Corneal topography, also known as photokeratoscopy or videokeratography, is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye’s refractive power, its topography is of critical importance in determining the quality of vision.
The three-dimensional map is therefore a valuable aid to the examining ophthalmologist or optometrist and can assist in the diagnosis and treatment of a number of conditions; in planning refractive surgery such as LASIK and evaluation of its results; or in assessing the fit of contact lenses. A development of keratoscopy, corneal topography extends the measurement range from the four points a few millimeters apart that is offered by keratometry to a grid of thousands of points covering the entire cornea. The procedure is carried out in seconds and is completely painless.
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Digital Retinal Imaging & OCT Scans
We use cutting-edge digital imaging technology to assess your eyes. Many eye diseases, if detected at an early stage, can be treated successfully without total loss of vision. Your retinal Images will be stored electronically. This gives the eye doctor a permanent record of the condition and state of your retina.
This is very important in assisting your Optometrist to detect and measure any changes to your retina each time you get your eyes examined, as many eye conditions, such as glaucoma, diabetic retinopathy and macular degeneration are diagnosed by detecting changes over time.
The advantages of digital imaging include:
- Quick, safe, non-invasive and painless
- Provides detailed images of your retina and sub-surface of your eyes
- Provides instant, direct imaging of the form and structure of eye tissue
- Image resolution is extremely high quality
- Uses eye-safe near-infra-red light
- No patient prep required
Digital Retinal Imaging
Digital Retinal Imaging allows your eye doctor to evaluate the health of the back of your eye, the retina. It is critical to confirm the health of the retina, optic nerve and other retinal structures. The digital camera snaps a high-resolution digital picture of your retina. This picture clearly shows the health of your eyes and is used as a baseline to track any changes in your eyes in future eye examinations.
Optical Coherence Tomography (OCT)
An Optical Coherence Tomography scan (commonly referred to as an OCT scan) is the latest advancement in imaging technology. Similar to ultrasound, this diagnostic technique employs light rather than sound waves to achieve higher resolution pictures of the structural layers of the back of the eye.
A scanning laser used to analyze the layers of the retina and optic nerve for any signs of eye disease, similar to an CT scan of the eye. It works using light without radiation, and is essential for early diagnosis of glaucoma, macular degeneration and diabetic retinal disease.
With an OCT scan, doctors are provided with color-coded, cross-sectional images of the retina. These detailed images are revolutionizing early detection and treatment of eye conditions such as wet and dry age-related macular degeneration, glaucoma, retinal detachment and diabetic retinopathy.
An OCT scan is a noninvasive, painless test. It is performed in about 10 minutes right in our office. Feel free to contact our office to inquire about an OCT at your next appointment.
Canon Fundus Digital Imaging
Ocular fundus imaging plays a key role in monitoring the health status of the human eye. Currently, a large number of imaging modalities allow the assessment and/or quantification of ocular changes from a healthy status. Features the latest in Canon retinal imaging technology and enhancements in a compact and light weight design. Fundus imaging is essential in the diagnosis and monitoring of various ophthalmic diseases. A major advantage is that the doctor can share these images with specialists at other locations and/or times, they can also magnify areas of interest that cannot be easily seen with a handheld ophthalmoscope.
iVue OCT System
The iVue OCT System is a powerful clinical tool that transforms the way you assess the retina, optic disc and the cornea. Quantify the thickness of the retina, nerve fiber layer, ganglion cell complex and the cornea. Track change and predict trends in RNFL and GCC thickness and precisely measure angles to aid in disease diagnosis. Streamline your specialty lens fits with a new view of the cornea and precision measurement tools.
Humphrey Field Analyzer – HFA II-i Series
We have recently acquired the most technologically advanced field analyzer for glaucoma diagnosis and management. Validated by more than 25 years of research, design and clinical experience, the Humphrey® Field Analyzer (HFA™) is the accepted standard of care in glaucoma diagnosis and management, as well as detecting stroke and brain tumors.
Visual Field Testing
A visual field test measures the range of your peripheral or “side” vision to assess whether you have any blind spots (scotomas), peripheral vision loss or visual field abnormalities. It is a straightforward and painless test that does not involve eye drops but does involve the patient’s ability to understand and follow instructions.
An initial visual field screening can be carried out by the optometrist by asking you to keep your gaze fixed on a central object, covering one eye and having you describe what you see at the periphery of your field of view. For a more comprehensive assessment, special equipment might be used to test your visual field. In one such test, you place your chin on a chin rest and look ahead. Lights are flashed on, and you have to press a button whenever you see the light. The lights are bright or dim at different stages of the test. Some of the flashes are purely to check you are concentrating. Each eye is tested separately and the entire test takes 15-45 minutes. These machines can create a computerized map out your visual field to identify if and where you have any deficiencies.
Visual Evoked Potentials
Clinical Benefits Visual Evoked Potentials (VEPs) provide objective, quantitative information about the functional integrity of discreet visual pathways in a noninvasive manner. This is new information that is complementary to the structural analysis obtained from technologies such as OCT and Fundus photography, and augments subjective information from standard visual acuity and perimetry. Electroretinograms (ERGs) reflect the integrity of the optics, photoreceptors, bipolar cells and retinal ganglion cells.
Clinically, ERGs may be useful when patients have abnormal VEPs to differentiate between retinal dysfunction and dysfunction occurring in the optic nerve, optic radiations and occipital cortex.