In order for one to understand how grateful I am to have found the…

From a patient’s family:

In order for one to understand how grateful I am to have found the solution to my son’s problem, I have to tell the entire story. My son had been having serious issues with skipping words when writing and spelling. The teachers at his school stated that he may have dysgraphia. They weren’t particularly concerned in correcting it at the moment, since he was in 3rd grade, and writing was not going to be significant on the 3rd grade STAAR test.

With a lot of advocating, the school brought someone in to help him write when the class had writing exercises. Unfortunately, he didn’t qualify for a 504/IEP. I was afraid that the ‘helper’ who was working with him was doing most of the work for him because he was unable to reproduce the work that he was doing at school with the helper at home.

I took my son to a writing tutor, two OT’s, and had a consultation with a psychiatric neurologist (charging $3000 for a diagnosis only, no therapy only a referral to a therapist and then more money). The writing tutor and the OT just flat out could not help him. In fact, one OT just gave up. At our last visit, she gave me some exercises to do with him and we were left alone to figure out the problem.

For the beginning of 4th grade, I decided to put him in a private school with smaller classroom sizes (15 students). The teacher worked closely with me regarding my son’s writing issues. One day she called me and said that she thought something was wrong with his vision because whenever he read he tilted his head a little bit too much. I expressed this to the second OT and she said that witnessed the same thing. She advised me to take him to vision therapy.

I researched and found Dr. Fong in Sugar Land. His staff was amazing and gave me a briefing of what to expect. Dr. Fong took him as a patient and did testing. He found that my son had deficiencies in his spatial ability. He also discussed with me that when my child was reading, the words appeared as if they are jumping around the page. There were a few other deficiencies as well. I decided to go with Dr. Fong after looking into and trying many avenues.

Let me tell you, I was not disappointed. This was a process and in the beginning and even toward the middle I was wondering if this was going to work. I trusted the process and we kept pushing. Eventually, I saw his spelling improve. Approximately 3-4 months into treatment, his teacher called me and said that he was writing fluently with no hesitation.

Here are a couple of things to note…my son, although he can write manually, he does better with the keyboard. The teacher allows him to bring his keyboard to class. As far as focus, the school has allowed him to wear headphones with music to block out distractions when he has to do assignments in class. He’s always been bright and had good grades. Now, I can see him becoming more independent since vision therapy with Dr. Fong.

I am forever grateful to Dr. Fong and his amazing staff!

Dr. Lori Lumpkin-Jones

Testimonial Vision Therapy Sugar Land Eye Doctor

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Improve Academics

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😯 Up to 94% of people with Learning Difficulties have Eye Movement Problems.

In a clinical study, πŸ‘©β€πŸ« teachers πŸ‘¨β€πŸ« were asked to RATE whether students showed IMPROVEMENT in reading performance, overall academic performance and self-confidence AFTER THERAPY.
πŸŽ‰ 72% improved in reading, 63% improved in overall academic performance and 90% improved in self-confidence after therapy per the teachers. πŸŽ‰

If a child is struggling at school, please have their eye movements and other visual skills evaluated. These problems are not investigated in a yearly eye exam and are not corrected by traditional eyeglasses.

For more information, contact Dr. Edward Fong and the Sugar Land Eye Doctors and Optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Kids and Sunglasses

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School is winding down, and summer is right around the corner. Skipping out on sunglasses contributes to macular degeneration, pterygium, basal cell carcinoma, cataracts and more. Unfortunately, almost fifty percent of parents say that their children seldomly or never wear sunglasses according to a report by The Vision Council. Protect their eyes like you would protect their skin.

For more information, contact Dr. Edward Fong and the Sugar Land eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Myopia Increasing

Cases of Myopia Treatment Sugar Land OrthoK Eye Doctor Exam

By 2050, almost 50% of the world will be myopic. That’s 5 billion people! One billion will be in the high myopia category. We want to help make sure that you and your family aren’t included in that number. Come in and see us.#myopia

For more information, contact Dr. Edward Fong and the Sugar Land eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Handwashing and Contacts

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Only 5% of people wash their hands properly according to a study published in 2013 involving over 3,700 people. Even worse, up to 50% of contact lens wearers outright disregard or do not properly wash their hands when they handle contacts DESPITE instruction by their eye doctor according to a 2018 clinical study. Poor hand hygiene is a risk factor for eye infections and inflammation according to studies published in 2008, 2009 and 2017. Regular, proper handwashing protects against bacterial infection of the eyes for contact lens wearers.

For more information, please contact Dr. Edward Fong and the Sugar Land, TX eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Smartphones and Children

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Smartphones affect your child more than you might think. Watch this interesting report from NBC 26 in Green Bay, Wisconsin on the effects of smartphones on children.

For more information, please contact Dr. Edward Fong and the Sugar Land, TX eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Eye Injuries – Help is On the Way

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Eye trauma is a common cause of vision loss in children. One of the results of the injury is often poor eyesight due to a misshapen cornea. Standard glasses and contact lenses will not be able to correct this because of the irregular shape caused by the damage. However, specialty contact lens designs can help these patients see better and look better afterwards.

For more information, please contact Dr. Edward Fong and the Sugar Land, TX eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Overlooked Risks at School

Dangers of Blue Light Sugar Land TX Optometrist Eye Doctor Exam Fort Bend ISD Technology Center Back to School

Aside from backpacks, pencils, papers and other school supplies, have you also provided protection for your child from the long-term environmental dangers lurking in classrooms and hallways? Digital light and energy-efficient lighting in schools increase risks for macular degeneration, eyestrain, sleep disturbances and cataracts. Clinical studies, in fact, indicate that children absorb more of this harmful light. Symptoms of eyestrain include sore and irritated eyes and difficulty focusing.

For more information, contact Dr. Edward Fong and the Sugar Land, TX eye doctors and optometrists at Bright Eye Care & Vision Development.

References available upon request.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.

Why does my vision change?

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Have you ever wondered why your vision changes from year-to-year or month-to-month or even day-to-day? The term “vision” includes a wide spectrum of visual skills, and for this article, we will concentrate on two inter-related aspects – eyesight and prescription. The references for this information are listed at the end of the article for your review.

According to research studies and clinical observation, the following can cause temporary or longer-lasting changes in a person’s visual acuity and/or prescription. Not everyone who experiences one or more of the following will experience a vision change, but vision changes have been observed in enough of these situations to be aware of its potential effects:

  1. Diurnal changes in corneal curvature
  2. Menstrual cycle
  3. Stress hormones
  4. Diabetes
  5. Cataracts
  6. Medications
  7. Dry Eyes
  8. Pregnancy
  9. Increasing axial length
  10. Muscle spasms

The curve of the cornea changes during the day. Clinical studies show that a person’s cornea can change as much 0.83 diopters. This would effectively mean that how you see out of the same pair of glasses could go from 20/20 to approximately 20/40 just from normal daily changes in your corneal shape. To help you better understand how this works, think about LASIK. This refractive surgery procedure changes your prescription by permanently altering the shape of your cornea through lasers. If you flatten the cornea, then you would change the prescription a certain way. Alternatively, if you steepen the cornea, you would change the prescription another way. Similarly, normal changes in corneal shape during the day can alter your prescription and how you see.

Changes in the cornea have also been observed during the menstrual cycle. Clinical studies reveal that the curvature of the cornea steepens in the early phase while flattening during ovulation. The thickness of the cornea changes too during the menstrual cycle. The cornea thickens at ovulation and then thins out afterwards. Changes in curvature, as discussed earlier, and changes in thickness will affect your prescription and acuity. This is why some people may notice variations in acuity and prescription on a monthly basis even though they are wearing the same prescription.

Stress can affect many aspects of a person’s health including his/her vision. In response to stress, your body releases many different hormones including cortisols, catecholamines, vasopressin, gonadotropins and potentially more. A number of these hormones will affect the function and physiology of your eyes and visual system. That discussion would be too detailed for this forum, but this is what it effectively means: If you’ve been stressed out all day and then visit the doctor, your prescription may be different once your stress has subsided and vice versa.

Changes in blood sugar levels can cause changes in vision and prescription. Sugar can be trapped in the crystalline lens of the eye thereby causing it to swell. This swelling will change a person’s prescription. Alternatively, when a person’s sugar levels decrease, the crystalline lens will release the trapped sugars. The prescription again will change because the shape of the crystalline lens has changed. So, if you have diabetes, you can expect to occasionally experience changes in visual acuity and prescription as your blood sugar levels fluctuate.

Cataracts alter how light passes through the front of your eye to the back. This pathway change will affect your prescription in different ways depending on what type of cataract(s) that you have.

Medications can change a person’s prescription in one of three ways: 1) spasm of the muscle located towards the front of the eye called the ciliary muscle, 2) retention of fluid in the crystalline lens or 3) swelling of the ciliary processes towards the front of the eye. The list of medications that can cause changes to your prescription and visual acuity is too lengthy to list in this forum.

Dry eyes can cause changes in prescription and/or fluctuations in visual acuity because of this condition’s effect on the front surface of the eye. The cornea plays an important role in focusing light to the proper place in the back of the eye. As a matter of fact, the cornea accounts for 65-75 percent of the eye’s prescription. Consequently, changes to the cornea due to dry eye can have a profound effect on visual acuity and/or prescription.

Changes in prescription seen in pregnancy can be temporary or long-lasting. The hormones that are released during pregnancy can change corneal thickness, corneal curvature, how the crystalline lens transmits light to the back of the eye and how the front eye muscles focus light. Some women experience changes in myopia (nearsightedness), hyperopia (farsightedness) or astigmatism. There has even been a published case in which one woman experienced an increase in myopia during the first trimester only to experience a swing to hyperopia in her second and third trimester.

The length of the eyeball is known as axial length. Increasing axial length is a common reason for changes in prescription seen in children up to the age of twenty-two years. Clinical studies seem to indicate that multiple factors working in concert result in changes to axial length rather than just one component being the culprit. Every one millimeter change equates to a three diopter change in prescription.

Spasms of the ciliary muscle will change the shape of the crystalline lens. This change in shape will result in changes in prescription and visual acuity. These spasms can be temporary or longer-lasting in different individuals. Different medications as well as inefficient focusing visual systems can cause these spasms of the ciliary muscle. This can cause transient changes in how you see through your glasses or contacts, or it can cause your prescription to change from one doctor visit to another.

For more information, please contact Dr. Edward Fong and the Sugar Land, TX eye doctors and optometrists at Bright Eye Care & Vision Development.

References:

  1. Ranabir S and Reetu K. Stress and hormones. Indian J Endocrinol Metab. 2011 Jan-Mar; 15(1): 18–22.
  2. Omoti AE, Waziri-Erameh JM, Okeigbemen VW. A review of the changes in the ophthalmic and visual system in pregnancy. Afr J Reprod Health. 2008 Dec;12(3):185-96.
  3. Ekpenyong BN, Aruotu NA, Uzodike EB, Njoku CG. Clinical Investigations and Management of Refractive Changes in Pregnancy: A Case Report. Afr J Reprod Health. 2015 Dec;19(4):107-17.
  4. Sunness JS. The pregnant woman’s eye. Surv Ophthalmol. 1988 Jan-Feb;32(4):219-38.
  5. Eisner A, Burke SN, Toomey MD. Visual sensitivity across the menstrual cycle. Vis Neurosci. 2004 Jul-Aug;21(4):513-31.
  6. Oliver KM, Walsh G, Tomlinson A, McFadyen A, Hemenger RP. Effect of the menstrual cycle on corneal curvature. Ophthalmic Physiol Opt. 1996 Nov;16(6):467-73.
  7. Kiely PM, Carney LG, Smith G. Menstrual cycle variations of corneal topography and thickness. Am J Optom Physiol Opt. 1983 Oct;60(10):822-9.
  8. Soni PS. Effects of oral contraceptive steroids on the thickness of human cornea. Am J Optom Physiol Opt. 1980 Nov;57(11):825-34.
  9. K Pesudovs, D B Elliott. Refractive error changes in cortical, nuclear, and posterior subcapsular cataracts. Br J Ophthalmol 2003;87:964–967.
  10. Handa T, Mukuno K, Niida T, Uozato H, Tanaka S, Shimizu K. Diurnal variation of human corneal curvature in young adults. J Refract Surg. 2002 Jan-Feb;18(1):58-62.
  11. Read SA, Collins MJ. Diurnal variation of corneal shape and thickness. Optom Vis Sci. 2009 Mar;86(3):170-80.
  12. Yasuda A, Yamaguchi T, Ohkoshi K. Changes in corneal curvature in accommodation. J Cataract Refract Surg. 2003 Jul;29(7):1297-301.
  13. Benjamin, WJ. Borish’s clinical refraction 2nd edition. Butterworth-Heinemann, 2007. Print.

Medical Disclaimer. The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images and information, contained on or available through this website is for general information purposes only.