Comprehensive Eye Examinations
We all want to protect our eyesight and that is why it is important to have annual vision tests. These checks allow us to detect changes in the front of your eye so that alterations can be made to your eyeglass or contact lens prescription. However, we also need to inspect the back of your eye, the retina, to check if it is healthy, damaged, or showing signs of disease. When detected at an early stage, many diseases can be treated without any further loss of vision. Each Optomap image is as individual as fingerprints or DNA and can provide us, and you, with a unique view of your health, very quickly and comfortably.
We have been fitting specialty contact lenses for years and have seen some incredible changes in that time. By far the most exciting changes have occurred in the last few years. Although rigid contact lenses are a shrinking segment of the industry, we still have a large number of patients who wear them.
The gas-permeable lens materials available today far surpass those available just a few years ago in terms of eye health and comfort.
Allergies can be particularly annoying to contact lens wearers. In the past many people had to quit wearing their lenses for a month or two during the allergy season. New lens materials and allergy medications have made it possible for these people to eliminate itchy eyes. These medications such as Patanol and Alocril are amazingly effective and safe even in children as young as three.
Our optical laboratory has the latest in equipment to not only fabricate your glasses, but to maintain and repair them should they become broken or damaged. We are able to tint, coat, harden and edge spectacle lenses. We are able to provide you with any frame or lens design available. Our highly qualified optician and staff are able to adjust and fit your glasses to you for extended comfort and vision.
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Laser Vision Correction
Everyone is talking about LASIK. Here is a brief description of the procedure.
A flap is cut in the cornea and then the flap is gently folded back. An Excimer Laser is used to reshape the cornea, much like a contact lens forms a new shape on the cornea, only the laser is permanent. The flap is then put back in place, acting like a natural bandage.
The “Wow!” effect of Lasik is the very rapid recovery of vision and the decreased level of discomfort post-operatively. You hear from people that they did not feel anything, and could see well the very first day. Most people have functional vision in 24-48 hours, although this is true in some cases, it must be noted that each person will heal at a different rate. Vision, although greatly improved immediately after surgery, continues to improve for some weeks, even months.
Everyone’s eyes are different. Even though you may have had a friend who has had LASIK, it does not mean it is right for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon, procedure and laser appropriate for you. For many of you who are long-term contact lens wearers my pre-operative input can make the difference between an excellent result and a mediocre one.
Post-operatively we can monitor your eyes, and taper medications to arrive at the best possible result. After all, no one knows your eyes better than your optometrist.
Preventative Vision Care
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, regardless of age, has these thoughts in mind.
Eye Infections, Eye Injuries, Dry Eyes
Our office provides emergency services for eye infections and eye injuries. Please call our office at 402-494-5533 during office hours or 712-898-2633 after hours. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.
Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears; eye drops for treating allergies; and/or punctal plugs inserted in the tear drainage canals.
Eye Diseases; Cataracts, Glaucoma, Diabetes
Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.
Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.
Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.
Low Vision Services
People who have lost eyesight due to injuries or eye disease need special types of products to help them function as independently as possible. We offer a full range of these products through our office. Our paraoptometric staff is trained to demonstrate the use of some of these devices. They range all the way from a simple hand magnifier to a closed circuit TV system.
In addition, we can direct those who have low vision problems to products that will help them carry on the day-to-day tasks that they need to perform. In some cases we can set up a program for the low vision patient with the National Library of Congress to receive “books on tapes”, which is a service for the blind.
Seeing clearly is not enough. For many people, reading and hand-eye coordination tasks can be very difficult. The act of sight not only includes ones eyes, but it also includes the neurological activity that processes the visual information. Throwing a ball or skiing down a hill, is a learned activity; to do either well takes practice. Those who do it best are those who started learning at the earliest age. Sight plays an important role in the learning of these activities. Sight is the steering mechanism; it is the main activity that provides feedback regarding what really is happening. We provide Vision Therapy to help individuals learn how to process visual information and develop better hand-eye coordination skills.