專業項目

教授級的眼科視光知識 + 多年的美加臨床經驗 + 專業的北美檢查方式.

諾貝爾眼科視光中心是由”蕭清仁教授” 與眼科醫師合作之”眼睛視覺保健中心” ,
我們專攻於各類”硬式隱形眼鏡”及以下各種”眼科視光服務”項目

 

隱形眼鏡

一般軟式,硬式,角膜塑型術以及特殊設計鏡片,包括:散光,老花,圓錐角膜,近視雷射術後,雷射術後角膜澎隆。

正確的佩戴流程應確保

  1. 配戴者是否適合隱形眼鏡
  2. 適合那一種材質與設計的隱形眼鏡
  3. 合適之隱形眼鏡弧度,直徑,厚度,含水量及透氧度。 亦提供隱形眼鏡售後之例行複診、訓練與指導新配戴者的正確戴法、摘除及保養方法。

 

Contact lens

A full service care is essential to a successful contact lens fitting. Before starting contact lens trials, you will go through eye examination and evaluation of the suitability for contact lens wear. Once suitability is confirmed, Dr. Hsiao will decide the right kind of lens design, material and prescription for you. You will then receive the lens care kits, instruction on lens care regiments, and schedule for follow up visits.

 

角膜塑形鏡

是一種特別的技術,設計是採取雙反向幾何學的高透氧硬式鏡片,壓平並重新塑造患者眼睛上具有彈性的角膜,來達到暫時矯正近視以及控制近視惡化的功能。患者只要按時配戴,在取出鏡片後,一整天或少於1天的時間之內,角膜仍可維持被重新塑造的形狀,而其裸視視力在這期間內也會獲得改善。
角膜塑形術的使用,兼具了矯正近視及控制度數加深的雙重功能。通常,在近視三百度以下,角膜塑型術可精準地矯正其度數,一旦超越四、五百度之後,角膜塑形術還是可以有效地幫助降低度數,只是無法保證在除鏡後一定能達到1.0的裸視視力水準。至於控制度數方面,根據許多國際醫學期刊所發表&蕭教授本人多年的臨床經驗,配戴角膜塑形術可有效減緩近視加深速度達50%以上。
全面性的眼睛健康檢查,準確的屈光確定和配戴前的病史諮詢都是進行角膜塑形術之前非常重要的步驟。另外,定期的複診是必須的,複診的程序則包括了鏡片中心定位、鏡片移動度、鏡片服貼度、螢光劑染色和角膜健康情況評估等等,以確保無眼睛受損的情況
對於有配戴角膜塑型鏡片的病患來說,他所購買的並非只是一種特殊的隱形眼鏡,而是一種量身訂做的矯正鏡片,建立在視光專家或醫生對角膜塑形術的鑽研及技術

 

Orthokeratology

Ok lens is made of high rigid gas permeable lens material with a double reverse geometry lens design. It is designed to compress and reshape the corneal curvature in order to temporally correct the refractive error and to retard the myopia progression. The patient only needs to wear the lens during sleep hours and will have clear vision throughout all day after lens removal in the morning without any optical aids.

In General, an Ok lens can easily correct myopia prescription up to -3.00D, and maybe up to -5.00D~-5.50D depends on individual’s corneal condition. According to many international journals and Dr. Hsiao’s research, wearing Ok lenses can effectively slow down the myopia progression by at least 50 %.

Thorough eye examination, accurate refraction, and pre-fitting case history are all part of Ok fitting screening tests. The Ok fitting procedures include fluorescence staining, corneal evaluation, and lens centration, lens movement, lens congruency on the cornea. All these are done to make sure no damage could happen to cornea due to lens wear.

Ok lens is not just a special type of contact lenses, instead, it is a customized corrective lens based on fitter’s experience and technique towards Ok lens fitting.

 

兒童視力健檢

檢查包括: 近視控制, 遠視及散光矯正, 弱視治療, 立體感與色盲之篩檢等等為了避免錯過六歲之前的黃金治療時期,加上學童視力在學校往往有急速的變動,根據加拿大眼科視光醫師協會的建議,孩童第一次的視力檢查應該在三歲左右,之後每半年複診追蹤一次,直到十六歲為止.

 

Pediatric Exam

Preschool (age 3~5): look out for the conditions such as crossed eyes (strabismus) and lazy eye (amblyopia). These vision problems can’t be fully corrected by eyeglasses alone, special treatments are required.

School Children (age 6~18): The most common vision problems are nearsightedness (myopia) and astigmatism. Other conditions such as eye coordination or accommodation may also present.

 

弱視、散光處理

人類的學習有80%是透過視覺系統的傳導,孩童一旦有的視覺上的障礙便會連帶引發其學習上的困難。一般孩童並不會主動告知其視覺上的問題,尤其是弱視,因為他們無法分辨自己的視覺是否正常。
最常見到的兒童異常狀態包括:近視、遠視、散光、斜視、弱視、調節力與雙眼視覺上的問題,而其中有些狀況是無法用一般的眼鏡矯正,需要特殊的處理方式解決。

 

Amblyopia & Astigmatism

Many children suffer from undetected vision problems which can negatively affect their school performance. Early detection and treatment provide the very best opportunity to correct vision abnormalities, so your child can see clearly and learn successfully in school.

 

近視控制

  1. 越小年齡罹患近視, 近視增加越快, 而且越容易在將來變成高度近視群.
  2. 青少年在未滿18-19歲前, 近視都很有可能繼續加深
  3. 配戴眼鏡或軟式隱形眼鏡, 並不會增快或減緩近視加深的速度
  4. 近視雷射手術可以矯正度數
  5. 綜合以上各點, 最好的方法就是在近視加深前抑制它

減少近視加深的習慣:

每天至少兩小時的日照戶外活動
高維他命D的飲食
晚上睡覺是開個小夜燈
減少使用紅色的照明系統, 多使用藍色的燈光,譬如日光燈
保持30-45公分看書的距離,勿趴著看書
保持端正的姿勢看書
看書,看電腦,看電視時,室內的燈光必須打開
看書的檯燈燈光以60燭光為宜,避免使用日光燈管,位置以正前方或左前方射來為佳
長時間看書,看電腦,看電視,都必須中途休息,每次以不超過30分鐘為限制
看電視時,距離必須超過畫面對角線的5倍以上
做定期的視力健檢,不要等到徵兆發生後才就檢查

減緩近視增加的治療選擇:

散瞳劑 ” 或 “ 睫狀肌麻醉劑 ” – short Vs. long effect, ,
漸進多焦點近視控制鏡片
夜戴型角膜塑形術 (OK 鏡片)
硬式透氧隱形眼鏡

 

Myopia Control

Good habits to slow down myopia progression:

Daily outdoor activity –preferable > 2 hours under the sun
At least 30-45 cm reading distance
Proper reading posture
Avoid long period time of near distance work
Adequate reading lighting source
Take a short break after 30 minutes of reading
Proper viewing distance when watching TV (4~5x of the TV screen length)
Vitamin D intake
Less use of red color and more use of blue color lighting source
Regular eye examination

 

精密驗光及度數處方開立

所有驗光步驟均使用專業的北美檢查方式, 當病人的眼鏡度數改變太多時, 將會先讓病人搭配試鏡框來適應試戴新的度數,之後才開立處方簽

 

Detail Refraction

All refraction is done with North American standard step by step procedure and the new spectacle prescription will be trialed with the trial frame when there is a big change in patient’s refractive error.

 

雙眼協調功能

大腦接收視覺訊息來自於雙眼。 正常的雙眼視覺可以給與我們足夠的立體感以及避免重影。 在所有的視覺疾病當中,雙眼視覺問題是最常見到的, 患者常常會有模糊、 眼睛酸痛、不舒服和重影的現象,而且也常常容易導致弱視的形成。處理雙眼視覺問題的方法包括眼鏡、隱形眼鏡、眼睛手術和視覺訓練。

 

Binocular Vision

Normally, the brain receives signals from both eyes at the same time which means both eyes working together by pointing at the same place. Proper eye alignment is essential for adequate depth perception and avoiding seeing double images. Binocular vision problems are among the most common visual disorders. Patients often experience symptoms such as blur vision, eye strain, discomfort, and diplopia. It is very likely the turned eye will develop a lazy eye in the long run. There are many treatment options for binocular vision anomalies, and they are spectacle lens, contact lens, eye surgery, prism and vision therapy.

 

定期眼視光檢查

定期眼視光檢查是眼睛預防醫學最重要的一環。許多眼睛和視覺上的問題並沒有明顯的症狀,早期發現與早期治療才可以預防視力的退化或損壞。視覺系統檢查項目會依據病人的病徵與症狀以及臨床檢查者的專業判斷而決定。一個完整的視力和視覺系統可包括 : 完整的病歷審核、眼睛外部及週遭的部位之檢查、眼睛內部例如視網膜和水晶體之檢查、視力檢查(近距離、遠距離)、眼壓檢查,雙眼協調及眼睛週遭之眼肌肉之檢查、眼睛遠近調節焦距之能力、立體感之檢查等

 

comprehensive eye examination

The most important part of preventive healthy vision care is anannular comprehensive eye examination. Optometrists detect and manage problems and conditions of the eye and making sure you get the most from your vision.
Many eye and vision problems have no obvious signs or symptoms. Early diagnosis and treatment of eye and vision problems can help prevent vision loss.
The tests to be conducted during an eye examination depend on patient’s signs and symptoms, along with the optometrist’s professional judgment. A comprehensive eye examination may include, but is not limited to, the following tests:
Patient History, Visual Acuity, Preliminary tests, Keratometry, Refraction, Eye Focusing, Eye Teaming, and Eye Movement Testing, Eye Health Evaluation and Supplemental tests

 

近視雷射矯正手術諮詢及複診

成功的近視雷射手術有賴於仔細的術前評估 (精準度數,角膜弧度及厚度, 瞳孔大小, 淚液分泌和眼球健康)
以及定期的術後複診 (傷口復原,殘留度數等等)

 

Pre and Post Lasik evaluation

Lasik is a surgical procedure which uses a blade or laser to cut a flap in the cornea and then uses a laser to reshape the corneal tissue underneath. Lasik can be used to correct vision in people with myopia, hyperopia, and astigmatism. Pre Lasik assessment is important to rule out any risk factors and to confirm whether the patient is a good candidate for the surgery. Post Lasik evaluation is to make sure the cornea is recovering from the surgery properly and the refractive status is fully corrected.