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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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    Sight for Sore Eyes: Wine Blogger writes about Dr. B

    November 2nd, 2009

    Here at Bright Eyes, we have amazing patients that do very cool things. I am always interested in what people are doing and enjoy the conversations that we have during the eye exams. Sometimes I will spotlight them.

    Today I was lucky enough to be the focus of a very cool and generous post by Randy Watson (AKA The Wine Whore). If you don’t already know him, he is a very funny, genuine wine blogger, twitter fanatic,  friend, and a patient.

    So check it out! Check out the rest of his blog. And if you are feeling up to it, leave a comment. And don’t forget to get your turn on the Cabernet Couch!

    Cheers!

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


    Contact Lens Safety

    August 4th, 2009

    There is a framed poster that hangs in the exam room. It has pictures of some of the different kinds of things that can go wrong with your eyes. It shows images of eye infections, allergies, and reactions. It has some mild pictures and some that kind of freak people out.

    When patients mention it, I say in a light-hearted, joking way, “That is what happens when people don’t take care of their contacts.”

    Well, the US FDA and Department of Health and Human Services  has a similar idea, but definitely more education.  Watch this video:

    This video explains some key points:

    • Germs are found in water.
    • Avoid water completely while in contact lenses (yes, no swimming)
    • Use only fresh contact lens solution.
    • Throw away your case regularly
    • Contact your eye doctor if you are having any problems.

    If you follow these guidelines, you will reduce the likelihood of having any serious complications from you contacts. If you have more questions, do not be afraid to call us at (813) 792-0637.

    Be Well and stay healthy!

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


    Ortho-K: Possible Method of Slowing the Progression of Myopia in Children (SMART Trial)

    July 8th, 2009

    Ahah! I was scooped on this story by one of my favorite bloggers, Ann Z. from LittleFourEyes. I was going to write a post about this exciting news today, but since she already has. Check it out here.

    I Will leave you with a quote from yesterday’s press release:

    According to Dr. S. Barry Eiden the trial will also investigate why these special lenses may be effective in slowing myopia.

    “Current thinking suggests that these CRT lenses flatten the cornea but other evidence suggests that these lenses may influence the growth in eyeball length (termed axial length). A major contributor to progressive nearsightedness is axial length elongation. Corneal reshaping may actually result in decreased axial length growth. The exact mechanism by which this happens is still being investigated” said Dr. Eiden.

    “The results of the SMART Study so far are very exciting,” said Dr. Davis. “The outcomes of this study may revolutionize how we manage young nearsighted patients from this point forward”.

    You can go to the SMART study facebook page to find more information.You can also watch a news report on the study here.

    It should also be noted that the SMART study is building on additional recent studies that have also found that Orthokeratology has been successful in slowly the progression of myopia.

    To find orthokeratology doctors in Tampa and elsewhere: go to the Orthokeratology Academy of America. If you are curious, feel free to call or come in for our no-cost consultation to determine if you are candidate.

    Be Well.

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


    Wearing Contact Lenses Past Their Prime

    June 5th, 2009

    This is a battle that optometrists face daily. Sometimes it seems as if every patient poses this challenge: Over-wearing  of contacts lenses.

    According a recent study: “Overall, 40% kept their lenses beyond the maker’s recommended date. That includes 59% of patients with two-week silicone hydrogel lenses, 29% for one-month silicone hydrogel lenses, and 15% of daily disposable lenses.”

    Sometimes patients simply do not know how long they are supposed to wear their contacts.  Usually, they do know, and openly admit that they abused their contacts and that it is not a good thing for their eyes.

    You can read the whole article here: Wearing Contact Lenses Past Their Prime. If you have any questions about proper use of your contacts, please ask. We want you to be safe.

    Be Well!

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


    Contact lenses coated in stem cells may restore sight to patients with corneal disease

    May 28th, 2009

    This is very exciting news. It is one of those stories that is so beautiful in its utter simplicity.

    Researchers from Australia’s University of New South Wales “have used contact lenses coated in stem cells to restore sight to patients suffering a blinding disease,” with the “groundbreaking operation” bringing “significant improvements in vision within a matter of weeks.” The new “procedure uses a person’s own cells to heal damage to the cornea — the transparent outermost layer of the eye,” and is “carried out under local anesthetic, with patients returning home within two hours of surgery, removing the need for expensive hospital stays.”

    The three patients who have been “treated so far had very poor vision caused by corneal disease — the fourth most common form of blindness, affecting around 10 million worldwide.” Corneal blindness “is caused by genetics, surgery, burns, infection or chemotherapy, and treatments usually include grafts and transplants, and drugs, such as steroids.”(Via AOA’s First Look)

    You can read more in the Mail Online, here.

    Be Well!

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


    Why Do We Need Yearly Contact Lens Exams?

    May 20th, 2009

    My colleague and fellow blogger,  Dr. Shaune Wallace, addresses the question: Why do we need yearly contact lens exams?

    The whole article is worth reading, but here is is core issue:

    “A thorough exam by an optometrist can identify potential problems before they occur. Careful selection of appropriate lens material and design followed by evaluation of the movement can help to prevent many of these problems. Yearly examination can then identify issues before they become serious.”

    As I always say, it is easier to prevent problems than treat them. If you wear contact lenses and it has been awhile since your last contact  lens evaluation, don’t put it off any longer.

    Be Well!

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


    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
    Connect with Us:  YelpFacebookTwitter


    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
    Connect with Us:  YelpFacebookTwitter