Vision Therapy in Floresville

Scientific Research on Myopia Management

(830) 393-7744

Exploring the Science Behind Nearsightedness

Myopia, often known as nearsightedness, is a common vision disorder affecting millions worldwide. While genetics play a significant role, environmental factors contribute to its progression, with high myopia posing serious risks to eye health.

Researchers and clinicians worldwide are committed to finding solutions to tackle the rising myopia epidemic. Scientific research and clinical trials deepen our understanding of this condition and allow for effective management strategies.

smiling boy with toys


squinting woman adjusting glasses

Understanding Myopia Progression

Myopia typically results from axial lengthening in the eye. To address this, researchers have focused on several promising areas:

  • Spectacle Correction

    Glasses have long been studied to inhibit myopia progression. However, while some designs have shown promise, not all have been clinically effective. Recent advancements like the Defocus Incorporated Multiple Segments (DIMS) spectacle lens, designed to induce myopic defocus, have yielded encouraging results. Reducing axial length by 0.30 mm over two years offers a potential solution for myopia control, particularly for children.

  • Outdoor Sunlight

    Increasing outdoor time during school has shown a modest but tangible effect on reducing myopia progression. Studies suggest that 40 extra minutes of outdoor exposure daily can make a significant difference. However, the implementation has been challenging, and more research is needed to evaluate the long-term impact across diverse populations.

  • Low-dose Atropine

    Low-dose atropine treatment has gained popularity, particularly after studies like the Atropine for the Treatment of Myopia (ATOM) series. While the 0.01% concentration has shown effectiveness, the Low-Concentration Atropine for Myopia Progression (LAMP) study suggests that higher concentrations may offer more profound results. Atropine is easy to implement, especially for young children, with minimal side effects. However, long-term data regarding potential ocular toxicity is still pending.


Controlling Myopia with Contact Lenses

In recent years, contact lenses have emerged as a promising avenue for myopia control:

  • Orthokeratology

    Orthokeratology (ortho-k) lenses, worn overnight to reshape the cornea temporarily, have shown promise in reducing axial elongation by 55% after 24 months. However, these lenses have limitations and may not correct higher levels of myopia.

  • MiSight Contact Lenses

    The FDA-approved daily wear MiSight lens is a breakthrough in myopia control. Its dual-focus design creates myopic defocus and has demonstrated a reduction in myopia progression and axial length. This daily disposable lens offers an alternative to ortho-k, providing clear vision during the day without lenses. The ongoing MiSight clinical trial aims to provide more insights into its long-term efficacy and safety.

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

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Hill Country Vision Center - Floresville: Pioneering Myopia Management

There have been various scientific breakthroughs in myopia management. However, the choice of treatment depends on the child's age, preferences, and eye condition.

At Hill Country Vision Center - Floresville, we are committed to keeping up with the latest advances in myopia management research and providing you with the best possible care. Our top priority is your child's eye health. Visit us today and explore the latest advancements in myopia care for healthy eyes and clear vision.

(830) 393-7744