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Presbyopia Diagnosis and Treatment in Central New Jersey

As we reach middle age, particularly after age 40, it is common to start to experience difficulty with reading and performing other tasks that require near vision. This is because with age, the lens of our eye becomes increasingly inflexible, making it harder to focus on close objects. This condition is called presbyopia and eventually it happens to everyone who reaches old age to some extent.

To avoid eyestrain, people with untreated presbyopia tend to hold books, magazines, newspapers, and menus at arm’s length in order to focus properly. Trying to performing tasks at close range can sometimes cause headaches, eye strain or fatigue in individuals who have developed this condition.

Causes of Presbyopia

During our youth, the lens of our eye and the muscles that control it are flexible and soft, allowing us to focus on close objects and shift focus from close to distant objects without difficulty. As the eye ages however, both the lens and the muscle fibers begin to harden, making near vision a greater challenge.

Presbyopia is a natural result of the aging process and not much can be done to prevent it. Its onset has nothing to do with whether you already have another vision impairment such as nearsightedness, farsightedness or astigmatism. Everyone will notice some degree of loss of near vision focusing power as they age, although for some it will be more significant than others.

Symptoms and Signs of Presbyopia

Presbyopia is characterized by:

  • Difficulty focusing on small print
  • Blurred near vision
  • Experiencing eyestrain, fatigue or headaches when doing close work or reading
  • Needing to hold reading material or small objects at a distance to focus properly
  • Requiring brighter lighting when focusing on near objects

Presbyopia can be diagnosed in a comprehensive eye exam.

Treatment for Presbyopia

There are a number of options available for treating presbyopia including corrective eyewear, contact lenses or surgery.

Eyeglasses

Reading glasses or “readers” are basically magnifying glasses that are worn when reading or doing close work that allow you focus on close objects.

Eyeglasses with bifocal or multifocal lenses such as progressive addition lenses or PALs are a common solution for those with presbyopia that also have refractive error (nearsightedness, farsightedness or astigmatism). Bifocals have lenses with two lens prescriptions; one area (usually the upper portion) for distance vision and the second area for near vision. Progressive addition lenses or PALs similarly provide lens power for both near and distance vision but rather than being divided into two hemispheres, they are made with a gradual transition of lens powers for viewing at different distances. Many individuals prefer PALs because unlike bifocals, they do not have a visible division line on the lens.

Bifocal and Multifocal Contact Lenses

For individuals that prefer contact lenses to glasses, bifocal and multifocal lenses are also available in contact lenses in both soft and Rigid Gas Permeable (RGP) varieties.

Multifocal contact lenses give you added freedom over glasses and they allow you to be able to view any direction – up, down and to the sides – with similar vision. People wearing progressive lenses in glasses on the other hand have to look over their glasses if they want to view upwards or into the distance.

Another option for those that prefer contact lenses is monovision. Monovision splits your distance and near vision between your eyes, using your dominant eye for distance vision and your non-dominant eye for near vision. Typically you will use single vision lenses in each eye however sometimes the dominant eye will use a single vision lens while a multifocal lens will be used in the other eye for intermediate and near vision. This is called modified monovision. Your eye doctor will perform a test to determine which type of lens is best suited for each eye and optimal vision.

Surgery

There are surgical procedures also available for treatment of presbyopia including monovision LASIK eye surgery, conductive keratoplasty (CK), corneal inlays or onlays or a refractive lens exchange (RLE) which replaces the hardened lens in the eye with an intraocular lens (IOL) similar to cataract surgery.

Since it affects so much of the older population, much research and development is going into creating more and better options for presbyopes. Speak to your eye doctor about the options that will work best for you.

Hours & Locations – Eye Doctor near me

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Allied Vision Services has four eye doctor’s offices in Plainsboro and nearby. For pictures, staff info and more about each eye doctor’s office, click the titles below.

Need an Eye Exam near you in Central NJ?

Our eye doctors at Allied Vision Services have many years experience diagnosing and treating eye disease, including  cataracts, AMD and diabetic retinopathy, as well as performing vision screenings. They are excited to have the opportunity to use their expertise as optometrists to offer advanced eye care services for both children and adults in Central New Jersey.

Getting a Comprehensive Eye Exam is the New Physical: When's The Last Time You Saw an Eye Doctor near you?

At our eye care clinic we offer comprehensive eye examinations, using the latest optometry techniques and equipment. Any consultation at Allied Vision Services starts with a detailed vision test that includes simple testing techniques such as the "old fashioned" eye chart test as well as advanced digital imaging technologies, such as OCT scans, that help our eye doctor near you detect and measure any future changes to your retina. Next time you visit us for your annual eye exam, we will be able to detect even the slightest changes to your eyesight, by comparing the images from your current vision test to the results of your last year's eye exam.

Make your eye care a priority by scheduling an appointment today.  When we don't see clearly, all areas of our life are affected, from our simple daily tasks to our personal safety.  A routine eye exam near you is crucial for maintaining good eyesight as well as prevention and detection of disease.  Protect your eyes and your vision; schedule your yearly eye exam now.  Dr Russo, Dr McGowan and the other eye doctors near you are looking forward to your visit.

Appointment Cancellation/No Show Policy 

The time we reserve for your appointment ensures that you receive the highest quality care.  Should you need to cancel or reschedule your appointment, please do so as soon as possible so that we may schedule other patients waiting to be seen.   Please ask your Allied Vision office for policy details,  as you may incur a charge for not canceling within 24 hours or not showing for your scheduled appointment. Thank you.

Check out our hours and interactive maps for each of our eye care clinics below.

Allied Vision Services

Lawrenceville, NJ, nicknamed “the village...
2495 US Route 1 #8
Lawrenceville, NJ 08648

Located at the Lawrence Shopping Center, directly off Business Route 1.

  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 5:00 PM
  • 9:00 AM - 3:00 PM
  • Closed

Most major insurances and vision plans accepted.

We Accept:

  • visa
  • mastercard
  • americanexpress
  • discover
  • cash

 

Allied Vision Services

FYI We are located five...
10 Schalks Crossing Road
Plainsboro, NJ 08536

Plainsboro Plaza, between CVS & Post Office on Schalks Crossing Rd.

Our Plainsboro eye care clinic is located in Plainsboro Plaza, only five minutes from Princeton University. If you’re hungry, we are surrounded by fantastic restaurants, such as Romeo’s Ristorante and East Asian Fusion.

If you’re looking to lose yourself in nature without having to travel far, you are in luck! Allied Vision Services is an easy 15-minute drive from Audubon’s Plainsboro Preserve, where you can meander through tranquil forest trails with a cool breeze coming off the water. We look forward to seeing you!

  • 10:00 AM - 6:00 PM
  • 10:00 AM - 8:00 PM
  • 10:00 AM - 6:00 PM
  • 10:00 AM - 8:00 PM
  • 10:00 AM - 5:00 PM
  • Closed
  • Closed

We Accept:

  • visa
  • mastercard
  • americanexpress
  • discover
  • cash
  • debit

 

Allied Vision Services

Flemington, a borough in Hunterdon...
14 State Route 31
Flemington, NJ 08822

You can find us located on Route 31 North, just north of the Flemington Circle

  • 10:00 AM - 7:00 PM
  • 10:00 AM - 5:00 PM
  • Closed
  • 10:00 AM - 7:00 PM
  • 10:00 AM - 6:00 PM
  • 9:30 AM - 1:00 PM
  • Closed

Most major insurances and vision plans accepted.

Allied Vision Services

Robbinsville is located within Mercer...
1004 Washington Boulevard
Robbinsville, NJ 08691

At the Foxmoor Shopping Center, at intersection of Washington Blvd & Route 33

  • 10:00 AM - 7:00 PM
  • Closed
  • 10:00 AM - 7:00 PM
  • 10:00 AM - 7:00 PM
  • 8:00 AM - 5:00 PM
  • 9:00 AM - 1:00 PM
  • Closed

We Accept:

  • visa
  • mastercard
  • discover
  • cash

Request an Appointment

Sports and Specialty Eyewear Fitting

If you are serious about your sport or require specialty eyewear for your job or hobby, it’s worth scheduling a specialty eyewear fitting with your eye doctor. In addition to safety and eye protection, top athletic and occupational performance requires optimal visual acuity as well as a number of other visual functions such as peripheral vision, depth perception and hand-eye coordination. Sometimes color vision, eye tracking, night vision and light adaptation are also critical to performance. Your eye doctor will be able to do a full assessment of your vision while understanding your personal vision needs in order to recommend the best possible eyewear solution for you.

A standard comprehensive eye exam will not usually test for some of the additional visual and perceptual skills you need for serious sports or work environments. Your eye doctor will need to know the details about the skills required and conditions you face, in order to assess the best performance eyewear for your needs.

While off-the-rack sports or performance eyewear could be sufficient for your needs, if you have particular vision requirements or engage in certain types of activities, you might be a lot better off with a personalized fitting. Every aspect of the glasses from the fit, to the lens tint, to the size and the style can play a role in enhancing your safety, vision and performance, when it’s the right fit. This is why it makes more sense to fit the glasses to the individual rather than the individual to the glasses.

A sports performance exam may also identify some areas of your vision that could use improvement. When it comes to performance, especially for professionals, it is important to know where your visual skills and abilities stand and to be able to make improvements when possible. Many eye doctors offer vision skills enhancement training for particular vision skills such as hand eye coordination or visual processing speed using computer simulations and other techniques. This type of training can enhance your performance whether it is in hitting a fastball, shooting a puck or aiming for a bullseye.

When it comes to sports and performance, you vision should be a given. With a specialty eyewear fitting you can find the eyewear that offers the most, comfort, safety, protection and vision enhancement for your particular needs.

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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