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There are two different types of dry eye; tear deficiency dry eye and evaporative dry eye. We use tear analysis to test for dry eye conditions, which allows us to diagnose between the two types of dry eye. This is important as each type of dry eye is treated differently. Gone are the days of “just try this artificial tear and then try this one if that doesn’t work.”
We measure the extent of nearsightedness, farsightedness, astigmatism, and your focusing power. These measurements are referred to as the "refraction" of your eyes.
There are many benefits as a returning patient to our office especially in the area of digital technology. Our professional staff can utilize complex medical technologies to digitally compare current eye health exam findings with those from your last exam to critically detect subtle eye health changes.
Through the use of cutting edge technologies we are now able to enhance the eye disease detection of our exam process for all of our patients. If you are a returning patient we will again capture a digital retinal photograph of your eyes, which will be compared to the digital photograph taken at your last visit. Comparison technologies assist us in detecting even the subtlest retinal change, thereby allowing us to uncover progressive eye changes earlier than ever before.
Pupil dilation is critical when monitoring diseases that affect the eyes, such as diabetes and macular degeneration.
Research has shown that retinal photos improve detection of early eye disease changes. For example, Lin et al. demonstrated more sensitivity in picking up early diabetic retinal changes with digital retinal photos. Budenz et. al. reported that optic nerve head disc hemorrhages, a sign of progressive glaucoma, were identified significantly more often with digital photos than through a standard dilated retinal exam alone.
After we re-capture the retinal images we will show you the results of your digital retinal photo and compare them to the images we captured on your last visit. By viewing them together on our HD large screens we will provide you with a clearer understanding of your unique eye health situation.
We perform a visual field screening during every eye exam, which evaluates further changes over time. By continual comparing visual field results we can identify early signs of glaucoma, multiple sclerosis, and ocular or brain tumors.
Your eyes reflect your general health. Whether we uncover changes in the retina due to medications or other systemic health conditions it is often critical that your other health care providers be made aware of your eye health findings.
Dedication to Satisfaction We are dedicated to continually improving our exam process for our patients. At the end of your exam, we will ask you to share with us your impressions and recommendations by filling out our Patient Satisfaction Survey.
We attempt to give you clear explanations, handouts, and web resources if appropriate so that you can be actively involved in your eye care.
Our eye examinations provide you with the highest standards of quality visual care (read the AOA's practice guidelines). Our exams also focus on your special needs and identified risk factors.
Please use our secure online submission process before your appointment. You will benefit if we have some foreknowledge of your visual needs and history.
The following is basic information we need from you:
As we have continued to make changes to improve your eyecare experience, we have found that knowing about your unique visual needs and personal eye and health history even before you come to the office helps us serve you better.
A comprehensive eye examination goes beyond just determining a prescription for glasses or contact lenses. Our complete eye examinations attempt to answer the following questions.
We use an instrument called a "Visagraph" to track visual tracking and reading ability. The Visagraph electronically measures eye movements and can find any problems in the visual input system. This instrument can pick up the smallest visual tracking problem, including skipped letters or words.
Visual tracking testing is absolutely necessary for students not performing to their academic potential. Visit the Visagraph website for more information.
We measure both near and distance seeing abilities. The visual acuity measurement gives us a standard to compare you to others.
A thorough discussion determining your health history, medications and a detailed understanding of your unique visual demands is a necessary starting point.
The most important reason for regular eye exams is to detect any subtle eye health problems. These health problems need to be found early on in order to provide the best treatment.
The only way to completely examine eyes for health problems is to dilate the pupils. This allows a doctor to look into the eye and examine the retina, the macular area, and the optic nerve. See our Glossary of Vision Terms for information on these parts of the eye.
We have found that by having this information before your actual exam we can spend more time focusing on your unique visual needs and discussing treatment options and solutions.
If you have done personal Internet research, we also encourage you to share with us the sources before your appointment so that we can attempt to review these before your visit.
Newer dilating drops, as well as “reversing” eye drops, allow your pupils and your vision to quickly return to normal.
Several years ago the research firm of Louis Harris and Associates reported that “eighty percent of Americans consider their sight to be their most important sense.”
There are many misconceptions about eye health care, “the most alarming is that most consumers are unaware that most eye diseases have no early warning signs," according to this research.
In order to detect eye health issues, we need to be able to track very small changes in the retina. The only way to track these changes accurately is to compare pictures. We use a specialized instrument to take a picture of the retina.
We use an invaluable new tool that measures the subtle contours, or "topography," of the cornea.
Some purposes that we use topography measurements for include:
Routine eye examinations are critical for preventing eye disease. In the early stages of many eye diseases there are no symptoms. A person can see clearly and will not know anything is wrong. The only way to detect and prevent sight-threatening diseases is through regular eye health examinations.
The internal and external eye health portion of our exam attempts to answer these questions.
Careful evaluation of your eye teaming plus focusing skills allow us to assess your living and working skills such as depth judgment.
When you visit us for an eye exam, our testing starts with an advanced measuring system. This allows us to provide you with very accurate glasses and contact lens prescriptions. We use high-magnification systems and the newest electronic instruments to evaluate the health of your eyes.
We take the time to share with you your complete exam results, treatment options, and recommendations.
Our exam process has changed over the years to take advantage newinstrumentation in the eye exam process. Our patients often mention that there is a different ordering of their exam routine plus more “cool” instruments than previous exams.
With increased knowledge of the eyes and the applied instrumentation, the days of one exam room with “one or two” instruments for your complete visual exam are past. Thus you will often need to be escorted to several diagnostic rooms within our office during your examination process allowing us to more fully utilize new specialized instrumentation.
We have worked hard to extend our availability to you online to gather necessary forms and questionnaires even before you come into our office for your eye examination.
452 NE Greenwood Avenue
Bend, OR 97701