With So Many Contact Lenses Out There, Which One Is Best For Me?

That is a GREAT question!

Advances in contact lens technology have led to the development of more and more types of contact lenses. The Problem is, which one is best for you? Which is the most comfortable and which one is the safest?

So here is the breakdown of the TYPE of contact lenses that are out there:

HIGH OXYGEN / SILICON HYDROGEL

Leading the way in the newest technological developments has been the advent of silicon hydrogel disposable contact lenses. Silicon hydrogel lenses allow better oxygen permeability or breathability compared to regular hydrogel contact lenses. This has long-term health benefits for your eyes, allowing you longer wearing time, excess moisture, and eliminates the long term affects of cleaning solutions on your eyes. This helps keep the eyes healthier and happier.

Since the launch of silicon hydrogel disposable contact lenses, the technology has constantly improved, resulting in softer, more comfortable lenses. The range of prescriptions available in these materials is continually expanding. Silicon hydrogel lenses are available in several different lens materials and designs, including daily disposable, two-week or monthly disposable and multifocal lenses. Silicon hydrogel lenses may be suitable for you to sleep in according to the FDA, however, most ophthalmologists (like us) and most optometrists will never recommend it and in fact, most feel that it is dangerous to sleep in ANY contact lens.

 

RIGID GAS PERMEABLE LENSES

Rigid gas-permeable (RGP) lenses are made from hard, durable plastics that transmit oxygen. These are typically theleast prescribed, but most affordable lenses out there, however, they take a little longer to get used to compared to soft lenses. They offer excellent visibility and clarity, especially in patients with astigmatism or irregular corneas and they are particularly good lenses for conditions such as keratoconus and other rare corneal conditions. These lenses typically last a year and then need to be replaced.

COLOR CONTACT LENSES

To change or enhance your eye color, these are available in a range of colors with or without prerscription. You can even get “Wild Eyes,” which are contact lenses with designs and fun colors, perfect for an occasion like Halloween. Color contact lenses are available in daily, monthly disposable and soft conventional designs. It is important to know that an ophthalmologist should fit all color contact lenses, even those without prescription, as the color contact lenses you find in costume stores are extremely dangerous.

MULTIFOCAL (or bifocal) CONTACT LENSES

Multifocal contact lenses combine distance and near vision. Multifocal contact lenses are available in several different disposable and high-oxygen silicon hydrogel materials, including daily disposable lenses. These, however, can be quite pricey and take a while to get used to. Many patients often quit using them before they take the time to get used to them. By wearing multifocal contact lenses you have the advantage of not being dependent on reading glasses OVER the contact lenses. Many patients often prefer mono-vision (a plain contact lens in one eye for distance and another contact lens in the other eye for near) to multifocal contact lenses.

 

DISPOSABLE SOFT LENSES

The most popular contact lenses today are soft disposable lenses. These lenses are made of soft, flexible plastics known as hydrogels or, in more recent years, silicon hydrogels. Disposable contact lenses are available to suit most prescriptions and are generally very comfortable, and do not require much time to get used to them. Disposable contact lenses are available in daily, two-weekly and monthly designs and are to be replaced at these intervals. People who wear daily disposable contact lenses benefit from a fresh pair of lenses every time they wear contacts, providing excellent comfort and eye health. These lenses require no cleaning or maintenance as they are replaced daily. Two-week and monthly lenses do require maintenance and cleaning solutions.

 

Although contact lenses are widely prescribed, getting a prescription for them is NOT like getting a prescription for glasses. Glasses prescriptions only require a power and a pupillary distance (distance between the two eyes). Contact lenses however come in all shapes and sizes, besides different powers as well. This requires special measurements to measure how round and how large your eyeballs actually are, so the contacts can rest on your eyes properly and safely. Poorly fit contact lenses can be extremely dangerous, even when they are properly cared for. Many insurances and vision plans DO NOT cover these tests and often thee is an added fee for these tests.

You can book in a contact lens consultation with the front desk. When you call, however, please be sure to mention that you would like a contact lens fitting/consultation, so you can have an appointment with one of our contact lens specialists.  Our specialists and ophthalmologists  will be able to advise you on what’s the best type for you. After the consultation, you can then order your lenses from us. the specialists and ophthalmologists will also be able to advise you on contact lens care and maintenance to ensure your eyes stay healthy and your vision clear. Call 718-728-0224 to book your appointment today, or click on the “contact ust” area of the website to book it online now.

 

Learning About Eye Conditions With Help From Disney Characters

Learning About Eye Conditions With Help From Disney Characters

Very often eye doctors get asked certain questions repeatedly. Also, many patients or parents of patients look online for answers to common eye questions, or searching for a diagnosis. As an ophthalmologist, I find it very easy to educate patients on their conditions with visual aids. As a huge Disney fan, I decided to recruit a few of my favorite Disney characters to assist me. So, if you like Disney and want to learn a bit about eyes, here we go!

COMMON   EYE    CONDITIONS:

Lewis from Meet The Robinsons

Lewis from Meet The Robinsons

 

MYOPIA:

Here is Lewis, from the Disney Movie “Meet The Robinsons.” He has a light case case of myopia, or otherwise known as ‘near-sightedness.’ He, like many people can not see far without glasses, but can see at near. Typically, near-sighted patients wear their glasses all day long to help visualization for daily living.

 

 

 

 

 

 

Edna Mode - The Incredibles

Edna Mode – The Incredibles

 

HYPEROPIA:

Here we have Edna Mode from Disney/Pixar’s “The Incredibles.” She has a severe case of hyperopia, or far-sightedness. Unfortunately, far-sightedness is a misnomer. Most commonly, people think it means that the person can see far, but not near, however that is incorrect. Far-sighted patients needs glasses not only to see far, but also to see near. If Edna were to remove her glasses, she would probably be blind as a bat.

 

 

Geppetto- Pinnoccio

Geppetto- Pinnoccio

 

PRESBYOPIA:

Often occurring with age, Presbyopia usually develops around the age of 40 years old. Due to the increased difficulty at near, patients with presbyopia need glasses to assist in near-vision. Therefore, this is why most people at the ago of 40 years old (or so) start to need reading glasses. As you can see, Geppetto does not need glasses for distance, but he does need it for near-vision and reading.

 

 

Alice - Alice in Wonderland

Alice – Alice in Wonderland

 

EPIPHORA (Tearing):

Epiphora, or unexplained tearing, is a very common condition. There are many causes, including allergies, dry eyes, foreign bodies, and block tear-drainage systems. In this photo, Alice is obviously over-acting, but this is to teach people about how severe it can become. Most cases are not this bad.

 

 

 

Cruella De Vil

Cruella De Vil- 101 Dalmations

 

CONJUNCTIVITIS:

There are many causes of red eyes. Often, conjunctivitis is assumed to be infectious, however, it can also be allergic, seasonal, due to chemicals and other causes. The most common causes are Viral (aka PINK EYE) which is contagious and easily treated, Bacterial which is more rare and often contact lens related, and allergic.

 

Dopey - Snow White & The Seven Dwarfs

Dopey – Snow White & The Seven Dwarfs

 

CONTACT LENSES

Here we have one of the seven dwarfs, Dopey, showing off his new contact lenses. These old-school contact lenses are never recommended, because you can end up looking like Cruella in the above photo.

 

 

Hades- Hercules

Hades- Hercules

 

DRY EYES:

Hades is also over-acting when portraying the condition of dry eyes, however, it does paint a common picture. Patients with dry eyes often exhibit red eyes that burn and often feel like they are on fire. This can be quite irritating and often severely painful.

 

Crush - Finding Nemo

Crush – Finding Nemo

 

PTOSIS: (pronounced ‘toe-sis’)

Crush unfortunately has a more severe case of ptosis, which is “drooping eyelids.” Usually it affects one eye, therefore making patients think they have a smaller eyeball, when in reality they have one eyelid that droops. In Crush’s case, he has it in both eyelids, which is much more common in the elderly, due to muscle eyelid weakness. Of course, we would expect that with Crush because he is 150 years old (and still young, dude).

 

Big Baby- Toy Story 3

Big Baby- Toy Story 3

 

CONGENITAL PTOSIS:

Congenital Ptosis is a drooping eyelid in a child that occurs either from birth or develops at a very young age. Although thought to be a cosmetic problem, it can sometimes be sight-threatening in some cases and should be evaluated immediately once detected to prevent permanent visual loss. Big Baby needs an ophthalmologist, STAT!

 

Nick Fury- The Avengers

Nick Fury- The Avengers

 

OCULAR TRAUMA:

Although Nick Fury is a character from Marvel, Marvel was bought by Disney, therefore after Mr. Fury begged me to put him in this post, now I can. Ocular trauma unfortunately is a common problem. Remember when your parents said “don’t to that, you can poke someone’s eye out?” Well, I’ve seen it. Ask Mr. Fury!

 

Yao- Mulan

Yao- Mulan

 

EYELID HEMATOMA:

A hematoma is the medical term for a ‘black & Blue mark.’ Of course it can occur on any part of the body, but Yao happened to get one on his eyelid. Sometimes, they can become so large, that they close the eyelids shut, until the black & blue mark disappears. The most common cause is obviously trauma, but can occur with valsalvas, blood thinners, ocular surgery, Botox injections, and some blood clotting disorders.

 

 

Olaf - Frozen

Olaf – Frozen

 

PROSTHETIC EYE:

In this picture, Olaf is showing of his new, magical prosthetic eye. Although it does help him see, in humans, they don’t.

 

 

LESS COMMON EYE CONDITIONS:

Gurgle- Finding Nemo

Gurgle- Finding Nemo

 

THYROID EYE DISEASE:

Gurgle, unfortunately has a condition called Graves Disease. This disease is when a person has an overactive thyroid. One of the signs of this disease is eyelid retraction. When the upper eyelid retracts upward, it makes the eyes look larger than they really are and have a “bulging” appearance.

 

 

 

 

 

Roger Rabbit

Roger Rabbit

 

SEVERE THYROID OPHTHALMICUS:

Although Roger does not really have thyroid eye disease, he is able to make his eyes bulge as if he really did. Roger is just showing off right now, but in severe thyroid eye disease, the eyes truly do bulge out of the socket and are often frozen and can not move. Sometimes the eyes are pushed so far out, that the eyelids can not close and the eyes can dry out. This is an ocular emergency and can require surgery to fix.

 

Darla- Finding Nemo

Darla- Finding Nemo

 

ESOTROPIA (aka ‘inward-turned eye’)

Darla, unfortunately has a condition that is pretty common in children and should be referred to an ophthalmologist right away. It can often be cured with either glasses, patching or surgery, but must be detected early in life to have a good chance of success from treatment.

 

 

Genie- Aladdin

Genie- Aladdin

 

ACCOMMODATIVE ESOTROPIA:

Genie is exhibiting a condition where a person displays inturning eye(s), or esotropia, only when looking at near objects. This is often treated with glasses.

 

 

 

Genie- Aladdin

Genie- Aladdin

 

EXOTROPIA (Out-turning eye(s)):

Here, Genie is showing us a severe example where both eyes are turned out at the same time. This is usually not the case. Most likely, a patient will only have one eye that turns out, or they will have either eye turn out, but not at the same time. Once again, this must be detected early in age to have success to treat.

 

 

 

 

 

Doc - Snow White & The Seven Dwarfs

Doc – Snow White & The Seven Dwarfs

 

HYPERTROPIA (up-turned eye):

I asked Doc to help out a little. He said he can show us one eye turning up, while the other looks straight. This is a very rare condition. Thanks Doc!

 

 

Billy Bones- Treasure Planet

Billy Bones- Treasure Planet

 

ECTROPION (out-turned eyelids):

Mr. Bones has very irritated eyes, because of his ectropion of both lower eyelids. If you look at his eyelids, you will see they are drooping outwards, away from his eyeballs. This causes a space where the eyelids do not touch the eyeballs causing severe dryness and irritation. This is usually treated with surgery.

 

Anchor- Finding Nemo

Anchor- Finding Nemo

 

HYPERTELORISM:

Anchor was born with a rare congenital ocular disorder called HYPERTELORISM. It is a condition where the eyes are spaced very far apart from each other. This is usually associated with other facial and skull deformities, just like Anchor has.

 

 

 

Beast- Beauty & The Beast

Beast- Beauty & The Beast

 

BLEPHAROSPASM:

In this photo, Beast is suffering from Blepharospasm. This is an uncontrolled forceful blink that can be short or last a few seconds. Often associated with allergies or tics, it can can also occur for other reasons. In adults this can be treated with Botox, which is why Beast looks like a handsome prince at the end of the movie (spoiler-alert).

Gaston- Beauty & The Beast

Gaston- Beauty & The Beast

 

7th CRANIAL NERVE PALSY / BELLS PALSY:

Although no one acts like Gaston or spits like Gaston, he is suffering from a common problem. In this condition, the Facial Nerve, which is the nerve that controls movement of half of your face, can stop working. This will cause one eye not to be able to close (aka Bells Palsy), and sometimes occur with a down-turned lips on one side (aka Complete 7th Nerve Palsy). This is often treated with ocular lubricants and resolves on it own within 6 weeks-4 months.

 

Horned King- Black Couldron

Horned King- Black Cauldron

 

ANOPHTHALMOUS:

The Horned King was born with no eyeballs. Anophthalmous is a congenital birth defect where a baby is born without an eyeball, or rarely no eyeballs at all. Luckily this is rare and has no cure to date.

 

 

Mike Wazowski

Mike Wazowski

CYCLOPIA:

Mr. Wazowski is the worlds most popular cyclops. Born with one central eye. In humans, though, the one central eye usually does not see and this condition is usually associated with multiple facial abnormalities. Babies born with Cyclopia, usually have so many congenital abnormalities that they usually do not survive. Luckily for us, Mr. Wazowski did survive, despite not being born with a nose or second eye, and has been making us all laugh since 2001. Mr. Wazowski now works in Tomorrowland, DisneyWorld, where he works on the Laugh Floor Comedy Factory.

Cheshire Cat- Alice In Wonderland

Cheshire Cat- Alice In Wonderland

 

JAUNDICE:

Cheshire Cat, unfortunately has a case of jaundice, which is a yellowing of the skin and eyeballs. Although it is hard to see on Cheshire’s skin, his eyes are exhibiting the classic yellow appearance seen in jaundice. This is usually a sign of liver disease and once detected, a liver workup should be ordered immediately. This can also occur in babies, after birth. This occurs when bilirubin builds up in the blood. Babies with jaundice should be sent to the pediatrician immediately.

 

 

Patch- 101 Dalmatians 2

Patch- 101 Dalmatians 2

 

NEVUS OF OTA:

Patch was born with this birth defect called Nevus of Ota. A Nevus is a medical term for a freckle. In this case, it is a large darkening of the skin of the eyelids and periorbital area on one side of the face. Although a cosmetic defect, it is sometimes associated with Glaucoma in the eye surrounded by the nevus, therefore requiring close follow-up with an ophthalmologist.

 

 

 

 

Rumpelstiltskin- Once Upon A Time

Rumpelstiltskin- Once Upon A Time

 

WILSON’S DISEASE:

Although this condition is usually considered hematologic, due to excess copper build-up in the blood, it does have classic eye findings. Despite the copper-like skin, a small ring of copper develops on the cornea (called a Kayser-Fleischer Ring) and slowly gets larger with time. Once treated, the copper-corneal ring disappears.

 

 

Aliens- Toy Story

Aliens- Toy Story

 

TRICLOPIA:

Not yet seen in humans!

 

 

 

 

I hope you enjoyed our demonstration, and if you have any Disney Characters that have other ocular conditions that need diagnosis, please post it here or ask away and I will be sure to come up with a diagnosis. Just make sure your Disney character has insurance. ENJOY!