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    Vision and Eye Care Bloglist

    April 30th, 2010

    Last night I  gave a talk to optometrists about how social media can be used market their practices. It was a small group that was extremely interactive and I had a good time. You can see the Prezi, if you are interested.

    Within the presentation, I provided a short list of eye care and vision blogs that I read and explained how essential an RSS reader is. I personally use Google Reader. (If you do not understand RSS, watch this.)

    So below is the full list of vision related blogs I follow. Sorry I didn’t clean it up a bit more, but I did kick out any defunct blogs I found while editing the list. It is a bit long, but you can skim it and hopefully find a few things that are interesting or useful to you. And just because I have it listed, doesn’t mean I endorse it, just that I read it. I did bold a few that I think are particularly interesting.

    Don’t see your blog or your favorite eye care blog? Be sure to let me know!

    See Well!

    -Dr. Nate

    Bright Eyes Family Vision Care

    Connect: Facebook Twitter Foursquare LocalShops1.com


    Guest Post: Your Child’s First Glasses

    April 3rd, 2010

    Today we have a guest post from a friend of mine,  Dr. Janet Carter. I’ve known her online since I was in optometry school and have always enjoyed her insight and humor. I am glad she took me up on the offer to write a guest post and hope she considers blog herself. – Dr. Nate

    OK, it’s happened. Your child came home from school with a note from the nurse saying she had difficulties with the vision screening. Or perhaps she is complaining of trouble seeing the blackboard or headaches reading. Or maybe a previously undiagnosed condition was discovered during her yearly eye examination. Regardless of the scenario, you have to face the fact that your child will soon be wearing glasses. Her success in doing so will greatly depend on your attitude towards this development.

    The importance of your attitude in making sure your child has the proper vision correction begins before you even visit the optometrist. Tell your child what to expect during the visit, but don’t dwell on anything unpleasant. She may have her eyes dilated, but this needn’t be a cause for concern. The dilation drops that most optometrists use today are much gentler and not nearly as long-lasting in their effects as ones you may have experienced as a child. Let her know that her vision may be a little blurry afterwards, but it won’t be too bad. Try and schedule the visit on a day when there isn’t an important homework assignment or sporting event. Read the rest of this entry »


    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
    Connect with Us: Facebook Twitter Foursquare


    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
    Connect with Us: Facebook Twitter Foursquare

    (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
    Connect with Us: Facebook Twitter Foursquare


    The Takumi Eyewear Show and Sale, Saturday, December 12th

    December 2nd, 2009

    dec09 show 4

    Join us on December 12th, 2009 for the annual December Eyewear show! This year we will be featuring one of our best-selling line of designer frames: Takumi.

    Takumi eyewear features Japanese influence with fun colors and designs. Each frame comes with a custom polarized magnetic sunclip.

    Just for this event, we will have on hand  every color and style of Takumi frames! So stop by early to take a look at the giant selection.

    For this day only, we will be offering 25% off all Takumi orders.  This includes prescription lenses, including progressives. We will have some cool giveaways!

    The event will take place December 12th, 2009 from 10 a.m. to 4 p.m., during the annual West park Village Holiday Stroll.

    I hope to see you there. And, like always,  frames and lenses do count toward Flex and HSA spending.

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


    Announcing the Bright Eyes Holiday Second Pair Sale!

    December 1st, 2009

    christmas-ornaments-2Holidays are here at Bright Eyes!  We have changed to Christmas music in the office and we are decorating the office.

    And we are happy to announce the Bright Eyes Holiday Second Pair Sale. Any time during the month of December, if you purchase a pair of glasses you will save 50% on a second pair purchased that day. That includes frame and lenses.

    And this is good for any frame in the store with no restrictions. This includes prescription and  non-prescription sunglasses. Because, let’s face it, in Florida EVERYONE needs a good pair of sunglasses. Or maybe you want a pair of reading glasses or computer glasses. Or glasses with a little more bling for going out. Whatever you want.

    All you have to do is tell us when you are ordering your glasses! It is that easy! And don’t forget, all this counts toward Flex and HSA accounts, too.

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


    Would you like free Tiffany & Co., Bvlgari, or Coach ?

    November 20th, 2009

    tiffsunsmall

    Good news! We will be doing another contest this winter. We will be giving away a pair of glasses/sunglasses. We had a ball giving away some Tiffany suns this summer and we are excited to do it again!

    Help us decide what the Grand Prize should be! Would you like:

    Coach

    Bvlgari

    Tiffany and Co.

    Please leave a comment and let me know what you think!

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


    Save the Date: Annual December Eyewear Show December 12, 2009

    November 9th, 2009

    Takshow

    More info to come!

    Be Well!

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


    Introducing Linea Roma

    August 8th, 2009

    Justin Schoonover, the Production Manager at Bright Eyes will be contributing some entries to Bright Eyes News. This post concerns our new Feature of the Month, Linea Roma.  I look forward to more of his writing. – Dr. B

    Here at Bright Eyes Family Vision Care, we are excited to introduce a new addition of frames to our selection, Linea Roma!

    Linea Roma

    Linea Roma was created in 1988 by a french eyewear designer living in Florida.  Inspired by the multicultural styles of  Miami Beach, these frames shine with uniqueness. Each frame is manufactured exclusively in the Cadore region of Italy where over 200 models are produced each year, thus creating a large and constantly new selection of attractive frames.

    Our new line consists of charming designs suitable for business and everyday wear.  They include elegant and sophisticated plastic, metal, and semi-rimless frames, some of which have leather temples, or sides.  Although the majority of our other frame selections are predominantly male or female, Linea Roma provides a great collection for both men and women.  In addition, we are proud to be one of only ten locations  in Florida to offer this line.

    I personally am very excited about showing these frames to our customers!  We even sold a pair before we put them on display. I am confident that our customers will share the excitement!

    All the best,

    Justin Schoonver
    Production Manager
    Bright Eyes Family Vision Care
    Westchase, Tampa, FL
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