Advanced Ocular Analysis

Durrie Vision’s Advanced Ocular Analysis. Here’s why our comprehensive eye exam is unlike any other.

With our Advanced Ocular Analysis we can get a beneath-the-surface look at the health of your eyes today and well into the future. It is much more than a traditional eye exam, it uses technology that renders a detailed, three dimensional view of eye functionality.  This exam allows us to detect conditions that might not affect your vision today, but could impact your vision if left untreated.  It can identify:

• Early cataract formation
• Signs of glaucoma — even before symptoms develop
• Macular degeneration
• Overall eye health
• Whether you’re a good candidate for refractive procedures
• If you are seeking a second opinion, please consider these questions.

Read about our diagnostic tools and the Case Studies below, and you will see why our Advanced Ocular Analysis is unlike any other.

Why the AOA is so important… Case Studies of Durrie Vision patients

Charles

A 47-year-old man came to Durrie Vision for an Advanced Ocular Analysis five years after successful LASIK. The patient had noticed a gradual decrease in vision in the left eye. The decreased vision began several months ago where it seemed cloudy when he laid down and blurry when he sat up. The decreased vision was also accompanied by headaches.

Diagnosis: The evaluation showed the optic nerve in each eye was abnormally swollen. Photographs of the optic nerve, as well as Ocular Coherence Tomography (OCT) scans, demonstrated the dramatic nerve change clearly.

Fundus photo shows abnormality in the optic nerve.

OCT cross section shows dramatic optic nerve abnormality.

Treatment: He was referred to a neurosurgeon for evaluation of optic nerve swelling (known as papilledema). An MRI revealed a baseball-sized brain tumor. The tumor was successfully removed with surgery and today he is in perfect health with perfect vision because of his Advanced Ocular Analysis.

Susan

A 47-year-old woman came to Durrie Vision for an Advanced Ocular Analysis. She was interested in the possibility of laser vision correction to correct her myopia (near-sightedness).

Diagnosis: During the evaluation, Ocular Coherence Tomography (OCT) scanning revealed a cyst in her retina that otherwise would not have been visible without this technology. The cyst was in her macula which is responsible for fine detail vision and color vision.

A normal dilated exam does not show any abnormality.

The OCT scan that revealed the cyst in Susan

Treatment: Susan was seen by a retinal specialist and was then able to proceed with laser surgery, under the dual care of Dr. Durrie and the retinal specialist. Today she is glasses free for both distance and near vision.

Advanced Ocular Analysis

Our exam includes the normal routine tests such as vision refraction, eye pressure, fundus and slit lamp exam, but we also perform advanced testing such as:

Digital Slit Lamp Photography

This allows us to photo document the exam and give a clear picture of the patient’s ocular health today. It also allows us to follow a patient’s progression over the years with subsequent exams.  All photos are saved and filed in the patient’s electronic medical record.  This gives the doctor a much more accurate view of the patient’s progression than a traditional written record.   It also enhances communication between the doctor and patient.

Lids and Lashes – Allows the doctor to see if blepharitis or hypotrichosis are present.

This shows a normal view of the lids and lashes.

This patient has dermatochalasis (overhanging eyelid skin).

This patient has Iris Nevus (freckle) in the right eye at 10 o

Early Lens changes

Early cataract development

This Shows Normal Fundus

Dilated Scheimpflug image of the lens

These images were obtained by the Pentacam and show a cross section of the crystalline lens. This helps the doctor determine the amount of cataract progression over the years.

• Allows for discussion between doctor and patient of progressive dysfunction of the lens
• Patients are able to see light scatter from early cataract formation

Pentacam topography

The Pentacam can measure corneal thickness and how steep or flat the cornea is, to determine if the patient is a candidate for refractive surgery.  It can also aid in the diagnosis and progression of keratoconus.

Retinal 3D OCT

The Retinal 3D OCT (Optical Coherence Tomography) allows our doctors to visualize ten layers of the retina.  Since itsFDA approved in July 2007, Durrie Vision has performed a 3D OCT scan on all new and established patients.

Since 2007, 1.7% of patients over an 18 month period, had visually significant retinal or optic nerve findings we would have been otherwise missed such as:

• Epi-retinal membrane
• Macular edema
• Macular cysts
• Vitreous pathology with/without retinal traction
• Optic nerve abnormalities

Advanced Tear Film Analysis

Dry Eye analysis involves taking a careful history that includes the use of supplements. A slit lamp examination is performed that looks at lashes, lid margins and tear lake. We also use Tear Lab by Occulogix. Tear Lab is a device used to measure the amount of tear fluid in the eye. A sample is collected in our office and the doctor can see the results in a matter of seconds. Tear Lab has been available in Europe since 2008.

The results of the Advanced Ocular Analysis provide a valuable baseline record to track changes in your eye health over time.

It is recommended everyone over the age of 40 have a comprehensive eye exam every two years, and more frequently if you are at increased risk, such as diabetes, previous eye trauma or family history of glaucoma.

After your exam, we’ll share with you an in-depth view of your eyes, taking all the time necessary to explain what the evaluation revealed. You’ll leave with a comprehensive report of everything we discussed plus any recommendations for treatment, nutritional changes or vision correction.

An Advanced Ocular Analysis is painless, noninvasive and requires only about 90 minutes. It’s the most innovative annual eye exam available.

We invite you to call us at (913) 871-1166 with questions or to schedule an Advanced Ocular Analysis.