Exams by your Ophthalmologist
The most important eye exams - with a special focus on retinal conditions
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As we grow older, the risk of being diagnosed with a vision loss condition increases. Regular exams at the ophthalmologist are vital to ensure detection and treatment of such conditions, including wet macular degeneration1,2. With so many tests available, it can be overwhelming to keep track of the most important ones. Below is a brief list of some of the most common and critical eye examinations for vision loss conditions like wet macular degeneration.
First things first: what happens during a visit to your ophthalmologist before testing?
When you first arrive for your appointment you will typically be pre-examined by a medical technician before speaking with your physician. In the case of wet degeneration, this pre-examination may include an Amsler grid test which can help detect and monitor wet macular degeneration3.
After meeting with a medical technician, you will speak with your physician about specific vision challenges or other conditions, like diabetes or high blood pressure, which may affect your vision. During the discussion, the ophthalmologist determines further eye exams to be performed. The methods your ophthalmologist uses for your exam depend on your individual patient history4.
Standard eye exams: vision tests
Exams with your ophthalmologist typically begin with classic vision tests. The ophthalmologist will use a vision chart showing letters or numbers of decreasing sizes (called an ETDRS vision chart). You will be asked to read the lines of letters or numbers, while covering one eye and stand facing the chart at various distances. They may also show you a chart with C-shaped rings (Landolt rings). The C-shaped rings will be in different positions and sizes, and during the test you will be asked which side of the ring is open4.
Examinations of the retina
If damage to your retina is suspected, the ophthalmologist will initiate further testing. This can include the following methods:
In case of a retinal condition diagnosis, your ophthalmologist will perform regular vision tests and OCT exams to inform treatment decisions. Fluorescence angiography is usually only performed at diagnosis6.
After visiting your ophthalmologist: What you can do at home?
You should periodically check your vision in between appointments to monitor for any differences to report to your doctor. Amsler grids are simple to use at home so that any changes can be addressed quickly7.There are even cell phone apps that can remind you to test your vision.
It is important to take advantage of every single ophthalmologist appointment to optimize your treatment and help maintain your independence. For tips on preparing for appointments, click here.
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