Q: What is the most common visual condition in Puerto Rico?

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A: Presbyopia

Presbyopia is a condition where the crystalline lens loses plasticity, and therefore its power to bend, gradually over time, so it is common to lose with age the ability to see close objects, which gives rise to the term eyestrain. The eye, in order to form a clear image of objects, it must adjust the distance at which the image is so that the sharp image should influence the fovea, where greater site density photoreceptors in the retina is formed.

The treatment involves the use of lenses and bifocal reading eyeglasses with an appropriate prescription usually ranging from 1 to 3 diopters. By its use should be clearly legible at a distance of 33 feet.

Q: What are the most common eye conditions?

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A: Myopia, Farsightedness(Hyperopia), Astigmatism, Cataracts, Glaucoma

Myopia (short-distance vision) is the kind of vision in which nearby objects seen more clearly and more precise than objects at a distance.

Hyperopia (distance vision) is a type of vision that will seem better at a far distance than a closer one.

Astigmatism is an imperfection in the curvature of the cornea (the clear dome that covers the iris and pupil of the eye), or the structure of the lens (lens) of the eye. Normally, the cornea and lens are smooth and curved equally in all directions, which helps focus light rays and pronounced correctly onto the retina at the back of the eye. However, if the cornea or the lens is not evenly curved or smooth, light rays are not refracted properly. This is called a refractive error. The root cause may be hereditary, but in some cases may occur after a corneal transplant or cataract surgery. Like other ocular defects, astigmatism treatment supports a multi-pronged approach. It can be corrected by glasses even if they are not aesthetically acceptable solution for some people. You can also use contact lenses, but they cause a dependency of use, and require hygiene and maintenance that some people find it impractical.

A cataract is any opacity or cloudiness of the crystalline lens of the eye.

Glaucoma is an eye condition in which increased intraocular pressure (pressure inside the eye) to a point that causes progressive damage to the eye. Although occurs in different ways, the main feature of glaucoma is an alteration in the production and / or drainage of fluid that fills the inner eye: a large amount of fluid may occur for example, the normal amount must not flow like. These changes can be mild or severe periodic or constant during development. In any case, when too much pressure is present or when the eye is injured enough to lose vision, is said to have glaucoma.

Q: How can you cure Myopia?

A: Optometric care for myopia is centralized in the use of corrective lenses to prevent double special lenses (bifocal) contact lenses and / or vision training.


Q: What is the remedy for Hyperopia?

A: Hyperopia care includes the use of corrective lenses, contact lenses and / or vision training, depending on the degree, or type, and other vision problems associated with it. In many cases, you only need to use glasses to look closely. In other cases the lenses are necessary to produce clear vision without effort or fatigue.

Q: How does a Cataract develop?

A: A cataract starts with small opacities and gradually is getting bigger as time goes on. As some cataracts are stable for years, while others change gradually over a period of two to 20 years, a constant attention through eye exams and changes in prescription lenses are needed as required. The use of sunglasses with UV protection from an early age is something that helps us to delay the development of cataracts, especially in a tropical climate as it is in Puerto Rico this case.

Q: What are the remedies for Glaucoma?

A:  Once discovered, the optometrist refers the patient to a physician for treatment, who carries out one of the following things: widen the clogged drainage canal inside the eye via special drops and / or decrease the influence fluid of the eye using oral medications and / or eye drops. If this is not enough to control the damaged vision, a new drain output can be created surgically.

What is Orthokeratology?

Is revolutionary non-surgical treatment that eliminates the need for glasses or contact lenses during the day. This works gently molding your eyes while you sleep , using a specially designed therapeutic lens . Just insert these special glasses at bedtime and wake up enjoy a crisp and clear vision during the hours you are awake. This safe and effective treatment can correct near-sightedness (including high prescriptions), farsightedness, astigmatism and presbyopia (blurred near vision). It is a great alternative to LASIK for those who don’t want the risk or are not ready for surgery.



Corneal Ectasia

Corneal ectasia are congenital or acquired corneal deformities. Among the acquired ones there is keratoconus and pellucid marginal degeneration, and corneal deformation is acquired post- laser. Keratoconus is the most common corneal ectasia; it is a condition in which the normal shape of the cornea gets distorted, developing a cone-shaped deformation, amending progressively which impairs vision and making it increasingly blurred and creating visual distortion. Usually, the keratoconus is then manifested after puberty and the younger the patient and earlier the onset of keratoconus, more rapid and significant is progress and the deformation of the cornea. In most patients occurs bilaterally but not of equal magnitude in both eyes.
There are various forms of treatment by the severity and status of the process of corneal deformity. Treatment options to provide good visual acuity to patients may include the following , as appropriate:
Glasses - at the onset of the condition
Soft contact lenses - when not properly corrected glasses
Scleral lenses or hard contact - when the soft lenses do not adequately correct
The vast majority of keratoconus patients can be treated and receive excellent results with contact lenses without needing surgery.
 Lens Vision services offers assessment and treatment of corneal ectasia development of tailored treatment according to the magnitude and effect of corneal ectasia.