Contact Lenses Exam

Dilated Fundus Exam (DFE)

Optos Fundus Photography

Visual Field

Payment of Services and Insurance

With this exam, the eye is examined to check health, detect disease, and develop a prescription for eyeglasses. A glaucoma test will be done with either using non-dilating drops (these drops will not effect your vision) or an air-puff test. Before you start the exam, you will have a pre-test with an Autorefractor, which is an instrument which looks like an air-puffer, but only shows you a picture and shines light in your eyes.

During this examination, we do all the tests that are done in a General Eye Exam, and as well examine the patient to see if they are suitable for Contact Lenses. Additional information is gathered to make this determination. This examination covers both the prescriptions for contact lenses and eyeglasses. We fit all the major brands of contacts, including Acuvues, Bausch and Lomb, Cibavision, Coopervision, and Ocular Sciences. We also fit toric (astigmatic), multifocals (usually for maturing eyes over 40), hard and gas permeable lenses here. As well, we fit other specialty lenses that many other practices won’t, such as custom toric (for very high astigmatism), toric multifocals (for mature astigmatic eyes), and high toric and multifocal gas permeable lenses.                                                                                                                                                                                                        If we ordered you trial contact lenses, and you wish to find out their status,
you can e-mail us at: trials@drdavidlelonek.com

This is done on some patients so that the doctor may get a better look into a patient’s eye. With this test, drops that may sting a little are put into the eye and the patient must wait about 15 – 30 minutes. During this time the pupil (the “black hole” in the center of the iris, the colored ring in the eye) will open up or dilate. Once the patient is ready, the doctor will use a special lenses and a headset to see much more of the eye than with the hand-held instrument. Once the test is done the patient is often light sensitive (photophobic), they will have a tough time reading, and they may be disoriented for up to 4 hours. Therefore most patients schedule this test for when they are with someone else who is driving, when they have no other plans, and in the late afternoon or evening. It is best to prepare for this test by clearing one’s schedule, because it may be difficult to do much more than sleep or rest after a DFE. We do not perform this test on all patients, but we recommend it highly for those who have had recent severe head or eye trauma, who are taking certain medications which could effect the eyes, those with high myopia (very near-sighted), who have certain diseases (such as diabetes) or have a family history of certain diseases or eye conditions (for example, sickle cell anemia, tay sachs, or retinal detachments). We will always inform you of the need to do this test, and ask your permission to perform it before we pull out the dilating drops.

The Visual Fields test checks your side vision. With this test, one of the eyes is patched and the patient sits in the instrument while holding a buzzer. When they think they see a light, they click the buzzer. The light then moves onto another location, eventually creating a “map” of the patient’s field of vision. Once one eye is done, the other eye is tested. This test is a very important tool for the diagnosis and management of glaucoma and other eye and brain conditions.

Exams and procedures can be paid for with cash, personal checks, money orders, or a major credit cards (American Express, Visa, MasterCard, or Discover). We take many insurance plans including: Medicare, NYS Medicaid, GHI, Spectera, Multiplan, Affinity, Child Health Plus, NVA, Sierra Military, Nassau County Court Officers {BANCO}, and VCA plans.

If you received a notice or have any questions about your bill, e-mail us at: payable@drdavidlelonek.com