A comprehensive eye exam is the core service our practice provides. This yearly eye exam determines the health of your eyes as well as any glasses or contact lens prescription you may need. Here is what you can expect during your eye exam.
Pretest – Our experienced staff will begin your exam by placing you on an autorefractor that takes many measurements of your eye and estimates your prescription. You will then be led into the exam room to meet the doctor.
History – A case history is the most important part of your exam. This is where the eye doctor listens to you and understands why you came in for your exam, your eye concerns and/or complaints and your desired outcomes. We also ask for your medical history, social history, medications and allergies, family history and any surgical or traumatic history in or around your eye.
Visual Acuity – Next, the doctor will determine your level of vision by having you read an eye chart at the other end of the room. When a patient asks, “what’s my vision?,” the lowest line they read at this test is usually what they’re asking for, such as 20/40 or 20/100 vision.
Pupil Reaction – This test uses a transiluminator to shine light in your eye and measure your pupil reaction. Normal pupils get smaller when light is shined in them and get larger when the light is taken away.
Eye Movement – Here we make sure all of your eye muscles are working properly by having you follow an object. We’re looking for smooth and accurate eye movements with no signs of pain or double vision.
Muscle Balance – You have two eyes, so we have to make sure they work well together. This test screens for an abnormal eye turn called strabismus.
Refraction – This is the reason why 90 percent of my patients come to the office. A refraction determines your prescription by changing lenses in front of your eyes. This test is also the most stressful as patients don’t want to get the wrong glasses or contact lens prescription. But don’t worry, your responses are only one part of determining your eyeglass or contact lens prescription and there is no way to fail.
Eye Health Evaluation
Slit Lamp – The slit lamp is a big microscope that allows the eye doctor to determine the health of your eye. This machine shines a light towards your eye and zooms in 10 to 25 times to ensure the health of the front of your eye.
Glaucoma Test – There’s no air puff at our office! We use yellow dye and a blue light to precisely measure the pressure in your eye. Increased pressure can damage the optic nerve in your eye – which is called glaucoma. There is no way to know the pressure in the eye without measuring it directly and this pressure is unrelated to blood pressure.
Dilation – In order to examine the inside of your eye, we use eye drops to open up the pupil and a lens to focus on your retina. This test is a screening to look for any disease or pathology that might otherwise go undetected. The inside of your eye is very interesting – the retina is the only place in the body where we can see your arteries and veins non-invasively, allowing us to look for any changes that may indicate diabetes, high blood pressure or heart disease. Also, most things that can go wrong in the eye don’t have any signs or symptoms, so dilating the pupils is the only way to ensure complete eye health. The side effects of dilation last two to three hours and include increased light sensitivity and blurry vision when looking up close.
Clinical Summary – At the end of every exam, our doctors review your clinical case and answer any and all remaining questions. If you need glasses, you are then brought into our expansive optical to select a frame with one of our experienced staff members.