Comprehensive Eye Exam

At Avant-Garde Optometry, we’ve maximized our efficiency and efficacy for comprehensive eye exams. At most offices, you’ll need to fill out over ten pages of medical history questions only to own to technician or nurse ask you the same questions. We have trained medical technicians that’ll ask you all pertinent medical questions and history. If other primary care doctors or specialists are now monitoring any medical conditions, we shall send them our report so you will have full communication involving the doctors. After getting the medical history, we read the patient’s past glasses and gathered information about what was causing the patient visual or physical discomfort within their last glasses. We then will take an objective measurement of the patient’s refraction of the eye via the Wave-front analyzer KR-1W.

The KR-1W is one of the newest and most accurate auto-refractors on the market. We will then obtain the patient’s IOP through the Topcon CT-80. Next, we rarely dilate patients in the office and instead utilize the Optomap machine to have a picture or a series of pictures of the rear of the patient’s eyes auto refractors and keratometers. The photo only takes a couple of minutes, and the patient could have no negative effects afterward. We then obtain an aesthetic acuity with and without your glasses/contacts. We measure a patient’s pupillary reactions, examine extra-ocular muscle movement and obtain a major peripheral visual field test. For children, we perform the unilateral and alternating cover test at a distance and near to examine what sort of child uses their eyes together. This test will discover whether a young child has strabismus or phobias. The eye doctor then performs a thorough and scientific subjective refraction on the patient.

Dr. Yee starts with refining the sphere power, then moves on to astigmatism, then lastly refines the axis. Our practice uses an automated phoropter called the Topcon CV-5000. This phoropter greatly increases efficiency and cuts enough time to acquire refraction by 20%. The doctor will obtain a most readily useful visual acuity for distance and near (40cm). Once these numbers are obtained, the information is automatically synced to your electronic health records to decrease any possibility of error. When the refraction is obtained, the physician will examine the patient with the Topcon SL D2 Slit lamp. Dr. Yee examines the anterior areas of the and then examines the posterior areas of the eye. Following the refraction and health of a person’s eye has been examined, the physician explains all the findings with the patient.

The visual system is very complex, and patients commonly mistake ‘a prescription that isn’t strong enough with chronic eye conditions the patient never experienced. Thus, explaining the patient’s current prescription, along with a discussion of all patient’s current ocular conditions, is where Avant-Garde thrives. The doctors are extremely passionate about their distinct work and actively encourage patients to ask questions about their eyes. Following the examination, the physician can make one or two suggestions on the kind of lenses that would benefit the patient.

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