The Optometrists Role - Helping People to See Clearly
An eye exam conducted by an optometrist will determine the condition of your eye, and the results of the test will determine the options for improving your sight. In many cases prescription glasses or contact lenses will be recommended, although current research offers a range of options after the examination has been completed. Some professionals maintain a specialist interest such as contact lenses, geriatric vision or children's vision.
What Does A Dispensing Optician Do?
Dispensing opticians interpret written prescriptions to determine the specifications of lenses. They recommend spectacle frames, lenses, and lens coatings after considering the prescription and the customer's occupation, habits, and facial features. Dispensing opticians measure clients' eyes, including the distance between the centres of the pupils and the distance between the ocular surface and the lens. For customers without prescriptions, dispensing opticians may use a focimeter to record spectacle measurements in order to duplicate the spectacles. They also may obtain a customer's previous record to re-make spectacles or contact lenses, or they may verify a prescription with the prescribing optometrist or ophthalmologist.
What is Glaucoma?
Glaucoma usually comes without any warning. Glaucoma is an eye disorder in which the fluid pressure inside the eye causes progressive damage to parts of the optic nerve. The pressure usually increases when there is inadequate drainage of fluid from inside the eye. A gradual but permanent loss of vision occurs unless the condition is treated.
Presbyopia
This loss of focusing ability is called PRESBYOPIA. It is not a disease, but a normal change which affects everyone. Presbyopia doesn't occur suddenly. It doesn't affect distance vision. It is a change which begins in adolescence and can not be prevented.
Hyperopia (means "longsight")
A normal eye begins to use its focussing system as an object comes closer. A longsighted eye has to make the same focussing effort for near work as a normal eye, but this is in addition to the effort it makes to keep distance vision clear.
Myopia (means "short sight")
Myopia causes blurred vision. The most common problem for those who are shortsighted is difficulty seeing distant objects clearly. Some myopic children have never had clear distance vision and so are not aware of what they are missing. School vision screening will often detect myopia. Frowning and screwing up the eyes in an effort to see better is common and this may cause headaches. Shortsighted children will sometimes hold reading material quite close. In their mid to late forties most people with perfect distance vision need reading spectacles, however many people with myopia can see close work clearly without them.
Astigmatism - Blurred Vision and Tired Eyes
Astigmatism is a very common focussing error of the eyes which causes blur. It is caused by the shape of the eye, usually due to the cornea's surface or occasionally due to the eye's lens being tilted. Sometimes astigmatism can be inherited but it often happens as a normal characteristic of growth.
Diabetes related Retinopathy
People with diabetes are at risk of blindness and loss of vision because of the disease. There are at least 200,000 people with diabetes in NZ.
Diabetes causes changes in the cells of the retina that result in weakness in the walls of the blood vessels. These tiny blood vessels at the back of the eye begin to bulge and leak oozing blood into the eye. Cellular changes can cause fats and fluid to leak into the surrounding tissues. Resulting damage to the eyes can lead to permanent loss of vision.
Cataracts
These are the result of chemical changes in the lens of the eye and cause the clear lens to turn cloudy. Cataracts are the leading cause of vision loss. Optometrists can assess cataract and monitor the condition.
Age related Macular Degeneration (AMD)
AMD is the leading cause of blindness and is caused by deterioration of cells in the macula (the part of the retina that is responsible for clear, sharp vision). Vision that is lost as a result of AMD cannot be restored.
People wear contact lenses for various reasons.
Contact lenses typically provide better vision than spectacles for some visual conditions such as severe short-sightedness [myopia], long-sightedness [hyperopia], astigmatism, corneal distortion, or after cataract removal [aphakia].

Some people like the wider field of view provided by contact lenses, as side vision [peripheral vision] is often blocked, obscured or limited by spectacle frames. Contact lenses do not fog up with changes in temperature - or from perspiration - and they are unaffected by rain.

Many people choose contact lenses because they think glasses make them look less attractive or they find spectacles annoying. Sports players and people involved in vigorous activities often find contact lenses more convenient than spectacles, especially for water sports and contact sports. Priests, psychologists and many others also find that contact lenses avoid the barrier effect that spectacles may cause, thus leading to more direct eye-contact.
     
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