Dr. Evans screens all patients for glaucoma during comprehensive eye exams. Glaucoma is a silent disease without any symptoms until there is advanced permanent vision loss. If glaucoma is detected early, there are effective treatments to control the eye pressure including laser, drops, and surgery.
Patients at risk for developing glaucoma undergo additional testing including visual fields to measure for any loss of peripheral vision. Further evaluation and analysis of their intraocular pressure along with OCT™ nerve fiber layer analysis and optic nerve evaluations are done.
Age-Related Macular Degeneration
Dr. Evans checks for macular degeneration during comprehensive eye exams. Patients at risk of macular degeneration may undergo more frequent macular exams, as well as specialized OCT™ retina analysis when needed. We also help patients manage AREDS vitamin supplementation according to the latest research. If necessary, patients are managed closely with retina specialists when needed.
Patients with diabetes need a comprehensive eye exam including dilation every year. Dr. Evans monitors her diabetic patients closely for retinopathy that might adversely affect vision and require more frequent dilated eye exams or treatment. We send a letter to your primary care doctor to update them about the results of your dilated eye exam. We work closely with our retina colleagues when necessary to treat diabetic retinopathy.
Cataracts are a clouding of the lens inside the eye which typically cause a gradual blurring of vision. Vision changes from cataracts might not be noticeable until a patient attempts to read the small print on an eye chart during an exam! Dr. Evans screens for the development of cataracts during comprehensive eye exams and advises patients on when it is appropriate to undergo cataract surgery.
The tear film is made up of three layers: an oil layer, a water layer and a mucus layer. If there is dysfunction of any layer of the tear film, it can cause dry eyes. There are many factors that can contribute to dry eyes, including age, environmental influences, side effects of medications, certain medical conditions, contact lenses and hormonal changes. Treatment is dependent on which layers of the tear film are involved. Treatment options may include artificial tears, hot compresses, prescription eye drops like Restasis or Xiidra, punctal plugs and omega 3 fatty acid supplements.