EYE EXAMINATIONS

When was your last eye examination?
 
Things may have changed since your last eye examination. There is a lot more involved than just reading down the letter chart!
 
Our comprehensive eye examinations may take a little longer than you may have experienced before. We like to give you time to discuss any eye problems and make you feel comfortable, not rushed.
 
General health and medication can have a big impact on ocular health and vision. We would advise you bring in a list of current medication so we can explain and advise of any possible ocular side effects.
 
We will assess your visual acuity and perform a full and thorough refraction to obtain the optimum prescription so you are seeing as clearly as possible. This includes a binocular vision assessment to ensure both eyes are working together in harmony.
 
This is followed by a detailed internal and external ocular examination to determine the health of your eyes. This can be enhanced further with the use of an OCT scan.
 
Sometimes dilating drops are required to obtain the best possible scan. If this is necessary we will advise you at the time of the examination and may recommend a follow up appointment.
 
Measuring the internal pressure of the eye is essential when looking for glaucoma. This can be done using the “puff-of air” test although we are aware some patients are not fond of this so other tests are available.
 
Visual field Analysis can be performed to assess how good your peripheral vision is. This can be particularly important if there is glaucoma or a family history of glaucoma.

Both consulting rooms are spacious and equipped with the latest computer based technology.

At Andrew Jelley Opticians we provide high quality Private and NHS eye examinations
 
You are entitled to an eye examination paid for by the NHS if:
 
you are under 16 years of age
you are 18 years of age or under and in full time education
you or your partner are getting income support
you or your partner are getting family tax credit
you are over 60 years of age
you suffer from glaucoma
you are over 40 years of age and have a family history of glaucoma
you require certain types of complex lenses
you are registered as blind or partially sighted

Our Optometrists are also fully accredited to Local Enhanced Schemes:

Enhanced Services available in Bromyard (all these services are free to patients registered with a Herefordshire GP)
 
Glaucoma Referral Refinement – if during your eye examination the optometrist is suspicious of glaucoma-related changes in your eye, we will call you back for repeat or additional examinations at no extra charge.
Pre and Post cataract assessment - If you have cataracts and are eligible for NHS cataract surgery. We can perform a detailed eye examination and discuss the suitability of your eye for cataract surgery, how the operation works and what to expect post surgery. We can refer directly to the Hereford County Hospital helping to cut down on unnecessary hospital and GP visits therefore making the process as quick and stress-free as possible.
 
Following your NHS cataract operation we can assess how well your eye is settling, visual outcome including any prescription changes and if there is a cataract in the other eye whether it is also suitable for surgery.
 
GP Eye referral Scheme – If you have seen your GP with an eye complaint he can refer you to our accredited optometrists rather than an unnecessary trip to eye hospital.
Low Vision Service – Certain eye diseases such as glaucoma, diabetes and macula degeneration can cause substantial visual loss meaning conventional spectacles are just not enough. The risk of these problems generally increases with age, and most people with low vision are over 70 years of age. 

The Hereford Low Vision Service aims to provide useful information and advice for people with poor vision. We can also issue low vision aids such as magnifiers to try and make day to day tasks manageable again. If you think a low vision test would be helpful to you, please contact us for an appointment.

 

Enhanced Services available in Tenbury (these services are free to patients registered with a South Worcestershire or Wyre Forest GP)
 
Post Cataract Assessment - Following your NHS cataract operation we can assess how well your eye is settling following the procedure, visual outcome including any prescription changes and if there is a cataract in the other eye whether it is also suitable for surgery.
 
Primary Eye Acute Referral Scheme (PEARS) –  If you have an eye emergency e.g. painful, red, sore eye or sudden loss of vision, where do you go? We keep diary slots available each day to see these types of emergencies and you can usually be seen the same day therefore avoiding unnecessary trips to the eye hospital.

Our accredited optometrists can assess, triage and sometimes treat eye emergencies or refer you to the most appropriate place to get prompt treatment.


 

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3D- OCT Imaging
 
Optical Coherence Tomography (OCT) is state-of-the-art technology that allows us to look at the ocular tissues in much greater detail than ever before.
It is similar to an ultrasound of the eye but uses light instead of sound waves therefore giving much higher resolution images.
As we are able to see previously un-seen retinal tissues, we can detect abnormalities much sooner such as:
·        Age- related Macula degeneration (AMD)
·        Glaucoma
·        Diabetes
·        Hypertension
·        Macula conditions, including:
.        Epi-retinal membranes
.        Vitreo-macula traction
.        Macula oedema
.        Macula holes
A lot of these conditions do not have symptoms and are not easily detectable with traditional examination techniques. However, 3D OCT is specifically designed to check for and detect them.
3D-OCT also allows for much more accurate and comprehensive monitoring of eye health and should a problem arise we can pin-point where it is.
The sooner we can detect a problem, the sooner we can initiate appropriate treatment and management to prevent further sight loss.
3D-OCT is non-invasive and completely painless. The process takes less than 5 seconds per eye and the results are available immediately. 3D-OCT is performed by our Optometrist who will analyse the images and discuss the findings with you there and then.
Our Private Eye Examinations include 3D-OCT imaging at no additional charge.
3D-OCT is not included in the NHS Sight Test but is available for a small fee of £22
 
Ask about OCT when booking your appointment.