Optical Coherence Tomography (OCT)
An Optical Coherence Tomography scan (commonly referred to as an OCT scan) is the latest advancement in imaging technology. Similar to ultrasound, this diagnostic technique employs light rather than sound waves to achieve higher resolution pictures of the structural layers of the back of the eye.
A scanning laser used to analyze the layers of the retina and optic nerve for any signs of eye disease, similar to an CT scan of the eye. It works using light without radiation, and is essential for early diagnosis of glaucoma, macular degeneration and diabetic retinal disease.
With an OCT scan, doctors are provided with color-coded, cross-sectional images of the retina. These detailed images are revolutionizing early detection and treatment of eye conditions such as wet and dry age-related macular degeneration, glaucoma, retinal detachment and diabetic retinopathy.
An OCT scan is a noninvasive, painless test. It is performed in about 10 minutes right in our office. Feel free to contact our office to inquire about an OCT at your next appointment.
Visual Field Testing
A visual field test measures the range of your peripheral or “side” vision to assess whether you have any blind spots (scotomas), peripheral vision loss or visual field abnormalities. It is a straightforward and painless test that does not involve eye drops but does involve the patient's ability to understand and follow instructions.
An initial visual field screening can be carried out by the optometrist by asking you to keep your gaze fixed on a central object, covering one eye and having you describe what you see at the periphery of your field of view. For a more comprehensive assessment, special equipment might be used to test your visual field. In one such test, you place your chin on a chin rest and look ahead. Lights are flashed on, and you have to press a button whenever you see the light. The lights are bright or dim at different stages of the test. Some of the flashes are purely to check you are concentrating. Each eye is tested separately and the entire test takes 15-45 minutes. These machines can create a computerized map out your visual field to identify if and where you have any deficiencies.
Our office is proud to use the Humphrey Field Analyzer 3 (HFA3) from ZEISS, in our optometry office, for visual field testing.
Macular Pigment Optical Density
Macular pigment is comprised of Zeaxanthin and Lutein, which are found in the center of the macula (fovea) at a natural 2:1 ratio. MPOD (Macular Pigment Optical Density) is important for three specific reasons:
1. Low macular pigment is a key risk factor for Age-related Macular Degeneration (AMD), the leading cause of significant vision loss over age 55.
2. Macular pigment absorbs harmful blue light, protecting the photo-receptors ("rods" and "cones") from damage.
3. Macular pigment improves visual performance, including:
Visual acuity – ability to see clearly, especially in fine detail situations like needlepoint or reading in low light situations.
Contrast sensitivity – ability to discern objects from their background (i.e. seeing a white golf ball or baseball clearly against a light blue sky.)
Light sensitivity – visual discomfort in sunlight or when exposed to bright light.
Glare recovery – recovery from temporary “blindness” caused by high intensity lighting, such as automobiles or stadium lights.
We are proud to use the Medmont E300 Corneal Topographer, a computerized video-keratometer, in our office.
Corneal topography is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye's refractive power, its topography is of critical importance in determining the quality of vision.
The three-dimensional map is therefore a valuable aid to the examining optometrist and can assist in the diagnosis and treatment of a number of conditions; in planning refractive surgery such as LASIK and evaluation of its results; or in assessing the fit of contact lenses. Corneal topography extends the measurement range from the four points a few millimeters apart that is offered by keratometry to a grid of thousands of points covering the entire cornea. The procedure is carried out in seconds and is completely painless.
Zeiss Clarus Ultra Widefield Retinal
The advent of widefield retinal imaging has shown us that indications of disease are often located in the far periphery of the retina. CLARUSTM 500 is the next generation fundus imaging system from ZEISS that provides true color and high-resolution across an entire ultra-widefield image.
An important step in treating meibomian gland dysfunction is debriding - or removing the excessive buildup of cells, debris and biofilm from the area around the meibomian glands - called Marx's line. Blephex helps to unblock the glands. The recently introduced BlephEx device is a gentle but extremely effective way of debriding the lid margins. This procedure is typically done every six months.
Stereo Optic Disk and External Eye Camera
We can measure the optic disk to diagnose and help treat glaucoma patients. We can prevent glaucoma from progressing with our analysis of the optic disk.