EYE EXAMINATION Procedures

The examination helps us assess the health of your eyes, determine whether vision correction is needed, and apprise you of your options. Our emphasis is on combining technical measurement data with your specific occupational and historical needs, and personal preferences.

We discuss the benefits and drawbacks of the available alternatives, and encourage your involvement in the final choice. This increases the likelihood that the prescriptions we write will be effective in enhancing vision in the areas of most concern.

We consider pupil dilation and binocular indirect ophthalmoscopy essential to a thorough determination of ocular health (part of the standard exam).

Standard Exam Components

• Visual acuity (with and without correction)
• Stereopsis (depth perception)
• Color testing (routinely for males; as indicated for females)
• Autorefraction (computer-assisted determination of refractive error)
• Tonometry (intraocular pressure; part of glaucoma evaluation)
• Pupil response
• Subjective refraction ("Do you prefer ONE, or TWO?")
• Near-point testing (when indicated)
• Muscle balance testing (when indicated)
• Biomicroscopy (microscopic evaluation of lids, lashes, conjunctiva, cornea, anterior chamber, iris, lens)
• Visual fields screening (computer-assisted automated perimeter evaluation of peripheral vision)
• Ophthalmoscopy (evaluation of internal eye health, including retina, optic nerve, blood vessels)

Non-contact tonometry

 

Behind the phoropter

 

Biomicroscopy

Contact Lens Fittings

In addition to the standard components above, we measure the shape of the cornea (keratometry). Then, based on refractive status, general health, occupational and practical considerations, and cosmetic preferences, we select a lens that has the best characteristics for your needs.

We instruct on insertion, removal, and care of the lenses.

During the 3-month follow-up period, we evaluate for continued good vision, comfort, and ocular health.

Other Services

• High resolution retinal photography
• Threshold visual fields (extensive computer-assisted automated perimeter evaluation of peripheral vision)
• Consultation and referral to other specialists (including ophthalmologists, low-vision specialists, vision training clinics, neurologists and internists)

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