Routine Eye Examinations:
Here are some of the tests your doctor may perform during your eye exam to make sure your vision is at it's best!
New! Optomap Retinal Imaging
We now offer the Optomap retinal scan as part of your pre-test work-up! This retinal scan allows us to capture an image of the back part of the eye to better evaluate for
diseases like diabetes, high blood pressure, glaucoma, macular degeneration, retinal tears or detachments, and certain types of cancers. These problems can threaten vision without warning or symptoms. The image then becomes a good baseline we can compare in the future to detect changes! When the Optomap retinal scan is taken, you may not need to be dilated unless your doctor says otherwise. This scan is not covered by insurance and costs $39.
For more information on our brand new imaging system: Optomap.com
Visual Acuity Test
A Visual Acuity Test is a part of an eye exam performed to determine the smallest letters a patient can read on a standardized chart that is 20 feet away. It is done without the aid of contacts or glasses, and only one eye is tested at a time. With one eye covered, you will be asked to read the smalled line of letters that you can read on that chart.
Visual Acuity is expressed as a fraction, with the top number representing the distance one is standing from the chart—20 feet—and the bottom number representing the distance at which a person with normal eyesight could read the same line that was read correctly.
Normal vision is, thus, 20/20. If your acuity is 20/40, this indicates that what you can correctly read at 20 feet can be read by a person with normal vision from 40 feet away.
Visual Field Screening
A Visual Field Test will allow your doctor to see the full horizontal and vertical range of your vision. This enables the doctor to determine the potential presences of blind spots (scotomas), which could indicate eye diseases.
Visual Field Screenings are performed routinely at your exam with an automated computer screening instrument. If an eye disease is suspected, further comprehensive, more formal tests may be required.
This is the "Clicker Test".
Autorefractor Testing
An autorefractor is used by doctors to determine a patient's exact prescription. A chin and forehead rest will help stabilize your head while you look at a pinpoint of light— or the hot air balloon. It is used to evaluate the way your retina focuses an image!
Both the Visual Field Screening and Autorefractor Tests are usually performed pre-exam by one of our trained Opticians.
Retinoscopy
A Retinoscopy test will occasionally be performed early in the eye exam so that the doctor can determine an approximate prescription. With the room's lights dim, you will be asked to look through a machine and focus on a large target (usually the big "E" on the eye chart). The doctor will shine a light in your eye, while selecting different lenses. Based on how the light reflects on the retina, your refractive error will be calculated.
Autorefractive technology has allowed this reading to be obtained now by a computerized scan!
Refraction Assessment
The Refraction Assessment determines the eyeglass prescription. It helps the doctor determine the most accurate corrective lenses that will give you the best possible vision. You will be asked to look through a Phoroptor—a mask-like device that contains different lenses—which will help determine the best combination to give you the sharpest vision.
Which looks better...one...or two?
Dilation (A.K.A. "The Drops")
Dilating eye drops are routinely used on all patients. They are used to enlarge the pupil and allow the doctor to see more of the Retina, including the periphery, when evaluating patients for eye disease.
You can expect the dilation to affect your near vision and leave your eyes light-sensitive. The effects of most dilation drops to last about 3–4 hours.
Most patients can still drive home afterwards, but if you have concerns, please consult the doctor.
Slit-Lamp Examination
A slit-lamp exam requires the use of a microscope with a light attached. This allows the eye doctor to examine the structures at the front of the eye—the cornea, iris, and lens—under high magnification. Some patients may have to have their eyes dilated to allow for a better examination.
Glaucoma Testing
Glaucoma tests are performed to measure the pressure inside your eye. While there are a few variations, the most commonly used is the Tonometer. Using a chin rest to stabilize your head, the doctor will bring a blue light close to your eye with you looking straight ahead.
There is no air puff; the procedure is painless.
Color Recognition (Dyschromatopsia)
A common problem, color blindness can be congenital or acquired later in life. Defects range from total color blindness, which is rare, to just having problems confusing colors, like blues and violets, red or green with brown, green with gray or white, and red with yellow or green. Red/Green color blindness is the most common color vision defect.
The plate test hides symbols, letters, or numbers within colored dots to see if the patient can distinguish the different color patterns.
Strabismus
Strabismus, also referred to as "lazy-eyed", "crossed-eyed", or "wall-eyed", is a condition that occurs when a person cannot align both of their eyes on a single object at the same time. Roughly five percent of all children have some degree of strabismus.
Movement of the affected eyes can either occur all of the time—constant strabismus—ot only under certain circumstances, such as high stress or illness, called intermittent strabismus.
Early treatment is strongly advised for children with strabismus because it is not a condition that children simply "grow out of". Some treatments for strabismus include optical devices, vision and muscle therapy, and, as a last resort, surgery.