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Month: October 2016

Tips on Using Spooky Contact Lenses

by Caroline Cauchi, OD

Happy Halloween from your vision team at Vision Solutions! We have some tips to share with you about applying makeup and using spooky contact lenses.

Please take care when dressing up for Halloween tonight. We recommend keeping the heavy make up away from your eyes. Some of the makeup brands have toxic chemicals that might burn the cornea.spooky eye contacts 1There is a big caution on using wild eyes “spooky” contact lenses. Here are some important questions you should consider before using spooky contact lenses:

  • Are they sterile or have them been sitting around in someone’s drawer? Contaminated lenses can cause a serious infection.
  • What solution are using using to insert the lenses? Some solutions are harsh, some must be rinsed before inserting lenses. You could end up with a a burned cornea.

Remember, your vision is not that clear with wild eyes lenses, so avoid driving. We wish you a safe and happy Halloween! We hope you will stop by our office for an eye exam, free candy and some spooky surprises!!

Halloween at Vision Solutions

by Jamie Peters

Halloween is one of our favorite times of year at Vision Solutions in La Mesa, CA. We have free candy and more spooky surprises in store. Make an appointment this week if you dare for a scare!

Recall on Hypoallergenic Contact Lens Solution

by Caroline Cauchi, OD

Your trusted eye doctor in La Mesa, CA is here to share about the recent recall on hypoallergenic contact lens solution.

Bausch and Lomb announced a recall of Peroxiclear this peroxi clear contact lens solutionmonth. This is one brand of hypoallergenic contact lens disinfecting solutions. It is similar to Sauflon and Clear Care. We do not carry this in our office. However, some of our patients may have purchased this elsewhere. If you have, here is the problem. After 6 hours, the neutralized solution should be converted to pure silky saline with no need to rinse your lens. But SOME of the bottles of Peroxiclear don’t convert completely. If you use this without rinsing, you may experience intense burning and red eyes. In most cases you will recover in a few hours with no damage. But it could result in a chemical burn that might be of more concern.

What should you do? If you have any unopened boxes, return them to the store for a refund. If you have had this problem and it is only mild stinging and redness…. and you really want to finish your bottle, you will need to let your lens sit in a separate saline rinse for 30 minutes prior to using the lenses.Our recommendation, if you have experienced redness or irritation, use the stuff to disinfect your toothbrush– not your lenses and purchase a new bottle.

To learn more about the recent trends with contact lenses and lens solution, call us at (619) 461-4913.

How Contact Lenses Can be a Danger to your Eyes

Most people wouldn’t consider contact lenses dangerous. In fact, they are a great alternative to glasses, offering convenience and great vision for those who wear them. However, when not obtained and used according to an eye doctor’s instructions, the consequences can be devastating.

Contact Lenses Need to Fit

Like shoes, one size of contact lens does not fit all. Even daily disposable contact lenses need a proper lens fitting, as lens materials and curvatures vary from one brand to the next. Often patients that complain of contact lenses that feel dry within a couple hours of applying them are actually wearing contact lenses that are not an ideal fit. Many factors can affect a lens fit, including growth, allergies, medications, hormone changes, and others. Sensitivities to eye drops and cleaning solutions may also affect comfortable contact lens wear.

The Dangers of Contact Lens Use

We all know how uncomfortable it is when there is a foreign object in our eye. The tearing and watering that occurs as the eye’s natural attempt to remove foreign matter displays the eye’s sensitivity compared to other parts of the body. Any time a foreign object comes into contact with the eye (even your finger), there is a risk to the eye – and that risk includes contact lenses. Improper hygiene and useage of contact lenses can scratch the surface or bring bacteria into the eye which can lead to serious infections and permanent damage to the eye and vision.

According to a recent report from the Centers for Disease Control and Prevention, almost 20% of patients that reported infections of the cornea related to contact lenses had a corneal scar, a decrease in visual acuity or needed a corneal transplant as a result of the infection. Further, 25% of infections involved poor contact lens hygiene, which means they likely could have been prevented.

Dangerous Behaviors that Put Contact Lens Users At Risk

Here are some of the most dangerous contact lens habits that should be avoided to eliminate your risk of eye damage or a potentially blinding eye infection.

  • Failing to wash your hands with soap and dry them before applying or removing lenses.
  • Rinsing contacts or your lens case with tap water, sterile water or other substances.
  • Re-using solution or topping off the solution in your lens case rather than emptying it, cleaning it and refilling it.
  • Failing to remove lenses before swimming or entering a hot tub.
  • Leaving in contact lenses too long or sleeping in contacts that are not meant to sleep in.
  • Failing to follow the wearing schedule prescribed by your eye doctor.
  • Using the same lens case for too long (it should be cleaned regularly and replaced around every three months).
  • Wearing lenses that are not obtained with a prescription through an eye doctor or legally authorized contact lens distributor.
  • Ironically, as you can see, water is one of the biggest dangers for contact lens wearers at it can harbor dangerous bacteria under the lens or in a contaminated lens case. These dangers can be easily avoided by following your eye doctor’s instructions in handling and wearing your contact lenses.

Cosmetic/Decorative Contact Lenses

With Halloween on the way it’s important to stress that you should ONLY purchase contact lenses from an eye doctor or legally authorized contact lens seller with a prescription. Even if you are purchasing purely decorative contact lenses with no vision correction, you need a doctor to measure your eye to ensure they fit properly. Contact lenses are a medical device and it is illegal to sell them without proper authorization. Therefore you should never purchase them from a costume or party store – they are unregulated and could cause serious harm to your eyes and vision.

If you notice any unusual redness, discharge, crusting, light sensitivity or pain, immediately remove your contact lenses and go see your eye doctor as soon as possible. Some serious eye infections can cause permanent vision damage or loss even within a day or two.

While you should not approach contact lens use as a dangerous activity, it is important to understand the importance of proper hygiene and use. As long as you obtain contact lenses safely and follow the instructions of your eye doctor, contact lenses are a safe, convenient and effective option for vision correction.

3 Ways to Control Myopia

by Jamie Peters

Myopia is the common term for nearsightedness and affects nearly 30 percent of people in the United States. It used to be believed you could not control nearsightedness with anything but glasses or traditional contact lenses. However, recent studies indicate there are new treatments that can help control the problem.

Glasses or Contact Lenses

Glasses or contact lenses are still the most common methods used to control myopia. Multifocal eyeglasses can help to control the problem in children, but are found to be not as successful with adults. Glasses and contacts control the problem in a small amount during the first year of wear, but did not show any more significant improvement during the second year of use.

Multifocal contact lenses have demonstrated better results. In 2013, U.S. researchers determined that children who wore multifocal contacts for nearsightedness slowed progression by about 50 percent more than children who wore regular soft contacts.

Atropine Eye Drops

Atropine eye drops have been used in improving nearsightedness for years and have proven to provide effective short-term results. One study confirmed that children who used a smaller dose of the drops had better control of their myopia upon ceasing use than those who had used larger doses. However, atropine drops yield several drawbacks, such as:

  • Dilates the pupil for a week or more
  • Discomfort
  • Sensitivity to light
  • Blurred near vision
  • Added expenses


Orthokeratology also includes contact lenses, but these lenses are specially designed and gas permeable. Instead of wearing them during the day, the nearsighted child wears the contacts while they sleep. The lenses work to reshape the cornea and temporarily correct myopia. Because the results are never permanent, the lenses must be worn each night, but the wearer can switch back to glasses or traditional contacts with ease.

One of the most important steps to controlling myopia is to detect it early, which requires regular eye exams. Dr. Caroline Guerrero Cauchi in La Mesa, CA, is the local trusted professional who is experienced in treating nearsightedness in both children and adults. Schedule your next eye exam today by calling (619) 461-4913 or requesting an appointment with our online form.

3 Tips for Choosing the Best Eyeglasses

by Jamie Peters

Glasses have come a long way since they were first invented. Today, they are available in a wide range of sizes and shapes to match nearly any style and personality. If you are on the hunt for new frames, you may be wondering how to choose glasses that best fit your needs. It helps to keep a few things in mind before selecting your next pair of eyeglasses.

Consider Your Face Shape

When it comes to the shape of your frames, you probably want to choose a shape that is opposite to that of your face. For example, if you have a round face, similarly shaped frames may make your faces seem even rounder, but square or rectangular shapes can help to elongate your face’s shape. On the other hand, if you have a square face, angular frames will not be very becoming. Instead, you should opt for oval or round frames to soften the angles. Of course, when it comes down to it, you should purchase a pair that makes you feel comfortable, so keep in mind that guidelines are not set rules.

Determine Your Skin Tone

Your skin tone will help you decide which colors are the best to select for your eyeglasses.

  • Warm skin tones: If you have yellow or bronze skin tones, consider shades of brown, beige or olive green for your frames.
  • Cool skin tones: If your skin has more pink or blue undertones, black, pink, purple and other striking shades will work well for you.

You may also consider choosing shades that contrast your hair and/or eye colors.

Think About Your Lifestyle

Choosing the right glasses isn’t all about finding a pair that matches your particular style. You should also consider your lifestyle. If you play sports or have a lot of hands-on hobbies, consider more durable or flexible frames. You should also consider your job. For example, pink frames may not look professional enough in some settings.

To ensure your glasses are always the best match for your face and eyesight needs, you should get regular eye exams from our trusted eye care experts. To learn more about eyeglasses and eye exams in La Mesa CA, call (619) 461-4913 or request an appointment using our online form.

International Orthokeratology Meeting 2016

by Caroline Cauchi, OD

Dr. Cauchi was recently invited to speak at the Orthokeratology Society of Oceania as well as meet with her fellow peers at the International Academy of Orthokeratology and Myopia Control in Australia.

oso2 768×363I have just returned from a very successful trip to Australia. This trip had several goals and I met all of them. First, to participate and oversee the testing for the honor of “fellow” in the International Academy of Orthokeratology and Myopia Control (FIAO). A Fellow of the Academy represents the highest level of achievement and is the result of years of study and preparation. My major position in the Academy is as International Chair of Fellowship. This committee sets standards and policy for attaining fellowship. Since this was the first time testing has been conducted in Australia, I needed to be present. I chaired an international panel of examiners and after two days of testing, we granted the FIAO to 7 candidates.

dr cauchi lecturing orthokeratology 680×1024This also happened to be the 12th congress of the Orthokeratology Society of Oceania where I was invited to deliver a presentation. I also had the privilege of introducing the seven new FIAOS to the meeting and the world. During this conference l attended numerous lectures gathering new concepts that I can use to help control advancing nearsightedness (myopia) in my younger patients. At this meeting John Mountford (considered one of the founders of orthokeratology) shocked the audience by announcing his retirement from practice. I was able to spend a few minutes with him and his wife discussing their plans for the future.

The 5th annual meeting of the International Academy of Orthokeratology and Myopia Control (IAOMC) was held at the same time and as a member of the Board of Directors, I was one of the US representatives. The Board meeting adopted new policy rules for fellowship, future growth as the myopia epidemic becomes widely recognized and plans for future research.

iao boardMy final goal was rejuvenation. My mom passed away at the end of July. She was my little sweetie and the loss was difficult. But with the duties of my practice and preparing for the trip to Australia I had little time to deal with this. So along with my husband and my brother, we took a few extra days to just have some fun. The Australians are fun, silly and love to tease. It helped wash away some of the sadness.