WHAT SETS US APART
We employ the latest technology that allows us to (1) establish a baseline for your child’s myopia and (2) monitor your child for normal ocular growth versus accelerated myopic progression.
Zeiss IOLMaster Optical Biometer
An optical biometer is traditionally used by surgeons to perform power calculations for lenses that are to be implanted in the eye. We utilize optical biometry for a different reason: to measure the length of your child’s eye, which is referred to as axial length. As your child grows, their eyes grow as well. Our goal is early detection and differentiation between natural growth of the eye versus accelerated myopic progression. Since a longer eye leads to a stretched retina (which has its own complications as seen in the “Is Myopia Unhealthy” page), it’s critical that we know the rate at which your child’s eyes are growing.
Previously, the only known method to monitor the eye’s growth was through the prescription, but each prescription does not correlate with a specific eye length. Typically, prescription changes lag axial length changes, which means that if you only monitor through prescription, chances are that you will miss length changes that may have already occurred.
Treehouse Eyes affiliates such as our office are one of the few offices in all of Los Angeles County that employ technology solely to measure axial length for children.
Medmont Meridia Corneal Topographer
A leading-edge topographer is critical to monitor how the cornea (the clear window of the eye) changes over time with myopia treatments. Medmont is hailed as the leading manufacturer of topographers, with the model “E300” being the gold standard topographer for a decade. Their newest topographer, the Meridia, improves upon the original E300 model by more accurately capturing your child’s cornea in three dimensions. Increased topographical accuracy leads to custom lenses that more closely resemble your child’s eye, which yields faster and better outcomes.
Medmont partnered with Lumen Optometric to help launch the new gold standard and we’re proud to be able to offer this latest form of technology to our patients.
WAVE Custom Lens Design
Lumen Optometric is the only office in Los Angeles county that employs WAVE to create 100% fully-custom lenses for your child. WAVE combines all the topographical data from the Medmont Meridia and allows us to specify and manipulate every aspect of your child’s lens design.
From a doctor’s perspective, the customizable nature of WAVE allows for (1) maximum myopia management, (2) more accurate vision correction, (3) increasing the level of myopia protection in a lens. For patients, it simply means their eyes are more protected from myopic progression, they see better and arrive at a clear endpoint in less time.
Aren’t All Myopia Management Lenses Custom?
Depending on the type of lens a practitioner may be limited to (either due to technology or training), their definition of custom will differ. This is an overview of the three different types of “custom” lenses you will encounter as a patient/parent.
Basic custom – These types of ortho-k lenses are similar to off-the-rack suits in that they come in a predefined size. Depending on your needs, the suit is then upsized or downsized to another predefined size. “Basic custom” ortho-k lenses exist in certain parameters and different lenses are selected based on visual estimation. Due to the lack of true personalization, your child can share the same lens design as another patient.
Semi-custom – This category of ortho-k lenses begins to incorporate technology such as topography in the design of the lens. Lens design software will use the topographical data to generate a lens off of an pre-established template. To return to the suit analogy, measurements are taken for a suit to be made, but the suits still have certain non-modifiable assumptions made about the proportions. And if a suit has to be modified, you still operate within those non-modifiable template assumptions.
Fully-custom – WAVE lenses are all fully-custom designs. WAVE lenses incorporate topographical data of the eye which can then be fully-manipulated by a Certified WAVE Designer (CWD). Every aspect of the lens can be changed relative to one another, leading to the most form-fitting and visually effective lens. We utilize WAVE lenses because our patients see the best out of them!
Tip – If a doctor can’t show you the visual layout of your child’s lens design with numerical readouts of those design elements, it’s likely not a fully-custom lens. If you point to any one aspect of the design and ask for it to be changed in real time for demonstration, yet it can’t, it’s likely not a fully-custom lens. Lastly, fully-custom lenses are all doctor-designed from start to finish, meaning that the lenses are all designed in-house by the same doctor taking care of your child. Basic or semi-custom lens designers outsource their change requests to lens consultants.
Fully-custom lenses require more training to design and troubleshoot, in addition to requiring very specific hardware. We only fit fully-custom lenses because they are the healthiest option for your child.
Schedule a Consultation to Discuss Myopia Management
Lumen Optometric offers consultations to discuss myopia management. Get in touch with us today to schedule a comprehensive eye exam for your child! Call us at (626) 921-0199 or schedule a consultation online here .