Services & Technology

Our Wide Range Of Services

Comprehensive Eye Exams

Comprehensive Eye Exams are an important foundation for your eye and vision care. It is important to take care of your eyes for your long-term health and as your Optometrists, we will provide you with detailed eye exams while explaining to you the exact state of your eye health. Ocular diseases can be detected early thereby avoiding any decline in your health or long-term vision loss.

At the Eye Health Clinic we recommend regular eye exams on a yearly basis. This is not just to check your vision but also to ensure your eyes are healthy. Your doctor will work closely with you to make sure your eyes are looked after in every way.

Accurate diagnosis and treatment of diseases can be achieved which will help with maintaining your vision and overall eye health. Our investment into state of the art technology and equipment illustrates our commitment to our patients for diagnosis and treatment.

While most people understand the need for regular and annual eye examinations, some people are under the impression that an Optometrist should only be seen when you need to get or change your eye glass prescription. Nothing could be further from the truth.

It is important to know that Optometrists serve a vital function with the diagnosis and treatment of ocular diseases. Prescriptions for glasses and/or contact lenses is a separate need altogether. Those that take care of their eyes have the benefit of knowing the state of their eye health and having the luxury to act well in advance in case of any diseases.

Patients with perfect or near-perfect vision (20/20) at the present time could still not be aware of the early onset stages of the following diseases.

Here is a high-level overview of eye exams for different age groups.

Starting from the age of 6 months, we recommend eye exams for children. During the early and formative years of a child’s development, they learn how to focus on objects, how to coordinate both eyes together, and how to coordinate the eyes to work with other parts of the body. It is vital that the eyes are monitored routinely for long-term health.

Regular children’s eye exams will allow you to ensure your child’s vision is developing well. They are an important tool in the early detection, prevention and treatment of eye conditions. For the child’s growth and development, early detection is important.

For parents, it is worth noting that often no signs of a child’s vision problems can be seen. Yet, 80% of learning is done through vision and a child’s progress is directly tied to this. Research shows us that 20% of children will have some kind of ocular problem that will go undetected by their parents. For instance, if a child has one eye that sees well while the other eye is weak, they will become dependent on the stronger eye. Leaving this ignored may result in poor vision.

As your Optometrists, we can use different techniques to assess vision. A child’s eye exam includes tests that assess colour vision, depth perception, eye muscle balance, focusing abilities, and overall eye health.

Children under the age of 19 are covered by OHIP and eligible to receive one comprehensive eye exam per year.

Comprehensive eye exams for adults include an assessment of your vision and ocular health. The doctor will recommend the most appropriate eye wear for your needs and counsel you on how to best care for your vision and eye health.
Disease related changes that can affect your eyes can include:

• Glaucoma
• Macular Degeneration
• Keratoconus
• Cataracts
• Diabetes

Important: if you leave these diseases undiagnosed or untreated, it can lead to complications that may result in deteriorating vision or blindness.

For those aged 65 and over, we highly recommend that eye exams are conducted regularly. As eye diseases are more prevalent in this age group, their diagnosis and treatment becomes even more important. The majority of these diseases are completely asymptomatic in their early stages which is why we focus on early detection with routine eye exams.

Some of these diseases can include:

• Glaucoma
• Age-related macular degeneration
• Cataracts

Senior citizens who are 65 and above are covered by OHIP and eligible to receive one comprehensive eye exam per year.

Important: if you leave these diseases undiagnosed or untreated, it can lead to complications that may result in deteriorating vision or blindness.

Emergency Eye Care

For patients that have ocular emergencies that need to be assessed immediately, we welcome you to visit us. Examples of emergencies include foreign bodies in the eye, red eyes, sudden vision blur or loss, eye pain, peripheral vision loss, and symptoms of flashes and floaters.

Many eye emergencies need to be diagnosed and treated quickly for a better prognosis. As your Optometrists, we can evaluate your eyes and refer you to Ophthalmologists when required. Please call us during our office hours and we will see you as soon as possible.

Important: if symptoms occur while our clinic is closed, please go to your nearest hospital.

Technology & Equipment

Digital Retinal Camera – Retinal Photography

With our digital retinal camera, we have the ability to take high-resolution pictures inside the eye. We use a digital imaging system that is integrated with our computers to record a detailed view of the retina. Taking the photo is painless and nothing touches your eye. Retinal pictures help us keep a detailed record of your eye health.

Retinal photography assists us in the detection, management and treatment of diabetic changes, hypertensive retinopathy, macular degeneration, optic nerve disease, thinning and retinal holes.

We recommend that all of our patients receive this test. Especially for those with a history of high blood pressure, diabetes, flashing lights, retinal diseases, floaters, headaches or a strong glasses prescription.

Below we have included some images of a digital retinal picture.

The advantages for taking the pictures are:

• Early detection of ocular problems such as central retinal diseases, central detachments, holes, thinning, optic nerve diseases, macular degeneration, hypertensive    and diabetic retinopathy. This is especially important for those patients that have a personal or family history of these diseases or conditions.
• The retinal pictures enable a more thorough record of the health of your eyes.
• The pictures are helpful to compare with the results of future tests so that a more complete ocular health history can be generated at every visit.

Digital Photograph of a Healthy Retina

Digital-Retinal-Picture

Digital-Retinal-Camera

Retinal camera system in use

Visual Field Testing

The Visual Field Test is used to both test and analyze your central and peripheral vision. The visual field machine is an extremely beneficial tool for us in our clinic. Testing is done onsite by our trained staff and then reviewed by one of our Optometrists as they share the results with the patient.

If you require this test, we will let you know. The Visual Field test may be required to obtain a more complete ocular health record and will be performed in addition to a comprehensive eye examination.

It is important to let us know of any prescription medication you are taking as it may affect your vision and ocular health. Some medications can affect vision but are necessary to control and manage the medical condition you may have.

Visual fields are used to monitor any subtle changes in the eyes even before you notice any change in your sight. By working with your general physician and/or specialists, we will help aid in determining if dosage of medication needs to be altered.

Damage that has been caused by glaucoma is irreversible. For this reason it is vital that the disease is monitored regularly. One of the purposes of the visual field test is to monitor for glaucomatous change which occurs with the disease. This allows us to manage the condition better and more proactively.

Ocular Disease Management

Many eye diseases should be detected early for a better prognosis and monitored regularly. Your optometrist will work with your family doctor and/or ophthalmologist to co-manage your eye health.

Some common eye diseases that we co-manage include:

Macular degeneration is a disease of the Macula which causes loss of central vision. Prevention and treatment can include vitamins and injection therapy. As your Optometrists, we would monitor the condition yearly and refer you to a specialized Ophthalmologist if the need for injection therapy is required.

It is important to note that all family members of patients with macular degeneration should have an eye exam yearly given the hereditary nature of the disease.

Glaucoma is an eye disease (which can be genetic) in which your optic nerve is damaged. This damage causes a loss in your peripheral vision and can lead to blindness if not controlled properly. Symptoms are not generally felt by most people in the early stages of the disease, which underscores the need for regular eye exams. If you or loved ones in your family have Glaucoma, you should ensure that everyone is checked yearly for early detection and treatment options.

Risk factors for Glaucoma are pressure in the eyes (intraocular pressure), any changes to the optic nerve, a decrease in corneal thickness, and blood pressure.

Cataracts are a clouding of the lens of your eye which results in less light being focused on the retina. Although most people think it occurs in the elderly, it can be seen in younger people as well.

You may experience symptoms such as blurred vision, glare from lights at night, halos and difficulty reading in dim lights. Some symptoms may not even be experienced, while in some cases vision is completely blocked and surgical treatment may be needed.

A progressive thinning of the cornea causing a change in the shape which results in visual distortion, usually beginning in the teenage years. Surgical treatment as well as contact lens therapy is available. A recently new treatment has also emerged whereby collagen cross-linking is used in order to strengthen the cornea. Keratoconus can be a genetic disease; family members of those that have it should have regular eye exams to ensure early detection.

Bleeding in the back of the eye from uncontrolled diabetes can cause severe vision loss. Laser treatment as well as diabetic control and blood sugar lowering are all effective treatments. If you are diabetic, we would like to see you yearly to ensure that the disease is being proactively monitored and kept under control.

Uncontrolled hypertension can cause changes in the arterioles and bleeding in the retina. It is important to monitor the effect of this on your eye health on a proactive, yearly basis. Treatment is with controlling and lowering your blood pressure.

Laser Refractive Surgery Co-Management

For certain patients who want to have good vision without glasses or contact lenses, Laser Vision Correction (Refractive Surgery) may be a good option. If it is determined that this is a good option for you, we will work with local refractive surgeons to co-manage your patient file. As your Optometrists, we will do a pre-operative assessment to determine whether you are a good candidate for surgery and discuss your options. After your surgery, you will be examined regularly for one year to ensure your vision and eye health are on target and your eye is healing well.

Dry Eye Clinic

Dry eye syndrome is a condition where the tear film of the eye is diminished, thereby causing the cornea to be exposed to the environment due to the lack of lubrication and protection. The implications of this can range from severe inflammation of the eye or patients being completely unaware of symptoms.

Sometimes patients are not aware of dry eye syndrome and don’t know that dryness is an issue until we bring it to their attention. Once a course of treatment is decided on, patients often begin to realize the difference in their eyes.

Some of the symptoms of dry eye syndrome include:

• Burning
• Itching
• Tearing
• Irritation
• Redness
• Stinging
• Pain
• Foreign Body Sensation
• Blurry Vision

Important: if you are experiencing any of these symptoms, please come and see us for a thorough evaluation. This will help us determine the severity of the situation.

There are many causes for dry eye syndrome. Whatever the cause, the result will be an increase in tear evaporation or a decrease in tear production. These are just some of the reasons for dryness.

Decrease in Tear Production

• Hormonal changes
• Aging
• Various medications
• Menopause
• Various systemic conditions

Increase in Tear Evaporation

• Windy conditions
• Contact lens wear
• Decreased blinking (for instance, with excessive computer use and reading)
• Heat or air conditioning

We will determine if you have dry eyes during your comprehensive exam. If discovered, we will begin treatment and may schedule another appointment for greater evaluation.

During the follow up assessments, we will determine the severity of dryness, and see how the treatment is working to solve the problem. We discuss all options in detail with you with reference to symptoms and any concerns you may have.

There are very practical options available when treating a patient’s dry eyes. We always aim to treat the symptoms with methods that are the least invasive. As we continue to monitor the dry eyes, we will determine the effectiveness of all treatment options and discuss them with you in detail. Some of these treatment options may include:

• Dietary supplements
• Artificial tears
• Humidifier
• Punctal plugs
• Eyelid scrubs
• Prescription eye drops and/or ointments
• Warm eyelid compresses
• Surgical punctual occlusion

Irrespective of any treatment plan we recommend for you, it is important to note that dry eyes syndrome may be chronic. What does this mean for you? It means you must take the necessary daily steps to improve the condition in your eyes. As we see improvements over time, we will alter the treatment so as to better improve the health of your eyes.