Services 2018-10-01T20:45:23+00:00

Services

Slider

What We Offer

We provide primary eye care for the entire family – from treating and managing eye disease, helping children with vision related learning disabilities, fitting all types of contact lenses, co-managing post-op LASIK and cataract patients, to offering the latest in eyewear design and technology – these are the things that the doctors and staff of Advanced Eye Care are committed to providing to our patients. Request an Appointment today so we can help treat your eye care needs.

Eye Doctors

Eye Examinations

An eye exam involves a series of tests designed to evaluate your vision and check for eye diseases. Your doctor may use a variety of instruments, aim bright lights directly at your eyes, and request that you look through a seemingly endless array of lenses. Each test during an eye exam evaluates a different aspect of your vision. A comprehensive eye exam is one of the best ways to protect your vision because it can detect eye problems at their earliest stage – when they’re most treatable. Regular eye exams give your Optometrist a chance to help you correct or adapt to vision changes and provide you with tips on caring for your eyes.

What to Expect from Your Doctor

If you’re seeing a new eye doctor or if you’re having your first eye exam, expect questions about your vision history. Your answers to these questions help your eye doctor understand your risk of eye disease and vision problems. Be prepared to give specific information, including:
  • Are you having any eye problems now?
  • Have you had any eye problems in the past?
  • Were you born prematurely?
  • Do you wear glasses or contacts now? If so, are you satisfied with them?
  • What health problems have you had in recent years?
  • Are you taking any medications?
  • Do you have any allergies to medications, food or other substances?
  • Has anyone in your family had eye problems, such as cataracts, macular degeneration, or glaucoma?
  • Has anyone in your family had diabetes, high blood pressure, heart disease or any other health problems that can affect the whole body?
If you wear contact lenses or glasses, bring them both to your appointment. Your eye doctor will want to make sure your prescription is the best one for you.

What to Expect from the Examination

  • First, you will be asked about your medical history and any vision problems you might be experiencing.
  • Next, your doctor measures your visual acuity, assesses your need for glasses and examines your eyes for signs of disease.
  • Finally, your eye doctor checks your eyes using a light to ensure the interior and exterior parts of your eyes are healthy.
Part of the examination, such as taking your medical history and the initial eye testing, may be performed by a technician who assists your doctor. Several different tests may be performed during the eye exam. These tests are designed to check your vision and to examine the appearance and function of all parts of your eyes.

Results

At the end of your eye exam, your doctor will provide you with a detailed assessment of your vision, along with any risks you should be aware of and preventive measures you can take to protect your eyesight. Normal results from an eye exam include:
  • 20/20 vision
  • Good tracking or eye movement skills
  • Good peripheral vision
  • Normal-appearing structures of the eye upon examination
  • No evidence of cataract, glaucoma, or retinal (macular) degeneration
Your doctor may give you a prescription for corrective lenses. If your eye exam yields abnormal results, your doctor will discuss with you any necessary steps for further testing or for treating an underlying condition.

Neurological Testing

A series of tests will be performed to determine how the nervous system (brain) works with the eyes. Tracking of the eyes into six different directions, peripheral vision, and pupil function are all part of a simple set of tests done during an eye exam. These tests help your Optometrist determine how well your eyes communicate with the brain. It can help check for a number of serious conditions such as brain tumor, aneurysm, concussion, and stroke.

Visual Acuity Test

This test measures how clearly you can see from a distance and while reading. Your doctor will ask you to identify different letters of the alphabet printed on a chart (Snellen chart) positioned usually 20 feet away. The lines of type get smaller as you move down the chart. You cover one eye and read aloud, then cover the other eye and read aloud.

Refraction Assessment

Refraction refers to how light waves are bent as they pass through your cornea and lens. A refraction assessment helps your doctor determine a corrective lens prescription that will give you the sharpest vision. Your doctor may start with a computerized refractor to measure your eyes and estimate the prescription you need to correct a refractive error. Or he or she may use a technique called retinoscopy. In this procedure, the doctor shines a light into your eye and measures the refractive error by evaluating the movement of the light reflected by your retina.

Your eye doctor fine-tunes this refraction assessment by having you look through a Phoroptor, a mask-like device that contains wheels of different lenses, to judge which combination gives you the sharpest vision. By repeating this step several times, your doctor finds the lenses that give you the greatest possible acuity.

Slit-lamp Examination

A slit lamp is a microscope that enlarges and illuminates the front of your eye with an intense line of light. Your doctor uses this light to examine the cornea, iris, lens and anterior chamber of your eye.

When examining your cornea, your doctor may use eye drops containing fluorescein (flooh-RES-ene) dye. The orange dye spreads across your eyes to help your eye doctor detect tiny cuts, scrapes, tears, foreign objects or infections on your cornea. Your eyes’ tears eventually wash the dye away.

Retinal Examination

A retinal examination — sometimes called ophthalmoscopy or fundoscopy — examines the back of your eye, including your retina, optic disk and the underlying layer of blood vessels that nourish the retina. The retinal examination takes only a few minutes, but if you’re given eyedrops to dilate the pupils, their effects may not wear off for several hours. Your vision will likely be blurry, and you may have trouble focusing your eyes. If you’re particularly sensitive to light, you may need to wear dark glasses (or sunglasses) for a short time. You may not be able to drive, so make sure you have another way back to work or home. Depending on your job, you might not be able to work until the effects of the eyedrops wear off.

Tonometry

The most common type of tonometry is the dreaded “air puff" test. This is a test that measures the pressure inside your eyes and is a screening test for glaucoma. It does not require the use of any eye drops in the eye, however, it can be startling to you — especially for first-timers. If you prefer, there are other methods for acquiring this measurement. Applanation tonometry is a less-startling method of measuring eye pressure, but does require a short-acting numbing drop in each eye. You can always request applanation tonometry, if you do not like the “air puff".

Besides these basic evaluations, you may need more specialized tests, depending on your age, medical history, family history, or if any of the tests above are abnormal.
We are proud to be a part of the InfantSEE® program! InfantSEE is a no-cost public health program developed to provide professional eye care for infants all over the country. So what does that mean for you? We will provide a one-time, comprehensive eye exam to infants 6-12 months old, offering early detection of potential eye and vision problems at no cost, regardless of income. Schedule your baby’s first eye exam with us:

Request an Appointment

Medical Eye Services

Our physicians treat a range of eye diseases and problems to keep your eyesight as healthy as possible.

What is Diabetes?

Diabetes Mellitus is a chronic disorder characterized by lack of insulin secretion and/or increased cellular resistance to insulin in the body. Diabetes can result in complications involving the eyes, kidneys, cardiovascular system, and nervous system.

The Two Types of Diabetes

Type 1

Also known as insulin dependent diabetes, accounts for 10% of all patients with diabetes in the United States. This type of diabetes results in the destruction of the islet cells in the pancreas, which is responsible for insulin production. This type of diabetes can occur at any age, but typically is more common in those under 30 years old. Symptoms of Type 1 Diabetes include: excessive hunger, excessive thirst, excessive urination, unexplained weight loss, dry mouth, leg cramps or pains, delayed healing of skin wounds, and recurrent infections of the skin, genitalia, or urinary tract.

Type 2

Also known as non-insulin dependent diabetes, accounts for 90% of all diabetics in the US. Type 2 Diabetes is characterized by a resistance of body tissues to the action of insulin. It typically occurs in adults over the age of 40, but is also on the rise in children in the past few years. Most Type 2 diabetics have no symptoms, and therefore, frequently go undiagnosed for years. Risk factors for this type of diabetes include, cardiovascular disease, smoking, sedentary lifestyle, and obesity.

Diabetic Eye Disease – Diabetic Retinopathy

Diabetic Eye Disease is an end-organ response to a generalized medical condition. Diabetic Retinopathy is the most serious sight-threatening complication of diabetes, although, diabetes has been shown to cause an increased risk of cataracts, glaucoma, and refractive error changes (near-sightedness). Diabetic Retinopathy is characterized by blood vessel changes, swelling, leakage and/or hemorrhaging within the retina. Diabetes is the leading cause of blindness in working age Americans today. At least 50,000 Americans are legally blind from this condition. Although Diabetic Retinopathy is not preventable or curable, many cases of blindness may be avoided due to advances in the management of Diabetic Retinopathy. Early diagnosis and long-term, consistent follow up evaluations are essential for effective treatment, and can significantly lower the risk of blindness.

Recommended Eye Examinations

All newly diagnosed diabetics should have a comprehensive, dilated eye examination immediately. In the absence of any diabetic eye disease, annual eye examinations are recommended. Depending on the level of retinopathy, you may need to be seen by your eye doctor more frequently, in order to monitor for progression of the disease.
The natural tears that your eyes produce are composed of three layers: the outer oily layer, the middle watery layer, and the inner mucus layer. Dry eye is the term used to describe eyes that do not produce enough tears or an eye without the proper chemical composition in the three layers of tears. Dry eye is most often a result of the eyes natural aging process. Most peoples’ eyes tend to become drier as they age, but the degree of dryness varies and some people have more problems than others. In addition to age, dry eye can result from:
  • Problems with normal blinking
  • Certain medications like antihistamines, oral contraceptives and antidepressants
  • Environmental factors like a dry climate and exposure to wind
  • General health problems like arthritis or Sjogren’s syndrome
  • Chemical or thermal burns to the eye
Dry eye symptoms are often different in different people, but the following are commonly experienced by those whose tear production is inadequate:
  • Redness of the eyes
  • Irritated, scratchy, dry or uncomfortable eyes
  • A burning sensation of the eyes
  • A feeling of a foreign body in the eye
  • Blurred vision
  • Excessive watering as the eyes try to comfort an overly dry eye
  • Eyes that seem to have lost the normal clear glassy luster
If untreated, dry eye can be more than just irritating or uncomfortable. Excessive dry eye can damage eye tissue and possibly scar the cornea, the transparent front covering of the eye, impairing vision. Contact lens wear may be more difficult due to the possibility of increased irritation and a greater chance of eye infection.

If you are experiencing the symptoms of dry eye, your optometrist can perform “dry eye" tests using diagnostic instruments to give a highly magnified view and special dyes to evaluate the quality, amount and distribution of tears. Your optometrist will also need to know about your every day activities, your general health, medications you are taking and about environmental factors that may be causing your symptoms.

Unfortunately, dry eye cannot be cured, but your eye’s sensitivity can be lessened and treatment prescribed so that your eyes remain healthy and your vision is not affected. There are several over the counter and prescription medications available to help treat dry eyes. Other dry eye treatments are:
  • Changing environmental factors like avoiding wind and dust and increasing the level of humidity
  • Frequent blinking to spread tears over the eye, especially when using a steady focus for an extended period
  • Using artificial tear solutions
  • Using moisturizing ointment, especially at bedtime
  • Hot compresses or a heated mask (ask our doctors about the new Tranquileyes mask) to help tear gland function
  • Taking a daily Omega-3 vitamin supplement (fish oil, and/or flax seed oil)
  • Insertion of small plugs in the corner of the eyes to slow drainage and loss of tears
  • In rare cases, surgery may be recommended
Whatever treatment is prescribed for you, it is very important that you follow your doctor’s instructions carefully. Dry eye does not go away, but by working together, you and your doctor can keep your eyes healthy and protect your good vision.
Eye infections cover a broad range, from an annoying irritation to serious sight threatening conditions. Bacterial infections will usually respond well to antibiotic eye drops. Viral infections are much more common than bacterial, can be much more difficult to treat and tend to last longer. Fungal eye infections, while rare, can create an extremely serious threat to vision.

As a general rule, a red, irritated eye that does not get better should be seen by a doctor within a couple of days. A contact lens should NOT be worn on a red, irritated eye. New eye drops, both prescription and non-prescription, are constantly being developed. They are giving us improved medical options as we treat our patients’ eye infections.
The sudden appearance of light flashes or floating spots can be a rather dramatic event occurring within the vitreous body of the eye. The vitreous is the jelly-like material which fills the large central cavity of the eye. It is 90% water with the remaining portion being fibrous proteins. These fibers are what give the vitreous a stiff consistency similar to gelatin. The vitreous has normal connections to the retina, the light sensitive layer lining the back of the eye.

As we age, there is shrinkage of the overall volume of the vitreous. With this comes a contraction of the fibrous elements away from the retina. This is called a POSTERIOR VITREOUS DETACHMENT. The resulting traction on the retina is responsible for the characteristic “flashes" which often accompany PVD’s. The “floaters" are typically fibrous clumps within the vitreous. However, in some cases, they are actually from some fragments of retina which may have been dragged into the vitreous cavity by this separation.

It is important that all eyes with recent onset of flashes and floaters be examined carefully by an eye doctor. Most of the time, nothing unusual is found and simple reassurance is all that is needed. The flashes eventually go away, and the floaters diminish and become less bothersome with time; however, in some eyes with a posterior vitreous separation, a tear in the retina may occur. If left untreated, these tears may lead to a retinal detachment. A retinal detachment is a very serious sight threatening condition requiring a major surgical procedure to repair. Even in the best of hands, the results can be very unpredictable.

If retinal tears are found, treatment is much easier and more effective. They can be sealed off to prevent a retinal detachment. This is done either by “spot welding" several circles of burns around the tear with a laser, or by sealing it with a freezing unit. Both accomplish the same purpose with good results and low complications rates. The procedure is done on an outpatient basis under local anesthetic.

When flashes and floaters appear, it is important to examine the eye within a few days of their onset. Changes can occur rapidly, and time can be of the essence if a retinal detachment is present. If all is normal in the first occurrence, one cannot assume that subsequent occurrences will be harmless also. Each event should be carefully examined and treated if necessary.
It is not uncommon for particles to get into an eye and adhere to the ocular surface: metal from a grinder, grass from a lawn mower, dirt from our Texas Panhandle winds, etc. Frequently these particles become embedded deeply enough on the eye that they cannot be rinsed out. Our doctors treat these occurrences on a daily basis. The goal is to remove these “foreign bodies" with as little disruption to the surface of the eye as possible. We take all necessary steps to minimize scarring and prevent any secondary infections. Bandages and eye patches are seldom needed anymore in the process of treatment. Proper removal of the foreign body, and the use of special “bandage contact lenses," aid in a faster recovery and fewer long-term problems with the eye.
Glaucoma can most accurately be described as the silent thief of sight. Thousands of new cases of glaucoma are diagnosed each year by eye doctors. This disease can rob you of the vision you need to lead an active lifestyle. Glaucoma is a progressive disease that develops over months to years. It gradually causes loss of peripheral vision, and, if left untreated, can result in irreversible blindness. Your risk of developing glaucoma is higher if you have diabetes, high blood pressure or high cholesterol. Certain lifestyles such as smoking and obesity can also increase your risks. The most common factor, however, is genetic. If you have a blood relative with glaucoma, you should be checked by your eye doctor regularly.

Glaucoma treatments have drastically changed over the past decade. In the past, we had only a limited selection of eye drops to control pressure within the eye. Some of these medications caused unpleasant side effects, like headaches and blurred vision.

Today, we have a much wider range of choices. The specific glaucoma medicine you receive depends upon any pre-existing health problems, your lifestyle, and glaucoma history. If the eye drops do not adequately control the glaucoma, surgery can be done. Here, openings through the drainage system of the eye are artificially produced, often with a laser. This allows for healthier fluid circulation and a reduction in eye pressure. It’s good to know these treatments are available should you develop glaucoma, but early diagnosis is really the key to a lifetime of healthy vision.
Keratoconus is a non-inflammatory eye condition in which the normally round dome-shaped cornea progressively thins causing a cone-like bulge to develop. This results in significant visual impairment. The cornea is the clear window of the eye and is responsible for refracting (bending) most of the light coming into the eye. This distortion has been compared to viewing a street sign through your car windshield during a driving rainstorm. Therefore, abnormalities of the cornea severely affect the way we see the world making simple tasks like driving, watching TV, or reading a book difficult.

In its earliest stages, keratoconus causes slight blurring and distortion of vision and increased sensitivity to glare and light. These symptoms usually first appear in the late teens and early twenties, and it has been estimated that the incidence of keratoconus is 1 in 2000. It is found in all parts of the United States and the rest of the world. It has no known significant geographic, cultural or social pattern. Keratoconus may progress for 10-20 years and then slow in its progression. Each eye may be affected differently.

Eyeglasses or soft contact lenses may be used to correct the mild nearsightedness and astigmatism that is caused in the early stages of keratoconus. As the disorder progresses and the cornea continues to thin and change shape, rigid gas permeable contact lenses can be prescribed to correct vision more adequately. The contact lenses must be carefully fitted, and frequent checkups and lens changes may be needed to achieve and maintain good vision.

In severe cases, a corneal transplant may be needed due to scarring, extreme thinning or contact lens intolerance. This is a surgical procedure that replaces the keratoconus cornea with healthy donor tissue.

For more information about keratoconus, visit the National Keratoconus Foundation’s website.
Macular Degeneration, sometimes called Age Related Macular Degeneration (ARMD), typically affects people 55 years old and older, but can be found in people much younger, as well. It is a degenerative condition affecting the macula – the portion of the retina that provides our fine, detailed, central vision. Activities such as threading a needle, reading, and recognizing vibrant colors or faces are just a few of the things the macula is responsible for.

Age-related Macular Degeneration is the leading cause of legal blindness in people older than 55 years in the United States, affecting more than 1.75 million individuals. Unfortunately, due to the rapid aging of the U.S. population, this number is expected to increase to almost 3 million by 2020. Smoking, obesity, and family history are among the leading causes of this debilitating disease process.

There are two types of Macular Degeneration, dry and wet. The most common type of Macular Degeneration is the dry form. In this form, progression tends to be slower, causing gradual vision loss over time. However, the dry form can convert to wet ARMD at any time when fluid starts to accumulate underneath the macula. Regular examinations by a doctor experienced with Macular Degeneration and monitoring your eyes daily with the use of an Amsler Grid, are vital. Vitamin therapy (an AREDS approved formula) can be effective in slowing down the advancement of this disease. Medical treatment, in the form of intraocular injections (injections directly into the eye), has been shown to greatly improve long-term vision related to wet ARMD.

Medical Technology

We believe in utilizing the latest developments in optical technology to best care for your eyes and your vision.

OCT (ocular coherence tomography) is one of the most innovative new technologies on the market. It allows your optometrist to view your optic nerve (the nerve which transmits what you see to your brain) and the layers of the retina (the back internal covering of the eye essential for acute vision) in cross-section. It helps to diagnose glaucoma, swelling or hemorrhaging in the back of the eye, macular degeneration and many other retinal eye problems.

Retinal Imaging is digital photography of the back surface of the eye that allows your optometrist to diagnose, treat, and follow glaucoma, macular degeneration, diabetes, large freckles that can potentially be cancerous, blood vessel changes due to high blood pressure, and many other diseases. It allows us to monitor these diseases with year to year comparisons accurately for stability or progression. These findings can be critical to our patients’ overall health.

Topographical mapping of the cornea is a very valuable tool used in both the diagnosis of corneal disorders and the fitting of the contact lenses. A very quick and non-invasive test, disks of light are reflected off the eye and then digitally imaged and evaluated, providing us with detailed information about surface irregularities and curvatures. This technology can turn a previously poor candidate for contact lenses into a happy, successful contact lens wearer.

Visual Field is an instrument which gives your optometrist critical information in diagnosing certain blindness-causing diseases. It allows us to treat and follow progression of diseases like glaucoma and optic neuritis (associated with multiple sclerosis). It also helps us diagnose certain types of tumors, strokes, aneurysms, and other neurological and vascular diseases.

The latest research on Glaucoma has uncovered an aspect of the eye’s anatomy that has been found to be a very prominent risk-factor for glaucoma, corneal thickness. This very quick test accurately measures the corneal thickness, which gives us another piece of the puzzle when deciding to begin treatment on borderline cases.

Contact Lenses

A variety of types of contact lenses are available to suit all of our patients. We will work with you to determine the best fit contacts for your unique needs.

Rigid gas permeable lenses are, in many cases, unparalleled in the visual sharpness they provide as compared to soft lenses. The newest RGP lenses are made with silicone polymers, allowing more oxygen to reach the cornea. Compared to soft contact lenses, rigid gas permeable contacts maintain their shape and offer clearer vision for some types of corrections. They are also easy to take care of and are extremely durable. The amount of time needed to adjust to rigid gas permeable contact lenses can be longer than with soft contact lenses, but the visual results can be fantastic.
Have you ever wanted to have the option of leaving your glasses on the bed-side table? Join the millions who are already comfortably wearing soft contact lenses. Soft contact lenses are made of a soft polymer-plastic material combined with a percentage of water. Water allows oxygen to pass through the contact lens material and increases comfort. Many soft contact lenses also provide UV protection. Soft contact lenses are usually more comfortable than rigid gas permeable contact lenses when first inserted into the eye. 

Most daily wear soft contact lenses are now disposable and can be thrown away after a short period of use. Being able to have a fresh pair of soft contact lenses means less chance of infection, less cleaning, and more comfort, especially for people whose eyes naturally produce more protein which clouds contact lenses.
Wouldn’t it be nice to be able to wake up in the morning and be able to see across the room without having to reach for your glasses? Have you been thinking about having laser surgery for that very reason?

Current technology now allows for some extended wear contact lenses to be worn for an entire month! These new contact lens materials are considered “super-permeable" and allow much more oxygen to get to the eye. This greatly minimizes the health risks that arise from low oxygen.

These lenses are available in a wide range of powers, and they cost about the same as regular daily wear lenses.
Have you always wanted to wear contacts but have been told repeatedly that you could not wear them because you have astigmatism? Times have changed, my friend! Recent improvements in the technology of contact lenses have improved the contact lens success rate for people with astigmatism.

Astigmatism is a very common problem. It results from the cornea having a slightly irregular shape. This causes images to blur at 2 different locations in the eye. A standard contact lens cannot correct both points of blur. A special toric contact lens can correct this visual problem. The fitting for a toric lens requires an exact measurement of the astigmatism, and a proper selection of contact lens size, material, and power. Changes in the fit of the lens are sometimes necessary. However, there are more options than ever in soft contact lens technology to enable most people with astigmatism to wear contact lenses.
Are you tired of those reading glasses? Bifocal, or multifocal, contact lenses are designed to give all-around vision to people who have presbyopia. Presbyopia is the age-related change that affects the natural lens in the eye, making two different prescriptions necessary for clear distance and near vision. A bifocal contact lens design has both the distance prescription and near prescription in one lens. Newer designs are truly multifocal, meaning that intermediate distances, like computer screens and dashboards, can also be in focus.
Ever wanted to change your eye color? Now you can! Colored contact lenses look more natural than ever before, and can also be quite practical. If you have light colored eyes, an enhancement tint can give you a very subtle (or striking!) color change. These colored contact lenses have a translucent tint that’s meant to enhance your natural eye color. If you have dark eyes to begin with, radiant opaque tints can change the color of your eyes. These contacts utilize the entire rainbow of colors to mimic the subtle shading differences of the real eye’s iris, which is the colored portion of the eye. Color tints come in a wide array of specialty colors, including amethyst, violet, and jade.
Keratoconus is a condition where the cornea progressively thins and bulges, causing it to no longer operate as a good organic lens for the eye. People with keratoconus often progress to the point where glasses alone cannot provide good vision. There are also other causes of irregular corneas—including traumatic injury, RK, and corneal transplantation.

Because of the unusual curvature of the cornea from these conditions, standard soft contact lenses frequently do not adequately correct vision. Thus, more creative methods of vision correction have arisen. Special contacts to the rescue! Special designs in contact lenses can restore a smooth optical surface to the eye, creating crisper vision than can be achieved with glasses. While these contact lens fits can be more challenging, we are armed with the newest technologies to help us achieve the desired results. With these advancements in contact lenses, we now have the ability to fit even the most challenging eyes with contacts!
contact lenses

Vision Therapy

Some visual conditions cannot be treated adequately with just glasses, contact lenses and/or patching, and are best resolved through a program of Vision Therapy. Learn more about how Vision Therapy can help your vision.

Vision Therapy is an individualized, supervised, treatment program designed to correct visual-motor and/or perceptual-cognitive deficiencies. Vision Therapy sessions include procedures designed to enhance the brain’s ability to control: Eye alignment Eye tracking and eye teaming Eye focusing abilities Eye movements Visual processing Visual-motor skills and endurance are developed through the use of specialized computer and optical devices, including therapeutic lenses, prisms, and filters. During the final stages of therapy, the patient’s newly acquired visual skills are reinforced and made automatic through repetition and by integration with motor and cognitive skills.
For complete information on our vision therapy services, please visit visiontherapyrocks.com

10 doctors, 4 locations, 1 priority—you!

Let us help you, and your family, have the very best vision possible!
Slider

contact lenses