Primary Eye Care
Our practice is dedicated to overall ocular health. If you notice anything unusual with your eyes or eyesight, including redness, pink eye, styes or general irritation, we encourage you to visit our office for a consultation. Dr. Johnston, Dr. Clarke and Dr. Griffith are TPA-certified (Therapeutic Pharmaceutical Agent) and glaucoma certified, which means we can prescribe medications for your condition when necessary. We pride ourselves on having the most elegant and up-to-date diagnostic equipment including OCT which aids in early diagnosis of glaucoma, macular degeneration and retinal conditions. For more urgent matters, such as flashes of light, loss of vision, a sudden change in vision, “floaters,” or extreme pain, call our office immediately.
Comprehensive Eye Exams
We encourage all of our patients to have a routine eye exam once a year—even if you have no vision complaints. During the exam, the doctor will not only check your vision, but also perform a dilated eye exam to look for such diseases as glaucoma, macular degeneration and diabetic retinopathy, which can lead to blindness if undetected. The exam can also detect non-vision-related health issues and systemic diseases, including high cholesterol, high blood pressure, diabetes and hyperthyroidism. A retinal evaluation for tears, degenerations and detachments will also be performed.
Since it’s possible for your child to have a vision problem without being aware of it, we recommend children have an eye exam at 6 months, 3 years and 5 years of age. This is particularly important if there is a family history of vision problems or if your child displays any of the following: occasional crossing of the eyes, a slight assymetry in eyelid posture, avoidance, fatigue or inattention with reading or school activities, mild headaches, rubbing of the eyes, occasional squinting, or a slight head turn.
Unfortunately children are frequently unable to communicate with their parents or teachers when the vision in one or both eyes isn’t normal and healthy. However, if the condition is not corrected by the age of five or six, when the connection between the eye and brain becomes fully developed, the bad eye won’t have the potential to see 20/20, even with correction. In fact, the American Optometric Association recommends the first eye exam at six months. Good habits start early!
Doctors Johnston Clarke and Griffith strongly advocate early examination of all infants and toddlers by an eye doctor in addition to vision screenings with a pediatrician or school nurse. We encourage you to visit Infantsee.org which has honorary spokesperson Former President Jimmy Carter providing some fascinating information on this all too important national issue.
Did you know?
- 25% of all children have a vision problem significant enough to affect their performance in school
- 85% of classroom learning comes through the visual system
- Visual efficiency, coordination, or visual perceptual problems could be contributing to your child’s, or your own frustration with reading and learning
- Visual symptoms are common following head injury and in many cases can be improved with Vision Therapy
- If you can’t see depth in a 3-D movie or get nauseous while watching one, you may have a visual disorder that can be corrected with Vision Therapy. Treatment could also improve your daily visual comfort and function while reading, doing computer work, playing sports, and enjoying your hobbies
Good vision is more than seeing 20/20
The visual system is complex. Many skills contribute to the ability to see clearly without fatigue. Oculomotor skills (the ability of the eyes to track objects), accommodation (ability to sustain focus, focus accurately, and change focus quickly when viewing at different distances), vergence (eye teaming and coordination), depth perception, and visual perceptual skills, are other important aspects of vision that have been found to impact learning, especially reading, sports performance, hobbies, and comfort while doing visual tasks such as working on the computer. Family Eye Care Optometry offers a Binocular Vision and Visual Perceptual Evaluations to evaluate these and other skills to determine if your or your child’s entire visual system is functioning properly. Click on the links for these evaluations to learn more.
Signs you or your child may benefit from Vision Therapy:
- Reading slowly, or losing place when reading
- Skipping words or lines when reading
- Decreased reading comprehension
- Head movement while reading
- Difficulty or errors when copying from the board at school
- Words appear to move on the page
- Closing or covering one eye
- Poor concentration
- Eye strain, discomfort or fatigue
- Visually induced headaches
- Avoidance of near tasks
- Double vision
- Blurry vision
- Poor depth perception
- Poor visual memory
- Confusion of left and right
- Reversing letters or numbers
- Poor handwriting
- Variable school or sports performance
- Completing homework takes much longer than peers
- Poor eye-hand coordination
- Lazy eye or eye turn
Conditions treated by Vision Therapy:
- Diplopia (Double vision)
- Amblyopia (Lazy eye)
- Strabismus (Eye turn)
- Accommodative problems (Eye focusing, flexibility, and accuracy)
- Binocular vision problems (Eye teaming, coordination, and depth perception)
- Oculomotor dysfunctions (Eye movements and tracking)
- Visual-perceptual/Visually-related learning problems
- Visual symptoms following head injury
- Visual correction or enhancement for maximum sport performance
What is Vision Therapy?
Vision Therapy is an individualized, supervised, treatment program designed to correct visual dysfunctions such as those listed above. Specialized computer programs and optical devices, including therapeutic lenses, prisms, filters, and 3-D anaglyphs are used during therapy to improve efficiency, endurance, and automaticity of these skills, and relieve patient symptoms. Many other tools and activities are used in vision therapy for improving visual perceptual and visual information processing skills that are very important for reading, handwriting, spelling, math, and learning. Your individualized vision therapy program would consist of in-office therapy combined with prescribed home exercises.
Binocular Vision/ Vision Therapy Evaluation
- Comprehensive vision examination of visual acuity, determination of potential need for glasses or contact lenses, and evaluation of eye health inside and out
- Binocularity (depth perception)
- Sensory Fusion
- Eye Teaming Skills
- Eye Alignment (includes eye turn assessment)
- Focusing Skills (accommodative amplitude, facility and accuracy)
- Eye Movements Skills (including tracking and fixating)
- Developmental Eye Movement Test
Developmental/ Visual Perceptual Testing
After a binocular vision evaluation, further testing may include some of the following:
- Test of Visual Perception Skills (including visual discrimination, visual memory, spatial relationships, form constancy, sequential memory, figure-ground, visual closure)
- Piaget Left/Right Awareness Test
- Gardener Reversal Frequency Test
- Dyslexia Determination Test
- Visual Motor Integration
- Fine Motor Skills
- Auditory Analysis Screening
Testing and consultation takes more than one visit. All tests are standardized and compared to established age norms. Following testing, you will receive a comprehensive report of the findings with recommendations for treatment. We offer vision therapy for treatment of many visual problems. Visual skills are critical for learning and reading. Other factors are involved as well, so often a multi-disciplinary approach is important. Our testing and report will provide you with important information that will help you understand your child’s specific strengths and weakness, the most appropriate strategies and activities for helping your child improve, and if indicated, referral to other professionals such as speech or occupational therapists. We look forward to working with you to help you reach your visual, educational, occupational and athletic goals.
LASIK is a state-of-the-art surgical procedure that corrects nearsightedness, farsightedness and astigmatism. We are proud to co-manage LASIK patients with Dr. Leonard Newman at Newman Lasik Center in Sacramento, providing you with guidance as your primary care optometrist and the expertise of a surgeon. We are very impressed with Dr. Newman’s results and the way he treats our patients.
Once we have determined that you are a good candidate for LASIK, we will answer any questions, and take your pre-operative measurements. After the surgeon performs the operation, we will provide follow-up care.
Keep in mind that those who have had successful LASIK procedures should continue to have annual comprehensive eye exams to check for diseases such as glaucoma and macular degeneration.
We have a dispensary in the area with the absolute latest in fashion eyewear available in value packages, so there’s no need to go to the box stores for inexpensive eyewear.
Our on-site optical lab means that we can process many prescriptions the same day so you can get your glasses quickly.
We fit all types of lenses including contacts for astigmatism, multifocals and colors. We have many contacts in stock so you will likely have new lenses when you leave.
We have corneal mapping that makes it possible to fit even the most difficult cases.