Importance of Routine Eye Exams

Our Eye Doctors are Experts Across All Areas Of Eye Care

They say you are only as good as your tools. And when it comes to your eyes, our office has spared no expense. As Lasik surgeons & cornea specialists, we provide a number of services for the people of Albany, NY. Our eye doctors utilize only the best and most modern equipment for the assessment and maintenance of your vision, representing the gold standards in medicine and eye testing technology. We proudly offer a wide variety of tests that can be performed during your office visit for your convenience.

Contact us today to schedule your appointment with an ophthalmologist doctor at our office.

Services & Treatments for the Albany, NY Area

At our office, we greatly value patient education. We believe a well-informed patient is not only a more proactive patient in his or her eye health, but is also a happier and healthier patient. As such, we would like to take a few minutes of your time so that you can better understand your own eye health and what is required to maintain optimum vision for a lifetime. Here, you will learn about some common eye conditions that you may experience in your lifetime. We also invite you to check out our educational videos so you can become familiar with common conditions.

CLICK HERE TO VIEW PATIENT EDUCATION VIDEOS & LITERATURE

Our Services include Eye Exams, Keratoconus Treatment, Lasik Eye Surgery, Cataract Surgery, Eyelid Surgery & More!

Below are comprehensive explanations of the services and treatments we offer. To go directly to a specific service or treatment, click on a service or treatment below:

Know someone in your family who has had an eye disease? Have you been diagnosed with a disease or condition by your primary care physician? Do you have children who were born early? Or perhaps you are just looking for piece of mind that you or your loved ones’ windows to the world are healthy and happy. No matter the reason, it is never too early or too late to give you or your children’s eyes the greatest gift of all, a comprehensive eye examination. Comprehensive dilated eye examinations can provide early detection and therefore early treatment of ocular diseases that, if undetected, may result in compromised vision.

Our routine eye exams are thorough and utilize the latest technologies to help look for problems before they begin. Our advanced wavefront refraction system and corneal topographer, for example, can not only be used to help our physicians create highly accurate glasses prescriptions, but can also be used in the early detection of certain eye diseases that would have been missed with traditional methods, such as keratoconus.

Once your refraction is complete, one of our friendly and highly competent staff members will take your medical history, obtain a list of your current medications, and assess your ocular pressure. All of this information will be utilized by our physicians to determine your risk for certain eye diseases, which may be hereditary or drug induced. Dilation drops will then be instilled into your eyes so that the doctor can see the back of your eye. While you are waiting for the drops to take effect, you can listen to or watch our patient education module. This is a great way to learn about your eyes as well as come up with questions for your doctor that you may otherwise would not have asked.

After your eyes have been dilated, our physicians will examine you and assess how your eyes are doing. At this time, a photo may be taken of the back of your eye for future comparison purposes. Of course, should anything be found, our doctors will thoroughly explain their findings as well as schedule further examinations or tests with our state of the art equipment.

Diabetic eye disease is an umbrella term for a variety of eye conditions that can affect individuals that are either prediabetic or have type one or type two diabetes. These conditions, such as diabetic retinopathy, diabetic macular edema, or glaucoma, can cause significant damage to the structures in the back of the eye leading to vision loss.

More information to follow.

Dry eyes is a condition that can be caused by a number of reasons including, but not limited to: 1) poor quality tears; 2) not producing enough tears; 3) improper drainage of the tears; 4) or poor position of the eyelids. Certain medications and allergies may also contribute to dry eye symptoms. While dry eye symptoms, including itchy, watering, and gritty feeling eyes may seem relatively benign, dry eye can drastically affect your vision. Individuals may also notice that things aren’t as clear as they used to be, or are clear only for a few moments after a few blinks. Since there are many causes for dry eyes, is important to talk to your eye doctor about your dry eyes or dry eye symptoms.

In our dry eye accredited office, we utilize a variety of tests to assess tear functionality and quality. In addition to visualizing your tearfilm with a microscope, we also utilize next generation microfluidic analyses of the osmolarity of your tears with the tearlab tear osmolarity system. This quantitative data, in conjunction with our comprehensive eye exam, allows our physicians to determine the course of treatment best tailored for you.

LASIK

Laser-Assisted- In-Situ Keratomileusis (LASIK), is a type of refractive surgery for the correction of myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. It is a common elective surgery performed worldwide. The aim of the procedure is to reduce your dependence on prescription glasses and/or contact lenses. Recent advances in technology allow doctors to preform bladeless custom laser treatments for each individual.

Bladeless LASIK uses two separate lasers lasers to correct your vision. The first laser creates a flap which is lifted by your physician and the second laser is then used to treat your glasses prescription. The flap is then re-positioned on your eye. In most instances, patients notice an improvement in their vision by the next day. We are proud to announce that Dr. Lemanski is the first and currently only independent physician in the Capital Region certified to use these systems for superior surgical outcomes.

PRK

Photorefractive Keratectomy (PRK), like LASIK, is a type of refractive surgery for the correction of myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. Like LASIK, the procedure is bladeless but utilizes only one laser to treat your glasses prescription. No corneal flap is made. As such, PRK may be a better option over LASIK for a patient with thin corneas, past corneal issues (e.g. scars), dry eyes, or individuals who participate in contact sports. However, because no flap is made, recovery time is longer and patients will need to wear a bandage contact lens for one week.

ICL
Not all patients are candidates for laser vision correction (LASIK and PRK). If the corneas are too thin, if the refractive error is too high to safely preform an ablative procedure, if the patient has very large pupils or very dry eye, or if the patient has a systemic disease that interferes with corneal healing, an implantable contact lens can be a way that a patient can achieve a glasses and contact lens independent lifestyle. The implantable collamer lens (ICL), or, implantable contact lens, as it has come to be known, is an intraocular lens that is implanted inside the eye, behind the iris and in front of the natural crystalline lens.  For patients with high refractive errors, ICL can provide higher quality vision compared to laser ablative procedures, and does not make the cornea thinner. The ICL is FDA approved for nearsighted patients with -3.00 to -20.00 D of refractive error, from ages 21-45 years old. The ICL is not for everyone, but your ophthalmologist can tell you if you are a candidate. Ask your doctor if the implantable collamer lens is right for you.

An astigmatism correcting ICL is not yet available in the USA. For patients who require astigmatism correction, there is the option to perform a laser ablative procedure in addition to the ICL.

Your Options

At your consultation, Dr. Cheng and Dr. Lemanski will do a full eye exam and discuss your options with you so that you can make the best decision for your eyes. Whether it is 1 day after, 6 weeks after or 6 years after, your LASIK doctor will be the one to provide you with ophthalmic care.

Schedule a complimentary consultation to see if either LASIK, PRK  or ICLs are the right surgery for your situation.

Cataracts are a condition when the natural clear lens in the eye begins to physically change into a cloudy lens. In the early stages of cataracts, this clouding of the natural lens scatters light that enters the eye resulting in glare, especially at nighttime while driving. Patients may also notice frequent changes in the prescription of their glasses and colors may appear faded. As the condition progresses the cataracts grows in size and increase in hardness, resulting in impaired vision that is generally not correctable with glasses. In some instances, the cataracts may grow so large that they push on the drainage structures of the eye, putting patients at an increased risk for Glaucoma.

In cataract surgery, the large cloudy lens is removed by hand with a small handheld device and is replaced with an artificial lens that restores light to the back of the eye. There are many different types of artificial lenses and surgical procedures that can be used depending on what the patient is looking to get from their cataract surgery and what the patient is a surgical candidate for (determined at your pre-operative evaluation).

Standard Lens Implant: This lens implant will replace the cataract and restore light to the back of the eye. For patients who do not have astigmatism (a misshaped cornea), this lens results in good distance vision without the need for glasses. Glasses will, however, still be needed for up-close activities, such as reading, eating, and viewing your car dashboard.

If a patient does have astigmatism, this lens implant will not correct it, requiring the patient to permanently wear prescription glasses at all times for good vision.

To maximize visual potential, if the patient has astigmatism the astigmatism should be corrected. However, because there are different degrees of astigmatism (mild, moderate, severe), a thorough pre-operative evaluation is needed. If mild amounts of astigmatism are detected, we recommend the patient elect to have a limbal relaxing incision (LRI), either done with a diamond blade or with a femtosecond laser. For patients with moderate to severe amounts of astigmatism, a Toric lens or Accommodative lens should be considered.

Toric Lens Implant: For patients with significant degrees of astigmatism, a Toric lens is highly recommended as a baseline option. Toric lenses are designed to optically cancel out the astigmatism in a patient’s cornea. In most instances, this results in distance vision that is sharper and clear than what is possible with glasses.  However, over-the-counter readers will still be needed for up-close activities, such as reading, eating, and viewing your car dashboard.

If a patient has a significant degree of astigmatism yet is looking to get away from glasses for most, if not all, of their activities, a special toric accommodative lens should be considered.

Multifocal Lens Implant: Utilizing an advanced concentric ring design, multifocal lenses allow patients to see at multiple distances: up-close, intermediate, and far away, usually without the need for any glasses. For patients looking to be free from glasses and readers for most daily situations, the multifocal implant presents as a great option.

Multifocals work best in pairs and also when a patient’s eyes have very little astigmatism. If mild amounts of astigmatism are detected during pre-operative evaluations, it should be corrected with a limbal relaxing incision done with either a diamond blade or a femtosecond laser. In very specific instances a special multifocal lens can be utilized with patients with moderate degrees of astigmatism. However, should the patient have more severe degrees of astigmatism, an accommodative lens should be considered as these patients are not candidates for multifocal designs. Furthermore, if a patient does many activities in low lighting conditions for extended periods of time, such as driving at night, an accommodative lens implant should also be considered.

Accommodative Lens Implant: The most advanced lens design, the accommodative lens implant mimics the natural movements of the human lens giving a natural range of vision over multiple distances; up-close, intermediate, and far away, usually without the need for any glasses. For patients looking to be free from glasses and readers for most daily situations, the accommodative lens implant presents as a great option.

Accommodative lenses work best in pairs but can also be used under a variety of astigmatism situations. If mild amounts of astigmatism are detected, it should be corrected with a limbal relaxing incision, done by either a diamond blade or a femtosecond laser. If moderate or severe amounts of astigmatism correction are detected, a special toric accommodative lens can be used, giving patients with high degrees of astigmatism the benefits of a full range of vision. Furthermore, for individuals that work in low lighting conditions, the accommodative lens implant enhances contrast over multifocal designs.

Other elective procedures:

Diamond Blade Limbal Relaxing Incision (LRI): The most cost effective means by which astigmatism is corrected. By utilizing 138,000 data points from our anterior segment tomographer (performed during your preoperative evaluation), a highly accurate 3D model of the eye can be created to examine the unique geometries that create your astigmatism. In conjunction with a special geometric calculator, your doctor can determine how to accurately correct your astigmatism.

Femtosecond Assisted Cataract Surgery: Operating at a speed of one millionth of one billionth of a second, a femtosecond laser system is a highly sophisticated way of performing cataract surgery. Instead of the doctor performing all portions of the cataract surgery by hand, the doctor uses a computerized surgical system to perform some of the most critical steps of cataract surgery. There are three key benefits to using the femtosecond system that patients should know about:

1) Highly accurate astigmatism correction: In situations where a diamond blade limbal relaxing incision is not accurate enough to correct a patient’s astigmatism, a computerized laser approach is recommended.

2) Softening of dense or specific kinds of cataracts: For patients that have very dense cataracts, or have had cataracts form in an usual way, a femtosecond laser can be used to soften and precisely break apart the cataract. The result is a cataract surgery with a reduced risk of complications in these specific instances.

3) Superior corneal protection: For patients that have pre-existing diseases with the cornea or have corneas that cannot tolerate surgery as well as others, a femtosecond laser provides a gentler cataract surgery, minimizing the stresses on a compromised cornea.

As the Capital Region’s only certified physician on both Femtosecond Laser Platforms, we are proud to have Dr. Cheng offer these technologies to our patients.

Orange Wavefront Aberrometry System (ORA): Used by your surgeon at the time of your cataract surgery, ORA allows for the best post-operative outcomes possible by providing your doctor the ability to precisely measure dimensions of your eye as well as the position of your intraocular lens. The length and dimensions of the eye are very important to your surgeon and influence which power of implant is placed in your eye, and your subsequent vision afterward. ORA is recommended for patients that have had prior cornea or refractive surgery (e.g. LASIK, PRK, RK), or patients who are having a toric lens implanted. While ORA is not needed in all cases, your doctor will let you know if ORA is recommended in your particular case.

Reduced Drops Cataract Surgery: Traditionally, most patients need to take two to three eye drops several times a day before and after their cataract surgery. For patients that have difficulty with eye drops or are not able to self administer eye drops, reduced drops cataract surgery presents as a viable alternative. With reduced drop cataract surgery, the doctor injects a long acting form of medication into the eye at the end of surgery instead of the patient self administering drops each day. In many instances patients require only one drop, or none at all. Ask your doctor if you are a candidate for reduced drops cataract surgery.

iStent: A device smaller than Lincoln’s eye on the US penny, this special stent is used to lower pressure inside the eye in patients diagnosed with Glaucoma, reducing or eliminating the need to use pressure reducing drops. This is especially helpful for patients who have difficulty in self administering their drops or are unable to do so altogether. As the Capital Region’s only comprehensive ophthalmologists specializing in premium lenses and placement of the iStent, we are proud to have our physicians Dr. Cheng and Dr. Lemanski offer this surgical option to our patients.

Many patients suffer from drooping upper lids and puffy bags under their eyes. Whether its inherited or caused by aging, these extra areas of skin can interfere with your vision, preventing you from seeing things as well as you could, in addition to making you looking older and more tired. Additionally you may be surprised to learn that a brow lift may be the better solution as opposed to an eyelid surgery.

Should you be interested in a lid lift or a brow lift, ask your doctor at your next eye exam. Our doctors will examine you to determine the cause of your drooping lids and then come up with the best treatment plan for you. Your surgeon will also help you decide whether a brow lift, a lid lift, or a combination of both is the right solution for you.

Cosmetics: Pelleve Skin Tightening, Botox / Xeomin Injections, Juvederm, and Alphaeon Teoxane

 

Not only should you see your best but you should look and feel your best. At our office, we have a wide variety of cosmetic treatment options to consider to meet your needs and your budget.

Pelleve Skin Tightening

The Pelleve device delivers precise, radiofrequency energy to the skin in order to diminish the appearance of fine lines and wrinkles. This energy gently heats the lower levels of the skin, stimulating collagen growth. Because your own collagen is stimulated, the result is a more natural look. Pelleve is a great option on its own, or as a compliment to Botox and/or fillers.

Pelleve treatments are usually done over the course of three sessions. Patients typically notice improvement in skin tone within a few weeks. In most cases, treatments last for 7-10 months, allowing you to enjoy more time doing the things you like versus receiving continuous treatments. Pelleve on its own will not resolve very deep wrinkles. In these instances, a combination of Pelleve plus a filler or a Botox / Xeromin supplement is recommended.

As the Capital Region’s only physicians with a Pelleve skin tightening system, we are proud to have Dr. Cheng and Dr. Lemanski offer this unique technology to our patients.

Botox / Xeomin Injections

For patients that have a significant degree of wrinkles, Botox or Xeomin injections may be a good option. In addition to being used for patients with blepharospam, Botox and Xeomin injections are used for to decrease the appearance of moderate to severe lines between the eyebrows and on the face. These medications work by blocking nerve activity in specific facial muscles, causing a temporary reduction in muscle activity. Results typically last three months and, with small and precisely delivered doses, a natural look is achieved.

Juvederm

This area under construction.

Alphaeon

This is a line of products developed by physicians that compliments the medical treatments that are offered. It is also an option for those who do not wish to have injections or procedures, or for those who wish to do a little more at home to compliment their in office treatments.

While most have come to known Botox and Xeomin for its use in cosmetics, both compounds are FDA approved for individuals with Blephrospasm, also known as uncontrollable blinking. For these individuals, the use of Botox and / or Xeomin reduces or eliminates debilitating lid spasms and restores the quality of life that one should expect from their vision. As Blepharospasms are a medical problem, the treatment is covered by your medical insurance. If you or someone you know suffer from lid spasms, ask your doctor about Botox or Xeomin.
Glaucoma is a progressive condition that causes damage to your eye’s optic nerve, leading to vision loss. The optic nerve transfers visual information from your eye to your brain. However, pressure in the eye, known as intraocular pressure, can rise to a point that it damages this nerve. Without any intervention, damage to the nerve can become greater as time progress, leading to vision loss and eventual blindness. There are many different types of glaucoma; some are inherited, some are characterized by higher eye pressure, and other by “normal” pressure. Some glaucoma’s occur quickly while others occur slowly.

To understand how a patient’s glaucoma may progress, our practice uses a combination of the results of your routine eye exam, highly advanced automated perimetry analysis, ultra widefield retinal photography, and computerized imaging devices. Jointly, these data can be statistically analyzed and can be used to detect and treat glaucoma, far in advance of vision loss. Regardless of the type of glaucoma, the general mainstay of glaucoma treatment involves lowering the pressure inside of the eye.

Eye drops, pills by mouth, laser procedures, stents, traditional glaucoma surgeries or a combination of these methods can be used to accomplish these goals. If your family member has been diagnosed with glaucoma you may be watched more closely by doctors for the same condition. If detected early, and managed appropriately, people with glaucoma may retain good functional vision for the duration of their lives. If you have been diagnosed with glaucoma, contact us today to discuss treatments and surgical options aimed at preserving your vision.

Keratoconus occurs when the cornea thins and cannot hold its round shape and bulges outward like a cone. This causes decreased vision and can sometimes even be painful. Keratoconus is frequently hereditary and symptoms can begin in teenage years and progress until about age 40. In less severe forms of keratoconus, eyeglasses, or soft or hard contact lenses may improve vision. If the disease progresses these options may no longer provide adequate vision correction. Because there are a few other corneal conditions that are similar to keratoconus, we utilize gold standard imaging devices that allow your doctor to precisely image and examine your cornea to aid in the diagnosis of keratoconus and other ectatic disorders of the cornea. We offer in house glasses and contact lens fitting, hybrid and scleral contact lenses.

For patient whose vision has stabilized, corneal inlays (Intacs) may be an option. For patients whose disease progresses to the point where they have pain or they have lost usable vision, we offer cornea transplant surgery and corneal crosslinking.

Cornea transplant is a procedure that replaces the cornea with tissue from a donor. Options include both penetrating keratoplasty (PKP), where all five layers of the cornea are replaced, and deep anterior lamellar keratoplasty (DALK), where the top four layers are replaced and the patients own endothelial cell layer is left in place.

Corneal crosslinking, approved by the FDA in April of 2016, is an in office procedure that utilizes ultraviolet light and a riboflavin based eye drop to strengthen the thinning cornea in attempt to stop the progression of keratoconus and ultimately avoid corneal transplant surgery. It is thought that corneal crosslinking crosslinks the collagen fibers that make up the cornea. In FDA trials, crosslinking halted the progression of keratoconus and allowed patients to continue having good vision with their glasses and contact lenses. In select cases, some patients even had regression of their keratoconus to a small degree.

Corneal crosslinking has been available outside the United States for 10 years. Since its implementation significantly fewer corneal transplants have been preformed. In the Netherlands, for example, there were 25% fewer corneal transplants performed in this population of patients in a 3 year period following the introduction of crosslinking (1).

Dr. Lemanski and Dr. Cheng are proud to offer Epithelial-Off Corneal Crosslinking to their patients at the Capital Region’s only designated Center of Excellence, one of three in the North East. Epithelial-Off Corneal Crosslinking is currently the only FDA approved corneal crosslinking treatment available in the US.

Frequently Asked Questions

Q:I want to see if I have keratoconus. What should I do?

A:If your vision or your glasses prescription has changed, if you are having difficulty wearing contact lenses that fit well in the past, or you have a family member with diagnosed keratoconus, ask to have a complete eye exam today.

A complete eye exam is important in screening for keratoconus because new technologies have recently become available that allow your doctor to detect keratoconus at a very early stage- perhaps even before you loose any vision. The doctor and staff will ask you many questions about your eyes and your vision. They will also ask about your family members eye conditions. This is important because about 10% of keratonus is thought to be genetic, and runs in families. There is also thought to be a connection between chronic eye rubbing and keratoconus and you will also be asked about this. The doctor will check your eyes to see if you have a glasses prescription. A refraction will be preformed. This is a subjective test that allows the doctor measure your glasses prescription. Often people with keratoconus can be nearsighted and have a certain degree of astigmatism. Next, the cornea will be imaged in high resolution and  mapped using our advanced, state of the art, anterior segment tomographer. This is important because in the past, only the front surface was able to be imaged, and the back surface is important in keratoconus. The doctor will also examine the cornea with the slit lamp, as keratonic eyes will have characteristic features that can tell the doctor more about the health of your eye and indicate the severity of keratoconus, if it is seen. Finally the doctor will also examine the back of your eye, or the retina, to make sure everything else looks to be normal.

Patients with a new diagnosis of keratoconus will likely be followed every few months, or even more closely, if the doctor wants to make sure there is no progression. Ask your doctor for more details.

A corneal transplant is a surgical procedure in which part or all of the cornea is replaced with tissue from a donor. Conditions such as advanced keratoconus, severe scarring due to past infections or injuries, and visual problems caused by the cloudiness of the cornea (e.g. Fuchs’ dystrophy) are potential indications for a corneal transplant. There are many different types of corneal transplants that our physicians can use to best maximize your vision given a patients unique situation. These procedures include Penetrating Keratoplasty (PKP), Decemet’s Stripping with Endothelial Keratoplasty (DSEK), Decemet’s Membrane Endothelial Keratoplasty (DMEK) and Deep Anterior Lamellar Keratoplasty (DALK).

PKP

Penetrating Keratoplasty (PKP), or full thickness transplant, is a procedure in which all five layers of the cornea are replaced with clear corneal tissue provided from a donor. This is similar to replacing the lid on a pot (i.e. your eye) with the lid from another pot. PKP is considered to be the most invasive corneal transplant procedure relative to DSEK and DMEK. Because all of the layers of the cornea have been replaced with a donor there is a greater risk of tissue rejection. Patients should expect a very gradual recovery of their vision. Although many patients report improved vision after the first day of surgery, full visual potential is best realized many months after the operation.

DSEK

Descement’s Stripping with Endothelial Keratoplasty (DSEK) is a less invasive transplant technique in which the bottom three layers of the cornea are replaced with tissue provided from a donor. Because the top two layers are not touched, patients generally experience a significantly faster recovery time than with PKP. For these reasons, DSEK is the preferred method of treatment for Fuch’s Dystrophy and pseudophakic bullous keratopathy.

DMEK

Descemet’s membrane endothelial keratoplasty (DMEK) represents the latest in corneal transplant techniques. Whereas DSEK replaces the three layers of the cornea, DMEK replaces only two, the endothelial layer and Descemets’s membrane. Because the size of these layers combined is less than 20 microns, DMEK results in better visual outcomes for patients compared to DSEK. However, not all patients are candidates for a DMEK.

Treatment Spotlight: Cataracts

In cataract surgery there are a couple of different options that you have. There are many lenses out there that allow you to get the vision that you want. Watch this video featuring our practice administrator, Brian Lemanski, as he explains the different options available and goes through in details the different types of cataract treatments.

Simulator

Try Cataract Simulator

Examples of Tests

Scroll over each box below to learn more about each test and how we conduct them at the office.

Visual Acuity Assessment

A non-invasive test that examines how well you can see up close and far away.

Visual Acuity Assessment

In some instances, this is done for legal purposes such as determining if a patient is fit to drive a car. This 5-minute test is generally accomplished by looking at a chart containing letters of different sizes and reading the letters back to a technician.

Refractions

An extension of a visual acuity test.

Refractions

This non-invasive test, performed manually or with a machine, determines the strength of the corrective lenses (glasses) or contacts that are needed for you to see clearly.

Tear Lab Tear Osmolarity Test

The tear osmolarity test is used to measure the composition of your eye’s tears.

Tear Lab Tear Osmolarity Test

The results of this test give insights into whether the tears you produce are good enough to lubricate the cornea. Poor tears or not enough tears result in Dry Eye Disease. This test takes roughly 2 minutes to complete. During this time, a technician will obtain a small sample of your tears from the corner of your eye and analyze it in the Tearlab machine.

Visual Field (VF) Test

A non-invasive test that examines a patient's central and peripheral field of view.

Visual Field (VF) Test

The results from this test notify the eye physician of any significant changes the patient has in their field of view. These data are very useful in the early diagnosis and monitoring of, glaucoma patients, macular degeneration patients, patients that have received trauma to the eye, as well as patients on certain drugs that may be toxic to the eye (e.g. plaquanil).

During the test, the patient will sit and stare at a fixed point within the analyzer. The analyzer will then flash a series of lights in various places while the patient clicks a button to indicate that he / she has seen the flash.

Optical Coherence Tomography (OCT)

A non-invasive test that utilizes light to examine the different layers of tissue in the retina.

Optical Coherence Tomography (OCT)


By measuring the thickness of these tissues, eye physicians can better detect, diagnose, and treat certain retinal (or corneal) diseases, especially macular degeneration and diabetic retinopathy. It is also useful in assessing the health of the optic nerve, which may be damaged by diseases such as glaucoma.The test is generally conducted while dilated and takes a few minutes to complete. During that time, the patient sits and stares at a fixed point while the OCT scans the eye. The procedure is then repeated for the other eye.

Endothelial Cell Count

A means by which the number of corneal endothelial cells are quantified.

We are all born with a fixed number of corneal endothelial cells which naturally die over time and are not replaced. However, trauma and certain eye diseases, such as glaucoma and uveitis, can accelerate the loss of these cells, potentially necessitating a corneal transplant. By quantifying these cells, eye physicians can track the status of the endothelium and be better able to detect and treat ailments before irreversible damage occurs.

This non-invasive test takes roughly 3 minutes to complete. During this time, the patient will sit down and stare at a fixed point while the cell counter images the eye via a flash photo. The procedure is then repeated for the other eye.

Anterior Segment Tomography

High Resolution, 3-D reconstruction of the front of the eye.

A non-invasive means by which a 3-D reconstruction of the front of the eye is be generated and analyzed for diseases of the front of the eye, such as Keratoconus. Results from this test can also be used to examine the thickness of the cornea, needed for accurate Tonometry, as well as examine refractive errors, such as astigmatism, with high resolution for specialized glasses, contact lens fits or LASIK evaluations.

This test takes roughly 5 minutes to complete. During this time, the patient will sit down and stare at a red/blue dot while a camera rotates around the eye.

Ultra-WideField Fundus Photography

A non-invasive way to image large portions of the retina for future comparison.

While most cameras can only image 45 degrees of the retina, our confocal scanning laser ophthalmoscope can image 200 degrees, allowing our physicians to see into the periphery of the retina where pathology can go unnoticed. Our camera can also perform auto-fluorescence imaging to examine damage to the retina as well as fluorescein angiography to visualize blood vessels.

This test takes 5 minutes to complete. For this test, the patient will sit in front of the camera and view a target that will change color when the eye is properly focused. A flash of light will be then seen during image capture.

Non-Contact Comprehensive Biometry

A touch-free method to assess four different parameters that are critical for good cataract surgery outcomes.

These include measuring how long the eye is, how physically big the eye is, what the curvature of your cornea is, and how deep the area from your iris to your cornea is. This data, measured to the hundredth of a millimeter (or one tenth of a thousandth of an inch), is then statistically analyzed against advanced mathematical formulas that help determine the strength of your lens implant. Measurements taken here can allow most patients to enjoy freedom from glasses after their cataract surgery, should the patient desire.

This test takes roughly 5 minutes to complete. During this time, patients will be asked to fixate on a light while the device analyzes all four parameters. The test is then repeated on the other eye.

Why Choose Us

  • Award winning ophthalmologists practicing at the cutting edge.
  • High satisfaction rates of surgical and managed care.
  • State of the art eye examination equipment not found elsewhere in the Capital Region.
  • Highly trained, knowledgeable, and courteous staff.
  • Physician-Patient relationship; when you’re here, you’re family.

What Patient’s Say