Comprehensive Eye Exams That Look Beyond 20/20

Your visit starts with a review of your medical and eye history, any symptoms, and how you use your eyes day to day. From there, Dr. Domiano measures how well you see and how healthy your eyes are — the retina, optic nerve and the structures around them — using tools that go well beyond the letter chart.

A thorough exam typically includes:

Because the most serious eye conditions are also the quietest. Glaucoma, macular degeneration, diabetic eye disease and cataracts can all develop slowly and painlessly, with no noticeable symptoms in the early stages. By the time vision changes, damage may already be permanent. Caught early, these conditions can often be slowed or managed.

Your eyes can also reveal problems elsewhere in your body. The retina is the only place where blood vessels can be viewed directly, so signs of diabetes, high blood pressure and circulatory issues sometimes show up in an eye exam before your primary care doctor knows there is a problem.

The American Optometric Association recommends annual eye exams for anyone who wears glasses or contacts, and annual exams for people who don't need correction so early signs of eye disease can be detected. From age 40, age-related problems such as presbyopia, cataracts and macular degeneration become more likely, and the AOA recommends yearly exams for everyone over 60.

If you have diabetes, high blood pressure or an autoimmune condition, you may need to be seen every six to twelve months, since these conditions can affect your vision. Children should have annual exams throughout their school years.

We invest in diagnostic technology so we can see more, sooner. Optos ultra-widefield retinal imaging captures up to 200 degrees of your retina in a single image — compared to roughly 15 percent with traditional methods — in less than a second, and often reduces the need for dilation. Each image becomes part of your permanent record so we can compare year over year and spot subtle change.

Depending on your needs, your exam may also include OCT (cross-sectional retinal scans), Humphrey Matrix FDT and SK-850A visual field testing for glaucoma, corneal topography, and a digital slit lamp to document the front of the eye.

Yes. An estimated 5 to 10 percent of preschoolers and 25 percent of school-aged children have a vision problem, and most don't know it. The AOA recommends a first exam at 6 months, another at age 3, and one more before starting school, then annual exams through the school years. Children born prematurely, with developmental delays, crossed or turned eyes, a family history of eye disease, or a history of eye injury may need to be seen more often. See our pediatric eye care page for details.

Yes. If you're switching to contacts or need an updated contact lens prescription, we perform a comprehensive contact lens exam that determines your precise lens prescription, measures the surface of your eyes for a comfortable fit, and teaches you how to insert, remove and care for your lenses.

Both offices — 189 North Main Street in Old Forge and the Abington Shopping Center in Clarks Summit — provide comprehensive exams for adults and children throughout Lackawanna County and Northeastern Pennsylvania. Bring your current glasses or contacts, your insurance card and a list of medications, and we'll take care of the rest.