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Blue Eyes

ADVANCED EYE EXAMINATION

Take a guided tour through the structures and functions of the eye.

You will have a front row seat in exploring the following:

 

Refraction

The tear film

The corneal topography (shape)

Endothelial cell count

Biometry (measuring the lens requirement of the eye)

Retinal fundoscopy and photography

Retinal cross sectional OCT

Optic nerve head structure

Image by Amanda Dalbjörn

The advanced eye examination takes a minimum of one and a half hours to complete. This examination gives you the finest detail regarding your eye health and also gives a much clearer basis to plan any surgical intervention. This type of examination is advocated for patients inquiring about laser vision correction and multifocal intraocular lens implants.

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Please note that your medical aid may not cover all of the tests required to do a comprehensive eye assessment and you may be liable for costs not covered by your medical plan.

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Refraction:

The spectacle power of the eye is determined.

This tells us if you are near or far sighted.

It also shows us if there is astigmatism present.

Astigmatism is an irregularly shaped cornea.

Tear film:

The tear film dynamics are studied.

Tear break up time is measured.

A yellow dye is used to highlight weak spots.

The meibomian glands are examined and expressed.

Corneal topography:

A specialized camera takes numerous photographs of your eye and build up a 3D image of the cornea so that we can assess the corneal shape and thickness.

This is especially useful when multifocal or toric IOLs are considered.

It is also needed to analyze the corneal shape if laser vision correction is needed.

Biometry:

The eye is measured to accurately determine the power of IOL needed.

This is used for patients needing lens replacement surgery.

Retinal fundoscopy and photography:

The retina is examined at the slit lamp and high resolution photographs are taken.

Any preexisting retinal disorder needs to be identified as they may change the choice of IOL being used if lens replacement is planned.

Retinal OCT scan:

A laser camera takes cross sectional views of the retina in microscopic detail.

This once again picks up any retinal pathology (macular holes, epiretinal membranes, retinal swelling) that may impact on the IOL and surgical choice.

Optic nerve assessment:

The optic nerve is examined and photographed using a laser camera.

The intraocular pressure is taken.

This is to exclude glaucoma, as it can also impact on the IOL choice.

All data and images of the above mentioned tests will be shown to you and explained.

Surgical options will then be discussed.

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