Fisher Eye Associates

David & Holly Fisher, O.D.

Comprehensive Eye Examination

Periodic eye and vision examinations are an important part of preventive health care. Many eye and vision problems have no obvious signs or symptoms. As a result, individuals are often unaware that problems exist. Early diagnosis and treatment of eye and vision problems are important for maintaining good vision and eye health, and when possible, preventing vision loss.   A comprehensive adult eye and vision examination may include, but is not limited to, the following tests. Individual patient signs and symptoms, along with the professional judgment of the doctor, may significantly influence the testing done.  Pre-testing consists of autorefraction, autokeratometry, non-contact tonometry, and a blood pressure measurement.  Case history is then taken.  Preliminary testing consists of visual acuity, eye focusing, eye teaming, eye movement, side vision, and pupil testing.  Refraction is then performed to determine your eyeglass prescription.  Next a biomicroscope is used to closely examine the exterior tissues of your eyes.  Lastly dilation drops are used to dilate your eyes to view the clear tissue inside the eye along with the retina, optic nerve and retinal blood vessels.


 



 
Digital Retinal Imaging
Digital Retinal Imaging (DRI) is a new technology that allows instant viewing of retinal images by the doctor and the patient.  It combines the technology of retinal photography and computerized digital imaging to produce remarkably clear retinal images.  This computerized technology aids us by establishing baseline images of the inside of your eyes.  We can then compare these images with future images and carefully observe any normal or abnormal changes.  
We believe this will promote earlier diagnosis of many abnormal vision conditions, some of which can result in permanent vision loss if not caught and treated in a timely manner.  We recommend DRI for everyone but is especially important for patients who are at risk of developing eye disease, such as diabetics, patients with high blood pressure, those at risk of age related macular degeneration and those with family history of glaucoma.
Visual Field Testing
Visual field tests are a way to assess and document your peripheral vision (side vision).  Testing reveals the presence of blind spots, which could indicate eye diseases.   A blind spot in the field of vision can be linked to a variety of specific eye diseases, depending on the size and shape of the blind spot.  Visual field abnormalities can be caused by glaucoma, other optic nerve diseases, or by a retinal disease.  Brain abnormalities such as those caused by strokes or tumors can affect the visual field. In fact, the location of the stroke or tumor in the brain can frequently be determined by the size, shape, and site of the visual field defect.