Ophthalmologist is a medical doctor who specializes in eye and vision care.
Ophthalmologists are specially trained to provide the full comprehensive eye exam, prescribing glasses and contact lenses, and eye surgeries such as LASIK, cataract, glaucoma.
What happens during an eye examination? We will go over step by step describing process of comprehensive eye exam.
The process begin with collection basic medical and demographic information of the patient. Ophthalmologist or special trained assistants will ask about your current symptoms, medications, medical history, previous surgeries to determine your medical condition. All procedure performs at the office according to guideline for standard of care of American Academy of Ophthalmology.
First step of evaluation is to make a picture of the back of your eye, it is called fundus photography. It is photography of the interior surface of the eye. On this picture doctor will see retina, optic nerve, ...view middle of the document...
After collection information from the patient, ophthalmologist will perform ophthalmoscopy. Opthalmoscopy is a procedure to examine peripheral retina for any lesions, masses, tears, retinal detachment. The doctor looks for signs of cataract, will also look for signs of glaucoma and other potential problems with the retina and optic nerve. This is the one of the most important procedure to see that is happening inside of your eye and what may cause your eye problems.
Slit-lamp exam or gonioscopy following after ophthalmoscopy. Gonioscopy is to examine the eye's angle structures to check the outflow of the fluid from the anterior chamber to the veins to see if it is open widely or narrow that predisposes to narrow angle glaucoma. Ophthalmologist will closely examine the eye’s cornea, iris, lens and the space between the iris and cornea.
Four of procedures listed bellow is standard of care for comprehensive eye exam. After evaluation, doctor will determine if you need to do closer examination of specific parts of your eye such as macula, optic nerve, anterior segment, and cornea surface.
To do closer exam for your macula, optic nerve and anterior segment doctor will perform extra tests - optical coherence tomography. Macula examination will measures the thickness of your retina and also very sensitive at detecting swelling and fluid. The macula is the part of the retina that is responsible for your central vision, allowing you to see fine details clearly. Optic nerve examination will detect if there is any damage or changes with your optic nerve. Optic nerve is the nerve that care signals from your eyes to the brain. It is very important to keep your optic nerve healthy. Optic nerve can be damaged by incorrect flow fluid in your eye and can lead to glaucoma and lost of vision. Anterior segment also related to glaucoma problem and needs to be checked once to see how fluid out flow in your eye.
At the end of your visit doctor will recommend you to come back in 3 to 4 month if you have significant problems with your eyes, or 6 month if you have slight vision problems, or annual check up if you do not have any problems. To complete your eye exam every year is very important to detect eye disease on the beginning stage and prevent further aggravation.