For loyal patients, some of our staff will be familiar faces having worked in the practice for many years, For new patients, we welcome you and assure you of our best endeavours.

Your eye health is our priority. Since the original practices first opened we have adopted the policy of providing patients with a comprehensive and unhurried eye examination. This policy continues at  Webb & Lucas. As a practice, we provide continuous training for all staff members ensuring you receive the very best service at all times.

THE EYE EXAMINATION

During an eye examination you can expect to have some or all of the following procedures carried out.  The actual procedures carried out for each individual person will be determined by the  Optometrist, taking into account your age, any symptoms you  may be experiencing, your occupation, hobbies and any special visual requirements, also any medical or family history that could be relevant.

 

HISTORY AND SYMPTOMS

This is a very important part of the eye examination. 

We need to find out why you have come for an eye examination.

Are you experiencing any symptoms or having any problems with your vision? 

What are your visual requirements? ie occupation, hobbies, do you drive?

Have you had any problems in the past (ocular history )?

Are there any ocular problems in the family which may be hereditary?

Do you have any medical problems which could affect the eyes?

VISION AND VISUAL ACUITY

When you view the sight test chart the lowest line of letters you can read is noted.

VISION is the lowest line read without spectacles

VISUAL ACUITY is the lowest line read with spectacles or correcting lenses

The line read is recorded as a fraction eg 6/12, 6/9, 6/6 this is known as Snellen acuity

The largest letter on the Snellen Chart is usually 6/60

The smallest letters are usually 6/5

The top number, usually 6, means the distance at which the test was carried out ie 6metres. The bottom number is the smallest size of letters that you were able to see.

NORMAL VISION is 6/6 and is usually the next to bottom line (or on some charts two lines up from the bottom) (in USA normal vision is called 20/20).

OCULOMOTOR BALANCE

This determines whether the eyes are co-ordinated and working together properly as a pair.

This may be assessed with you either looking into the distance and/or looking close-up

MOTILITY

This checks whether each eye is able to look in every different direction and if the eyes remain co-ordinated in all directions of gaze

It is used to detect a defect in one or more of the eye muscles or the nerves that control them.

PUPIL REFLEXES

This examines the reactions of the pupils to light.

If the pupils do not react to light correctly it could indicate neurological problems.

EXTERNAL EXAMINATION

The external eye can be examined with a light, or in more detail with the magnification of the SLIT LAMP.

The eyelids, conjunctiva, cornea, iris (coloured part) and lens are examined. A Slit-lamp can also be used to examine the inside of the eye (Binocular Indirect Ophthalmoscopy) and for Tonometry and Anterior Photography.

INTERNAL EXAMINATIONInternal eye

The internal eye is usually examined with the OPHTHALMOSCOPE. Sometimes drops are used to enlarge the pupils and enable a better view.

This allows the Optometrist to look to the back of the eye inside.

By examining the various parts of the eye an overall picture can be obtained of the condition of  the eyes and also your general health in some cases.

 

OCULAR PHOTOGRAPHY

This is a technique which we often use. A special camera takes photographs of the back of the eye. These can be used to keep a precise record of the  health of the eye for future reference. This forms a standard part of our private eye examination and is available to our NHS patients at a small cost. Comparison of the photographs over time can make it easier to detect subtle changes.

OPTICAL COHERENCE TOMOGRAPHY

Is a special sort of photography which allows us to see below the surface of the retina. This gives far more information about the health of the eye and is especially useful if there are concerns about conditions such as Macular Degeneration, Diabetic Macular Oedema and Glaucoma.

PRESCRIPTION ASSESSMENT (REFRACTION)

This determines whether you are long-sighted, short-sighted, astigmatic, presbyopic, or have no optical error at all (emmetropic)

If you have a refractive error then the lenses needed to correct this will be determined

OBJECTIVE TESTS

These tests give an indication of your prescription before the optometrist begins asking you questions as to which lenses are clearer. This is especially useful to determine a prescription in patients who are unable to read the chart eg very young children, or people with communication or learning difficulties

Either a RETINOSCOPE or an AUTOREFRACTOR  could be used

SUBJECTIVE TESTS

These are used after the objective tests have provided a starting point.  The Optometrist asks the patient with which lenses they can see better.

INTRAOCULAR PRESSURE (IOP)

This measures the pressure of the fluid within the eye using a TONOMETER

This can indicate the possible presence of GLAUCOMA

A NON-CONTACT tonometer is usually used which blows a puff of air at the eye.  Several readings are normally taken to obtain an average.

Alternatively a PERKINS or GOLDMANN tonometer may be used which actually touches the eye and so requires the use of an anaesthetic drop first.  This is sometimes referred to as the 'blue  light' test because the instrument shines a blue light.  It is similar to the test used in hospitals.

VISUAL FIELD SCREENING

This can indicate neurological problems and also detect the presence of GLAUCOMA.  The patient's 'all round' vision is assessed and the Optometrist is looking for any areas  where the patient cannot see or where the eye is not as sensitive as it should be.  These areas are called FIELD DEFECTS. There are different types of test, some more complex than others. Special tests may be used to determine whether your field of vision is good enough to meet the Driving standard.

COLOUR VISION

This can indicate problems with colour vision.  Colour 'blindness' is normally a hereditary condition where certain shades of colours are more difficult, or impossible,  to tell apart.  Red/Green colour ‘blindness’ is almost invariably only found in men. Rarely colour vision problems may be a side effect of health issues or certain medications

STEREOPSIS

This test is used to determine and measure how well a person can see in 3-D. 

It is used mainly in children and can show up if the child has a 'lazy eye'. 

Both eyes must work well and be working together to have 3-D vision.

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