About Our Office
To provide treatment for vision through a caring approach of the whole person—body, mind and spirit.
To become your partner in prevention—providing greater visual efficiency throughout your lifetime, and to make available alternative treatment therapies consistent with best practices and newest advances.
To teach those we serve to be aware of their visual status; to better undertake self care and to treat every person with dignity.
Due to the complexities of insurance issues, especially managed care, we have two experienced staff members who can guide you through the maze. We will discuss fees and reimbursement procedures and insurance coverage on common policies. Every patient, however, should be well versed on his/her particular policy before the examination since it is difficult to be omniscient on all policies.
Fees are based on a combination of the level of skill and training required for the service provided, the time involved with direct patient contact and indirect time associated with lab tests, prior medical records and reporting of findings to your referring doctor. Fees for exams, eyewear and contact lenses are very competitive with area offices and are reviewed periodically.
We are participating providers for the following vision plans:
- Anthem BC/BS
- BC/BS Federal Employee Program
- Health New England (HNE)
- Healthy CT
- Oxford Health Plans
- Title 19 (Medicaid)
- United Healthcare
If you do not see your plan listed and are not sure, call our office. New plans are continually being added. We also submit insurance forms for many union plans for patient reimbursement.
Frequently Asked Questions
What are the most common vision conditions?
Hyperopia (HY-per-O-pee-ah) or FARSIGHTEDNESS. Some focusing effort is needed to see at far distances and even greater effort to focus on close work. Uncorrected hyperopia may lead to headaches and blurred vision. Glasses or contact lenses are the most common remedies.
Myopia (my-O-pee-ah) or NEARSIGTEDNESS. Best vision is at near distances; some blurring always occurs in distant vision. Symptoms of discomfort are uncommon. Glasses or contact lenses are the usual remedies.
Astigmatism (ah-STIG-mah-tizm). Out-of-roundness or tilting of one or more surfaces in the eye's optical system, often the cornea, results in a distorted and blurred focus. Astigmatism can occur in combination with nearsightedness or farsightedness. Like these conditions, it may be hereditary. Correction involves use of a specially ground spectacle lens or contact lens.
Emmetropia (EM-ah-TRO-pee-ah). The eye requires no lens for distant vision, but reading help or lenses might be needed to assist in eye coordination or to answer other needs.
Amblyopia (am-blee-O-pee-ah). Reduced vision for no apparent cause occurs generally in one eye only. Sometimes called "lazy eye," this may be a result of poor eye coordination, a turned-eye, or one eye requiring far greater lens power. When detected early in life, vision training, patching, or lens application may help. Peripheral vision usually is unaffected.
Cataract (CAT-ah-rackt). An opacity, or cloudiness, of the eye's crystalline lens interferes with vision by blocking out some of the light entering the eye. As the cataract develops, vision becomes progressively worse, often accompanied with myopia or leading to blindness. The only "cure" is surgical removal of the lens.
Aphakia (ah-FAY-key-ah). Following cataract removal, light is no longer blocked from reaching the back of the eye, and the eye no longer has focusing power. Contact lenses, thick spectacles, or a small replacement lens "implanted" into the eye during surgery optically make up for the removed lens.
Pterygium (ter-RIDGE-gee-um). Usually starting in the nasal corner of the eye, elevated, red-pink bloodshot areas slowly "grow" toward the colored part of the eye. Sometimes they "bump out" onto the clear cornea and eventually cover the pupil, causing blindness if not treated surgically.
Glaucoma (glah-COE-mah). Increasing eye pressure causes reduced vision and blindness, often with great pain. Glaucoma may be difficult to detect and painless in its early stages. Diagnosed by eye pressure testing and visual field plotting, glaucoma usually responds well to drops therapy and rarely requires surgery.
Retinal Degeneration. Reduced circulation, blood pressure problems and other causes damage some areas of one or both eyes' sensory membranes, especially the area for straight-ahead vision called the macula. Reduced, distorted, variable and progressively worse vision may result, often with permanent loss. Low vision aids, magnifying devices and special lighting may help.
Conjunctivitis (con-JUNK-tah-VY-tuss). This mild to severe form of pink or red eye is usually contagious, may be painful or at least annoying, and varies greatly in duration. The signs are red, swollen eyes and eyelids, heat, discharge, and pain. The eyelashes are often stuck shut when you awake and must be pried apart. In all but the mildest cases, medical treatment is essential. Treated or not, frequent reoccurrence is common.
Presbyopia (PREZ-bee-O-pee-ah). Gradual loss of focusing ability generally is first noticed between the ages of 40 and 50 as the eye's focus-changing mechanism stiffens. Vision at normal reading distance becomes blurred and difficult and "eyestrain" occurs. Reading lenses or bifocal-type glasses "correct" presbyopia by doing outside what the eye can no longer do inside.
Eye Teaming Difficulty. The eyes sometimes do not function together to produce proper vision. Improper control of eye muscles results in double vision or a need for extra effort to align the eyes. Discomfort and headaches are common symptoms. Vision training and a prism component in prescription lenses are common remedies.
Spots and Floaters. Small particles and debris sometimes float within your eye. They can cause shadows to fall on your retina and be mentally "projected" out in front of you to be seen as various small dark shapes. Generally of no concern, they may remain only moments or be seen for several days and can reoccur any time.
Anisometropia (an-eye-so-meh-TRO-pee-ah). A significant difference is found between the refractive power of one eye and the other. If one eye is in focus, the other is not. Eye discomfort may result and a lens correction may be needed.
Adaptation Problems. With new glasses or a change in lens power, some people adapt more easily than others. It is normal to feel taller, shorter, notice a slant to the floor, or "step high" when first wearing a new correction. These effects rarely remain longer than a few days.
What is Meant by 20/20?
20/20 vision means that when you are tested at 20 feet you see as well as the person with normal vision at that distance. 20/40 means that at 20 feet you see what the person with normal vision can see 40 feet away. Thus your vision is not as good. 20/15 means that at 20 feet you see what the person with normal vision can see no farther away than 15 feet. Thus you have better-than-normal vision. With 20/20 as the standard, 20/40 is the usual limit for driving safely, 20/70 warrants special sight-saving techniques in school and 20/200 or less, when full spectacle correction is being worn, is legal blindness.
These figures measure your ability to see straight ahead. Other tests measure your peripheral, or side vision, two-eyed coordination, depth perception, ability to change and maintain focus, color discrimination, night vision, glare recovery, need for tinted or dark glasses, and perception, recognition, organization and use of visual sensations.
How can I expect my vision to change?
Most people start out in life slightly farsighted. Astigmatism and hereditary farsightedness and nearsightedness are also common. Not many people require lens correction at kindergarten, but every child should have an eye examination before entering school. Most people experience up to four major vision changes during their lives.
First, recent studies indicate that the world's children are more nearsighted than ever before. The blame goes to increased reading, excessive TV watching, poor eating habits, reduced exercise, and other changes of "society." Girls in their early teens and boys in their mid-teens who had proper vision at age 6 may require significant nearsighted correction, probably for the rest of their lives. The condition often begins at age 8 or 9 and progresses during school years. Sometimes it begins at puberty.
Second, virtually everyone experiences presbyopia—decreased focus-changing ability at reading distance—usually starting in the early to mid-40s. From the typical "Help! My arms are too short," the condition worsens through the mid-50s. The answer: bifocals or other multifocal lenses.
Third, many people experience a decrease in nearsightedness or an increase in farsightedness during their 50s and 60s. Often the power needed for comfortable reading vision at age 50 is about right for distance vision by the mid-60s with twice as much needed for reading at that time.
Fourth, some 70 or 80 year olds and others experience "second sight." They have lost farsightedness to the point of clear distance vision without glasses. Then they become nearsighted to the extent that they can read without lenses not unlike they could as a child. Unfortunately, cataract formulations often accompany, follow, or precede this condition.
Not everyone experiences all of these changes. And they do not always occur at the expected time. This is why the average person needs routine eye examinations throughout life, starting with preschool and more frequently after age 40. Your doctor will determine how often you should have your vision and eyes examined, but don't wait if you suspect any important change. If your doctor doesn't hear from you, he'll assume that you're doing well. Make sure that you are.
Woodbury, CT 06798
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