From Routine Eye Exams, Eyewear, Contacts, Laser Vision Correction, Eye Infection Treatment, to a Highly Successful Vision Therapy Program...
Eye
Examination for Adults and Children
Contact Lens Evaluation and Fitting
Treatment of Eye Infection, Allergies,
and Disease
Dispensing of Eyewear
Assessment of Eye Problems Causing
Reading or Learning Difficulty
Vision Therapy - Eye Exercises
Perception Training
Reading Therapy
Low Vision Examination and Treatment
Information on Eye Exams and
Eye Health
Eye Exams
(top)
We examine patients of all ages from birth to seniors.
Eye exam are comprehensive, covering all major eye functions.
They include a review of your eye problem, eye and health
history, visual acuity with and without any prescription
eyewear, determination of your new prescription (refraction),
ability to change focus (accommodation), eye alignment,
eye muscle strength and coordination, eye tracking,
external eye health (including check for cataracts),
internal eye health (including optic nerve and retina),
depth perception or 3D vision, color vision, pupil reflexes,
eye pressure(glaucoma check), and peripheral vision.
Exams are concluded with a discussion of the diagnosis
and treatment.
Supplemental tests are performed when
standard tests indicate a potential problem that requires
further investigation or confirmation. See below for
description of additional tests.
Pediatric Eye Exams cover the same eye
functions as adults (described above), but may be performed
with different techniques or instrumentation. Young
children (infants and toddlers) do not have to be verbal
to have a complete eye exam, nor do they need to know
the alphabet. Examination results and expected norms
are discussed with parents, as well as recommendations
for proper eye development and prevention of future
eye problems. Children with fears about going to the
doctor are handled with unprecedented care. Dr. Bloch
is residency trained in pediatric eye care and is a
semi-professional magician. He will finesse his way
through the exam with games, clever chatter, showing
cartoons, and performing magic tricks. Your child will
won’t even realize their being examined. In many
cases, children have so much fun they want to do it
again.
Contact
Lens Evaluation and Fitting (top)
Getting fitted for contact lenses requires additional
tests and measurements. During this extended examination,
the doctor will measure the outer size and shape of
your eye (cornea). He will then fit contact lenses to
your eyes to match the shape and prescription that you
require to see properly and feel comfortable. New contact
lens wearers will be trained on how to insert, remove,
and care for the contact lenses in a session following
the lens fit. Follow up visits will be scheduled according
to each patients needs to monitor any health or vision
changes that may occurred from contact lens use.
Contact lenses come in all prescriptions
including nearsightedness, farsightedness, astigmatism,
and bifocal. Not all prescriptions are available in
all types of contact lens materials, some patients will
do better with soft contacts others will do better with
gas permeable contacts. Patients with higher prescriptions
have fewer options and require more expensive lenses.
Special contact lens fits for irregular shaped eyes
and post-surgical cases are also available, but will
require extra time and fees. During the exam, the doctor
will discuss which lenses are best for you and their
cost.
Treatment
of Eye Infection, Allergy and Disease (top)
Patients with red eyes may have an eye infection, allergy,
disease, or injury. Dr. Bloch can see you for a red
eye problem either during regular office hours or after
closing on an emergency basis. If you suffer a red eye,
painful eye, or lose vision quickly please call us so
we can provide you prompt medical care.
Dispensing
of Eyewear (top)
We carry a large selection of both adult and pediatric
eyewear. We stock frames which range from name brand
to designer and that fit any budget. To name a few,
we have Marchon, Fendi, Calvin Klein, Nautica, Nike,
Coach, Vera Wang, Gallery, Disney, Ray Ban , and X-Games.
Our opticians can help you select the styles and features
that make you look and feel the best. We will also explain
all your lens options including different lens designs,
materials, tints, and coatings. Whether you are looking
for everyday glasses, sunglasses, reading glasses, computer
glasses, or sports glasses we have the right products
for you.
If glasses are not for you, we dispense
contact lenses from all major contact lens manufacturers.
We sell both conventional and disposable contact lenses,
including lenses for astigmatism, to change your eye
color, and bifocal lenses. We can refill your most recent
prescription or provide a new one for you. If needed,
contact lenses can be order by phone and mailed to you.
Assessment
of Eye Problems Causing Reading or Learning Difficulty
(top)
Since 80% of what a child learns in school happens through
vision, it is crucial their eyesight and visual processing
skills be tested. A child performing poorly in school,
especially in reading, could have an undetected vision
problem despite 20/20 clarity.
Your child can be tested for uncontrolled focusing,
improper tracking, poor eye coordination, visual memory
and other visual organizational skills that impact reading,
spelling, writing, math, and comprehension. See the
tabs on Warning Signs for Vision problems and Not All
Vision Problems Require Glasses for more information.
Vision Therapy - A Comprehensive Program of Eye
Exercises & Eye-Training (top)
Not all vision problems can be corrected with the use
of glasses or contacts. Sometimes a persons eye muscles
are weak and do not work efficiently. Just like other
muscles in the body can fatigue, cramp, and be inflexible,
so can eye muscles that control focusing, eye alignment,
and tracking. When a person wants to gain strength,
flexibility, stamina, speed, and accuracy in performance,
they work out. Likewise, eye exercises or
Vision Therapy
can be prescribed to enhance visual performance. With
special exercises prescribed by the doctor, you can
see clearer, focus longer, and track better. In some
instances, you may even be able to get rid of your glasses.
Many children show signs of vision problems which can develop into vision-related learning problems in school. Ask about our highly successful, comprehensive vision therapy program. With regular vision therapy sessions of treatment, our trained professionals can help turn these problems around. Watch the delight in your child's eyes as their learning skills improve and they begin to have greater success in school, and in life.
Perception
Training (top)
In some cases, a person will continually mistake what
they see. This occurs because they either see it wrong
from uncorrected eyesight or they have trouble organizing
what they see. Vision Perception Training helps you
better organize what you see. It teaches you how to
pay attention to and remember visual details. It is
used to treat patients that have difficulty with visual
memory, poor eye-hand coordination, reduced awareness
of their surroundings, confusion of right and left,
recognizing differences in similar objects, and classifying
by size, shape, or spatial orientation. In students,
this could present in multiple ways such as forgetting
what they read, inaccurate copy skill, reversing letters/words/numbers,
sloppy handwriting, frequently misspelling, poor comprehension,
clumsiness, and more.
Reading
Therapy (top)
For students behind in reading and spelling ability,
we have special programs to help them as well. Training
in this area works on quick recognition of words by
teaching sixty common letter clusters used in English
language. The letter clusters are only two or three
letter combinations with distinct sounds that never
change despite their placement within a word. Students
are taught to systematically build words that rhyme
or sound similar using the key clusters. Then they are
taught to breakdown words by first identifying the clusters
in the words before reading the word. To improve spelling,
the assembly process is reversed by recognizing and
building using the sounds of the same letter clusters.
Most students using this process generally learn to
read and spell above their grade level within several
weeks.
Low
Vision Examination and Treatment (top)
Supplemental examination and treatment is available
for individuals who suffer permanent vision loss from
damage to the retina or optic nerve. Patients who have
been diagnosed with lower than normal vision due to
macular degeneration, glaucoma, cataracts, or other
disease, may need their vision magnified in order to
see better. Low vision examination determines the extent
of a person’s remaining vision and which optical
devices will permit the greatest enhancement of their
vision. In most cases, low vision problems are treated
with different types of magnifiers such as magnifying
glasses, hand magnifiers, magnifying mirrors, special
telescopes, and video magnifiers. Other visual aids
used by partially sighted individuals include prisms,
filters, special lights, and large print materials.
During the exam, the doctor will discuss which devices
will best suit your needs and lifestyle.
Special
Testing/Procedures (top)
Dilated Retinal Examination
is a recommended procedure for all new patients and
patients with medical problems that could damage the
inside of their eyes. This procedure allows the doctor
to get a complete view of the inside of the eyes by
opening your pupils with muscle relaxing eye drops.
Without this procedure an eye problem could be missed.
You can compare this procedure to looking through the
peep hole on a hotel room door versus opening the door
completely. You can see more through the open door than
you can through the peep hole. Many retinal problems
will go undetected by you because there are no pain
receptors in the retina. Consequently, it is recommended
you get a dilated exam at regular intervals as a preventative
measure or whenever the doctor suspects a problem.
Retinal
Photography is a recommended procedure
for all new patients and patients with medical problems
that could damage the inside of their eye. Retinal photography
is a camera that photographs the inside of the eye.
It documents the optic nerve, retinal blood vessels,
and other important retinal features. The photos are
used to compare eye health from year to year. The procedure
can be done with or without dilation(open pupils).
Cycloplegic
Refraction is a procedure used to accurately
determine a person’s prescription. In some cases,
patients are unable to respond favorably to the eye
exam due to overactive focusing muscles. Therefore,
the doctor will use eye drops to relax the overactive
eye muscles and then retest for a prescription. After
the procedure, the patient will see blurry and be more
light-sensitive for up to 24 hours. Consequently, avoidance
of desk work, outdoor activity, and possibly driving
may necessary during that time.
Threshold
Visual Fields is a computerized procedure
for determining peripheral and central vision loss.
It tests for damage to the optic nerve and nerve pathways
in the brain. It is indicated when the doctor notices
a problem with a screening visual field or sees suspicious
looking optic nerves. It is also used for patients who
have suffered head injury, stoke, headaches, and some
chemical imbalances in the body.
Corneal
Topography is a procedure used for determining
the surface structure of the cornea(the clear top surface
of the eye that covers the colored part). It measures
any surface irregularities that may interfere with determining
an accurate prescription, fitting contact lenses, or
performing corrective laser surgery.
Visagraph
Test is a computerized procedure to evaluate
eye movements used while reading. From this test, multiple
eye movement abilities as they relate to reading can
be recorded and played back. The Visagraph instrument
measures how often the eyes stop, start, move forward,
move backward, skip around, and coordinate during reading.
It provides essential information about reading speed,
reading efficiency, and comprehension. This procedure
is recommended for anyone with poor reading ability
or comprehension problems.
Vision
Perception Testing is an evaluation of
a person’s ability to remember and organize visual
information. It tests skills in the areas of discrimination
of details, spatial orientation, size and shape classification,
foreground versus background recognition, filling in
missing details, visual memory of single items, visual
memory for sequential items, letter/number reversals,
left-right awareness, hand-eye coordination, and copy
skills. These tests are recommended for any student
that is having trouble learning in school or with poor
sports performance.
Decoding/Encoding/Dyslexia
Testing is an assessment of person’s
ability to read, write, and spell correctly. It determines
whether a person uses the proper assembly and sequencing
techniques necessary to analyze word structure. This
testing is recommended for anyone having difficulty
learning to read or spell.
Carlsbad and North County San Diego residents get the best adult or children's eye doctor eye exam, eyecare, eyewear, eye glasses, vision / eye prescriptions, contacts, laser vision correction, vision therapy, reading therapy, eye infection treatment, eye allergy treatment, and vision problem diagnosis in the Carlsbad offices of Bloch Vision Care and Children's Optometric of North County. We are trained and qualified pediatric / children's eye doctor eye specialists and children's vision therapy specialists. We service the vision needs of patients residing in Carlsbad, North County San Diego, San Marcos, Oceanside, Vista, La Costa, Encinitas, California. |