The Comprehensive Eye and Vision Examination

The comprehensive eye and vision examination provides the means to evaluate the functioning of the eyes and vision system and to obtain information to diagnose the cause of any signs or symptoms reported by the patient. It also helps to rule out the presence of other ocular or systemic conditions that may exist without symptoms. The examination is a dynamic and interactive process. It involves collecting subjective data directly from the patient and obtaining objective data by observation, examination, and testing.

The nature of the eye and vision system is such that many conditions can produce the same or similar symptoms. For example, blurred vision can result from many causes, ranging from uncorrected refractive errors to sight or life-threatening conditions. In addition, such potentially blinding conditions as glaucoma or diabetic retinopathy may cause no symptoms until they are far advanced and the damage is irreparable.

The goals of the comprehensive eye and vision examination are to:
  1. Evaluate the functional status of the eyes and vision system, taking into account special vision demands and needs.
  2. Assess ocular health and related systemic health conditions
  3. Counsel and educate the patient regarding his or her visual, ocular, and related systemic health care status, including recommendations for treatment, management, and future care.

Retail Optical

Crass commercialism is nothing new in the optical business. Never-ending "sales", tasteless advertising, clip 'n' save coupons… all designed to lure the public into believing they will get anything they want for pennies on the dollar. Let's face it: glasses and contact lenses are not cheap. Our fees and prices, however, are both fair and competitive. They compare favorably, apples to apples, with ANY other private practice and MOST other commercial outlets. True — you can search for rock-bottom prices… but with rock-bottom prices comes rock-bottom quality and no service after the sale. Do you really want to trust your eyesight to the LOWEST BIDDER?

LASIK

Optometrists do not perform LASIK as it is considered an invasive, surgical procedure. However, the pre- and post-operative phases are well within the scope of optometry. Dr. Monroe has been co-managing laser surgeries (LASIK, LASEK, Epi-LASIK, and PRK) with area physicians since 1992. There is no aspect of any procedure with which he is not familiar. Our patients love not having to go out of town for every post-op check-up. A report of every visit will be forwarded to your original surgeon for continuity of care.

Eye Infections and Injuries

Our office provides emergency services for eye infections and eye injuries. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.

Eye Diseases

Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.

Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.

Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.

Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears, eye drops for treating allergies, prescription Restasis and/or nutraceuticals.

©2010 Dr. Steven N. Monroe, O.D.