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The latest Treatment for Dry eye -exciting results!

We are one of the first official Dry eye centers! We are excited about our outcomes because at last, we can offer a unique treatment plan after doing extensive research and traveling to find the best and most effective regimes to have a great outcome. The newest addition of equipment is our secret weapon.

Most Optometrists will only dispense eye drops, here at the Dry eye center with our special holistic approach we provide great results; more than 85% of our patients show a significant improvement.

We are passionate about new innovative ways to help our patients, and our Dry eye center has become such a rewarding adventure. We can now help so many people. Patients are referred from all over.

92% of patients would recommend the treatment and our results are linked with international Dry eye studies. The results speak for themselves and currently, we are one of the first practices in South Africa offering this level of assistance and results.

We have seen and helped patients with severe symptoms who can’t drive from PTA to JHB without having to pullover, rinse their eyes, and insert drops.

It easy to recognize patients suffering from Dry eye and one in five people know the problem. Red swollen eye and eyelids, being super sensitive to daylight, and avoiding driving with an open window or with the aircon on are some of the symptoms many patients experience.

There is also a strong link between dry eye patients and people that have diabetes, rheumatoid problems, people who had eye surgery and with ladies moving into their 50’s.

Our optometrists prefer a holistic approach to dry eye care. We provide a detailed analysis to find an effective outcome for patients. To find out more call us at 010 100 3824, or visit our website www.pieterseoptom.co.za, Search – The Dry eye center S.A.

TOP 3 WAYS TO STOP YOUR CHILD’S VISION FROM GETTING WORSE!

Myopia or nearsightedness is a major concern for Blindness.

It’s becoming a serious offence if the optometrists are not telling their patients about options to control children’s myopia or nearsightedness; these are the words of Mr Pieterse, a concerned Optometrist doing myopia control in the Johannesburg Westrand area!

Why is it that more and more Kids become nearsighted; being able to see a cellphone screen or their near work easily but battling to focus clearly in the distance?

Did you know that kids with one parent being nearsighted or myopic are almost three times more likely to be nearsighted when they go to high school?

The prevalence of myopia builds up to seven times more likely if both parents are wearing spectacles or contact lenses.  Myopia is a great problem since it greatly increases the child’s risk for major eye problems!

For years myopia has been put down as not being a serious issue and China is one of the leading countries paying a high price for this reality. The newest research confirms Myopia prevalence in children is now seen as an epidemic. China presents with the highest number of myopic children showing more than 80% of school kids now have to wear spectacles for better distance vision. In Australia studies show that the risk for a 12 year old being nearsighted has doubled in the last 6 years.  It is also predicted that 36% of Australians will be myopic at the end of 2020, and this number is seen to increase to 55% by the year 2050.

This is a major concern for your child’s general eye health and the question is no longer if we should do myopia control but rather what would be the best way to intervene getting a grip on the progression of this disease. Our inability to intervene leaving myopia untreated puts our people at risk for many vision-threatening conditions including retinal detachment, early cataracts, macular complications, high intra ocular pressure and even blindness.

Luckily we now have Ortho K contact lenses and the stats show that the 3 top ways to control or prevent myopia progression are 1) Ortho k RGP Contact lenses 2) Soft multifocal contact lenses and 3) Specialized myopia control spectacle lenses.

Ortho-k or Orthokeratology contact lenses are the newest technology and have been shown to be the most effective way for myopia control since it’s been shown to be safe and reduce the progression rate by 40-55%. These lenses are a non-surgical alternative and the specially designed contact lens that gently alters the cornea or surface of the eye. Lenses have to be worn at night, and have shown to be as safe as soft contact lens wear.

Additional benefits apart from correcting the vision, is that children’s self-esteem improves and their ability to play all sports. Parents also don’t need to be concerned about their child losing spectacles or contact lenses during the day since the corrective lenses are worn at night, giving spectacle free vision during the day.

In a recent study published in 2017, reviewing 200 children wearing ortho-k lenses , it was found that kids were more happy and satisfied compared to those wearing specs;  considering cosmetic appearance, overall vision, academic performance and peer perception. Another interesting find was that the parents of the children wearing ortho-k lenses preferred that they continue wearing the new contact lenses option.

Spectacles and multifocal soft lenses offer much less myopia control but is still an option since approximately 12-19% reduction is still significant compared to not taking any action.

In conclusion; speak to your optometrist about these options. Sadly very few optometrists in South Africa do myopia control, and more specifically ortho-k lenses due to the significant extra time and effort it takes for Optometrists to become confident with Ortho-k options. More than 900 000 patients worldwide have now been fitted with ortho-k lenses and hopefully eye care professionals in S.A will catch up with modern times to offer myopia control to parents.

More information can be obtained at myopiaprevention.com, www.myopiaprofile.com , www.pieterseoptom.co.za › orthokeratology or 010 100 3824 (S.A – Westrand)

What is the best contact lens fluid to fill my RGP scleral lens?

Re-look at pH when filling my scleral lens or hybrid lens for Dry eye.

The Question to answer what is the best solution or filling fluid to use when wearing scleral lenses?

Studies by Patrick J,Caroline and Mark P.André show that different saline 0.9% NaCl scleral solutions can have significant different pH measurements. Overall the preservative free solutions assist with dry eye, post surgical corneal cross linking (CXL) and Keratoconus management in scleral lenses. It has been found that patients who have dry eye tend to do better with a slightly more buffered solution, showing more comfort with the initial application and at the end of the day.

 

What was interesting for us to discover was that most patients felt that using a combination of the solutions below gave much less dryness sensation and resolved corneal haze. When reviewing these patients we were removing the lenses and looking at the cornea’s and it seems that the cornea health is also much happier with this option BELOW! The higher viscosity of the Celluvisc UD that is placed first into the scleral lens when filling the lens makes a huge difference.

Our recommended saline combination at Pieterse Optometrist for filling is the following:

Start with Celluvisc ud (2-3 drops ) + top up with preservative free such as saline Purilens/ or Lens plus (4 drops) .

Kids Winter Promo -Free spectacle lenses for Kids

At Pieterse Optometrists we are passionate about helping our community!

Our Winter promo has just started which means that Kids can now all afford to have clear and good vision. Statistics in S.A show that less than 20% of Kids have an comprehensive eye test before graduating which is something we would like to change. Our Kids Promo gives free spectacle 1.5 single vision stock lenses to all school kids who visit us for an eyetest and purchases a frame. T& C APPLY

Natasha Pieterse is our Pediatric Optometrist focusing on Kids eye care.

Recently Natasha has completed the The Red Apple Dyslexia Course for diagnosis and treatment of Dyslexia.
Her newest venture currently is the start of Biolink Attention Training center in Krugersdorp where our aim is to build the confidence of children and to provide parents with the necessary skills by providing individualized concentration and behavior control . Biolink is the leader in behavioral, cognitive and educational training. We provide Bio-Feedback exercises to help improve concentration and focus for all individuals; young and old, including those with ADD / ADHD.

Check out our facebook page!

Is your Optometrist geared to screen for Keratoconus & What’s important to know about Keratoconus progression?

Pieterse Optometrists focus on all kinds of ocular problems and it is shocking to see how often Keratoconus is missed and only detected in the late stages when vision presents to be poor with spectacles. It is a sad fact that often spectacles are given without the screening for Keratoconus by doing corneal topography.

Did you know that corneal topography can detect the presence of keratoconus  4-5 years before it effects the spectacle vision and that there is now a treatment available to stop progression of the corneal changes? Corneal Topography screenings are currently done at a small additional cost of R 180 to accommodate everyone.

It is crucial to screen for Keratoconus if there is a family member with Keratoconus, and children from the age of 6 years can be screened by doing corneal topography.

We are now sure that the inflammatory components of keratoconus are often caused by allergies and eye rubbing  which form part of the main driving factors causing the progression of Corneal changes.

Keratoconus can be broken down into the word “Kera” –which means cornea (front structure of the eye)  and “cone” which suggests a sharp cone structure. Keratoconus result from changes within the cornea, causing the structural fibres to weaken and changing its orientation.

Most untreated Keratoconus patients will present with a cornea that continues to thin, change shape over time and has inadequate spectacle vision.The keratoconic cornea might continue to thin even more and develop complication called a corneal hydrop which we often still see in South Africa. Hydrops occur when the cornea has thinned so much that the inner membrane tears leaking fluid into the cornea, causing great haze and permanent scarring affecting vision dramatically.

Luckily we have a new option to stop corneal changes and progression called corneal cross linking surgery. As mentioned cross linking will stop the progression of keratoconus but does not improve the vision. Early detection is key!

Most patients can also be fitted with the new option called scleral contact lenses. These scleral lenses gives great comfort and significant improvement of vision compared to spectacles. Scleral lenses is a specialised option and is certified as the number one choice for advanced keratoconus.

The main problem in South Africa is that most Keratoconus patients are detected far too late, since the general optometrist can miss the presence of corneal changes if the spectacle refraction is done without doing a corneal Topogrpahy screening. It is vitally important not to wait until your child has poor vision symptoms but to rather be pro active doing a corneal topography screening every 3 years.

Visiting an optometrist who focuses on speciality solutions for Keratoconus is important if there is keratoconus in the family. At Pieterse Optometrists Screening with corneal Topogrpahy for keratoconus is essential for detection and monitoring of progression over time.

If corneal cross linking is done at an early stage; it is possible to avoid the need for high prescription spectacles, corneal transplant surgery and even hard contact lenses all together.

For more information call the practice at 010 1003824 or send a email to info@pieterseoptom.co.za.

-written by Willem Pieterse –

No 1 -Treatment for severe Dry eye resolved with scleral lenses.

The Following patent was referred to Pieterse Optometrist and presented with severe dry eye syndrome due to the surgical removal of her main tear gland called the Lacrimal gland. The absence of the lacrimal tear gland creates a problem since the lubricating tears are essential for good ocular health, a smooth corneal surface and clear vision.

The patient has been suffering from severe dry eye for the last year and had to insert lubrication drops every half an hour. The eye specialist Dr Grobbelaar referred the patient for an alternative option of scleral lens fitting since the convention treatment options were not effective enough to address the problem. Similar problems of Dry eye are often seen with Sjogren’s syndrome (absence of tear production), Rheumatoid arthritis or post surgical complication such as Lasik eye surgery.

We fitted the patient with an advanced Dual saggital height toric scleral lens to assist with treatment and management of the severe dry eye. The scleral lens creates a unique environment where there is a constant reservoir of tears over the eye, protected from fiction of the eye lids and gives great vision.

The following photos shows how the corneal surface can be affected by dry eye and also shows the lens on the eye (a flourosceine drop inserted glows and shows the lens on the eye). We prefer a slightly larger lens to cover more ocular surface. Without the lens on the eye, the patient had significant ocular inflammation and quick evaporation of the tears. The patient also mastered the insertion technique within 15 minutes and can now wear the lens comfortable for 12 hours a day since the comfort of scleral lenses are similar to toric soft contact lenses.

We are excited about the much improved result, making the scleral lens an effective solution to severe dry eye caused by Rheumatoid arthritis or post corneal surgery complications. She can now play golf and do other functional tasks easily and reduced the ocular drop insertion from twice hourly to only 4 times per day with the lens on the eye.

2500 Vitality Points for Screening Glaucoma – Know your Eye Pressure!

diabetic-eye-care-pieterse-optometrists5.Discovery Vitality 1Pieterse Optometrist is a family orientated practice based in 229 Bell Drive Noordheuwel (Across Pick and pay Center). We are passionate about offering a personalized service and high quality eye care.

Any Discovery Vitality Member – If you are 40 years and older – can earn 2500 VITALITY POINTS for a GLAUCOMA Screening – It only takes 10 mins per screening (No appointment needed)  – TEL  010 100 3824 www.pieterseoptom.co.za

About the Test

A glaucoma screening is recommended for men and women over the age of 40 and detects your risk for glaucoma. Glaucoma is a disease that is known to increase the pressure in the eye which can cause tunnel vision or even lead to blindness.

Need to know

  • If you wear contact lenses, remove them before the test.
  • Avoid alcohol for 12 hours before the test and any liquids for four hours before.
  • If you have a wound on your eye or an eye infection, wait until it’s healed before you have the test.

Paying for the glaucoma screening

  • Discovery Health pays for the test on all Discovery Health Plans from your day-to-day benefits, if you have funds available. The cost claimed for screening is R 80.

Ortho-K: An Alternative to Laser Eye Surgery!

Correct Your Eye Sight Over Night- Sleep your prescription away!

Ortho k pic 3

The key to great vision without the need of spectacles or contact lenses during the day could be as simple as a good night’s sleep.

The revolutionary OrthoK (An Alternative to Laser Eye Surgery) contact lens is used at night to gently reshape the surface of the eye. Once the desired effect is obtained no spectacles are needed during the day.

Ortho Keratology (An Alternative to Laser Eye Surgery) has taken the world by storm and is now available at optometrists who have done further studies in advance contact lens fitting and who have invested in this great technology.

What a great alternative for the patients who do not want to take the risk of corrective laser surgery or who do not qualify for that procedure. This alternative to laser surgery is also at a fraction of the cost! The biggest advantage is that most medical schemes will pay for these lenses.

According to Mr Willem Pieterse a well known optometrist who fit these lenses, Ortho K (An Alternative to Laser Eye Surgery) is an option that is comfortable, provides great vision and has transformed the quality of life for many patients.

Ortho K has already been done for thousands of patients worldwide and has been available for more than a decade. New technology measures the topography or shape of the eye to determine the first lens which is mathematically calculated and then ordered from Australia. Up to -6,00 diopters can be treated with the presence of astigmatism and even the post Lasik patients who need re-correction are often candidates.

Ortho K contact lenses should not be confused with extended wear (used day and night) soft contact lenses since it is only worn for 6-8 hours per night. Large extended studies done over 7 years have shown that Ortho K is safe and totally reversible. Further when lens wear is discontinued the eye will return to its original shape. It has also been proved to have a similar low risk profile as seen with general soft daily contact lens wear.

Another great advantage of Ortho K (An Alternative to Laser Eye Surgery)lenses is myopia (nearsightedness) control in children. The shown halting effect of myopia progression for children is strongly advocated and it is suggested that it should be offered to all children wearing spectacles for distance correction.

Most moms and dads who have had the experience of wearing corrective spectacles at school age will remember that their prescription got higher and higher as they continued through school and university. It is this progression which can be controlled when children are assisted with Ortho K retainer lenses.  To have your child be spectacle free at school has major benefits.

For more information on frequently asked questions, an interesting video of myopia progression in children and of how the Ortho K lens works, visit the website:  https://www.pieterseoptom.co.za/orthokeratology or http://www.allaboutvision.com/contacts/orthok.htm or phone (010)100 3824.

https://www.paulvisioninstitute.com/practice-areas/non-surgical-vision-correction-with-ortho-k-orthokeratology/

Pieterse Optometrist JHB South Africa

Email: info@pieterseoptom.co.za to arrange an Ortho K screening.

Do you have dry eyes?

Do you know how the French discovered the first real dry eye treatment?

One of my patients made this statement recently: “No one can understand what a person with chronic hurtful, dry eyes goes through until they live through the actual symptoms themselves”.  He also mentioned that most friends and othershave no reference of this problem.

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