    My Vision Test – A Free Modern Amsler Grid 816
    Nintendo Flash Focus as Vision Therapy 707
    Sarah Palin’s Glasses 632
    Accessorize Your Eyes
    617
    Patterns of Light: Migraine Auras 551
    “The Eyepatch Kids” DVD 546
    Ask Dr. B: Why Does My Child Need Bifocals? 391
    Eye Yoga Part One – Eye Streches 376
    Prozac Might Help Cure Amblyopia 362
    All Children Have Different Eyes 356
    What’s So Important About Doing My Homework 341
    Ask Dr. B: What About Multifocal RGPs? 338
    Measuring Eye Movements While Reading
    335
    Why Do I Have a Hyphenated Last Name? 297
    10 Foods to Fight Inflammation 290
    How To Be A SMARTER / MORE COMFORTABLE Contact Lens Patient
    272
    NPR story about Amblyopia: Learning To See 241
    The Psychosocial Effects of Amblyopia 226
    Do You See the (UV) Light? 209

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Vision Therapy Blogger: Seeing in 3D is "Pure Joy"

    April 3rd, 2009

    I stumbled upon another new vision therapy blog today. Like Pam, Heather is a talented writer who is sharing her “Stereo Sue” type of experience with vision therapy.

    Here is a snippet:

    Seeing in stereo is not only incredible visually, but there is another thing that seems to come along with the act of seeing differently and that is how I feel as I see. It is amazing. There are no words to describe it, it is pure joy. It is a long thirst that I am finally quenching…my brain seems to say, this feels good! When I see that space I think that we are not alone, there is something bigger in all that invisible glue, there has to be. It is divine. My little fat dog walking down the hall slowly towards me looking so different. It is almost like I am in a dream or in the past. I see things as they are, but in 3D they are imbued with something that is like a feeling of deja vu. I still haven’t figured out why seeing in stereo does this to me.

    This is very exciting for me to read, because it illustrates why doctors like myself provide vision therapy. It is not because we find tremendous satisfaction in knowing that a patients eyes are straight or are moving correctly. It is because we know what an amazing improvement in quality of life can occur. This is true for children or adults. Adults, like Heather, frequently can express their awareness of this improvement in a much clearer and beautiful way.

    I look forward to reading more about Heather’s adventures in Vision therapy!

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
    Connect with Us:  YelpFacebookTwitter