Specialized services

Our clinic is one of the leaders in Canada in the field of myopia control. We have used orthokeratology to slow myopia since 2006.

Among the techniques available to slow the progression of myopia and elongation of the eye, we use :

• Orthokeratology: night lenses (appointment with Dr. Patrick Simard)
• Custom contact lenses: gas-permeable multifocal lenses (GAS PAG), hybrid lenses, custom soft lenses, etc.
• Stellest ophtalmic lenses from Essilor
• MiyoSmart ophthalmic lenses from HOYA
• Myopilux Max and Myopilux Pro ophthalmic lenses from Essilor
• Bifocal ophthalmic lenses adapted to eye morphology
• Atropine

 

Orthokeratology

Technique of wearing a gas-permeable contact lens (RGP) at night to change the shape of the cornea. As shown in the following links, the central cornea becomes flatter and the peripheral cornea more bulging.

There are therefore 2 effects to this type of treatment :

1. The central flattening of the cornea corrects up to 4.00 myopia diopters which allows the day to see well without glasses and contact lenses.
2. Increased peripheral curvature slows the progression of myopia. Each year that the child wears the lenses reduces the chances of progressing to a high myopia.

Both effects are independent. If myopia is higher than -4.00, glasses with a low prescription will be required to correct what is missing, but the stabilization effect of myopia will be present.

Costs :

The adjustment fee is $300. It is necessary to count several follow-up visits to ensure the proper functioning of the treatment: 1 week, 1 month, 3 months, 6 months and thereafter every 6 months. This fee is charged only for the initial adjustment. The adjustment fee is non-refundable.

Lenses are priced at $600 per pair for a life of 1 to 2 years depending on lens wear. If during the first 2 months, the treatment is not suitable or you want to stop, the costs of the lenses are partially refundable.

Two guarantees apply to this treatment :

• breakage warranty: 3 months from the date of purchase
• Adjustment guarantee: 3 months from the date of purchase (hence the importance of regular follow-ups at the beginning of treatment)

Note that the RAMQ reimbursement program of up to $300 per child every two years, also applies for orthokeratology lenses.

For more information :

http://www.myopiaprofile.com

http://www.myopiainstitute.org

http://www.mykidsvision.org

http://www.dreamlens.com

http://www.myopiaprevention.org

Custom contact lenses

During the eye exam, the optometrist will be able to offer you the lenses best suited to your situation and your budget.

It can be daily or monthly lenses.

 

Essilor's Stellest ophthalmic lenses

Unifocal ophthalmic lenses that allow the correction of myopia and the control of the progression of the lengthening of the eye.

https://www.essilor.ca/en/products/stellest

 

MiyoSmart ophthalmic lenses from HOYA

"HOYA’s MiyoSmart is the first ophthalmic lens to reduce myopia in children with D.I.M.S (Defocus Incorporated Multiple Segments) technology. It is considered non-invasive treatment on the eye, safe and effective in controlling the progression of myopia. '

"A clinical study carried out in Asia has shown that wearing this lens slows the progression of myopia and reduces eye lengthening by an average of 60% compared to the eyes of children wearing classic unifocal lenses."

https://www.hoyavision.com/fr/decouvrir-les-produits/pour-les-professionnels-de-la-vision/verres-speciaux/miyosmart/

Myopilux Max ophthalmic lenses from Essilor

Bifocal ophthalmic lenses that allow you to have long-range vision correction in the top of the glass and correction for close-range vision in the bottom of the glass.

https://www.essilor.fr/nos-verres/myopilux-max

Atropine

Atropine drops in high dose (1% or 0.5%) or low dose (0.05% or 0.025%), monotherapy or in combination with other methods.

 

Podcast One Child At A Time with Dr Simard and Simon Robert