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Comprehensive Eye Exams

Importance of Eye Exams

We strongly recommend everyone to have a comprehensive eye exam every year. Many sight-threatening conditions have no symptoms in the early stages and require a thorough exam to be detected. Our eye doctors have the equipment and expertise to detect ocular disease and to initiate preventative therapy to preserve your vision.

What are we looking for?

With children, developmental delays and learning problems may be vision-related. To help your child succeed in school, we will evaluate if your child needs glasses, how your child’s eyes function together, and if they are using their eyes efficiently. See our children’s eye exam and binocular vision tab for more information.

As you age, the risk of eye disease such as glaucoma, cataracts and macular degeneration increases. Additionally, certain medical conditions, such as hypertension (high blood pressure) or diabetes, can be diagnosed during a comprehensive exam at Optomeyes. Early diagnosis is critical for effective treatment.

School Screening ≠ Comprehensive Eye Exam:

When vision is tested at schools or during a physical, it is a screening meant to identify those who could benefit from eyeglasses, and unfortunately many eye conditions are commonly missed. A comprehensive exam is performed by a professional who is trained to detect eye disease and assess visual function. The doctors at Optomeyes will carefully inspect your eyes and vision and recommend a treatment plan that’s personalized for you.

Components of a Comprehensive Eye Exam:

First we will discuss your ocular and medical history, family history, and any current visual problems you may be experiencing. Next we will examine your visual function, including an assessment of depth perception, eye muscle motility, colour awareness, ocular alignment (tendency to cross) and peripheral vision. We will then use a variety of instruments to determine the best prescription (if any) that is recommended for your eyes. We will assess the external ocular health of the eyes, looking for conditions such as dry eye disease, and check the pressure in your eyes. Lastly, we will examine the internal health of your eyes using a high-powered lens to examine the retina, nerve, macula, and blood vessels. At Optomeyes, our comprehensive exams also include an analysis of the images captured on our sophisticated diagnostic technology:

  • Retinal camera: This image of the nerve, macula and blood vessels helps us to detect and monitor ocular disease.
  • Optomap Retinal Scanner: This retinal scan allows the doctor to examine the retina further out into the periphery of the retina without requiring dilating drops, looking for anomalies such as retinal tears or breaks.

Supplementary Testing

Based on the results of your comprehensive eye exam, the optometrist may order additional testing to confirm or rule out a certain eye condition.

  • Visual Field Testing – map of the peripheral vision, often used to detect glaucoma or to rule out more serious causes of headaches
  • Macular Pigment Testing (MPOD) – evaluates the density of protective pigments in the macula (area responsible for central vision), allowing the doctor to better determine the need for supplements to prevent macular degeneration or slow its progression
  • Genetic Testing for Macular Degeneration tells us what genetic subtype of macular degeneration is present and therefore which specific combination of supplements is best to slow the disease progression
  • Corneal Topography – map of the front of the eye for detecting and monitoring corneal disease such as keratoconus or the progress with ortho K lenses
  • Pachymetry – measures the thickness of the front surface of the eye (the cornea). This information is important as a risk factor for glaucoma & can be important when considering laser eye surgery
  • Optical Coherence Tomography (OCT) like an MRI of the eye, this cross section of the retina allows the doctor to observe details & pathology that cannot otherwise be seen. Also used to monitor the development and progression of optic nerve damage associated with glaucoma.
  • Osmolarity TearLab Test measurement of the concentration of dissolved particles in the tear film – an objective indicator of dry eye disease that helps influence and monitor the patient’s personalized treatment regimen

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Complete eye exams are an important part of preventive eye care.
Reserve your appointment today at Optomeyes!