Advanced Diagnostic Testing

(Ultra-wide view of the retina)

Optos wide-field retinal imaging allows us to see up to 80% of your retina in a single image, often without dilation. This gives us an exceptional view of the peripheral retina—areas where important eye diseases can begin quietly and without symptoms.

Conditions such as retinal tears, diabetic changes, and early macular disease can develop far from the center of vision. Optos wide-field imaging helps us detect these changes earlier and more accurately than traditional retinal photos.

Many patients love how quick and comfortable this test is. We may still need to do a traditional dilated retinal exam for some situations, but this information often gives us as good or better images of the retina.

(High-resolution retinal cross-section imaging)

OCT is an advanced imaging scan that creates microscopic cross-sectional views of the retina and optic nerve. Think of it as an optical “MRI” for the eye—non-invasive, fast, and incredibly detailed.

OCT is essential for detecting and monitoring conditions like macular degeneration, glaucoma, diabetic eye disease, and retinal swelling, often before vision is affected.

Dr. Meyer firmly believes that it is impossible to do a thorough eye exam without this test.

(Objective vision measurement)

Automated refraction provides an initial, objective estimate of your glasses or contact lens prescription using advanced optical analysis.

This measurement gives us a strong starting point, especially when combined with your responses (“which is better, 1 or 2”) during the in-person refraction that follows.

The computer does a good job, but doesn’t consider that there is a real person using these eyes. That’s why we still do a detailed traditional refraction.

(Gold-standard peripheral vision testing)

The Humphrey Visual Field Analyzer is the gold standard for measuring peripheral vision. It maps how well your eyes detect light across your entire field of view.

This test is critical for diagnosing and monitoring glaucoma, optic nerve disease, stroke-related vision loss, and neurological conditions. It is far more precise and clinically meaningful than basic screening tests.

Unlike quick “screening” field tests sometimes used elsewhere, the Humphrey provides reproducible, medical-grade data trusted worldwide by eye specialists.

This test requires focus, and we guide you through it carefully. If you feel tired or unsure, that’s okay.

(Functional retinal health testing)

RetEval ERG measures how well your retina is functioning at a cellular level, not just how it looks. It evaluates how retinal cells respond to light using electrical sensors placed on the skin. We often describe it as just like an EKG of your eyes.

This test helps detect retinal dysfunction in conditions such as diabetic retinopathy, medication toxicity, inherited retinal disease, and unexplained vision loss—sometimes before changes appear on imaging. This test is often reassuring because it gives answers when vision symptoms don’t match what we see on photos.

(Gold-standard eye pressure measurement)

Goldmann applanation tonometry is the gold standard for measuring eye pressure—the most important risk factor for glaucoma.

Accurate pressure measurement is critical. This method is far more precise than the “air-puff” tests and is required by glaucoma specialists worldwide for glaucoma diagnosis and management.

The familiar air-puff test is useful for screening, but Goldmann tonometry provides the clinical accuracy needed for medical decision-making.

We know this test can make some patients nervous, but it is actually much more comfortable than the air puff.

(True-color retinal documentation)

Fundus photography captures high-resolution color images of the retina, optic nerve, and blood vessels using precision Zeiss optics.

These images allow us to document, track, and compare subtle changes over time, helping us monitor eye health accurately year after year.

Many families appreciate seeing their eye health visually explained. These photos become part of your long-term record—especially meaningful for patients we’ve cared for across generations.

The Zeiss Ophthalmic Biometer precisely measures the axial length of the eye — the front-to-back distance that determines how myopia progresses over time. A glasses prescription tells us how a child sees today. Axial length tells us how the eye itself is growing.

In myopia management, this measurement is essential. Myopia is not simply a prescription issue — it is an eye growth issue. By measuring axial length at regular intervals, we can objectively track whether treatment is slowing that growth and make decisions based on real data. If we are going to treat progressive myopia, we believe we should measure what truly matters — the growth of the eye itself.

This same technology is also widely used in ophthalmology to calculate lens implant power prior to cataract surgery, reflecting the high level of accuracy it provides.