What you can do now in the eyes of your precious child
Currently, of the 1 million (*) population in Japan, about one-third, or about 2,575 million, are estimated to be myopic. It is estimated that nearly 1% of people will be myopic by 3, and about 4,000% of that myopia is predicted to be severe myopia related to pathological diseases.If myopia progresses, surgery can improve vision, but the shape of the eyes (eye size, etc.) that causes myopia cannot be corrected.
As children grow taller, their axial length also increases, so children in the growth stage are more likely to develop myopia.Don't regret it later Why don't you start doing what you can do now to prevent your child's myopia from progressing further?
* 25 Population Estimates, Statistics Bureau, Ministry of Internal Affairs and Communications
About myopia
- how the eye works
- The structure of the eye is said to be similar to a film camera.
in the eyescorneaとCrystalline lensThere is a lens that can bend the light called
These two lenses bend the light that enters the eye and focus it on the retina, where it forms an image.
Mechanism of myopia
In many cases of myopia, the depth of the eye, called the axial length of the eye, is too long, and the retina cannot be focused.
Wearing glasses or contacts corrects the refraction of light and brings it into focus on the retina.
causes of myopia
Myopia is said to be related to both genetic and environmental factors, but the increase in myopia in recent years is believed to be largely due to the influence of the environment.
This is due to changes in the living environment of children, such as less time and places to play outside, less outdoor play, and more viewing from a close distance due to the spread of smartphones and the increase in tablet learning. It is possible.
Jointly developed with TOMEY Corporation
born from the patient's voice
Axial length trend analysis
The axial length of the eye (the length of the depth of the eye) grows during growth, just like height.
Myopia increases as the axial length increases.
During the examination, the measured axial length will be displayed on a graph, and the doctor will explain the changes in it in an easy-to-understand manner.
In addition, we print out the graphs shown at the consultation and give them to you free of charge.
Low concentration atropine ophthalmic solution
As myopia progresses, it can increase the risk of eye diseases in the future. For this reason, it is important to suppress its progression at an early stage. Recent research has shown that using eye drops containing a diluted ingredient called "atropine" (low-concentration atropine eye drops) can slow the progression of myopia. In particular, it is said to have the effect of preventing the worsening of myopia by suppressing the "axial elongation" that causes the eyeball to lengthen from front to back.
At our clinic, we prescribe a low-concentration atropine eye drop called "Rejucea Mini Eye Drops 0.025%." Using this eye drop every night before going to bed can help slow the progression of myopia. If you are concerned about your child's myopia, please feel free to ask your doctor during your appointment.
Prices include tax
Orthokeratology
Orthokeratology is a treatment method that involves wearing special hard contact lenses while you sleep to correct the cornea of your eyes while you sleep.You don't have to wear lenses during the day, so you can live a comfortable life (*effects may vary from person to person).
Orthokeratology is said to have a 36% suppressive effect compared to monofocal glasses (written by Takahiro Hiraoka, Department of Ophthalmology, Faculty of Medicine, University of Tsukuba).In addition, research results have been reported that the concomitant use of atropine ophthalmic solution 0.01% enhances the myopia-suppressing effect (Scientific Reports).
Ortho K
POINT
- Japan's first approved lens
- It is the lens of Menicon that was approved for the first time in Japan.
The lenses have a special design and are excellent for correcting astigmatism.
POINT
- Renewal lens system
- You can get a new lens every year.
Lens warranty period
| Lost | None |
|---|---|
| Corruption | Guaranteed until cancellation (*) |
| frequency change | Guaranteed until cancellation under the direction of a doctor (*) |
- *When using the damage guarantee, it is a condition that there is a piece of broken lens.
- * When using the power change guarantee, it is a condition that the original lens can be collected.
Orthokeratology process
01
Adaptive test (about 3 hours)
- Belongings
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- ・Glasses, contact lenses
- ・Insurance card (*If an eye disease is found, we will switch to insurance treatment.)
- ・Bring a credit card (Please bring it with you every time because the lens fee will be deducted.)
- Adaptation examination, medical examination
- We will let you know if you are eligible or not based on the test results.
- Trial lens wear
- You will actually wear the trial lenses and check the fit during the examination.
- Register
- Please pay the initial cost (22,000 yen) in cash.
- Lens attachment/detachment practice
- You will be asked to practice putting on and taking off the lenses yourself.
- Watching video(* If you read it in advance, you can shorten the hospital stay on the day.)
-
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Adaptive test description
(2 minutes 18 seconds)
-
02
Hand over the ordered lens (about 30 minutes)
- About XNUMX week after adaptation test
- Handing over lenses and care products We will explain how to care for your lenses.
(*There is no medical examination or examination)
Cost of orthokeratology
| Initial cost | 22,000 yen(Cash only) | |
|---|---|---|
| Maintenance cost *Creation contracted by the manufacturer Monthly billing to JIT card |
one eye | 3,300 yen |
| both eyes | 6,600 yen | |
| examination fee | 3,300 yen (cash, credit card, electronic payment) |
|
risk
There is a possibility that light may blur at night, known as halo glare. Most people tend not to notice it or get used to it, but some people find it bothersome.
Orthokeratology involves attaching the lenses to the cornea in the same way as regular hard contact lenses, so there is a possibility that the surface may be scratched. If this happens, you will experience discomfort or pain, so please stop wearing the lenses and consult a doctor.
Neglecting to clean and care for your lenses can lead to corneal infections. If you follow the correct care method, the chances of this happening are slim, but there is a risk if you neglect to clean your lenses or use the same case for a long period of time without replacing it.
red light treatment
Red light therapy is used in a variety of areas, including skin, trauma, and autoimmune diseases. In 2014, it was discovered in China that the progression of myopia was slowed in children who were using red light to treat amblyopia. Since then, a great deal of research has been conducted, and in 2022, the effect was reported in the American Academy of Ophthalmology, a top-ranked ophthalmology journal, and it was found to be a much more effective treatment than previous myopia progression prevention treatments. It is attracting attention all over the world.
Equipment used for treatment
Treatment to suppress myopia progression using red light is called RLRL therapy (Repeated Low-Level Red-Light therapy). In Japanese, it can be said to be ``a treatment that repeatedly irradiates low-energy red light.'' Because it's red light, it doesn't mean that just looking at any kind of red light will have an effect; you need to look at light of a certain intensity for a certain amount of time. The equipment used for this red light therapy is currently only available from Eyerising International in Australia.
Eyerising myopia treatment equipment
This is a medical device that has not been approved in Japan.
Myopia progresses as the axial length (the depth of the eye) increases. This device emits a single wavelength red light using a diode laser (650nm±10nm). This light passes through the pupil and reaches the fundus of the eye. When you look into the eye with this device for 1 minutes at a time, twice a day, 3 times a week, it has been proven to increase blood flow to the fundus of the eye, thicken the choroid, and suppress the elongation of the axial length of the eye and the progression of myopia.
This device is designed to deliver more than just red light; it also provides safe and reliable treatment. The equipment is connected to a portal site online and the system controls treatment time, treatment intervals, number of days, etc. The treating physician will also confirm that the treatment is being carried out appropriately.
We will lend the equipment to your home. This may seem unsettling, but it is designed so that treatment can only be given for a set number of times at a set time. Also, since the only operation during use is the touch screen, even children can use it easily and with peace of mind.
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For more information, please watch this video
Therapeutic effect
According to a report by Yu Jiang et al. in 2022, axial length extension was suppressed by 1% in one year compared to the control group, and among those who were able to successfully complete treatment by 69.4% or more, the reduction was 75%. It is said to be effective. This inhibition rate greatly exceeds the conventional effects of low-concentration atropine and orthokeratology in inhibiting myopia progression. Furthermore, 76.8% of patients were confirmed to have a shortening of their axial length by 21.6 mm or more, and it has been reported that it has the effect of slightly reversing the progression of myopia, which is not found in other myopia treatments to date.
Conditions that can be treated
- Applicable conditions
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- •Age: 6 years old or older (from the age when you can clearly see the light on the device)
- •Target: Mild myopia to severe myopia
- Red light suitability examination and precautions during treatment
- If the pupils are dilated too much, the light may have a negative effect on the retina.
Low concentration atropine (Myopine) and Myopine have the effect of dilating the pupils, so if you use red light, treatment cannot begin until the effect wears off.
Discontinue low-concentration atropine (Myopine) for two weeks, then discontinue use of Mydorin and Myopine for one day and undergo adaptation testing.
- Contraindications (if the procedure cannot be performed)
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- -If you have abnormal binocular vision due to strabismus
- -If either eye has a disease other than refractive error (myopia or astigmatism) or other systemic disease
- If you have a family history of inherited chorioretinopathy, Stargardt disease, retinitis pigmentosa, macular dystrophy, etc.
- -If you have hypersensitivity to light therapy (if an afterimage remains for more than 5 minutes when looking at red light as a trial)
- •Do not use this device if you have pupil dilation (mydriasis) or after administering any medication that may cause pupil dilation, such as atropine, cyclopentolate, or tropicamide. (Light with more energy than specified may reach the retina.)
- •Cannot be used in combination with low-concentration atropine eye drops. If you are using eye drops, you will need to take a break for at least 14 days before starting red light treatment.
Safety
Eyerising myopia treatment equipment is a diode laser product that is equivalent to Class 60825 of the JIS (Japanese Industrial Standard) C 1-2014:1 standard. Maximum output is 2.5mW, illumination intensity is 1600Lux, pupil diameter is 3mm, and the maximum output that acts on the retina when irradiated for 0.29 minutes is 30mW, which is an energy that will not cause damage to a healthy retina, so it is irradiated directly to the eyeball. It is safe to do so. It has already met the quality, safety, and efficacy standards required by medical regulatory authorities in more than XNUMX countries (the equivalent of Japan's Ministry of Health, Labor and Welfare), including Europe's CE mark, Australia's TGA, New Zealand's Medsafe, and the UK's MHRA. , and approval is expanding to other regions as well.
Short-term side effects may include temporary glare, difficulty seeing in certain areas (flash blindness), and afterimages after treatment. These symptoms usually disappear within about 3 minutes after treatment. In addition, it is said that the duration of symptoms will shorten with repeated treatments, but if discomfort such as photosensitivity or eye irritation occurs, use of this device may be discontinued at the discretion of your doctor. there is.
cost
This treatment is self-pay and is not covered by insurance.
<Treatment costs> Treatment costs, test costs
| First year | Adaptive test |
|---|---|
11,000 JPY (TAX+) Examination/consultation fees for visual acuity, refraction test, slit test*, axial length, fundus OCT*, fundus autofluorescence, etc. |
|
| 1 year inspection fee | |
165,000 JPY (TAX+) Device loan + examination/consultation fees 1, 3, 6 months, and 1 year after starting treatment |
|
| 2nd Year Or later |
Inspection fee |
11,000 JPY (TAX+) Test/consultation fees per visit (regular tests every 1 months are recommended) |
*Slit test: A test that observes the anterior segment of the eye, such as the cornea, conjunctiva, crystalline lens, and iris.
*Fundus OCT examination: A test that uses the coherence of light to image the fine structures of the retina and blood vessels in the back of the eye. Periodic tests will be performed to check for side effects.
<Costs paid directly to the manufacturer> Subscription fee
*Contracts with manufacturers require credit card payments only (JCB cannot be used)
| Subscription plan | |
|---|---|
| monthly payment | 8,250 JPY (TAX+) |
| One year lump sum payment | 89,100 JPY (TAX+) - 10% discount |
| One year lump sum payment | 158,400 JPY (TAX+) - 20% discount |
*If an error occurs during the subscription fee payment procedure, please contact your credit card company directly.
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