The Mission
Mission Statement Island Eyes: Our goal is to provide high quality
products along with high quality services. We intend to do this by
focusing on our patients needs and requirements. We intend to take a
market oriented approach when deciding on services and products that
will be made available whilst fulfilling our professional obligations.
We intend to do this by relying on personal service yet remaining at the
cutting edge of technology.
The inspiration for Island Eyes Optical Boutique started whilst I was a
student at The University of Manchester Institute of Science and
Technology (UMIST) studying optometry. There is a very trendy area of
Manchester called Deansgate near the City centre .As a student I would
go window shopping on Saturday afternoon. There were several boutiques
that carried very stylish, trendy, and high quality products. Mainly
clothes and shoe stores .One could rest assured that any of these would
be the latest fashions and hi quality and items. Assuming that you were
willing to pay the price one was never disappointed with what you
bought. This was in 1986 just a year after the dispensing of glasses had
been deregulated in England. Glasses were not yet considered a fashion
accessory but a necessary evil.
I have always believed that spectacles can be sold in this environment.
Subconsciously I began studying what made these boutiques what they
were. Subsequently I found similar boutiques in London, Paris ,Nice,
Cannes , Monte Carlo, Milan, Florence etc. all the European cities that
I visited as a student.
Essentially the elements are the same. Whilst paying attention to style
,the personal service you received assured that the styles suited you
rather than one becoming a fashion victim.
After leaving University in 1989.I was required to work in practice
under supervision for three years whilst I wrote my professional
qualifying examinations. After successfully qualifying in 1992 I
returned to Trinidad a month later to my first job as a fully qualified
optometrist.
My fifteen years working in Trinidad and interrupted only by a year and
half in St Lucia .Taught me that whilst the principles are the same, our
(the Caribbean) eye care needs are somewhat different from our European
even North American neighbors.
We suffer from a much higher incidence of Glaucoma in the Caribbean.
This is a chronic eye disease that is virtually without symptoms until
the late stages. Classically it produces tunnel vision and will lead to
blindness if left untreated. Ironically it is easily controlled by the
use of eye drops in most cases especially if it is caught in the early
stages. In England you see this disease commonly affects adults 40years
and over .In the Caribbean we often see young adults in their mid-
twenties developing signs of this disease. In practice I often find it
necessary to screen young adults for this insidious disease. However
because there are no symptoms in its early stages we find that many
people discover problem far too late and lose their sight needlessly.
Anyone with a family history of glaucoma should have his or her eyes
tested at least once a year
.
Another chronic condition that affects our people in the Caribbean with
a much higher incidence than our European and North American
counterparts is a disease called Keratoconus .This condition is very
rare in England and North America, but we find it a relatively common
condition in Trinidad particularly. Not enough research has been done to
investigate the cause of this condition. Keratoconus causes a
progressive thinning of the clear part of the eye called the cornea.
This causes the cornea to bulge forward producing very high spectacle
prescriptions and poor vision .This cannot be properly corrected or
managed by the use of spectacles, we have to manage this condition using
rigid gas permeable contact lenses. Eventually if that does not work the
next option is corneal surgery
There is also a high incidence of diabetes in Trindad, diabetes can
cause changes in the eye which lead to
blindness , as eye care professionals we have an important role to play
in the screening of diabetics .At Island Eyes we recommend that
diabetics have a comprehensive eye test at least once a year.
In the tropics we are exposed to a higher degree of harmful Ultra violet
light from the sun, this leads to a high incidence of cataracts in our
elderly population, along with associated conditions such as pinguecula
and pteryguim formation. We recommend that all Caribbean people should
wear some form of protective eyewear when outdoors.
It is very important that the spectacles or sunglasses selected inhibit
ultra violet radiation as simply wearing a dark pair of sunglasses;
“darkers” with no UV inhibition can actually be more detrimental to the
eye than wearing none at all. This is because with dark glasses the
pupil dilates and allows more UV light into the eye.
These conditions normally develop slowly over a few years,and left
unchecked they can lead to a loss of vision.
At Island Eyes we recognize that our patients want options to correct
their vision. Twenty-first century technology allows us to correct your
vision without the use of spectacles. We see ourselves as primary health
care professionals whose function is, to advise and present you with
attractive options.
The use of contact lenses has become increasingly popular with the
advent of disposable contact lenses (coloured and clear). Almost
everyone can wear contact lenses now. The change in contact lens
technology over the last ten years has been phenomenal. Before we used
to ask, are you suitable to wear contact lenses? Now we have to ask
which contact lenses will best suit you. The future of contact lens
technology is dependent on the introduction of better materials, which
can be worn for longer hours on a daily basis, be produced in any
prescription and
colour,
without having any harmful effects on the eye.
It is very important to remind people to have their contacts lens fitted
by a qualified eye care professional as improperly fitted contact lenses
can have a detrimental effect on the eye.
At Island Eyes we also do evaluations for refractive laser surgery or
laser vision consultations.
What is refractive laser surgery? What is laser vision correction (LVC)?
This is a procedure that uses a laser to correct shortsightedness
(myopia), long-sightedness (hyperopia) and astigmatism. During the
treatment, the laser’s cool beam of ultra violet light removes a small
amount of tissue, usually less than the thickness of a human hair.Short
pulses of this cool beam of laser light change the curvature of the
cornea allowing images to be more sharply focused.
There are some restrictions to who is suitable for this treatment
however: you must be at least eighteen years of age with healthy eyes
and stable vision.
Over one million LVC procedures have been preformed worldwide in the
last ten years. Data obtained during exhaustive clinical trials showed
that all patients experienced a significant improvement in uncorrected
vision. (Vision without glasses or contact lenses) after laser vision
correction.
The most popular procedure currently used is Laser in Situ
Keratomileusis(Lasik),combines the precision of the excimer laser with
additional benefits of an instrument called an automated microkeratome.
The microkeratome glides across the surface of the cornea allowing the a
thin layer (a corneal flap to be lifted up. Then by using ultra violet
light and high-energy pulses from the laser the cornea is reshaped.
The cornea bonds naturally and heals rapidly, therefore no stitches are
necessary.
The entire procedure takes less than 30 minutes.
Another option to correct vision without spectacles or contact lenses
are devices called INTACS. Intacs other wise known as intra-corneal
rings ,are inserted in the periphery of the cornea,( the clear membrane
that covers the front of the eye. This leads to a reshaping or
flattening of the cornea which reduces shortsightedness (myopia). There
is no removal of tissue from the central optic zone .These are
considered permanent implants ,but they can be removed if necessary .The
procedure takes about 30 minutes under local anasthesia. Clinical
trials to treat long-sightedness (hyperopia) and astigmatism are
proceeding.
The first procedure developed for refractive laser surgery or laser
vision correction was Photorefractive Keratectomy(PRK) it was developed
by Professor John Marshall of Moorfields in England during the late
eighties. The excimer laser is applied directly to the surface of the
cornea, flattening and reshaping the cornea .This procedure is still
used primarily for long-sightedness and astigmatism.
Another technique used is clear lens extraction. This technique is a
good option for patients in their mid forties or older. The procedure is
similar to cataract surgery. The eye’s natural crystalline lens is
removed and a new lens with the correct refracting power to correct your
vision is implanted .You should experience good distance vision ,but
will still need to wear reading glasses. Another benefit is that because
the eye’s lens has been removed one does not have to worry about getting
cataracts as you age.
Research is continually going on to develop new techniques, in the next
few years the Implantable Contact Lens (ICL) may become a reality. This
is a contact lens that is surgically implanted inside the eye, where it
never has to be cleaned.
These are some of the options available to correct your vision in the
new millenium.
It is also noteworthy that research published as recently as 1999 has
shown that the inclusion of specific food groups called luteins in your
diet have a therapeutic effect in some conditions that affect the eye,
for example cataracts, age-related macular degeneration. Several large
drug companies have now included these luteins in their vitamins and
food supplements.
Access to all of these options mentioned begins with a routine sight
test. The simplest way to correct your vision is still spectacles in
most cases. We cannot stress enough the importance of having your eyes
tested on a regular basis.
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