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Visual field testing is an important part of most standard comprehensive eye exams. Also sometimes known as perimetry testing, Visual field testing is a method to measure the entire scope of vision of an individual, including their peripheral/side vision.
 

The importance of visual field testing

Visual field testing is one of the most effective diagnostic treatments in the detection of glaucoma. This is because when patients are affected by glaucoma, it is usually the peripheral vision that is affected by their condition first. However, it can also be used to detect central or peripheral retinal diseases, eyelid conditions such as drooping, optic nerve damage and conditions that affect the visual pathways from the optic nerve to the area of the brain where this information is processed into vision.
 

Visual field testing is also an important part of monitoring for people who are considered to be at risk for vision loss from disease and other problems, including those who have been diagnosed with the following:

• Multiple sclerosis

• Hyperthyroidism

• Pituitary gland disorders

• Central nervous system problems (such as a tumor that may be pressing on the brain)

• Stroke

• Diabetes

• High blood pressure
   

What to expect from visual field testing

There are a variety of methods that can be used to perform visual field testing, including:
 

Static automated perimetry. This is where a machine is used to quantify how well the patient is able to detect flashing lights of varying size and brightness in different areas of their visual field, while they concentrate on a central point. The patient responds by pushing a button when they see the light.

Kinetic perimetry. This involves points of light that are fixed in size and intensity and are presented along the patient’s peripheral vision, before being gradually moved inwards to determine their field of vision. 

Visual field testing is non-invasive, painless and doesn’t require patients to have their eyes dilated. The results, which are usually presented in a series of charts, are digital and sent directly to your eye doctor for interpretation. Depending on the outcome of your results, you may be recommended for further diagnostic testing which could include blood tests. If you have been diagnosed with glaucoma, you will probably be recommended to have several visual field tests each year, which will help your eye doctor to monitor the progression of your condition and recommend treatments to slow it.

If you would like more information about visual field testing, or if you have concerns about your peripheral vision, please don’t hesitate to schedule an appointment with our experienced and knowledgeable eyecare team today.

Dry eye is a common condition that affects millions of people worldwide. It occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. This can lead to discomfort, irritation, and even vision problems. If you are suffering from the discomfort of dry eye, MiBo Thermoflo can offer you a revolutionary solution.
 

Understanding the Causes of Dry Eye

Dry eye is a condition that occurs when the eyes do not produce enough tears or when the tears evaporate too quickly. There are several factors that can contribute to this condition, including environmental factors, certain medications, and aging. Environmental factors such as dry or windy climates, air conditioning, and excessive screen time can all worsen dry eye symptoms. Additionally, certain medications like antihistamines, decongestants, and diuretics can decrease tear production. Aging is also a common cause of dry eye, as tear production naturally decreases as we get older.
 

Meibomian gland dysfunction (MGD) and blepharitis are two common conditions that can contribute to the development of dry eye. MGD occurs when the meibomian glands, which are responsible for producing the oily layer of tears, become blocked or dysfunctional. This can lead to an inadequate amount of oil in the tears, causing them to evaporate too quickly. Blepharitis is an inflammation of the eyelids that can disrupt the normal functioning of the meibomian glands.

Senior eye care is crucial for maintaining optimal vision and overall eye health as we age. As individuals grow older, they become more susceptible to age-related eye conditions. Regular comprehensive eye exams play a key role in early detection and management of these conditions, helping to preserve vision and prevent potential vision loss. By staying proactive with eye care and seeking timely professional assistance, seniors can enjoy clear, comfortable vision and ongoing eye health for years to come.
 

Common Eye Conditions in Seniors

As we reach our golden years, there are several eye conditions that become more prevalent. These conditions can have a significant impact on our vision and overall quality of life.
 

• Presbyopia: This condition affects near vision, making it difficult to focus on close objects. It is a normal part of aging and is typically addressed with reading glasses or multifocal lenses.

• Floaters and Flashes: As the vitreous inside the eye changes with age, it can lead to the perception of floaters (small dark spots or lines) and flashes of light. While often harmless, sudden onset of floaters and flashes may indicate a retinal tear or detachment and should be promptly evaluated.

• Age-Related Macular Degeneration (AMD): AMD is a leading cause of vision loss in older adults. It affects the macula, the central part of the retina, leading to blurred or distorted central vision. There are two forms of AMD, dry AMD, and wet AMD, with the latter being more severe.

• Cataracts: Cataracts are a common age-related condition characterized by the clouding of the eye's natural lens. This can lead to blurry vision, glare, and difficulty seeing in low-light conditions.

• Glaucoma: Glaucoma is a group of eye conditions that damage the optic nerve, often due to elevated intraocular pressure. It can result in peripheral vision loss and, if left untreated, may lead to total blindness.

• Diabetic Retinopathy: For seniors with diabetes, diabetic retinopathy is a concern. It occurs when high blood sugar levels damage the blood vessels in the retina, leading to vision problems and potential blindness if not managed.

• Dry Eye Syndrome: Seniors may experience dry eye syndrome, characterized by insufficient lubrication and moisture on the surface of the eye. It can cause discomfort, redness, and fluctuating vision.
  
   

Migraines are a debilitating neurological condition that affect millions of people worldwide. One of the most common and disabling symptoms of migraines is light sensitivity, also known as photophobia. This heightened sensitivity to light can be a significant source of discomfort and pain for those suffering from migraines, making it difficult to function during an attack.

Photophobia is a common symptom of migraines, with up to 80% of migraine sufferers experiencing sensitivity to light during an attack. This sensitivity can be triggered by various types of light, including natural sunlight, fluorescent lighting, and even the glow of computer screens or smartphones.

Neurolens are the first and only prescription lenses that include an element of contoured prism in their design. This prism is designed to bring the patient’s eyes into more equal alignment, and this should help to provide relief from the symptoms that are associated with several eye misalignment conditions, including digital eye strain and binocular vision dysfunction.
 

What is digital eye strain?

Digital eye strain is the name given to describe a group of symptoms that can occur when someone spends long periods of time using digital devices. Since using digital devices requires the eyes to work harder than normal and we don’t always position our devices the perfect distance away, it can lead to issues such as eye pain, dry and irritated eyes, eye fatigue, light sensitivity and blurred vision. Unsurprisingly, the number of people who are experiencing digital eye strain has grown significantly over the last few years and is expected to continue to do so.

What is binocular vision dysfunction?

Binocular vision dysfunction, also known as BVD for short, is another eye condition but is one that is very misunderstood. Binocular vision dysfunction occurs when the eyes aren’t perfectly aligned, causing your brain and eyes to work harder than normal in order to create a clear visual image and remain focused. This places pressure on the trigeminal nerve, which is the nerve that is responsible for the majority of the sensations that we experience in our head and back. BVD can often manifest as other things owing to the huge range of symptoms that are associated with the condition. These can include, but aren’t limited to:

• Blurred vision

• Headaches/migraines

• Double vision

• Motion sickness

• Vertigo

• Dizziness

• Anxiety

Many people don’t think to visit an eye doctor when they are experiencing these symptoms, but all can occur simply because the eyes are out of alignment.

What are Neurolens lenses and how do they help?

As well as containing your usual prescription, Neurolens lenses also contain a specific amount of contoured micro-prism. This micro-prism alters the position of images so that they are aligned in the same plane. This then reduces the pressure on the muscles around the eyes as well as bringing the eyes into alignment, easing the symptoms that the patient has been experiencing.

The amount of prism in Neurolens lenses is decided using the Neurolens eye-tracking device. This non-invasively measures the misalignment that the patient is experiencing, and this is used to form the basis for the patient’s Neurolens prescription. After this, it’s fairly normal for the amount of prism to need to be adjusted by infinitesimal amounts to achieve the optimal relief from your symptoms. Most patients who choose Neurolens treatment see a 50% improvement in their vision as soon as they start to have micro-prism incorporated into their prescription lenses. However, with careful adjustments, many patients see as much as an 80% reduction in the effects of digital eye strain and binocular vision dysfunction.

Want more information about Neurolens? Please contact our knowledgeable eye care specialists.  

In the realm of eye care, surgical co-management has emerged as a collaborative approach that aims to provide patients with comprehensive and seamless treatment. This concept involves the joint efforts of optometrists and ophthalmologists, each bringing their unique expertise to the table. By working together, these eye care professionals strive to enhance patient outcomes and deliver exceptional care.
 

The Role of Optometrist and Ophthalmologist in Surgical Co-Management

Surgical co-management is built upon the unique skill sets and areas of expertise of optometrists and ophthalmologists. By understanding their respective roles, you can appreciate the synergy that this collaborative approach fosters.

Optometrists are primary eye care professionals who specialize in the examination, diagnosis, and non-surgical treatment of vision disorders. Their responsibilities in surgical co-management include:

• Performing comprehensive eye examinations and evaluations

• Monitoring and managing pre-existing eye conditions

• Providing pre-operative and post-operative care

• Educating patients on surgical procedures and aftercare

• Collaborating with ophthalmologists to ensure continuity of care
   

Ophthalmologists are medical doctors who specialize in the diagnosis, treatment, and surgical management of eye diseases and disorders. Their role in surgical co-management encompasses:

• Evaluating patients' candidacy for surgical interventions

• Performing complex surgical procedures

• Providing specialized medical and surgical care

• Collaborating with optometrists to ensure seamless patient care

• Monitoring and managing post-operative complications

• By combining the expertise of optometrists and ophthalmologists, surgical co-management ensures that patients receive comprehensive and coordinated care throughout their treatment journey.

How Surgical Co-Management Works

Surgical co-management is a well-orchestrated process that involves several key steps. Understanding how it works can help you navigate this collaborative approach with confidence.

• Initial Evaluation: The process typically begins with an optometrist conducting a comprehensive eye examination. During this evaluation, the optometrist assesses the patient's visual needs, identifies any potential issues, and determines if a surgical intervention is necessary.

• Referral and Consultation: If surgery is recommended, the optometrist refers the patient to an ophthalmologist for further evaluation and consultation. This step ensures that the patient receives specialized medical advice and a thorough assessment of their suitability for the proposed surgical procedure.

• Pre-operative Care: The optometrist plays a crucial role in providing pre-operative care, which may include managing any existing eye conditions, ensuring the patient understands the surgical process, and addressing any concerns or questions they may have.

• Surgical Procedure: The ophthalmologist performs the necessary surgical intervention, leveraging their specialized training and expertise in surgical techniques.

• Post-operative Care: After the surgery, the patient's care transitions back to the optometrist, who closely monitors the recovery process and provides post-operative care and management. This may involve follow-up appointments, monitoring for any complications, and ensuring the patient adheres to the prescribed treatment plan.

• Ongoing Collaboration: Throughout the entire process, the optometrist and ophthalmologist maintain open communication and collaborate closely. This ensures that the patient's care is seamless, and any concerns or issues are promptly addressed by the appropriate healthcare professional.

Eye care professionals use Optikam’s technology to capture more than 3 million eyewear measurements every year. The OptikamPad iPad app is a total dispensing solution that enables eye care professionals to successfully assist patients at all stages of the eyewear dispensing process, providing them with a unique and custom patient experience.

Optikam Posture Devise (OPD)

You may be surprised to learn that wearing glasses can and likely will affect your posture. Glasses lenses are most accurate when you look directly through their center. This means if your glasses are sitting too low or have slipped down your nose, you may find that you are subconsciously tilting your head back and this can affect your overall posture.

Optikam’s OPD measurement device is a cutting-edge tool that obtains eyewear measurements that take into account how the frame will be worn by patients, enabling the fit to be customized to their individual parameters. The ten measurements taken into account when determining each patient’s position of wear include:

• Monocular pupillary distance

• Multifocal seg heights

• Pantoscopic tilt

• Rear vertex distance

• Wrap (face form tilt)

• Near pupillary distance

This results in frames that not only look fantastic, but that also fit perfectly, remaining both comfortable and stable on the face without you needing to adopt an unnatural posture. The measurements obtained by the Optikam OPD measurement tool are immediately visible on your eye doctor’s tablet so that they can recommend which alterations to the frames are needed to ensure that the frames fit with precision and gives you the best visual experience.

Benefits of OptikamPad and Optikam OPD

Traditionally, the process of a comprehensive eye exam, choosing frames and fitting glasses requires fairly close contact with your eye doctor or other eye care professionals. However, with social distancing being a new process variable, many patients are looking for more virtual options. Fortunately, OptikamPad makes it possible for optical stores to dispense eyeglasses with minimal human contact. This is because the OptikamPad can take measurements from a further distance or even through plexiglass screens. It can even be placed on a stand and the app operated using a Bluetooth mouse, putting even greater distance between your eye care professional and you. 

If you would like to find out more about Optikam OPD and OptikamPad, our knowledgeable team would be delighted to help. Please contact us with any questions or to schedule an appointment.

Myopia is a common vision problem affecting a large number of individuals worldwide. It occurs when the eye is unable to focus properly on distant objects, resulting in blurred vision. Myopia can develop during childhood and progress into adulthood if left unmanaged.
 

What Causes Myopia to Develop?

Myopia can be caused by a combination of genetic and environmental factors. If one or both parents have myopia, there is a higher chance that their children will develop the condition. Additionally, excessive screen time, lack of outdoor activities, and prolonged near-work activities such as reading or using electronic devices can contribute to the development of myopia. These lifestyle factors can lead to the elongation of the eyeball, resulting in the inability to focus on distant objects.
 

The Importance of Myopia Management

Managing myopia is crucial to prevent its progression and associated complications. High levels of myopia can increase the risk of developing eye conditions such as glaucoma, cataracts, and retinal detachment.
 

Additionally, severe myopia can lead to vision loss and significantly impact the quality of life. Early intervention and proper management of myopia can help slow down its progression and reduce the risk of these complications.

Contact lenses have become a popular choice for individuals who want to correct their vision without the hassle of wearing glasses. Traditional contact lenses have been around for decades, offering a convenient alternative to eyeglasses. However, advancements in technology have given rise to a new type of contact lens – hybrid contacts.
 

What Are Hybrid Contacts?

Hybrid contacts are a revolutionary type of contact lens that combine the best features of both soft and rigid gas permeable (RGP) lenses. The rigid center corrects vision by providing precise clarity, while the soft skirt offers comfort and stability. This unique combination allows for the benefits of both types of lenses to be experienced simultaneously.
 

The central RGP lens of a hybrid contact is made from a rigid material that allows oxygen to pass through to the cornea, ensuring ample oxygen supply to the eyes. This ensures the overall health of the eyes, preventing dryness and reducing the risk of complications associated with limited oxygen flow

Cataracts are a common eye condition that can significantly affect your vision. They occur when the lens of your eye becomes cloudy, causing blurred or distorted vision. This clouding is typically a result of aging, but other factors such as genetics, diabetes, or prolonged exposure to sunlight can also contribute to the development of cataracts.
 

As cataracts progress, you may experience symptoms such as difficulty seeing at night, increased sensitivity to glare, or a decrease in color perception. These changes can make daily activities like reading, driving, or recognizing faces more challenging.
 

Why Cataract Surgery May be Necessary

Cataract surgery is often recommended when cataracts start to interfere with your vision and affect your ability to perform daily tasks. The primary goal of cataract surgery is to remove the cloudy lens and replace it with an artificial intraocular lens (IOL).
 

The decision to undergo cataract surgery is a personal one and should be made after consulting with your optometrist. Factors such as the severity of your cataracts, your overall eye health, and your lifestyle requirements will be taken into consideration when determining if surgery is necessary.
 

What is Cataract Surgery Co-Management?

Cataract surgery co-management refers to the collaborative approach between an ophthalmologist, who performs the surgery, and an optometrist, who provides pre-operative and post-operative care. This partnership ensures that you receive comprehensive eye care throughout the entire process, from the initial consultation to the final follow-up appointments.
 

Your optometrist plays a crucial role in cataract surgery co-management by conducting a thorough pre-operative evaluation to assess your overall eye health and determine the most suitable IOL for your specific needs. They will also provide guidance and education on the surgical procedure, address any concerns you may have, and help you make informed decisions about your eye care.