Comprehensive Eye Exam


A comprehensive eye examination is a very in depth experience at North Cincinnati Eyecare.  After checking in at the front desk, patients are escorted to our pretesting area to have basic screening tests performed.  Pretesting includes an autorefraction which gives an estimation of a patients glasses prescription and a tonometry test that gives a reading of the pressure in the eyes.  Pretesting also includes taking a blood pressure reading.  At the conclusion of these tests, the patient is then escorted to see the doctor.


Case History & Initial Testing

Once in the exam room, the doctor will take a careful history to determine  the patients visual needs and expectations.  The questions are designed to highlight specific visual and systemic complications that may be causes for concern.  The examination can then be tailored for each individual patient.  Testing begins with an evaluation of the current visual level at both distance and near.  The next tests evaluate the eyes' responses to light, focusing and peripheral objects.


Manifest Refraction

The manifest refraction is the portion of the eye examination that determines the glasses prescription.  The process involves finding lenses that allow for optimal vision for each eye individually and then finding a presciption that balances those lenses so that the eyes work together properly.  Once the distance prescription is finalized, near vision assessment is performed to determine whether reading glasses or bifocal lenses are necessary.


Ocular Health Assessment

The final portion of the comprehensive exam is the evaluation of the overall health of the eyes.  A special microscope known as a slit lamp is used to carefully inspect both the external and internal portions of the eye.  Many diseases including cataracts, glaucoma, diabetes, high blood pressure and high cholesterol can be evaluated by this thorough examination process.  To aid with the internal assessment, dilation drops are often used to enlarge the pupil.  This dilation makes the window into the eye larger allowing a better view of the lens, vitreous and retina.  In some cases, the doctor may recommend taking a photograph of the inside of the eye which allows a very detailed view of the internal structures.  The doctor can then review the results with the patient and save the picture to use as a reference point when evaluating the retina in the future.