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2502 E. Oakland Park, Fort Lauderdale

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Orthokeratology Costs Compared to Other Contact Lenses

contact lenses grn 1280x853How much do contact lenses cost anyway?

Many contact lens patients consistently refill their supply of contact lens solution and order their annual supply of contact lenses, yet they really don’t spend the time to think about what are the costs or other contact lens options.

Below is a general depiction of how much money contact lens wearers invest in their contact lenses.

Daily Contact Lenses

If your daily contact lens wear, you could easily be spending over $500 a year. For the higher end of daily contact lenses that provide the best form of comfort, they often range from $600 to $800 for a year supply. Although there are rebates and various deals that you can find either online or a local optometrist’s office to reduce the coss, making sure that you remember to utilize these deals is part of balancing the costs. Fortunately, you’re not spending that much more than other contact lens wearers.

Bi-Weekly or Monthly Contact Lenses may spend less, but how much does contact lens solution cost per year?

You may be surprised, but the average cost for contact lens solution can range from $150 to $200 per year. For those who wear bi-weekly or monthly contacts, they may only spend around $300 for their year supply of contacts, but they are spending a lot of money just on refilling contact lens solution. Daily contact lens wearers, however, have their disposable pairs pre-sealed ready to use.

This makes daily disposable contact lenses a pretty viable option for most contact lens wearers.

How much does Orthokeratology cost in comparison to regular contact lenses?

For overnight contact lens wearers, the costs will be higher in order at first to achieve the perfect daytime vision. The contact lens solution will cost roughly the same as other bi-weekly wearers., However, unlike the yearly or bi-annual resupply of contacts that range from $200 to $500, many Ortho-k wearers only need a new pair of Ortho-K lenses after 2 or 3 years. While Ortho-K lenses vary in price depending on the complexity of your prescription, a pair of lenses at a high price of $800 is still cheaper than a 3 years supply of bi-weekly contact lenses!

I thought Ortho-K is expensive?

Usually, the high cost starts at the onset of the program. In order to measure and test the health of the cornea, extra time is needed with the eye doctor with multiple follow-ups, trial fits, and expenses procured by your practitioner along the way. Since you’re getting a custom made solution for your eyes to enjoy perfect vision during the day without glasses or contacts, the eye doctor needs to ensure all is calculated accurately.

Therefore, the initial sign up for Orthokeratology is costly. However, with the right yearly maintenance option, investing in orthokeratology is comparable in cost compared to wearing daily disposable contact lenses.

Want more information about budgeting costs for your contact lenses? Contact our office, today!

Young Athletes & Myopia Control | Plantation, FL

Kids Playing Ball Blue Sky 1280x853Is your young athlete active in sports?

If you child watches games with professional athletes like clockwork, you can pretty much tell they want to play well. Young athletes want to be professional and talented like even the pros, yet their abilities simply need training and time to develop. However, some young athletes fail to meet their potential due to a loss of confidence from poor vision.

Several sports like football or baseball demand peripheral vision that makes eyeglasses practically impossible. Even other sports can be difficult even with the best pair of sports eyewear. Eyeglasses can interfere with their level of ability or simply make training that much harder.

When serious, young athletes begin to rely on their vision, they often turn to their parents for contact lenses. Although standard contact lenses correct vision and ultimately help a child build confidence & perform better, they do not slow or stop the progression of nearsightedness.

Once a child requires any prescription for their near vision, their vision will continue to worsen.

On average, children will lose 0.5 diopters every year.

By the time they are ready to start college, their near vision may have become so poor that their reaction time & agility will have suffered. Therefore, retaining healthy, natural eyesight is extremely important. Many young athletes will be able to retain their athletic skills and continue their endeavors even at a professional level.

Fortunately, myopia control will help your child stay at a low prescription and prevent further near vision loss. Any young athlete who strives to be the star player on their team will appreciate having healthy vision and avoid the need for LASIK surgery in the future.

Myopia Management

Myopia, also called nearsightedness or shortsightedness, is the inability to see things clearly unless they’re situated close to your eyes. It is the most common refractive error among children and young adults. Most patients with this condition wear eyeglasses or contacts to correct their vision.

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However, myopia is more than an inconvenience; it can pose a serious risk to your child’s long-term vision. As a child develops and the myopia rapidly progresses, the child is at a higher risk of developing dangerous eye diseases later in life. Namely, retinal detachment, macular degeneration, glaucoma and cataracts. Thankfully, Myopia Management can help.

Myopia Management solutions include eye drops, specific contact lenses, and glasses, which can help slow down the rapid visual deterioration that occurs with myopia. Contact us at Broward Eye Care and see how Myopia Management can help your child experience clearer, sharper vision and a higher quality of life.

what is myopia

What is Myopia?


Myopia develops when the eye grows too long from front to back, which causes light to focus in front of the retina rather than directly on it. For those with nearsightedness, distant objects appear blurred while nearby objects remain clear.

This condition develops during childhood, when the eyeballs are experiencing rapid growth, and tends to progress gradually or rapidly into the late teen years. Myopia can be easily corrected using corrective glasses or contact lenses.

Childhood myopia is typically diagnosed between the ages of 5 and 7 and worsens during the eye’s rapid growth years. The prescription tends to plateau at around age 12.

The Growing Prevalence of Myopia


Myopia is becoming increasingly prevalent around the world, with a recent study showing that close to 30% of the world’s population is currently myopic. Alarmingly, by 2050, close to 50% of the global population will be myopic. That’s a staggering 5 billion people!

Myopia rates have shot up in the last 20 years. In China, between 10-20 % of primary school children are myopic. This number increases to 50% for high school students, and by the time they reach university, 90% of the student body is nearsighted.

The good news is that thanks to Myopia Management, you can protect your children from landing on the wrong side of this statistic.

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What is Myopia Management?


“Myopia management” is a series of treatments that eye doctors use to slow the progression of myopia in children. Our myopia management treatments can induce changes in the structure of the eye by diminishing the stress and fatigue linked to the development and progression of myopia. Several studies have indicated that these treatments successfully slow down the progression of nearsightedness in children and teens.

The Broward Eye Care currently offers several different customized treatment options to slow the progression of myopia. Our doctors work closely with each family and customize treatment programs for every child based on their unique needs.

The treatments offered include:

  • Specialized eye drops
  • Multifocal contact lenses
  • Orthokeratology (“ortho-k”)

Patients are carefully monitored by Dr. John Bascome and reviewed every 6-12 months to assess the efficacy of the chosen treatment modality.

Broward Eye Care is a Myopia Management practice that offers evidence-based treatment to prevent the onset or reduce the progression of myopia in pediatric patients.

Because we stay on the forefront of the latest research, you can be sure that Broward Eye Care is maximizing the chances of your child’s success.

Patients We Typically Work With

  • Patients with progressive myopia (-0.25DS or more in the last 2 years)
  • Patients with refractive error: MSE (sph + 0.5*cyl): +0.50 DS to -6.00 DS, no limit on DC
  • Patients at risk of becoming myopic due to a family history of myopia (one or two myopic parents)
  • Patients who spend over 3 hours a day doing near work (reading, studying, writing)
  • Patients who spend less than 6 hours a week outdoors
  • Patients under the age of 16

What Should the Patient Expect?


To monitor and assess the efficacy of the treatment, all our young patients undergo an extensive vision evaluation, provided by Dr. John Bascome. This includes:

  • Axial length and retinal shape measurements
  • Cycloplegic axial and peripheral autorefraction
  • Corneal topography and choroidal thickness measurements
  • Lifestyle questionnaire (including how much near work and outdoor activity they engage in per day/week)
  • Discussion of the results
  • Development of a personalized treatment plan

At Broward Eye Care, we provide our patients with effective, customized treatment to control the progression of myopia. By stopping or slowing down the progression of myopia, we reduce long-term risks to best ensure that your child enjoys the world with healthy eyes throughout his or her life.

Broward Eye Care serves patients in Ft. Lauderdale, Plantation, Pompano Beach, Oakland Park, and throughout Florida .

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Serving Myopia Management Patients From:

Ft. Lauderdale | Plantation | Pompano Beach | Oakland Park | and throughout Florida





Eye Doctor Vs. Contact Lens Specialist | Specialty Contacts In Ft. Lauderdale, Florida

In medicine, there are conditions that are not treated by general practitioners. Ideally, when a particular condition is severe or a sort of complication arises, general practitioners often refer their patients to experts referred to as specialists. This is not done because the doctor doesn’t understand the condition but because it deserves the attention of an expert for the right medical care.

In optometry, there are eye doctors who fit specialty contact lenses, even though many optometrists do not know much about it or prefer not to fit them. Broadly speaking, any general care optometrist or eye doctor can check for eye diseases and disorders, write the perfect prescription for new glasses, and teach patients how to put on contact lenses in a healthy fashion. Most people will be satisfied with this general care, but there are individuals with corneal irregularities that disrupt this traditional eye care practice. These “hard-to-fit” contact lens patients, for instance, are not candidates for wearing standard contact lenses and struggle with standard prescription eyeglasses.


Eye Doctor Vs. Contact Lens Specialist | Specialty Contacts In Ft. Lauderdale, Florida


"Hard-To-Fit" Contact Lenses

In medicine, there are conditions that are not treated by general practitioners. Ideally, when a particular condition is severe or a sort of complication arises, general practitioners often refer their patients to experts referred to as specialists. This is not done because the doctor doesn’t understand the condition but because it deserves the attention of an expert for the right medical care.

In optometry, there are eye doctors who fit specialty contact lenses, even though many optometrists do not know much about it or prefer not to fit them. Broadly speaking, any general care optometrist or eye doctor can check for eye diseases and disorders, write the perfect prescription for new glasses, and teach patients how to put on contact lenses in a healthy fashion. Most people will be satisfied with this general care, but there are individuals with corneal irregularities that disrupt this traditional eye care practice. These “hard-to-fit” contact lens patients, for instance, are not candidates for wearing standard contact lenses and struggle with standard prescription eyeglasses.


Are Your Eyes Hard To Fit?


Are Your Eyes Hard To Fit?

Do you have trouble wearing contact lenses that they are painful or constantly uncomfortable? You may fall under the category of a hard to fit patient. However, most hard-to-fit patients are often told they simply can’t wear contact lenses or presented with gas permeable lenses for a solution. Their eye condition makes contact lens wear challenging, to put it simply.





    The Following Conditions Are The Major Culprits In Such Cases
    • Astigmatism
    • Dry eyes
    • Giant papillary conjunctivitis (GPC)
    • Keratoconus
    • Post-refractive surgery like LASIK
    • Corneal irregularity or corneal dystrophy
    • Post-Corneal Transplant

    Any of these problems will typically require advanced care beyond the scope of the standard general care optometrist.

    Who Is A Contact Lens Specialist in


    Who Is A Contact Lens Specialist?





    Who Is A Contact Lens Specialist?

    A contact lens specialist is an eye doctor who has taken an interest and developed a specialty contact lens focus to bring hard-to-fit patients relief no matter what sort of eye condition they have. of welcomes all types of patients from children to adults who seek advanced contact lens solutions. While not every pair of eyes are considered as hard to fit, can identify and recommend a unique solution that best suits the patient’s visual needs. Whether someone needs a pair of eyeglasses, standard contact lenses, or specialty contact lenses, our aim is to bring your vision back into focus so you can live comfortably.

    Contact lens specialists begin as general care optometrists and then specialize after years of experience. Occasionally, some optometrists develop this niche early on and can help fit patients with difficult eye conditions. However, nearly all specialty contact lens eye doctors are optometrists and do not perform eye surgery, since numerous years of analyzing patients with different eye conditions and correcting their vision through custom-tailored contact lenses requires a level of commitment that most surgeons avoid.

    In addition to their years of experience treating different patients of various eye conditions, contact lens specialists use up-to-date contact lens technology to help diagnose and measure the health of the cornea — a vital piece of equipment for custom contact lens design.

    Dr. John Bascome has researched more about the latest technology in contact lenses and options for treatment than other eye doctors to ensure every patient receives a quick, comfortable fit. At in Ft. Lauderdale, Florida , we aim for a minimal number of trial fits, so every patient can quickly return to living their lives.

    Are there any credentials for a contact lens specialist?

    Dr. Paul Klein is a Diplomate of the Section on Cornea, Contact Lenses and Refractive Technologies. This particular accomplishment reflects Dr. Klein’s additional years of study toward fitting specialty contact lenses as well as keeping up to date with the latest contact lens technologies being used. Dr. John Bascome is also one of our contact lens specialists who has practiced fitting specialty contact lenses as well. Dr. Bascome partnered with Dr. Klein to care for all hard-to-fit contact lens patients.


    How Do Contact Lens Specialists Treat Your Eye Conditions?





    How Do Contact Lens Specialists Treat Your Eye Conditions?

    If you have any corneal irregularity or visual disorder that prevents the use of contact lenses, schedule a consult withDr. John Bascome. The first step of any treatment is the diagnosis, which requires an eye doctor to review your medical health, analysis and ultimately devising a plan to treat the challenging eye conditions.

    Every contact lens specialist will start a consultation using diagnostic tools, digital imaging, and corneal topography to produce high-resolution images of your eye. Details of the surfaces of your eye, the cornea, and even the optic nerve will be captured and Dr. John Bascome will create a visual solution for your specific corneal problem. The most common specialty contact lens used are Scleral lenses. Ortho-K lenses are typically worn by children for myopia control or adults who want an alternative to discuss.





    Scleral Lenses

    These are large diameter gas permeable contact lenses that rest on the sclera and create tear-filled vault over the cornea. By doing this, the lenses are able to functionally replace irregular cornea with a perfectly smooth optical surface to correct vision problems. They are sometimes referred to as ocular surface prostheses and take care of such disorders as keratoconus, dry eyes syndrome, corneal ectasia, Steven-Johnson syndrome,

    Furthermore, scleral lenses are also recommended for patients with neurotrophic keratitis, aniridia, microphthalmia, SjÖgren’s syndrome, higher aberration of the eye, pellucid degeneration, injuries to the eyes and surgical complications. Also, the lenses can help people with eyes that are too sensitive for smaller corneal-type lenses like in the case of astigmatism.





    Ortho-K Lenses

    Your contact lens specialist may also recommend the use of an Orthokeratology (Ortho-k) lens for your vision. These are specially designed gas permeable contact lenses that you wear overnight to correct your eyesight and reduce your dependence on glasses or other contact lenses without any surgical procedure. They are worn at night when you want to sleep and removed in the morning.

    This means that they work on your eyesight while you sleep, gently reshaping the front surface (cornea) so that your vision is better the next day when you wake and remove the lenses. They are also called corneal reshaping lenses. They can correct such refractive problems as near-sightedness, astigmatism, and hyperopia in children. They can also help with presbyopia in some cases.

    A general care optometrist can help with lots of eye problems but when there are complications or you find it difficult wearing contact lenses, a contact lens specialist is the right eye doctor to consult.


    Meet Our Staff





    Meet Our Staff

    Dr-Bascome

    Optometrist John H. Bascome, O.D.

    Dr. Bascome was born and raised in Fort Lauderdale, Florida. He earned his bachelors degree in Biology from Nova Southeastern in 2006 and went on to graduate with clinical honors in ocular disease and primary care from Nova Southeastern College of Optometry in 2010. While in optometry school, Dr. Bascome received...

    dr-klein

    Optometrist Paul Klein, O.D., FAAO

    Paul Klein OD is a 1979 graduate of the New England College of Optometry.  Dr. Klein is in private group practice specializing in contact lens care, laser vision correction, and therapeutic optometry in Fort Lauderdale, Florida.  He is a Fellow of the American Academy of Optometry, and a Diplomate of...





    Serving Patients From

    Ft. Lauderdale | Plantation | Pompano Beach | Oakland Park | and the state of Florida


    How Do Contact Lens Specialists Treat Your Eye Conditions?





    If You’re Looking For A Contact Lens Specialist Near Ft. Lauderdale, Florida , Is The Destination.

    Don’t let discomfort or eye pain turn your corneal condition into a bigger problem. Visit us today at Ft. Lauderdale to help select the right contact lens for you. will examine the issue with your eye and extend of the eye disorder or defect. With this, we will recommend the perfect contact lens that will help improve your vision. Above all, we offer high quality contact lenses at affordable prices. Irrespective of your pocket and eye condition, we have the ideal contact lenses for you.

    Contact us today to know more about our specialty contact lens services. The staff at our Ft. Lauderdale eye clinic, are available to attend to your visual needs to help guide you to achieving amazing vision.

    Scleral Lenses and Dry Eye

    Dry Eyes and Scleral Lenses

    Effective Relief for Dry Eye in Ft. Lauderdale

    As dry eye becomes an increasingly common complaint, there is a strong push to find effective treatments to relieve the pain and irritating symptoms of this condition. Scleral lenses are a relatively new method of restoring comfortable vision to people with severe dry eye. Our optometrists in Ft. Lauderdale are skilled in fitting scleral lenses; if you suffer from dry eye and cannot find relief, contact us to book an eye exam and consultation.

    Basics of Dry Eye

    Estimates place the number of dry eye sufferers in America at close to five million people! There are a number of possible causes, and therefore the same treatment doesn’t work for everyone. Dry eye also ranges in severity from mild discomfort to extreme inflammation and scarring on the eye’s surface. Typical symptoms in include burning, scratchiness, sensation of a foreign body in your eye, light sensitivity, itching, and sometimes watery eyes. In order to figure out the best dry eye treatment for you, our Ft. Lauderdale eye care specialist will check your eyes thoroughly.

    Scleral Lenses for Dry Eye Treatment

    When patients are unsuccessful with conventional dry eye treatment, such as lubricating eye drops and prescription medications, scleral lenses may be a viable alternative. Studies show that scleral lenses can benefit both patient comfort and visual function. How do scleral lenses help?

    Pretty woman applying contact lensCompared to standard contact lenses, scleral lenses have an extra-large diameter that vaults over the cornea and comes to rest on your sclera (white of your eye). This shape creates a gap between the back surface of the lens and your eye, and tears will naturally fill the space. This pocket of liquid keeps your sensitive corneal tissues lubricated constantly.

    Scleral lenses also enable crisp vision, which makes them an ideal dry eye treatment for people who require vision correction and cannot obtain comfortable sight with glasses or regular contacts. The liquid layer of sclerals can provide sharper vision than other eyewear, because it smooths out visual defects that may be caused by dry eyes.

    Our Eye Doctors Fit Scleral Lenses in Ft. Lauderdale

    Sclerals generally fall into the category of specialty contact lenses, and recently, the FDA included dry eye syndrome as an ocular surface condition that scleral lenses are approved to manage. This new standard brings sclerals into the spotlight.

    Complications from wearing scleral lenses have been reported to be infrequent and minor. With proper care, disinfecting, and handling, these contacts are regarded to be very safe.

    If you’re interested in learning more about scleral lenses and whether they can help your severe dry eye, you need an experienced, trained eye doctor to fit them. The good news is that our Ft. Lauderdale optometrists specialize in fitting scleral lenses. Contact our office to schedule an eye exam for dry eye syndrome.

    Your
    contact lens specialists
    in Ft. Lauderdale


    Your
    Contact Lens Specialists
    in FT. LAUDERDALE, FL

    Find Your Myopia Control & Ortho-k Specialist

    Controlling Nearsightedness in Ft. Lauderdale, Florida

    Your Keratoconus Eye Doctor in Florida

    Schedule your next consultation with our optometrists.
    Certified contact lens specialists.

    Broward Eye Care has been providing treatment for various eye conditions from post corneal transplants to keratoconus as well myopia control for well over a decade. We’ve combined excellence, knowledge, personal care, and commitment to become a leader in specialty contact lens services.

    From utilizing advanced diagnostic tools to collect digital records of your eye shape, structure, and unique qualities, our keratoconus eye doctor will create a custom vision solution for you. With a wide variety of options, including custom scleral lenses, your vision can be treated to reach amazing precision, comfort, and simplicity.

    All Scleral Lenses can be available the Next Day!

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    5 Stars from our Ft. Lauderdale Patients

    Happy scleral lens keratoconus patient, jose at broward eye care with Dr. Bascome

    What Makes Broward Eye Care Unique

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    Keratoconus Cross Linking - What is Corneal Crosslinking?

    Corneal Crosslinking (CXL) offers keratoconus patients (often post-LASIK or RK patients) a way to reduce changes in their eyesight through a combination of riboflavin solution applied to the cornea and UVA light.

    Want to learn more about Corneal Crosslinking? Visit Broward Eye Care, your local experts in Ft. Lauderdale.

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    Scleral Lens Fittings with a Keratoconus Specialist

    Were you told you can't wear contact lenses? Scleral lenses are customized, hard lenses that are able to treat:

    • Severe Dry Eyes
    • Keratoconus
    • Post Cornea Transplants
    • Patients with Cornea Scarring

    For a contact lens specialist, visit Broward Eye Care, your local experts in Ft. Lauderdale.

    Man Glasses Sad 1280x853 640x427

    Treatment after a Cornea Transplant

    Cornea Transplants, whether a partial or full transplant, require a highly intricate and delicate procedure. While the surgeon may solve major eye problems through a cornea transplant, many patients still face visual difficulty. Haloes, floaters, dizziness, and sensitivity to glare are commonly associated when one has an unhealthy, diseased cornea.

    Discuss cornea transplants with our eye doctors.

    Computer user on beach

    Myopia Control & Orthokeratology in Ft. Lauderdale

    According to the latest eye health research, myopia or nearsightedness is a major cause of cataracts, glaucoma, and macular degeneration. Controlling nearsightedness in children has proven to effectively slow or stop the progression of worsening vision as well help children excel in school and extracurricular activities.

    Want to learn more about Myopia Control and Orthokeratology? Speak to one of our staff at Broward Eye Care in Ft. Lauderdale.

    The Leading Contact Lens Specialists in Florida

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    Top Eye Doctors in Florida Located in Ft. Lauderdale

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    Fort Lauderdale, FL 33306
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    We Provide Specialty Contact Lenses throughout Florida

    Ft. Lauderdale | Pompano Beach | Knoll Ridge | South Corals | Central Corals | Galt Mile | Oakland Park | River’s Edge | Coral Shores | Coral Ridge | Poinsettia Heights | North Andrew Gardens | Middle River | Central Beach | Lauderdale Manors | Imperial Point

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    Corneal Collagen Cross Linking In Ft. Lauderdale, Florida


    Collagen Cross Linking In Ft. Lauderdale, Florida

    There’s a new treatment in town, and it could very well help with your Keratoconus symptoms. But first, let’s talk about what Keratoconus is and how it can affect your daily activities.


    What Is Keratoconus?

    The cornea of the eye is usually shaped like a dome. This allows light to pass through it and hit the pupil. Keratoconus is a type of corneal ectasia, a condition that causes the cornea’s tissue to become thinner than normal, which makes the cornea into a cone-like shape. This causes light to be refracted incorrectly, resulting in blurry vision, which in turn, makes everyday activities like reading or driving difficult.

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    senior woman with glasses for keratoconus treatment with eye doctor


    Typical Keratoconus Treatment Methods in Ft. Lauderdale

    Usually, an eye doctor will treat Keratoconus with a number of methods, including:





    Corneal Transplant

    A surgical procedure involving the removal of a damaged cornea, which is replaced with a healthy donor one. Depending on the severity of the condition, an ophthalmologist may perform a partial transplant, only replacing the unhealthy section of the cornea instead of the entire thing.





    Intacs®

    An FDA-approved device designed to restore proper vision. Intacs are surgically inserted into the patient’s corneal stroma (a thick section of the cornea). They gently flatten the cornea, helping to reshape it into the correct dome-like form. In many cases, Intacs can repair the Keratoconus condition to a degree that a Corneal Transplant may be unnecessary.





    Collagen Cross-Linking

    A procedure which involves special eye drops and an ultraviolet (UV) light, which are used to strengthen the corneal tissue. This can make the cornea flatter and prevent it from further developing into a cone shape.





    Scleral Lenses

     

    Scleral lenses are specialized custom contact lenses that allow patients with keratoconus to achieve their ideal vision comfortably and easily.





    Collagen Isn’t Only For Lip Enhancement

    Most people know about collagen as a material used in cosmetic surgery, like making the lips appear fuller. Just Google the word ‘collagen’ and you’ll find a plethora of celebrity before and after photos. What many people don’t know is that it’s actually a naturally-made protein developed inside the human body. Collagen can be found in the skin, muscles, and various ligaments.

    The cornea of the eye also contains collagen. It is made up of tiny collagen fibers that lie in an intertwined fashion, ensuring that the cornea is kept clear. As mentioned above, Collagen Cross-Linking can be used to treat Keratoconus for improved vision. The procedure is called ‘cross linking’ due to the placement of bonds in between the collagen fibers. These bonds provide support to stabilize the cornea.

    Call Now!
    (954) 388-7301

    Book An Appointment

    man alone by ocean thinking of treatment for keratoconus





    How Does Collagen Cross-Linking Help My Keratoconus?

    Collagen Cross-Linking, or CXL, is considered an ideal treatment for Keratoconus because the procedure flattens and strengthens the cornea, helping to reverse its misshapen form back to its correct one. Once the cornea returns to its original dome-like shape, light can once again hit the pupil correctly, allowing the individual to have improved vision.

    CXL is most effective in patients who have been recently diagnosed with Keratoconus. That is because the more condition advances, the more difficult it is to manage. While it does not reverse the corneal shape completely, it can slow down the Keratoconus progression. In most cases, the patient will still need some type of vision correction assistance, such as eyeglasses or contact lenses.





    The Collagen Cross-Linking Procedure

    When a patient is a good candidate for Collagen Cross-Linking, an ophthalmologist will perform the minimally invasive procedure, which typically lasts between 30-60 minutes. CXL is done in the office, so there is no need for a hospital visit.





    First, The Doctor Will Numb The Eye

    First, the doctor will numb the eye, so the patient shouldn’t feel any pain during the process. Then, eye drops containing riboflavin (vitamin B2) will be administered. These drops let the cornea absorb light and prepare the eye for the UV light application. The patent sits in a reclining position and looks at the UV light for approximately 30 minutes. The UV light causes an oxygen reaction, which then causes the development of new bonds in between the collagen fibers.

    There are actually two types of CXL procedures. One is called Epithelium-off, and the other is called Epithelium-on. The difference between them has to do with the epithelium, also called “epi”, which is a tissue located on the outside layer of the cornea.





    Epi-Off

    During the Epi-off procedure, the epi is gently removed. This lets the riboflavin drops to be absorbed into the eye more efficiently.





    Epi-On

    During the Epi-on procedure, the epi stays in place. It is not removed at all. However, it can take more time for absorption of the riboflavin drops.

    Knowing which version of the CXL treatment is right for your condition is something each patient should discuss with their ophthalmologist. Each one has benefits and risks in terms of procedure and recovery time. Talk to your doctor about which procedure is best for you.


    What Are The Advantages Of Scleral Lenses? It’s All In The Shape!





    Scleral Lenses Are More Wearable And Protect Your Eyes Better

    The vaulted dome design of scleral lenses offers unique advantages over traditional contact lens design. Scleral lenses move around much less than regular contacts, making them superior for physical activity, with far less irritation.

    The vaulted dome shape of a scleral lens provides a smooth replacement corneal surface, improving vision for people with corneal scarring or corneal irregularities due to LASIK eye surgery complications, Keratoconus, or other eye conditions.

    The design of the lens creates a pocket of space between the eye and the lens. The lens is filled with lubricating saline solution before insertion, providing hydration and comfort all day long.
    The size of the lens means that your eyes are more protected from debris, dust, and other allergens, making it a good solution for someone that also suffers from eye allergies.





    Enjoy Better Vision

    Scleral lenses also provide unparalleled visual acuity by shielding the damaged cornea with a perfect optical surface. Its larger design means the lens is firmly in place, which further enhances vision when compared to traditional lenses. Due to their size and shape, scleral lenses provide greater durability, easier handling and a lower risk for complications. Broward Eye Care has a wide range of custom scleral contact solutions that can work for you.

    grandparents with family after testing for keratoconus

    Although radiation caused by UV light can be harmful to one’s health, the amount of UV applied during the CXL procedure does not reach dangerous levels. According to The National Center for Biotechnology Information, a wavelength of 360–370 nm with an accumulated irradiance of 5.4 J/cm2 ensures that the exposure of all structures is below harmful levels.

    Additionally, the riboflavin eye drops that the patient receives prior to the UV light application serves as a solid wall of protection against any potential radiation effects.

    In April 2016, after conducting rigorous testing and reviewing case studies, the FDA approved the CXL procedure as an effective treatment for slowing down the progression of Keratoconus.

    Like any medical procedure, there are some things you should know beforehand and some preparation you will need to do. On the day of the procedure, avoid wearing any eye makeup, creams, lotions, perfume, or cologne. The ophthalmologist will perform CXL on one eye at a time and it will affect your vision in the first few hours, so make sure someone can drive you home after the procedure.

    Recovery time can be different for each patient, especially depending on the type of CXL chosen. For the Epi-off procedure, there may be some pain felt over a few days’ time. As the epi heals, the pain will lessen and eventually fade completely. It may take up to a week and a half to resume normal activities. If the Epi-on version was done, then recovery time tends to be quicker and virtually painless.

    Most eye doctors recommend not wearing contact lenses in the first few days following Collagen Cross-Linking. Others suggest waiting several weeks, but this is contingent upon the type of CXL performed on the patient.

    Senior Man Wearing Black Eyeglasses before CXL treatment





    Collagen Cross Linking Side Effects

    Every type of medicine or medical procedure carries the risk of potential side effects. Pregnancy, breastfeeding, over the counter drugs, other medical conditions, and even a patient’s personal lifestyle can conflict with CXL. Because Broward Eye Care believes that an informed patient is a smart patient, we encourage you to become aware of the possible side effects of Collagen Cross-Linking. These can include:





    Corneal Haze

    A condition where the cornea becomes cloudy, making vision clarity difficult. A person with corneal haze will experience blurriness. This side effect usually disappears on its own, but if not, steroid eye drops can be given to treat it.





    Infection

    This is one of the most common side effects of any medical procedure. Infection can be treated with medicated eye drops or topical antibiotics.





    Scarring

    Steroid eye drops can prevent scars from forming, but if it occurs despite this, a corneal transplant may be necessary.





    Sterile Infiltrates

    Small wounds that appear as a gray or white color on the cornea, usually caused by inflammation.

    If you think you may be experiencing any of these side effects, talk to your eye doctor right away.

    Remember, Keratoconus is a condition that requires ongoing treatment by a qualified eye doctor. Even after Collagen Cross-Linking has been performed, it’s important that you or a loved one who suffers from this disease find an eye doctor with you are comfortable with and trust to monitor the condition for the long-term.

    Are you considering Collagen Cross Linking or would you like to know if it could help your Keratoconus? Speak with our eye doctor, Dr. John Bascome, and the team of helpful staff today.

    Call Now!
    (954) 388-7301

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    Ft. Lauderdale | Plantation | Pompano Beach | Oakland Park | and the state of Florida

    Keratoconus: Diagnosis and Treatment

    senior couple in white fort lauderdale flDiagnosing and Treating Your Keratoconus

    The term, “Keratoconus” refers to an eye condition involving the cornea, the clear window at the front of the eye, thinning and warping into a cone-like bulge. This condition can do a great deal of harm to your vision. Normally the cornea maintains a curved, dome-like shape. This allows the cornea to refract light onto the back of the eye, in such a way that it creates a clear image to send to the brain where it is interpreted. When the cornea takes on a more conical shape, this scatters the light as it comes in, sending light to several different points on the retina, creating blurring of vision, distortion of vision, increased sensitivity to light, glare and mild eye irritation. Our optomestrists at Broward Eyecare in Fort Lauderdale are happy to be your go-to doctors for this and all other eye care needs.

    “Puberty is generally when keratoconus begins to emerge. It begins with mild astigmatism and myopia,” explains Dr. Paul Klein, “Although it usually affects both eyes, symptoms may be different in each individual eye. Usually keratoconus progresses quite slowly, getting worse over the course of roughly 10 or 20 years and then ceasing abruptly.”

    Scientists are not sure what, exactly, causes a person to develop keratoconus. However, many studies seem to indicate that it is linked to genetics. This is based on statistics that 10% of all people who develop keratoconus have a previous family history of the condition. Excessive eye rubbing and other similar eye injuries, as well as certain eye diseases such as retinopathy of prematurity, and systemic diseases such as down syndrome also seem to be linked to the development of keratoconus.

    Keratoconus can often be discovered during the course of a routine eye exam, through tests that help to determine the exact shape of the cornea. A slit-lamp examination is the most popular test used to diagnose keratoconus. This test involves your eye doctor directing a vertical beam of light onto your eye, then using a low-powered microscope to look at your eye to evaluate the shape of your cornea. Optical scanning techniques, such as optical coherence tomography and corneal topography may also be used to create a digital topography map of your cornea’s surface and measure the thickness of the cornea.

    Treatment depends on how severe symptoms have become. In the beginning the cornea still has some semblance of a normal shape, and eyeglasses or soft contact lenses may be effective for vision correction. As the condition progresses, however, glasses and soft lenses are no longer effective, but rigid or hybrid contact lenses may still be worn to ensure that light entering the eye is refracted properly. Once symptoms have reached more sever levels, various other treatments are available, such as intacs. These small, curved implantable corneal devices help to reshape the cornea into a more dome-like shape, correcting refractive errors caused by the abnormal shape of the cornea. However, in about 10 to 20 percent of cases, good vision is impossible by any other means besides a corneal transplant. In a corneal transplant, your eye care professional removes the diseased cornea and replaces it with a healthy donor cornea. Eye care professionals prefer to avoid this procedure if possible, however, because in some cases it can take a full year to recover good vision after a corneal transplant.

    For questions and more information, contact Dr. Klein today.

    Schedule an Eye Exam

    Who Are Scleral Lenses For?

    Scleral lenses are specialty custom design contact lenses that provide the vision quality of rigid lenses the with the comfort quality of soft lenses, available by prescription from your optometrist.

    sclelral lenses, ortho-kPatients with high prescriptions or with corneal diseases such as Keratoconus or Pellucid are good candidates for Scleral lenses. Additionally, anyone with status post refractive surgery complications, graft vs host disease, or dry eyes are all patients who should consider Scleral lenses.

    Scleral lenses vary in size and technical design. Recently they have become available in multifocal designs, opening these lenses up to a wider audience.

    The most underutilized therapy of Scleral lenses are for dry eye patients. This is a fantastic option for helping the millions of dry eye sufferers throughout the country, many who go without treatment at all, or just use over the counter drops, which are of limited value and effectiveness. While new products for dry eyes have received much publicity lately, Scleral lenses remains an effective treatment for this very common eye condition.

    scleral lenses, kerataconusFinally, Scleral lenses are typically covered by most vision vision insurance. However, this varies depending on the insurance and individual plan.

    To see if you are a candidate for Scleral lenses, or to schedule a fitting, schedule an appointment today with one of our eye doctors.

    Ortho-K In Fort Lauderdale, FL

    Orthokeratology, also known as ortho-k, is a special non-surgical vision correction procedure involving special gas permeable contact lenses that are worn each night while you sleep, to gently reshape your cornea and correct your vision. The cornea is the front part of your eye that helps shape light as it enters.

    If the cornea is not shaped correctly, images become blurry and hard to discern. Ortho-K gently reshapes your cornea, giving it the proper shape to bend light to give you the best sight possible. The fact that this procedure takes place while you sleep means that each morning, when you wake up, all you need to do is take out your contact lenses and you are able to enjoy improved eyesight up to 20/20 all day.

    As our eye doctor can explain during your next eye exam, many people with mild to moderate nearsightedness, with or without astigmatism may benefit from the use of ortho-k lenses. Since the effects of ortho-k lenses are reinforced only if worn every night, if wear is discontinued, your eyes return to their original shape.

    Risk for ortho-k is, therefore, quite minimal and ortho-k patients can discontinue at any time without adverse effects. Use of Ortho-k also does not rule out LASIK in the future. Although Ortho-k lenses are primarily prescribed to correct nearsightedness, they also may be used to correct astigmatism, farsightedness and, in some cases even presbyopia.

    If you would like to be glasses and contacts free but are not an ideal candidate for refractive surgery either because of age or other eye conditions like dry eyes, you may still benefit from ortho-k.

    Speak To Our Ortho-K Specialist In Fort Lauderdale, FL

    During your specialized ortho-k fitting, your eye doctor will ensure you are a good candidate for ortho-k lenses and make sure that the lenses are properly fitted for comfort and safety. The eye doctor will begin by obtaining measurements of your “corneal topography.”

    This procedure is painless and takes only about a minute. This gives the doctor a detailed picture of the unique topography of your eye. Your doctor will then either fit you from an in-office inventory of ortho-k lenses or may order a custom pair for fitting at a later appointment. The first pair or two of lenses are usually temporary, in order to start the process of re-shaping your cornea. By the third pair, most people can expect to reach their fullest level of vision correction.

    The amount of time it takes to begin experiencing a change of vision with ortho-k varies from person to person. Some people may have great vision after a day or two of using ortho-k lenses overnight, whereas those that require a stronger prescription may take up to a few weeks before attaining the full benefit.

    It is important to note that Ortho-k lenses are highly specialized and only specially certified optometrists are able to provide fittings for these lenses. For more information, and to see if ortho-k lenses are a suitable solution for you, schedule an appointment for an Ortho-K Evaluation today.

    Read more about how Ortho-K works

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