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Comprehensive Eye Examinations
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Our doctors provide complete internal and external eye examinations.
This includes checking for cataract development, macular degeneration, glaucoma assessment,
diabetic retinopathy evaluation, as well as a complete visual assessment. Our optometrists will
determine if further testing is required. We would like to remind parents that eye examinations
should begin by the age of six months and earlier if parents have any concerns. For adults, eye
examinations should be performed at least once every two years and more often if recommended by
our optometrist. After the age of sixty-five, it is recommended that an eye examination be
performed annually.
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Retnal Photography
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Our assistants and technicians are trained to take detailed retinal
photographs with a fundus camera. These photographs provide our optometrist with
vital information on internal eye health and for monitoring such things as
diabetic retinopathy. Our doctors assess these photographs to determine
the health of the optic nerve head, fundus, retinal vein and artery integrity, and
the retina itself. These photographs will be kept in your file so future
comparisons may be done if changes in your vision are noted.
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Cataract Assessment
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During your eye examination our optometrist will check the clarity of the lens within your eye.
If there is an opacity or cloudiness of the lens (cataract), our optometrist will analyse it and determine
if a change in your eyeglass lenses will improve your vision. When vision cannot be improved sufficiently
with eyeglasses and the cloudiness of the lens interferes with daily activities, our optometrist may
refer you to an ophthalmologist (eye surgeon) for cataract surgery and intraocular lens implantation.
Following your surgery our optometrist provide complete post surgery follow-up care.
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Glaucoma Assessment
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In addition to your comprehensive eye examinations, our office will measure the pressure in our
adult patient's eyes with an instrument called an NCT (non-contact tonometer). Our optometrist will also
perform a routine internal inspection of the optic nerve as part of your eye examination. A visual field
test and pachymetry (corneal thickness measurement) may also be recommended by our optometrist if they
determine you may be at risk for Glaucoma
If our optometrist diagnoses you with Glaucoma, they will refer you to an ophthalmologist who will
determine an appropriate treatment. Your follow-up care and treatment will then be co-managed between the
ophthalmologist and optometrist.
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Visual Field Analysis
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Visual field analysis provides our optometrist a "map" of your
vision, both peripherally and specific areas of vision. The latest technology is
used at the Optometric Centre when providing visual field analysis. Analysis of
the visual field is extremely important in monitoring any vision changes due to
stroke, brain tumor, neurological disorders, screening and monitoring of Glaucoma,
post-surgical follow-up and even when providing information to Motor Vehicle
Branch regarding drivers licenses.
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Refractive Surgery Consultation & Assessment
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Our optometrist can educate you regarding refractive surgery and help to determine if it may
be an option for you. The first step consists of a comprehensive eye examination to determine your refractive
status. Our optometrist will then discuss with you the various options that are available regarding PRK,
Lasik, Lasek, and Wavefront refractive surgery. Our optometrist will explain what is involved with each
procedure, current prices, and the necessary follow-up procedures required for each. If you wish to proceed,
our optometrist will arrange an appointment with an ophthalmologist (eye surgeon) for further testing and
consultation. After refractive surgery, the follow-up care is crutial for success and will be co-managed
between our optometrist and the ophthalmologist.
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Pre and Post-operative Care
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Pre-surgery assessment is a vital step in eye surgery as is follow-up
care after surgery. Our doctors communicate closely with ophthalmologists to ensure
the highest standard of care before and after surgery.
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Contact Lens Training
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Our doctors provide contact lens assessment and fittings
for conventional, daily disposable, 2 week disposable, monthly disposable, toric
(astigmatism), and extended overnight wear contact lenses. Follow-up visits will also be scheduled to ensure a
high standard of care. Our assistants and technicians provide complete training on
care, handling, as well as insertion/removal techniques
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Frame Dispensing & Lens Consultation
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Our Assistants/Technicians & Optician are all very experienced in
frame dispensing. They will help you find the frame that best fits you and your
lifestyle. Their many years of experience as well as their commitment to
continuing education is a great benefit when advising patients regarding the lens
designs, coatings, and what is right for you as an individual.
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Tonometry
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Intra-ocular eye pressure measurements called tonometry are preformed
routinely with your eye examination and whenever deemed necessary thereafter.
Knowing a patient's eye pressure is very important in screening for and monitoring
Glaucoma.
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Pachymetry
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A Pachymeter is an instrument that measures the thickness of a cornea.
A small probe is placed on the center of the cornea and an ultrasound measurement is taken.
With the corneal thickness measurement and the NCT (non-contact tonometer) measurement,
the doctors can calculate the intraocular pressure more precisely. The pachymeter would be used
in cases where patients have unexplained elevated pressure readings from the NCT (puff of air machine).
Another use for the pachymeter is to determine whether a person is a good candidate for refractivce surgery...
if your cornea is too thin, some surgeries are not recommended. Our technicians are fully trained to
take accurate pachymetry measurements.
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Visual Perceptual Therapy
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Visual perceptual therapy is performed for individuals that have shown difficulty on perceptual
tests or who have shown signs of visual perceptual problems in school. A comprehensive vision
examination and sensorimotor examination should be performed before commencing therapy to uncover
any ocular health or visual gathering problems. Visual perceptual skills are significantly correlated
with acdemic performance. It must be kept clear, however, that visual perceptual therapy is addressing
visual problems and not learning problems. Visual perceptual problems that are addresssed in therapy include:
Visual Analysis - ability to match patterns
Visual Memory - ability to remember and understand what is seen
Visualization - ability to visualize a picture or pattern would look like from a different perspective
Visual fine motor integration - ability to process and reproduce visual images by writing or drawing
Visual form perception - ability to discriminate differences in size, shape or form
Laterality and Directionality - development of left and right awareness
Symptoms of visual perceptual problems include, but are not limited to, difficulty recognizing letters,
words, or simple shapes, distinguishing the main idea for insignificant details, poor reading comprehension, poor spelling,
sloppy handwriting, poor copying skills, reversals or letters and words, and trouble with mathematical concepts such as size,
magnitude, and position.
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Vision Therapy
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Optometric vision theerapy is a program of care used to develop, restore, or enhance visual function and performance.
The goal of optometric vision therapy is to automatize normative function, not to strengthen eye meuscles.
The eye muscles are already incredibly strong. Vision therapy enables an individual to learn more efficient ways
to perform visually. Vision therapy can improve visual function much like physical therapy can improve general motor
function.
Functional visual problems that can be significantly be improved through optometric vision therapy include:
Ocular motility dysfunction - eye movement disorders
Vergence dysfunction- inefficiency in using both eyes together
Strabismus - misalignment of the eyes
Amblyopia - lazy eye
Accommodative disorders - focusing problems
Visual information processing disorders
Visual sensory and motor integration
Vision therapy procedures are conducted under the supervision of an optometrist and are individualized to meet the needs
of each patient. Vision therapy is generally conducted in-office every two weeks for 30 minutes to one hour and is most
often supplemented with procedures done at home between office visits. Therapy plans typically involve lenses, prisms,
optical instruments, and specially adapted computers. The specific materials are less important than the feedback
provided to the patient to enable change.
Some of the common symptoms relieved through vision therapy include eye strain, visually induced headaches, inability to
concentrate when doing visual tasks, and errors such as loss of place or reversals when reading or writing. More often,
individuals have no recognized symptoms due to their avaidance of visually demanding tasks or an adaptation that decreases
their performance.
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