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Eye Examinations

opticians BromleyOur eyesight is one of the most precious gifts we have. Once lost it can never be replaced.  Every day around 100 people in the UK start to lose their sight. The three most common causes of vision impairment are age-related Macular Degeneration (40%), Glaucoma (13%) and Diabetic Retinopathy (8%). 

The good news is that there are many preventative measures we can take to ensure our eyes remain healthier for longer. Regular eye examinations, eating healthily, stopping smoking and keeping our eyes protected in the sun can all help. 

Regular eye examinations will not prevent a condition from developing in the first place, but may prevent a condition from doing damage or causing discomfort by catching and treating it early. An eye exam will also ensure your prescription is up to date. If an improvement in vision achieved is found, we may recommend new glasses and /or contact lenses. This can ensure your performance at sports, school, work or other activities is maximised to its full potential. 

Our thorough and unhurried eye exam lasts around 30 – 45 minutes. We will always discuss the results found, give you a written copy of the prescription found and inform you when your next check up is due. Where necessary a report for your GP or a referral is type written for you. Urgent referrals take precedence over standard reports but we aim that all letters are completed within 7 days. 

We are very lucky in this country to have a fantastic NHS service and the NHS eye test is no exception. It is there to ensure that eye health is maintained regardless of income. It allows the optometrist to check for signs of disease, abnormality or injury as well as checking that a prescription is up-to-date and caters for your visual needs both at home and at work. If a medical problem is spotted, a referral to your GP or hospital can be made. 

Unfortunately, NHS budgets are limited and we cannot expect the NHS to pay for the many advances that have been made in optical equipment, testing techniques and optometrists’ skills. The NHS gives no funding for Optometrist's equipment in this country. Despite this we have continued to invest in new equipment and training to ensure we give you the best possible care. To fund the purchasing, running costs and future advances, we offer a 2-tier eye examination. 

 The standard sight test fee is £25 for private patients and free for NHS funded patients. The comprehensive eye examination fee is £40 for private patients and is £15 to NHS funded patients. Please click here for price guide.  To help you decide on the right one for you, the differences are shown below: 

Our NHS Sight Test / Standard sight test 

  • taking history and symptoms
  • external examination of the eye
  • refraction – i.e. determination of the spectacle prescription (suitable for your particular needs, lifestyle and work requirements)
  • internal examination of the eye
  • basic binocular vision assessment
  • basic field screening and non contact tonometry, known to many as the ‘puff of air’ test (for at-risk groups only)
  • recording the results
  • issuing the prescription or a statement saying that no visual correction is needed
  • giving verbal advice
  • writing referral letters 

Our Comprehensive Eye Examination 

The comprehensive Eye Examinations includes all of the features and services offered in the Standard Eye Examination, but also includes more sophisticated tests carried out by the following equipment: 

  • digital retinal cameraThe Canon Digital Retinal Camera is a very powerful diagnostic tool.  It enables us to take one or more photographs of the back of each eye which we can then magnify on the screen to reveal details previously never seen by other, less advanced methods. Our Optometrist will always talk you through what this reveals (unless you ask him not to!). The images are then stored in our photographic database and can be called up for direct comparison purposes during subsequent examinations. Please see link above for more details. If any problems are found that need referral to your GP or hospital, a copy of the photograph can be sent to them directly. We make no additional charge for this service.
  • digital slit lamp biomicroscopeThe Canon Digital Slit Lamp Biomicroscope - this is used to examine the structures and health of the outside of your eye and record any problems found. If a condition is found, a photograph can be taken to help monitor a condition over time or to facilitate referral as with the retinal camera.
  • humphrey FTD visual field screenerIf a defect is found using our initial Humphrey FDT visual field screener, we would the ask you to return for The Humphrey 720i Perimeter - the “Gold Standard” of perimeters as used in all the local Hospital Eye Departments. If a defect is again shown, our comprehensive examination also includes a repeat of this test. Only if a consistent defect is found, will a full referral and report will be written. This enables us to 'fine tune' visual field results reducing the number of unnecessary referrals.
  • applanation toneometerThe Applanation Tonometer is the 'hospital preferred' way of measuring the pressure of the fluid in the front sections of your eyes. Raised pressure is a high risk factor in Glaucoma. It is much more accurate than the ‘puff of air method’ and for your health and comfort, an anaesthetic drop is used as well as a disposable ‘one use’ Tonometer head per patient.
  • The Pachmate Pachymeter - this ingenious device uses ultra-sound to determine the thickness of your cornea (the clear window at the front of your eye). With this information we can make a much more accurate assessment of the actual meaning of any raised pressure found in the eyes.
  • Using a combination of the enhanced tonometry method and pachymetry, false readings and inaccurate referrals can be reduced, saving time for both you, and the hospital.
  • Colour Vision Assessment - people with colour deficiency have a reduced ability to pick up certain colours. It is often hereditary but may be caused by certain medications or illnesses. Most people are familiar with the colour vision test involving numbers in a circle with dots. This test picks up red/green colour defects. The much more modern City University Test enables Blue / Yellow defects to be detected as well providing useful diagnostic information previously unavailable to us. 

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