Q: How often should I have an eye examination?
Healthy patients age 20-40 who are not contact lens patients should have an exam at least every 2 years. All children and teenagers should have an eye examination annually, unless the doctor recommends more frequent visits. All contact lens patients should have an annual exam. Indiana state law requires that a contact lens prescription be renewed after 12 months. Contact lens patients are at risk for certain problems that other patients are not, and they need to be monitored at least annually. Patients age 40 and over should be seen annually. Risks for eye disease increases with age, and annual exams provide a good way to build a normal data base.
Q: I have astigmatism. Does that mean I can’t wear contact lenses?
Having astigmatism does not preclude you from wearing contacts, but it does complicate the process a little. Most soft disposable lenses correct for nearsightedness or farsightedness, but not astigmatism. For patients with a very small amount of astigmatism, these lenses can be used by averaging the patient’s prescription and using the result as the contact lens power in simple disposable lenses. For patients with greater amounts of astigmatism, soft toric contact lenses can be used. These are lenses that have the patient’s full prescription cut or molded into them. Most of the time, though, with persistence and patience of the patient and the doctor, a satisfactory contact lens fit can be achieved.
Q: What insurances do you accept?
The top vision insurances we accept are VSP and Eyemed. We also accept many insurance programs that local employers provide. Call our office at (765) 453-5005 with your insurance card in hand, and our staff will be able to assist you with your individual insurance needs. If we are not direct providers for your insurance, many times we can assist you in filing for reimbursement.
Q: What does an eye exam include?
Our examinations include a measurement of your glasses prescription, fit for contact lenses if requested, complete eye health evaluation including retinal photography, screening of peripheral vision, screening for glaucoma, macular degeneration, and cataracts.
Q: What frame lines do you carry?
We strive to maintain an inventory that reflects the latest in fashions. Some of our current lines include Oakley, Kate Spade, Ray Ban, Nine west, ECO, Nike, Flexon, Banana Republic, KLiik and Fysh, GANT, Liz Claiborne, Kenneth Cole and Coach. We also have a selection of prescription and non-prescription sunglasses.
Q: What if I have never worn contacts before and would like to try?
After your examination and a discussion with Dr. Bud or Dr. Kate to assess your candidacy and likelihood for success with contact lenses, you will be scheduled for a training session with a technician. At that visit, you will learn proper insertion, removal, handling, and general do’s and don’t’s of contact lens wear. You will then return one week later for a progress check to determine your success with the fit.
Glaucoma is actually a class of disorders. More than twenty different forms of the condition have been identified. However, they all develop in a similar way. The amount of aqueous humor, a watery fluid that fills the inside of the eyeball, begins to build up. As more of this fluid collects, it places greater pressure on all parts of the eye, including the optic nerve. Eventually the excess pressure destroys the nerve. The many forms of glaucoma are grouped into two large categories: open-angle glaucoma and closed-angle glaucoma. Open-angle glaucoma is a progressive disease. It gets worse over time if not treated. At first, only a few nerve cells in the optic nerve are destroyed. Blind spots develop in areas where those nerve cells are located. Over time, more and more nerve cells are destroyed. A larger and larger area of vision is lost. Eventually, a person may lose his or her sight completely. Closed-angle glaucoma happens very quickly. Some type of accident or change in the eye causes aqueous humor to build up very suddenly. The effects of glaucoma appear in a very short time with closed-angle glaucoma.
Macular degeneration, often called AMD or ARMD (age-related macular degeneration), is the leading cause of vision loss and blindness in Americans aged 65 and older. Because older people represent an increasingly larger percentage of the general population, vision loss from macular degeneration is a growing problem. AMD occurs with degeneration of the macula, which is the part of the retina responsible for the sharp, central vision needed to read or drive. Because the macula primarily is affected in AMD, central vision loss may occur.
Macular degeneration is diagnosed as either dry (non-neovascular) or wet (neovascular). Neovascular refers to growth of new blood vessels in an area, such as the macula, where they are not supposed to be. The dry form is more common than the wet, with about 85-90 percent of AMD patients diagnosed with dry AMD. The wet form of the disease usually leads to more serious vision loss.
A cataract is a clouding of the eye’s natural lens, which lies behind the iris and the pupil. The lens works much like a camera lens, focusing light onto the retina at the back of the eye. The lens also adjusts the eye’s focus, letting us see things clearly both up close and far away.. The lens is made mostly of water, and the protein inside the lens is arranged in a precise manner so as to keep the lens clear, and allow the maximum amount of light to enter the eye. As we age, some of this protein begins to degenerate and loses its regular arrangement, thus leading to a loss of clarity of the lens. This is a cataract, and over time, it may become denser, clouding more of your vision and making it harder for you to see. Cataracts are usually diagnosed during routine eye exams, and management will depend on the severity of the cataract. By evaluating your visual needs and the degree of cataract, we will determine your need for cataract surgery.