cool tools

Meet our machines.

Optos ultra-widefield retinal imaging system

Early signs of both eye disease and other health conditions can show on your retina long before you notice any changes to your vision or feel pain. The Optos high-resolution retinal imaging device takes a remarkably detailed image of the retina and all its layers, recording more than 80% or 200˚ of this part of the eye in a single capture.

Your retina is the only place in the body where blood vessels can be seen directly. This means that in addition to eye disease, signs of other health conditions (for example, stroke, heart disease, hypertension and diabetes) can be detected.

Your images are stored electronically, giving us an important record of the condition and state of your retina. Many eye conditions—such as glaucoma, diabetic retinopathy and macular degeneration—are diagnosed by noting retina changes over time.

LipiScan/LipiFlow

LipiScan is a diagnostic tool that has changed the way doctors diagnose dry eye syndrome. Quick and painless, the LipiScan procedure takes about one minute to image both lower eyelids. Using dynamic surface illumination and adaptive transillumination technologies, the device creates a multidimensional image of your glands that is clear and easy for us to analyze, allowing us to diagnose the cause of dry eye with high accuracy.

LipiFlow is a thermal pulsation system that improves the function of meibomian glands (tear ducts). Through gentle massage and heat, LipiFlow enhances the quality of meibomian gland secretions. FDA-approved, safe and totally drug-free, the entire in-office procedure takes about 12 minutes.

OPD-Scan III

OPD Scan III combines multiple advanced technologies in one refractive diagnostic workstation. This single device can obtain refraction, corneal topography, optical path difference (OPD) and wavefront analysis. The technology provides a comprehensive evaluation, completing 20 diagnostic metrics in less than 10 seconds per eye. It can determine the correct prescription for glasses or contacts, perform refractive and cataract surgery screenings, evaluate postoperative complaints, and determine pathology diagnoses.

Measuring both low- and high-order aberrations on a single axis, the OPD Scan III allows us to diagnose a patient’s complete optical pathway (day or night vision) and maximize vision outcomes. This powerful tool can aid in detecting and managing many corneal conditions as well as in evaluating patients for soft multifocal contact lenses to relieve them of the challenges they face living with associated diseases.

Cirrus HD-OCT

The Cirrus HD-OCT is a non-invasive technology used for imaging the vitreous and retina—the multi-layered sensory tissue lining the back of the eye. An optical coherence tomography (OCT) scan uses a scanning laser to analyze the layers of the retina and optic nerve for any signs of eye disease. The imaging takes about 10 minutes.

With its precise algorithms, the machine provides color-coded, cross-sectional images of the macula and retinal structures. These detailed images are revolutionizing early detection and treatment of eye conditions such as wet and dry age-related macular degeneration, glaucoma, retinal detachment and diabetic retinopathy.

Reichert ORA G3 non-contact tonometer

A tonometer is a diagnostic tool used to measure intraocular pressure (IOP) without touching the eye. It uses a small puff air which flattens the cornea in a non-invasive way, meaning eyes do not need to be numbed prior to the test. The tonometer is highly accurate and is the gold standard for glaucoma diagnosis and monitoring.

It is advisable for adults, particularly individuals over 40, to have their IOP measured routinely as elevated levels can lead to optic nerve damage and are associated with glaucoma, decreased peripheral vision (tunnel vision), and loss of nerve tissues. Elevated IOP can occur without symptoms which is why screenings are so important.

Octopus 900 perimeter

Visual field tests can provide early indications of many eye and brain disorders by detecting blind spots (scotomas) and other visual field abnormalities. The Octopus 900 evaluates central and peripheral vision using a full-size Goldmann spherical cupola to cover the entire 90-degree visual field area. The instrument employs 11 examination programs which support the diagnosis and monitoring of a wide range of diseases such as glaucoma, optic neuropathy, retinal disorders, brain tumors and stroke.

I would most definitely recommend Dr. Fish. His use of cutting edge technology makes an eye exam more thorough as well as much easier by using the newest equipment for eye health. I would without a doubt rate Eagle Eye Associates and Dr. Fish as superior plus plus.

—JEAN M.

Case Study

Patient F, a female in her 60s, called to report a sudden onset of floaters and flashing lights, and a concern that she might have a retinal detachment. Staff asked her about the frequency, onset, and duration of her symptoms, and scheduled an appointment. At her appointment, she was taken to have her eyes dilated. Then, Optomap Ultra Wide Field pictures were acquired and SD OCT images were taken.

Dr. Fish asked Patient F more about her history and performed a slit lamp exam and binocular indirect ophthalmoscopy (BIO). He reviewed the results with her.

The diagnosis was Posterior Vitreous Detachment (PVD), a very common condition. The patient was reassured and told the awareness should subside within one month. A follow-up appointment was made to ensure consistency in the findings and to emphasize normalcy.

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