1. A thorough case history reviewing your symptoms and medical/family history.
2. Visual Acuity testing to measure the sharpness of your vision.
3. A Cover test to check how your eyes work together.
4. Refraction to determine your eye glass prescription. You will be asked which of two different lenses are clearer. This determines your level of hyperopia (farsightedness), myopia (nearsightedness), astigmatism, and presbyopia.
5. Slip Lamp Examination to look at the health of the eyes under a magnified view.
6. Glaucoma Test to check your eye pressure. Don’t worry we do not use the “puff test” in our office. We use the applanation tonometer that is much more accurate and less annoying or irritating.
7. Pupil Dilation to get a full view of the structures in the back of your eye. The dilation can make things fuzzy up close and cause light sensitivity for a few hours so please bring sunglasses and a driver if you do not feel safe to drive. We can also schedule your dilation at another time from your exam if that works better with your schedule.
We have recently added a digital retinal camera, in most cases you can pay a nominal fee and have a photo taken of the back of your eye reducing the need to have your eyes dilated yearly. It may still be necessary, in some cases, to dilate yearly or more frequently.

• Under age 2: at 6-9 months
• Ages 2-5: at age 3 and 5
• Ages 6-18: yearly

Vision screenings are just that, a screening. A comprehensive eye exam is recommended at six to nine months old, three years old, five years old and yearly after starting school.

The loss or lack of development of clear vision in just one eye. It is not due to eye health problems and eye glasses or contact lenses cannot fully correct the reduced vision. It can result from a failure to use both eyes together. Lazy eye or Amblyopia is often associated with crossed eyes or a large difference in the degree of nearsightedness or farsightedness between the two eyes. It usually develops before age six and does not affect side vision.

An inflammation or infection of the conjunctiva, the think transparent layer of tissue that lines the inner surface of the eyelid and covers the white part of the eye. The three main types of conjunctivitis are infectious, allergic and chemical. The infectious type, commonly called “pink eye” is caused by a contagious virus or bacteria.

A vision condition in which you can see close objects clearly, but objects farther away are blurred.

A vision condition in which distant objects are usually seen clearly, but close objects do not come into proper focus.

An age related vision condition in which there is a gradual loss of the eye’s ability to focus on near objects.

The loss or lack of development of clear vision in just one eye. It is not due to eye health problems and eye glasses or contact lenses cannot fully correct the reduced vision. It can result from a failure to use both eyes together. Lazy eye or Amblyopia is often associated with crossed eyes or a large difference in the degree of nearsightedness or farsightedness between the two eyes. It usually develops before age six and does not affect side vision.

A vision condition that causes blurred vision due either to the irregular shape of the cornea, the clear cover of the eye, or sometimes the curvature of the lens inside the eye.

A condition in which both eyes do not look at the same place at the same time.

An eye disorder causing progressive thinning and bulging of the cornea, the clear front cover of the eye.

An eye disease affecting the macula, the center of the light sensitive retina at the back of the eye, causing loss of central vision.

Most eye lid twitching is caused by stress, lack of sleep, too much caffeine and/or alcohol, dry eyes, allergies and/or lack of magnesium.

A tearing or separation of the retina, the light sensitive lining at the back of the eye, from the underlying tissue.

A drooping of the upper eyelid.

A group of inherited disorders of the retina, the light sensitive lining at the back of the eye, which cause poor night vision and a progressive loss of side vision.

It is a temporary weakness or paralysis of the facial nerve known as the seventh cranial nerve. This nerve controls facial expressions, eyelid movement, and the muscles of the forehead and neck. Bell’s Palsy usually occurs suddenly, affecting the greater part of the one side of the face. The cause is often unknown, but the condition has been associated with herpes simplex and herpes zoster viruses. Risk factors include: Diabetes, Pregnancy and Lyme Disease.

A type of severe headache accompanied by various visual symptoms.

Yes. Many people can wear multifocal contact lenses now and comfortably see distance and near.

Most astigmatism powers are now available in contacts. Many are even available in daily contact lens options!

Gas permeable contacts lenses are rigid lenses made of durable plastic that transmit oxygen. They often provide better vision than soft contact lenses. They are more durable and last longer so they can be less expensive in the long run, as long as you do not have a prescription change. Gas permeable contacts are less comfortable in the initial stages but with long term wear become very comfortable.

1. Get a comprehensive eye exam to check for vision and health issues.
2. Use proper lighting – when you use a computer, your ambient lighting should be about half as bright as that typically found in most offices. Eliminate exterior light by closing drapes, shades or blinds. Reduce interior lighting by using fewer light bulbs, or use lower intensity bulbs. If possible position your computer screen or monitor so windows are to the side, instead of in front or behind it.
3. Minimize glare – install antiglare screen on your monitor and make sure your glasses have anti reflective coating.
4. Upgrade your display – use an LCD monitor
5. Adjust the brightness and contrast of your computer screen. Adjust the display settings on your computer so the brightness of the screen is about the same as your work environment.
6. Blink more often – Blinking is very important when working at a computer; blinking moistens your eyes to prevent dryness and irritation
7. Exercise your eyes. Use the 20-20-20 rule: Every 20 minutes look 20 feet away for 20 seconds.
8. Take frequent breaks.
9. Modify your workstation – place written pages on a copy stand adjacent to the monitor and make sure to light the copy stand. Adjust your workstation and chair to the correct height. Position your computer screen 20-24 inches from your eyes and the center of the screen should be 10-15 degrees below your eyes.
10. Consider custom computer eyewear.

Glasses designed for your specific computer viewing distance, taking your distance and near prescription into consideration.

Polarized lenses are the best when you are on the water because they reduce glare. Shallow water fishing is also improved because polarized lenses allow you to see more clearly into the water.

Photochromatic lenses are great for golf. Rudy Project even has a golf lens with a green tint to help “read” the greens better