Eye Examinations

At Clapham Eyecare we are dedicated to providing you with the highest quality of eye care and this starts with a thorough examination of your eyes.

We are committed to making significant investment in the latest technology, allowing us to perform a complete assessment of your vision and examine the health of your eyes in incredible detail.

Examinations to suit you

An eye examination should be more than a quick sight test to see if you need glasses or contact lenses. It is an important assessment of both eye health and many general health concerns, such as diabetes. We will take the time to examine your eyes, discuss the results with you and make recommendations to help maintain good vision and eye health.

Discover more about our eye examinations and NHS sight test below.

Scroll

Standard Eye Examination £30

While many aspects of the examination may be familiar from previous eye exams you have had, thanks to our investment in technology, your optometrist will use sophisticated imaging techniques to get a more detailed view of your eyes and digitally record it for future reference and comparison. Our standard eye examination typically lasts for 25 minutes and includes the following procedures.

  • An assessment of your vision to determine your prescription and comparison to your old glasses to demonstrate any improvements we can make to your vision.
  • An internal and external exam to make sure your eyes are healthy and functioning normally.
  • An assessment of the muscle balance of your eyes to make sure they work well together.
  • Eye pressure measurements will be taken, when possible, without the puff of air!

  • A visual field test to check your peripheral vision (where required).
  • Colour vision screening (where required).
  • Digital retinal photography – A digital photo of the back of the eye is taken and stored to give a detailed record of your retina that can be referred to during future examination to monitor the health of the eyes.
  • Digital examination and imaging of the anterior and posterior eye. (where required).

Advanced Eye Examination £50
Including 3D-OCT Retinal Scan

Having recently invested in the latest state-of-the-art equipment, called 3D-OCT, we are now able to offer our Advanced Eye Examination.While still receiving all the benefits of our standard eye exam, our advanced exam includes highly detailed, 3D scans of your retina which are then analysed by your optometrist who will discuss the results with you. Studying the individual layers below the surface of your retina is the best method of detecting and monitoring the earliest signs of changes in the eye. Our advanced eye examination typically lasts between 30 and 35 minutes.

Discover more about the benefits of a 3D-OCT retinal scan


NHS Sight Test NHS funded (where eligible)

For those that are eligible we offer an NHS funded sight test. Although not benefiting from the advantages of the latest examination equipment, the NHS sight test still provides you with a detailed assessment of your vision and eye health. An NHS sight test typically lasts 20 minutes and provides:

  • An assessment of your vision to determine your prescription and comparison to your old glasses to demonstrate any improvements we can make to your vision.
  • An internal and external exam to make sure your eyes are healthy and functioning normally.
  • An assessment of the muscle balance of your eyes to make sure
    they work well together.

  • Colour vision screening (where required).
  • Eye pressure measurements will be taken, when possible, without the puff of air (where required).
  • A visual field test to check your peripheral vision (where required).

For those wishing to benefit from a more thorough examination, all NHS patients are able to upgrade to our standard or advanced eye examinations for a small fee.

NHS upgrade to Standard Eye Examination £7.50


Which Examination Is Best For Me?

Which examination is best for you depends on a number of things, such as age and health. During the examination your optometrist will be
better placed to offer advice based on your individual circumstances, however the following guide offers some advice to help you decide.

For those ages 19 – 39

Whether you are new to Clapham Eyecare or if it has been a while since your last eye examination we would recommend you book for our advanced eye examination. Thanks to our state-of-the-art 3D-OCT retinal scan, we are able to get the most detailed view of the health of your eyes and keep this recorded for future reference.

If we have seen you before and all is well with your eyes our standard eye examination will be perfect for you, allowing us to continue to monitor the health of your eyes and assess your vision, ensuring you can see as well as possible. Of course, our advanced eye examination is available for all our patients, should you wish to benefit from the most detailed examination of your eyes.

Discover more about the benefits of a 3D-OCT retinal scan

For those aged 40 – 59

Many eye conditions, such as macular degeneration and glaucoma are age-related and once we reach our 40’s the risks increase, especially where there is a family history of such eye disease.

Although the increased risks are small, they should not be overlooked and as such it is advisable to book in for our advanced eye examination, which includes our 3D-OCT retinal scan. This will give us the most detailed information on the health of your eyes, which we save for future reference. All being well, we are unlikely to recommend an advanced eye examination for every routine appointment, but every once in a while is useful to monitor any changes.

For those who have been diagnosed with, or have a family history of certain eye disease (including glaucoma, diabetes and macular degeneration) we would recommend our advanced eye examination for each routine appointment.

Discover more about the benefits of a 3D-OCT retinal scan

For those aged 60 and over

For those aged over 60 we would recommend our advanced eye examination as your routine appointment type.

Many eye conditions, such as macular degeneration and glaucoma, are age-related and the earlier they are detected the better chance we have of treating them, allowing you to enjoy the best vision possible in the future.

A 3D-OCT retinal scan, included in our advanced eye examination, allows us to see below the surface of the retina and study individual cell layers for the smallest changes and signs of disease.

We will also give advice on nutrition, supplements and lifestyle choices to further protect yourself from potential age-related changes to your eyes.

Discover more about the benefits of a 3D-OCT retinal scan

NHS Entitlement To Eye Care

For those who are eligible the NHS helps towards the cost of eye care, both for eye examinations and towards the cost of spectacles and contact lenses. The following information will help you to find out whether you are eligible..

NHS Entitlement To A Sight Test

For those who are eligible we offer our NHS-funded Sight Test.

You qualify for an NHS Sight Test if:

• you are aged under 16

• you are aged 16,17 or 18 and are in full-time education

• you are aged 60 or over

• you are registered as partially sighted or blind

• you have been diagnosed with diabetes or glaucoma

• you are over 40 and have a family history of glaucoma (family history includes your parents, siblings or children)

• you have been advised by an ophthalmologist (eye doctor) that you are at risk of glaucoma

• you are a prisoner on leave from prison

• you are eligible for an NHS complex lens voucher (your optometrist will advise you of entitlement)

You are also entitled to our NHS-funded Sight Test if you:

• receive Income Support

• receive Income-based Jobseeker’s Allowance (not contribution based)

• receive Pension Credit Guaranteed Credit

• receive Income-based Employment and Support Allowance (not contribution based)

• are entitled to, or are named on, a valid NHS tax credit exemption certificate

• on a low income and named on a valid HC2 (full help) or HC3 (partial help) certificate

If you are entitled to an NHS-funded Sight Test, we will ask you to show proof of entitlement when you arrive for you appointment and ask you to sign a GOS 1 form.

Entitlement for help towards the cost of glasses and contact lenses

Follow those who are eligible we are able to issue an NHS optical voucher to help towards the cost of glasses or contact lenses.

You may be entitled to an NHS optical voucher if:

• you are aged under 16

• you are aged 16, 17 or 18 and are in full-time education

• you are eligible for an NHS complex lens voucher (your optometrist will advise you of entitlement)

• you are a prisoner on leave from prison

You may also get an NHS optical voucher if you:

• receive income support

• receive Income-based Jobseeker’s Allowance (not contribution based)

• receive Pension Credit Guaranteed Credit

• receive Income-based Employment and Support Allowance (not contribution based)

• are entitled to, or are named on, a valid NHS tax credit exemption certificate

• on a low income and named on a valid HC2 (full help) or HC3 (partial help) certificate

You may also get an NHS optical voucher if you:If you are entitled to an NHS optical voucher, we will ask you to show proof of entitlement during your spectacle dispense and ask you to sign a GOS 3 form.

Seeing beneath the surface
is vital to your eye health

Much like an iceberg, there is a lot more going on beneath the surface of your retina than you might have thought. The deeper retinal layers contain cells and structures vital to good vision and an advanced retinal screening, using our state of the art 3D-OCT scanner allows us to examine your eyes in more detail than ever before. Discover more about the benefits of advanced retinal screening below.

Advanced Retinal Screening

3D-OCT Retinal Scan

An OCT scan is a breakthrough examination technique that allows us the opportunity to study the layers of the retina in great detail, see things that could not have been seen before and detect the early signs of many eye conditions.

Scroll Icon

3D-OCT Retinal Scan

Standard eye examinations or traditional retinal photography only allow your optometrist to see the surface of the retina. While this is still an important method of examining the health of the eyes, many diseases start in the deeper layers of the retina and the earlier any changes can be detected the better chance we have of minimising any effects on your vision.

An OCT scan is currently the only method of obtaining highly detailed, 3D images of the sub-retinal structures.

What does an OCT scan involve?

You can think of an OCT scan as being similar to an MRI or CAT scan, but for the eyes. It is quick to perform and completely painless and non-invasive.

Occasionally we may need to use drops to temporarily enlarge your pupil for a better image, but this is rare and will be discussed with you if necessary.

During the OCT scan you will be directed to look at a target inside the machine and asked not to blink for a short time. The scan only takes a few seconds to complete and is followed by a retinal photography which uses a bright flash like normal photography.

What can an OCT scan detect?

An OCT scan can detect and monitor several conditions that occur within the many layers below the surface of the retina. Conditions which we commonly detect and monitor include diabetes, glaucoma and macular degeneration. Recent studies have indicated that an OCT scan may also be able to detect the early signs of MS (multiple sclerosis)*.

Age Related Macular Degeneration (ARMD)

Macular degeneration is a disease that causes the gradual loss of central vision. As it is painless, the first signs of the disease tends to be reduced or distorted vision. Drusen are proteinaceous deposits that occur in the layers of the retina below the macula and are a potential indication of the future development of ARMD.

An OCT scan is able to detect the early signs of drusen and therefore the potential risk of developing ARMD we can give advice on diet, supplements and lifestyle to help reduce the risks of developing vision loss.

OCT-AMD-Scan

Age Related Macular Degeneration

OCT-Healthy-Scan

Healthy Scan

Diabetes

Impact on vision is amongst the most significant complications of diabetes and is one of the leading causes of blindness in the working age population. Diabetes can have numerous effects on the eye including earlier and more rapid development of cataracts, frequent and significant changes in vision. The most damaging condition is diabetic retinopathy.

In some cases of diabetic retinopathy blood vessels may swell and leak fluid. In others, abnormal new vessels can grow on the surface of the retina. At first, those with the disease may not notice any changes in their vision, but over time it can worsen and cause vision loss.

An OCT scan can measure retinal thickness and either compare to ‘normal’ data or compare to your previous scans to detect any changes.

Thickening of the retina may be an indication of swelling or leakage of blood vessels as a result of diabetic retinopathy.

OCT-Diabetes-Scan-Macular-Oedema

Diabetes Scan (Macular Oedema)

OCT-Diabetes-with-new-vessels

Diabetes with new vessels

OCT-Healthy-Scan

Healthy Scan

Glaucoma

Glaucoma is a disease that causes vision loss that, if untreated, can be permanent. People affected by glaucoma often do not notice any symptoms in the early stages. Loss of vision is caused by damage to the optic nerve that carries information from the eyes to the brain.

An OCT scan measures the thickness of the nerve fibre layers and compares this to a set of ‘normal’ data. Thinning of the nerve fibre layer could be an indication of the early stages of glaucoma. Glaucoma is a treatable disease, with vision loss being rare, but early detection vital.

Vitreomacular Traction (VMT) & Macula Holes

As we age the vitreous gel that fills the eye can shrink and pull away from the macula. Sometimes as the vitreous pulls away from the macula, it remains partially attached and pulls on the surface. This pulling and distortion of the normal macular structure is called vitreomacular traction (VMT)

In the early stages a VMT may cause no symptoms but as it progresses can result in blurred and distorted central vision.

In some cases the vitreous simply releases from the retina and no further action is required. However, on occasions when it does not release, surgery may be required to prevent a macula hole.

Early detection and regular monitoring of a VMT is vital and OCT scans are ideal for detecting the earliest signs of vitreous traction and monitoring its progression to ensure any treatment can be performed before permanent loss of sight occurs.

OCT-VMT-Stage-1

Stage 1

OCT-VMT-Stage-2

Stage 2

OCT-VMT-Stage-3

Stage 3

Should I have an OCT scan?

We recommend that all adults have an OCT scan, but the frequency of repeated scans depends on many factors and your optometrist will advise on what is best for you. Many diseases that affect the eyes are age-related so for those aged over 40 it is advisable to have an OCT scan as part of your routine eye examination, especially where there is a family history of eye disease. For those aged over 60 we strongly recommend an OCT scan during each routine eye examination to detect and monitor the slightest changes in your eyes.

*http://www.bbc.co.uk/news/health-20836082

MySight

Take control of your own eye care via our MySight portal

MySight is an exciting new portal that allows you access to your personal database within our practice systems. MySight allows you to view many aspects of your eye care history with us, including your previous appointments and prescription details, when your next appointment is due and even allows you to book an appointment for a time that suits you.

Book An Appointment   •   Your Prescription   •   Your Appointment History   •   Your Images