comprehensive eye exam

Comprehensive Eye Exam

At Avant-Garde Optometry we have maximized our efficiency and efficacy for comprehensive eye exams. At most offices you need to fill out over 10 pages of medical history questions only to have to technician or nurse ask you the same questions. We have trained medical technicians that will ask you all pertinent medical questions and history. If any medical conditions are being monitored by other primary care doctors or specialists, we will send them our report so there will be full communication between the doctors. After obtaining the medical history, we take a reading of the patient’s past glasses and gather any information as to what was causing the patient visual or physical discomfort in their last glasses. We then will take an objective measurement of the patient’s refraction of eye via the Wave-front analyzer KR-1W.

The KR-1W is one of the newest and most accurate auto-refractors on the market. We will then obtain the patient’s IOP through the Topcon CT-80. Next, we rarely dilate patients in the office and instead use the Optomap machine to take a picture or a series of pictures of the back of the patient’s eyes. The photo only takes a few minutes and the patient will have no side effects afterwards. We then obtain a visual acuity with and without your glasses/contacts. We measure a patient’s pupillary reactions, examine extra-ocular muscle movement and obtain a gross peripheral visual field test. For children we perform a unilateral and alternating cover test at distance and near to examine how a child uses their eyes together. This test will discover whether a child has strabismus or phorias. The eye doctor then performs an extensive and scientific subjective refraction on the patient.

Dr. Yee starts with refining the sphere power then moves on to the astigmatism then lastly refines the axis. Our practice uses an automated phoropter called the Topcon CV-5000. This phoropter greatly increases efficiency and cuts the time to obtain a refraction by 20%. The doctor will obtain a best visual acuity for distance and for near (40cm). Once these numbers are obtained, the data is automatically synced to our electronic health records to decrease any chance of error. Once the refraction is obtained, the doctor will then examine the patient with the Topcon SL D2 Slit lamp. Dr. Yee examines the anterior parts of the and then examines the posterior parts of the eye. After the refraction and health of the eye has been examined, the doctor explains all the findings with the patient.

The visual system is extremely complex and patients commonly mistake ‘a prescription that isn’t strong enough’ with chronic eye conditions the patient has never experienced. Thus, the explanation of the patient’s current prescription, along with a discussion of all the patient’s current ocular conditions, is where Avant-Garde thrives. The doctors are extremely passionate about their line of work and actively encourage patients to ask questions about their eyes. After the examination, the doctor will make one or two suggestions on the type of lenses that would benefit the patient.

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