Mrs Elizabeth RalphMrs Elizabeth Ralph

Professional Services Consultant
Contact Lens Specialist

Contact: beth.ralph19@icloud.com

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Consultation via Webcam

Dry Eye Clinic Video

Latest News

LATEST NEWS! This column will carry the latest news for ADP-EyeCare patients and/or prospective patients. 

29/08/2020: Dry Eye Clinics commence in Leyland in September.

30/07/2020: The world unique InflammaDry test to detect and measure inflammation in dry eye and contact lens discomfort patients avalable from Beth Ralph and Andrew D Price

01/07/2020: As from learly September 2020 dry eye and contact lens patients can also be seen in Nantwich, Cheshire by Mr Andrew D Price. Email patients@adp-eyecare.co.uk

21/06/2020: As from late August 2020 dry eye and contact lens patients can also be seen in Southport, Merseyside by Mr Andrew D Price. Email patients@adp-eyecare.co.uk

12/06/2020: As of mid-June 2020 we are starting to put our Contact Lens and Dry Eye Clinics together in our diaries, extending and spacing appointments further apart so that safe distancing and clinical standard hygiene measure can be effective, this along with an anticipated demand for appointments indicates that patients who would like to see Beth or me are encouraged to contact us as soon as possible. Please email Andrew Price patients@adp-eyecare.co.uk  or Elizabeth Ralph beth.ralph19@icloud.com

23/05/2020:  Dry Eye Clinic Video published - watch here.

03/05/2020:  Remote non-urgent consultations with Andrew D Price, now available 7 days/week, day or evening by phone or Webcam Consult. Send initial email to patients@adp-eyecare.co.uk  

03/05/2020: A collaborative agreement between private ophthalmology and Andrew D Price at the Dry Eye/Contact Lens Clinic of ADP-EyeCare at Focus-In Opticians of Rhyl. See more.

04/04/2020: Lipiflow page discusses treatment. See In-Practice/Clinic Professional Treatments under Dry Eyes Clinic menu-point.

25/03/2020:  New feature of the ADP-EyeCare website is the downloadable, savable, optionally printable Contact Lens Referral documents with all fields open for text. Go to ADP-EyeCare where you will find it under the Contact Lens Menu Point.

 

 

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Myopia Management/Control

Is your child suitable for Myopia (Progression) Management?

Children playingMyopia or short-sightedness causes blurred distance vision. It normally begins in childhood, being more common in children who have a myopic parent, although sometimes there is no family history.

Myopia is increasing worldwide with some calling this a ‘myopia boom’. In East Asia some 90% of children are now myopic. Prevalence has also doubled within a century in Europe and in Australia. In 12 year olds it doubled between 2006 and 2011!

This is a worrying public health issue, as short sight is connected with a number of more serious eye problems in later life such as retinal detachment, cataract, glaucoma & maculopathy. With every increase in myopia, the risk of developing these conditions increases.

What can I do for my children?

eye: Myopia explainedParental history, ethnicity, environment (living indoors in cities) and spending longer each day on near tasks have all been linked to the onset and progression of myopia.
Firstly there is one thing that all parents can do straight away to help their child – get them to spend more time outdoors! Studies have shown that increasing outdoor time slows myopia progression, research continues as to why, and whether the quality of the light the child is exposed to is important. A good time to aim for is 2 hours per day outdoors.
Specialist rigid overnight contact lenses are sometimes prescribed, as yet we do not prescribe these.
Daily wear of specific design multifocal soft contact lenses have also been shown to reduce the rate of myopia progression. Ensuring that children wear and are happy with their contact lens is of critical importance to the therapy’s effectiveness.
A clinical trial reported in 2014 that multifocal spectacle lenses also showed less mean progression of myopia than single vision lenses. However contact lenses seem to be a little more effective.
Pharmacological therapy, using eye drops to affect the focussing. This treatment is not currently available in the UK as drug safety trials are still underway.

How should I consider things?

Research labs around the world, multiple clinical trials and thousands of patients willing to participate are piecing together the story of why myopia develops and thus how it and the eye might be controlled. The work continues, it has now reached a stage where the results cannot be ignored. The evidence is not yet 100% conclusive, however it does seem to be pointing in the same direction.
Before entering into a process that may be time consuming, where outcomes cannot be guaranteed, please ensure you have made due diligence to investigate the principles of myopia control. We want you and your child to be fully comfortable with the journey we will be undertaking together.
We will ask you to research the web to gather information yourself, here are some websites you can start with:
www.myopiaprevention.org
https://mymyopia.com/

What happens next?

After your child’s normal General Eye Exam/’Sight-Test’, if it is appropriate for your child, carry out your own research and consideration of possible Myopia Management.
Then discuss with us the next steps, this will start with a special eye exam where drops are used to measure the relaxed state of the eye. Following on from this you can consider special spectacle lenses or soft contact lenses.  

How does the programme start?

I (Andrew D Price) will not enroll you into one of the Myopia Managment programmes immediately. Even if eventually your child becomes part of a programme, they will start wearing conventional spectacles or contact lenses, this enables a smoother transition to the special lenses required and importantly gives you reflection time before enrolling.
Whether you wear spectacles or contact lenses for Myopia Management eventually this approach won’t mean any initial payments are lost, they are simply offset against the programme payments if you decide to enroll your child within two months. Mrs Elizabeth Ralph in the East Midlands may have a dfferent initial approach and will advise you on contacting her, please see below. 

What are the charges?

The Myopia Control Programme is not funded by the NHS. It involves a great deal of time with professional staff and may require changes of lenses – this is included in the Programme fees. We will provide more detailed programme charges on request.
What do I do next?
Email Mr Andrew D Price FBDO(Hons)CL, COA: This email address is being protected from spambots. You need JavaScript enabled to view it. to discuss further, with a view to arranging an appointment in my North Wales or Southport clinic or Mrs Elizabeth Ralph FBDO CL This email address is being protected from spambots. You need JavaScript enabled to view it. in the East Midlands. 

Personal portfolios can be found here: Mr Andrew D Price FBDO(Hons)CL, COA and Mrs Elizabeth Ralph FBDO CL.

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