For those who have particular complexity to their vision or eyes, we offer a level of care that is unsurpassed. The innovative Contact Lens Center at Optique is dedicated to finding the best contact lens solutions to challenging problems, such as:
Those requiring bifocals or reading glasses can benefit from new contact lens technology, such as multi-focal lenses, monovision, and more complex options. We will tailor a solution specific to your lifestyle and needs. As a part of his clinic trial experience and pioneering work on contact lens design, Dr. Jeffrey Sonsino has access to many multifocal designs which are not widely available in other offices.
We offer keratoconus care including decision making for contact lenses or surgery. As a part of the American Academy of Optometry, Dr. Jeffrey Sonsino helps write the position papers on keratoconus, establishing standards of care for all optometrists practicing in the U.S. You can be confident that he is either researching with his collaborators or aware of the most cutting edge studies in the field.
Contact lenses following surgical complications or injuries:
Irregular astigmatism is created on the eye following some surgical complications and injuries. Often, it cannot be completely corrected with glasses or subsequent surgeries. However, using gas-permeable contact lenses and more advanced designs, a tear layer is introduced to the ocular surface that neutralizes irregular astigmatism. Dr. Jeffrey Sonsino publishes and lectures extensively on this subject.
Nashville consistently ranks in the top 3 cities in the nation for allergies. Eye allergies, computer use, and environmental factors all produce dry eye that can be successfully treated when diagnosed properly. Doctors Jeffrey and Michele Sonsino are committed to providing the most updated treatment options for their patients with dry eyes. These may involve medication, plugs that prevent moisture from leaving the eyelids, a regimen of hot compresses and artificial tears, and optimizing contact lens materials. They will work with you to find the strategy that may work best for you.
Gas-permeable (GP) corneal lenses:
GP lenses can be used to correct a host of corneal irregularities, high prescriptions, aphakia, and high astigmatism. They range in size from around 2/3 the size of the cornea to overlapping the sclera (semi-scleral lenes). With a deep understanding of how they work, Dr. Sonsino will explain your options with these lenses in a concise yet understandable manner.
Hybrid lenses have a gas-permeable material center, with a soft lens material skirt. They have distinct advantages over other types of contact lenses. They typically center better and are more comfortable than GP lenses, and have better optics than soft lenses. Hybrid lenses are available for both patients who simply need vision correction and in designs that treat irregular corneas. Dr. Jeffrey Sonsino works closely with a manufacturer of hybrid lenses on their newest designs and has access to the latest hybrid designs before any other optometrist or ophthalmologist in the world.
Scleral lenses are very large diameter gas-permeable lenses that hold their shape on the eye and create a chamber of tears that stay adhered to the ocular surface. Because of their size, they are typically extremely comfortable and provide better vision correction than most surgeries, standard contact lenses, and glasses.
Scleral lenses may be an option for patients with more severe dry eye conditions such as:
- ocular graft-versus host disease
- Sjogren’s syndrome
- Stevens-Johnson syndrome
- Meibomian gland dysfunction
- Evaporative dry eye
- Neurotrophic corneas
- Exposure keratitis (with eyelid conditions, such as Bell’s Palsy)
- Lacrimal gland problems
- Ocular cicatricial pemphagoid
- Pellucid marginal degeneration
- Post- penetrating keratoplasty (corneal transplant surgery)
- Post-radial keratectomy (RK surgery)
- Post-LASIK ectasia
- Post-trauma (such as open globe)
- Salzmann nodular degeneration
- Terrian’s maginal degeneration
The Contact Lens Center at Optique is one of forty practices in the world to have the ability to prescribe custom molded scleral prosthetics generated from computer aided design. Aside from the founder of the company, Dr. Sonsino is the top prescriber of Eye Print Prosthetics in the world. Patients travel from all over the country to see him. This technology is best for those who have failed with standard scleral lenses. The process starts with a mold (similar to orthodontic molding of teeth) cast of the eye. The mold is sent to a special laboratory be analyzed and transformed into a computer generated model of the eye. A scleral prosthetic is created from this model to the exact specifications of the individual eye. If you have failed with traditional scleral lenses, we invite you to discuss this technology with our staff.
For more information on healthy contact lens wear and care, check out some tips that Dr. Sonsino’s committee in the American Optometric Association has produced with the Centers for Disease Control and Prevention.