Comprehensive Eye Examinations
A comprehensive examination is a detailed and complete evaluation of the health of each area of the eye as well as thorough vision testing and prescription assessment.
Our doctor and highly trained staff explain the purpose of each test as it is performed. We want to help you understand all your eye health and vision treatment options. During the exam, pressure in the eye is measured using Contact Tonometry which is significantly more accurate than the “poof of air” used to measure pressure in the past. This test is used along with other tests to determine if you have or are at risk of developing glaucoma. In addition, the back of the eye, including the retina, macula, and ocular nerve are examined for signs of disease and problems not limited to, macular degeneration, diabetic retinopathy, and retinal holes/tears or detachments. Observation of the back of the eye is performed by dilation of the pupils. The doctor performs refractive testing to determine the optical lens strength required for the clearest possible vision. Binocular vision skills are tested as well; this is to ensure that the eyes work together properly as a unit. These skills include depth perception, eye muscle coordination and the ability to change focus from near to far objects. Pupil responses are tested, and the cornea and lens are checked for general health and the possible development of cataracts and other eye health issues.
It is important to have a comprehensive eye exam every 12 months.
Getting your prescription checked by your doctor is the best way to keep your eyewear current and your eyes in good health. Eye diseases such as glaucoma display no symptoms until full onset has occurred; this is a disease that can be prevented through early detection and maintenance. In addition, prescription changes do not necessarily reveal themselves through secondary symptoms. Changes in the amount of myopia (near-sightedness) or hyperopia (far-sightedness) occurring can be masked by the eye muscles straining to accommodate for the change.
Specialized Medical Eye Testing
We recommend and perform various types of medical eye testing as necessary. The tests we perform include industry standard Humphrey Automated Visual Field Testing, , OCT (Optical Coherance Tomography), Pachymetry, Schirmer’s test (for dry eye), color testing, and depth perception.
A visual field test measures the effectiveness of a patient’s peripheral vision. This test is used primarily for glaucoma suspects or for patients that have been diagnosed with glaucoma. It is also useful to determine if there is any evidence of stroke or tumor affecting the optic nerve.
The OCT is an instrument used for measuring the thickness of the optic nerve fibers which become thinner with glaucoma. It is also useful in measuring the thickness of the macula, which in turn aids in diagnosis of various issues such as macular degeneration, macular edema (especially in diabetics or after cataract surgery).
Pachymetry determines the thickness of the cornea. This is especially useful in diagnosis and treatment of glaucoma, as well as LASIK evaluations,and evaluating corneal swelling.
Shirmer’s testing determines tear production to determine if the patient has dry eye syndrome.
Color testing determines a patient’s level of color sensitivity and discernment.