Eye Care Services
Routine eye exams are important, regardless of your age or physical health. During a complete eye exam, your eye doctor will not only determine your prescription for eyeglasses or contact lenses, but will also check your eyes for common eye diseases, assess how your eyes work together as a team and evaluate your eyes as an indicator of your overall health.
Need an Eye Exam to Update Your Prescription?
A comprehensive eye exam includes a number of tests and procedures to examine and evaluate the health of your eyes and the quality of your vision. These tests range from simple ones, like having you read an eye chart, to complex tests, such as using a high-powered lens to examine the health of the tissues inside of your eyes. Eye care experts recommend you have a complete eye exam every year to assess your risk for potentially damaging eye conditions, as well as to keep on top of any changes in vision you may be experiencing.
Eye Care for Everyone
How Often Do You Need to See the Optometrist, Based on Age?
The AOA recommends an annual eye exam for any patient who wears eyeglasses or contacts. If you don't normally need vision correction, you still need an eye exam every year. Doctors often recommend more frequent eye examinations for people with diabetes, high blood pressure and other disorders, because many diseases can have an impact on vision and eye health. Since the risk of eye disease continues to increase with advancing age, everyone over the age of 60 should be examined annually. If you are over 40, it's a good idea to have your eyes examined every one to two years to check for common age-related eye problems such as presbyopia, cataracts and macular degeneration.
Eye Exams for Children
Some experts estimate that approximately 5% to 10% of pre-schoolers and 25% of school-aged children have vision problems. According to the American Optometric Association (AOA), all children should have their eyes examined at 6 months of age, at age 3 and again at the start of school. Children without vision problems or risk factors for eye or vision problems should then continue to have their eyes examined at every year throughout school. Children with existing vision problems or risk factors should have their eyes examined more frequently. Common risk factors for vision problems include:
- premature birth
- developmental delays
- turned or crossed eyes
- family history of eye disease
- history of eye injury
- other physical illness or disease
The AOA recommends that children who wear eyeglasses or contact lenses should have their eyes examined at least every 12 months or according to their optometrist's instructions.
Contact lenses are a great alternative to wearing eyeglasses. An often unknown fact is that not all patients wear contact lenses as their primary source of vision correction. Each patient is different, with some patients wearing contact lenses only on weekends, special occasions or just for sports. That is the beauty of contact lens wear, the flexibility it gives each individual patient and their lifestyle. If you decide to opt for contact lens wear, it is very important that the lenses fit properly and comfortably and that you understand contact lens safety and hygiene. A contact lens exam will include both a comprehensive eye exam to check your overall eye health, your general vision prescription and then a contact lens consultation and measurement to determine the proper lens fit.
The Importance of a Comprehensive Eye Exam
Whether or not you have vision problems, it is important to have your eyes checked regularly to ensure they are healthy and that there are no signs of a developing eye condition. A comprehensive eye exam will check the general health of your eyes as well as the quality of your vision. During this exam the eye doctor will determine your prescription for eyeglasses, however this prescription alone is not sufficient for contact lenses. The doctor may also check for any eye health issues that could interfere with the comfort and success of contact lens wear.
Hard To Fit Contact Lens Patients
Even if you've been told you can't wear contact lenses, we may be able to help. Specialty contacts are available for patients with dry eyes, severe astigmatism and more.
The Contact Lens Consultation
The contact lens industry is always developing new innovations to make contacts more comfortable, convenient and accessible. Therefore, one of the initial steps in a contact lens consultation is to discuss with your eye doctor some lifestyle and health considerations that could impact the type of contacts that suit you best. Some of the options to consider are whether you would prefer daily disposables or monthly disposable lenses, as well as soft versus rigid gas permeable (GP) lenses. If you have any particular eye conditions, such as astigmatism or dry eye syndrome, your eye doctor might have specific recommendations for the right type or brand for your optimal comfort and vision needs. Now is the time to tell your eye doctor if you would like to consider colored contact lenses as well. If you are over 40 and experience problems seeing small print, for which you need bifocals to see close objects, your eye doctor may recommend multifocal lenses or a combination of multifocal and monovision lenses to correct your unique vision needs.
Contact Lens Fitting
One size does not fit all when it comes to contact lenses. Your eye doctor will need to take some measurements to properly fit your contact lenses. Contact lenses that do not fit properly could cause discomfort, blurry vision or even damage the eye. Here are some of the measurements your eye doctor will take for a contact lens fitting:
Corneal Curvature
In order to assure that the fitting curve of the lens properly fits the curve of your eye, your doctor will measure the curvature of the cornea or front surface of the eye. The curvature is measured with an instrument called a keratometer to determine the appropriate curve for your contact lenses. If you have astigmatism, the curvature of your cornea is not perfectly round and therefore a “toric” lens, which is designed specifically for an eye with astigmatism, would be fit to provide the best vision and lens fit. In certain cases your eye doctor may decide to measure your cornea in greater detail with a mapping of the corneal surface called corneal topography.
Pupil or Iris Size
Your eye doctor may measure the size of your pupil or your iris (the colored area of your eye) with an instrument called a biomicroscope or slit lamp or manually with a ruler or card. This measurement is especially important if you are considering specialized lenses such as Gas Permeable (GP) contacts.
Tear Film Evaluation
One of the most common problems affecting contact lens wear is dry eyes. If the lenses are not kept adequately hydrated and moist, they will become uncomfortable and your eyes will feel dry, irritated and itchy. Particularly if you have dry eye syndrome, your doctor will want to make sure that you have a sufficient tear film to keep the lenses moist and comfortable, otherwise, contact lenses may not be a suitable vision option. A tear film evaluation is performed by the doctor by putting a drop of liquid dye on your eye and then viewing your tears with a slit lamp or by placing a special strip of paper under the lid to absorb the tears to see how much moisture is produced. If your tear film is weak, your eye doctor may recommend certain types of contact lenses that are more successful in maintaining moisture.
Contact Lens Trial and Prescription
After deciding which pair of lenses could work best with your eyes, the eye doctor may have you try on a pair of lenses to confirm the fit and comfort before finalizing and ordering your lenses. The doctor or assistant would insert the lenses and keep them in for 15-20 minutes before the doctor exams the fit, movement and tearing in your eye. If after the fitting, the lenses appear to be a good fit, your eye doctor will order the lenses for you. Your eye doctor will also provide care and hygiene instructions including how to insert and remove your lenses, how long to wear them and how to store them if relevant.
Follow-up
Your eye doctor may request that you schedule a follow-up appointment to check that your contact lenses are fitting properly and that your eyes are adjusting properly. If you are experiencing discomfort or dryness in your eyes you should visit your eye doctor as soon as possible. Your eye doctor may decide to try a different lens, a different contact lens disinfecting solution or to try an adjustment in your wearing schedule.
Eye problems can range from mild to severe; some are chronic, while others may resolve on their own, never to appear again. The articles below will give you a basic understanding of some of these problems and their implications. The cardinal rule is if your eyes don’t look good, feel good or see well, you should visit your doctor. The following is a short list of common eye conditions we treat, such as astigmatism, dry eye syndrome and presbyopia. For information about cataracts, glaucoma, macular degeneration and diabetic retinopathy please see Eye Disease Management. A more comprehensive list of eye conditions can be found in our Eye Health Library. Please book an appointment with our eye doctor if you have any concerns.
Ocular Disease Diagnosis and Treatment
Preserving the eyesight of our patients so they can get the most out of life is our greatest goal. Our Eye Care Clinic makes it a policy to ensure that all staff members are up-to-date on the latest technology and techniques to make your visit as comfortable and effective as possible. As optometric technology changes, it is even more important to visit an eye doctor who has all the right optometry qualifications and follows the latest developments in eye care. Utilizing cutting edge technology, we diagnose and manage, with greater precision, diseases like Glaucoma, Macular Degeneration, Cataracts, and Diabetic Retinopathy. Earlier and more precise diagnosis means earlier treatment and better outcomes. We can take an aggressive approach to diseases that previously had few treatment options. Great advances have been made in the treatment of these diseases.
Red, Pink or Sore Eyes?
We are ready to look after ALL of your eye care needs in one location. In addition to the services you already rely on us for such as routine eye exams, contact lenses, designer frames and eyeglasses – think of your Optometrist first for:
- sore, red, or itchy eyes
- treatment of “pink eye” and other bacterial infections
- removal of foreign bodies from the eye (such as wood or metal)
- treatment of eye allergies or burns
- emergency eye care
- post-surgical follow-up
This is convenient and cost effective for your whole family and you can be sure you are receiving the attention of an eye care specialist.
Eye Emergencies
We are always willing to help, should you ever experience an eye emergency. Our office provides emergency services for eye infections, eye injuries and other eye urgencies. State of the art equipment allows us to examine the front surface of the eye and also digitally scan inside the eye for infection or damage. We accommodate many eye emergencies such as:
- Eye infections
- Foreign materials stuck in the eyes
- Eye trauma
- Scratched eyes
- Sudden loss of vision in one or both eyes
- Lost or broken contact lenses or eyeglasses
- Flashes of light in the vision
- “Floaters” in the vision
- Red or painful eyes
- Dislodged contact lenses
- Uncomfortable, itchy, or irritated eyes
Studies have shown that an overwhelming number of emergency room visits could have been treated by an optometrist. These ranged from foreign bodies to severe eye allergies to eye infections as the most common reasons for emergency room visits. It is not always necessary to go to an emergency room for eye emergencies. Optometrists are equipped to treat the majority of eye emergencies. We understand the importance of eye care when you encounter symptoms such as those listed above. These are signs that an immediate evaluation or consultation is necessary – please call us to set one up if you are experiencing an eye emergency of any kind.
Foreign Bodies
A foreign body is something such as an eyelash, sawdust, sand, or dirt can that gets into the eyes. The main symptom is irritation or pain. Depending on what it is and how the injury happened, the foreign body may pierce the eye and cause serious injury or it may simply go away with no long-term problem. The foreign object may set off an inflammatory cascade, resulting in dilation of the surrounding vessels and subsequent edema of the lids, conjunctiva, and cornea. If not removed, a foreign body can cause infection. If anything is stuck in your eye for more than a period of a couple of hours, you must immediately cease all attempts to remove it yourself. Keep in mind that the eyes are an extremely delicate organ and any attempts to try anything extraordinary with them can only have negative and adverse results. If the foreign body you are talking about is not bothering you too much, then you are advised to visit an eye doctor to take care of it. If not you may need to call to emergency service of your region.
How Can An Eye Doctor Help?
If there is a foreign body in your eye, such as a piece of grit, your eye doctor may try and remove it. They will put anesthetic eye drops in your eye first, in order to numb it and prevent any pain. If the foreign body is easy to get to, it may be possible to remove it by simply rinsing your eye with water, or by wiping it away with a cotton wool bud or triangle of card. However, if this is unsuccessful, your eye doctor may try and remove the foreign body by lifting it out with the tip of a small metal instrument. The foreign body could be stuck underneath your upper eyelid, especially if you can feel something there, or you have scratches or grazes (abrasions) on the top half of the transparent outer layer of your eye (cornea). If this is the case, it may be necessary to gently turn your eyelid inside out in order to remove the foreign body. Once the anesthetic eye drops have worn off, your eye may feel a bit uncomfortable until your abrasion heals. Whatever is happening with your eyes or if you suffer or even suspect that a foreign body has penetrated the outer eye layer better go without delay to the nearest treatment center. Doing nothing can lead to loss of vision, premature cataracts and damage to the retina so do not take any chances, delay is dangerous.
LASIK
LASIK – Laser-Assisted In Situ Keratomileusis – is the most common refractive eye surgery today. As of 2011, over 11 million LASIK procedures have been performed in the United States and as of 2009 over 28 million have been performed worldwide. LASIK, often referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. LASIK surgery is performed by an ophthalmologist who uses a laser to reshape the eye’s cornea in order to improve visual acuity. For most patients, LASIK provides a permanent alternative to eyeglasses or contact lenses. LASIK is most similar to another surgical corrective procedure, photorefractive keratectomy (PRK), and both represent advances over radial keratotomy in the surgical treatment of refractive errors of vision. For patients with moderate to high myopia or thin corneas which cannot be treated with LASIK and PRK, the phakic intraocular lens is an alternative. LASIK is the premier surgery for vision correction. It is quick, almost painless and there is little or no discomfort after the procedure. Vision recovery is rapid – patients report seeing 20/20 within 24 hours. LASIK corrects nearsightedness, farsightedness and even astigmatism. With a technique called mono-vision, it can reduce the need for reading glasses among patients over age 40 who wear bifocals.
Who Are The Optimal LASIK Candidates?
The best candidate for LASIK is age 21+, has healthy eyes with adequate corneal thickness. This is necessary because LASIK procedure removes tissue from the cornea to reshape the eye. Chronic dry eye, corneal disease or other abnormalities may disqualify a candidate from LASIK surgery. A comprehensive eye exam is required to be sure. For your convenience, we are happy to provide LASIK pre-operative exams and consultations at our office. Note that LASIK is an elective procedure and proper consideration must include the weight of personal needs, potential gain and willingness to accept the risks involved. There are no guarantees that LASIK will absolutely succeed to your expectations. The results are not always perfect vision. In some cases, your vision after LASIK may be permanently less clear than it was with glasses before LASIK. This outcome must be factored before deciding on LASIK surgery. Certainly there is upside. In normal circumstances and conditions LASIK can reduce your dependence on glasses and almost always gives you the ability to function well without the need for glasses or contact lenses.
Specifics of The LASIK Procedure
LASIK is an ambulatory, two-step procedure. You walk into the surgery center, have the procedure and walk out about an hour later. The surgery event is about 15 minutes for both eyes, but allowances should accommodate for about at the surgery location, perhaps even a bit more. First, the surgeon creates a thin, hinged flap of tissue on your cornea with an instrument called a laser. This flap is folded back so the laser reshaping of your eye can begin. After laser treatment, which lasts a minute or less, the flap is repositioned and the surgeon proceeds to your other eye.
What Is Wavefront LASIK?
Wavefront LASIK -wavefront-assisted, wavefront-guided or custom LASIK- uses laser treatment (ablation) mapped by computerized analysis. Wavefront-guided procedures are much more precise than ablations determined by using standard eyeglasses prescriptions. They can correct subtle optical imperfections of the eye called “higher-order aberrations” that regular ablations cannot treat. Studies prove wavefront-guided ablations provide sharper vision than conventional, non-wavefront LASIK and can improve night-vision, eliminating or reducing the risk of halos or glare.
After The Surgery
Following the LASIK procedure, you will use medicated eye drops and clear protective shields to cover your eyes. You can open your eyes and see well enough to walk without glasses, but you must not drive yourself home. You will use medicated eye drops several times a day for a week or more to prevent infection and help the healing. You may also use artificial tears to keep your eyes moist and comfortable. You should rest your eyes as much as possible the day of your surgery. You may find it more comfortable leaving the house lights on low dim. The next day, you should see well enough to drive and resume your normal activities. Use care though not to rub your eyes until it is safe to do so. If you are currently using Latisse, discuss with your eye doctor how long after surgery to wait before re-starting the regimen. You may be asked to return to visit your doctor the following day for an eye exam. They will want to check your vision and be sure your eyes appear to be healing as they should. You will be given any additional instructions necessary about eye drops and/or artificial tears, and you can ask the doctor any questions you may have. Postoperative care may be performed by an eye doctor other than your LASIK surgeon. This is referred to as co-management. We are happy to provide post-operative care for you at our office through a co-management agreement with your surgeon. Ask us for further details.
If My Vision Is Blurry After LASIK…
Though most patients see clearly within a day or so after LASIK, it can take several months before your eyes completely stabilize. Until then, improvements in your vision can still occur in fits and jumps. If several months pass and your vision is still blurred, be sure to communicate and visit with your LASIK surgeon. It may be appropriate to have a second LASIK surgery -an enhancement- to sharpen your eyesight further. If an enhancement is not required, eyeglasses or contact lenses may be used to help. We will be happy to examine your eyes and discuss the options available to you. After LASIK Eyewear, even if your vision seems perfect after LASIK, you may still require or be more comfortable with eyewear. When outdoors, it’s optimal and sometimes urgent to protect your eyes from the sun’s strong and sometimes harmful rays. Use sunglasses that provide 100% UV protection. For sports-sunglasses, the lenses need to have poly-carbonate for extra strength and protection. Anytime you work with power tools or do any activity where eye injury is possible, be sure to use safety glasses with poly-carbonate lenses. If you’re over 40 (or close), it’s likely you’ll need reading glasses after LASIK. Many LASIK patients benefit from prescription eyeglasses for night driving. Even a mild prescription will make your vision sharper for added safety and comfort at night.
After LASIK Eye Care
Remember to continue to schedule routine eye exams post-LASIK. Even with perfect vision you still need to have your eyes examined for glaucoma and other potential problems on a regular basis. Routine exams will help insure that your vision remains stable after LASIK.
Latisse™ is now available at our optometry office
Introducing a revolutionary eyelash treatment to enhance the length and appearance of your eyelashes. LATISSE™ solution is a prescription treatment for hypotrichosis, and is used to grow eyelashes, making each eyelash longer, thicker and darker. Hypotrichosis is another name for having inadequate or too few eyelashes.
LATISSE™ is believed to grow eyelashes in two ways: By increasing the length of the eyelash growth phase By increasing the number of eyelashes in this growth phase.
LATISSE™ is a daily eyelash solution you apply each evening to the base of your upper eyelashes. LATISSE™ users begin to see eyelash growth at 4 weeks with full results after 16 weeks. The growth is gradual overnight, over time. The most common side effects after using LATISSE™ solution are an itching sensation in the eyes and/or eye redness.
Eye Care Tips
Itchy eyes can be a hallmark symptom of allergies, and though rubbing may bring temporary relief, it ultimately increases swelling and worsens the itch. If you wear contact lenses, rubbing your eyes can also dislodge or even break a lens, causing the lens to get lost or scratch the cornea. Plus, eye rubbing can lead to eye infections, since our hands are typically covered with a host of germs.
Conjunctivitis (pink eye) is often caused by germs and bacteria carried to your eyes by unclean hands. Frequently washing your hands with soap and warm water helps keep bacteria away and prevents eye contamination. Prior to inserting or removing contact lenses, make sure to wash your hands with mild soap and dry them using a lint-free towel.
By exposing yourself to sunlight and UV rays, you increase the risk of developing macular degeneration and corneal sunburn. Beyond just adding some style and zest to your look, sunglasses should protect your eyes from dangerous UV rays. Speak to your optometrist about the different options available for people who wear prescription eyeglasses or contact lenses too, to keep your eyes safe in the sun.
Staying hydrated is crucial for your body’s overall health and wellbeing — and that includes your eyes. Among other complications, if you don’t have enough fluid in your body, it impacts tear production and can cause dry eyes and irritation. Drink up!
Smokers are more prone to developing age-related macular degeneration, cataracts, and other eye conditions. Cigarette smoking can also destroy optic nerves, which can adversely affect your vision over time. So think twice before you light up, and speak to your doctor about getting help to quit.
Eat plenty of fruits and vegetables to ensure that your diet is rich in antioxidants, such as Vitamins A and C. These can be found in leafy greens (your mom was right about spinach!), orange vegetables (think, carrots and sweet potato) and citrus fruit. Furthermore, fatty fish like salmon contain essential omega-3 fatty acids which also promote excellent eye health.
Nip digital eye strain in the bud by positioning your computer monitor about an arm’s length away from the eyes and 20 degrees below eye level. Ideally, work in a room with enough diffused lighting to reduce stress on your eyes from the computer light.
Speaking of computers, have you heard of the 20-20-20 rule? When using digital devices, rest your eyes every 20 minutes by looking 20 feet away for 20 continuous seconds. Once you’re at it, blink 20 times in succession to prevent dry eyes, and make it a habit to rise from your seat and take 20 steps to promote good posture and blood circulation, which helps your vision too.
Make sure that your eye shadow, mascara, and eyeliner don’t cause your eyes an allergic reaction. Get in the habit of removing your make-up before going to sleep in order to avoid bacterial build-up from residual make-up left in the eye area. And, from time to time, clean your make-up brushes, especially those used to apply cosmetics around the eye area.
Just as with the rest of your body, your eyes need a break. So make sure that you get sufficient shut-eye (8 hours) each night to keep your eyes revitalized and healthy.
Whatever you do, make sure your eyes are well-protected. If you’re swimming, wear goggles to prevent chlorine from entering your eyes. If you’re gardening or engaged in a DIY project at home, wear safety glasses to keep dust particles and bacteria at bay and prevent eye injuries. Ask your local eye doctor about protective eyewear for sports and other activities.
