Your eyesight is a precious gift and guarding 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 routine healthcare regimen you can protect the health of your eyes and the quality of your vision for a lifetime.
After reviewing your overall medical history and gathering relevant information on your eye health through the years, we perform a clinical exam to check the health of your eyes and assess your vision through a series of comfortable tests. Your visual acuity, the degree to which your eyes work together, how well your eyes follow a moving object, and your depth perception are all thoroughly evaluated.
As part of your comprehensive eye exam, you are also screened for eye diseases that can lead to vision loss. Many eye diseases including cataracts, 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 eyesight in their earliest stages enables the most effective management and care.
If you suffer from chronic headaches, eye strain, dry eyes, or even neck stiffness, Neurolens® might be just what you need.
The alignment of your eyes is essential to your ability to see the world around you clearly. However, it can also be responsible for symptoms such as dry eyes, headaches, and even neck strain. This misalignment of your eyes can can irritate your trigeminal nerve, the largest nerve connected to your brain, and can cause many symptoms that may appear unrelated to your vision. Neurolens® is the latest technology that allows Dr. Gabriela Miller at Montgomery Village Eye Center to give you lenses in your glasses that will align your vision at any distance, relieving the irritation to your trigeminal nerve and, in many cases, eliminating your symptoms entirely. This specialized lens is created based on your Custom Compensation Curve, aligning your vision precisely so that you get relief from your symptoms and a better view of the world around you.
Our digital world makes parts of our lives easier, but it also puts a great deal of strain on our eyes, demanding that we see up close more often, read poorly-defined words, or read with a glare on the screen. Oftentimes, this can lead to what is called Computer Vision Syndrome (CVS), or Digital Eye Strain. The American Optometric Association categorizes this as vision-related problems or discomfort as a result of the frequent use of tablets, smart phones, computers, or other digital devices. The extent of vision-related problems that you may experience from CVS are dependent upon your visual abilities, such as misalignment, farsightedness, etc. If your vision problems go untreated, they will exacerbate the discomfort you will experience from prolonged digital device use. If you are required to spend a great deal of time in front of a computer or other digital device and experience any of the symptoms listed above, the Neurolens® system can relieve your symptoms by actually treating the cause of your discomfort. Most people suffer from at least some of these symptoms. Are you one of them? If you’re unsure whether or not Neurolens® is right for you, check out the lifestyle index to find out! The Lifestyle index will tell you whether or not the symptoms you’re experiencing could be a result of trigeminal over-stimulation.
During your exam at Montgomery Village Eye Center, you will be tested using the SightSync® device. This specialized technology measures exactly how much your eyes are overcompensating at different distances. This information produces your Custom Compensation Curve, meaning that the Neurolens® is specifically designed and manufactured for your eyes. By correcting your misalignment in your eyes, your Neurolenses® treat the root cause of your symptoms by relieving the stimulation of your trigeminal nerve.
You don’t have to settle for daily headaches, frequent neck pain, and irritating eye strain.
If you are interested in wearing contact lenses or you are due to have your current pair of contacts checked, our office will perform a specialized evaluation to measure and assess your eyes. In addition to your comprehensive eye exam, a contact lens evaluation not only ensures your contact lenses will fit properly but also makes certain they provide the required vision improvements and that your eyes will be able to tolerate wearing lenses without any harmful consequences. It is important to keep in mind that a contact lens evaluation is needed in addition to the routine eye exam which assesses your eye health and your eye glass prescription. Both services are usually done at the same visit.
The reason different measurements are required for contact lenses is that unlike an eyeglass lens, which is positioned approximately 12mm away from your eye; a contact lens sits directly on the surface of your eye. Once your eyes have been measured and evaluated, our office will discuss the types of contact lenses and wear schedules that are available to you. Depending upon your vision requirements and your lifestyle, we’ll guide you in choosing the most suitable and effective contact lenses to address all your needs.
Our practice is committed to protecting your eye health with the most advanced technology available, and we are excited to announce that our Advanced Wellness Screening contains two noninvasive all-encompassing screenings: Optomap and OCT Wellness screening. These screenings let our doctors see beneath the surface of your retina, where signs of disease first appear. Traditional eye exams do not provide this level of detail.
Optomap offers a state of the art digital scanning technology that allows us to view the inside of your eye without the use of dilation drops. The Optomap allows our doctors to evaluate 85% of your retina for problems such as Glaucoma, Retinal holes, Retinal Detachments, Hypertensive/Diabetic retinopathy and much more. The scanning system is completely safe for children and adults. It also allows you the opportunity to see inside your eyes just as the doctor sees it. Dilation may still be required in some cases.
The OCT Wellness Screening simultaneously provides a digital photo and a 3D cross- section scan through the layers of your retina using light waves to scan your eye without touching it. The images provide detailed mapping of each distinctive layer of the retina, many of which are beneath the surface and not visible to your doctor during routine examination. This technology picks up early macular degeneration and early glaucoma.
For those patients needing glasses or contact lenses, we offer a complete optical department. Since your prescription can be filled at the same place it was written, you will not only save time and travel, you will also have the security of knowing that the prescription is filled accurately and that Dr. Miller who wrote the prescription is available to answer any questions. We carry a wide selection of frames for every budget, including designer lines, sunglasses and safety glasses for sports.
Diabetes is a complex metabolic disorder that impairs the body’s ability to produce or use insulin effectively to regulate blood sugar levels. Unfortunately, over time elevated blood sugar levels can cause damage throughout the body with many complications to one’s health and overall wellbeing.
The term “diabetic eye disease” refers to a group of conditions that potentially threaten the eyesight of people with diabetes. This group of conditions includes diabetic retinopathy, diabetic macular edema (DME), cataracts and glaucoma.
Early detection is critical for the prevention of vision loss from diabetic eye disease. If you have diabetes, seeing an eye doctor for a comprehensive dilated eye exam at least once a year and more often as recommended is strongly advised.
In addition to scheduling a comprehensive eye exam and taking care to control your blood sugar levels, it’s essential that you pay close attention to any changes in your vision. Contact our office right away if you notice any sudden fluctuations or if your vision becomes spotty, blurry or hazy.
Suffering from dry eye can be more than just mildly annoying. It is often a chronic condition that can result in significant discomfort and cause visual disturbances that interfere with your daily activities.
Symptoms of dry eye may include:
If you are experiencing persistent symptoms of dry eye, it is important to make an appointment for a comprehensive eye exam. During this visit, our eye doctor will check your symptoms, review your overall health history and discuss which medications you are taking that may be contributing to this condition. We will also examine your eyelids, evaluate your blink dynamics and inspect the cornea of your eyes. As part of this evaluation, we will look for any environmental factors that may be putting you at risk for dry eye. Diagnostic tests to measure the quantity and quality of your tears will be performed as needed.
The treatment our office prescribes for your dry eye will be determined by the severity of your symptoms and if any underlying conditions are present. The overall objective of the treatment plan is to restore a sufficient amount of tears to relieve your eye discomfort, minimize the dryness, and protect the health of your eyes. While artificial tears and soothing ointments work well in many situations, other approaches may be advised for more advanced or unresponsive cases of dry eye. Additional treatment options may include anti-inflammatory eye drops or tablets, medications to boost tear production, or procedures to conserve tears and prevent them from draining away. Sometimes special lenses or goggles are recommended to keep the moisture in your eyes.
As highly skilled eye care professionals, our doctors are well equipped to handle many types of eye emergencies and stand ready to provide you, as well as any member of your family, with prompt and effective care.
If you have received an injury to your eye, gotten something stuck in your eye, your eye is red or painful, or are experiencing a sudden loss of vision or unusual visual disturbances, it is important that you contact our office right away for care. These are urgent situations that may require immediate attention to prevent more serious consequences, including further injury, infection, and even vision loss.
By utilizing state-of-the-art diagnostic technology and providing expert care, our doctors will precisely diagnose, treat, and help you to manage your eye care emergency.
Glaucoma, the leading cause of blindness and visual impairment in the United States, 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, specialized testing is required to ensure that the optic nerve is working well and that there is no loss of the visual field. We utilize the latest and most advanced computerized tests to diagnose glaucoma and also to monitor the effectiveness of treatment.
Taking your child for a comprehensive eye exam at an early age, and maintaining regularly scheduled eye care checkups as they are growing up, is the best way to ensure that your child’s vision development reaches its full potential and to make certain that your child acquires the visual skills needed to fully participate in all activities.
According to guidelines established by the American Optometric Association, a child should receive an eye exam at the ages of 3 years, before kindergarten, and then once every two years. However, in the presence of certain risk factors or diagnosed vision issues, more frequent exams may be recommended. Children who are wearing eyeglasses or contact lenses should be checked annually.
The members of our professional team are skilled and experienced providers of comprehensive vision care for children and do their best to make sure that your child’s eyes are strong and healthy as they grow. Our specialized pediatric eye care services include child friendly and age appropriate exams to assess visual acuity, eye tracking, and focusing skills, as well as to detect problems such as nearsightedness, farsightedness, lazy eye (amblyopia), crossed eyes, and color blindness. Depending upon the findings of your child’s eye exam visit, eyeglasses, contact lenses, or additional procedures may be recommended.
Since its introduction a few decades ago, laser vision correction has rapidly evolved into an appealing and highly successful outpatient procedure that can reduce or eliminate the need for corrective eyeglasses or contact lenses. With a LASIK procedure, many refractive errors involving nearsightedness, farsightedness, or astigmatism can be corrected.
The high success rate of LASIK can be attributed to the advanced technology available today as well as the thorough evaluation process by which candidates are selected for the procedure.
If you are interested in a LASIK, our office will provide you with essential information about your candidacy for the procedure and advise you if any eye conditions, health issues or vision problems may be considerations in your treatment plan. Dr. Miller has had LASIK herself so she has first hand experience to share. By co-managing care with your LASIK surgeon, our office will help you to prepare for the procedure and take part in your post-operative care to help maintain your eye health and vision improvements.
Macular degeneration is a progressive disease that affects the cells in the back part of your eye, which allows you to visualize objects that are straight ahead. Over time it damages your capacity for sharp, central vision. With macular degeneration, it becomes increasingly more difficult to perform daily tasks such as reading or writing as well as recognizing faces or colors. Among the early signs of vision loss from macular degeneration, are shadowy areas in your central vision and unusually fuzzy or distorted vision. While individuals with advanced cases of macular degeneration are considered legally blind as the result of a profound loss of central vision, their peripheral vision, which is less clear than central vision, is retained. Most people do not experience vision loss in the early stage of age-related macular degeneration and the progression can be slow and painless.
Dr. Miller can often detect early signs of macular degeneration before any symptoms are experienced. If signs of the condition are found, additional tests to verify the diagnosis may be ordered. Once the diagnosis has been confirmed, treatment to manage the condition and to slow the progression will be prescribed.
According to the National Eye Institute, over two million adults in the United States have age-related macular degeneration with that number expected to double within the next thirty years. While one defense against age-related vision loss is a nutritious diet and a healthy lifestyle, regular comprehensive eye exams are essential in order to protect the health of your eyes and the quality of your vision.