Primary Eye Care

We examine, diagnose, treat, and manage disease of the eye and visual system.  Some of these conditions can also be related to systemic conditions such as diabetes, high blood pressure, or high cholesterol.  We commonly diagnose and treat glaucoma, cataracts, macular degeneration, eye inflammations such as dry eye, as well as many other common eye conditions. 

We also work closely with many other sub-specialists in retina, neurology, and cornea.  Of course, if during the course of your eye examination signs of diabetes, hypertension or other systemic conditions exist, we will send you back to your family doctor.

Pediatric Vision Care

What Is Special about Children's Vision?

Vision in the broadest sense, is the global ability of the brain to extract, process and act on information presented to the eye. This complex process can be thought of as three major but related areas: visual acuity, which is largely dependent upon refractive status and eye health; visual efficiency skills, representing eye focusing, teaming, and tracking skills; and visual information processing, representing the ability to recognize and discriminate visual stimuli and to interpret them correctly based upon previous experience. Every examination, we provide for children, regardless of the child's age, has these thoughts in mind.



Infants

Our infant vision examinations start in early infancy and continues through the school years. Although young children may not be able to read an eye chart, specialized procedures have been developed that allow us to measure the clarity of sight of children at almost any age.


"The American Optometric Association guidelines recommend that all children have a complete vision and eye health examination at the age of 6 months, 3 years, upon entering kindergarten, and routine vision care (every 2 years) thereafter." - AOA.org



School Performance

Many vision problems can be corrected more easily with early diagnosis and treatment. Reports have estimated that up to 25% of students in grades K - 6 have vision-related problems, which may contribute to poor school performance. The visual system matures rapidly during the first few years and it is important to identify any problems that may interfere with normal vision development.



Exams for Infants, Toddlers & School-age Kids

A comprehensive eye examination will assess visual acuity, refractive status, ocular health, eye tracking, eye focusing, and eye teaming. Visual acuity measures how clearly a child sees objects. Refractive status measures for nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. The child is evaluated for any eye health problems, including active pathology or congenital anomalies. Eye tracking is the ability of the eyes to fixate, smoothly follow and look between objects or printed words.

Eye focusing is the ability to efficiently change and sustain focus while reading. Eye teaming is the ability to coordinate both eyes accurately and without fatigue or excessive effort. Accurate eye teaming is also important for accurate two-eyed depth perception or stereopsis. Early detection and management is recommended to prevent vision loss or eye disease and to provide appropriate vision development. To learn more about how the examination process differs for infant, preschool, and school-aged children visit the links.
 

InfantSee

 

 

 

 

 

A public health program for infants!  As part of the InfantSEE program our doctors will provide eye and vision assessments for infants between the ages of 6-12 months as a no cost public service! The InfantSEE program has a mission of ensuring that eye and vision care becomes an integral part of preventative infant wellness care. 

Ocular

Trauma

Examination
Eye injuries can occur at any time.  Our office is equipped to handle most eye injuries.  The primary instrument we use is a biomicroscope, sometimes referred to as a slit lamp.  The biomicroscope has a high magnification and is particularly designed to aid us in evaluating the extent of an eye injury.  Whether it is a laceration, embedded foreign particle or a burn, the biomicroscope is the primary tool to carefully examination the injury.



Embedded Foreign Bodies

A common injury is a metallic foreign body embedded in the cornea.  Grinding or drilling in iron or other metals will release particles when they hit the eye they embed themselves in the cornea.  If it is iron, it will immediately begin to rust due to the salty consistency of our tears.  When the metal particle is removed, there is a remaining rust deposit that has infiltrated the surrounding cornea.

We have experience at removing these rust spots.  With proper medical treatment these injuries resolve well.  If the foreign particle was embedded in the central visual axis of the cornea, there may be a scar remaining which could affect the patient's  ultimate visual acuity.  Safety glasses are always recommended to prevent these type of injuries.


Retinal Trauma
Contusions, otherwise referred to as a "black eye" can result in more than just the obvious bruises on the face.  The retina is the nerve tissue that senses light which lines the back of the eye.  There is a blood vessel layer under the retina.  This is very delicate and sensitive tissue and the retina needs to be assessed for a possible break or tear.



Retinal Hemorrhages

A compression type of injury can knock the retina loose and cause bleeding underneath.  These examples show both retinal hemorrhage and retinal detachment.  Both can result in blindness to the affected eye.  Immediate examination and subsequent treatment is needed in these type of injuries.

Emergency Eye Care
If you have symptoms of  "Flashes of Light" in your vision, when there is no light to explain them, this could mean that there is something happening in the back of the eye.  The eye does not have any pain sensors so flashes are your best clue that there is something wrong.  In contrast, the cornea has more nerve pain sensors that any other part of the body.  Injury to the cornea can be incredibly painful.  However, in both cases, immediate treatment is needed.  Our office staff is well trained to know how to expedite the treatment of these types of injuries.  Call immediately when an injury occurs.  We are here to help!

Vision

Therapy

Vision Therapy is a type of Physical Therapy.  Like other forms of physical therapy, with vision therapy, optimum results require much more than visual acuity or binocular eye muscle control.  Vision therapy integrates visual acuity and binocular function  plus detailed brain function activities that collectively control thousands of components of our entire bodies coordinated actions.  Your visual system is your steering system.  Vision Therapy makes it better.



We provide evaluation for children and adults:

 

  • Eye Tracking

  • Eye teaming (Strabismus or Amblyopia)

  • Eye focusing (Visual Acuity)

  • Learning-related vision problems

  • Visual Information Processing

  • Computer related vision problems

  • Sports vision

  • Brain injury related vision problems



What is Vision Therapy?

Vision therapy is a sequence of therapy procedures that are individually prescribed and monitored by the doctor to develop efficient visual skills and visual processing. Vision therapy is prescribed following a comprehensive evaluation of the visual system.



The vision therapy program is based on the results of standardized tests, the patient's specific signs and symptoms plus a careful look at the needs of the patient.



The use of lenses, prisms, filters, occluders, specialized instruments and computer programs is an integral part of vision therapy. Typically, vision therapy is administered as a combination of in-office visits combined with prescribed, daily, home-vision therapy procedures.



The in-office therapy is designed to make the patient aware of his or her visual deficiencies under controlled conditions. Then by a feedback process the patient is taught strategies to improve visual performance.



Home therapy is directed at practicing the newly learned visual skills until the initial conscious effort becomes automatic.

Contact Lenses

At our practice we have the option of using many types and designs of contact lenses for our patients.  Most often we use disposable lenses in regular, astigmatism, multifocal (bifocal) corrections as well as daily disposables.  Multifocal contact lenses are increasing in popularity due to the aging baby-boomer generation. 



We also can fit gas permeable contact lenses.  A relatively unknown area of contact lenses is the use of gas permeable lenses worn only at night while you sleep to change the corneal shape, and thus correct nearsightedness.  This treatment is knowns as "Corneal Refractive Therapy" and allows people to see clearly during the day without contact lenses.  Our doctors are certified to provide this therapy and encourage this for children/teens with rapidly changing nearsigntedness.  




Specialized contact lenses

Bifocal Contact Lenses

Monovision Contact Lenses
Astigmatism Contact Lenses

Keratoconus Treatment

Orthokeratology (Corneal refractive therapy)
Pediatric Contact Lenses

Ocular

Disease

We provide diagnosis, treatment and management of diseases which affect the human eye and visual system.  Some examples include:



Dry Eye Syndrome

Occurs when the normal flow of tears over the eyes is interrupted, or the tear film is abnormal.  In many cases, dry eye syndrome is a life long problem.  You can relieve the symptoms, but not cure the original cause.  Artificial tear lubricants, nutritional supplements prescription drops, oral medications or in some cases blocking the tear ducts will concentrate the limited tears that are available.



Glaucoma

A disease that causes fibers in the optic nerve to slowly atrophy & die.  The most common type of glaucoma is associated with an elevation of pressure within the eye.  As nerve fibers die the person loses peripheral vision and, if left untreated, eventually can lose all vision.  The most common treatment for glaucoma is eye drops that lower the eye pressure.



Conjunctivitis (“Pink Eye”)

A condition that exists when the white of the eye is infected or inflamed, and then irritation makes the eye look red  the primary sight of an eye irritant.  The eye may become red due to bacteria, allergy, virus, or chemical insult.  The treatment depends upon the cause.  Some forms of conjunctivitis must run their course but the uncomfortable symptoms can be treated.

 

Cataract
A clouding or opacity of the natural internal lens of the eye.  This opacity may be a small spot or involve the entire lens.  When light enters the eye it is scattered, causing images to appear hazy and blurred.  There are many different types of cataracts.  Here the opacity forms first is the periphery of the lens and develops inward, like spokes of a wheel.  Ultimately, the best  treatment is to remove the cataract lens and replace it with an acrylic man made lens.

Macular Degeneration
A condition in which the central part of the back of the eye loses blood circulation.  It is considered a natural aging process.  There is a breakdown of cells in the macular region.  As the disease progresses, central vision diminishes.  It's believed this breakdown may be due to a lack of nutrients being supplied to the region. Additional studies have found a genetic link to this disease.  Treatment can range from better nutritional management, sometimes to include a tablet containing the primary minerals & vitamins that are found lacking in many macular degenerated patients.

Optical Services

Our optical features the latest advancements in eyewear technology.  From digital lenses to non-glare lens surface treatments that protect your eyes from damaging light and help prevent vision reducing glare.  We offer value and children eyeglass packages at an attractive price.

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Please stop in and check out our wonderful selection of frames that include: Kliik, Fysh, Flexon, Nautica, Charmant, Lucky, RayBan, Nine West, Scott Harris, Cinzia, OGI, Harley Davidson, and more!  Sunwear is so important to protect your eyes as well as offer comfortable vision for driving, work, or your hobbies!  Lines that we carry include: Carrera, Juicy Couture, INVU, RayBan, Nautica, and many more!

 

Eyewear adjustments and cleaning are provided without an appointment!  Let us help you see and feel your best!

Low Vision Services

The Benefit to You
You can make the most of your remaining vision so that you can live as independently as possible, and have a productive and happy life.

Adjustment to any vision loss is difficult. It takes self-acceptance, determination, support of family and friends, and learning new techniques to fully utilize any remaining vision. The goal of the Low Vision Services is to enhance their ability to use their remaining vision so they can be independent and better able to meet the demands of everyday living.



What is Low Vision

Low vision is impaired vision that cannot be fully restored by conventional glasses, contact lenses, medical treatment, or surgery.


Low vision is not total blindness
People with low vision may still have some potentially useful vision.



Over 4 million Americans have low vision

68 %  are over the age of 65
06 %  age 65 to 74
12 %  age 75 to 84
21 %  over age 85


Learn To Use New Devices
Most people with low vision can become more visually independent if they make a commitment to learn how to use low vision aids and devices, as well as learn new methods to perform everyday tasks.

What are the major causes of low vision?
Low vision can be due to heredity, an injury, disease, or aging. Some of the most common causes of low vision are macular degeneration, glaucoma, diabetic retinopathy, optic atrophy, retinitis pigmentosa, retinal detachment, and stroke. Regardless of the cause of vision loss, we offer patients options that will enable them to use their vision to its fullest potential.



How is the low vision patient helped?

We begin our low vision examination by asking questions
about the history of your vision loss, what difficulties you are having performing tasks such as reading, writing, personal hygiene, cooking, and watching television.



We will look for activities you have discontinued or have difficulty performing due to the vision loss. Throughout the examination we will be looking for ways to help you accomplish the tasks and activities that you desire.



Low Vision Devices

There are many different devices available for a person with low vision, including magnifiers, telescopes, microscopes (high plus lenses for reading), custom lighting, and a special television to magnify reading material and photographs. Custom designed low vision devices also may be prescribed. Many patients use a combination of devices.

Due to COVID-19 our office is only open for emergencies.  Please call us for any reason at 320-274-3701

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