What to expect

WELCOME

When you enter the vision center you will be welcomed by one of our friendly staff and asked to be helped. Please let the staff know you have an appointment for an eye exam. This is also a good time to remind the staff of any insurance you would like to use for your exam, and give them the card. They will give you some forms to fill out.

  1. A notice of privacy practices.

  2. A confidential patient information sheet.

  3. A signature on file form, giving us permission to bill your insurance. You will be given this only if

    you will be using insurance.

  4. Medicare patients will have additional forms to fill out so be sure to come in early!

** To save time you can complete the patient forms prior to your visit. When you schedule an appointment, either online or by phone, and you provide your email address, you will receive the initial patient paperwork to complete prior to your arrival. See the additional forms to complete prior to your visit to save even more time.

Once you have finished filling out your forms please hand them back to a member of the staff, and they will prepare the forms for your exam. You will next be "Pre-Tested".


PRE-TESTING

  • This part of your exam consists of the following components and will likely be performed by one of the optometric assistants.

  • A patient history is taken so that we can know how to better assess your needs and treatments.

  • Non-contact tonometry (air-puff test). Contrary to popular belief, this IS NOT a "glaucoma test".

    This instrument will gently puff air at each eye to determine the pressure within the eye. Though high pressure inside the eye can indicate suspicion for glaucoma it alone cannot determine or rule out glaucoma. The "test for glaucoma" is the entire examination, during which the doctor will look for many signs of glaucoma and other diseases. Additional tests are always necessary to diagnose glaucoma, but are generally only performed if warning or suspicious signs are seen. The doctor may require this test to be done in cases of eye infection as well to determine inflammation within the eye and other problems.

  • Auto-Refraction/ Auto-Keratometry - This is an instrument that will determine a starting point when testing your eyes for contacts or glasses. It will also allow the doctor to measure the curvature of the front surface of the eye (cornea).

  • Visual Acuity - To determine vision at distance and near with and/or without a prescription.

  • Color Vision Screening (new patients)

  • Stereopsis (Depth Perception) Screening.

  • Healthy retinal digital photo (patients over 30 - baseline imaging)

  • Lensometry - This is a way to measure the prescription from your old glasses. This is important to the doctor when adjusting your new prescription. Certain prescription changes are very difficult to adjust to and must therefore be modified to create comfortable glasses for you to wear. A proper reading of the glasses that you are accustomed to already can allow the doctor to prescribe better and give you a more appropriate correction. ALWAYS BRING YOUR GLASSES TO THE EYE EXAM IF YOU HAVE A PAIR.

Once this information has been taken you will be ready to see the doctor!


YOUR EYE EXAM!

Our doctors will cater your exam to your needs and your eyes. The first few minutes of the exam are usually spent going over your history, talking about your needs, your problems, your contact lens history, etc. Please use this time to give as much information as you can so that they can better help you!

Once the history is reviewed and your needs discussed a few entrance level tests are performed.

  • Cover Test-- to check for eye turns.

  • EOM Test-- to check your eye muscle movement.

  • Confrontation Fields-- A gross screening to check for vision loss in parts of the eye and brain.

  • Pupil Testing-- this is important to determine neurological (nerve) problems in the brain and eye.

Next you will help the doctor to determine your prescription. We do this thru Subjective Refraction, which means that you tell the doctor which lenses look the best to you. It is very simple to follow the directions, and you cannot "fail" this test. Just be honest and tell him what you see. If this test is not giving good enough information the doctor will talk to you about what other tests he needs to perform, or may just perform retinoscopy. Retinoscopy is an Objective way for the doctor to determine your prescription. It is often used when examining infants and non-verbal patients. For most patients this is performed with the Auto-refractor prior to seeing the doctor.

After the refraction the doctors may choose other tests to perform while checking your vision. These tests will tell him whether you need a bifocal, are having trouble reading, need to have another test before getting glasses and many other details. Children and those having problems with their vision may be more likely to have these kinds of tests. They are catered to each individual person.

Our doctors will then look at and into your eyes to be sure they are healthy. If there are any problems they will talk with you about them.

A dilated pupil exam may be necessary if you have problems or health conditions that warrant it. If you are a Diabetic, have high blood pressure, or high cholesterol the doctor will most certainly want to dilate your pupils. Since pupil dilation can cause your vision to be glared or blurred it is always best to have someone drive you home. If this is impossible we can reschedule the dilation at more appropriate time. Some people who are familiar with dilation and do not feel the need for a driver choose to have the test anyway. Dilation of pupils is important when looking for tears/ breaks of the retina, retinal detachment, bleeding, swelling, cataracts, and other disease processes in the eye. For those who are young and healthy dilation is recommended but not required.

When finished with your exam the doctor will give you over to the staff again to help you pick out glasses, finalize your insurance billing, collect your co-payment, and make next years appointment. If you have any questions try to ask them before leaving the office, but you are always welcome to call or come in later to ask them!

If you are a contact lens wearer the doctors will discuss your options with you and make an appropriate lens selection based on your needs and the shape of your eye. Don't hesitate to ask about a lens type! We are always bringing in new lenses, so if you haven't tried contact lenses for a while and would like to, please ask if you can wear them! Your fitting will come at the end of the eye examination, and you will have at least one follow-up appointment if the lens you are wearing is changed or you are a new patient. Contact lens solutions and wear times will be discussed with you as well. New wearers will be taught how to wear and care for their lenses after their exam or at a later date if necessary

Eye exams are important yearly health examinations! Contact us with any questions you may have or to schedule an appointment.

 Contact us with any questions you may have or to  schedule an appointment.

Please call 717.266.5661 for emergencies or after hours.

OFFICE HOURS

Wheatlyn Eye Care
234 Rosedale Drive
Manchester, PA 17345

717.266.5661
info@wheatlyneyecare.com

Monday8:00am - 6:00pm
Tuesday9:00am - 5:30pm
Wednesday8:00am - 6:00pm
Thursday9:00am - 5:00pm
Friday9:00am - 5:30pm
Saturday8:00am - 12:00pm*
SundayCLOSED
*Office closed 1st and 5th Sat.