COMPREHENSIVE EYE EXAMINATIONS
A routine eye exam is an important part of preventive health care. Many eye and vision problems have no obvious signs or symptoms, so you might not know a problem exists until it is too late. This is especially important in the younger age group since they do not know how to express their vision problems. Early diagnosis and treatment of eye and vision problems can help improve quality of life and prevent vision loss.
After a careful patient history to better understand the reason for your visit, the doctor will perform a series of preliminary tests to assess visual acuity, depth perception, color vision, eye muscle movements, peripheral vision, pupillary response to light, and eye pressure check. A refraction is performed to determine the proper lens power you need for clear and comfortable vision. To evaluate the health of your eyes, the doctor may recommend that your eyes be dilated to provide her with a better view in order to make a more in-depth assessment. At the end of your exam, the doctor will discuss her findings and treatment plan with you as well as answer any questions you may have.
CONTACT LENS EVALUATION
A contact lens evaluation is required yearly to update your contact lens prescription regardless of change in your vision or to the parameters of the contact lenses. This evaluation goes beyond what is included in a comprehensive eye exam and is important to maintaining your eye health and a successful contact lens wearing experience.
The doctor will carefully assess the cornea and the fit of your current contact lens for any signs of potential problems that may need to be addressed before updating your prescription. New contact lens trials may be dispensed and follow-up visits may be required before finalizing your prescription. If you are a new contact lens wearer, we provide one-on-one training sessions to discuss contact lens hygiene and teach you how to insert and remove the contact lenses.
There are many different contact lens designs and replacement schedules. Our doctors are trained to fit soft and rigid gas permeable lenses in spherical, toric, multifocal, and monovision design. The doctor will discuss what options are most appropriate for your lifestyle. Some patients may qualify for medically necessary contact lenses, which can only be determined by the doctor. Let us know if you are interested in a contact lens evaluation!
OCULAR HEALTH EVALUATION
As part of your dilated comprehensive eye exam, the doctor will assess for any early signs of cataracts, glaucoma, macular degeneration, and various retinopathies that may be related to your health.
CATARACT: A cataract is clouding of the eye’s natural lens. Most cataracts are age-related while some may be caused by eye injury, medications or systemic problems. Patients with visually significant cataracts will describe their imperfect vision like looking through a dirty window. Everything is less clear and glare at night becomes a big problem. If and when symptoms caused by cataracts interfere with your qualify of life, then the doctor will make the recommendation for cataract surgery with a local ophthalmologist.
GLAUCOMA: Glaucoma is a serious eye disease that can lead to irreversible vision loss due to damage to the optic nerve. This condition can be easily missed in its early stages because glaucoma usually does not cause any symptoms. As the disease progresses, patients will start to develop blind spots in the periphery which leads to tunnel vision and ultimately total blindness. Glaucoma can only be diagnosed by an eye care professional. Our doctors are glaucoma certified to diagnosis, initiate treatment, and manage glaucoma. Early diagnosis and treatment is key to preventing blindness.
MACULAR DEGENERATION: Macular degeneration is one of the leading cause of irreversible vision loss in people over the age of 60. This condition affects the macula which is a small portion of the retina that is responsible for central vision.
Dry macular degeneration is characterized by accumulation of yellow deposits called drusen in the macula. Small drusens do not have a significant effect on vision. As the drusens grow in size and quantity, central vision will appear to be more dim and distorted. Early detection of dry macular degeneration allows for early preventative measures to slow the progression of the disease. Studies have shown that smoking cessation and an appropriate intake of antioxidants and zinc significantly reduces the risk of advancing macular degeneration. The doctor will determine if taking such eye vitamins is right for you.
Wet macular degeneration is caused by abnormal blood vessels that grow from the choroid underneath the macula and leak blood to cause severe central vision loss. Treatment includes intra-vitreal injections to stop development of new blood vessels and leakage from abnormal vessels. Many patients have regained some of their vision loss if treatment is initiated early. The wet form of macular degeneration is more rare but always begin as the dry form. We offer OCT scans to aid in early detection of macular degeneration.
DIABETES: Patients who have health conditions such as diabetes, high blood pressure, and/or high cholesterol may develop retinal eye conditions if the systemic condition is uncontrolled. Diabetic patients are required to have a dilated eye exam every year to monitor changes to the retinal vasculature. Diabetes can stimulate the growth of new and weaker blood vessels in the back of the eye, which can leak and damage the retina. We have the latest technology to scan the retina for possible signs of damage. If this condition is diagnosed early, a proper referral to a retinal specialist can prevent permanent vision loss.
Retinal photos and high definition Optical Coherence Tomography (OCT) scans are advanced non-invasive ways of imaging the inside of your eyes. Retinal photos take digital images of structures inside the eye. OCT scans evaluate all ten microscopic layers of the retina and optic nerve to aid in early detection of retinal diseases like macular degeneration, diabetic retinopathy, macular holes, and glaucoma. Both retinal photos and OCT scans are recommended yearly to detect, document, and monitor any changes to the health of your eyes.
We recommend a dilated eye exam in addition to retinal photos and OCT scans to document and monitor for changes to the health of your eyes. However, retinal photos and OCT scans can be administered without dilation as well but not recommended as a substitute for dilation.
DRY EYE EVALUATION
Dry eye is a chronic and often debilitating condition that affects millions people worldwide. Symptoms of dry eyes include foreign body sensation, redness, itchiness, burning, and excessive tearing. It occurs when your eyes fail to properly produce adequate amount of tears or when the quality of your tears is suboptimal leading the tear film to evaporate too quickly. There are also environmental factors such as prolonged computer use, wind/fan exposure, and excessive heat that contribute to dry eye symptoms. While you may not go blind from dry eyes, it can significantly affect your quality of life or lead to other complications like ulcers, scarring of the cornea, and even some impairment to the clarity of your vision. Treatment for dry eyes include artificial tears, punctal occlusion, and/or topical medication.
The doctor can perform specific testing to determine the severity of your dry eye condition and offer a treatment plan that would benefit you.
Imagine waking up and being able to see the clock across the room. Life without the hassle of glasses or contact lenses is possible with Custom LASIK. This quick and painless procedure is designed to correct nearsightedness (myopia), farsightedness (hyperopia), and astigmatism (irregularly shaped cornea). We work closely with ophthalmologists at NVision Eye Centers in Sacramento to ensure that our patients receive the best surgical experience. A formal screening with the surgical team is required to determine if LASIK is right for you. All pre- and post-operative care will take place in our office.
Let the doctor know if you are interested in refractive surgery. We can schedule a free consultation to determine if you are a good candidate.
Tired of waiting two to three weeks for your glasses? We have an on-site lab to get the job done in a timely manner. Most single vision jobs can be dispensed within a week. Same day service available for some cases. Ask our staff if your prescription qualifies for in-office finishing.