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A tonometer refers to the equipment that is used in tonometry – a test that measures the pressure inside your eyes, also known as intraocular pressure or IOP for short. Tonometry is rarely performed at your average comprehensive eye exam unless you are at high risk of or have been already diagnosed with glaucoma. Fortunately, tonometry can be used to detect changes in eye pressure before they cause any symptoms, enabling prompt action to be taken before your vision is affected.

About Glaucoma

Glaucoma is a common eye condition that occurs when the optic nerve, which connects the eye to the brain, becomes damaged. It’s normally caused by fluid building up in the front part of the eye, which causes the pressure inside the eyes to build. As the pressure increases, the optic nerve becomes increasingly damaged, and this prevents messages from being transmitted between your eyes and brain effectively. As a result, the patient’s vision becomes compromised. Without treatment, the level of vision loss will continue to increase. Unfortunately, any vision that has been lost as a result of glaucoma cannot be restored.
 

Most of the time, glaucoma develops very slowly which means that many people don’t realize that they are affected until some damage to their vision has already occurred. However, occasionally glaucoma can develop quickly, and symptoms do occur.

These can include:

• Red eyes

• Intense headaches

• Tenderness around the eyes

• Eye pain

• Seeing rings/halos around lights

• Blurred vision

• Nausea and vomiting

If you notice any of these symptoms, it’s important that you make an appointment with your eye doctor right away so that you can be assessed. You are likely to have a tonometry test as part of this assessment.
 

What to expect from tonometry testing

There are various methods of tonometry testing, but many eye doctors use either Goldmann tonometry, which is the conventional technique to measure eye pressure, or electronic tonometry.
 

Goldmann tonometry testing is carried out using the Goldmann applanation tonometer, which is attached to a slit lamp microscope. This requires anesthetic eye drops to be used which numb your eyes, before a small probe is pressed gently against the eye, indenting the cornea. The pressure that the cornea pushes back onto the tonometer is what is measured to give your IOP reading. Electronic tonometry is where a handheld, mobile device is gently and quickly applied to the cornea to check the pressure, providing an accurate reading. Some eye doctors also offer non-contact tonometry which is where a puff of air is used to flatten the cornea, although this is reported to be less accurate than the Goldmann technique.
 

If you would like to find out more about Tonometry testing, please call our office to speak with our dedicated eyecare professionals.

Medical eye exams are comprehensive evaluations of the health and function of the eyes, essential for maintaining optimal vision and preventing potential eye conditions. Regular medical eye exams are fundamental for proactive eye health management and ensuring ongoing visual wellness.
 

What is a Medical Eye Exam?

A medical eye exam is a comprehensive examination of your eyes conducted by an optometrist. This examination goes beyond a routine vision test and delves into the overall health of your eyes. During a medical eye exam, various tests will be performed to assess your visual acuity, peripheral vision, eye movement, and the health of your eye structures.
 

Medical eye exams can detect early signs of eye conditions that may not present noticeable symptoms in their initial stages. By diagnosing these conditions early, you have a greater chance of successful treatment and preventing further deterioration of your vision.
 

Medical eye exams can also identify underlying health conditions that may manifest in your eyes, providing an opportunity for early intervention and management.
 

Common Conditions Detected During a Medical Eye Exam

During a medical eye exam, several common eye conditions can be detected, even before noticeable symptoms occur. One such condition is age-related macular degeneration (AMD), which affects the central part of the retina responsible for sharp, central vision. By examining the retina, your optometrist can identify early signs of AMD and recommend appropriate treatment to slow its progression.
 

Another condition that can be detected during a medical eye exam is cataracts. Cataracts occur when the lens of your eye becomes cloudy, leading to blurred vision. Through a comprehensive examination, your eye doctor can assess the severity of your cataracts and recommend the most suitable treatment option, which may include surgery to remove the cloudy lens.
 

Hypertension is a common health condition that can have serious consequences if left untreated. The health of your eyes can provide valuable insights into your cardiovascular health. During a medical eye exam, an optometrist can observe changes in the blood vessels of your retina, such as narrowing or leaking. These changes can indicate underlying hypertension.

If you have recently undergone eye surgery, your eye doctor may recommend the use of post-surgical contact lenses as part of your recovery process. These specialized lenses are designed to aid in the healing and protection of your eyes after surgery.
 

Why Post-Surgical Contact Lenses May Be Necessary

After eye surgery, your eyes are in a delicate state and require extra care to ensure proper healing. Post-surgical contact lenses can play a crucial role in this process. These lenses act as a protective barrier, shielding your eyes from irritants such as dust, debris, and bright lights. They also help to maintain the shape of the cornea and aid in the prevention of infection. By wearing post-surgical contact lenses, you can minimize the risk of complications and promote a faster and smoother recovery.
 

Different Types of Post-Surgical Contact Lenses

There are various types of post-surgical contact lenses available, and the specific type recommended for you will depend on the nature of your surgery and your eye condition. One common type is the bandage contact lens, which is a soft, therapeutic lens that covers the cornea, providing protection and promoting healing.
 

Another type is scleral lenses, which is larger and covers a larger portion of the eye, providing enhanced protection and support. Your optometrist will determine the most suitable type of post-surgical contact lens for your individual needs.

Colored contacts have become increasingly popular over the years as a way to enhance your look and experiment with different eye colors. Whether you want to change your eye color for a special occasion or simply for everyday wear, colored contacts offer a fun and versatile option.
 

Different Types of Colored Contacts

When it comes to colored contacts, there are various types to choose from, depending on your preferences and needs. The three main categories are cosmetic, enhancement, and opaque lenses.
 

Cosmetic lenses are designed to completely change the color of your eyes. These lenses come in a wide range of shades, from natural hues such as blue, green, and brown, to more vibrant colors like purple, gray, and even red. Cosmetic lenses can create a dramatic transformation and give you the eye color you desire.
 

Enhancement lenses, on the other hand, are designed to enhance your natural eye color rather than change it completely. They add depth and intensity to your eyes, making them appear brighter and more vibrant. Enhancement lenses are ideal if you want a subtle change that enhances your natural beauty.
 

Opaque lenses are specifically designed to cover dark-colored eyes. They are ideal for individuals with naturally dark eyes who want to achieve a lighter or more vibrant eye color. Opaque lenses are often used in theatrical or costume applications as they can create a striking and captivating look.

Corneal refractive therapy, also known as CRT, is a simple, painless treatment for refractive eye errors like myopia and has two core benefits. First, it can be used to help patients see clearly during the day without using glasses or contact lenses, giving them the freedom and flexibility that they need to live life to the fullest. Second, CRT has been shown to help slow the progression of myopia, keeping prescriptions under control and potentially reducing the likelihood of patients developing serious eye health problems associated with high myopia in the future. 

Here’s everything that you need to know about corneal refractive therapy and what it means for you. 

Understanding refractive eye problems

Refractive eye problems like nearsightedness, farsightedness and astigmatism are extremely common, with nearsightedness – also known as myopia – being the most common of all. Patients with myopia can see nearby objects clearly, but those further away become progressively more blurred. Refractive eye errors occur when the shape of the clear dome covering the front part of the eye, called the cornea, impair the light-bending and focusing process in your eyes. This leads to the light ending up in the wrong place inside the eye, and the message that is sent to our brain from our eyes is muddled, causing blurred vision. 
 

What is corneal refractive therapy?

Corneal refractive therapy was initially developed as a treatment to correct and slow the progression of nearsightedness. However, it has also been found to be effective at controlling other refractive errors, including farsightedness, astigmatism and an age-related refractive condition called presbyopia.

CRT is a non-invasive, painless and straightforward method of correcting patient vision so that they don’t need to wear contacts or glasses, and they don’t need laser vision correction surgery to see clearly. CRT uses special contact lenses that are worn overnight and apply light pressure to the cornea in order to reshape it so that light is refracted correctly, and the image sent from the eyes to the brain is clear. The cornea is able to retain this new shape even after the contact lenses are removed the next morning, meaning that you can continue to see clearly for several hours. The more consistently you wear your CRT lenses overnight, the longer your eyes will learn to retain their new shape and eventually, patients can enjoy up to 48 hours of clear vision without using prescription lenses. However, the effects aren’t permanent so if you stop wearing the lenses, your vision will gradually return back to normal over the course of a few days. 

Slowing the progression of myopia with corneal refractive therapy

Another key benefit of CRT is that it can actually help to slow the progression of myopia. Most people who are nearsighted find that their eyesight gets progressively worse as they get older. This deterioration may not be rapid, but it can end in patients requiring high prescriptions. Studies have found that patients who have high myopia are more likely to develop serious eye problems in the future, including glaucoma, macular degeneration, cataracts and a detached retina. Regular use of your corneal refractive therapy lenses could help keep your prescription stable and lower your risk of developing these problems. 

Am I a candidate for corneal refractive therapy?

You may be a candidate for corneal refractive therapy if you:

• Have a myopia prescription within specific parameters

• Have a prescription for hyperopia, presbyopia or astigmatism within specific parameters

• Have stable vision, which means that your prescription hasn’t changed during the last two years

• Are not a suitable candidate for laser vision correction

• Have a job that makes it impractical or unsafe to wear glasses or contact lenses

• Enjoy hobbies that make it impractical or unsafe to wear glasses or contact lenses

• Have healthy eyes and are generally in good health

For more information, please contact our friendly and knowledgeable team today.  

Eyelid hygiene is an essential aspect of maintaining optimal eye health. Your eyes are sensitive organs that require proper care and attention. Neglecting eyelid hygiene can lead to various problems, including dry eye.
 

Recognizing the Symptoms of Eyelid Problems

It is crucial to recognize the symptoms of eyelid problems to seek timely treatment and prevent further complications. Common symptoms of eyelid issues include redness, swelling, itching, irritation, crusting or scaling of the eyelids, sensitivity to light, and a sensation of something in the eye.
 

The Importance of Eyelid Hygiene in Maintaining Eye Health

Maintaining proper eyelid hygiene is essential for overall eye health. Regularly cleaning your eyelids helps remove debris, bacteria, and excess oil, preventing infections and inflammation. It also promotes the proper functioning of the meibomian glands, ensuring an adequate supply of tears to keep your eyes moisturized. By incorporating eyelid hygiene into your daily routine, you can significantly reduce the risk of developing dry eye and other eye-related problems.

Myopia is a common vision problem affecting a large number of individuals worldwide. It occurs when the eye is unable to focus properly on distant objects, resulting in blurred vision. Myopia can develop during childhood and progress into adulthood if left unmanaged.
 

What Causes Myopia to Develop?

Myopia can be caused by a combination of genetic and environmental factors. If one or both parents have myopia, there is a higher chance that their children will develop the condition. Additionally, excessive screen time, lack of outdoor activities, and prolonged near-work activities such as reading or using electronic devices can contribute to the development of myopia. These lifestyle factors can lead to the elongation of the eyeball, resulting in the inability to focus on distant objects.
 

The Importance of Myopia Management

Managing myopia is crucial to prevent its progression and associated complications. High levels of myopia can increase the risk of developing eye conditions such as glaucoma, cataracts, and retinal detachment.
 

Additionally, severe myopia can lead to vision loss and significantly impact the quality of life. Early intervention and proper management of myopia can help slow down its progression and reduce the risk of these complications.

Senior eye care is crucial for maintaining optimal vision and overall eye health as we age. As individuals grow older, they become more susceptible to age-related eye conditions. Regular comprehensive eye exams play a key role in early detection and management of these conditions, helping to preserve vision and prevent potential vision loss. By staying proactive with eye care and seeking timely professional assistance, seniors can enjoy clear, comfortable vision and ongoing eye health for years to come.
 

Common Eye Conditions in Seniors

As we reach our golden years, there are several eye conditions that become more prevalent. These conditions can have a significant impact on our vision and overall quality of life.
 

• Presbyopia: This condition affects near vision, making it difficult to focus on close objects. It is a normal part of aging and is typically addressed with reading glasses or multifocal lenses.

• Floaters and Flashes: As the vitreous inside the eye changes with age, it can lead to the perception of floaters (small dark spots or lines) and flashes of light. While often harmless, sudden onset of floaters and flashes may indicate a retinal tear or detachment and should be promptly evaluated.

• Age-Related Macular Degeneration (AMD): AMD is a leading cause of vision loss in older adults. It affects the macula, the central part of the retina, leading to blurred or distorted central vision. There are two forms of AMD, dry AMD, and wet AMD, with the latter being more severe.

• Cataracts: Cataracts are a common age-related condition characterized by the clouding of the eye's natural lens. This can lead to blurry vision, glare, and difficulty seeing in low-light conditions.

• Glaucoma: Glaucoma is a group of eye conditions that damage the optic nerve, often due to elevated intraocular pressure. It can result in peripheral vision loss and, if left untreated, may lead to total blindness.

• Diabetic Retinopathy: For seniors with diabetes, diabetic retinopathy is a concern. It occurs when high blood sugar levels damage the blood vessels in the retina, leading to vision problems and potential blindness if not managed.

• Dry Eye Syndrome: Seniors may experience dry eye syndrome, characterized by insufficient lubrication and moisture on the surface of the eye. It can cause discomfort, redness, and fluctuating vision.
  
   

We all want to look our best and in the last decade, we have seen a significant increase in the number of people seeking cosmetic services in order to enhance their appearance. With our eyes being our most distinguishing feature, we want to make the most of them. Thankfully there is now a range of cosmetic services that can help to rejuvenate our eyes and the area around them to keep them fresh, young and wrinkle-free. 

Let’s take a look at some of the services on offer.
 

Pigment removal

The brown pigment spots that appear on the face are often referred to as age spots and are a result of sun exposure. With age, the repeated exposure to UV rays causes melanin, a compound that is responsible for pigmentation and protecting the skin begins to clump together to form an area of hyperpigmentation. Whilst they aren’t any cause for concern, many people feel that they look unsightly. Luckily, there are a number of different treatments that you can get to remove them including topical creams, laser therapy, and chemical peels.

If you are suffering from darker pigmentation then we strongly recommend that you make an appointment with a qualified dermatologist who will recommend the best course of treatment for you, based on your specific needs.
 

If you are one of the thousands of people considering LASIK laser eye surgery, then you will probably be gathering as much information as possible about the treatment. By this point, you are probably aware of the benefits that LASIK offers, such as a reduced or eliminated need for glasses or contact lenses and greater convenience in your day to day life. However, for many patients, despite the advantages of LASIK, the thought of surgery on their eyes is still a cause of anxiety and fear. One of the best ways to alleviate this concern is to find out more about what the procedure entails.
 

Your consultation

Before you can be approved for any form of laser vision correction, including LASIK, you will need to attend a consultation appointment with your surgeon. During the consultation, he will perform an examination of your eyes and use your medical and ocular history to determine if you are a good candidate for the procedure. He will also speak to you about the expected outcome from your surgery, making you aware that while LASIK will dramatically improve your eyesight, there is no guarantee that you will not need to wear glasses in some situations, such as while driving in the dark. 
 

How LASIK Works

LASIK uses a cool, ultraviolet beam of light to reshape the patient’s cornea. Doing so will more accurately focus the light that enters the eye on to the retina, thus improving the patient’s vision. The way in which the cornea needs to be reshaped will depend on the visual needs of the patient. For example, a patient who is far-sighted will need their cornea reshaping to be steeper to experience better eyesight. Alternatively, a patient who is near-sighted will require their cornea to be flattened in order to improve their vision. LASIK can also smooth an irregular cornea into a more standard shape, meaning that the procedure can also be used to correct astigmatism.
 

The LASIK procedure

The LASIK procedure is very fast and straightforward. Although you will probably be in the surgical suite for around half an hour, the actual process only takes a couple of minutes per eye. The rest of the time will be spent preparing and ensuring that you are comfortable. Anesthetic eye drops are given to patients before their procedure so that the entire process is pain-free. If you are particularly anxious, it may also be possible for you to be slightly sedated – this should be discussed with your doctor at your consultation appointment.

Once you are in position, we will use a femtosecond laser to cut a thin, circular flap into the outer cornea. This can then be pulled back to reveal the underlying corneal tissue, known as the stroma so that it can be reshaped using the laser. The exact path that the laser needs to take, known as the topography, will have been pre-programmed ahead of the procedure and can be followed with complete precision and accuracy.

Once the reshaping is complete, the flap is replaced back over the eye and the surgery is complete. There is no need for sutures or bandages as the cornea will start to heal immediately and without any medical intervention.