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EYE CARE SERVICES FOR YOU

Our eye care centers in Plainsboro, Lawrenceville, Flemington, and Robbinsville offers a full range of eye health services to clients of all ages, from children to older adults.

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Eye Emergencies, Eye Exams & More

Our optometrists in Allied Vision Services provide eyewear prescriptions and offers corrective laser eye surgery co-management as well. You can get in touch with one of our eye doctors' offices to set up an appointment at your convenience and learn more about some of our key services below.

 


Our Eye Care Services:

Astigmatism Diagnosis & Treatment – Vision Care in Central New Jersey

Astigmatism

Astigmatism is a very common eye condition that's easily corrected by eyeglasses or contact lenses and on some occasions, surgery.

Astigmatism is caused when your eye is not completely round. Because our bodies are not perfect, astigmatism occurs in nearly everybody to some degree but for some, not to the degree that it causes blurring. Your eye is naturally shaped like a sphere. Under normal circumstances, when light enters the eye, it bends evenly, creating a clear picture on the back of your eye. In a person with astigmatism, their eye is shaped more like a football and light entering the eye is bent more in one direction than the other. This causes only part of the picture to be in focus at any given time. Objects at any distance can appear blurry and wavy. For vision problems due to astigmatism, glasses or contact lenses, and sometimes even vision correction surgery are all possible treatments.

People with undetected astigmatism often have blurred vision which can be associated with fatigue and eyestrain. While these symptoms may not necessarily be the result of astigmatism, you should schedule an eye exam if you are experiencing one or more symptoms.

Our eye doctor can diagnose astigmatism with a thorough eye exam. Astigmatism may occur in combination with other vision problems such as nearsightedness and farsightedness. Because astigmatism gets worse over times, visit our eye doctor whenever you notice changes in your vision.

 

Pediatric Developmental Eye Care

Pediatric Eye Doctors in Central New Jersey

Even if your child has “20/20” eyesight he may be experiencing vision problems. These problems may be causing learning problems and substandard educational results. A child's visual acuity ( how well s/he can see the wall chart) is an essential aspect of good vision but there are other factors which may prove more important. You may already be aware that a nearsighted child has little trouble reading or that good grades in school can be acquired even if much of the teacher's board cannot be seen by the student.

Considerations Related to Eyesight and Learning

Eye movement skills: Do your child's eyes move across the page in a book smoothly and accurately?

Eye focusing abilities: Does your child change focus from near to far and back again -between reading text from a far-away white or black-board and writing on paper?

Eye teaming skills: Are your child’s eyes working together as a focus unit -do they come together for proper eye alignment for reading?

Binocular vision skills:  Are your child’s eyes blending visual images from both eyes into a single, three-dimensional image?

Visual perceptual skills: Does your child identify and understand what s/he sees, co-relating importance, connecting with previous visual memorized information?

Visual-motor integration:  Is the quality of your child’s eye-hand coordination balanced?  Visual-motor integration is important not only for legible handwriting and the ability to efficiently copy written information from a book or board but also for sports. Deficiencies in any of these can be detrimental to a child’s learning ability and / or school performance.

Vision Problems Do Affect Kids Learning

Undetected learning-related vision problems in children are common.  A child with an untreated vision problem may be misdiagnosed with behavior problems or ADHD/ADD when in reality they have a vision problem. Vision problems, in extreme cases, ignored or misdiagnosed, can become the true root cause of a child becoming the victim or aggressor in a school bullying tragedy.

Left untreated, vision problems will hinder your child's learning in school. Studies have shown that at least 13% of children between the ages of nine-thirteen suffer from moderate to severe convergence insufficiency, the ability to bring one's eyes together, which is crucial for good reading. Studies demonstrate clearly that one out of four school-age children suffer from at least one learning related vision problem.

Learning-Related Vision Problems

Signs and Symptoms

Some of the most common roadmap symptoms of learning-related vision disorders are:

  • Double vision, particularly during or after reading
  • Poor handwriting
  • Hyperactivity or recklessness during class
  • Word and letter reversals
  • Easily distracted during reading
  • Poor reading comprehension
  • Poor overall school performance
  • Circumventing of reading
  • Blurred vision, especially after reading or working closely
  • Eye Strain or frequent headaches

Call us to schedule a comprehensive child’s vision exam if your child exhibits one or more of these signs or symptoms and is exhibiting these types of problems in school.

Comprehensive Child Vision Exam

A comprehensive child's vision exam includes tests performed in a routine eye exam, plus specific additional tests for detecting learning-related vision problems.

Extra tests would include accommodation, binocular vision, and ocular motility testing. In addition to these, depending on the type of problems your child is having, we may recommend other testing, either in our office or with a child’s vision and/or vision development specialist.

Vision Therapy

Special reading glasses or vision therapy may help your child if s/he has a learning-related vision problem that cannot be corrected with regular glasses or contact lenses. Vision therapy entails eye exercises and other activities especially tailored for each patient to improve vision skills.

Learning Disabilities and Vision

Although children with learning disabilities may also have vision problems that are contributing to their difficulties in the classroom, vision therapy is a treatment for vision problems; it does not correct a learning disability. A child's learning ability and school performance may indicate learning disabilities and/or vision problems.

Once your child’s comprehensive vision exam is completed, we will advise you about whether a program of vision therapy could be helpful. We will refer you to a children's vision or education/learning specialist if we do not provide the specified additional services your child needs.

We also treat a number of other eye conditions which can also be detrimental to learning, as well as quite serious if not treated promptly.

Advanced Technology – New Technology in Central New Jersey

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.

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.

OPTOS Retinal Exam

Annual eye exams are vital to maintaining your vision and overall health. We offer the optomap® Retinal Exam as an important part of our eye exams. The optomap® Retinal Exam produces an image that is as unique as you fingerprint and provides us with a wide view to look at the health of your retina. The retina is the part of your eye that captures the image of what you are looking at, similar to film in a camera.

Many eye problems can develop without you knowing. You may not even notice any change in your sight. But, diseases such as macular degeneration, glaucoma, retinal tears or detachments, and other health problems such as diabetes and high blood pressure can be seen with a thorough exam of the retina.

An optomap® Retinal Exam provides:

  • A scan to show a healthy eye or detect disease.
  • A view of the retina, giving your doctor a more detailed view than he/she can get by other means.
  • The opportunity for you to view and discuss the optomap® image of your eye with your doctor at the time of your exam.
  • A permanent record for your file, which allows us to view your images each year to look for changes.

The optomap® Retinal Exam is fast, easy, and comfortable for all ages. To have the exam, you simply look into the device one eye at a time and you will see a comfortable flash of light to let you know the image of your retina has been taken. The optomap® image is shown immediately on a computer screen so we can review it with you.

Please schedule your optomap® Retinal Exam today!

For more information on the optomap® Retinal Exam, go to the Optos website.

LASIK & Refractive Surgery Co-Management – Cataract surgery in Central New Jersey

LASIK

LASIK – Laser-Assisted In Situ Keratomileusis -is the most common refractive eye surgery today. As of 2011, over 11 million LASIK procedures have been performed in the United States and as of 2009 over 28 million have been performed worldwide.

LASIK, often referred to as laser eye surgery or laser vision correction, is a type of refractive surgery for the correction of myopia, hyperopia, and astigmatism. LASIK surgery is performed by an ophthalmologist who uses a laser or microkeratome to reshape the eye’s cornea in order to improve visual acuity. For most patients, LASIK provides a permanent alternative to eyeglasses or contact lenses.

LASIK is most similar to another surgical corrective procedure, photorefractive keratectomy (PRK), and both represent advances over radial keratotomy in the surgical treatment of refractive errors of vision. For patients with moderate to high myopia or thin corneas which cannot be treated with LASIK and PRK, the phakic intraocular lens is an alternative.

LASIK is the premier surgery for vision correction. It is quick, almost painless and there is little or no discomfort after the procedure. Vision recovery is rapid – patients report seeing 20/20 within 24 hours.

LASIK corrects nearsightedness, farsightedness and even astigmatism. With a technique called mono-vision, it can reduce the need for reading glasses among patients over age 40 who wear bifocals.

Who Are The Optimal LASIK Candidates?

The best candidate for LASIK is age 18+, has healthy eyes with adequate corneal thickness. This is necessary because LASIK procedure removes tissue from the cornea to reshape the eye.

Chronic dry eye, corneal disease or other abnormalities may disqualify a candidate from LASIK surgery. A comprehensive eye exam is required to be sure. For your convenience, we are happy to provide LASIK pre-operative exams and consultations at our office.

Note that LASIK is an elective procedure and proper consideration must include the weight of personal needs, potential gain and willingness to accept the risks involved. There are no guarantees that LASIK will absolutely succeed to your expectations. The results are not always perfect vision. In some cases, your vision after LASIK may be permanently less clear than it was with glasses before LASIK. This outcome must be factored before deciding on LASIK surgery.

Certainly there is upside. In normal circumstances and conditions LASIK can reduce your dependence on glasses and almost always gives you the ability to function well without the need for glasses or contact lenses.

Specifics of The LASIK Procedure

LASIK is an ambulatory, two-step procedure. You walk into the surgery center, have the procedure and walk out about an hour later. The surgery event is about 15 minutes for both eyes, but allowances should accommodate for about at the surgery location, perhaps even a bit more.

First, the surgeon creates a thin, hinged flap of tissue on your cornea with an instrument called a microkeratome, or laser. This flap is folded back so the laser reshaping of your eye can begin. After laser treatment, which lasts a minute or less, the flap is repositioned and the surgeon proceeds to your other eye.

What Is Wavefront LASIK?

Wavefront LASIK -wavefront-assisted, wavefront-guided or custom LASIK- uses laser treatment (ablation) mapped by computerized analysis. Wavefront-guided procedures are much more precise than ablations determined by using standard eyeglasses prescriptions. They can correct subtle optical imperfections of the eye called “higher-order aberrations” that regular ablations cannot treat. Studies prove wavefront-guided ablations provide sharper vision than conventional, non-wavefront LASIK and can improve night-vision, eliminating or reducing the risk of halos or glare.

After The Surgery

Following the LASIK procedure, you will use medicated eye drops and clear protective shields to cover your eyes. You can open your eyes and see well enough to walk without glasses, but you must not drive yourself home.

You will use medicated eye drops several times a day for a week or more to prevent infection and help the healing. You may also use artificial tears to keep your eyes moist and comfortable.

You should rest your eyes as much as possible the day of your surgery. You may find it more comfortable leaving the house lights on low dim.

The next day, you should see well enough to drive and resume your normal activities. Use care though not to rub your eyes until it is safe to do so.

You may be asked to return to visit your doctor the following day for an eye exam. They will want to check your vision and be sure your eyes appear to be healing as they should. You will be given any additional instructions necessary about eye drops and/or artificial tears, and you can ask the doctor any questions you may have.

Postoperative care may be performed by an eye doctor other than your LASIK surgeon. This is referred to as co-management. We are happy to provide post-operative care for you at our office through a co-management agreement with your surgeon. Ask us for further details.

If My Vision Is Blurry After LASIK..

Though most patients see clearly within a day or so after LASIK, it can take several months before your eyes completely stabilize. Until then, improvements in your vision can still occur in fits and jumps. If several months pass and your vision is still blurred, be sure to communicate and visit with your LASIK surgeon. It may be appropriate to have a second LASIK surgery -an enhancement -to sharpen your eyesight further.

If an enhancement is not required, eyeglasses or contact lenses may be used to help. We will be happy to examine your eyes and discuss the options available to you.

After LASIK Eyewear

Even if your vision seems perfect after LASIK, you may still require or be more comfortable with eyewear.

When outdoors, it’s optimal and sometimes urgent to protect your eyes from the sun’s strong and sometimes harmful rays. Use sunglasses that provide 100% UV protection. For sports-sunglasses, the lenses need to have poly-carbonate for extra strength and protection. Anytime you work with power tools or do any activity where eye injury is possible, be sure to use safety glasses with poly-carbonate lenses.

If you’re over 40 (or close), it’s likely you’ll need reading glasses after LASIK. Many LASIK patients benefit from prescription eyeglasses for night driving. Even a mild prescription will make your vision sharper for added safety and comfort at night.

After LASIK Eye Care

Remember to continue to schedule routine eye exams post – LASIK. Even with perfect vision you still need to have your eyes examined for glaucoma and other potential problems on a regular basis. Routine exams will help insure that your vision remains stable after LASIK.

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