Corneal topography, also known as photokeratoscopy or videokeratography, is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye's refractive power, its topography is of critical importance in determining the quality of vision.
The three-dimensional map is therefore a valuable aid to the examining ophthalmologist or optometrist and can assist in the diagnosis and treatment of a number of conditions; in planning refractive surgery such as LASIK and evaluation of its results; or in assessing the fit of contact lenses. A development of keratoscopy, corneal topography extends the measurement range from the four points a few millimeters apart that is offered by keratometry to a grid of thousands of points covering the entire cornea. The procedure is carried out in seconds and is completely painless.
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Digital Retinal Imaging & OCT Scans
We use cutting-edge digital imaging technology to assess your eyes. Many eye diseases, if detected at an early stage, can be treated successfully without total loss of vision. Your retinal Images will be stored electronically. This gives the eye doctor a permanent record of the condition and state of your retina.
This is very important in assisting your Optometrist to detect and measure any changes to your retina each time you get your eyes examined, as many eye conditions, such as glaucoma, diabetic retinopathy and macular degeneration are diagnosed by detecting changes over time.
The advantages of digital imaging include:
- Quick, safe, non-invasive and painless
- Provides detailed images of your retina and sub-surface of your eyes
- Provides instant, direct imaging of the form and structure of eye tissue
- Image resolution is extremely high quality
- Uses eye-safe near-infra-red light
- No patient prep required
Digital Retinal Imaging
Digital Retinal Imaging allows your eye doctor to evaluate the health of the back of your eye, the retina. It is critical to confirm the health of the retina, optic nerve and other retinal structures. The digital camera snaps a high-resolution digital picture of your retina. This picture clearly shows the health of your eyes and is used as a baseline to track any changes in your eyes in future eye examinations.
Optical Coherence Tomography (OCT)
An Optical Coherence Tomography scan (commonly referred to as an OCT scan) is the latest advancement in imaging technology. Similar to ultrasound, this diagnostic technique employs light rather than sound waves to achieve higher resolution pictures of the structural layers of the back of the eye.
A scanning laser used to analyze the layers of the retina and optic nerve for any signs of eye disease, similar to an CT scan of the eye. It works using light without radiation, and is essential for early diagnosis of glaucoma, macular degeneration and diabetic retinal disease.
With an OCT scan, doctors are provided with color-coded, cross-sectional images of the retina. These detailed images are revolutionizing early detection and treatment of eye conditions such as wet and dry age-related macular degeneration, glaucoma, retinal detachment and diabetic retinopathy.
An OCT scan is a noninvasive, painless test. It is performed in about 10 minutes right in our office. Feel free to contact our office to inquire about an OCT at your next appointment.
Visual Field Testing
A visual field test measures the range of your peripheral or “side” vision to assess whether you have any blind spots (scotomas), peripheral vision loss or visual field abnormalities. It is a straightforward and painless test that does not involve eye drops but does involve the patient's ability to understand and follow instructions.
An initial visual field screening can be carried out by the optometrist by asking you to keep your gaze fixed on a central object, covering one eye and having you describe what you see at the periphery of your field of view. For a more comprehensive assessment, special equipment might be used to test your visual field. In one such test, you place your chin on a chin rest and look ahead. Lights are flashed on, and you have to press a button whenever you see the light. The lights are bright or dim at different stages of the test. Some of the flashes are purely to check you are concentrating. Each eye is tested separately and the entire test takes 15-45 minutes. These machines can create a computerized map out your visual field to identify if and where you have any deficiencies.
OPTOS Retinal Exam
Annual eye exams are vital to maintaining your vision and overall health. We offer the optomap® Retinal Exam as an important part of our eye exams. The optomap® Retinal Exam produces an image that is as unique as you fingerprint and provides us with a wide view to look at the health of your retina. The retina is the part of your eye that captures the image of what you are looking at, similar to film in a camera.
Many eye problems can develop without you knowing. You may not even notice any change in your sight. But, diseases such as macular degeneration, glaucoma, retinal tears or detachments, and other health problems such as diabetes and high blood pressure can be seen with a thorough exam of the retina.
An optomap® Retinal Exam provides:
- A scan to show a healthy eye or detect disease.
- A view of the retina, giving your doctor a more detailed view than he/she can get by other means.
- The opportunity for you to view and discuss the optomap® image of your eye with your doctor at the time of your exam.
- A permanent record for your file, which allows us to view your images each year to look for changes.
The optomap® Retinal Exam is fast, easy, and comfortable for all ages. To have the exam, you simply look into the device one eye at a time and you will see a comfortable flash of light to let you know the image of your retina has been taken. The optomap® image is shown immediately on a computer screen so we can review it with you.
Please schedule your optomap® Retinal Exam today!
Topcon Digital Retinal Camera TRC-NW8
The Topcon TRC-NW8 easy-to-use, autofocus, auto capture non-mydriatic retinal camera is designed to obtain high-resolution color and monochrome images of the retina and the anterior segment of the human eye. It is equipped with automatic focusing and capture making its use quick and simple. A 16.2 megapixel camera back provides high-resolution images with a 45° field of view. The incorporated filters and internal firmware allow the user to obtain color and red-free images. The TRC-NW8 has nine internal fixation points that facilitate the composition of wide-angle views of the retina.
- Quickly and easily capture high quality, crisp images with Topcon’s omni-directional joystick
- High quality 16.2 MP images with Nikon digital camera
- Auto focus, auto shoot and auto small pupil detector
- Red free optical filter
- Increase work flow and patient comfort
- Large color monitor allows for easy viewing of images
Marco OPD III
Our OPD-Scan III Wavefront Aberrometer is an Autorefractor, Keratometer, Pupillometer (up to 9.5mm), Corneal Topographer, and Integrated Wavefront Aberrometer. The OPD-Scan III completes 20 diagnostic metrics in less than 10 seconds per eye (including angle kappa, HOAs, average pupil power, RMS value, and point spread function). Easy alignment and automatic capture of wavefront aberrometry data ensures accurate readings. Wavefront aberrometry data is gathered from available zones up to a 9.5mm area, adding the capability to provide for the calculation of mesopic refractions. Blue light, 33 ring, placido disc topography is gathered in one second. Mapping methods include OPD, Visual Acuity Corneal Topography/Topographer, and more.
- Wavefront aberrometry with 2,520 light vector data points
- Corneal topographer/topography with 11,880 data point mapping
- Day/Night Rx
- Auto X, Y, Z eye tracking
- Discerns AR vs. WF patients and their starting refraction point
- Sphere measurement -20D to +22D. Cyl 0.00D to ±12D
- Large, tilt LCD screen for superior viewing angle and operational position options
Zeiss Cirrus 5000 HD OCT
*With new anterior segment module
The new Cirrus HD-OCT 5000 system features a modernized system based on a fast Windows 7 computer with much more faster processing and OCT camera system, a larger viewing monitor and a wireless mouse and keyboard. The Cirrus 5000 includes increased speed, more comfort, and a more reliability than any previous model. The Cirrus HD-OCT is a non-contact, high resolution tomographic and a biomicroscopic imaging device.
It is indicated for in-vivo viewing, axial cross-sectional, and three-dimensional imaging and measurement of anterior and posterior ocular structures, including cornea, retina, retinal nerve fiber layer, ganglion cell plus inner plexiform layer, macula, and optic nerve head. The Cirrus HD-OCT is intended for use as a diagnostic device to aid in the detection and management of ocular diseases including, but not limited to, macular holes, cystoid macular edema, diabetic retinopathy, age-related macular degeneration, and glaucoma.
Daytona Optomap - Retinal Imaging
For many eyecare patients, having pupils dilated (opened up) using eye drops can be a bother. But as an integral part of a truly comprehensive eye exam, those drops are highly recommended. Dilation gives your eye doctor the widest view of the internal structures at the back of the eye—the optic nerve, retina, even blood vessels.
That’s where Optomap technology comes in. Using low-power laser technology, your eye care professional can take a wide, instantly-viewable and detailed digital scan of your retina (the area responsible for processing images). All in real time. And in no time. Without the use of pupil-dilating eye drops.
ZEISS Humphrey Field Analyzer
ZEISS Humphrey Field Analyzer 3 now with SITA Faster
The Humphrey Field Analyzer 3 (HFA3) combines everything you’ve always valued in a Humphrey with more than you could imagine to streamline your workflow.
NEW Humphrey Field Analyzer – HFA3 Visual Field Series
HFA3 provides a streamlined and faster workflow with an array of remarkable new features designed to:
- Reduce visual field testing time with NEW SITA™ Faster.
- Mixed Guided Progression Analysis™ (GPA™): Inter-mixing of SITA Standard, SITA Fast, and SITA Faster.
- Reduce setup time with a single trial lens. Using liquid pressure, the new Liquid Trial Lens™ instantly delivers each patient’s refractive correction with the touch of a button.*
- Improve confidence in test results with RelEYE™**. Instantly review the patient’s eye position, at any stimulus point.
- Simplify operation with the intuitive new SmartTouch™ interface that novice users will appreciate.
- Gain peace of mind with seamless transferability of legacy data from the HFA II and HFA II-i to the HFA3.
- SITA Faster test is about half the time of SITA Standard and 70% of SITA Fast with the same reproducibility as SITA Fast. This may improve patient satisfaction with perimetric testing and reduce patient fatigue.
- Mixed GPA allows free mixing of SITA Faster, SITA Fast and SITA Standard and allows full access to the patient’s progression analysis including all SITA tests.
Tono-Pen® XL Tonometer
The Tono-Pen XL Applanation Tonometer is an easy-to-use, handheld instrument that provides IOP readings that correlate closely with Goldmann Tonometry. Tono-Pen XL's lightweight ergonomic design and advanced electronic measurement technology enable operators to take fast and accurate IOP measurement with minimal training. Weighing only 2.1 ounces, Tono-Pen XL is extremely portable making it easier to take IOP measurements anywhere on any patient.
DGH Pachette 3 Ultrasonic Pachymeter
The DGH Technology Pachette 3 Ultrasonic Pachymeter measures the thickness of the cornea. After a topical corneal anesthetic is given, the doctor touches the instrument tip to the eye and the pachymeter determines the corneal thickness via ultrasonic sound waves. This is a very reliable and accurate way of determining corneal thickness and has the additional benefit of allowing the doctor to determine exactly where the measurement should be made.
This device aids in the diagnoses of glaucoma, since the thickness of the cornea aids in determining eye pressure. Cornea thickness is also important for patients who are interested in LASIK .
Spectacle Frame and Lens Measurement System
We offer a measurement system to ensure you have the perfect fit for your lenses.
iCare Tonometers for easy, accurate and patient-friendly intra-ocular pressure measurement.
iCare tonometers are based on unique, patented rebound technology, in which a very light and small probe is used to make momentary contact with the cornea. No specialized skills for its use the quick and painless measurement is barely noticed by the patient and any anesthesia or inconvenient air puffs are not needed at all.Icare technology has been proven accurate and reliable by several clinical studies which demonstrate the same accuracy and uncompromised reliability in its measurements as the Golden standard i.e. complies to ISO 8612 tonometer standard, and better results than other hand-held tonometers presently on the market.Never before has intra-ocular pressure (IOP) measuring been this easy – and still accurate