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Scleral lenses and Your Insurance Provider

When vision starts to become blurry, the immediate solution is to see an eye doctor and purchase a new pair of eyeglasses or contact lenses. In some cases, a person may elect for LASIK surgery, which comes at a much higher price tag.

On rare occasions, a patient may not benefit from wearing standard eyeglasses or contact lenses and is not a candidate for LASIK. These “hard-to-fit’ patients require a more advanced form of treatment like scleral lenses in order to restore their vision to normal. When patients discover they require more advanced vision correction, they have to face new challenges like adjusting to their new eyewear and, more pressing, the additional costs. We’ve put together some brief tips below to help our scleral lens patients take advantage of their insurances to reduce the burden and achieve visual success.

Medical Insurances & Scleral Lenses Myrtle Beach, South Carolina

While our vision is vital for daily activities, many medical insurances are very restrictive in how they cover any service related to eyewear. Although medical insurances are used for specific eye care services, purchasing eyewear is often not covered — not even partially. Our practice can review with you the specific details regarding your medical insurance, and whether or not you can expect coverage for a pair of scleral lenses. In general, medical insurances are best used towards the eye exams and diagnostic measurements.

Vision Insurances and Scleral Lenses in Myrtle Beach, South Carolina

Contrary to medical insurance, vision insurance plans are meant to reduce the costs for eyewear purchases. For some of our patients who have vision insurance with a contact lens plan, such as through EyeMed or VSP, a large portion of their scleral lenses will be covered. Please keep in mind that vision insurance policies differ. How much vision insurance will cover a specialty contact lens like scleral lenses is never concrete. Also, the experience of one patient may be totally different from the outcome of another patient’s experience.

This is why we recommend patients to schedule a consultation at our practice. We’ve seen many patients benefit a lot from their vision insurance plans, and we’ve guided numerous patients on how to maximize their coverage. Ultimately, we want our patients to enjoy the best possible vision for their eyes, and scleral lenses are often the solution.

One of the major reasons keratoconus patients and others with corneal irregularities come to our practice is precisely for our knowledge, experience, and expertise. Each specialty contact lens consultation will assess what are your visual needs and budget to develop the perfect pair of contacts. If you’re looking for scleral lenses and want to learn how your insurances can provide you coverage, call us today or schedule a consult online.

Orthokeratology Explained

Eye care, teenagers giving the thumbs up in Myrtle Beach, SC

What Is Ortho-k?

Have you worn eyeglasses or contact lenses for years? Imagine leaving your house in the morning and seeing all the fine details of the world around you – without putting on a pair of glasses or inserting contacts. Orthokeratology, also known as ortho-k, can do this for you!

Ortho-k is a contemporary, safe, and effective method of vision correction that allows you to see crisp and clear without any eyeglasses or daytime contact lenses. It does not require surgery, and even people who have worn prescription eyewear for years to correct nearsightedness can benefit from ortho-k lenses. To find out if ortho-k is right for you, visit our eye care specialists at Carolina Forest Family Eyecare. We serve Myrtle Beach, Conway, and all surrounding communities with sharp and healthy vision.

The Ortho-k Process

Eye doctor, teenage girl, ortho-k, in Myrtle Beach, SCOrtho-k works by gently molding and flattening your cornea as you sleep. You will need to insert specialized rigid gas permeable lenses before bedtime and remove them when you wake in the morning. Throughout the night, the ortho-k lenses will reshape your eyes, thereby correcting any refractive error temporarily. Typically, the effects of orthokeratology last only a few days at a time, which is why the lenses must be worn every night.

Orthokeratology is painless and reversible. Due to modern materials and advanced engineering, the uncomfortable symptoms caused by old-fashioned hard lenses are a thing of the past. Also, ortho-k lenses are only worn while you snooze, so you won’t feel they are there. At the beginning, you may experience mild side effects, such as seeing halo or glare around lights, but this will dissipate quickly.

Most of our Myrtle Beach and Conway, SC, patients notice results from ortho-k almost immediately. However, the full effects on vision are usually apparent after only a few weeks of wearing the lenses. In addition, if you start with ortho-k and later change your mind about it, you can simply stop wearing the lenses and your cornea will return to its original shape.

Ortho-k and Myopia Control

Recent studies show that ortho-k lenses are highly effective for controlling myopia in children. As the lenses mold the cornea, they suppress eye growth. This prevents children’s eyes from continuing to elongate – thereby preventing their nearsightedness from worsening. If your child needs vision correction and yearly eye exams always diagnose the need for a more powerful prescription, ask our eye doctors about ortho-k lenses.

Benefits of Ortho-k

Eye doctor, Young Girl Tennis Racket in Myrtle Beach, SCOrthokeratology has a lot to offer!

  • Most people are good candidates; even people who are not eligible for LASIK or other surgeries can usually wear ortho-k
  • No more need to wear glasses or daytime contacts; vision correction is convenient and comfortable
  • Sports players achieve crisp vision without bulky eyewear or bothersome contact lenses
  • Vision is often better than with eyeglasses
  • Non-surgical
  • Myopia control for kids reduces future eye health risks and eliminates the need to buy new glasses yearly
  • Ideal for dry and/or dusty environments, where contact lenses become uncomfortable

Ortho-k Fittings in Myrtle Beach

“Ortho-k is a highly specialized type of contact lens. That’s why not all optometrists have enough expertise to offer specialty ortho-k fittings – even if they offer fittings of other types of contact lenses. We are one of the few practices with skill and experience with orthokeratology, and we’re proud to offer this exciting new technology to Myrtle Beach and Conway!”, says Dr. Thomas Weshefsky, of Carolina Forest Family Eyecare.

Ortho-k fittings and eye exams are more complicated than with standard contacts, and a series of eye checks are usually needed. We’ll provide you with a variety of lenses to try until the perfect fit is found. The expense and time investment is slightly higher, but our patients report that their improved quality of vision and life is worth it.

Please visit us to discuss your candidacy and book an eye exam for revolutionary ortho-k lenses!

What is Myopia

Myopia often starts with ChildrenCommonly referred to as nearsightedness, myopia is when objects up close are visibly clear while objects at a distance are blurry. Myopia happens to be the most common form of refractive error that often develops during childhood.

Less common forms of refractive errors include:

  • Astigmatism: When the shape of the eye is no longer aspherical. This deviation from the normal roundness of the eyeball causes visual distortion and inability to focus.
  • Farsightedness: The opposite of myopia, farsighted individuals can see at a distance, while objects at the close end up blurry. When the light that enters the eye incorrectly, reaching behind the retina, results in poor focus. Farsighted individuals are often born with an eyeball that is shorter in size.
  • Presbyopia: Often occurs in adults over 40, where the eyeball’s elasticity or ability to focus weakens.

How Common is Myopia in Myrtle Beach, South Carolina?

Today, the rate of myopia has skyrocketed to nearly 30 – 40% of the U.S. population, which includes us in Myrtle Beach.

Modern research estimates that this epidemic is continuing to rise unless parents help their children control their myopia early in life. Utilizing solutions like orthokeratology at Carolina Forest Family Eyecare's Myopia Management Center will stop the progression of myopia to ensure healthier, longterm vision.

Problems That Come From Myopia

How children complete their homework for school or how adults write emails on the computer depend on their nearsighted vision. Everyday activities like reading the newspaper or restaurant menu, recognizing people’s faces, and checking our smartphones rely heavily on our myopic vision.

However, high levels of myopia will hamper the ability to see at a distance. That means greater difficulty at driving, playing sports, seeing the blackboard at school, watching movies & television, or enjoying nature hikes.

While prescription eyewear like eyeglasses or contact lenses will correct our vision, myopia will increase the risk of eye diseases, such as cataracts, macular degeneration, or a retinal detachment in later years.

Unmanaged myopia will typically progress in children starting as young as infancy and continuing on until their early 20s. Many children start their first pair of eyeglasses when they reach school-age, especially if they spent too much time indoors. Modern research suggests that a lack of sunlight and exercise could be hampering our children’s eye health.

The Science Behind Myopia

The shape of the eye is aspheric, nearly round, to allow light into our eyes. The light will pass through the cornea, the surface of the eye, and ultimately reach the optic nerve, which finally sends signals to our brain. Our brain translates these signals into what we call “vision.”

When the shape of the eyeball elongates (gets longer in shape), the light fails to enter the eye directly to the retina. This lack of focus results in blurry vision.

Although researchers struggle to identify the causes of myopia & how to cure this eye condition, some factors are associated with myopia progression:

  • Nationality
  • Region
  • Excessive time spent indoors
  • Usage of handheld devices, laptops or computers, or electronic devices in general
  • Genetics

For more information about myopia & the effects on children, read more about myopia control here.

Specializing in Contact Lenses | Myrtle Beach, South Carolina

In medicine, there are conditions that are not treated by general practitioners. Ideally, when a particular condition is severe or a sort of complication arises, general practitioners often refer their patients to experts referred to as specialists. This is not done because the doctor doesn’t understand the condition but because it deserves the attention of an expert for the right medical care.

In optometry, there are eye doctors who fit specialty contact lenses, even though many optometrists do not know much about it or prefer not to fit them. Broadly speaking, any general care optometrist or eye doctor can check for eye diseases and disorders, write the perfect prescription for new glasses, and teach patients how to put on contact lenses in a healthy fashion. Most people will be satisfied with this general care, but there are individuals with corneal irregularities that disrupt this traditional eye care practice. These “hard-to-fit” contact lens patients, for instance, are not candidates for wearing standard contact lenses and struggle with standard prescription eyeglasses.

Specializing in Contact Lenses | Myrtle Beach, South Carolina

"Hard-To-Fit" Contact Lenses

In medicine, there are conditions that are not treated by general practitioners. Ideally, when a particular condition is severe or a sort of complication arises, general practitioners often refer their patients to experts referred to as specialists. This is not done because the doctor doesn’t understand the condition but because it deserves the attention of an expert for the right medical care.

In optometry, there are eye doctors who fit specialty contact lenses, even though many optometrists do not know much about it or prefer not to fit them. Broadly speaking, any general care optometrist or eye doctor can check for eye diseases and disorders, write the perfect prescription for new glasses, and teach patients how to put on contact lenses in a healthy fashion. Most people will be satisfied with this general care, but there are individuals with corneal irregularities that disrupt this traditional eye care practice. These “hard-to-fit” contact lens patients, for instance, are not candidates for wearing standard contact lenses and struggle with standard prescription eyeglasses.

Are Your Eyes Hard To Fit?

Are Your Eyes Hard To Fit?

Do you have trouble wearing contact lenses that they are painful or constantly uncomfortable? You may fall under the category of a hard to fit patient. However, most hard-to-fit patients are often told they simply can’t wear contact lenses or presented with gas permeable lenses for a solution. Their eye condition makes contact lens wear challenging, to put it simply.

    The Following Conditions Are The Major Culprits In Such Cases
    • Astigmatism
    • Dry eyes
    • Giant papillary conjunctivitis (GPC)
    • Keratoconus
    • Post-refractive surgery like LASIK
    • Corneal irregularity or corneal dystrophy
    • Post-Corneal Transplant

    Any of these problems will typically require advanced care beyond the scope of the standard general care optometrist.

    Who Is A Contact Lens Specialist in

    We Specialize in Contact Lenses

    We Specialize in Contact Lenses

    It's rare to find an eye doctor who has taken an interest and developed a specialty contact lens practice to help bring hard-to-fit patients relief no matter what sort of eye condition they have. Fortunately, of welcomes all types of patients from children to adults who seek advanced contact lens solutions. While not every pair of eyes are considered as hard to fit, can identify and recommend a unique solution that best suits the patient’s visual needs. Whether someone needs a pair of eyeglasses, standard contact lenses, or specialty contact lenses, our aim is to bring your vision back into focus so you can live comfortably.

    Contact lenses are a part of general care optometrists, but only a few can specialize in fitting advanced cases after years of experience. Occasionally, some optometrists develop this niche early on and can help fit patients with difficult eye conditions. However, nearly all specialty contact lens eye doctors are optometrists and do not perform eye surgery, since numerous years of analyzing patients with different eye conditions and correcting their vision through custom-tailored contact lenses requires a level of commitment that most surgeons avoid.

    In addition to their years of experience treating different patients of various eye conditions, to use specialty contact lens requires up-to-date contact lens technology to help diagnose and measure the health of the cornea — a vital piece of equipment for custom contact lens design.

    Scleral Lens Expert, Dr. Thomas Weshefsky has researched more about the latest technology in contact lenses and options for treatment than other eye doctors to ensure every patient receives a quick, comfortable fit. At in Myrtle Beach, South Carolina, we aim for a minimal number of trial fits, so every patient can quickly return to living their lives.

    How Do Contact Lenses Help Your Eye Conditions?

    How Do Contact Lenses Help Your Eye Conditions?

    If you have any corneal irregularity or visual disorder that prevents the use of contact lenses, schedule a consult with Scleral Lens Expert, Dr. Thomas Weshefsky. The first step of any treatment is the diagnosis, which requires an eye doctor to review your medical health, analysis and ultimately devising a plan to treat the challenging eye conditions.

    Every contact lens specialist will start a consultation using diagnostic tools, digital imaging, and corneal topography to produce high-resolution images of your eye. Details of the surfaces of your eye, the cornea, and even the optic nerve will be captured and Scleral Lens Expert, Dr. Thomas Weshefsky will create a visual solution for your specific corneal problem. The most common specialty contact lens used are Scleral lenses. Ortho-K lenses are typically worn by children for myopia control or adults who want an alternative to discuss.

    Scleral Lenses

    These are large diameter gas permeable contact lenses that rest on the sclera and create tear-filled vault over the cornea. By doing this, the lenses are able to functionally replace irregular cornea with a perfectly smooth optical surface to correct vision problems. They are sometimes referred to as ocular surface prostheses and take care of such disorders as keratoconus, dry eyes syndrome, corneal ectasia, Steven-Johnson syndrome,

    Furthermore, scleral lenses are also recommended for patients with neurotrophic keratitis, aniridia, microphthalmia, SjÖgren’s syndrome, higher aberration of the eye, pellucid degeneration, injuries to the eyes and surgical complications. Also, the lenses can help people with eyes that are too sensitive for smaller corneal-type lenses like in the case of astigmatism.

    Ortho-K Lenses

    Your eye doctor may also recommend the use of an Orthokeratology (Ortho-k) lens for your vision. These are specially designed gas permeable contact lenses that you wear overnight to correct your eyesight and reduce your dependence on glasses or other contact lenses without any surgical procedure. They are worn at night when you want to sleep and removed in the morning.

    This means that they work on your eyesight while you sleep, gently reshaping the front surface (cornea) so that your vision is better the next day when you wake and remove the lenses. They are also called corneal reshaping lenses. They can correct such refractive problems as near-sightedness, astigmatism, and hyperopia in children. They can also help with presbyopia in some cases.

    A general care optometrist can help with lots of eye problems but when there are complications or you find it difficult wearing contact lenses, an eye doctor who specializes in contact lenses is the right eye doctor to consult.

    Meet Our Eye Doctor

    Meet Our Eye Doctor

    dr-Thomas-W

    Dr. Thomas J. Weshefsky

    "As a Doctor of Optometry, part of my commitment to my patients is ongoing professional education.  As technology and the world around us changes, I have to keep up-to-date, because I am committed to providing the best care possible for your eyes." Dr. Thomas J. Weshefsky graduated from Biscayne College...
    Serving Patients From

    Myrtle Beach | Charleston | Wilmington | Florence | and the state of South Carolina

    How Do Contact Lenses Treat Your Eye Conditions?

    Don’t let discomfort or eye pain turn your corneal condition into a bigger problem. Visit us today at Myrtle Beach to help select the right contact lens for you. will examine the issue with your eye and extend of the eye disorder or defect. With this, we will recommend the perfect contact lens that will help improve your vision. Above all, we offer high quality contact lenses at affordable prices. Irrespective of your pocket and eye condition, we have the ideal contact lenses for you.

    Contact us today to know more about our specialty contact lens services. The staff at our Myrtle Beach eye clinic, are available to attend to your visual needs to help guide you to achieving amazing vision.

    If You’re Looking For A Contact Lens Exam Near Myrtle Beach, South Carolina, Of Is The Destination.

    YOUR MYRTLE BEACH EYE DOCTOR

    Carolina Forest Family Eyecare Also serving Conway and Socastee

    Whether you need an optometrist for a routine eye exam, to find the right pair of contact lenses or eye glasses, or for more advanced eye care services, you want to know that the eye doctor you are seeing has the right experience, expertise, and “chair-side” manner to make you comfortable on your visit. With years of outstanding service in the community, our optometrist, Dr. Thomas Weshefsky, has a reputation for excellence.

    From our eye clinic in Myrtle Beach, our optometrist, Dr. Thomas Weshefsky, provides optometry and eye examination services to Conway and Socastee. He also specializes in Vision Shaping contact lenses.

    dr-Thomas-W

    Dr. Thomas J. Weshefsky

    Interest-free Financing Options


    We recognize that with COVID-19 people are having difficulty with finances. The economic crisis shouldn’t affect your eye health. Ask us about our interest-free financing options through Sunbit.

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    What Our Patients Have to Say....
    What Our Patients Have to Say....
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    Our MaxiVision® formulas are multinutrient supplements for maintaining eye health, with convenient online ordering!

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    Were you told you couldn't wear contacts? Often, people with eye conditions can wear contacts quite successfully!

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    Vision insurance provides eye care, prescription eyewear and other services at a reduced cost. Learn about coverage and payment options.

    Q&A with Dr. Weshefsky | Gentle Vision Shaping Lenses

    What is Gentle Vision Shaping?

    Gentle Vision Shaping is a non-surgical procedure used to correct nearsightedness, farsightedness, and astigmatism. The cornea, the outer window of the eye, is reshaped while sleeping with a molding lens at night. This reshaping of the cornea corrects the vision during the daytime to allow for clear vision without the need for glasses or contact lenses.

    What Are The Advantages of Gentle Vision Shaping?
    • No surgery
    • No permanent changes to your eye
    • Reshapes your cornea without destroying tissue
    • Can be used on kids
    • Keep your child's eyes from getting worse
    • No commitment
    • Custom fit

    Who is a Candidate for Gentle Vision Shaping?

    In order to determine if the patient is a good candidate for the procedure we will perform a thorough eye examination. During the examination, your optometrist will take a series of measurements of the cornea to determine its shape, thickness, and size. We will also check thoroughly for any eye diseases or dystrophies that may disqualify the patient. Most of the time we do dilate the pupils to allow for a more thorough examination of the retina. We will also do a very thorough and precise refraction to determine the amount of prescription we need to correct. We will then custom order...

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    Eye Emergencies

    If you experience loss of vision, double vision, swelling, infection or any eye emergency, contact us immediately for guidance. We’ll help you with the best treatment to prevent complications and promote long-lasting clear eyesight.

    Please call our office at: (843) 491-6046 for further instructions. Use your best judgment on urgency if you feel you need to find the nearest emergency room.

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    Can I Wear Contacts If I Have Astigmatism?

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    vision correction without surgery
    through ortho-k

    MEET Dr. Thomas WeshefskyIN Myrtle Beach, South Carolina

    dr-Thomas-W

    Dr. Thomas J. Weshefsky

    "As a Doctor of Optometry, part of my commitment to my patients is ongoing professional education.  As technology and the world around us changes, I have to keep up-to-date, because I am committed to providing the best care possible for your eyes."...

    Find Your Myopia Management & Ortho-k Specialist

    Controlling Nearsightedness in Myrtle Beach, South Carolina

    Dr. Thomas Weshefsky provides patients the opportunity for vision correction without surgery. Using the Gentle Vision Shaping System or Orthokeratology, adults and children have achieved perfect vision during the day without the need for glasses o contact lenses.

    Our practices combination of excellence, knowledge, personal care, and commitment has helped us become a leader in specialty contact lens services.

    Utilizing advanced diagnostic tools to compile digital records of your eye shape, structure, and unique qualities, Dr. Thomas Weshefsky will create a custom vision solution for you — even if you have astigmatism or high myopia.

    Schedule your next ortho-k consultation at our practice!

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    5 Stars from our Myrtle Beach Patients

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    Specialty and Hard to Fit Contact Lenses

    Myrtle Beach – Conway – Socastee

    Dr. Thomas Weshefsky, the optometrist at Carolina Forest Family Eyecare in Myrtle Beach, is a specialist with many years of experience in custom and hard to fit contact lenses for patients with complex vision conditions. Our practice has the expertise, and the time to fit patients properly for their hard to fit and specialty contact lens needs. Our convenient location lets us also provide specialty lenses to customers from Conway and Socastee.

    Carolina Forest Family Eyecare stocks thousands contact lens prescriptions in our clinic, and can service your contact lens needs quickly and professionally. Our optometrist and staff are trained to handle your precise eyecare and contact lens needs. Feel free to contact Carolina Forest Family Eyecare and have your questions answered professionally and courteously.

    Contact Lenses for the “Hard-to-Fit” Patient

    Not everyone is an ideal candidate for contact lenses.

    But “difficult” doesn’t mean impossible. Often, people with these conditions can wear contacts quite successfully. Let’s take a closer look at each situation – and possible contact lens solutions.

    Carolina Forest Family Eyecare's Myopia Management Center

    Myopia Control

    Modern eye health research concludes that nearsightedness is a major cause of cataracts, glaucoma, and macular degeneration. Controlling nearsightedness in children has proven to effectively slow or stop the progression of worsening vision as well as help children excel in school and extracurricular activities.

    Want to learn more about Myopia Management? Speak to one of our staff at Carolina Forest Family Eyecare in Myrtle Beach, South Carolina

    Learn About Myopia Management

    Orthokeratology

    The GP lenses for ortho-k are applied at bedtime and worn overnight. While you sleep, the lenses gently reshape the front surface of your eye (the cornea) to correct your vision, so you can see clearly without glasses or contact lenses when you're awake.

    Want to learn more about Orthokeratology? Speak to one of our staff at Carolina Forest Family Eyecare in Myrtle Beach, South Carolina

    Learn About Ortho-K Lenses

    Myopia Control

    Contact lenses after Corrective Eye Surgery

    More than one million Americans each year have LASIK surgery to correct their eyesight. Sometimes, vision problems remain after surgery that can’t be corrected with eyeglasses or a second surgical procedure. In these cases, gas permeable contact lenses can often restore visual acuity and eliminate problems like glare and halos at night.

    GP lenses are also used to correct vision problems after corneal transplant surgery, including irregular astigmatism that cannot be corrected with eyeglasses.

    GP lenses prescribed after LASIK and corneal transplants sometimes have a special design called a “reverse geometry” design to better conform to the altered shape of the cornea. The back surface of these lenses is flatter in the center and steeper in the periphery. (This is the opposite of a normal GP lens design, which is steeper in the center and flattens in the periphery.)

    Orthokeratology

    Contact lenses for giant papillary conjunctivitis (GPC)

    Giant papillary conjunctivitis (GPC) is an inflammatory reaction on the inner surface of the eyelids. One cause of GPC is protein deposits on soft contact lenses. (These deposits are from components of your tear film that stick to your lenses and become chemically altered.)

    Usually, changing to a one-day disposable soft lens will solve this problem, since you just throw these lenses away at the end of the day before protein deposits can accumulate on them. Gas permeable lenses are also often a good solution, as protein deposits don’t adhere as easily to GP lenses, and lens deposits on GP lenses are more easily removed with daily cleaning.

    In some cases of GPC, a medicated eye drop may be required to reduce the inflammation before you can resume wearing contact lenses.

    Orthokeratology

    Contact lenses for Keratoconus

    Keratoconus is a relatively uncommon eye condition where the cornea becomes thinner and bulges forward. The term “keratoconus” comes from the Greek terms for cornea (“kerato”) and cone-shaped (“conus”). The exact cause of keratoconus remains unknown, but it appears that oxidative damage from free radicals plays a role.

    Gas permeable contact lenses are the treatment option of choice for mild and moderate keratoconus. Because they are rigid, GP lenses can help contain the shape of the cornea to prevent further bulging of the cornea. They also can correct vision problems caused by keratoconus that cannot be corrected with eyeglasses or soft contacts.

    In some cases, a soft contact lens is worn under the GP lens for greater comfort. This technique is called “piggybacking.” Another option for some patients is a hybrid contact lens that has a GP center, surrounded by a soft “skirt”.

    Specialty Contact Lenses for Common Eye Conditions

    Myopia Control

    Contact lenses for astigmatism

    Astigmatism is a very common condition where the curvature of the front of the eye isn’t round, but is instead shaped more like a football or an egg. This means one curve is steeper or flatter than the curve 90 degrees away. Astigmatism won’t keep you from wearing contact lenses – it just means you need a different kind of lens.

    Lenses specially designed to correct astigmatism are called “toric” lenses. Most toric lenses are soft lenses. Toric soft lenses have different corrective powers in different lens meridians, and design elements to keep the lens from rotating on the eye (so the varying corrective powers are aligned properly in front of the different meridians of the cornea).

    In some cases, toric soft lenses may rotate too much on the eye, causing blur. If this happens, different brands that have different anti-rotation designs can be tried. If soft lens rotation continues to be a problem, gas permeable (GP) lenses (with or without a toric design) can also correct astigmatism.

    Myopia Control

    Contact lenses for Dry Eyes

    Dry eyes can make contact lens wear difficult and cause a number of symptoms, including:

    • a gritty, dry feeling
    • feeling as if something is in your eye
    • a burning sensation
    • eye redness (especially later in the day)
    • blurred vision

    If you have dry eyes, the first step is to treat the condition. This can be done a number of ways, including artificial tears, medicated eye drops, nutritional supplements, and a doctor-performed procedure called punctal occlusion to close ducts in your eyelids that drain tears away from your eyes.

    Once the dry eye condition is treated and symptoms are reduced or eliminated, contact lenses can be tried. Certain soft contact lens materials work better than others for dry eyes. Also, gas permeable lenses or even scleral lenses are used for patients with chronic dry eye symptoms.

    Orthokeratology

    Presbyopia is the normal loss of focusing ability up close when you reach your 40s.

    Today, there are many designs of bifocal and multifocal contact lenses to correct presbyopia. Another option for presbyopia is monovision. This is wearing a contact lens in one eye for distance vision and a lens in the other eye that has a modified power for near vision.

    During your contact lens fitting we can help you decide whether bifocal/multifocal contact lenses or monovision is best for you.

    Getting Fitted with Hard to Fit Contact Lenses in Myrtle Beach

    Fitting contact lenses to correct or treat any of the above conditions will generally take much more time than a regular contact lens fitting. These hard to fit contact lens cases usually require a series of office visits and multiple pairs of trial lenses before the final contact lens prescription can be determined. Also, the lenses required for these conditions are usually more costly than regular soft contact lenses. Therefore, fees for these fittings are higher than fees for regular contact lens fittings. Call our office in Myrtle Beach for more details.

    Find out if you can wear contact lenses

    If you are interested in wearing contact lenses, call our Myrtle Beach office (near Socastee and Conway) to schedule a consultation. Even if you’ve been told you’re not a good candidate for contacts because you have one of the above conditions or for some other reason, we may be able to help you wear contact lenses safely and successfully.

    Your Best Choice for Specialty Contact Lenses & Orthokeratology in Myrtle Beach, South Carolina

    Orthokeratology (CRT & VST)

    Pretty, young Ortho K Lenses brunette
    Orthokeratology, commonly called ortho-k, is a method used to correct myopia (nearsightedness) or astigmatism by wearing rigid gas permeable contact lenses overnight, so that no corrective lenses are needed during daytime hours.

    Gas permeable (GP) lenses specialized for ortho-k are inserted at bedtime and worn as you sleep. Throughout the night, the lenses reshape your cornea gently so that your vision becomes clear on the following morning. The correction is temporary, and ideally no eyeglasses or contact lenses will be needed on the next day or two. In order to maintain sharp visual acuity on a daily basis, you need to wear the ortho-k reshaping lenses every night.

    At present, three brands of orthokeratology contact lenses are approved for use by the FDA. Euclid Emerald, usually prescribed for myopia control, Paragon Vision Sciences, who produces “Corneal Refractive Therapy” (CRT), and Bausch and Lomb, who manufactures “Vision Shaping Treatment” (VST).

    Candidates for Ortho-K

    Ortho-k is very suitable for nearsighted people who are not appropriate candidates for vision correction surgery, such as children. Individuals of all ages with healthy eyes can try ortho-k, namely because it can be discontinued at any point without permanent effects to the eyes.

    People who require vision correction and engage regularly in sports or work in extremely dusty, dirty environments will also appreciate the convenience of ortho-k.

    Vision Results from Orthokeratology

    Success rates for ortho-k are generally higher for more mild vision prescriptions. The ideal goal is to provide 20/20 vision without any need for eyeglasses or contacts during the day.

    According to FDA trials conducted on both CRT and VST lenses, more than 65% of ortho-k patients achieved 20/20 visual acuity. A whopping number of more than 90% of ortho-k patients achieved 20/40 vision or better (this is the legal requirement for driving without vision correction in most states). Consult with your eye doctor to find out if your vision prescription is within range for successful ortho-k treatment.

    Note that although improvement in vision is generally reported within a day or two of wearing ortho-k overnight, the full effects may not be experienced until the lenses are worn for a few weeks. During this transition period, your vision will probably not be as crisp as it was with regular contacts or eyeglasses, and glare or halos around lights may be visible. Until ortho-k works fully, a temporary pair of eyeglasses may be required for specific actions, such as driving at night.

    How Does Ortho-k Feel?

    Although some people have trouble wearing regular gas permeable contact lenses during the day, ortho-k GP lenses are worn while sleeping – so discomfort and awareness of the lenses in your eyes is generally not an issue.

    Is Ortho-k expensive?

    Professional fitting for ortho-k requires a series of visits to your eye doctor. A number of pairs of contact lenses are also generally needed. GP lenses that are special for ortho-k are more costly than standard contacts. In sum, the fees for ortho-k add up to a higher total than regular contact lenses.

    LASIK after Ortho-k

    Some consider Ortho-K to be a non-surgical alternative to LASIK. Nonetheless, refractive surgeries, such as LASIK, are possible after treatment with ortho-k lenses. Yet because ortho-k works to reshape your cornea, you are required to stop wearing the lenses for approximately several months before undergoing LASIK. This allows your eyes to return to their original shape.

    It’s important to inform your LASIK surgeon if you’ve been wearing ortho-k lenses, and you will be advised as to how long of a wait is necessary before having the laser procedure.

    Hard-to-Fit Contacts

    Contact Lenses for the Hard to Fit Patient

    It is not uncommon for patients to have difficulty wearing contact lenses for a number of reasons. Due to the individual eye shape, certain conditions or impairments or the aftermath of surgery, some patients are considered to be “hard to fit” as contact lens wearers.

    Happy hard-to-fit contact lens patient wearing scleral lenses

    For hard to fit patients that prefer to wear contact lenses however, there are options available that can provide comfortable and effective contact lens wear. This will require a specialized fitting with an eye doctor that is an expert that knows your condition and the various products available to find the right match for your specific condition.  You may be considered a hard to fit contact lens candidate if you have one of the following conditions:

    • Dry Eyes
    • Astigmatism
    • Giant Papillary Conjunctivitis (GPC)
    • Keratoconus
    • Pellucid Marginal Degeneration
    • Post-LASIK or other refractive surgery
    • Presbyopia (reduced near vision common in individuals aged 40 and over).
    • Corneal Scarring

    Dry Eyes and Contact Lenses

    Dry Eye Syndrome causes your eyes to feel dry, gritty, burning, red, and irritated.  Dry Eye Syndrome can also cause blurred vision. Often these symptoms can sometimes worsen by the use of contacts. In fact, many people who do not normally suffer from chronic dry eyes, will experience some of these symptoms as a result of contact lens wear.

    First of all, if you have chronic dry eyes, you should see your eye doctor for treatment and relief before you think about contact lenses. Once your dry eyes are treated, it is safe to try contacts and there are a number of options that can be considered.

    Many brands of soft contacts and products such as disinfectant and cleansing solutions are made with ingredients that are designed to be more comfortable for individuals with dry eyes. Your eye doctor will be able to recommend some of these brands and products to you. Alternatively, gas permeable (GP) or rigid gas permeable (RGP) lenses are made with a hard material that in some cases does not dry out like soft lenses and they are able to hold a certain amount of moisture beneath the lens to keep the eye from drying out. Gas permeable lenses are a very good option and can be quite comfortable for individuals with dry eyes.

    Additionally, your doctor might recommend a specific wearing schedule such as limiting the time you wear your contacts throughout the day or replacing your contacts on a more frequent basis.

    Toric Lenses for Astigmatism

    Astigmatism is a condition that causes blurred vision (in some cases double vision) because rather than being round, the front of the eye (the cornea) has two curves instead of one, therefore, having two focal points instead of one. This makes it hard for traditional contact lenses to fit and therefore requires specialized contact lenses such as toric lenses or rigid gas permeable lenses (RGPs).

    Toric contact lenses are designed to correct astigmatism and custom made to fit the eye of the patient. Most are made of soft material designed to stay in place on the eye, however in some cases, when the rotation of the lens (due to blinking and eye movement) can’t be stopped, gas permeable lenses might be tried. Due to the customization and more complicated fitting process required for these lenses, they are more expensive and take more time for the contact lens laboratory to make than traditional lenses.

    Giant Papillary Conjunctivitis (GPC) and Contact Lenses

    GPC is a type of conjunctivitis in which the inner surface of the eyelid becomes swollen.  The condition can be caused or worsened by a buildup of protein deposits on contact lenses.  Your eye doctor may either recommend daily disposable lenses or RGP lenses (which are not water based) and therefore have less of a tendency for protein buildup.  Your doctor may also prescribe medicated eye drops and require you to stop the use of contact lenses until the symptoms improve.

    Rigid Gas Permeable (RGP) or Gas Permeable (GP) Lenses

    Rigid Gas Permeable (RGP) also known as Gas Permeable (GP) lenses are effective for many hard to fit patients.  The hard, oxygen permeable material lets the eye breathe and significantly reduces the chance of infection due to protein deposits which tend to harbor bacteria on soft lenses.  RGPs also hold moisture under the lens to keep eyes from drying out.

    Rigid Gas Permeable (RGP) Lenses for Keratoconus

    Keratoconus is a condition in which the cornea thins and bulges forward into a cone shape.  Traditional contact lenses may cause some discomfort in these patients and the vision may still be blurry therefore RGPs are often used for treatment for mild, moderate, and some severe cases.  Rigid gas permeable lenses may help to slow down the cone shape from worsening in some cases. Further, RGPs are able to assist in vision correction for keratoconus which is often not possible with soft contacts or even eyeglasses.

    Post-LASIK or Vision Correction (Refractive) Surgery

    While LASIK surgery has a very high success rate, there are vision complications and symptoms that sometimes remain.  Night vision after LASIK, in particular, can sometimes give you side effects such as glare or halos around lights.  RGPs are often effective in helping with these side effects and restoring clear vision.

    Bifocal and Multifocal Contact Lenses for Presbyopia

    Presbyopia is a common condition in those people usually over 40 years old in which the eyes’ ability to focus on close objects is impaired. Many people keep a pair of bifocal or multifocal glasses on hand for times when they have to read menus, newspapers, books, and other objects that require near vision.  For those that prefer contact lenses over eyeglasses, bifocal and multifocal contact lenses are an option.

    For some patients that have presbyopia and need correction for distance vision as well, one option is monovision.  Monovision is a contact lens fitting process in which you wear a contact lens in one eye for distance vision and the other contact lens of your other eye for near vision.  Another option is multifocal contact lenses.  In this contact lens fitting process, both eyes are usually fit for distance vision and both eyes are used for near at the same time.  Both contact lens fitting options usually take about one week for the brain and the eyes to adjust.

    If you have one of these conditions or find contact lens wear difficult for another reason, speak with your eye doctor. As technology improves there are more and more options for hard to fit contact lens patients to benefit from the comfort and convenience of contact lens use.

    Read about Ortho-K to see if you may be a good candidate for these gentle overnight cornea re-shaping contact lenses.


    Keratoconus

    We can treat Keratoconus at our Myrtle Beach Location with gas permeable contact lenses or co-manage a Corneal Transplant if it should become necessary.


    Keratoconus Treatment In Myrtle Beach, Conway, and Socastee

    Poor vision that cannot be corrected fully with eyeglasses or regular contact lenses may indicate a condition known as conical cornea or Keratoconus. A rare condition, Keratoconus primarily affects people in their early 20's.

    If you have mild to moderate Keratoconus in Myrtle Beach, SC, the best treatment is rigid gas permeable contact lenses, which provide a smooth surface in front of the cornea, making clear vision possible.

    Keratoconus can sometimes result from Lasik or RK corrective surgeries. This is referred to as post-Lasik or post-RK ectasia.

    As Keratoconus progresses, contact lenses may no longer be a successful treatment. Instead, the cornea may need to be replaced surgically through a Corneal Transplant. The prognosis for corneal replacement surgery is generally very good.

    If this should become necessary Dr. Thomas Weshefsky of Carolina Forest Family Eyecare in Myrtle Beach will refer you to one of our local corneal specialists for the surgery, and provide post-surgical care.

    This assures that your vision care needs will be handled exclusively by Optometrists who know your eyes and your vision history. To read more about Keratoconus, visit our eye library. Carolina Forest Family Eyecare is conveniently located, and is only minutes away from both Conway and Socastee, SC.



    Gentle Vision Shaping

    Proudly serving Socastee and Conway in South Carolina

    We Specialize in Vision Shaping Lenses

    Dr. Weshefsky is the optometrist to visit for Gentle Vision Shaping. He has credentials and earned his Fellowship from the Orthokeratology Academy of America as one of less than fifty doctors in the world to have earned this distinction!

    Discover Orthok in Myrtle Beach, NC, Eye Care in Myrtle Beach, NC





    Advantages of Gentle Vision Shaping
    • No surgery
    • No permanent changes to your eye
    • Reshapes your cornea without destroying tissue
    • Can be used on kids
    • Keep your child's eyes from getting worse
    • No commitment
    • Custom fit

    Young girl undergoing eye exam, Eye Doctor in Myrtle Beach, SC


    What Is The Gentle Vision Shaping System?

    Gentle Vision Shaping is a non-surgical procedure used to correct nearsightedness, farsightedness, and astigmatism. The cornea, the outer window of the eye, is reshaped while sleeping with a molding lens at night. This reshaping of the cornea corrects the vision during the daytime to allow for clear vision without the need for glasses or contact lenses.

    This non-surgical procedure is very safe. It has the same risks as if wearing contact lenses but at a lesser degree. The molding lens looks like a regular gas permeable contact lens. This makes it very safe and effective. They are comfortable to sleep with and are easy to handle.

    The cornea will maintain the clear vision throughout the day until the molding lenses are worn again for sleeping. These molding lenses are custom fit for each eye. The custom fit is based on taking computerized measurements of the cornea and the exact prescription.

    Read more


    The Gentle Vision Shaping Procedure





    Determine if the patient is a good candidate for the procedure

    This is done by performing a thorough eye examination. During the examination, your optometrist will take a series of measurements of the cornea to determine its shape, thickness, and size. We will also check thoroughly for any eye diseases or dystrophies that may disqualify the patient. Most of the time we do dilate the pupils to allow for a more thorough examination of the retina. We will also do a very thorough and precise refraction to determine the amount of prescription we need to correct.





    Order the first set of gentle vision shaping appliances

    These lenses will be custom ordered for each eye for each patient. The gentle vision shaping appliances typically take about one week to arrive at our Myrtle Beach office. The patient is then scheduled for an appointment to dispense the GVSS’s (Gentle Vision Shaping System appliances). At this dispensing visit, the patient will be instructed on how to insert and remove the GVSS’s. The patient will also be instructed on how to care for and handle the GVSS’s. Our eye doctor will examine the fit of the GVSS’s on the patient’s eyes at this dispensing visit.





    Follow up visit.

    The patient is scheduled to return to our Myrtle Beach office the very next morning as the first patient of the day. They are to return that next morning with the appliances still on their eyes. They will remove them from the office after the doctor has had a chance to evaluate the fit. The patient will have slept in those GVSS’s for about 6 to 10 hours that night before coming into the office.





    Second, follow up visit

    After the doctor evaluates the fit during that morning visit, the patient will be rescheduled for another office visit, typically in about one week. If the patient is not fully corrected yet after just this one night of sleeping in the GVSS’s, then they will be given some disposable soft contact lenses to wear during the day until they no longer need them. Most patients no longer need the soft contact lenses during the daytime within one week of sleeping with the GVSS’s.

    At the one-week visit, the patient has an examination to determine their refraction and eye health.  By this time in the process, most patients are no longer wearing any correction during the daytime.  They are just using the appliances at night to correct their vision. If the patient is not seeing 20/20 in the daytime, then we will re-evaluate the fit and make the proper adjustments to correct the vision.





    One month eye exam

    The next office visit is typically in one month. This one-month visit is to evaluate the fit and check the refraction. As the cornea has been reshaped during this month of wear time, sometimes the GVSS’s may become too tight. This usually starts to occur at around one month. That is the main reason for the one-month visit. We want to make sure the eyes are healthy and the vision is sharp and that the patient is starting to get into a routine.

    The patient should be much better at handling the appliances, wearing the appliances, and caring for them.  They should be very excited and happy with their vision by now. They continue to sleep with the GVSS’s on every night to increase the effectiveness and to stabilize the corrected vision. If everything is good still at this point, then we will reschedule the patient for their next visit in one month.





    Two-month visit.

    The patient will continue to wear the GVSS’s every night for at least 3 months. We will examine the patient monthly for the 3 months. At the end of this treatment period, the patient will continue to wear the appliances at night.  hey will now wear them as a retainer to maintain the correction. They will either wear the GVSS’s every night, just one night per week, or some amount between these two.





    Six-month appointment

    The next visit would be in six (6) months. After the six month visit, then the patient is just seen for their yearly examinations. The GVSS’s will need to be replaced about every 2 to 3 years. When the GVSS’s need to be replaced, your eye doctor will order a new replacement.  The patient does not have to do the whole fitting procedure again. Once the fitting is finished, then it is just a matter of maintaining the vision and eye health.

    To schedule a screening click here or call (843) 903-6262.

    Learn more at the Ortho-k network and how Orthokeratology re-shapes the world.