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What to Expect

 

Your evaluation will begin with an in-depth medical history that will include any previous ophthalmic history and a medical review. Your medical history and current medication forms will need to be filled out prior to your examination.  For your convenience, these Forms are available on this website.

  • Visual acuity will be tested by determining the smallest letters you can read on a standardized eye chart. Each eye will be tested individually to determine your best vision.
  • A refraction, which checks any possible need for a glasses prescription, may be performed. This important test is performed to determine your best possible vision and to determine if you have any astigmatism. This may be necessary regardless of whether you plan on getting glasses.
  • Your eye muscle coordination will be tested to see if they are fully functional individually and when tested with the other eye.
  • Pupil response to light will be examined to see if the light is being appropriately transmitted to your brain.
  • Peripheral (side) vision will be checked to see if you are missing parts of your visual field from diseases like glaucoma or strokes.
  • A slit lamp microscope examination will be performed to look at health of the anterior segment of the eye, which includes your cornea.
  • Intraocular pressure will be checked to see if your eye pressures are at a normal level. It should be noted that one can still develop glaucoma with “normal” pressures in the eyes. This type of glaucoma is called normal-tension or low-tension glaucoma.
  • All new exams normally include a dilated eye exam of both eyes. This important part of the exam will allow the doctor to look at the inside and back of the eyes and check the health of your lens, retina and optic nerve. The optic nerve exam (not the pressure) is the critical part of the exam that helps us to know if you are at risk for glaucoma. You may want to bring a driver with you as some people find it difficult to drive after being dilated.
  • Others tests may also be performed on an “as needed” basis, depending on what the preceding parts of your examination have revealed.  These include gonioscopy to check your drainage angles, formal visual field testing, photography, high resolution scans of the back of the eye, pachymetry to check your corneal thickness, extended ophthalmoscopy, and ophthalmic ultrasound.

After the examination, your ophthalmologist will discuss the results of the exam with you and answer any questions you may have.