Our "routine" eye examination is
far more extensive than most patients have experienced prior to
receiving care at
our office. Dr. Belill refuses to cut corners when doing eye exams.
We always schedule ample time so you will
never feel rushed. In a world of fast-paced medical care and
hurried service, our practice thrives by providing
detailed, courteous care. The comprehensive eye exam concentrates
not only on achieving the best vision
possible but also on the overall health of the eye. While our
methods may vary, depending upon the needs of each
individual patient, our typical examination includes the
following:
| Complete Eye Disease
Evaluation |
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Dr. Belill will assess the internal and external health of the
eyes through use of a slit lamp,
or biomiscroscope. This instrument magnifies the structures of the
eye in order to evaluate
for signs of infection or disease.
Dilating drops may be used to increase the size of the pupil,
providing a larger window
through which to view the internal structures of the eye. This
allows Dr. Belill to assess:
health of the optic nerve, condition of the
central(macula) and peripheral retinal
areas, and
health of the retinal blood vessels.
In addition, Dr. Belill utilizes the EyeRes 2000 system to provide
highly effective patient
education. This is done by instant medical image documentation of
disease and its
progress under therapy. Any additional people in the exam room will
be able to watch a
live video feed of the microsope views to follow along with what
Dr. Belill is evaluating.
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| Eyeglass Prescription |
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This instrument is called an autorefractor. It uses a computer
to measure the
amount of nearsightedness, farsightedness, and astigmatism in one
reading.
This is achieved by measuring how light is changed as it enters a
person's eye.
No feedback is required from the patient during this process. The
results Dr. Belill
a good starting point regarding your visual condition. This test
must be performed
yearly since the values can change due to growth, disease,
degeneration, and
stress.
Refraction is a test to determine your exact prescription. As you
view the eye chart,
Dr. Belill will place an instrument called a phoropter in front of
your eyes. To begin,
the phoropter will be calibrated with the lens power
results from the autorefractor
reading. You will have the opportunity to select the clearest
lenses among several
choices. Your power will be fine-tuned throughout this process and
the end result
will determine the level of farsightedness, nearsightedness,
astigmatism, and/or
presbyopia to be used in your eyeglasses.
The combination of computerized technology along with standard lens
selection
through a phoropter allows your eyeglass prescription to be as
precise as
possible to provide maximum clarity.
In some cases, a technique called retinoscopy may be used to
determine an
eyeglass prescription. For this test, the patient focuses on a
target while light is
shined into the eyes. Dr. Belill will observe how light reflects
off the eye in order
to arrive at an estimated prescription. No feedback is required
from the patient
during this process. This test is particularly helpful in children
and non-verbal
patients.
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| Eye Muscle Coordination
and Depth Perception Evaluation |
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Eye muscle coordination evaluation, or the cover test, aids in
determining the
presence of strabismus or amblyopia. Strabismus, a physical problem
with
the muscles that control the eye, prevents the eyes from focusing
on the
same object. As one eye focuses on an object, the other eye may
move out,
in, up, or down. The direction that the eye moves will point to the
problematic
muscle. Amblyopia, also known as lazy eye, is a visual problem.
This often
results from trauma, an uncorrected near or farsightedness, or
strabismus. If
left uncorrected, vision will not develop properly and the brain
may eventually
ignore the image from the amblyopic eye.
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| Color Vision
Evaluation |
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There are color recepetors in the eye that contain pigments for
red, blue, and
green. These work together to create a variety of colors. If one or
more of these
color receptors is lacking the pigment or functioning abnormally, a
color
deficiency may result.
The Ishihara Plates are used to test color vision. This test
involves idenitfying a
number or figure contained within a background of dots of another
color. This
test determines your ability to identify and distinguish
colors.
Total or true color blindness is a complete lack of color
perception and is very
rare. Color deficiences are a weakness of color perception. Red and
green are
most common. Color vision abnormalities are most commonly
hereditary.
However, it can result from problems affecting the optic nerve or
retina.
Because color deficiency is carried on the X gene, it is primarily
seen in males.
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| Blood Pressure
Screening |
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Hypertension, also known as high blood pressure, is one of the
leading causes of vision loss in the
United States. Hypertension can affect anyone at any age, and
similar to glaucoma - has no early
symptoms. According to the American Heart Association, one in three
adults has high blood
pressure. Since high blood pressure can cause permanent vision loss
without any signs of pain or
discomfort, this test must be performed annually as part of a
comprehensive preventative eye
health exam.
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| GDX Glaucoma
Screening |
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The GDx nerve fiber layer screening takes a computerized scan of
each eye to
measure any damage to your optic nerves. This helps Dr. Belill
diagnosis glaucoma
years earlier than would be detected by measureing eye pressure
alone. Your eye
pressure will still be assessed, but not by using the "puff-of-air"
test. The GDx is the
most state-of-the-art instrument in glaucoma diagnosis available
today. This test
must be performed annually because glaucoma has no early symptoms,
can cause
blindness, and can occur in anyone at any age.
For additional information about glaucoma CLICK HERE.
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| Visual
Field |
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This instrument is called a Visual Field, which is the most
state of the art medical eye testing
available. Dr. Belill has invested in this sophisticated computer
to provide the finest
PREVENTIVE EYE HEALTH CARE. Dr. Belill's interpretation of the
data from this instrument can
detect more eye diseases than any instrument in our office. The
findings from this test
enable Dr. Belill to determine if there is any retinal disease and
if there is any disease
process behind the eye all the way to the back of the brain. This
test must be done every year
since the conditions that he is looking for can develop at any age
and at any time.
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| Digital
Retinal Photography |
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Taking yearly colored digital photos of the inside of the eye is
much like a dentist taking x-rays of the mouth annually.
These
photos document the internal health of the eye and allow for
accurate and specific comparisons from year-to-year. This
would
assist Dr. Belill in detecting early or subtle eye health changes
so that treatment may be instituted to preserve your sight.

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| Corneal
Topography |
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Patients may exhibit corneal damage, disease and
degeneration.
These changes may be caused by aging, trauma, or genetic
conditions.
A corneal topographer is a unique computer measures over 8,000
points on the cornea. This
sophisticated mapping of the front of the eye gives Dr. Belill
necessary information to
diagnose corneal disease and determine the best treatment
plan that will improve vision and
ocular comfort.
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Medical eye conditions cared for at Belill Eye Care
include:
- Dry eye
- Allergic conjunctivitis
- Viral and bacterial conjunctivitis
- Blepharitis
- Glaucoma
- Macular degeneration
- Diabetic eye disease
- Cataracts
- Keratoconus
- Corneal dystrophies such as Fuchs' and recurrent corneal
erosions
- Eye conditions related to rheumatoid arthritis, systemic lupus,
ulcerative colitis, Crohn's disease, systemic sarcoidosis,
hypertension, thyroid disease, etc