Comprehensive Eye Health Examinations
We provide complete eye care for children, teens and adults. As part of your examination, your visual acuity (the sharpness of your vision) will be assessed and a “refraction” will be performed to determine your eyeglass prescription. We will also assess your focusing ability for reading, how your eyes work together, and their ability to accurately focus at distance and near. We take pride in the accuracy of our eyewear prescriptions.
Our comprehensive eye health examinations also check your eyes inside and out for glaucoma damage, cataracts and all other eye diseases as well as high blood pressure, diabetes and other systemic diseases. We will evaluate the inner structures of your eyes, including the retina, macula and optic nerve.
A dilated pupil examination allows us to provide the best assessment of your eye health giving the doctor a more optimal view of the internal structures of your eyes. The effects of the dilating drops usually begin to subside after a few hours; however, it is wise to bring good sunglasses to help you see in bright sunlight following a dilated eye exam. While your eyes are dilated, close work or reading may be difficult, and bright sunlight may be annoying.
Retina, Macula & Glaucoma Care
For patients who are at risk or are being treated for glaucoma or macular degeneration, we use the advanced technology Zeiss Cirrus Spectral Domain OCT Scanner to more thoroughly examine patients and track for potential change over time.
The Zeiss Cirrus SD-OCT is a laser scanning instrument that scans the eye with light and allows for incredible evaluation of layers of the retina, macula, optic nerve or cornea. This instrument is particularly useful for those patients at risk for glaucoma. Additionally an analysis of the retina can evaluate macular thickness, wet or dry macular degeneration, separations, holes, hemorrhages, or raised areas of the macula and retina. In glaucoma patients or suspects, we will analyze the Optic Nerve area, the Retinal Nerve Fiber Layer and the area called the Ganglion Cell Layer. We can measure nerve fiber thickness all around the optic nerve, and map the optic disc area in high definition 3-D. We watch for changes over time in these areas. We can also measure the front corneal surface of the eye to determine adjustments needed to pressure measurements, or check for angle closure glaucoma conditions.
The Zeiss HFA Visual Field Analyzer is also instrumental in the diagnosis and treatment of our patients with glaucoma. Validated by decades of research and clinical experience, HFA is the accepted gold standard of care in glaucoma diagnosis and management. HFA has the widest range of testing protocols on any perimeter. The ergonomic design promotes maximum comfort and patient access.
After performing your examination, your doctor will discuss your results, explain your prescription and discuss your overall eye health. Options such as glasses, contact lenses, eye medications, or even eye surgery will be reviewed with you.
We use Optos Ultra Wide-field Retinal Imaging at our office. This allows us to digitally document the condition of your eye health. It also allows our doctors to better explain the condition of your eyes and since it is digital, the results are viewable immediately. More about Optos…
The landmark Ocular Hypertension Treatment Study (OHTS), sponsored by the National Institute of Health (NIH), determined that patients with thin corneas and elevated eye pressure are at greater risk of having advanced visual field loss.
We use Ultrasonic Pachymetery for patients at risk for glaucoma based on this OHTS study to measure corneal thickness so we can better profile our patients level of risk for progression to glaucoma related nerve damage.