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Why daily disposable contacts provide a better choice in contact lens wear.


When a patient comes into my office interested in contact lenses or already wearing contact lenses, I always ask them these questions:

1. How frequent do you want to wear contacts? Everyday or just some days?

2. Are you good about cleaning an caring for them or would you rather have an easier choice?

These questions typically guide me about deciding if the patient must wear daily contact lenses and about wich type of contact lens they should be in.

Contact Lenses are not created equally

There are different brands out there and is not just about the brand, its the different properties, materials and dimensions that each one has and knowing them allows me to place my patient in the right fit for them. The greatest fact that guides me in selecting the type of contact lens that the patient should be wearing is wear time and the oxygen transmitability of the lens. Today, we have available silicone hydrogel lenses that allow up to five times more oxygen into the cornea than regular hydrogel lenses. If you are going to be wearing the lenses every day or almost every day then you should be on silicone hydrogel lenses. Daily disposable contacts are available as silicone hydrogel and regular hydrogel materials as well.

A healthier choice

Daily disposable contact lenses are always the healthiest choice for any patient. Wearing a fresh pair of contacts every day is always going to be the more gentle and safe alternative, since it minimizes the risk of infections or complications. Particularly, if you suffer from allergies, you will be able to tolerate contact lenses more when you wear daily disposables since you minimize allergen contact or exposure to the eyes with the new fresh lens.

Patients that wear a monthly or bi-weekly replacement schedule need to be very diligent with the care regimen of the contacts in order to avoid complications of contact lens wear. Ultimately, a daily disposable replacement schedule benefits the eyes the most. An experienced eye doctor in contact lenses that has knowledge of the different properties of the brands can decide which one is the best for you. For that reason, you should always acquire your contact lenses under the recommendations of your eye doctor, after a contact lens exam or fitting.

Daily disposable contact lens wear is always the more convenient and healthiest choice.

Myopia Control & Vision Correction with Ortho-K Lenses


I am very happy to be able to offer to my patients this great alternative treatment for vision correction and most importantly, to be able to control and prevent myopia progression. Ortho-K contact lenses are custom designed to each unique patient’s corneal measurements and correction needed so that the lenses can be worn overnight while sleeping and enjoy good vision during the day, without the need of wearing any lenses or glasses. What is Orthokeratology? Orthokeratology, or Ortho-K for short, is a non-surgical and reversible procedure in which custom designed contact lens devices are used to gently reshape the cornea (front surface) of your eye. It is also known as Corneal Reshaping Technology (CRT) and lenses are worn while sleeping, giving you clear vision during the day without the aid of glasses or contact lenses. Orthokeratology can correct refractive errors like nearsightedness (myopia), farsightedness (hyperopia), astigmatism and can improve near vision after age 42 (presbyopia). Orthokeratology may sound dramatic, but it is quite simple. ‘Ortho’ means to ‘correct’. Orthodontics correct teeth. Orthopaedics correct the musculoskeletal system. Orthokeratology corrects the refractive error by reshaping the cornea. The Forge Ortho-K lenses are custom designed with our cutting-edge EyeSpace contact lens design software. Using a corneal topography map, EyeSpace enables the calculation and computerized simulation of your custom made lens, without the need for time consuming and uncomfortable in office trial fitting. How does Ortho- K works? Lenses that work when you aren’t wearing them.


Your custom-designed EyeSpace Forge Ortho-K contact lens reshape the front surface of the eye while you sleep. It uses the forces of the eyelid and tear fluid beneath the lens to reshape the top layers of the cornea. For treatment of myopia, the lens produces a flatter central cornea, correcting nearsightedness by decreasing the power of the eye. Ortho-K is reversible, meaning that if at any point you choose not to wear the lenses, your cornea will return back to its original shape and refractive error.

What is the safety of the lenses?

Ortho-k is a safe treatment similar to wearing any type of contact lens. The fact that the lenses are worn for several hours over night and then is free from contacts the majority of hours during your day, allows the eye to be receiving a lot more oxygen than you would with wearing other kind of lenses. This is a much healthier practice for the eye, when it comes to contact lens wear. You will have the responsibility of disinfecting lenses and keeping usual contact lens wear safe practices. We will inform you on everything you need to know about taking care of the lenses and the safe practices you should always take to avoid infections or complications.

Who is ortho-k for?


Ortho-k in Children

Ortho-K is particularly valuable in the management of myopia of nearsightedness in Children. The prevalence of Myopia has increased with the frequent use of near devices in children. It is common that Myopia will increase as the eye grows, but the effect of vision correction that Ortho-K has in the retina has been studied and it has shown to allow for the control of myopia, so that this nearsightedness doesn’t get worse. Ortho-k is considered the most effective treatment for myopia control. Children can be thought to put on the lenses and remove them with adult supervision and we will practice and demonstrate the skill in our office. Along with a comprehensive examination, I will discuss this option to the parents to determine if the child is capable of developing the skill and if it could be a good treatment for them.

What is the price of Ortho-k?

The Ortho-k fitting process is one that requires several visits throughout the year to ensure an adequate fitting process. We have designed a pricing structure that includes all your Ortho-k fitting related visits during the year and your annual pair of lenses. The initial package for Ortho-K in year one ranges from $1,500-$2,000, according to the level of vision correction needed and it covers your annual pair of new Ortho-k lenses and all Ortho-k fitting required visits. The cost decreases on year two of the program.

How can I know if I am a good candidate for Ortho-k?

I will conduct a comprehensive examination with corneal mapping to determine if you are a good candidate for Ortho-k. You may use your vision insurance exam benefits toward this examination if you have one. If you don’t have any vision insurance you would pay are regular private pay exam fee.

Take advantage of this wonderful alternative treatment that we have available for you or your family.

Schedule your eye exam with this link to determine if you are good candidate for Ortho-k

Call us with additional questions or to Schedule an exam at 904-217-7099

Eyestrain, tearing, blurry vision, headache: blame it on the screens but don’t just stay there

During this time, it is undebatable that most people spend too much time on some type of screen: Ipads, computers gaming devices and in my opinion the worst one of all–– cellphones. Education on the dangers of spending too much time on these have caused some people to be moved toward protection and modification but many remain without action.

Every day, repeatedly, I see patients complaining on what is the effect of screen exposure on our eyes, typical complaints are: eye fatigue, eyestrain, tired eyes, tearing, dry eyes, burning, headache and blurry vision or inability to focus.

“What is the amount of time you spend on a computer?” ––I ask.

“I work all day on the computer.”––most of them answer.

Another common scenario is finding a drastic increase of nearsightedness or Myopia in kids every year or seeing how the incidence of myopia is more prominent and increasing lately. These are all consequences of our digital era.

I will explain to you the reason behind all of this in the same way that I explain to my patient while on my examining chair.

1. When you are on a screen, you tend to blink less and your eyes dry up more and faster. This causes burning, tearing, tired eyes and intermittent blurry vision.

2. Reading at near or up close for long periods of time causes the eye muscles in your eye responsible for focusing to spasm or have a hard time relaxing back to its natural state for far away vision. This is what causes eye fatigue, blurry vision and headaches. In kids, adolescents and young adults, the defocusing effect that this has on the retina is responsible for the eyes being stimulated to become more myopic as it still has the ability to grow.

3. The light emitted from the screens, knows as blue light, causes eyestrain and fatigue. It is also being studied for its role in eye disease like cataracts and macular degenerations. This means that the present generation, where even toddlers are having an early and increase amount of screen time exposure, could be more at risk of prematurely developing this eye diseases. They need to be protected early.


What can we do?


1. Protect everyone from the effects of blue light while limiting and moderating screen exposure. In the case where you work on the computer, protect yourself from blue at all times. Wearing glasses with blue light protection is the more effective way, since it will protect you not just from one single computer, but from every screen along your day––every other computer, Ipad or cellphone screen time that you have during your day.

2. Take breaks to relax your vision. A good habit is to take a break of 2 minutes, every 20 minutes, to stand up, drink some water and look far away.

3. Use lubricant tear drops at least once or twice a day if you spend all day on the computer. See your doctor if you have dry eye symptoms regularly since you might need other treatments.

4. Have your nearsighted kid or teenager see an Optometrist specialized in Myopia control. They will discussed treatment methods that could effectively control the progression of Myopia, the most effective being Orthokeratology or Ortho-k.

Keep in mind that preserving your vision and that of our little young ones is always worth the effort.

Ortho-K experience testimonial

Dr. Rebarber talks about ortho-k as Dr. Ortiz, a physician in Jacksonville at Care4UsMd, shares her own experience with ortho-k.

Parents and kids taking action on Myopia Control

Myopia, the inability to focus images that are far away, has been abruptly on the rise. While our chance of being myopic is inherited deeply into our genes, the degree and severity of it not necessarily is. However, the incidence of this disease and the prevalence of higher amounts of myopia are now seen more repeatedly every day in the chairs of every eye doctor. The reason for this is not pointing toward genetic factors but rather to the changes in our environment that are tied to our lifestyle—particularly, a digital one.

While some people may think that Myopia is an easy fix—just put on glasses, contacts or have Lasik —they couldn’t be more wrong about it. While all these may “fix” the defocusing problem in your eye, they cannot stop their progression, which is usually what leads to an increased risk of other manifestations of the disease in the eye like retinal tears, detachments, cataracts or glaucoma.

Orthokeratology is a method of vision correction that provides control of Myopia, especially in growing kids, and is considered the most effective method for myopia control by eye doctors. Kids are trained to put these uniquely designed contact lenses in their eyes before they go to sleep and take them out when they wake up (parents can also help). The effects that ortho-k produces in the eye allow them to see clearly during the day—without the need of wearing glasses or contacts—while their myopia is being controlled due to a method of defocusing that is created in the peripheral retina while wearing the lens. This peripheral defocusing is thought to be what prevents the progression. The kids can be free of glasses or daytime contact lens wear while their vision stays stable and healthy (win-win).

We have now one more method of taking control over our digital era and not letting it control us.

You can read more educational posts we have written about ortho-k and watch this video of one of our younger patients that is enjoying the benefits of orthokeratology.

If you are interested in knowing if you, or your kid might be a good candidate for orthokeratology, please contact our office for an appointment or schedule a comprehensive eye exam online.

May is Healthy Vision Month

What does that mean for you? It means that now is the time to schedule a comprehensive eye exam.

While these are one of the exams we may often let fall by the wayside, they are extremely important to maintain our eye health. Comprehensive eye exams serve several purposes. During these exams, pupils, the circular black area in the center of the eye where light enters, are widened with eye drops or viewed without dilation through a special camera. This allows your Eye Doctor to check for vision problems and eye diseases, verify what stage of diseases your eyes may be in, and helps determine if you need glasses, contacts or other treatments.

Comprehensive eye exams are crucial for all ages, here’s why:

Pediatric exams test for visual acuity, lazy eye, color vision, ocular health, and more. These are extremely important to test for the school years ahead.

For older children and teenagers, myopia (nearsightedness) is one of the biggest concerns that comprehensive eye exams detect. Myopia affects the eye’s ability to see distant images clearly. It is important to identify and treat early with glasses or contacts as children and teens begin to learn in larger spaces, play sports, and drive.

Adult exams are recommended at least every two years, or as recommended by your eye care specialist. Exams for adults are necessary to catch eye conditions that can cause vision loss and even lead to blindness. Some of these conditions are cataracts, diabetic retinopathy, glaucoma, and age-related macular degeneration.

There are several other conditions that comprehensive eye exams can expose that may not be found without a visit to your optometrist.

Outside of eye exams, here are 5 ways you can help protect your vision:

  1. Healthy eating. You know this! Healthy eating helps every part of your body. For your eyes, make sure to add dark, leafy greens and seafood that is high in omega-3 fatty acids to your plate. A great excuse to treat yourself to sushi! We’re adding a spicy sake maki roll to our cart… for delivery. 
  2. Protective eyewear. Whether you’re chopping wood for the bonfire pit, mowing the lawn, painting your bedroom walls, or riding your motorcycle around town, protective eyewear is key. Blue-light protection glasses should also be considered to protect your eyes from all the time spent in front of computer screens.
  3. Sunglasses. Much like protective eyewear, sunglasses help protect your eyes from ultraviolet radiation delivered by sun. Not all sunglasses provide the same level of protection. Let us help you pick the best pair!
  4. Clean hands. Wash your hands before putting your contacts in and before taking your contacts out, simply to avoid infection.
  5. Stop smoking. Smoking is known to cause several diseases, but it can also lead to vision loss. It can increase the risk of age-related macular degeneration, cataracts, and more. Mark your calendar for your comprehensive eye exam and mark it as the day to stop smoking.

May is Healthy Vision Month Image.jpeg

Happy healthy vision month! Get your appointment in the books with us today.

How Can My Child’s Myopia Be Corrected?

Myopia, or nearsightedness, is one of the most common eye conditions affecting millions of people around the world.

Myopia is a refractive error in which the eyes are unable to focus clearly on images or objects. This results in blurry vision when looking at something at a distance, such as people walking down a street, a school board, or even the TV. However, images that are closer can be seen more clearly. Children with uncorrected myopia tend to experience eye strain, eye fatigue, or headaches in an effort to see images in the distance clearly.

Fortunately, eyeglasses or contact lenses work wonders to correct vision. In this text, we’ll discuss both glasses and contacts as options for myopia correction.


Methods of Myopia Correction

Contact Lenses

Contacts can be a great choice, especially for physically active children or teens who don’t want to worry about breaking or misplacing their eyeglasses.

Corrective contact lenses are usually placed in the eyes upon waking and removed at night before bedtime. We offer a range of brands of soft contact lenses, such as daily disposables and extended-wear disposables. Speak with Dr. Jenilee Rebarber to determine whether your child is ready for contact lenses.

Prescription Glasses

Glasses are a popular choice among our younger patients. Choosing from an array of styles makes the process not just fun and exciting, but allows the child to be an active participant in selecting eyewear, which, in turn, increases the likelihood that they’ll actually wear them. We offer strong, flexible and resilient frames which both look great and are feel comfortable.

The optician can customize the lenses with additions, like impact-resistant or shatter-proof materials, scratch-resistant and anti-reflective coatings, UV filters, and transition lenses that darken in the sun.

We Can Help Correct Your Child’s Myopia

If you’re located near St Johns, Florida, visit us for an eye exam to determine your child’s exact prescription and ask us any questions you may have about your child’s eye health and vision.

At SightHealth Primary Eyecare, our friendly and knowledgeable staff will be happy to recommend the most suitable method of correcting your child’s myopia to meet his or her individual needs. Thanks to the wide range options available, your child will walk away with eyewear that will both look and feel great.

Let us help your child see the world in a whole new light. To schedule your child’s annual eye exam or to learn more, contact SightHealth Primary Eyecare at 904-217-7099 today.

8 Tips to Relieve Winter Dry Eyes

Whether you live in a climate with cold winter weather or you are planning a ski trip up north, winter can be a challenge if you suffer from dry eyes. Dry, cool air, cold winds and even drier indoor heating can cause eye irritation, burning, itchiness and redness, and sometimes even excessively watery eyes as more tears are produced to compensate for the dryness. Many people have a chronic feeling that they have something in their eye and some even experience blurred vision. These symptoms can be debilitating!

Dry eyes is one of the most common complaints eye doctors get from patients during the winter season, especially in the cooler climates. That’s why we’d like to share some tips on how to relieve dry eye discomfort, and how to know when your condition is serious enough to come in for an evaluation.

Tips to Relieve Winter Dry Eyes:

  1. Keep eyes moist using artificial tears or eye drops. You can apply these a few times each day when the eyes are feeling dry or irritated. If over-the-counter drops don’t help or if you have chronic dry eyes, speak to your eye doctor about finding the best drops for you. Since not all artificial tears are the same, knowing the cause of your dry eye will help your eye doctor determine which brand is best suited for your eyes.
  2. Use a humidifier to counteract the drying effects of indoor heaters or generally dry air.
  3. Point car vents or indoor heaters away from your face when the heat is on. Try to keep your distance from direct sources of heating, especially if they blow out the heat.
  4. Drink a lot! Hydrating your body will also hydrate your eyes.
  5. Protect your eyes outdoors with sunglasses or goggles – the bigger the better! Larger, even wrap-around glasses as well as a hat with a wide brim will keep the wind and other elements out of your eyes. If you wear goggles for winter sports, make sure they fit well and cover a large surface area.
  6. Soothe dry eyes using a warm compress and never rub them! Rubbing your eyes will increase irritation and may lead to infection if the hands are not clean.
  7. Give your eyes a digital break. People blink less during screen time which is why extensive computer use can lead to dry eyes. Follow the 20/20/20 rule by taking a break every 20 minutes to look 20 feet away for 20 seconds and make sure you blink!
  8. For contact lens wearers: If you wear contact lenses, dry eyes can be particularly debilitating as the contact lenses can cause even further dryness and irritation. Contact lens rewetting drops can help your eyes feel better and may also allow you to see more clearly. Not all eyedrops are appropriate for use with contact lenses, so ask your optometrist which eyedrop is compatible with your contacts and cleaning solution. If rewetting drops don’t help, consider opting for glasses when your dry eyes are bad, and speak to your optometrist about which brands of contact lenses are better for dry eyes. Many people find dry eye improvement when they switch to daily single use contact lenses.

Chronic Dry Eyes or Dry Eye Syndrome

Dry eye syndrome is a chronic condition in which the eyes do not produce enough tear film, or do not produce the quality of tear film needed to properly keep the eyes moist. While winter weather can make this condition worse, it is often present all year round. If you find that the tips above do not alleviate your discomfort or symptoms, it may be time to see a optometrist to see if your condition requires more effective medical treatment.

Diabetes and Your Eyes

Diabetes is becoming much more prevalent around the globe. According to the International Diabetes Federation, approximately 425 million adults were living with diabetes in the year 2017 and 352 million more people were at risk of developing type 2 diabetes. By 2045 the number of people diagnosed is expected to rise to 629 million.

Diabetes is a leading cause of blindness as well as heart attacks, stroke, kidney failure, neuropathy (nerve damage) and lower limb amputation. In fact, in 2017, diabetes was implicated in 4 million deaths worldwide. Nevertheless preventing these complications from diabetes is possible with proper treatment, medication and regular medical screenings as well as improving your diet, physical activity and adopting a healthy lifestyle.

What is Diabetes?

Diabetes is a chronic disease in which the hormone insulin is either underproduced or ineffective in its ability to regulate blood sugar. Uncontrolled diabetes leads to hyperglycemia, or high blood sugar, which damages many systems in the body such as the blood vessels and the nervous system.

How Does Diabetes Affect The Eyes?

Diabetic eye disease is a group of conditions which are caused, or worsened, by diabetes; including: diabetic retinopathy, diabetic macular edema, glaucoma and cataracts. Diabetes increases the risk of cataracts by four times, and can increase dryness and reduce cornea sensation.

In diabetic retinopathy, over time, the tiny blood vessels within the eyes become damaged, causing leakage, poor oxygen circulation, then scarring of the sensitive tissue within the retina, which can result in further cell damage and scarring.

The longer you have diabetes, and the longer your blood sugar levels remain uncontrolled, the higher the chances of developing diabetic eye disease. Unlike many other vision-threatening conditions which are more prevalent in older individuals, diabetic eye disease is one of the main causes of vision loss in the younger, working-age population. Unfortunately, these eye conditions can lead to blindness if not caught early and treated. In fact, 2.6% of blindness worldwide is due to diabetes.

Diabetic Retinopathy

As mentioned above, diabetes can result in cumulative damage to the blood vessels in the retina, the light-sensitive tissue located at the back of the eye. This is called diabetic retinopathy.

The retina is responsible for converting the light it receives into visual signals to the optic nerve in the brain. High blood sugar levels can cause the blood vessels in the retina to leak or hemorrhage, causing bleeding and distorting vision. In advanced stages, new blood vessels may begin to grow on the retinal surface causing scarring and further damaging cells in the retina. Diabetic retinopathy can eventually lead to blindness.

Signs and Symptoms of Diabetic Retinopathy

The early stages of diabetic retinopathy often have no symptoms, which is why it’s vitally important to have frequent diabetic eye exams. As it progresses you may start to notice the following symptoms:

  • Blurred or fluctuating vision or vision loss
  • Floaters (dark spots or strings that appear to float in your visual field)
  • Blind spots
  • Color vision loss

There is no pain associated with diabetic retinopathy to signal any issues. If not controlled, as retinopathy continues it can cause retinal detachment and macular edema, two other serious conditions that threaten vision. Again, there are often NO signs or symptoms until more advanced stages.

A person with diabetes can do their part to control their blood sugar level. Following the physician’s medication plan, as well as diet and exercise recommendations can help slow the progression of diabetic retinopathy.

Retinal Detachment

Scar tissues caused by the breaking and forming of blood vessels in advanced retinopathy can lead to a retinal detachment in which the retina pulls away from the underlying tissue. This condition is a medical emergency and must be treated immediately as it can lead to permanent vision loss. Signs of a retinal detachment include a sudden onset of floaters or flashes in the vision.

Diabetic Macular Edema (DME)

Diabetic macular edema occurs when the macula, a part of the retina responsible for clear central vision, becomes full of fluid (edema). It is a complication of diabetic retinopathy that occurs in about half of patients, and causes vision loss.

Treatment for Diabetic Retinopathy and Diabetic Macular Edema

While vision loss from diabetic retinopathy and DME often can’t be restored, with early detection there are some preventative treatments available. Proliferative diabetic retinopathy (when the blood vessels begin to grow abnormally) can be treated by laser surgery, injections or a procedure called vitrectomy in which the vitreous gel in the center of the eye is removed and replaced. This will treat bleeding caused by ruptured blood vessels. DME can be treated with injection therapy, laser surgery or corticosteroids.

Prevent Vision Loss from Diabetes

The best way to prevent vision loss from diabetic eye disease is early detection and treatment. Since there may be no symptoms in the early stages, regular diabetic eye exams are critical for early diagnosis. In fact diabetics are now sometimes monitored by their health insurance to see if they are getting regular eye exams and premium rates can be affected by how regularly the patients get their eyes checked. Keeping diabetes under control through exercise, diet, medication and regular screenings will help to reduce the chances of vision loss and blindness from diabetes.

April is Women's Eye Health and Safety Month

Hey women! Did you know that women are more likely to suffer from vision problems and are at higher risk of permanent vision loss than men? Well 91% of the women surveyed recently didn’t know that, which means that many of them aren’t taking the necessary precautions to prevent eye damage and vision loss.  

According to a recent study, the statistics for many of the major vision problems show that women have a higher percentage of incidence than men. These include:

  • Age-related Macular Degeneration 65%
  • Cataracts 61%
  • Glaucoma 61%
  • Refractive Error 56%
  • Vision Impairment 63%

Women are also more susceptible to develop chronic dry eye, partially because it is often associated with other health issues that are more common in women such as ocular rosacea which is three times more prevalent in women.  Hormonal changes during pregnancy and menopause can also contribute to dry eye.  

It’s important for women to know the risks for eye-related diseases and vision impairment and the steps they can take to prevent eventual vision loss.  Here are some ways that you can help to protect your eyes and save your eyesight:

  • Find out about family history of eye diseases and conditions.
  • Protect your eyes from the sun by wearing 100% UV blocking sunglasses when outdoors.
  • Don’t smoke.
  • Consume a healthy diet with proper nutrition and special eye health supplements as prescribed by an eye doctor.
  • Adhere to contact lens hygiene and safety.  
  • Adhere to cosmetic hygiene and safety precautions. 
  • Protect your eyes against extended exposure to blue light from computers, smartphones and LED lamps. 
  • If you are pregnant or planning to become pregnant and have diabetes, see an eye doctor for a comprehensive eye exam. In women who have diabetes, diabetic retinopathy can accelerate quickly during pregnancy and can present a risk for the baby as well. 

Mothers are often charged with caring for the eye health of the entire family, but too often their own eye health needs fall to the wayside. It is critical that mothers take care of their eyes and overall health so that they can be in the best condition to care for their families. 

Speak to your eye care professional about your personal eye health and vision risks and the precautions and measures you should take to protect your eyes.  Encourage the other women in your life to do so as well.  Once vision is lost, it often can’t be regained and there are many steps you can take to prevent it with proper knowledge and awareness.  

The most important way to prevent vision loss is to ensure you schedule regular eye exams. Don’t wait for symptoms to appear as many eye issues are painless and symptomless, and sometimes by the time you notice symptoms, vision loss is untreatable.