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.
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:
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.
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. 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.
We offer fittings for traditional frames, sport frames & safety glasses. We have a large assortment of styles, brands, colors and lens options to choose from. Our goal is to find an attractive, comfortable, and effective way of correcting your vision.
We offer only the highest quality fashion frames from American, Asian & European designers in price ranges to fit your needs. Our certified Optician and professional staff will help you select frames that are appropriate for your prescription and lifestyle.
We accept new patients, most insurance plans, and will fill outside prescriptions. Our friendly staff will also make repairs and adjustments.
During an exam, each eye is examined for signs of serious eye issues such as glaucoma, cataracts, macular degeneration, and detached retinas, among other conditions. Receiving regular eye exams regardless of visual acuity can help detect serious eye problems at the earliest stage ─ when they are most treatable.
Intravitreal injection is the method of administration of drugs into the eye by injection with a fine needle. The medication is directly injected into the vitreous humor. It is used to treat various eye diseases, such as age-related macular degeneration (AMD), diabetic retinopathy, and infections inside the eye such as endophthalmitis. As compared to topical administration, this method is beneficial for a more localized delivery of medications to the targeted site.
In cataract surgery, or other lens-replacement procedures, vision is improved by replacing the eye’s natural lens with an intraocular lens (IOL). IOLs come in different powers and sizes to compensate for each patient’s individual needs. For best vision after cataract surgery, precise measurements must be taken to determine which IOL to implant. The IOLMaster is a high-precision instrument revolutionizing all previous techniques and setting a new standard for IOL calculations, called optical biometry.
The IOLMaster is a high-precision instrument.Optical biometry using IOLMaster does not subject our patients to any discomfort. No local anesthesia is required and there is no risk associated with taking the measurements.
An Optical Coherence Tomography scan (commonly referred to as an OCT scan) is the latest advancement in imaging technology. Similar to ultrasound, this diagnostic technique employs light rather than sound waves to achieve higher resolution pictures of the structural layers of the back of the eye.
A scanning laser used to analyze the layers of the retina and optic nerve for any signs of eye disease, similar to an CT scan of the eye. It works using light without radiation, and is essential for early diagnosis of glaucoma, macular degeneration and diabetic retinal disease.
With an OCT scan, doctors are provided with color-coded, cross-sectional images of the retina. These detailed images are revolutionizing early detection and treatment of eye conditions such as wet and dry age-related macular degeneration, glaucoma, retinal detachment and diabetic retinopathy.
An OCT scan is a noninvasive, painless test. It is performed in about 10 minutes right in our office. Feel free to contact our office to inquire about an OCT at your next appointment.
After cataract surgery, the cataract will never come back. However, 50/50 chance that a protein film will form across the posterior capsule. This protein material is generated from microscopic cells that cling to the anterior capsule and the equator of the natural lens which became a cataract.
During cataract surgery it is impossible to remove every cell because of their microscopic size and location. After cataract surgery these cells continue to produce the same protein material that they did before cataract surgery even though the lens is now gone. In about 50% of patients the film will migrate across the posterior capsule creating what eye doctors refer to as “capsule clouding” or “Posterior capsule opacification (PCO)”. This process usually takes a year or two to cause visual blurring, but it has been seen as early as three weeks following cataract surgery. It is easily corrected with the YAG laser.
The YAG (Yttrium-Aluminum Garnet) laser uses laser light in a focused beam to make small openings in the posterior capsule to clear the clouded membrane. No anesthetic is required since the capsule has no nerve endings and therefore there is no pain, just like hair or finger nails can be cut without pain. How does the laser pass through the cornea (the clear front window of the eye) without damaging it? The laser is a “focused” beam of light and only affects the tissue that it is focused on. An example of focused light would be holding a magnifying glass to focus sunlight on a piece of paper to burn it. For this reason patients can blink during the treatment without any harm to their lids or other eye structures. In this way the YAG laser clears the membrane and takes away any frame work for the protein to build on. The protein material can continue to form in the periphery (called Elshnig pearls) where in most cases vision is not interfered with but the visual axis or line of sight remains clear. So, once the capsule clouding is cleared it is usually permanent.
A visual field test measures the range of your peripheral or “side” vision to assess whether you have any blind spots (scotomas), peripheral vision loss or visual field abnormalities. It is a straightforward and painless test that does not involve eye drops but does involve the patient’s ability to understand and follow instructions.
An initial visual field screening can be carried out by asking you to keep your gaze fixed on a central object, covering one eye and having you describe what you see at the periphery of your field of view. For a more comprehensive assessment, special equipment might be used to test your visual field. In one such test, you place your chin on a chin rest and look ahead. Lights are flashed on, and you have to press a button whenever you see the light. The lights are bright or dim at different stages of the test. Some of the flashes are purely to check you are concentrating. Each eye is tested separately and the entire test takes 15-45 minutes. These machines can create a computerized map of your visual field to identify if and where you have any deficiencies.
We use cutting-edge digital imaging technology to assess your eyes. Many eye diseases, if detected at an early stage, can be treated successfully without total loss of vision. Your retinal Images will be stored electronically. This gives the eye doctor a permanent record of the condition and state of your retina.
This is very important in assisting your physician detect and measure any changes to your retina each time you get your eyes examined, as many eye conditions, such as glaucoma, diabetic retinopathy and macular degeneration are diagnosed by detecting changes over time.
The advantages of digital imaging include:
Digital Retinal Imaging allows your eye doctor to evaluate the health of the back of your eye, the retina. It is critical to confirm the health of the retina, optic nerve and other retinal structures. The digital camera snaps a high-resolution digital picture of your retina. This picture clearly shows the health of your eyes and is used as a baseline to track any changes in your eyes in future eye examinations.