How an Eye Exam is Performed

Optometrists and ophthalmologists use a wide variety of techniques to examine your eyes during a comprehensive eye exam. These tests range from the simple, like having you read an eye chart, to the complex, such as using a high-powered lens to visualize the tiny structures inside of your eyes. A comprehensive eye exam can take an hour or more, depending on your doctor and the number and complexity of tests required to fully evaluate you. It is through these tests that you can determine if you may a candidate for a procedure such as LASIK or cataract surgery. For more information on cataract and LASIK surgery in Orange County, contact the experts at Advanced Eye Medical to schedule your eye exam.

Here is what you can expect during a comprehensive eye exam:

Color Blindness Test

A color vision screening is often performed early in the eye exam process. In addition to detecting color blindness, this can also alert your doctor to eye health defects that affect your color vision.

Cover Test

During this test, your doctor will cover each of your eyes individually and ask you to look across the room at a far object, then closer at a near object. By having you fixate on these two separate targets with each eye, your doctor can see weather the eye has to move in order to “pick up” the target. If it does have to move, this could indicate strabismus or a subtler binocular vision problem that could cause eye strain or “lazy eye.”

Ocular Motility (Eye Movement) Testing

These tests show how well your eyes can follow a moving target or move rapidly between two targets. The more common test is of smooth eye movement, or “pursuits.” Your doctor will have you hold your head still and follow a small light or other object from side to side using only your eyes. Less frequently, doctors may test quick eye movements, or “saccades,” by having you move your eyes back and forth between two objects placed with some space in between. Potential problems with eye movements are problems with eye strain, reading ability, and sports vision.

Stereopsis (Depth Perception) Test

The term “stereopsis” describes the way your two eyes team up to create depth perception as well as a 3-D view of the world. In one commonly used stereopsis test, you are asked to wear 3-D glasses while looking at a booklet of test patterns. The booklet will have images of shapes that appear closer and farther away, and you will be asked to identify which shape appears to be closest to you. If you can identify the correct shape, it means you have excellent eye-teaming ability.


This test is performed early in the exam to get an approximation of your eyeglass prescription. Your doctor will ask you to stare at the big “E” at the top of an eye chart. As you stare at the “E,” your eye doctor will shine a light at your eye and flip lenses in a machine in front of your eyes. This test estimates which lens powers will best correct your distance vision.


While looking at an eye chart on the wall, the doctor presents you with various lenses to look through and asks which offers you the clearest view of the letters on the chart. This is how the doctor determines your exact eyeglass prescription.

Slit Lamp Exam

A slit lamp is a binocular microscope (or “biomicroscope”) that your eye doctor uses to examine the structures of your eye under high magnification. During the slit lamp exam, you will be asked to place your forehead and chin on rests on the front of the instrument. Your doctor will begin by examining the structures of the front of your eyes, including your eyelids, cornea, conjunctiva, iris, and lens.

With the help of a hand-held lens, your doctor may also use the slit lamp to examine structures located farther back in the eye, such as the retina and optic nerve.

A wide range of eye conditions and diseases can be detected with the slit lamp exam, including cataracts, macular degeneration, corneal ulcers and diabetic retinopathy.

Glaucoma Test

This is the “puff of air” test, technically known as non-contact tonometry, or NCT. Based on your eye’s resistance to the puff of air, the machine calculates your intraocular pressure (IOP). If you have high eye pressure, you may be at risk for or have glaucoma.

Pupil Dilation

Your doctor may use dilating eye drops to obtain a better view of your eyes’ internal structures. This allows for the most thorough evaluation of eye health. Make sure to bring sunglasses for the ride home, because you will be more sensitive to sunlight when your pupils are dilated.

Visual Field Test

In some cases, your doctor might check for blind spots, or scotomas, in your peripheral vision. These can be caused by eye diseases such as glaucoma, or brain damage from stroke or brain tumors.

Eye Exams and LASIK in Orange County

At Advanced Eye Medical, we have been helping patients with eye care in Mission Viejo, Laguna Niguel, Aliso Viejo, and throughout Orange County since 1982. Our team prides itself on the personal relationships we develop with each of our patients. Contact us for your personal eye exam and for information about receiving LASIK in Orange County.

Tips for Getting Rid of Under-Eye Bags

You don’t need to be old to feel old. Having bags under your eyes can certainly make you look worn out and aged, and can have serious effects on your fatigue and mental health.

Nobody wants to have dark circles under their eyes. At Advanced Eye Medical, we understand how frustrating it can be to constantly have to deal with those tiring eye circles. That’s why we’ve created this guide to help you get rid of them on your own and start looking at good as you feel.

And remember that Dr. Ghosheh and our friendly team of professionals are here to help you at any time. After taking a look at this helpful guide, feel free to contact us if you are experiencing any difficulties with your vision or if you have questions about receiving LASIK in Orange County.

1. A Milky Solution

When your eyes get dark and puffy, there is one natural solution that can help get rid of these bags in a breeze. Take some cotton pads and dip them in a glass of chilled milk. Dairy milk is best, but any kind of milk should do the trick.

Place these pads on the puffy areas under your eyes for about 20 minutes. Afterwards, you should notice a great reduction in the size of the bags. This is an effective treatment for when your eyes are feeling extremely puffy or swollen.

2. Cool as A Cucumber

You may have seen photographs or videos of people resting with cucumbers over their eyes, right before they receive a healthy facial treatment. Fortunately, the health benefits of cucumbers on the eyes isn’t a myth.

That’s right; cucumbers can naturally heal your eyes and nourish your skin. Take two thin slices of cucumber and place them over your eyes as you rest. Take a 25-30 minute nap with the cucumbers on. When you awake, you’ll notice that the anti-inflammatory natures of the cucumber will have taken care of those puffy eye bags for you. Plus, you already have a head start on tonight’s salad.

3. Time for Tea

Tea is another natural remedy that can greatly reduce the effects of your under-eye bags. This is also a great solution for when you’re in a hurry. Do you have a party or an important business meeting to attend to later in the day? Don’t fret; it only takes 10-15 minutes for tea bags to do their thing.

Make sure to moisten the tea bags first. Any kind of tea will do, although we recommend green for the added health benefits. Drop the tea bags in a glass of water and keep it refrigerated for a while. Then, when you’re ready, remove the tea bags and place them over your eyes. Take a quick nap, making sure to wash your eyes out afterward. After cooling and drying your skin, you will feel refreshed and your eyes will look energetic and youthful.

4. When in Doubt, Drink Water

If you’ve woken up with some dark circles under your eyes, and you are feeling fatigued and puffy, a quick solution can be to drink lots of water. Staying hydrated is key to helping your skin heal naturally.

When you wake up, help yourself to a big glass of water. You may notice the symptoms of your under-eye bags get reduced as the day goes on. Not only is water a great natural remedy for your eyes, but it can help keep your entire body feeling healthy as well!


Cataracts Treatment & LASIK in Orange County!

If you are experiencing other vision-related problems that are an issue in your daily life, our professionals can help you right away. Dr. Ghosheh at Advanced Eye Medical is dedicated to healing your eyes and introducing you to treatments, such as LASIK in Orange County, that can guarantee your better health and safety. Feel free to contact us as soon as possible. You can also reach us at (888) 439-6565 to schedule an appointment or consultation. We look forward to helping you!

Surgery Options for Correcting Myopia

Myopia, also known as near nearsightedness, is one of the most common eye disorders. As a result, there are many options to correct myopia, including surgical procedures. These surgical procedures generally fall under the category of laser eye surgery. There are several options within laser eye surgery that can be used to correct myopia. With that in mind, here are the options that you can choose and a breakdown of their pros and cons for treating myopia.

Different Types of Laser Eye Surgery

Before laser eye surgery, doctors used a procedure called radial keratotmy to correct the symptoms of myopia. In radial keratotmy, a select number of incisions were made in the cornea to alter its shape and affect how it refracted light. Fortunately, laser eye surgery is a much more simple procedure with a much higher rate of success.

LASIK Eye Surgery

LASIK (laser-assisted in situ keratomileusis) is now the preferred form of laser eye surgery because it has a greater depth of treatment in comparison to traditional laser eye surgery. Recovery time on LASIK eye surgery is also quicker and the surgery can be done as an outpatient procedure if no complications occur. LASIK eye surgery is performed by a surgical instrument being used in conjunction with a laser to fold back a flap of the corena and reshape the tissue behind it to correct vision. While complications are not common, do keep in mind that LASIK eye surgery can cause damage if you have thin corneas or have had previous complications from past eye surgeries.

Photorefractive Keratectomy

Photorefractive Keratectomy (PRK) is the other major option to correct myopia, and it is an extension of radial keratotmy with the addition of lasers. Prior to the widespread use of LASIK eye surgery, PRK was the standard option for elective eye surgery. PRK uses a laser directly on the surface of the cornea instead of underneath the cornea to reshape the curvature of the eye. It takes about two to three days for the cornea to heal after PRK surgery. If you have a eye condition such as dry eyes, your medical professional may opt for PRK surgery, as it is less likely to complicate existing conditions or disorders.

Ultimately, your medical professional will decide which type of laser eye surgery is the right choice for you. Make sure to heed their advice carefully during your consultation and make an informed decision about how to best clear up myopia and be able to view objects nearby without blurred vision again.

Lasik vs. Clear Lens Replacement

There are lots of people who do not like wearing glasses or the feeling of contact lenses. They may seek treatment through Lasik, but not everyone is a suitable candidate for Lasik eye surgery. However, those people have another choice in vision correction through Clear Lens Replacement. Lasik is usually for patients suffering from nearsightedness, farsightedness and astigmatism, while clear lens replacement cures farsightedness, loss of color contrast, or color sensitivity due to aging eyes. Lens replacement can also be utilized to replace the natural lens before cataracts develops.

Clear lens replacement is a procedure that removes a patient’s natural lens of the eye and replaces it with an intraocular lens implant. Similar to the nature of a cataracts operation, but this surgery is administered before cataract development. This surgery also benefits those who do not wish to wear reading glasses after surgery with monovision.

Monovision will insert lenses bilaterally with an intraocular lens in the dominant eye to correct distance and the non-dominant to correct the near.

Knowing the Lenses

Everyone has two eye lenses in each eye that allows the individual to focus on objects to look at. The outer lens, the cornea, achieves its permanent shape by the late teens and early 20s.

The inner lens, crystalline lens, is flexible and allows to focus on objects at various distances. Aging causes the inner lens to lose flexibility and the skill to look at objects at different distances, especially those nearby.

Clear Lens Replacement for Farsightedness

This procedure is typically for those suffering from farsightedness and cannot gain any advantages from other procedures, such as Lasik. The surgery procedure is similar to cataract surgery, but the natural lens is not cloudy as it is in a patient with cataracts. Everyone who lives long enough has a possibility of developing cataracts, clear lens replacement, prevents the need for cataract surgery.

What Lasik Treats:

Lasik continues to gain popularity, but only treats cases of abnormal cornea or refractive errors. Lasik is a procedure that reshapes the cornea to correct vision problems for young adults, problems including:

  • Nearsightedness

  • Farsightedness

  • Astigmatism

Surgeons prefer to administer this procedure after a patient’s vision has stabilized and can achieve better results for decades of better vision.

Candidates for Clear Lens Replacement

Clear lens replacement is for those who cannot benefit from Lasik procedures. It treats patients suffering from presbyopia or extreme farsightedness (hyperobia). Patients who have a combination of both, may find this the only possible option for clear vision and reduce dependence on glasses.

According to WebMD, clear lens replacement may be appropriate for people with thin corneas, dry eyes or other problems with the cornea. It is a procedure that replaces the natural lens with an artificial lens. Clear lens replacement is also a procedure that can prevent cataracts from developing later in life.

Recovery from Surgery

After surgery is complete, patients will have drops placed to prevent infection, decrease inflammation and keep the pupil dilated. An eye patch is placed over to prevent from direct contact, but removed the next day of surgery.

Some limitations are involved to ensure proper healing. The treatment may make the eye(s) sensitive to touch and brightness, but driving and less strenuous activities can resume after three days.

Clear lens replacement surgery is best for patients with monovision, treatment prior to cataract development or for patients over 40.

Advanced Eye Medical Group will evaluate your vision and determine the true cause of vision loss. They will rightfully choose the best option that is suitable to your needs. If you find it tiresome having to wear glasses and you are not considered a candidate for Lasik, clear lens replacement may be the right choice for you. Call now to book your appointment for clear vision.