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Visual Field

Visual field testing is an important part of most standard comprehensive eye exams. Also sometimes known as perimetry testing, Visual field testing is a method to measure the entire scope of vision of an individual, including their peripheral/side vision.
 

The importance of visual field testing

Visual field testing is one of the most effective diagnostic treatments in the detection of glaucoma. This is because when patients are affected by glaucoma, it is usually the peripheral vision that is affected by their condition first. However, it can also be used to detect central or peripheral retinal diseases, eyelid conditions such as drooping, optic nerve damage and conditions that affect the visual pathways from the optic nerve to the area of the brain where this information is processed into vision.
 

Visual field testing is also an important part of monitoring for people who are considered to be at risk for vision loss from disease and other problems, including those who have been diagnosed with the following:

  • Multiple sclerosis

  • Hyperthyroidism

  • Pituitary gland disorders

  • Central nervous system problems (such as a tumor that may be pressing on the brain)

  • Stroke

  • Diabetes

  • High blood pressure
     

What to expect from visual field testing

There are a variety of methods that can be used to perform visual field testing, including:
 

Static automated perimetry. This is where a machine is used to quantify how well the patient is able to detect flashing lights of varying size and brightness in different areas of their visual field, while they concentrate on a central point. The patient responds by pushing a button when they see the light.

Kinetic perimetry. This involves points of light that are fixed in size and intensity and are presented along the patient’s peripheral vision, before being gradually moved inwards to determine their field of vision. 

Visual field testing is non-invasive, painless and doesn’t require patients to have their eyes dilated. The results, which are usually presented in a series of charts, are digital and sent directly to your eye doctor for interpretation. Depending on the outcome of your results, you may be recommended for further diagnostic testing which could include blood tests. If you have been diagnosed with glaucoma, you will probably be recommended to have several visual field tests each year, which will help your eye doctor to monitor the progression of your condition and recommend treatments to slow it.

If you would like more information about visual field testing, or if you have concerns about your peripheral vision, please don’t hesitate to schedule an appointment with our experienced and knowledgeable eyecare team today.


Neurolens

Neurolens are the first and only prescription lenses that include an element of contoured prism in their design. This prism is designed to bring the patient’s eyes into more equal alignment, and this should help to provide relief from the symptoms that are associated with several eye misalignment conditions, including digital eye strain and binocular vision dysfunction.
 

What is digital eye strain?

Digital eye strain is the name given to describe a group of symptoms that can occur when someone spends long periods of time using digital devices. Since using digital devices requires the eyes to work harder than normal and we don’t always position our devices the perfect distance away, it can lead to issues such as eye pain, dry and irritated eyes, eye fatigue, light sensitivity and blurred vision. Unsurprisingly, the number of people who are experiencing digital eye strain has grown significantly over the last few years and is expected to continue to do so.

 

What is binocular vision dysfunction?

Binocular vision dysfunction, also known as BVD for short, is another eye condition but is one that is very misunderstood. Binocular vision dysfunction occurs when the eyes aren’t perfectly aligned, causing your brain and eyes to work harder than normal in order to create a clear visual image and remain focused. This places pressure on the trigeminal nerve, which is the nerve that is responsible for the majority of the sensations that we experience in our head and back. BVD can often manifest as other things owing to the huge range of symptoms that are associated with the condition. These can include, but aren’t limited to:

  • Blurred vision

  • Headaches/migraines

  • Double vision

  • Motion sickness

  • Vertigo

  • Dizziness

  • Anxiety

 

Many people don’t think to visit an eye doctor when they are experiencing these symptoms, but all can occur simply because the eyes are out of alignment.

 

What are Neurolens lenses and how do they help?

As well as containing your usual prescription, Neurolens lenses also contain a specific amount of contoured micro-prism. This micro-prism alters the position of images so that they are aligned in the same plane. This then reduces the pressure on the muscles around the eyes as well as bringing the eyes into alignment, easing the symptoms that the patient has been experiencing.

The amount of prism in Neurolens lenses is decided using the Neurolens eye-tracking device. This non-invasively measures the misalignment that the patient is experiencing, and this is used to form the basis for the patient’s Neurolens prescription. After this, it’s fairly normal for the amount of prism to need to be adjusted by infinitesimal amounts to achieve the optimal relief from your symptoms. Most patients who choose Neurolens treatment see a 50% improvement in their vision as soon as they start to have micro-prism incorporated into their prescription lenses. However, with careful adjustments, many patients see as much as an 80% reduction in the effects of digital eye strain and binocular vision dysfunction.

Want more information about Neurolens? Please contact our knowledgeable eye care specialists.  


Post-Surgical Contact Lenses

If you have recently undergone eye surgery, your eye doctor may recommend the use of post-surgical contact lenses as part of your recovery process. These specialized lenses are designed to aid in the healing and protection of your eyes after surgery.
 

Why Post-Surgical Contact Lenses May Be Necessary

 

After eye surgery, your eyes are in a delicate state and require extra care to ensure proper healing. Post-surgical contact lenses can play a crucial role in this process. These lenses act as a protective barrier, shielding your eyes from irritants such as dust, debris, and bright lights. They also help to maintain the shape of the cornea and aid in the prevention of infection. By wearing post-surgical contact lenses, you can minimize the risk of complications and promote a faster and smoother recovery.
 

Different Types of Post-Surgical Contact Lenses

 

There are various types of post-surgical contact lenses available, and the specific type recommended for you will depend on the nature of your surgery and your eye condition. One common type is the bandage contact lens, which is a soft, therapeutic lens that covers the cornea, providing protection and promoting healing.
 

Another type is scleral lenses, which is larger and covers a larger portion of the eye, providing enhanced protection and support. Your optometrist will determine the most suitable type of post-surgical contact lens for your individual needs.


Cataract Surgery Co-Management

Cataracts are a common eye condition that can significantly affect your vision. They occur when the lens of your eye becomes cloudy, causing blurred or distorted vision. This clouding is typically a result of aging, but other factors such as genetics, diabetes, or prolonged exposure to sunlight can also contribute to the development of cataracts.
 

As cataracts progress, you may experience symptoms such as difficulty seeing at night, increased sensitivity to glare, or a decrease in color perception. These changes can make daily activities like reading, driving, or recognizing faces more challenging.
 

Why Cataract Surgery May be Necessary

 

Cataract surgery is often recommended when cataracts start to interfere with your vision and affect your ability to perform daily tasks. The primary goal of cataract surgery is to remove the cloudy lens and replace it with an artificial intraocular lens (IOL).
 

The decision to undergo cataract surgery is a personal one and should be made after consulting with your optometrist. Factors such as the severity of your cataracts, your overall eye health, and your lifestyle requirements will be taken into consideration when determining if surgery is necessary.
 

What is Cataract Surgery Co-Management?

 

Cataract surgery co-management refers to the collaborative approach between an ophthalmologist, who performs the surgery, and an optometrist, who provides pre-operative and post-operative care. This partnership ensures that you receive comprehensive eye care throughout the entire process, from the initial consultation to the final follow-up appointments.
 

Your optometrist plays a crucial role in cataract surgery co-management by conducting a thorough pre-operative evaluation to assess your overall eye health and determine the most suitable IOL for your specific needs. They will also provide guidance and education on the surgical procedure, address any concerns you may have, and help you make informed decisions about your eye care.


Optical Coherence Tomography

Optical Coherence Tomography is a non-invasive imaging test that may be performed as a standard part of your regular, comprehensive exams, or you may be able to request this test as an addition to your usual exam.
 

Optical Coherence Tomography uses light waves to take cross-section images of your retina, which is the area of light-sensitive cells at the back of your eye that is responsible for receiving light and transmitting it into messages that are sent up to the brain. The technology behind OCT enables your eye doctor to see each of the different layers that make up the retina. By being able to see these and measure them, they can obtain a much clearer picture of the overall health and condition of your eyes.
 

Why are Optical Coherence Tomography scans important?

 

When you choose to have an OCT scan at fairly regular intervals, such as during your normal comprehensive eye exams, your eye doctor can compare newer results to previous ones. This helps them to build up a picture of the health of your eyes, and spot any changes which may be concerning, early, before they cause symptoms or have a permanent effect on your vision. 
 

Anyone can have an OCT scan, but they are particularly recommended for patients over the age of 25 who are concerned about the health of their eyes, or who are at risk of or already have diabetes, glaucoma or a family history of eye disease. This is because they can be used to spot the early signs of a range of eye diseases, including glaucoma, diabetic retinopathy, macular degeneration, disorders of the optic nerve and more – even before you realize that you are affected.
 


Astigmatism

Astigmatism is a common refractive error that occurs when the cornea or lens of the eye is not perfectly spherical. Instead of having a uniform, rounded shape, the cornea or lens has a slightly more curved or irregular shape, resembling more of an oval or football-like appearance.

This irregular shape causes light to bend or refract unevenly as it enters the eye, leading to blurred or distorted vision. Astigmatism is often present from birth, but it can also develop later in life due to various factors, such as eye injuries, certain medical conditions, or the natural aging process.

 

Common Symptoms of Astigmatism

 

If you have astigmatism, you may experience a range of symptoms that can impact your daily life. Some of the most common symptoms of astigmatism include:
 

  • Blurred or distorted vision, especially at a distance or when reading

  • Difficulty seeing clearly at night or in low-light conditions

  • Frequent headaches or eye strain

  • Sensitivity to glare or bright lights

  • Double vision or the appearance of halos around lights
     

These symptoms can vary in severity and may become more pronounced over time, especially if the astigmatism is left uncorrected.


Dry Eye Advanced Diagnostic Testing

Dry eye is a common ocular condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to discomfort, redness, blurred vision, and even damage to the surface of the eyes. Understanding the causes and symptoms of dry eye is crucial provide early detection and effective treatment.
 

The Importance of Dry Eye Advanced Diagnostic Testing

 

Early detection of dry eye is crucial for preventing further progression of the condition and improving patient outcomes. Without proper diagnosis and treatment, dry eye can cause significant discomfort and affect daily activities. Additionally, chronic dry eye can lead to corneal ulcers, infections, and even vision loss. By accurately identifying and addressing dry eye in its early stages, optometrists can provide timely interventions and prevent complications.
 

TearLab

 

One of the advanced diagnostic tools available for dry eye is TearLab. TearLab is a non-invasive test that measures the osmolarity of tears, which is an indicator of tear film stability. This test provides valuable information about the quality and quantity of tears, allowing healthcare professionals to accurately diagnose and monitor dry eye. By analyzing the osmolarity of tears, TearLab helps identify the severity of dry eye and guides treatment decisions. It is a quick and painless procedure that can be performed in a clinical setting.
 

InflammaDry

 

Inflammation plays a significant role in dry eye, and identifying the presence of inflammation is crucial for effective treatment. InflammaDry is a diagnostic tool that detects elevated levels of matrix metalloproteinase 9 (MMP-9), an inflammatory marker, in tears. By measuring MMP-9, InflammaDry helps optometrists differentiate between inflammatory and non-inflammatory dry eye. This information is essential for tailoring treatment plans and determining the most appropriate therapies for each patient.


Lumenis Optilight IPL

Millions of people suffer from eye and vision-related problems. For some, the solution is as simple as wearing prescription eyeglasses or contact lenses. However, others face challenges that aren’t as easy to rectify. That’s where Lumenis comes into play.


As a world leader in minimally invasive clinical solutions for both ophthalmology and aesthetic markets, it’s making a significant difference. Not only does Lumenis develop advanced energy-based technologies, but it also commercializes them.


The company continues to find innovative solutions. However, it’s already provided the fields of ophthalmology and aesthetic with remarkable technologies. OptiLight is just one example.

 

Eye and Vision-Related Solution

 

The company invented the first and only technology to treat individuals for dry eye disease caused by MGD. Not only is it approved by the Food and Drug Administration (FDA) but also patented. Optimal Pulse Technology (OPT) makes it easier to successfully manage this particular eye disease. Overall, OptiLight is safe, precise, comfortable, and effective.

 

Managing Symptoms

 

According to recent statistics, roughly 22% of the U.S. population suffers from dry eye disease along with MGD. That combination leads to an array of uncomfortable symptoms.


Dry eye occurs when a person’s eyes don’t produce adequate tears to keep them lubricated or when tears don’t work the way they should. MGD is a condition that affects the small glands in the eyelid responsible for making the oil layer for tears.


Having to deal with one of these problems is bad enough. However, living with both can prove debilitating for some people. Thanks to OptiLight, people with the two conditions get much-needed relief. Here are the ways this advanced technology helps:
 

  • Reduces inflammatory mediators, which, thereby, prevents inflammation

  • Improves tear breakup time that, in response, decreases osmolarity

  • Alleviates abnormal blood vessels that commonly cause inflammation

  • Restores meibomian glands so they function properly

  • Decreases demodex mites that cause infection and the accumulation of bacteria on the eyelids

 

What Does OptiLight Consist Of?

 

As part of this revolutionary system, ophthalmologists and optometrists can select different devices based on their needs.
 

Patented OPT Handpiece


Not two people have identical faces. Even among twins, facial contours differ, even if slightly. To ensure excellent results, this handpiece allows ophthalmologists and optometrists to customize treatments to cover every curve.


Ergonomic IPL Handpiece
 

To treat a broader area, Lumenis recommends this option. Patented with SapphireCool technology, it breaks the cycle of inflammation associated with dry eye disease caused by MGD.


Opti-Tip


For maximum energy control, the Opti-Tip focuses light energy on more delicate areas. As with the other Lumenis devices, it’s safe and effective. At the same time, the Opti-Tip is 100% hygienic.

 

Key Benefits of OptiLight

 

OptiLight utilizes embedded settings that adhere to strict protocols, making it safe and effective tool.
 

Additionally, they use Optimal Pulse Technology (OPT), which transforms light-based therapy. As a result, ophthalmologists and optometrists can treat the eyes with absolute precision and control. That’s because while this technology provides optimal energy, it never has spike inconsistencies.
 

Doctors can treat a patient in just 15 minutes. Specifically for dry eye disease with MGD, it provides an improvement in just four sessions.
 

The Bottom Line

 

Lumenis dedicated years to develop OptiLight. Now, eye doctors can incorporate a system into their practice to provide better patient care.


Low Level Light Treatment

Dry eye is a common condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. There are several factors that can contribute to dry eye, including environmental factors, hormonal changes, and certain medications. Additionally, conditions such as meibomian gland dysfunction and blepharitis can also lead to dry eye.
 

The Role of Meibomian Gland Dysfunction and Blepharitis in Dry Eye

 

Meibomian gland dysfunction occurs when the meibomian glands, which are responsible for producing the oily layer of tears, become blocked or do not function properly. This can result in the tears evaporating too quickly and not providing enough lubrication for the eyes. Blepharitis is an inflammation of the eyelids that can cause redness, itching, and a gritty sensation in the eyes. Both meibomian gland dysfunction and blepharitis can contribute to dry eye by disrupting the natural tear film.
 

Recognizing the Symptoms of Dry Eye

 

Dry eye can cause a variety of symptoms, which can vary in severity from person to person. Some common symptoms of dry eye include:
 

  • Dryness: The most common symptom of dry eye is a feeling of dryness or grittiness in the eyes. This can make it uncomfortable to wear contact lenses or spend long periods of time looking at a screen.

  • Redness: Dry eye can cause the blood vessels in the eyes to become more prominent, leading to redness and irritation.

  • Itching: Some people with dry eye may experience itching or a burning sensation in their eyes.

  • Excessive tearing: Dry eye can also cause excessive tearing. This is the body's response to the irritation caused by the lack of lubrication in the eyes.
     

If you are experiencing any of these symptoms, it is important to consult with an optometrist for a proper diagnosis and treatment plan.


Corneal Refractive Therapy

Corneal refractive therapy, also known as CRT, is a simple, painless treatment for refractive eye errors like myopia and has two core benefits. First, it can be used to help patients see clearly during the day without using glasses or contact lenses, giving them the freedom and flexibility that they need to live life to the fullest. Second, CRT has been shown to help slow the progression of myopia, keeping prescriptions under control and potentially reducing the likelihood of patients developing serious eye health problems associated with high myopia in the future. 

Here’s everything that you need to know about corneal refractive therapy and what it means for you. 


Understanding refractive eye problems

Refractive eye problems like nearsightedness, farsightedness and astigmatism are extremely common, with nearsightedness – also known as myopia – being the most common of all. Patients with myopia can see nearby objects clearly, but those further away become progressively more blurred. Refractive eye errors occur when the shape of the clear dome covering the front part of the eye, called the cornea, impair the light-bending and focusing process in your eyes. This leads to the light ending up in the wrong place inside the eye, and the message that is sent to our brain from our eyes is muddled, causing blurred vision. 
 

What is corneal refractive therapy?

Corneal refractive therapy was initially developed as a treatment to correct and slow the progression of nearsightedness. However, it has also been found to be effective at controlling other refractive errors, including farsightedness, astigmatism and an age-related refractive condition called presbyopia.

CRT is a non-invasive, painless and straightforward method of correcting patient vision so that they don’t need to wear contacts or glasses, and they don’t need laser vision correction surgery to see clearly. CRT uses special contact lenses that are worn overnight and apply light pressure to the cornea in order to reshape it so that light is refracted correctly, and the image sent from the eyes to the brain is clear. The cornea is able to retain this new shape even after the contact lenses are removed the next morning, meaning that you can continue to see clearly for several hours. The more consistently you wear your CRT lenses overnight, the longer your eyes will learn to retain their new shape and eventually, patients can enjoy up to 48 hours of clear vision without using prescription lenses. However, the effects aren’t permanent so if you stop wearing the lenses, your vision will gradually return back to normal over the course of a few days. 


Slowing the progression of myopia with corneal refractive therapy

Another key benefit of CRT is that it can actually help to slow the progression of myopia. Most people who are nearsighted find that their eyesight gets progressively worse as they get older. This deterioration may not be rapid, but it can end in patients requiring high prescriptions. Studies have found that patients who have high myopia are more likely to develop serious eye problems in the future, including glaucoma, macular degeneration, cataracts and a detached retina. Regular use of your corneal refractive therapy lenses could help keep your prescription stable and lower your risk of developing these problems. 


Am I a candidate for corneal refractive therapy?

You may be a candidate for corneal refractive therapy if you:

  • Have a myopia prescription within specific parameters

  • Have a prescription for hyperopia, presbyopia or astigmatism within specific parameters

  • Have stable vision, which means that your prescription hasn’t changed during the last two years

  • Are not a suitable candidate for laser vision correction

  • Have a job that makes it impractical or unsafe to wear glasses or contact lenses

  • Enjoy hobbies that make it impractical or unsafe to wear glasses or contact lenses

  • Have healthy eyes and are generally in good health



For more information, please contact our friendly and knowledgeable team today.