What Are The Benefits Of A Comprehensive Eye Exam?

Comprehensive eye exams evaluate all aspects of your vision and eye health.

• Internal Exam – This is an evaluation of the retina and optic nerve while your eyes are dilated.

• Visual Function and Eye Health – This includes testing depth perception, color vision, peripheral vision and response of the pupils to light, as well as an evaluation of eye focusing, eye teaming and eye movement abilities.

• Glaucoma Testing – This is a test of fluid pressure within your eyes to check for the possibility of glaucoma.

• Visual Acuity – Your doctor will test your vision with different lenses to determine if glasses or contact lenses can improve your vision.
  
  

Comprehensive eye exams look at your total health history.

Even though you visit a separate office for your eye health, that doesn’t mean your eyes shouldn’t be treated holistically. Your eye doctor will discuss your overall health and that of your immediate family, any medications you’re taking and whether you have high blood pressure or diabetes. They’ll also want to know if you smoke and how much sun exposure you get. All these factors help the eye doctor properly assess your eye health.

Comprehensive eye exams are performed by eye professionals.

Eye doctors are highly trained. Optometrists examine the eyes for visual defects, diagnose problems or impairments, and prescribe corrective lenses. After a bachelor's degree, optometrists complete a four-year program to obtain their Doctor of Optometry degree.

While dry eye isn’t a serious condition, it can have a major impact on your quality of life. You may find your eyes get tired faster or you have difficulty reading. Not to mention the discomfort of a burning sensation or blurry vision. Let’s take a look at dry eye treatments – from simple self-care to innovative prescriptions and therapies – to help you see clearly and comfortably.

What Is Dry Eye?

The understanding of dry eye will help you determine the best treatment option. Dry eye occurs when a person doesn't have enough quality tears to lubricate and nourish the eye. Tears reduce eye infections, wash away foreign matter, and keep the eye’s surface smooth and clear. People with dry eyes either do not produce enough tears or their tears are poor quality. It’s a common and often chronic problem, especially in older adults.

Preventive Self-Care

• Before we delve into more serious dry eye treatment options, here are a few simple self-care options that can manage minor cases of dry eye.

• Blink regularly when reading or staring at a computer screen for a long time.

• Make sure there’s adequate humidity in the air at work and at home.

• Wear sunglasses outside to reduce sun and wind exposure. Wraparound glasses are the best.

• Take supplements with essential fatty acids; these may decrease dry eye symptoms.

• Drink 8 to 10 glasses of water each day to avoid dehydration.

• Find out if any of your prescriptions have dry eye as a side effect. See if you can take an alternative.

Artificial Tears

For mild cases of dry eyes, the best option is over-the-counter eye drops. Here are a few tips for selecting the right one:

• Low viscosity – These artificial tears are watery. They often provide quick relief with little or no blurring of your vision. But their effect can be brief, and sometimes you must use these drops frequently to get adequate relief.

• High viscosity – These are more gel-like and provide longer-lasting lubrication. However, these drops can cause significant blurring of your vision for several minutes. For this reason, high-viscosity artificial tears are recommended at bedtime.
  
  

Prescription Dry Eye Treatments

There are several prescriptions that treat dry eye differently. Your eye doctor can advise the best option for your situation.

• Contact Lenses – There are specialty contact lenses that deliver moisture to the surface of the eye. They’re called scleral lenses or bandage lenses.

• Antibiotics– If your eyelids are inflamed, this can prevent oil glands from secreting oil into your tears. Your doctor may recommend antibiotics to reduce inflammation.

• Anti-inflammatory drugs – These are eye drops to control inflammation on the surface of your eyes (cornea) using the immune-suppressing medication cyclosporine (Restasis) or corticosteroids.

​​​​​​​Dry Eye Procedures

• ​​​​Punctal Plugs – Tear ducts can be plugged with tiny silicone plugs to reduce tear loss. By partially or completely closing your tear ducts, it can keep your tears from leaving your eye too quickly.

• LipiFlow Thermal Pulsation – This treatment helps to unblock oil glands. Placed over your eye, the device delivers a gentle, warm massage to the lower eyelid over about 15 minutes.

• Intense-Pulsed Therapy – This utilizes pulses of light to liquefy and release hardened oils that have clogged glands in the eyelids.
  
  

You don’t have to suffer from the symptoms of dry eye. Talk to your optometrist about dry eye treatment options designed to address the underlying cause of your condition.

If you’ve never worn contact lenses, it can feel a bit intimidating. You’re inserting something into your eye, after all! Let’s ease your mind about the first step – your contact lens exam. This blog will walk you through what’s involved in a contact lens exam and what you can expect every step of the way.

It begins with a comprehensive eye exam.

Your eye doctor will first determine your overall eye health and vision. This includes a discussion of your health history and then a series of standard eye tests. These tests will evaluate eye focusing, eye teaming, depth perception, color vision, peripheral vision, and the response of pupils to light. The doctor will also measure your eye’s fluid pressure to check for glaucoma, evaluate your retina and optic nerve, and test your vision with different lenses to assess whether contact lenses can improve your vision.

Then, a discussion about your contact lens preferences.

If contact lenses are appropriate for you, it’s time to talk about your contact lens preferences. For example, do you want to enhance or change your eye color? Would you prefer daily disposable lenses or overnight contacts? Ask about the benefits or drawbacks of each, so you make the best decision. If you’re over 40, your doctor will likely discuss age-related vision changes and how contact lenses can address these issues.

Next, the eye doctor will conduct eye surface measurements.

Contact lenses require precise measurements of your eyes to fit properly. Using an instrument called a keratometer, your doctor will measure the curvature of your eye's clear front surface. This is your cornea. Next, the size of your eye's pupil is measured using a card or ruler showing different pupil sizes. This is held next to your eye to determine the best match.

You may also need a tear film evaluation.

If you have dry eyes, your eye doctor will perform a tear film evaluation to measure the amount of tear film on the surface of your eye. If your tear film is insufficient or you have chronic dry eyes, contact lenses may not be a good option for you. However, some newer contact lenses deliver moisture to the surface of the eye, making them a better choice for individuals with dry eye issues.

It's time for the contact lens fitting.

The final step is to fit you with a trial pair of contact lenses. Once inserted, your eye doctor will
examine the lenses in your eyes to ensure a good fit. He/she will check the alignment and
movement of the lenses on the surface of your eye. If the fit looks good, the last step is to
ensure the prescription is correct with several tests.


Now it’s your turn to test it out.

Your contact lens exam is over, but you’ll need to come back. Your doctor will usually have you wear the trial lenses for a week. Then you’ll have a short follow-up exam to confirm that the lenses are working well for you. You can then order a supply of contact lenses.

If this is your first contact lens exam, don’t worry. Choose a qualified optometrist and they’ll answer all your questions as you go. Just be sure to let them know you’re interested in contact lenses. That way, they can allow extra time in your appointment for the specialized tests and consultation.

If you are one of the thousands of people considering LASIK laser eye surgery, then you will probably be gathering as much information as possible about the treatment. By this point, you are probably aware of the benefits that LASIK offers, such as a reduced or eliminated need for glasses or contact lenses and greater convenience in your day to day life. However, for many patients, despite the advantages of LASIK, the thought of surgery on their eyes is still a cause of anxiety and fear. One of the best ways to alleviate this concern is to find out more about what the procedure entails.

Your Consultation

Before you can be approved for any form of laser vision correction, including LASIK, you will need to attend a consultation appointment with your surgeon. During consultations, we will perform an examination of your eyes and use your medical and ocular history to determine if you are a good candidate for the procedure. He will also speak to you about the expected outcome from your surgery, making you aware that while LASIK will dramatically improve your eyesight, there is no guarantee that you will not need to wear glasses in some situations, such as while driving in the dark.

How LASIK Works

LASIK uses a cool, ultraviolet beam of light to reshape the patient’s cornea. Doing so will more accurately focus the light that enters the eye on to the retina, thus improving the patient’s vision.

The LASIK Procedure

The LASIK procedure is very fast and straightforward. Although you will probably be in the surgical suite for around half an hour, the actual process only takes a couple of minutes per eye. The rest of the time will be spent preparing and ensuring that you are comfortable

Anesthetic eye drops are given to patients before their procedure so that the entire process is pain-free. If you are particularly anxious, it may also be possible for you to be slightly sedated this should be discussed with your doctor at your consultation appointment.

Once you are in position, we will use a femtosecond laser to cut a thin, circular flap into the outer corner. This can then be pulled back to reveal the underlying corneal tissue, known as the stroma so that it can be reshaped using the laser. The exact path that the laser needs to take, known as the topography, will have been pre-programmed ahead of the procedure and can be followed with complete precision and accuracy.

Once the reshaping is complete, the flap can be replaced back over the eye and the surgery is complete. There is no need for sutures or bandages as the cornea will start to heal immediately and without any medical intervention.

Recovery From LASIK

After your surgery, your eyes may feel a little sore, scratchy or itchy, but this should fade relatively quickly. Blurriness is also expected, but again this should disappear within a few days.

After being discharged you will need to have someone pick you up, as you will not be allowed to drive until our doctor has seen you the following day and confirmed that your eyesight meets the legal standard for driving.

In most cases, you will be asked to refrain from doing any intense physical activity for at least a week while your eyes begin to heal, but you should be able to return to work within 48/72 hours of your procedure.

Are There Any Risks Associated With LASIK?

LASIK is considered to be extremely safe, and any side effects are minimal and disappear within a few days. However, a very small number of people do report complications following LASIK, which can range from mild problems such as itching, painful or watery eyes to more serious side effects like a bulging cornea or extreme dry eye. Our doctors will discuss any potential side effects with you during your consultation, and give you the opportunity to ask any questions that you may have.

If you are looking for the very best quality LASIK procedure and patient care, then look no further. With our experience, knowledge, and skill, you can rest assured that your vision is in the most capable of hands. Schedule your consultation with us today by making contact with our friendly, reassuring team.

Understanding Computer Vision Syndrome

Just a few decades ago, computer vision syndrome (CVS) was not known or understood. With an increase in the role of computers in our lives, it has become increasingly common. Researchers believe that 50-90% of people who use computers in their daily lives have experienced CVS to some degree. The amount of time that many people stare into a computer screen is increasing, and this puts significant strain on our eyes.

CVS is not considered a single specific problem. A suite of issues may be assigned to this syndrome. Additionally, with the increased use of school computers, tablets and smartphones, children are also susceptible to CVS.

This syndrome is like many other repetitive motion type conditions like carpal tunnel syndrome. The problem can start because our eyes move in the same way throughout the day (reading text on a screen). Once an issue has started, it can get worse as we continue the same behavior. While reading alone causes the same motion, screens are considerably harder for our eyes to view. Digital screens add flicker, contrast, glare, and light that all put additional strain on our eyes.

If you should use some type of corrective lens but don’t, these issues can only accelerate due to the additional strain put on your eyes.

As we age, these problems can also progress. Around the time that people turn 40, the lenses of their eyes begin to harden with a disease called presbyopia. This hardening affects your ability to see objects that are closer to you.

What Happens If I Have CVS?

There is currently no proof that CVS causes long-term vision impairment or blindness. Continuing to use a computer or any other type screen can continue to be an annoyance or reduce your ability to see properly. Some of the warning signs of CVS are:

• Blurred vision

• Double vision

• Red or dry eyes

• Headaches

• Neck pain

• Back pain

• Eye Irritation
  
  

If you don’t properly treat CVS when these symptoms occur, you may begin to notice that you suffer from a decrease in overall quality of life or job performance.

Treatment Options

Fortunately, CVS can usually be treated with just a few small changes to your viewing habits, or to the settings of your screen itself.

Reduce Glare – It’s essential to reduce the amount of glare that comes off your computer screen. The glare adds additional strain to our eyes. You can reduce the glare by changing the angle of your computer screen so that it doesn’t reflect light back to your eye. You could install a dimmer switch and reduce the brightness of the overhead lighting. If you have natural light that enters your office, you can try moving your monitor to a different location and then adjust the settings of your blind to reduce or block the light coming in. You can also purchase a glare filter that goes over the top of your screen.

Move Your Desk – Your ideal monitor position is just below your eye level and approximately 20-28 inches in front of your eyes. You shouldn’t have to change your head position or strain your neck to read what is on your screen. If you work with printed materials, put a stand next to your monitor to keep everything at the same height.

Change Your Settings – Simply changing the settings of your screen can result in a significant reduction to your eye strain. You can adjust the brightness, contrast, and even change the font size to make things easier for you to see.

Take Breaks – Your breaks don’t have to take up much time. Doctors recommend using the 20/20/20 rule. This rule simply states that every 20 minutes you should look at an object 20 feet away for twenty seconds. Additionally, if you feel that your eyes are strained, it’s a good idea to get away from your screen for a few minutes.

Update Your Prescription – Reducing the amount of work your eyes must do to see is always a good idea. Making sure that your prescription is accurate for you helps to reduce that strain. There are also options now to include an anti-glare coating on your glass lenses that help to reduce all the glare that passes through the lens to your eye. You can also use sunglasses that have polarized lenses to help protect your eyes.

LASIK Evaluation and Consultation

LASIK is a common laser eye surgery used to treat refractive errors, such as myopia, hyperopia, and astigmatism. Most patients benefit from LASIK as a lasting replacement for eyeglasses or contact lenses. Before undergoing LASIK surgery, patients will need to attend a consultation to determine if they are a candidate for LASIK. During this consultation, we will look at the patient’s eye health to determine the best vision correction option for their needs and how much corneal tissue will need to be removed and reshaped. Patients who do not qualify for LASIK might qualify for another laser eye surgery, like PRK or LASEK.

Neurolens are the first and only prescription lenses that include an element of contoured prism in their design. This prism is designed to bring the patient’s eyes into more equal alignment, and this should help to provide relief from the symptoms that are associated with several eye misalignment conditions, including digital eye strain and binocular vision dysfunction.

What Is Digital Eye Strain?

Digital eye strain is the name given to describe a group of symptoms that can occur when someone spends long periods of time using digital devices. Since using digital devices requires the eyes to work harder than normal and we don’t always position our devices the perfect distance away, it can lead to issues such as eye pain, dry and irritated eyes, eye fatigue, light sensitivity and blurred vision. Unsurprisingly, the number of people who are experiencing digital eye strain has grown significantly over the last few years and is expected to continue to do so.

What Is Binocular Vision Dysfunction?

Binocular vision dysfunction, also known as BVD for short, is another eye condition but is one that is very misunderstood. Binocular vision dysfunction occurs when the eyes aren’t perfectly aligned, causing your brain and eyes to work harder than normal in order to create a clear visual image and remain focused. This places pressure on the trigeminal nerve, which is the nerve that is responsible for the majority of the sensations that we experience in our head and back. BVD can often manifest as other things owing to the huge range of symptoms that are associated with the condition. These can include, but aren’t limited to:

• Blurred vision

• Headaches/migraines

• Double vision

• Motion sickness

• Vertigo

• Dizziness

• Anxiety

Many people don’t think to visit an eye doctor when they are experiencing these symptoms, but all can occur simply because the eyes are out of alignment.

What Are Neurolens Lenses And How Do They Help?

As well as containing your usual prescription, Neurolens lenses also contain a specific amount of contoured micro-prism. This micro-prism alters the position of images so that they are aligned in the same plane. This then reduces the pressure on the muscles around the eyes as well as bringing the eyes into alignment, easing the symptoms that the patient has been experiencing.

The amount of prism in Neurolens lenses is decided using the Neurolens eye-tracking device. This non-invasively measures the misalignment that the patient is experiencing, and this is used to form the basis for the patient’s Neurolens prescription. After this, it’s fairly normal for the amount of prism to need to be adjusted by infinitesimal amounts to achieve the optimal relief from your symptoms. Most patients who choose Neurolens treatment see a 50% improvement in their vision as soon as they start to have micro-prism incorporated into their prescription lenses. However, with careful adjustments, many patients see as much as an 80% reduction in the effects of digital eye strain and binocular vision dysfunction.

Want more information about Neurolens? Please contact our knowledgeable eye care specialists.

Many patients come to us every day struggling to get through their daily lives with their current choice of vision correction. Some have eyeglasses that do not sit properly on their face or feel that their peripheral vision is hindered by the frames. While contact users may find the lenses uncomfortable or have them fall out at inconvenient times. For these patients, we are pleased to offer orthokeratology, or Ortho-K, a revolutionary way to help you see clearly throughout the day without having to wear glasses or contacts and without having to get laser eye surgery.

What Is Ortho-K?

Generations ago, eye doctors knew that the tissue in the eye was soft and somewhat malleable. This knowledge caused them to wonder if they could push the eye back into the proper shape, would an individual be able to see clearly even if they were not wearing their prescription lenses. With the development of gas permeable contact lenses, a few eye doctors began to notice that their patient’s prescriptions did not change as rapidly as previously noted and that they appeared to be able to see correctly even when they were not wearing their contacts.

From these early discoveries, the world of Ortho-K was born. Ortho-K is a special treatment to help patients see clearly even when they are not wearing a prescription lens. Instead, a special gas permeable contact lens is placed into the eye each night before bed and the lens gently pushes the eye into the proper shape while you sleep. In the morning, you can remove the lenses and still see clearly throughout the day. Some patients can even see clearly for up to three days after wearing them for just one night!

Who Should Consider Ortho-K?

• There are a number of issues that our patients can have with prescription lenses. If you have one of the following conditions or concerns, call our office today to schedule an appointment.

• Allergies to the materials in contact lenses

• Dry eye that is made worse by wearing prescription lenses

• Dirt or other debris that gets under contact lenses

• You play sports and do not want to worry about glasses or contacts

• The ability to wake up at night and see clearly

• A general dislike of glasses or contacts
  
  

How Long Does It Take?

Once you receive your custom Ortho-K contact lenses, it will take anywhere from one to four weeks to fully see all the benefits to your vision that they will provide. However, some of our patients find that their vision has improved after only wearing their lenses for a single night! During the first few days, you may also still need to wear prescription lenses to see clearly enough to drive or get through your normal day, but that is generally quickly resolved. Also, some patients experience some mild discomfort for the first few nights, but as your eyes adjust over a few days, you should no longer be bothered by the feel of your lenses. Is the Procedure Safe? Orthokeratology was approved by the Food and Drug Administration (FDA) in 2002. The procedure is considered safe, effective, and reversible. However, there are some side effects associated with Ortho-K. Most of these side effects are a result of improper cleaning of the lenses that can lead to a minor infection. These infections are usually remedied fairly quickly with the use of antibiotic eyedrops.

Overview

If you are sick and tired of wearing contact lenses or glasses every single day and would like an alternative way to correct your vision, consider trying Ortho-K. If you would like more information on Ortho-K, please call our offices today and see how we can improve your everyday life.

Neurolens are the first and only prescription lenses that include an element of contoured prism in their design. This prism is designed to bring the patient’s eyes into more equal alignment, and this should help to provide relief from the symptoms that are associated with several eye misalignment conditions, including digital eye strain and binocular vision dysfunction.

What Is Digital Eye Strain?

Digital eye strain is the name given to describe a group of symptoms that can occur when someone spends long periods of time using digital devices. Since using digital devices requires the eyes to work harder than normal and we don’t always position our devices the perfect distance away, it can lead to issues such as eye pain, dry and irritated eyes, eye fatigue, light sensitivity and blurred vision. Unsurprisingly, the number of people who are experiencing digital eye strain has grown significantly over the last few years and is expected to continue to do so.

What Is Binocular Vision Dysfunction?

Binocular vision dysfunction, also known as BVD for short, is another eye condition but is one that is very misunderstood. Binocular vision dysfunction occurs when the eyes aren’t perfectly aligned, causing your brain and eyes to work harder than normal in order to create a clear visual image and remain focused. This places pressure on the trigeminal nerve, which is the nerve that is responsible for the majority of the sensations that we experience in our head and back. BVD can often manifest as other things owing to the huge range of symptoms that are associated with the condition. These can include, but aren’t limited to:

• Blurred vision

• Headaches/migraines

• Double vision

• Motion sickness

• Vertigo

• Dizziness

• Anxiety

Many people don’t think to visit an eye doctor when they are experiencing these symptoms, but all can occur simply because the eyes are out of alignment.

What Are Neurolens Lenses And How Do They Help?

As well as containing your usual prescription, Neurolens lenses also contain a specific amount of contoured micro-prism. This micro-prism alters the position of images so that they are aligned in the same plane. This then reduces the pressure on the muscles around the eyes as well as bringing the eyes into alignment, easing the symptoms that the patient has been experiencing.

The amount of prism in Neurolens lenses is decided using the Neurolens eye-tracking device. This non-invasively measures the misalignment that the patient is experiencing, and this is used to form the basis for the patient’s Neurolens prescription. After this, it’s fairly normal for the amount of prism to need to be adjusted by infinitesimal amounts to achieve the optimal relief from your symptoms. Most patients who choose Neurolens treatment see a 50% improvement in their vision as soon as they start to have micro-prism incorporated into their prescription lenses. However, with careful adjustments, many patients see as much as an 80% reduction in the effects of digital eye strain and binocular vision dysfunction.

Want more information about Neurolens? Please contact our knowledgeable eye care specialists.

Our on-site laboratory is fully equipped with state of the art technology to make many glasses in the office. Depending on your prescription, we can make some of these single-vision glasses on the same day. Please ask our opticians for more information.

(if using vision insurance, we are required to send your glasses to insurances lab)