Vision Therapy in Floresville

Myopia FAQs

(830) 393-7744

1. What is Myopia?

Myopia, also known as nearsightedness, is a common condition in which distant objects appear blurry while close-up objects remain clear. Myopia tends to progress until around the age of 21, and during this time, a child's vision deteriorates, often requiring more frequent updates of their corrective lenses.

young girl doing homework


girl in eye exam

2. What Causes Myopia Progression?

The exact causes of myopia progression are not fully understood, but several factors have been associated with it:

  • Myopia tends to run in families, so if parents are nearsighted, their children are more likely to develop myopia.
  • Extensive studying, reading, and activities that involve focusing on nearby objects can contribute to myopia progression.
  • The increasing use of electronic devices, especially when held close to the eyes, is thought to play a role in myopia development.
  • Spending less time outdoors may increase the risk of myopia progression.

3. Why is Myopia Progression a Concern?

The progression of myopia is concerning as it's strongly associated with an increased risk of ocular diseases such as cataracts, glaucoma, macular degeneration, and retinal detachment later in life.


4. What If My Child Wears Glasses or Soft Contact Lenses?

Even if your child regularly wears glasses or soft contact lenses to correct their myopia, the condition may continue to progress. Conventional corrective methods often address symptoms but don't tackle the root cause, which involves the elongation of the eyeball.


5. How Can I Prevent My Child's Vision from Getting Worse?

To help prevent myopia progression, consider making lifestyle changes, including:

Reducing Screen Time: Limit screen time, and encourage breaks during prolonged use of digital devices.

Encouraging Frequent Breaks While Studying: Ensure your child takes regular breaks when studying or reading.

Increasing Outdoor Play: Encourage outdoor activities and playtime.

Adjusting Their Study Posture: Ensure proper posture during near work, avoiding sitting too close to screens or materials. 

Additional treatment may be necessary, depending on the level of your child’s myopia. Some of these options may include:

  • Atropine Drops
  • Orthokeratology (ortho-k)
  • Dual Focus Contact Lenses

6. What Is Orthokeratology?

Orthokeratology, or ortho-k, is a non-surgical procedure designed to reduce nearsightedness. It involves the therapeutic application of specially designed contact lenses to reshape the cornea, the front part of the eye, overnight. This can effectively correct nearsightedness and certain types of astigmatism.

Ortho-k offers a promising solution for managing progressive myopia while providing the freedom of being glasses or contact lens-free during the day. Clinical studies have demonstrated its effectiveness in reducing myopia progression, thus reducing the risk of ocular diseases.


mom reading book to child

7. Is Myopia Management Suitable for Adults or Only for Children?

Myopia management strategies are often most effective when initiated during childhood, as this is when myopia tends to progress most rapidly. However, certain approaches, such as orthokeratology (ortho-k), may also benefit adults. It's crucial to consult your Hill Country Vision Center - Floresville eye doctor to determine the best approach for your specific situation.


8. How Often Should My Child's Eyes Be Examined for Myopia Progression?

Regular eye examinations are essential to monitor myopia progression. The frequency of these exams will depend on your child's age, myopia severity, and risk factors. Annual eye check-ups are generally recommended, but some cases may require more frequent visits.


9. Are There Any Side Effects or Risks Associated with Myopia Management Treatments?

Most myopia management treatments are safe and non-invasive, but awareness of potential side effects is essential. For instance, ortho-k lenses may cause temporary discomfort or dryness. Atropine eye drops may lead to increased sensitivity to light. Your Hill Country Vision Center - Floresville eye doctor will discuss these potential side effects and help you decide on the right approach for your child.

Patient Reviews
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342 Reviews
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- Nov. 02, 2025
Great people and great service
- Oct. 20, 2025
I am grateful for the exceptional care my little girl received from Dr. Jacklyn Alaquinez. From the ... moment she walked in, her kindness and patience were evident. She took the time to make my daughter feel comfortable during the entire appointment, which I truly appreciated. The entire staff was also amazing so welcoming and professional. we had everything we needed. It's not every day you find a healthcare provider who truly cares and makes the experience enjoyable, especially for little ones. Highly recommend Dr. Alaquinez and her wonderful team! A five-star experience all around
- Oct. 06, 2025
The Dr. And facility was wonderful, but staff behind counter was a different story
- Oct. 06, 2025
Hi! Just wanted to share how pleased I am with my visit to Dr. Vielma for an overdue eye exam. They ... got me in the very next day, and the staff were incredibly welcoming! The whole process was efficient, and I received my new glasses in just about a week. Highly recommend them!
- Sep. 09, 2025
I feel like I have a friend in the vision business
- Aug. 18, 2025
We love the staff at Hill Country Vision Center - Floresville!
- Aug. 18, 2025
Friendly, knowledgeable and well trained.
- Jul. 29, 2025
The Ophthalmologists was super nice explained everything for a 90 yr to understand
- Jun. 19, 2025
The whole staff here is so welcoming and respectful I have taken my children here many times aswell ... as myself happy customer!!
- May. 12, 2025
Fast and very friendly
- May. 09, 2025
Everyone was super friendly.
- Apr. 25, 2025
N/A
- Apr. 22, 2025
Very good service.
- Mar. 25, 2025
I was very satisfied and pleased to be there 😊👍 I would recommend them to my family and friend... s 😊👋.. Thank you so much. BENITO HERRERA JR.
- Mar. 19, 2025
They are also nice & friendly!! Good selection of glasses also
- Mar. 17, 2025
I am so impressed with the location in Floresville. The staff is professional and polite. The office... s are clean and tidy. I am very pleased with the service.
- Mar. 13, 2025
Despite me not even being a patient, they adjusted my falling down my face glasses for free. They we... re warm and helpful and didn't solicit anything. When I'm ready for an exam, I'll definitely keep them in mind! If your glasses are falling down your face too, hit them up for a complimentary adjustment! So nice to have caring businesses in the community! 👓🕶
- Jan. 03, 2025
The staff was very professional and Dr Vielma took the time to explain everything about my eye exam.... He was wonderful to speak with and he treated me as if we were family. I highly recommend Hill Country Vision.
- Nov. 07, 2024
Amazing, friendly and professional staff and Doctor!
- Oct. 31, 2024
Professional and friendly

View All 342 Reviews

Myopia Management in Floresville

Our optometry practice in Floresville

Photograph of Thomas  Vielma
Hours
  • Monday 8:00 am - 5:00 pm
  • Tuesday 8:00 am - 5:00 pm
  • Wednesday 8:00 am - 5:00 pm
  • Thursday 8:00 am - 5:00 pm
  • Friday 8:00 am - 5:00 pm
  • Saturday Closed
  • Sunday Closed
Insurance Plans
  • VSP
  • United Healthcare
  • Aetna
  • Spectera
  • Medicaid
  • Anthem
  • Anthem Blue Cross Blue Shield
  • EyeMed
  • Blue Cross
  • MetLife

man adjusting glasses

10. Is Myopia Management Expensive, and Does Insurance Cover It?

The cost of myopia management can vary based on the chosen treatment method and location. Some treatments, like ortho-k, may involve initial higher costs but could reduce long-term expenses related to prescription updates and potential eye health issues. Schedule an appointment with Hill Country Vision Center - Floresville today to understand the specific costs and coverage options.

(830) 393-7744