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Annual wellness imaging is highly recommended for all patients so the doctor can obtain a baseline. It consists of 2 simple procedures ( retinal camera & visual field testing) as they may not be covered by your insurance plan if your eyes are healthy.
This machine helps detect changes in the back of the eye over time and has the ability to see the main structures located inside your eye with great detail.
The visual field test maps out your visual pathway for each eye and if there is any obstruction along the optic pathway from your eye(s) to the back of your brain like a tumor or aneurysm a defect will be in the report.
A third procedure may be added for those over 60 years old. This is done with a retinal scanner or OCT*. It is similar to an MRI for the eye.
*(Eye drops may be needed if your pupil is under 3mm)
A cataract is a clouding of the normally clear lens of the eye. For people who have cataracts, seeing through cloudy lenses is a bit like looking through a frosty or fogged-up window. Clouded vision caused by cataracts can make it more difficult to read, drive a car (especially at night) or see the expression on a friend's face. Most cataracts develop slowly and don't disturb your eyesight early on. But with time, cataracts will eventually interfere with your vision. If you think you may have or been diagnosed with cataracts and would like a second opinion. Schedule an appointment with Dr. Mirabile and he will be glad to answer all of you questions and address your visual needs.
Your eyesight is a precious gift, and protecting against vision loss is essential to maintaining your quality of life. By taking the simple step of making a comprehensive eye examination part of your healthcare routine, you can help safeguard your vision.
As part of a comprehensive eye examination, the office of 3D Optometry and Eyepifany Eyewear will assess your eye health and every aspect of your vision. In addition to determining your proper eyeglass or contact lens prescription, we’ll screen for eye diseases that can lead to vision loss, as well as check for any other problems that may affect eye health. Since your eyes can be an indicator of your overall health, we’ll also look for any warning signs of underlying medical conditions such as high blood pressure, high cholesterol, or diabetes.
It’s also essential for young adults to have their eyes checked on a regular basis. Periodic eye exams help determine if their vision is developing on schedule and detect any emerging issues that might require treatment. 3D Optometry sees patients 5+.
By scheduling an appointment with the office of 3D Optometry and Eyepifany Eyewear for routine exams and care, we can help you and every member of the family enjoy optimal vision while protecting the health of their eyes.
A comprehensive eye exam provides an in-depth look at the health of your eyes and a thorough assessment of the quality of your vision.
We begin by reviewing your overall medical history and gathering relevant information on your eye health history and that of your family. We’ll also discuss any symptoms you may be experiencing, along with any work-related or environmental conditions that may affect your vision. You’ll then receive a thorough clinical examination to check the health of your eyes and assess the quality of your vision. While taking a close look at your eyes, we perform a series of comfortable tests to determine your visual acuity. We also check the degree to which your eyes work together, how well your eyes follow a moving object, your depth perception, and evaluate other indicators of vision function.
You’ll also be carefully screened for the development of eye diseases that can lead to vision loss. Many eye diseases, including glaucoma, macular degeneration, diabetic retinopathy, as well as other conditions affecting the retina, demonstrate few if any overt signs or symptoms until irreparable damage to your eyesight has occurred. Detecting diseases that can threaten your sight in their earliest stages supports effective management and care.
As surprising as it sounds, your eyes are the only part of the body where blood vessels and nerve tissue can be viewed directly without surgery. For this very reason, a comprehensive eye exam can potentially reveal telltale signs of illnesses and medical conditions that have originated elsewhere in the body. Eye exams can provide critical findings in the diagnosis of congenital syndromes & inherited disorders, primary cancers and metastases, cardiovascular disease, circulatory problems, blood disorders, autoimmune diseases, and infectious diseases, endocrine disorders, or the side effects of certain drugs.
At the office of 3D Optometry and Eyepifany Eyewear, we’re passionate about providing the highest quality of care and dedicated to meeting the vision care needs of every member of your family. We offer a complete range of services, including comprehensive exams, prescription lenses, and contacts, as well as vision screening services to detect any developing conditions affecting the health of your eyes.
Approximately 80% of the information from our environment is gathered and sent for processing by way of our eyes. Healthy vision not only supports the enjoyment of our surroundings, but it also enables us to carry out our daily routines. Comprehensive eye exams performed on a routine basis, or more frequently as recommended, enable the timely correction of vision impairments along with the early detection, management, and treatment of any emerging eye problems.
A comprehensive eye exam involves a series of comfortable and pain-free tests that offer a close-up look at your eye health and visual function. Between having all the tests performed and discussing the results with our eye doctor, you can expect your visit to last up to an hour.
While every patient is different, many of the following tests are typically performed during a comprehensive eye exam:
Visual acuity testing – Measures the sharpness of your vision and how each eye compares to the optimal standard of 20/20 vision
Color blindness testing – Helps to detect hereditary color vision deficiencies or eye health problems that may affect your color vision
Stereoptsis testing – Evaluates how well your eyes work as a team with regard to depth perception and 3D vision.
Eye muscle testing – Checks for eye muscle weakness, poor control, or impaired coordination as your eyes follow a moving object
Pupil testing – Checks how your pupils respond to light
Autorefraction – A computerized test that provides an approximate and preliminary measure of your prescription
Retinoscopy – Uses reflected light to estimate the lens power needed to correct your vision
Refraction – Determines the type and level of refractive error and your exact eyeglass prescription
Keratometry – Measures the shape and curvature of the cornea
Slit-lamp examination – Examines the structure at the front of your eyes along with those farther back within the eye under high magnification
Peripheral Visual Field – Evaluates the integrity of your peripheral vision and checks for blind spots
Intraocular Pressure Measurement – Checks for the presence of glaucoma
Pupil dilation – Dilating the eyes allows for a better view of the back of the eye and its internal structures. It provides a clearer look at the retina, small blood vessels, and the optic nerve. A dilated eye exam offers an opportunity to check for eye diseases such as diabetic retinopathy, glaucoma, and age-related macular degeneration (AMD). This type of exam is essential for individuals at risk for eye disease.
Please note: dilating eye drops take about 20 minutes to work, and your eyes may be sensitive to light for a few hours following your exam. It’s wise to bring sunglasses to your visit or have someone drive you home from the exam.
Although the above tests provide a detailed view of eye health and function, additional evaluation and testing are sometimes indicated. Further testing may include fundus photos, optical coherence tomography, fluorescein angiography, corneal topography, automated visual field, and others. Today, advanced retinal imaging devices can capture high resolution, wide-angle views of the retina, and save these images for comparisons over time.
At the office of 3D Optometry and Eyepifany Eyewear, you can rest assured that your vision care is in the best of hands. We maintain a position at the forefront of advances in technology and treatment to provide patients with the highest quality of care.
Did you know that more than 150 million people in the United States alone wear some form of corrective eyewear to correct refractive errors?
Your eye operates in much the same way as a camera. Just as the lens of a camera focuses the entering light on a piece of film to produce a sharp image, the lens of your eye focuses light on the retina to form a picture that is then sent to the brain. When a refractive error is present, it means that your eye cannot focus light correctly on the retina. A refractive error is a common eye disorder that can occur for a number of reasons; it may be due to an irregularly shaped cornea (the clear front surface of the eye), the length of the eyeball itself, or develop as the lens of your eye ages.
There are a number of symptoms that can be associated with a refractive error. While the most common one is blurred vision, you may also experience other symptoms such as headaches, double vision, eye strain or glare, and halos around light.
Myopia (nearsightedness) – Myopia is the most common refractive error. Most cases of myopia occur because the eyeball is too long, and light is focused before it reaches the retina. It can also be the result of the cornea or the lens being too curved relative to the length of the eyeball.
Hyperopia (farsightedness) – Hyperopia is a refractive error that is due to the eyeball being too short and/or a cornea that is flatter than normal. In cases of hyperopia, it is more challenging to see up-close objects clearly.
Astigmatism – Astigmatism is due to an irregularly shaped cornea or lens. In cases of astigmatism, the eye is unable to evenly focus light on the retina to produce a clear image. Astigmatism may occur in conjunction with myopia or hyperopia.
Presbyopia – Presbyopia is a refractive error that affects the majority of individuals over the age of 40. It occurs with advancing age as the lens of the eye loses its elasticity, and its ability to focus. With presbyopia, it is more difficult to see up close.
Refractive errors can be readily detected during the course of an eye exam. To do this, we’ll have you read a vision chart as well as perform tests to assess how the light bends as it travels through the cornea and the lens of your eye. Once it is determined that a refractive error is present, we’ll determine the exact prescription needed to correct your vision.
In the old days, the only way to correct refractive errors was by wearing eyeglasses. While wearing a pair of eyeglasses remains an excellent and fashionable way to enjoy clear, crisp vision, choosing contact lenses or refractive surgery to alter the cornea's shape can also effectively correct some vision impairments.
Based on your specific needs and lifestyle, our office will guide you in choosing the safest and most appropriate treatment to maintain the health of your eyes and the quality of your vision.
As everyone knows, the health of your eyes is essential to your overall function and quality of life. Yet despite the desire to ward off the effects of aging, much like everything else in the body, your eyes and vision are not immune to the changes that come with time. At the office of 3D Optometry and Eyepifany Eyewear, we do our utmost to help you protect the health of your eyes and preserve the quality of your vision throughout every stage of life.
While the need for reading glasses in middle age is typically part and parcel of the aging process, there may be other emerging vision changes that are indicative of more serious eye conditions. With advancing age, your risk of eye disease significantly increases. In addition to glaucoma, age-related macular degeneration, diabetic retinopathy, and cataracts, the incidence of problems such as dry eye, floaters, and retinal detachment also occur with greater frequency in older adults. As a matter of fact, by the age of 65, one in three seniors are affected by an eye condition that results in vision impairment.
Since many eye diseases develop without discomfort, routine eye care is essential. For this reason, a baseline eye exam is recommended at the age of 40. By performing an examination at this time, our office can detect eye disease and vision problems early in their onset, when treatment and management to preserve your eyesight are most effective. And, while annual eye exams are essential for older adults, if you are under the age of 40 and have a family history of either glaucoma or macular degeneration or suffer from systemic conditions such as diabetes or high blood pressure, it’s also important to get your eyes routinely checked.
Even if your vision is 20/20, it’s essential to keep in mind that everyone requires a comprehensive eye exam periodically. Nonetheless, how often you or a member of your family should have one depends on several factors. A patient’s age, family and personal medical histories, a previous eye injury, existing eye conditions, and environmental or occupational factors influence the recommended frequency.
The American Optometric Association offers the following guidelines:
Adults – In the absence of risk factors, adults between the ages of 18 to 39 years should schedule an eye exam at least once every two years. Because several eye diseases can develop with age, a baseline eye exam is recommended at the age of 40. A patient’s risk factors determine the recommended schedule between the ages of 40 and 64 years. At-risk adults over 40 may require annual or more frequent eye exams. For low-risk adults, the eye doctor may determine that an exam every two years may suffice. For adults 65 and older, annual exams are recommended.
It’s essential to remember to bring your current eyeglasses or contact lenses prescription to your visit. If you also wear reading glasses, computer glasses, protective eyewear, or other visual aids, you may want to bring these as well. Because getting your pupils dilated can leave you sensitive to light for several hours following your appointment, it’s wise to bring sunglasses to the appointment.
In addition to your medical and eye health history, you will be asked about your family’s eye health history and any contributing factors that may increase your risk of eye disease. As best you can, be prepared with this information. It’s also helpful to have a comprehensive list of any medications that you are taking. Remember to bring your medical insurance and vision insurance card and information along to your visit.
If you have questions or concerns about your eye health and vision, an eye exam visit offers an excellent opportunity to discuss what's on your mind and get helpful eye care tips and guidance.
It’s essential to keep in mind that vision screenings take a very basic look at your eyesight and are not used to diagnose or treat vision problems. They are designed to merely detect them and are often performed by a school nurse or pediatrician. While a vision screening may be useful in identifying a vision impairment that requires further care, it is by no means a substitute for a comprehensive eye exam. As a rule, the only way to precisely detect and diagnose any vision abnormalities or identify the presence of eye disease is through a comprehensive and in-person eye exam.
If you have vision insurance, you can expect to have coverage for some aspects of care. While every vision plan offers specific benefits, they generally offer some coverage for routine care such as annual exams and eyewear. If your eye condition qualifies as a medical issue, some coverage under your medical insurance may apply. At the office of 3D Optometry and Eyepifany Eyewear, we strive to optimize your insurance benefits and minimize your out-of-pocket expenses. Although our financial office is well versed in the complexities of insurance coverage, it’s always a good idea to review your specific benefits with your HR department or insurance carrier.
At the office of 3D Optometry and Eyepifany Eyewear, we welcome patients of all ages and offer a comprehensive range of vision care services and products to help every member of your family protect the health of their eyes and enjoy optimal sight. We use the most advanced technology and proven treatment methods to deliver precise, gentle, and effective care. Whether you or any member of your family require an eye exam, prescription lenses, protective eyewear, contacts, and hard-to-fit contact lenses to pre and post-LASIK care or other eye care services, we’re well equipped to help.
For more information on our office and the many services we provide, give us a call today.
Thanks to the advances in optical technology, almost everyone is a candidate for contact lens use. This includes patients with astigmatism and also those who prefer bifocal or multifocal lenses. We offer a comprehensive array of contact lenses to suit each individual patient's needs. We offer daily disposables, extended wear soft lenses and gas permeable contact lenses.
Contact lenses correct your vision and are easy to wear. Choosing the contact lenses that are right for you depends on your vision and the degree of comfort sought. There are many types of contacts to suit almost anyone. Types of contact lenses include:
Soft contact lenses are the most commonly prescribed due to the fact that they are extremely comfortable. Soft contacts are now available in multi focal, for astigmatism and even for overnight wear. Soft contact lenses include
Sometimes called rigid or gas-permeable lenses, hard contact lenses offer sharper vision and can correct severe nearsightedness or astigmatism.
We offer all types and brands of contact lenses specifically fitted for each individual's needs. It is very important that your lenses are fitted correctly based on your prescription, eye shape and specific needs.
Please call our office to place your order for office pick-up. We offer direct shipment to your home,dorm or office for a $15 fee.
If you have dry eyes, you certainly know how uncomfortable and frustrating they can be. And if you have dry eye syndrome, you suffer from a disease of the eyes that is characterized by insufficient production of tears, poor quality of tears, increased tear evaporation, or some combination of these issues. At 3D Optometry we offer several treatment plans to help with this condition.We have special heating pads that hold the heat for 10 minutes. This along with our special vitamin supplements can help in as little as 30 days.There are other procedures that can be better explained during your exam.
If you have been diagnosed with diabetes, you may be at risk of losing your vision since your body does not utilize sugar properly and, when the sugar levels rise, damage to the retinal blood vessels may occur. This injury to the retinal vessels is known as Diabetic Retinopathy. Diabetic Retinopathy is the leading cause of blindness in working-age adults.
Often, one may not be aware of any symptoms even when significant diabetic retinopathy is present. When macular edema occurs, vision often becomes blurry and may fluctuate. If abnormal new blood vessels form, as in proliferative diabetic retinopathy, they may bleed and result in small specks or large floaters obscuring the vision. If a large hemorrhage occurs, vision often becomes very blurry.
A comprehensive eye examination by an optometrist or retina specialist is the only reliable means of detecting diabetic retinopathy. After the pupil is dilated, a device called an ophthalmoscope is used to view the retina and determine the extent of the retinopathy. If diabetic retinopathy is discovered, a fluorescein dye test and/or optical coherence tomogram (OCT) may be recommended. A fluorescein angiogram involves the injection of a dye into a vein in the arm followed by several minutes of intermittent photos with a special digital camera focused on the retina. An OCT is a non-invasive photo that creates a detailed cross-sectional image of the macula.
The best therapy for diabetic retinopathy is prevention. Studies show that strict control of blood sugar levels can significantly lower the risk of vision loss from diabetic retinopathy. High blood pressure and kidney problems should also be treated to minimize their effect on the retinopathy. Laser surgery is often the first line of treatment if macular edema or proliferative retinopathy is present. For macular edema, the laser is focused on leaky areas of the retina to aid in reabsorbing the excess fluid. The primary goal of this treatment is to prevent further vision loss. It is uncommon for people to recover significant vision following treatment but some do experience partial restoration. Laser surgery is not a cure for diabetic retinopathy and is not guaranteed to prevent further loss of vision. Other treatments for diabetic retinopathy include medications like steroids or a novel class of medication called anti-VEGF.
Macular degeneration is a chronic eye disease that can severely impact vision. We offer vitamin care as a suggested form of treatment. The most common type is called dry macular degeneration. The less common wet form is more severe and can be very disabling. Today, through early detection and treatment, eye care professionals are better able to manage this disease.
The term “macular degeneration” includes many different eye diseases, all of which affect central, or detail vision. Age-related macular degeneration is the most common of these disorders, mainly affecting people over the age of 60. Although there are many types of macular degeneration, age-related macular degeneration (AMD or ARMD) is the most common type. Age-related macular degeneration occurs in two forms: “wet” age-related macular degeneration and “dry” age-related macular degeneration. “Wet” age-related macular degeneration is less common but more aggressive in its development to severe central vision loss. “Dry” age-related macular degeneration is the more common type and is more slowly progressive in causing loss of vision.
Wet age-related macular degeneration occurs when abnormal blood vessels begin to grow underneath the retina. These new blood vessels (known as choroidal neovascularization or CNV) tend to be very fragile and often leak blood and fluid. The blood and fluid raise the macula from its normal place at the back of the eye and interfere with the retina's function and causes the central vision to blur. Under these circumstances, vision loss may be rapid and severe. Some patients, however, do not notice visual changes despite the onset of CNV. Therefore, periodic eye examinations are very important for patients at risk for CNV. Once CNV has developed in one eye, whether there is a visual loss or not, the other eye is at relatively high risk for the same change.
In dry AMD, the light-sensitive cells in the macula slowly break down. With less of the macula functioning, central vision diminishes. Dry AMD often occurs in just one eye at first. Later, the other eye can be affected. The cause of dry AMD is unknown. The dry form is much more common than the wet form. Dry AMD can advance and cause vision loss without turning into wet AMD. Dry AMD can also rapidly transform into the wet form by the growth of new blood vessels.
We do not know the precise cause for the development of ARMD. However, we do know that there are certain risk factors for the development of age-related macular degeneration.
The greatest risk factor is age. Although AMD may occur during middle age, studies show that people over age 60 are clearly at greater risk than other age groups.
Neither dry nor wet AMD cause any eye pain. The most common early symptom in dry AMD is blurred vision. Dry macular degeneration symptoms usually develop gradually and do not include total blindness. However, the symptoms may worsen the quality of life by making reading, driving, and facial recognition difficult. Other symptoms may include decreased night vision, a decrease in the intensity or brightness of colors, increase in the haziness of overall vision. All of the above symptoms may also be noticed in the wet form of AMD. In addition, the most common symptom in wet macular degeneration is straight lines appearing crooked or wavy.
A thorough examination by an eye doctor is the best way to determine if you have macular degeneration or if you are at risk for developing the condition. The exam begins by testing your visual acuity or the sharpness of your vision. There are several different tests for visual acuity. The most familiar one has lines of black letters on a white chart. Next, your eyes may be tested with an Amsler grid. This test helps your doctor determine if you are experiencing areas of distorted or reduced vision, both common symptoms of macular degeneration. If you do have macular degeneration, your doctor will use the Amsler grid to determine if your vision has changed. After these visual tests, the front part of your eyes will be examined to determine if everything is healthy. Your doctor may put anesthetic drops in your eyes before measuring the pressure in each eye. Drops are also administered, which cause your pupils to dilate. This will allow your doctor to examine the retina through the enlarged pupil. After the dilating drops are administered and allowed time to work, the eye doctor will then use a slit-lamp to examine the eyes. The slit-lamp is a special microscope that enables the doctor to examine the different parts of the eye under magnification. When used with handheld lenses or special contact lenses, the slit-lamp gives the examiner a highly magnified view of the retina.
Wet AMD can be treated with laser surgery, photodynamic therapy, vitamin treatment and injections into the eye. None of these treatments is a permanent cure for wet AMD. The disease and loss of vision may continue to grow despite treatment.
There is currently no treatment available to reverse dry macular degeneration. However, dry macular degeneration usually develops at a slower pace and most patients with this condition are able to live relatively normal, productive lives. Often one eye is affected more than the other.
Your lifestyle can play a role in reducing your risk of developing AMD. This includes:
Dr. Mirabile has a vitamin supplement that is ARADS II recommended to help keep the macula supplied with the nutrients it needs.
Glaucoma, the leading cause of blindness and visual impairment, is an eye disease that can lead to a permanent loss of vision. We provide all diagnostic and treatment options for glaucoma care. Glaucoma generally provides no warning signs or symptoms of disease, making testing an important part of a full vision exam.
Glaucoma is not just one eye disease, but a group of eye conditions resulting in optic nerve damage, which causes loss of vision. Abnormally high pressure inside your eye (intraocular pressure) usually, but not always, causes this damage.
Glaucoma is the second leading cause of blindness. Sometimes called the silent thief of sight, glaucoma can damage your vision so gradually you may not notice any loss of vision until the disease is at an advanced stage. The most common type of glaucoma, primary open-angle glaucoma, often has no noticeable signs or symptoms.
Early diagnosis and treatment can minimize or prevent optic nerve damage and limit glaucoma-related vision loss. It's important to get your eyes examined regularly, and make sure your eye doctor measures your intraocular pressure.
Our OCT scan helps with early detection of all three: diabetic retinopathy, macular degeneration and glaucoma.
Optical coherence tomography (OCT) is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina, the light-sensitive tissue lining the back of the eye.
With OCT, each of the retina’s distinctive layers can be seen, allowing your optometrist to map and measure their thickness. These measurements help with diagnosis and provide treatment guidance for glaucoma and retinal diseases, such as macula degeneration , diabetic eye disease and some studies show early alzheimer's.
For those patients needing glasses or contact lenses, we offer a complete optical department. We carry a wide selection of luxury eyewear and designer frames.
We carry over 200 frames to satisfy every budget including some closeouts. Below are just some of the brands that we carry in our optical boutique. If there is a specific designer frame that you are looking for, please call and speak to one of our frame experts, who will be more than happy to assist you. In addition, we carry XXL frames for those hard to fit heads.
We specialize in all types of high quality optical lenses and specialty tints. No-line bifocals, Blue Light Block and glare free tints for computer use, prism lenses, extra thin lenses for strong prescriptions. One year scratch warranty is available with some tints at no extra charge. Specialty lenses and frames for industry safety eyewear.
Special testing may result in needing glasses for post head trauma (i.e. concussions) where prism may be needed to achieve better visual acuity,eliminate double vision and enhance balance.
A healthy cornea is essential for good vision. It focuses entering light onto the lens while filtering out some of the most damaging wavelengths of sunlight. The cornea also assists in shielding the eye from germs, dust, and other harmful matter. For all these reasons, it’s essential to check and monitor your corneal health.
By using and advanced computer-assisted technology, which is known as corneal topography, our office can obtain precise digital information to produce a detailed map of the surface and curvature of your cornea.
Corneal topography offers a comfortable, quick, and painless way to detect irregularities, which are not always apparent with conventional technology. This advanced imaging technique provides not only detailed data on the shape and power of the cornea but also supplies essential information that assists in the diagnosis, treatment, and monitoring of certain eye conditions.
In addition to the applications above, corneal topography plays a significant role in treatment planning for cataract surgery, intraocular lens implantation, LASIK, and other refractive procedures. It’s also helpful in assessing the fit of contact lenses.
This is a simple non invasive important baseline test. As It can pick up certain brain tumors, aneurisms and glaucoma.
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