Advanced Vision Care Equipment
To provide you with the best and most thorough eye exam, we provide the Optomap retinal scans. A non-invasive, low-powered scanning laser, Optomap digitally scans the retina allowing Dr. Rebuck to identify potential retinal problems such as macular degeneration, diabetic retinopathy, glaucoma, retinal holes or detachments and systemic diseases such as sickle cell, leukemia, and high blood pressure. These conditions can lead to loss of vision or blindness and often develop without symptoms. The main advantage of Optomap technology is the immediate display of a complete in-depth retinal image, allowing Dr. Rebuck to review it with you on the spot, and if necessary, refer you to a retinal specialist.
Optical Coherence Tomography (OCT)
Our OCT is a safe, painless and non-invasive way to obtain detailed images of the retina or optic nerve. These images allow for the early detection of glaucoma while also monitoring changes of current glaucoma cases. In addition, it provides critical information when assessing retinal problems associated with diabetes and macular degeneration and is extremely beneficial in the evaluation of cataract patients, both pre- and post- operatively. Using this technology, we are able to make earlier and more accurate diagnoses regarding the health of your eyes.
Corneal pachymetry is also performed with our sophisticated OCT technology to very accurately measure corneal thickness in thousandths of a millimeter. Correctly measuring the corneal thickness is important because this information can alter eye pressure interpretation, potentially causing a misdiagnosis. We also use this instrument to aid in the diagnosis and treatment of corneal diseases as well as for prospective laser vision correction candidates.
An autorefractor/keratometer is a computerized machine that provides an objective measurement of a person’s refractive error and curvature of their cornea. This information is used to determine glasses and contact lenses prescriptions. The lensometer measures the prescription in your current glasses, so that we can instantly demonstrate your old and new prescriptions to you. We are probably the only practice in this area with this capability.
Our Keratograph 5M corneal topographer enables us to provide a very thorough evaluation of dry eyes by determining tear film breakup time, blink rate, redness, and capturing Meibomian gland images. It also provides an elevation map of the front surface of your eye, including a detailed colored diagram of the contour of your corneas. This comprehensive measurement is essential for fitting contact lenses, especially our orthokeratology lenses that enable patients to see clearly throughout the day without wearing glasses or contacts, as well as diagnosing corneal diseases. The measurements are safe, non-invasive and take only a short time to complete, thus allowing Dr. Rebuck to make detailed decisions about your eye care. Corneal topographer technology is also extremely useful for laser vision correction because of the curvature reshaping of your corneas for clearer vision.
Automated Visual Field Testing
A visual field test is an eye examination that can detect dysfunction in central and peripheral vision which may be caused by various medical conditions such as glaucoma, stroke, pituitary disease, brain tumours or other neurological deficits. Visual field testing can be performed clinically by keeping the subject’s gaze fixed while presenting objects at various places within their visual field. Simple manual equipment can be used such as in the tangent screen test or the Amsler grid. When dedicated machinery is used it is called a perimeter. Automated perimetry uses a mobile stimulus moved by a perimetry machine. The patient indicates whether he sees the light by pushing a button. The use of a white background and lights of incremental brightness is called “white-on-white” perimetry. This type of perimetry is the most commonly used in clinical practice, and in research trials where loss of visual field must be measured. However, the sensitivity of white-on-white perimetry is low, and the variability is relatively high; as many as 25–50 percent of the photoreceptor cells may be lost before changes in visual field acuity are detected. This method is commonly used for early detection of blind spots. The patient sits in front of an (artificial) small concave dome in a small machine with a target in the center. The chin rests on the machine and the eye that is not being tested is covered. A button is given to the patient to be used during the exam. The patient is set in front of the dome and asked to focus on the target at the center. A computer then shines lights on the inside dome and the patient clicks the button whenever a light is seen. The computer then automatically maps and calculates the patient’s visual field.
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