Category Archives: Exam Procedures

Changes In Retina May Portend Disorders Elsewhere In The Body

The Washington Post (3/6, Thigpen) reports that according to studies, a specific freckle found in the back of the eye called CHRPE (congenital hypertrophy of the retinal pigment epithelium) “has a ‘statistically significant’ correlation with hereditary colon polyps known as familial adenomatous polyposis, or FAP.” The article quotes retina expert Neal Adams, who said, “When we look in back of the eye at the retina, we can find signs that may help us identify many disorders — common ones like high blood pressure and diabetes, rare genetic disorders and even life-threatening cancers.”

Fine Eyewear and Eyecare optometrists provides advanced vision care to the families of Austin, Cedar Park, Leander, Georgetown, Round Rock and surrounding communities. To read more about our advanced eye exam instrumentation, including retinal imaging  visit our main website.

OCT May Trump MRI For Measuring MS Effects In Nervous System

MedPage Today Share to FacebookShare to Twitter (6/7, Gever) reported, “A common retinal imaging technology could eventually supplement or even replace MRI for tracking multiple sclerosis (MS) severity and progression.” MedPage Today added, “In analyses presented at the annual meeting of the Consortium of Multiple Sclerosis Centers, distinctive changes to the optic nerve were seen in MS patients imaged with optical coherence tomography (OCT) that correlated with MRI-based markers of disease activity.” And, “with additional studies, OCT may prove to be a better tool than MRI for directly measuring the effects of MS in the nervous system, several researchers said.”

This is an example of why a true, comprehensive eye exam is so much more than just getting your prescription. F.E.

Fine Eyewear & Eye care is a full service eye care facility located in the Heb Whitestone shopping center at Parmer and 1431, located at the three corners of Cedar Park, Austin and Round Rock, TX and a short drive from Georgetown, TX . Some of the local neighborhoods served by Fine Eyewear include Forest Oaks, Silver Oaks,  Teravista,  Avery Ranch, Stone Canyon, Mayfield Ranch,  The Ranch at Brushy Creek, Vista Oaks and Wood Glen – we have an eye doctor close by for you!  Come and See us!

Fine Eyewear & Eye care utilizes the OCT and other advanced exam equipment seen here:

Early Signs Of Glaucoma May Be Detected In The Brain.

HealthDay (3/3, Preidt) reported that, according to a study published online ahead of print March 1 in the journal Proceedings of the National Academy of Sciences, “early signs of glaucoma can be detected in the brain.” Working with laboratory animals, researchers from the Vanderbilt Eye Institute “found that a very early mechanism of glaucoma-related vision loss involves deterioration of communication between the optic nerve and the mid-brain, which handles information about sensory input such as sound, heat, cold, pain and pressure.” After a while, “the optic nerve, then the retina, show signs of degeneration,” a study author explained.

Currently, regular, comprehensive eye exams are the best known way to detect early signs of glaucoma, allowing early treatment for best out come. The eye doctor will examine your optic nerve and retina during your eye exam.  Fine Eyewear and Eye care has state of the art digital diagnostic eye exam instruments that are designed to assist early detection.

Fine Eyewear and Eyecare has full service glaucoma detection and glaucoma eye disease management.  Our office and eye doctor are near Avery Ranch in the 78717 zip code. We located at the corner of Parmer and 1431 in the Heb  complex. Visit our main website for more details www.FineEyewear.Net

Retinal Photo reveals brain swelling caused by rare blood clot.

The UK’s Daily Mail (2/18) reported that “a routine eye test revealed” Kirsty Old, age 22, “had a rare brain blood clot that could kill her at any time.” The young woman “only discovered she had the one-in-a-million blockage when she visited her family opticians.” There, “a £16,000 retinal imaging camera…took a high-magnification picture of the back of the eye and showed the swelling on her brain.” After the patient was taken to the hospital, magnetic resonance imaging revealed a blood clot that “could have caused a stroke, severe bleeding, blindness, or even” death.


Our office offers High Resolution Retinal Photography, which uses a computer-integrated digital imaging system to record a detailed view of the retina. Since nothing touches the eye, photo-documentation is painless. This digital image provides an excellent reference point for future comparisons.

Retinal photography assists in the detection and management of problems such as diabetic changes, hypertensive retinopathy, macular degeneration, optic nerve disease, and retinal holes or thinning.

We recommend that all our patients receive this test. It is especially important for people with a history of high blood pressure, diabetes, retinal diseases, flashing lights, floaters, headaches, or a strong glasses prescription.

Because retinal (fundus) photography is a highly specialized form of medical imaging, it can’t be done with an ordinary camera.  It requires a customized camera that is mounted to a microscope with intricate lenses and mirrors.  These high-powered lenses are designed so the photographer can visualize the back of the eye by focusing light through the cornea, pupil and lens.

Before beginning, the pupil is dilated with drops.  Otherwise, it would automatically constrict from the bright light of the camera flash.  The patient is asked to stare at a fixation device so the eyes are still.  While the photographer is taking the pictures, the patient will see a series of bright flashes.  The entire process usually takes just a few minutes.

High Resolution Retina image

Dilation during eye examination may help detect glaucoma early

In the Healthbeat column in Iowa’s Quad City Times (1/8), Deirdre Cox Baker observed that having the eyes dilated as part of an eye examination is a “weird experience,” as well as a necessary one, because “glaucoma — one of the leading causes of blindness in the United States — can be caught if a doctor uses dilation to clearly see the retina, optic nerve, and vessels in the back of the eye.” While “glaucoma is not preventable…it can be controlled to some extent if detected early.” According to the American Optometric Association, “there are two types of glaucoma,” a “common kind” that “develops painlessly and gradually, typically without symptoms,” and another kind that comes on “rapidly,” with symptoms including “blurred vision, loss of peripheral vision, colored rings around lights, and pain or redness in the eyes.”

Optical coherence tomography imaging provides non-contact optical biopsy of the retina.

Optical coherence tomography imaging provides real-time information about eye structure.

Iowa’s Spencer Daily Reporter (11/13, Todd) reports that “optical coherence tomography (OCT) is an imaging method which uses light to scan an eye’s retina and optic disc” to provide “detailed, real-time information about the structure of an eye” through “a non-invasive, non-contact optical biopsy of the retina.” These scans, “which may be performed on undilated pupils,” can assist in the “diagnosis and management” of “cystoid macular edema, central serous retinopathy, age-related macular degeneration, macular holes, and glaucoma.”


Dilation of your eyes is a temporary inconvenience; however, the benefits far outweigh the inconvenience. DILATION IS THE STANDARD OF CARE TO ALLOW THOROUGH EVALUATION OF EYE TISSUE FOR A NUMBER OF EYE CONDITIONS. The use of dilation drops temporarily increases the size of your pupils, which allows us to accurately investigate the health of your eyes and many important aspects of your general health. The inconvenience of eye dilation drops will diminish gradually. It will typically take two to six hours for the effects to wear off. During this time, reading ability may be more difficult and your sensitivity to light may increase. For a short time, wearing sunglasses may be a necessary comfort. Notify staff if you feel your distance vision is excessively blurred before attempting to drive home. Thank you for your patience during this important procedure. Call your doctor immediately if you experience excessive pain, discomfort, or nausea.