Here at Bright Eyes Family Vision Care, we have some very interesting patients. I am always amazed at the things that patients have going on. Whether it is starting a business, a community project, or personal hobby, our patients always having something fascinating to talk about.

So Bright Eyes has decided to feature our most interesting patient on our blog with a new series called: Bright Eyes Patient Spotlight! And although I have had a few ideas about who to Spotlight, Michele Northrup made it very easy by coming in and tweeting her entire eye exam on Twitter!!

But before we get to the exam tweeting, let me tell you about Michele. She is an incredibly funny, energetic woman. She is always doing a million things and has a million more ideas. One idea that has kept her very busy is her company Intensity Academy, that produces Award-winning hotsauces.

But I’m not the only one who has noticed. For one, Michele is a finalist for Business Woman of the Year by the Tampa Bay Business Journal. This is a big honor and she is very excited about it. But she also is a sought-after social-media consultant, who teaches classes on how to market brands via websites likes Facebook.com and Twitter.com.

So now that you know a bit about Michele. You can see how she works in action, via her eye exam at Bright Eyes. Here is a sampling of Michele’s tweets, including pictures:

@Brighteyestampa on my way to my 1st eye appt with @NateBW & crew at Bright Eyes in Westchase. Twitter Tour of the appt to come. Stay tuned!

@BrighteyesTampa crew welcoming me for my 1st eye appt.

Seeing 3-D testing depth perception. I passed w/ flying colors! @BrightEyesTampa

@BrighteyesTampa checkin’ to SEE if my eyes are healthy & bright! Doc Nate & crew are GREAT! Dialation next!!

@BrighteyesTampa ’s fashion eye consultant! Helping me pick THE perfect pair of glasses!!!

Here are the lenses I like…a neutral metal frame. Whatcha’ think???

RT @BrightEyesTampa: If anyone wants to make an apt call 813-792-0637 or http://brighteyestampa.com. Say you saw us on twitter for discounts

RT @BrightEyesTampa: When you buy a compete pair of glasses at @BrightEyesTampa, mention Twitter or @MicheleNorthrup and get a FREE bottle of hotsauce!

@BrightEyesTampa bringing the whole fam. in to SEE the fab folks in westchase!I LOVED my appt so much yesterday I decided to rally troops!

So in honor of Michele being the first Bright Eyes Patient Spotlight and for being such a good sport, I am offering a FREE bottle of Intensity Academy hotsauce to anyone who purchases a complete pair of glasses and  mentions that saw the ad on Twitter.

Cheers!

Dr. Bonilla-Warford
Bright Eyes Family Vision Care
Westchase, Tampa, FL
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If you ever read a summary of a comprehensive exam, you may get a little confused by all the technical vision terms. To try to make it more easy to understand, I have listed a below a brief explanation of the testing done during a comprehensive eye and vision exam.

This does not cover every single test, but the majority of them. Because each patient is different, each exam uses different tests. You may find a Glossary of Vision Terms helpful, as well.

• MEDICAL HISTORY: Questions about past and current medical problems.
• VISUAL HISTORY: Questions about past and current vision problems.
• VISUAL ACUITY: Sharpness or clearness of eyesight at a specific distance.
• KERATOMETRY: Measures the shape of the front part of the eye (the cornea) where light enters.
• EXTRA OCULAR MUSCLES: Measures how accurately the eyes move while following an object and looking back and forth between targets.
• COVER TEST (NEAR): Measures the amount that the eyes are misaligned while looking at near.
• COVER TEST (DIST): Measures the amount that the eyes are misaligned while looking at distance.
• NEAR POINT CONVERGENCE: Measures the ability to converge – the eyes turning towards each other when looking at an object up close.
• STEREOPSIS: Measures the ability of the eyes to work together to see fine detail with depth perception “3D”.
• NEAR POINT ACCOMMODATION: Measures how close each eye is able to see clearly.
• PHORIA (NEAR): Measures the amount that the eyes are misaligned while looking at near.
• PHORIA (DISTANCE): Measures the amount that the eyes are misaligned while looking at distance.
• NEAR VERGENCE (BI): Measures the ability to converge – the eyes turning towards each other when looking at an object up close.
• NEAR VERGENCE (BO): Measures the ability to diverge – the eyes turning outwards at an object.
• ACA RATIO: Measures how much the eyes converge while focusing up close.
• NEGATIVE RELATIVE ACCOMMODATION: Measures the maximum ability to relax focusing while maintaining clear, single binocular vision.
• POSITIVE RELATIVE ACCOMMODATION: Measures the maximum ability to focus while maintaining clear, single binocular vision.
• MEM RETINOSCOPY: Measures the accuracy of focusing while looking at an object up close.
• REFRACTION: Measures the nearsightedness, farsightedness, or astigmatism of the eyes.
• EXTERNAL EXAM: Determines health of the eyes by observation.
• SLIT-LAMP EXAM: Determines the health of the eyes with a microscope.
• OPHTHALMOSCOPY: Uses special lenses to look inside the eye for diseases.
• TONOMETRY: Measures the pressure inside the eyes.
• DILATION ORDERS: Specifies the type of eye drops and method used to evaluate inside the eyes.
• CUP/DISC RATIO: A way of measuring the health of the optic nerve. Useful in glaucoma and other eye disease cases.
• ASSESSMENT: States what the known visual or eye health problems are.
• PLAN: Summarizes the recommendations for the treatment of the problems.

Be Well!

Dr. Bonilla-Warford
Bright Eyes Family Vision Care

My daughter’s name is Nora. She is, of course, adorable. And since I am an eye doctor, I have been watching with interest how her eyes and vision develop since she was just minutes old. First she opened her eyes. Then she got better at moving them (but not necessarily together.) Finally, she developed a wide-eyed inquisitive way of looking at things that has not faded.

Since before she was born, my wife Cristina and I have done our very best to take care of her and made sure that she received all the care and attention that she needed. We have a wonderful pediatrician who has seen her many times. Fortunately, Nora has always been healthy (except for that first ear infection). She is a happy baby girl and she appears to be growing fast without any problems. But there still are some aspects of her eyes and vision that have not been checked fully.

Nora recently turned 7 months old. That means it is time for her first comprehensive eye and vision assessment. For the average baby, all the visual skills should be significantly developed by six months old. The American Optometric Association recommends the first eye exam at six months of age, then at three years of age and every year while in school. So with the help of my father and Cristina, Nora received her first eye exam.

Like I do with all infants, I first checked that she can see well out of each eye. I then made sure her eyes are straight and not drifting inward or outward. I checked to see if her eyes can turn inward the proper amount when she looks at an object or toy up close. I shined some bright lights in her eyes to make sure that her pupils react properly to light. They did.

By using a special flashlight called a retinoscope, I was able to determine if Nora had any refractive error (nearsightedness, farsightedness, or astigmatism). It turns out that she has a small amount of farsightedness, which is perfectly normal. Most commonly, the large amounts of refractive error that a baby may have tend to diminish over time (a process called emmetropization), but it is good to have a baseline measurement to see if the error is increasing, staying the same, or decreasing.

After I was convinced that Nora was seeing well and her eyes moved well for her age, it was time to check out the health of her eyes. I looked closely at all the parts of her eyes on the outside to make sure everything was healthy and working well. Then I sprayed eyedrops onto her eyes to enlarge her pupils to allow me to see inside. This is the same type of drop that we use for adults when we dilate their pupils, but the spray makes sure we get it in their tiny eyes without too much fuss.

The drops take 15 minutes or so to take effect, so we all went out in the waiting area. We passed the time by trying on some baby sunglasses, which were very cute on her. After the spray worked its magic, I had Cristina hold Nora and I examined very carefully all around the inside of Nora’s eye to make sure all the nerves, blood vessels, and other parts were healthy.

So now that Nora’s eyes have a clean bill of health, I don’t need to examine her again until she’s three years old. And, really, she did great. She a had a good time playing with the toys, and I can sleep at night knowing that she’s been thoroughly checked out.

If you have an infant at home between the ages of 6 and 12 months, the InfantSEE program will provide one evaluation like Nora’s at no change. Call the office or visit InfantSEE.org for more information.

Merry Christmas!

Dr. Bonilla-Warford
Bright Eyes Family Vision Care
Westchase, Tampa, FL
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I think this is very good demonstration of what it is like to examine someone’s eyes. This simulates my view when I do a procedure called, “Indirect Ophthalmoscopy.” If you move your mouse over the image, you can look around for blood vessels, the yellowish nerve that leads from your eyes to your brain, and the small, darkish-colored macula that provides your sharp central vision.

If you’d like to know more about the retina and how it works you can check out this article.

[vodpod id=ExternalVideo.444739&w=425&h=350&fv=] from www.ophthalmixonline posted with vodpod