 | AUTOMATED VISUAL FIELDS Visual field tests assess the potential presence of blind spots (scotomas), 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 scotoma. Many eye and brain disorders can cause visual field abnormalities. For example, optic nerve damage caused by glaucoma creates a very specific visual field defect. Other vision problems associated with blind spots developing within the visual field include optic nerve damage from disease or toxic exposure or damage to the light-sensitive inner lining of the eye (retina). 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. RETINAL PHOTOGRAPHY Don’t be surprised if someday, your eye doctor orders photographs of the back of your eye. These pictures are necessary to document the health of the optic nerve, vitreous, macula, retina and its blood vessels.The photographs are used for comparison, documentation, and sometimes to diagnose certain eye conditions. 
The normal, healthy retina 
Optic nerve changes in Glaucoma 
Hemorhages in diabetic retinopathy PACHYMETRY A pachymetry test is a simple, quick, painless test to measure the thickness of your cornea. With his measurement, your doctor can better understand your IOP reading, and develop a treatment plan that is right for your condition. The procedure takes only about a minute to measure both eyes. GONIOSCOPY This test is performed on patients who have glaucoma or when the disease is suspected a special mirrored contact lens is used to allow the doctor to examine the structures in the front of the eye. With this lens, the doctor can assess the eye’s drainage system. CORNEAL TOPOGRAPHY Of all the technology currently available, corneal topography provides the most detailed information about the curvature of the cornea. Using a very sophisticated computer and software, thousands of measurements are taken and analyzed in just seconds. The computer generates a color map from the data. This information is useful to evaluate and correct astigmatism, monitor corneal disease, and detect irregularities in the corneal shape. RETINAL OCT (Optical Coherence Tomography) The OCT has been invaluable in diagnosing patients with many macular disorders. I would like to give you an introduction to OCT and some of our patient surgical outcomes. OCT does a direct cross-sectional retinal image of the retina. (In particular the macula, the center of the retina.) It can be compared to using an X-ray when diagnosing a broken arm. Direct cross-sectional imaging enables the doctor to look at a “cutaway” view of each layer of the retina and optic nerve and accurately assess their characteristics. From one visit to the next we can see if your eye has improved or deteriorated. 

| | CORNEA-ANTERIOR SEGMENT OCT The OCT provides an unprecedented level of detail for our doctors. We can think of that detail as a microscopic view of a forest. Topography and other technologies based on reflected light provide only a macroscopic view, the umbrella of leaves at the top of the forest. But OCT customized for the anterior segment allows us to actually look at the leaves. As a result, we are able to see things we were unable to see before. 

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