Eye
Exams
Our comprehensive eye evaluation begins with a discussion
of your symptoms, if any, and a medical history review. Then,
specialized tests for glaucoma, color vision, peripheral vision,
visual acuity at both near and far, eye coordination, and
neurological pupil disease are performed. The external eye
and cornea are examined for abnormalities. The internal lens
of your eye will be examined for cataracts and your retina
for macular degeneration and diabetes. The treatment prescribed
may vary from observation to the prescription of glasses,
contact lenses or other vision correction procedures. In some
cases, it may be necessary for the doctor to recommend laser,
glaucoma, eyelid, corneal or cataract surgery. Should this
happen, you may be assured that all options will be discussed
with you. Our care is always conservative and corrective,
never extreme. |
| By Gina White
Looking at the statistics about eye injuries will probably
make you want to run right out and buy some protective gear.
About 40% of hospital admissions for eye injuries are sports-related.*
Meanwhile, protective eyewear could have prevented 90% of
those injuries, some of which are permanent.**
Still not convinced? Well, as a teenager,
you're in the age group that suffers the majority of sports-related
eye injuries: 71% occur in people under age 25.***
Age isn't the only factor to consider. If
your eyes are weaker than normal, you need to take particular
care when playing sports. Previous eye injuries and surgery
can sometimes lead to weakened eyes.
Additionally, the sport you play can make
a huge difference in the kind of protection you need. Basketball
usually tops the list of most injuries caused. Players' fingers
are the main culprit. Baseball is often second, with most
injuries stemming from a ball striking the eye. Racquet sports
(racquetball, squash, tennis, badminton) are a common source
of eye injuries, mainly from balls and racquets hitting the
eye at very high speeds. A hockey puck also tends to do a
lot of damage because it moves so fast. Chlorine in swimming
pools is another problem, because too much can damage the
cornea. If you play an outdoor sport, you'll need eyewear
that filters the sun's ultraviolet (UV) light, which can cause
permanent damage.
Types of protective eyewear include: goggles,
face masks, shields, sunglasses and scuba masks. Remember,
everyday glasses don't provide enough protection from impact.
Goggles
For most sports, you should wear polycarbonate goggles. Polycarbonate
is very resistant to impact, so it's the only reasonable choice
in sports where your eye might encounter a ball, racquet,
finger, etc. Goggles come with an elastic band to keep them
from sliding off your head. They provide protection for basketball,
racquet sports, soccer, non-helmet hockey (field hockey, for
example), snow sports (skiing, snowboarding), water sports
(skiing, surfing, swimming) and more. Swimming goggles are
the only ones that don't need to be polycarbonate, because
there is little risk of impact while you're swimming. Most
styles of goggles are available as prescription eyewear, and
it's important to get UV-blocking ones if you're playing outside.
With water goggles, it's important that the
pair fits you and seals correctly. A Sight for Sport Eyes
offers these tips: "You want the goggle to fit on the
bone around the eyes, not inside the eye socket itself. An
improperly fit goggle will cause 'raccoon eyes.' This is because
the goggle rests on the socket, instead of the bone, and cuts
off circulation." Check how the seal seems in the store,
then test the goggles in some water at home. If you wear contact
lenses, you'll need swim goggles to keep your lenses from
floating away!
Face Masks
Face masks are another way you can protect your eyes. Usually,
these are metal cages that protect all or part of your face.
Hockey goalies usually wear face masks, and fencers wear a
different style. If you wear a helmet that has a smaller face
mask (some football helmets) or no face mask (such as a baseball
helmet), you need an eye shield to protect your eyes.
Shields
Polycarbonate shields are very impact-resistant. Look for
one that meets the ANSI Z87.1 optical safety standard. Football,
baseball and ice hockey are examples of sports in which you
should wear a shield while playing. While prescription inserts
are available, many athletes opt for contact lenses in these
kinds of sports. Again, it's important to make sure to get
a shield that blocks UV rays if you'll be playing outside.
Sunglasses
If you play a sport where it's really unlikely that anything
is going to come near your eyes (like bicycling, running,
golf, fishing, etc.), you can wear sunglasses. In fact, if
you're going to be outside during the day, you should wear
them: the sun can do a lot of damage to your eyes, plus dust
or other small particles could fly in. If you normally wear
prescription glasses with a metal frame and glass or plastic
lenses, don't just wear those for sports. They usually don't
block much ultraviolet light, plus in some cases, you would
need a special frame. For example, snowboarders who wear sunglasses
instead of goggles need to have a durable plastic frame (and
polycarbonate lenses). An eye care professional can fit most
sports sunglass frames with prescription lenses.
While most sunglass frame styles are fine
for low-risk sports, you can benefit from a frame designed
specifically for the sport you're playing. For example, many
bicycling glasses are in a wraparound style, which helps to
protect your eyes from wind and debris. Also, some golf sunglasses
are designed so that the frame doesn't interfere with your
view of the ball. No matter which frames you choose, make
sure to secure them with an elastic sports band so they don't
go flying off your head.
Additionally, it's crucial that your sunglasses
block UV light; the best ones block 99% to 100% of both UVA
and UVB. You might also want to opt for polarized or photochromic
lenses. Polarized lenses reduce glare and reflected light;
two of the main sources are water and snow. Photochromic lenses
are the kind that get darker when the sun is bright and lighter
when it's overcast.
Underwater Masks
With diving and snorkeling masks, your best bet is
a glass lens, because glass is the most scratch-resistant
material. You can get masks with prescription lenses at many
optical stores. A Sight for Sport Eyes offers this fitting
tip: "The best way to make sure a goggle fits is to hold
the mask up to your face and take a deep breath in. Let go
of the mask, and the mask should 'stick' to your face. If
it doesn't, then it is not creating a proper seal."
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Eye Exams: What to Expect
A thorough eye exam administered by an eye care doctor typically
includes all, or an appropriate combination of, the following
components:
Case History
Your eye care doctor will ask you for information about your
vision and health history, medications, symptoms of vision
problems and other background information.
Visual System Evaluation
Using a number of tests and medical instruments, your eye
care doctor will conduct an external and internal exam of
the various parts of your vision system, including the retina,
optic nerve, blood vessels, muscles, pupils, cornea, lens,
iris, conjunctiva, eyelids and eyelashes. The eye care doctor
will assess the health of your eyes and look for the possibility
of vision problems such as glaucoma, cataracts and corneal
diseases. The doctor will also look for general systemic diseases
such as diabetes, high blood pressure and neurological disorders,
which can be detected in limited instances through an eye
exam.
Refractive Evaluation
Your eye care doctor will conduct several tests to determine
your ability to see clearly, focus your eyes and whether you
need prescription eyewear.
Binocular Evaluation
Your eye care doctor will conduct tests of what is known as
your binocular function, which determines the ability of the
eyes to work together at both near and far
distances.
Diagnosis and Treatment Plan
Your eye care doctor will make a final diagnosis and determine
the treatment plan for you. The diagnosis includes the status
of your vision system and any systemic health problems. The
eye care doctor will determine any necessary treatments such
as corrective eyewear or vision therapy and ensures the earliest
possible intervention for eye and other health problems.
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