A routine eye exam consists of the refractive portion and the medical evaluation. The refractive portion is where the doctor evaluates the patient’s need for prescription eyewear to enhance the patient’s ability to see. The medical evaluation is when the doctor assesses the health of the patient’s eyes. Typically, there is an assessment of the function of the muscles of the eye, the patient’s peripheral vision, the function of the pupils, as well as a microscopic evaluation of the various structures of the eye. Other tests may be run depending on the specific patient’s needs.
Topical eye drops are used to gather further information on the patient as well. One drop (yellow-orange in color) is used to take the pressure of the eye. This is a test for Glaucoma. Other clear drops are used to dilate or open the pupils (the black middle part of the eye). The purpose of the drop is to allow the doctor to have a better look into the back of the eye. These drops typically make the patient sensitive to light for a few hours, and may blur vision temporarily as well. It is advisable to make arrangements for transportation to and from the office when the eyes will be dilated.
Contact Lens Exam
A contact lens exam requires extra evaluation and time for both the doctor and patient. The spectacle prescription is first gathered and then the proper conversion to a contact lens prescription is determined. The two prescriptions may not necessarily be the same. A further measurement of the shape of the eye is taken to ensure that the contact lenses provide clear vision as well as fit properly. Once the contact is placed on the eye, it needs to be evaluated for its visual function and for its fit. The lens should be comfortable for the patient and should be acceptable in terms of centering on the eye and movement from the doctor’s perspective. New contact lens patients should budget extra time as they must learn to insert, remove and properly care for a contact lens before they are allowed to leave home with the contact lenses.
Pediatric Eye Exam
Young children have specific needs during an eye exam. Certain tests may be geared specifically for a child such as picture charts instead of letters. For the poorly or unresponsive patients, the doctor can determine the need for prescription eyewear without requiring a child’s response. This may be done with automated equipment and/or a medical scope called a retinoscope. The health assessment for the child may include some of the similar methods used to evaluate the adult, but some may be modified to accommodate the child.
Lasik corrective surgery consultation is a service provided by Advanced Vision Care. Your doctor can determine if you are a possible candidate for Lasik based on your age, your needs, the stability of your prescription and the health and anatomy of your eyes. Patients are seen prior to the surgery for evaluation, and typically seen one week, one month and 3 months after the procedure. Our doctors work with the top surgeons in their respective areas for the Lasik procedure, and will advise our patients of the best Lasik doctor based on their individual needs. On the pre-op Lasik consultation, the patient should be prepared to have their eyes dilated.