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    Toddlers CAN use contacts (video)

    January 26th, 2010

    While certainly most young children do not need to use contact lenses, a few do. When I tell people this, they usually think it is impossible to put contacts in their kid’s eyes. Well, this video shows how easy it can be!


    (Click here if video doesn’t play)

    Click here to read more about babies and contacts.

    See Well!

    Dr. Bonilla-Warford,
    Bright Eyes Family Vision Care
    Connect with Us: Facebook Twitter Foursquare Yelp


    Top 10 New Years Resolutions to Save Money on Eyecare (Without Sacrificing Quality)

    January 2nd, 2010

    2010Welcome to 2010, everyone!  I hope you are enjoying the start of a brand-new decade.

    Readers of this blog know that it is a Bright Eyes News tradition to create an eye related Top Ten List of New Years Resolutions. For 2008, wrote about resolutions for eye health. For 2009, I wrote about resolutions for children’s vision.

    Thinking back to 2009, I’ve talked to a number of patients who had lost – or were about to lose – their jobs.  It was an economically challenging year for many.  So I thought this year I would take this issue head-on and make a list for people who want to save money on eyecare. But, as a doctor, it wouldn’t be appropriate to just say, “Skip your exams, squint instead of updating your glasses, and wear your contacts until your eyes fall out.” First, it isn’t sound advice. Second, many of these actually cost more money in the long run.

    So here is a list of New Years Resolutions to Save Money on Eyecare (Without Sacrificing Quality). I hope that you find it helpful.

    1) Maintain a regular schedule for eye exams.

    Many people feel that they are saving money by skipping their recommended eye exams.  Did you know that eye exams are primarily about eye health, not just clarity of sight?  There are some blinding conditions with no symptoms that can only be detected with a thorough eye exam. If caught early, they can often be treated early with much simpler treatments. This can save hundreds or thousands of dollars of complicated treatment, including ocular surgery. This doesn’t even factor in the lost income and quality of life that can come from the loss of vision.

    2) Get the exam that you pay for.

    This may seem very obvious, but you should be sure that you are getting a complete and thorough eye exam. After all, if you are paying for something, you should get it.  Sometimes people are reluctant to have their pupils dilated during an exam, but if they don’t, the doctor cannot look for signs of disease in the back of the eye. Find out if there is a charge to come back and finish the exam at a later date. If you bring your child to eye doctor because you have concerns that vision may be affecting school performance, ask beforehand what type of tests are included.  Not all vision plans will cover this specialized testing, so you should find out how much it costs.

    3) Utilize InfantSEE.

    As with all health issues, prevention is more cost effective than treatment. This is particularly true for infants. An eye early eye exam can detect potential problems such as extreme nearsightedness and farsightedness as well as strabismus and amblyopia. To assist in this, the American Optometric Association created the public health initiative called InfantSEE. Optometrists who participate in the program will provide one visual and eye health exam to infants between six and twelve months old at no charge.

    4) Understand your Vision Plan, Medical Insurance, Flex and HSAs.

    Some medical plans have coverage for eye exams. Some plans specifically cover medical problems such as eye infections and glaucoma. Other plans are specifically for vision and will have coverage for a vision exam, glasses, or contacts, but not medical visits. If you or your employer pays for these benefits, use them wisely. Find out what the annual benefits are. Ask the doctor’s staff to help you maximize your benefits. For example, you are getting both glasses and contact lenses and your plan only covers one of these, you may save more money applying the benefits to the glasses.  Also know that you cannot ask that the vision plan be billed on a different date than you actually received the service.  However, you CAN use your Flex and HSA accounts for eyecare and optical purchases.

    5) Select your eyewear carefully.

    When you are picking out eyewear, try on the styles and brands that you like. But keep in mind the purpose of each pair of glasses you buy. You might love the Tiffany & Co. frames with crystals, but if you work or play hard, it might make more sense to get some less expensive frames that are built to be durable. Costa Del Mar sunglasses are durable, but if you are prone to losing them(or dropping them in the gulf!) spend a extra few dollars on a glasses strap. And when shopping  around, be sure you compare apples to apples. A discount store or online retailer may be cheaper,  but consider material quality and customer service when making your choice.  Will your optical service remake lenses in the case of an error?  What happens if the coating flakes off within a few months?

    6) Get the right lens materials and coatings.

    Find out what the doctor or optician recommends for lens options, but don’t just assume that more expensive is better. Some lens options are worth a little extra: Crizal Alize or VisoXC will improve the clarity of your lenses, reduce glare, and resist scratches.  Some fabulously high-tech lens materials are essential for someone with a very high prescription but may be a waste of money if you have a low prescription. We always recommend UV protection for all general purpose glasses, but if you only use glasses for reading indoors, then it may not be needed. I encourage you to get glasses that meet your needs, but that doesn’t mean that every pair has to have all the bells and whistles. If the optical staff do not explain your options to your satisfaction – ask. They may be able to help you save money when they understand how the glasses are to be used.

    7) Try multipurpose lenses.

    Do you own just one pair of shoes? Not likely, because most people have different shoes for different purposes. Your eyes also have different needs and no one single pair of glasses will meet all those needs.  But you don’t need to own a baker’s dozen pairs of glasses either. If you have a different prescription for reading and distance (like most people over 45), save money with just one pair of bifocals or progressives. In Florida, it is best to have a dedicated pair of prescription sunglasses.  But eyewear with clip-on sunglasses or Transitions (that darken in the sun) are a cost-effective and protect your eyes from UV and bright sun.

    8) Make use of your warranties.

    If you are spending hard-earned money on glasses, you expect them to work well for you. Always inquire about what warranty is included in your purchase. At Bright Eyes, all of our eyewear frames come with a 2 year, unconditional breakage warranty. If you get premium scratch coating, it also includes 2 year scratch warranty. See if your optical offers similar coverage and if they do, make use of it.

    9) Learn about your contacts.

    Talking to your optometrist about your contact lens options.  Monthly lenses may be a cost-saving option for full-time wearers;  daily lenses are a good deal for occasional contact wearers, especially when you factor in the solution costs.  RGP (hard) contacts frequently outperform their soft counterparts and can be up to half as expensive.

    10) Consider alternative financing options.

    Many offices, including ours, accept Care Credit, a health care credit card with options for 6-months interest-free financing.  This is helpful for more expensive treatments not covered by insurances, such as Corneal Reshaping (orthokeratology), an method of providing glasses- free vision, or vision therapy, which allows people to overcome visual challenges to live life up to their potential.  Even eyeglasses and eye exams qualify for Care Credit purchases. Ask about Care Credit or similar programs at your doctor’s office.

    I hope that this has been helpful in ensuring that you get best eyecare possible! Happy New Year!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    A New Book – See It. Say It. Do It.

    December 29th, 2009

    “If you imagine it, you can achieve it.  If you dream it, you can become it.”- William Arthur Ward

    How many times have we seen the impossible become possible through a simple thought or dream?  Can you imagine all the possibilities and opportunities that would open up in your life just by taking one small step towards your dream or goal?

    In Dr. Lynn F. Hellerstein’s book, See It.  Say It.  Do It!, she reinforces this concept of visualization.  By teaching a child to visualize first,  then to verbally affirm that goal as if he has already achieved  it, and finally to take the necessary actions to accomplishing that goal, you are giving that child invaluable tools that will last him his whole lifetime.  You will have instilled a self-confidence that would ensure him to become successful in any area of his life.

    It sounds so simple, and yet we don’t even realize what an impact it could actually have in our daily lives.  Some of us already use visualization and don’t even know it, but we don’t use visualization to its full potential.  But if we start now , we can teach ourselves, children, and others how such a simple, yet powerful concept can truly alter people’s lives forever.

    Dr.  Hellerstein shows us how easily we can learn and teach visualization techniques by giving us step-by-step instructions and fun activities that can be utilized in any age group.  If you want to make a difference in someone’s life, or even in your own, then you need to read this book and discover for yourself just how powerful your visualization can be for you!

    Edna Moore, Vision Therapist

    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    New Federal Recognition and Funding for InfantSEE® Program

    December 28th, 2009

    I received an email today from the American Optometric Association:

    President Barack Obama signed into law a measure that provides nearly $600,000 in new federal resources to help expand the scope and impact of InfantSEE® – the signature public health program of the American Optometric  Association (AOA) and administered by Optometry’s CharityTM – The AOA Foundation.

    The first direct appropriation, sponsored by Sen. Robert C. Byrd (D-W.Va.) totaled $500,000 and is aimed at supporting expansion and outreach of the program.

    “Many parents of newborns do not know that the most dramatic development of a child’s visual system occurs within the first year of life,” said Sen. Byrd. “And it is through early detection and treatment of potential problems that parents can help ensure poor vision and eye health does not severely affect their child’s ability to learn and place them at a disadvantage in education and in life.”

    The second direct appropriation totaling $90,000 was sponsored by Sen. Tom Harkin (D-Iowa) and will support program expansion through outreach in Iowa.

    “InfantSEE® is doing much more than identifying and treating risk factors that may cause eye and vision problems later in the life,” said Sen. Harkin. “They are taking prevention to a new level to ensure healthier, thriving children and lower health care costs down the road.”

    InfantSEE® assessments are complementary to the routine well-care exams a baby receives from a pediatrician or family physician. Optometrists have the training to identify areas of risk that are critical to vision development and the skills to identify conditions that might not be detected in a routine pediatric wellness exam. In some cases, conditions may need to be monitored, immediately treated or referred to a pediatric eye specialist.

    At Bright Eyes, we believe in and support the InfantSEE® program. You can see this post where I discuss Nora’s first eye exam. I will probably do the same when Javier comes in for his exam when he is six months old. If you have a newborn or are expecting, remember that the InfantSEE® exam provides a no-cost vision assessment if your baby is between 6 and 12 months old.

    Be well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Myopia in the News: A Huge Increase in the US and What Can Be Done

    December 17th, 2009

    My colleagues and I think and talk about myopia (nearsightedness) every day. We talk about the drawbacks (and rewards) of being myopic. We talk about the causes and treatment options for myopia, both short and long term.

    But I have never seen a day like today, with myopia in all the papers and on every major TV news program. Given how quickly news travels today, the total number of people thinking and re-thinking about their eyes and vision is probably higher today than it has ever been!

    Yesterday morning, I received an email about a newly released study, “Increased Prevalence of Myopia in the United States Between 1971-1972 and 1999-2004.” While I take it as common knowledge that nearsightedness is increasing in much of the world, including the United States, even I was stunned to see this headline about the study: “Myopia Prevalence Rose 66% over 30-Year Period” There is no way around it, a 66% increase is a lot!

    So I posted the link on Twitter and Facebook, but I didn’t really have the time to dedicate to the study until today. And then the really big news hit. There are stories on myopia on  NPR, Discoverthe LA Times, and video segments on Good Morning America and local affiliates such as these and these.

    So since this is such a hot topic today, I’ll share what I tell patients almost every day at the office.  But first let me say this:  while vision science has advanced tremendously, and we have a better understanding than ever, there still is a lot that we do not know about the details of nearsightedness and its development. And, although this may shock you to read, there are some less-than-ethical people who will claim to have all the answers and will say with a straight face that they have THE ONLY WAY to either prevent or eliminate nearsightedness or glasses. The truth is that we don’t know exactly how this works and we can never make promises because what may work for 1000 people may not work for you.

    But we can say some things about myopia more generally. There is a genetic component for sure, but just because you and your spouse are nearsighted is not a guarantee that your children will be . In fact, there may be more commonly a genetic susceptibility than an actual myopia “gene.” And clearly there are other factors involved because while the population is changing (due to aging and immigration) our US genes haven’t changed that much in 30 years, but our eyes have!

    So, as many of the links above point out, our lifestyle can have an impact on vision. Our eyes are inherently best-suited for looking off into the distance. This is easy and natural. Yet today we spend an increasing amount of time and effort focusing within arms-length and in some cases just a few inches. And while we have always had (and will continue to have, I hope) kids and adults with their noses buried in bound books, the truth is that intensely playing tiny video games or texting does require more visual effort. And I can attest from seeing patients at Bright Eyes that children are engaged in these activities at younger and younger ages.

    So – if a patient has increasing nearsightedness, or seems predisposed to be nearsighted what are the options? Here  are the refractive options from least to most aggressive.

    • Do nothing. Some people prefer to not take any action because they do not have need to see better at a distance and they prefer the vision up close. This is totally reasonable, as long as it is an educated choice and not just by default or neglect. However, this is not itself a treatment for myopia and in fact may promote myopia in the long run.
    • Traditional glasses or contacts. This will help a patient see clearly in the distance which is necessary for things like driving or going to school which are important. But it will not address any underlying problems leading to increasing myopia.
    • Bifocal Glasses. This method was more popular in prior decades to slow down myopia progression. The scientific studies have not shown it to be as helpful generally, but may be for a  subset of people with specific visual problems.
    • Multifocal soft contact. There is small but growing evidence that multifical contacts, like Proclear EP, can provide clear distance vision and limit the progression of nearsightedness.
    • Orthokeratology (Corneal Reshaping). There is several scientific studies that have shown that this can provide safe, clear daytime vision, and slow or stop progression of myopia. You can read more about this here. And I have written more about this here.
    • Atropine drops. This method of myopia control involved the use of prescription eye drops to keep the eyes dilated. This has been used for years and is more popular in Asia, but has not caught on in the US, due to side effects.

    But regardless of which method is employed above, it is wise to take frequent, brief breaks from near work. Looking up and away every 15 minutes or so is a good idea, because there is some evidence that it is not the total time during near work, but the length of the individual periods of work that make a bigger difference. Getting outside more is a good idea, but it is not clear if it is the distance vision, sunlight, or some other benefit. Of course, this is true not just for your eyes, but for your body and mind, too!

    As vision professionals, we clearly have much work to do in understanding more about why and how myopia occurs. But it is exciting to know that there are treatment options that can reduce the likelihood of progression.

    If you have concerns about your vision or if your children have not been thoroughly evaluated, call us at 813-792-0637 to schedule an appointment. After reviewing the examination findings, we can discuss concerns and treatment options that may be right for you.

    Be well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    (Edited to fix a few typos and add some info left out).


    Ficklets: a GREAT stocking stuffer for kids with glasses!

    December 16th, 2009

    As our Twitter followers know, Ficklets are here at Bright Eyes! Ficklets are very cute charms that can be worn on glasses. They come in all kinds of designs, ranging from flowers and starts to footballs and soccer balls. And they are very inexpensive – only $6! Perfect for a stocking stuff or simple Hanukkah gift! And when you come by Bright Eyes, take a look at our Ficklet Christmas Tree!

    You can find out more by visiting Ficklets.com and following Ficklets on Twitter.

    Merry Christmas and Happy Holidays!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Bill Nye the Science guy recommends eye exams before school.

    August 12th, 2009

    It isn’t too late to late to get the back to school exams in. If you have a family eye doctor, schedule an appointment with them. If you don’t have an eye doctor, or one that doesn’t see children, you can call 813-792-0637 and we can schedule an appointment for you at Bright Eyes or recommend a doctor in your area for the country.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Another great Children’s Vision Video

    August 6th, 2009

    We’ve had a lot of videos lately, but that is what happens during back to National Children’s Vision and Learning month. More on that later.

    Remember that with your child’s physical and dentist visit, they should have their eyes examined before school!

    Be Well!

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


    American Optometric Association responds to Joint Policy Statement about children and reading

    July 30th, 2009

    For those that follow vision therapy, you likely have read about this Joint Plicy Statement by the American Academy of Pediatrics, Section on Ophthalmology; American Academy of Ophthalmology; American Association for Pediatric Ophthalmology and Strabismus;  and American Association of Certified Orthoptists.

    Well, this has created a stir, not so much for the policy that essentially has not changed in decades, but rather the tactics that were used to arrive that the policy statement. This is from the American Optometric Associatio Newsblog:

    The policy statement …  sheds doubt on the claim that vision therapy treats dyslexia – a claim that vision researchers and clinicians have not made for decades.

    It also ignores the evidence of the proven benefits of vision therapy, such as in well-designed studies, most notably the Convergence Insufficiency Treatment Trial (CITT), which was funded by the National Eye Institute. This study showed that vision therapy administered in an eye care provider’s office is the best course of treatment for that condition.

    Unfortunately, this is not new.  As Leonard Press, O.D., writes in A flawed statement on vision therapy, learning and dyslexia is reissued:

    The American Optometric Association in a joint policy statement with the American Academy of Optometry has previously pointed out the flaws with the joint policy statement of the organizations above (1997, at www.aoa.org/x5420.xml ).  A point-by-point rebuttal of the misleading information intended to discredit optometric vision therapy was published by the American Optometric Association in its journal, Optometry.  (Bowan MD, 2002).  This latest iteration in the form of the Pediatrics article unfortunately recycles the same straw man arguments as the prior joint statements.

    The issues of reading and learning are highly complex and multifactorial. I do honestly believe that all profressionals involved feel they are acting in the best interest of children. Unfortunately, some organzzations are slow to change, even in the face of highly credible evidence.

    Be Well!

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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    Question for Tampa Kids: What Books do You Love?

    July 8th, 2009

    As far as I am concerned, the coolest thing a kid can be spotted with is a book. It doesn’t really matter if it is Harry Potter or my daughter’s current favorite, “Llama Llama Red Pajama.”

    Now that we have the new kid’s area, we need to fill our kid’s library! What books are popular for kids 12 and under right now? If  two of your children saw a stack of books, which one would they fight over?

    Please submit a comment, tweet @brightetestampa, or  email doc@brighteyestampa.com with any suggestions, so we can have the best stocked kids library in Westchase!

    Thanks in advance!

    Be Well.

    Dr. Bonilla-Warford
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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