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Refraction

 


Dr. Mang tests a patient's refraction. Click image to enlarge.

We use an automated refractor at New Vision Laser Center: the Marco Nidek ARK 900. As a combination refractor and keratometer, the instrument provides measurements of both refraction and corneal curvature.

The Marco equipment is superior to manual lens systems in a few ways. Most significantly, it can perform several tests about four times faster than a manual system can, so it takes much less time to examine patients for glasses. It also produces a much more accurate refraction. That means Dr. Mang is better able to determine whether you have, or are likely to have, certain eye diseases.

Refraction is the first and most basic test that all patients complete at NVLC during their initial examination by Dr. Mang. When you think of an eye exam done by an ophthalmologist or optometrist, you're probably thinking of refraction. It measures how well a person can see at a certain distance and provides the foundation for eyewear prescriptions or laser vision correction. Instead of the traditional "cardboard chart and big lens thing," though, our office features an advanced automatic refractor that tests patients' eyes digitally.

For the test, you'll sit in front of the refractor, rest your chin on the ledge and lean forward until your forehead presses against the bar. If you wear glasses or contact lenses, you'll be asked to take them off. Keeping your head still and looking into the instrument through one eye, you'll see an electronic eye chart. The letters will change from clear to blurry as the instrument takes measurements of your eye. Then you'll repeat the test with your other eye. It's a completely painless procedure.

Depending on your particular complaint or goal, Dr. Mang will use the information gathered from the refraction exam to:

  • Confirm that your vision is clear and your eyes are healthy;
  • Determine whether you have myopia (nearsightedness), hyperopia (farsightedness), astigmatism or presbyopia;
  • Write a prescription for glasses or contact lenses;
  • Check the progress of eye diseases or treatments; or
  • Approve you for the next step toward laser vision correction

ON TO THE SECOND TEST: The Optomap retinal exam.

Optomap® Retinal Imaging

Dr. Mang is the only doctor in northern New Jersey who features the advanced Optomap® retinal imaging. Click image to enlarge.

Refraction tests the cornea and lens in the front of your eye. But another essential part of vision is the retina in the back of the eye. That's why the second half of every patient's basic evaluation is the retinal exam.

The retina is a thin layer of nerve tissue where light rays are focused and sent to the brain. This sensitive tissue is susceptible to disease or injury, which can lead to vision loss and blindness. Screening for retinal health can help us catch eye problems early and keep your vision as healthy and clear as possible.


High-Quality Images -- Without Dilation

With older technology, in order to look at the retina, the patient's pupils have to be dilated with eye drops. If you've ever had your pupils dilated, you know this can be an uncomfortable and time-consuming process, leaving you with blurry vision or light sensitivity for hours afterward.

At NVLC we eliminate this cumbersome step by using the advanced Optomap® retinal exam equipment. A quick and comprehensive method to test for retinal diseases, the Optomap can capture images of almost the entire retina at once (much more than is possible with previous technologies) -- without the need for dilation. This makes it especially suitable for children, who often don't like eye drops.


The Exam

The test itself consists of two parts. First, a technician helps position you in front of the small window in the front of the Optomap machine. She will count down from three and push a button, and the machine will take a photograph of your retina. You'll hear a "click" and see a flash of light but won't feel a thing. In less than a second, the Optomap snaps a picture of your retina and displays it on the computer screen. This process will be repeated until several high-quality images have been captured.

High-quality image of a patient's retina on the Optomap computer screen. Click image to enlarge.

Dr. Mang then analyzes the group of photographs for signs of eye disease, or for progression of a disease if you have already been diagnosed with one. The retinal exam can help Dr. Mang diagnose problems such as diabetic retinopathy, high blood pressure (hypertension), age-related macular degeneration and retinal detachment. The Optomap allows us to detect problems early -- even before you notice any symptoms -- and help prevent vision loss.

Another advantage of the Optomap equipment is that it allows us to store your photographs electronically -- so Dr. Mang can compare your test results the next time you come in for an appointment. Every patient should have these pictures taken yearly to rule out blood clots, bleeding behind the eye, diabetes and other potentially serious conditions.

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NEXT: After the evaluation

 
     

 

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Call us today to schedule your free consultation:
800-306-9333

 

 
 
  The Firemen's Mutual Benevolent Association (FMBA) has exclusively recommended
Dr. Mang
and NVLC for ophthalmology procedures since 1999.


 

 

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