Eye Examinations
Our eye exam tests much more than 20/20 eyesight. The Snellen fractions (20/20, 20/100, etc.) are measures of sharpness or clarity of sight (visual acuity). 20/20 just means that at a distance of twenty feet a person can clearly see a certain size letter on the eye chart. There's more to healthy vision than 20/20!
Our comprehensive vision exam goes beyond 20/20 to evaluate many important visual skills, such as:
Visual Acuity at Near
Is vision clear and single at close distances? Clear sight at short distances is critical to reading, writing, close work, computer use, etc.
Eye Teaming Skills
Do the two eyes aim, move, and work as a coordinated team? Weaknesses in binocular (two-eyed) vision and eye teaming skills can cause numerous difficulties, including convergence insufficiency and poor depth perception.
Eye Focusing Skills
Do the eyes maintain clear vision at varying distances? Rapid, automatic eye focus adjustment is critical to learning, reading, writing, sports, etc. Deficiencies can cause visual fatigue, reduced reading comprehension, and/or avoidance of close work or other activities.
Eye Movement Skills
Do eye movements show adequate muscle control, tracking, fixation, etc.? In the classroom, normal eye movements allow rapid and accurate shifting of the eyes along a line of print or from book to desk to board, etc. In sports, efficient eye movements contribute to eye-hand coordination, visual reaction time, and accurate tracking.
Reversal Frequency
Is confusion or reversal of letters or words (b, d; p, q; saw, was; etc.) within the normal ranges for a given age? Past the age of seven, frequent visual and written reversals might indicate a visual perceptual dysfunction.
Above are just a few of the many visual skills evaluated during our comprehensive vision exam. In addition, the health of your eyes, inside and out, is carefully evaluated for such problems as cataracts, glaucoma, hypertension, diabetes, etc.
Vision Exams for Children
The American Optometric Association recommends that pre-school children receive a complete vision exam at the ages of six months, three years and five years. It is particularly important that a child have a complete evaluation in the summer prior to entry into Kindergarten. While in school, yearly evaluations are recommended.
Vision Exams for Adults
The American Optometric Association recommends a yearly eye exam for adults -- not only to detect and to diagnose vision changes or problems -- but, also to maintain eye health. For example, glaucoma, a disease caused by increased pressure in the eye, commonly goes unnoticed by adults. Regular vision examinations are also important for the prevention of vision problems created or aggravated by today's academic and professional demands.
21st century lifestyles demand more from our vision than ever before. Adults in our technological society constantly use their near vision at work and at home. C.V.S. (Computer Vision Syndrome) is one of the fastest growing health concerns in the workplace today. Environmental stresses on the visual system (including excessive computer use or close work) can sometimes induce headaches and/or visual difficulties which can be effectively treated with corrective lenses and/or Vision Therapy.
Contact Lenses
Our professionals can help fit you into a pair of lenses that is just right for you. We are experts in fitting contact lenses and can handle the most specialized needs. Whether rigid or soft lenses, we are experienced in handling the most difficult of prescriptions.
If you have allergies, then you know allergies can be particularly annoying to contact lens wearers. In the past many people had to quit wearing their lenses during the allergy season. However, new lens materials and allergy medications have made it possible for these people to eliminate the burning itchy eyes associated with allergies. Prescription medications such as Patanol and Alocril are amazingly effective and safe even in children as young as three. Let us know when you come in for your appointment if you have special allergy needs and we will be happy to help you.
Optical Dispensing
Our optical laboratory has the latest in equipment to not only fabricate your glasses, but to maintain and repair them should they become broken or damaged. We are able to tint, coat, harden and edge spectacle lenses. We are able to provide you with any frame or lens design available. Our highly qualified optician and staff are able to adjust and fit your glasses to you for extended comfort and vision.
Frames
- Designer Lines
- Safety Frames
- Sports Frames
- Childrens Frames
- Sunglasses
- Spring Hinges
- Lightweight Space-age
Metals
- Large Selection
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Lens Features
- Thin, Lightweight Lenses
- Safety Lenses
- Polycarbonate Lenses
- Progressive Lenses
- Computer Lenses
- Sports Lenses
- Transition Lenses
- Special Tints
- Anti-Reflective Coatings
- Ultra-Violet Protection
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Laser Vision Correction (Lasik)
Most people with vision correction issues are wanting to know more about LASIK and whether it is right for them. Here is a brief description of the procedure;
A flap is surgically cut in the cornea and gently folded back. An Excimer Laser is used to reshape the cornea into a flatter shape (this is much like a contact lens corrects vision by forming a new shape on the cornea). The flap is then put back in place, acting like a natural bandage. The healing process is quick and the discomfort level is quite low.
People will often say that they did not feel anything, and could see well the very first day. Most people have improved vision in 24-48 hours. but it must be noted that each person will heal at a different rate. Vision, although greatly improved immediately after surgery, often continues to improve for some weeks, even months.
LASIK is not for everyone. People's eyes are different so even though you may have had a friend who has had LASIK, it may not be the best course of treatment for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon, procedure and laser appropriate for you.
After the procedure, we take great care to monitor your eyes and adjust your medication for the best possible results.
Surgery Co-Management
Our office provides many of the surgical services such as Cataract surgery, Laser surgery, Refractive surgery and Strabismic surgery. We offer this in conjunction with the hospital and local eye surgeons.
Additionally, we have working arrangements established with other specialized eye care doctors to manage such things are retinal detachments, retinal tears and hemmorhages.
Eye Infections, Eye Injuries, Dry Eyes
Our office provides emergency services for eye infections and eye injuries. Please call our office at 503-655-2522 during office hours, after hours or on weekends. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.
Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears; eye drops for treating allergies; and/or punctal plugs inserted in the tear drainage canals.
Eye Diseases; Cataracts, Glaucoma, Diabetes
Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.
Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.
Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.
Vision Therapy
Some visual conditions cannot be treated adequately with just glasses, contact lenses and/or patching, and are best resolved through a program of Vision Therapy.
What is Vision Therapy?
Vision Therapy is an individualized, supervised, treatment program designed to correct visual-motor and/or perceptual-cognitive deficiencies. Vision Therapy sessions include procedures designed to enhance the brain's ability to control:
-eye alignment
-eye teaming
-eye focusing abilities
-eye movements and/or
-visual processing.
Visual-motor skills and endurance are developed through the use of specialized computer and optical devices, including therapeutic lenses, prisms, and filters. During the final stages of therapy, the patient's newly acquired visual skills are reinforced and made automatic through repetition and by integration with motor and cognitive skills.
Who Benefits from Vision Therapy?
Children and adults with visual challenges, such as:
Learning-related Vision Problems
Vision Therapy can help those individuals who lack the necessary visual skills for effective reading, writing, and learning (i.e., eye movement and focusing skills, convergence, eye-hand activity, visual memory skills, etc.).
To learn more about vision-related learning problems, visit any of these web pages on reading, learning disabilities, ADD/ADHD, dyslexia, tracking or convergence insufficiency.
Poor Binocular Coordination
Vision Therapy helps individuals develop normal coordination and teamwork of the two eyes (binocular vision). When the two eyes fail to work together as an effective team, performance in many areas can suffer (reading, sports, depth perception, eye contact, etc.).
To learn more about binocular vision, visit these web pages on 3D vision and depth perception, convergence insufficiency or The Framing Game.
Strabismus and Amblyopia
Vision Therapy programs offer much higher cure rates for turned eyes and/or lazy eye when compared to eye surgery, glasses, and/or patching, without therapy. The earlier the patient receives Vision Therapy the better, however, our office has successfully treated patients well past 21 years of age.
To learn more about Vision Therapy and eye turns or lazy eye, visit the many web pages of children-special-needs.org.
Stress-induced Visual Difficulties
21st century lifestyles demand more from our vision than ever before. Children and adults in our technological society constantly use their near vision at work and at home. C.V.S. (Computer Vision Syndrome) is one of the fastest growing health concerns in the workplace today. Environmental stresses on the visual system (including excessive computer use or close work) can induce eyestrain, headaches, and/or visual difficulties which can be effectively treated with corrective lenses and/or Vision Therapy.
To learn more about Computer Vision Syndrome, visit drergo.com.
Visual Rehabilitation for Special Populations
Vision can be compromised as a result of neurological disorders or trauma to the nervous system (such as, traumatic brain injuries, stroke, whiplash, developmental delays, cerebral palsy, multiple sclerosis, etc.). Vision Therapy can effectively treat the visual consequences of trauma (including double vision).
To learn more about brain injuries and vision, visit braininjuries.org.
Sports Vision Improvement
Strong visual skills are critical to sports success. Not much happens in sports until your eyes instruct your hands and body as to what to do! Accurate vision and athletic visual skills can be measured, developed, and enhanced through Vision Therapy. We measure and successfully improve eye-hand coordination, visual reaction time, peripheral awareness, eye teaming, focusing, tracking, and visualization skills (to mention just a few).
Vision Therapy can be the answer to many visual problems. Don't hesitate to contact us with your questions. To read definitions of Vision Therapy by outside sources, visit children-special-needs.org.
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