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Testimonials

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    Acount executive I Communication
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Our Values

Ambition
We are creating something worth creating, that will endure the test of time. We do this by relentlessly focusing on the success of our employees and customers. We’re grounded by humility and driven by ambition and expect our employees to be too.
a
Make It Fun
We believe in celebrating our successes, milestones and hard work, through recognition, appreciation and rewards
m
Passion For Learning
We want to be at the forefront of change and growth; there is always something we can learn.
p
Live The Golden Rule
We are empathetic and respectful of each other, customers and the communities we serve. We value, encourage and celebrate the gifts in one another and respect the inherent dignity and worth of every individual.
l
Integrity
We believe in honesty, openness, trust, respect and reliability in all that we do.
i
Focused Teams
Working together on a project is more important than who gets credit. We put trust in our teams and watch the incredible accomplishments happen when ego takes a backseat.
f
You Are Unique
We know it takes people with different ideas, strengths, interests, and cultural backgrounds to help us succeed.
y
Investing In Our Employees
“We train our people well enough so they can leave, treat them well enough so they don’t want to” (Richard Branson)
i
Transparency
We are honest about the actions we are taking, being upfront and visible.
t

our values

  • a

    Ambition

    We are creating something worth creating, that will endure the test of time. We do this by relentlessly focusing on the success of our employees and customers. We’re grounded by humility and driven by ambition and expect our employees to be too.
  • m

    Make It Fun

    We believe in celebrating our successes, milestones and hard work, through recognition, appreciation and rewards
  • p

    Passion For Learning

    We want to be at the forefront of change and growth; there is always something we can learn.
  • l

    Live The Golden Rule

    We are empathetic and respectful of each other, customers and the communities we serve. We value, encourage and celebrate the gifts in one another and respect the inherent dignity and worth of every individual.
  • i

    Integrity

    We believe in honesty, openness, trust, respect and reliability in all that we do.
  • f

    Focused Teams

    Working together on a project is more important than who gets credit. We put trust in our teams and watch the incredible accomplishments happen when ego takes a backseat.
  • y

    You Are Unique

    We know it takes people with different ideas, strengths, interests, and cultural backgrounds to help us succeed.
  • i

    Investing In Our Employees

    “We train our people well enough so they can leave, treat them well enough so they don’t want to” (Richard Branson)
  • t

    Transparency

    We are honest about the actions we are taking, being upfront and visible.

Lorem Ipsum

Eyelid laceration
https://www.youtube.com/watch?v=JI455N6UshA   Eyelid laceration refers to a cut on the eyelid. Eyelids are designed to protect our eyes against any foreign objects that may enter into our eyes. Furthermore, they keep our eyes from drying out. When your eyelid is cut, it's really important to visit your eye doctor right away because an eyelid cut can affect other parts of your eye, such as your cornea, which is the front portion of your eye, and your iris, which is the colored portion of your eye. In addition, if the cut occurs on the inner part of your eyelids, it may affect your tear ducts and your tear drainage system.  

How are eyelid lacerations treated?

No matter how shallow or deep the cut is, it is very important to have your eyes inspected by an eye doctor. At an eye doctor's office, you would usually have your eyelids inspected under a slit lamp, which is a microscope, to see how deep the cut is. They would also put dye on your eye to look at the front portion of your eye to make sure that your cornea was not damaged. Besides that, they will provide you with antibiotic ointment since an open wound on your eye is more inclined to become infected. The purpose of the antibiotic ointment is to prevent as much infection as possible. Additionally, if the cut is really deep, they may even refer you to a surgeon to have stitches put in.  

Can cuts on the eyelid be prevented?

Accidents are inevitable, but it's important to prevent them from occurring in the first place. For this reason, if you work in a hazardous environment or know you will engage in dangerous activities that may put your eyelids at risk, it's imperative that you take the proper precautions, make sure to wear the appropriate eye protection, safety goggles, in order to prevent these eye injuries from occurring, which could result in permanent vision loss.  

Contact us to schedule a same day emergency eye exam

A cut on your eyelid should be checked by your optometrist, who can diagnose and treat it. Please schedule an appointment at our office. If, for some reason, we are unable to accommodate your appointment at our office, we can guide you with the next steps and recommend where you can be seen right away. In general we are able to schedule emergency eye exams on a last minute basis, and we are open Monday through Saturday. Call our office at [mbv name="token-practice-phone"] to schedule your emergency eye appointment.
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What is a comprehensive eye exam?
https://www.youtube.com/watch?v=bzUtJ_BM1nM   Eyesight is one of the most important senses we have, in fact over 80% of the information that we take in is processed through our visual system. Therefore, it is really important to take good care of our eyes and make sure that they are in good health. An annual comprehensive eye exam is much more than updating your prescriptions for glasses or contact lenses, it is a preventative health examination that ensures that your vision stays healthy as you age.   

What tests are included in a routine eye exam?

When a patient comes in for an eye exam, an optometrist examines the following aspects of vision:
  • Eye exams begin by checking a patient's visual acuity, which examines how well they can see
  • Their ability to see far away and up close
  • The eye doctor examines the muscles in the patient's eyes, to see if the muscles are working well
  • They check the patient’s pupils 
  • Patients' eyes are tested to see how well they respond to light
  • Are the pupils properly constricting and dilating when a light is shined into the patient’s eyes?
  • They test the patient's binocularity, looking at how well the two eyes work together.
  • They look for any type of deviations in the eyes
  • They examine the patient’s eyes to see if they are turning in, out, up or down 
  • Does the patient have difficulty focusing on a moving target when their eyes are turned inward, and if so, what is causing them difficulty?
  • They check patient’s depth perception and 3d vision
  • The patient's peripheral vision is screened to make sure that their side vision is intact, and that there are no gross defects.
  • They also perform a refraction test, which involves putting the patient behind a phoropter.
  • The doctor will examine the patient’s vision to find out if they need glasses, or if they have minus or plus prescription
  • Furthermore, they check if the patient has any astigmatism
  • They then look at the patient's eye health using a microscope, and then they look at the front part of the eye to see if everything is okay.
  • Additionally, they measure the patient's eye pressure. A basic glaucoma screening is to ensure that the patient's eye pressure is not too high since glaucoma is usually associated with high eye pressure.
  • It is also important to dilate the patient's eyes so that they can then examine the back of the eye. It may be possible to get 20/20 vision from the front part of the eye, so it is important to ensure the back part of the eye is as healthy as the front.
  • By shining lights into the patient's eyes, they examine the periphery of the back part of the patient's eye.
  • It is important to check the optic nerves, which connect the eye and brain, to make sure they are healthy.

What are the possible outcomes of the eye exam?

The doctor will discuss everything with you. They will then determine what your next course of treatment should be based on their findings. Even if your vision seems perfectly normal to you, they need to monitor you every year (or more frequently if you have any signs of ocular disease). They may need to see you sooner depending on the results, however.
  • In the event that you have dry eyes, the doctor may ask you to come back for some dry eye imaging and specific dry eye testing, and determine what the next step in your treatment needs to be.
  • You will need to return for extra testing such as a sensorimotor evaluation or perceptual vision evaluation if you have some sort of binocularity issue, tracking issues, problems with fixation, or issues with processing visual information.
  • A myopia management consultation may be required for children and teenagers who have a minus prescription and there is concern about the prescription becoming higher.
  • Any ocular disease, like glaucoma, will cause them to recommend further testing, imaging, and a closer look at your optic nerves. At our office we provide advanced testing such as OCT (ocular coherence tomography) and ERG (electroretinography).
 

Appointments available, insurance accepted, schedule an eye exam today

Annual comprehensive eye exams are very important, so make sure you schedule one at Amplify EyeCare Manhattan. When you have ocular eye conditions, it's essential that your eye doctor detects and manages the condition early, since the earlier they catch certain conditions, the better the prognosis will be. For example, certain diseases such as glaucoma, diabetic retinopathy and macular degeneration have a much greater chance of progressing to the more severe forms which can result in irreversible vision loss, if not caught early .It's crucial to visit your eye doctor at least once a year for a comprehensive eye exam so that they can examine your eyes properly and ensure they stay healthy. Call us at [mbv name="token-practice-phone"] to schedule an eye exam today
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Vision care glossary | definitions of eye care and vision terms
https://www.youtube.com/watch?v=DUEDRRtFZDE

Anatomy of the eye

Sclera: The white portion of the eye is known as the sclera. It's the white fibrous outer layer of the eyeball.  Extraocular muscles: Extraocular muscles are responsible for rotating and moving the eye. For example, the superior rectus muscle is a muscle in the orbit which is responsible for lifting our eyeball.  Cornea: The front part of our eye is called the cornea. This is the clear part of our eye, and this directs light to enter our eye and then land in the back portion of our eye. Iris: Behind the cornea, there is the iris, and it is the pigmented portion of our eye. This is what gives us our eye color. Lens: Directly behind the iris, the lens is visible. Our lenses are clear when we're younger, so light can pass through them and then bend and land in the back portion of our eyes. Eventually, as we age, the lens becomes more opacified, more yellow, and the proteins within the lens tend to coagulate. A cataract results from this. This results in a reduction in your vision as well because the light that enters it doesn't go through a clear structure anymore.  Retina: The back portion of our eye is called the retina. This is where all the light then ends up landing. Retina is responsible for detecting the light. Optic nerve: Optic nerve is basically the cable that connects your eye to your brain. And it sends different messages to the brain, depending on what the eye sees and what lands on the retina.  Macula: Right near the optic nerve, there is a divot which is the macula. Macula is a small region and it aids in our sharp central vision. Macula is what's responsible for color vision as well as seeing central targets. In the event that someone may have macular degeneration, the macula is the part of the eye that's affected and it can result in central vision loss, in different distortions, difficulty recognising central targets such as faces. Rods: Rods are light-sensitive detectors responsible for peripheral and night vision. Photoreceptors are made up of rods and cones. Pupil: The pupil is the black part of the eye, which serves as a pathway for light to reach the retina.  

Key terms for common eye conditions and disorders

Amblyopia: Sometimes called lazy eye, this condition occurs when the brain is unable to process certain signals from one of the eyes. Astigmatism: Problems caused by a curvature in the eye. It can be corrected with corrective lenses. Cataract: Cloudiness in the eye impairing vision over time. It can be treated surgically. Hypertension: High blood pressure is a contributing factor to eye disorders because it damages blood vessels near the eye. Myopia: Nearsightedness is another term for myopia.  

Common terms for examinations, treatments, and procedures

Fundoscopy/Ophthalmoscope: A method of examining the retina thoroughly with an ophthalmoscope that enables a comprehensive view of the retina. Slit Lamp: It enables a thorough examination of the eye using a high-intensity light. Often used during an eye exam to determine the overall health of the eyes. Snellen Chart: A standard test for vision recognizable by the large E at the top. Visual Acuity: The ability to recognize shapes and details. Many tests are available to measure it.   If you have any questions about any of the eye terms or eye conditions, feel free to come into the office. Our eye doctors, Dr. Pinkhasov and Dr. Wernick will be happy explain what any of the terms mean and will go over any questions you may have. So feel free to call us at [mbv name="token-practice-phone"] to schedule an eye exam with our caring and knowledgeable eye doctors.
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Visual field testing for glaucoma and other diseases
https://www.youtube.com/watch?v=_gmbDiGEbYI   The aim of a visual field test is to determine how far in their periphery a person can see in all directions when focusing on a central target. This is called perimetry, and it is the process of measuring the extent of what you see and cannot see in your visual field.  

How is visual field testing conducted?

The doctor will place your prescription into the machine while you are looking into it. Only one eye is tested at a time. A patch is placed over one eye, and then you will look at the central fixation target with the other eye. There is typically going to be a yellow light with different flashes appearing on the side of your vision. The intensity and location of these flashes will vary, but essentially, whenever you see the light, you will click the button, not looking directly at the bright lights that are flashing on the side of your vision. You'll have to keep your eyes fixed on the central yellow target, and you'll have to click the button anytime a flash of light appears. It takes about five minutes to complete this test. Then it will print out a report showing what your visual field looks like.   

Is visual field testing important?

This test is vital because it allows your eye doctor to diagnose and monitor certain conditions. In visual field testing, specific conditions produce various and very specific patterns. In glaucoma, for example, there may be specific patterns they see on this visual field report that can help determine if you have glaucoma. What is so important about a visual field test is that it not only helps diagnose, but it also helps your eye doctor track the progression of the disease. Furthermore, it shows if the patient has any sort of functional vision loss. The frequency of testing is highly dependent on your condition or risk category. For example someone with glaucoma who exhibits visual field loss may be told to come in more frequently than a patient with family history and risk factors for glaucoma but no actual peripheral vision loss.  

What conditions can be diagnosed using visual field testing?

An eye doctor can use this tool to better diagnose and treat patients with many different diseases, one of the most common is glaucoma, however the visual field test is also used for other conditions besides glaucoma.  They may use a more specific type of visual field test if you have any macular issues that are more sensitive to the central portions of the back part of the eye and check if there is any functional loss in the central part of the back part of your eye.  They can also test for various neurological issues and in those types of tests, it measures more peripheral points. Likewise, if you are suffering from any sort of brain disorders such as stroke, concussion, or tumor growth, an examination of your visual field may indicate these conditions and require further testing, such as an MRI or CT scan. Visual field test provides them with very useful information about your overall visual abilities.   

Schedule a visual field test at Amplify EyeCare Manhattan

The visual field test is extremely valuable in the prevention, diagnosis, and management of ocular  disease. By using a visual field our eye doctors are able to detect earlier signs of ocular disease, have an objective measure of disease progression, and identify how your disease is impacting the function of your vision and direct you to proper treatment or tools to improve your visual function. Call us today at [mbv name="token-practice-phone"] to schedule a visual field and medical eye exam.
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Can dry eyes cause blurry vision
https://www.youtube.com/watch?v=TvjPLAPpq4Y   The answer is yes, dry eyes can cause blurry vision. This is because when your eyes are dry, they result in an unstable ocular surface, which means that they are not properly lubricated, causing your vision to be blurry and making it difficult for you to see clearly.  

Symptoms of dry eyes

The symptoms of dry eyes include watery eyes, irritated eyes, and a feeling of having a foreign body in your eyes. All of these symptoms can contribute to your symptom of also having blurred vision. However, it's important to understand that blurry vision can be caused by a variety of other eye conditions. In order to properly diagnose your symptoms of blurry vision and dry eyes and to determine what the best course of treatment is for you, you should schedule an appointment with our eye doctor. Following a diagnosis of the cause of your symptoms, our eye doctor will discuss different ways to prevent dry eyes and ensure a healthy tear film and ocular surface.  

Can computers and phones cause blurred vision?

When we use a computer, phone or tablet we blink less frequently and less fully. Every time you blink fully or the more frequently you blink, the ocular surface is coated with a fresh layer of tear film. When you do not blink fully or frequently your tear film evaporates which can lead to your vision becoming blurry. If you actively blink and your vision becomes clearer again, this is a strong indication that your blurry vision is caused by evaporative dry eyes. If your vision changes even when you are not on a computer or phone for extended periods of time, then we recommend that you schedule an appointment right away to ensure that your symptoms are not related to anything more serious. If you have any of the other symptoms associated with dry eyes such as red, painful, tearing, gritty, or dryness, call our office at [mbv name="token-practice-phone"] so that our eye doctors can properly diagnose, treat, and manage your condition.  

The two are not necessarily connected

Blurred vision can be a symptom of dry eyes, but it can also signal other, potentially more serious, eye problems. Glaucoma, age-related macular degeneration, cataracts, and diabetic eye disease are among them. Other conditions that can cause blurry vision include rheumatoid arthritis, lupus, and Sjorgen's syndrome. You should seek immediate help if you develop symptoms such as severe headaches, loss of muscle control on one side of your body, facial drooping, or difficulty speaking, in addition to blurry vision.  

Can blurry vision lead to double vision?

In some cases blurry vision may lead to seeing double, especially when one eye is experiencing more blurring than the other. The way our vision works is that our brain takes the images of both eyes and combines them to create one image, when one eye has vision that is blurrier than the other eye the resulting image that our brain creates comes out double. In some cases people may mistake the symptom of blurred vision as double vision. Because there are many causes of double vision, we recommend scheduling a functional vision exam which is a more detailed evaluation that looks at the brain's control of the eyes, the ability of the eyes to work together, and the processing of visual information. Dr. Wernick is a functional optometrist at Amplify EyeCare Manhattan and has extensive experience helping people with double vision.  Take the double vision symptom assessment to better assess the cause of your symptoms. https://amplifyeyecare-manhattan.com/neuro/double-vision-quiz/   

Ways to prevent blurry vision

In order to prevent blurry vision and dry eyes, you can take a number of steps. Among them are:
  • Keeping hydrated
  • Wearing sunglasses when out in the sun
  • Keeping away from smoke or dust
  • Installing a humidifier in your room
  • Limiting your screen time
  • Sleeping for seven to eight hours at night
  • Limiting the usage of AC or heaters 
  • Making sure to take a break every 20 minutes from using a computer to focus on something 20 feet away for 20 seconds. 
  • Making sure that you are blinking frequently and fully when using a computer or phone for extended periods of time. 

Schedule an eye exam with Dr. Pinkhasov at our NYC medical optometry clinic

If you are experiencing blurry vision, dry eye, or double vision, call our office at [mbv name="token-practice-phone"] to schedule an appointment. Our eye doctors take time with each patient to understand the root cause of their symptoms and provide a treatment plan that addresses the underlying cause. Our office, located on the Upper East Side of Manhattan has the latest technology to assess the structures of the eye and functional aspects of your vision.
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Risk factors for macular degeneration
https://www.youtube.com/watch?v=uBvtR0CXVWk   In Americans 60 and older, macular degeneration is the leading cause of vision loss. The condition known as advanced age-related macular degeneration is the leading cause of blindness and visual impairment across the globe. Macular degeneration affects the center of the back portion of your eye called your macula, which can lead to a loss of central vision. There are two forms of macular degeneration: the dry form and the more severe wet form.   

What are the risk factors for macular degeneration?

There are several risk factors for macular degeneration. Age: The biggest risk factor is your age. If you're over 60, you're at a higher risk of developing macular degeneration. Ethnicity: Race is a risk factor as well. You are at greater risk if you are caucasian, and specifically if you are a caucasian female with lighter colored eyes. Family history: Your family history is also a risk factor. Macular degeneration is more likely to affect you if your siblings, parents, or grandparents have it.  Smoking: Another risk factor is smoking. If you're a smoker, this places you at a four times greater risk of developing macular degeneration than a patient who has never smoked. It also increases your chances of progressing to more severe forms of macular degeneration. The reason is that smoking prevents certain oxygen and other nutrients from getting to your macula, resulting in macula degeneration.  Gender: Women account for about two thirds of those diagnosed with macular degeneration. This may be related to the fact that women generally live longer. Other health conditions: You are also at risk if you have diabetes, high blood pressure, high cholesterol, or other cardiovascular conditions, or if you are obese.   

What should you do if you have any of the above mentioned risk factors for macular degeneration?

You should get a dilated fundus examination as well as take high resolution images of the retina. These tests should be performed by your eye doctor at least once a year if you have one or more of these risk factors. If you are at an increased risk of developing macular degeneration, you may need to be seen sooner by your eye doctor, such as every six months or every three to four months, so they can detect it early on, because the earlier they detect it, the less likely it is you will suffer from severe form of macular degeneration. There are a number of risk factors that should be reduced. We can't control all risk factors, but some of them can be controlled. If you are a smoker, it's really important to try to quit so that you don't develop the more severe cases of macular degeneration. Contact your primary care provider if you would like assistance in quitting smoking so you don't have this specific risk factor.  You should visit your eye doctor as soon as possible so that they may properly diagnose, treat, and manage your condition.  

Macular degeneration eye exams in New York City

Our compassionate and knowledgeable eye doctors use the latest technology and spend time with each patient to ensure that you are getting the best preventative care for macular degeneration. If you are at higher risk of developing macular degeneration, or have early stages of macular degeneration, call our office at [mbv name="token-practice-phone"] to schedule an eye exam today.
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What is a diabetic eye exam?
https://www.youtube.com/watch?v=1E5rVSAQVjw   It's extremely important that you visit your eye doctor at least once a year if you are diagnosed with diabetes and receive a dilated eye exam. Diabetes can manifest in various ways inside your eye, causing various complications depending on the severity, how long you've had it, and how well it's controlled. Therefore, it is important to have an eye doctor examine your eyes and make sure there are no abnormal changes.   

Getting a diabetic eye exam in Manhattan? What does a diabetic eye exam consist of?

A diabetic eye exam involves several steps, which are described below

Visual acuity

A typical eye exam would start off with your eye doctor checking your vision, they would examine your eye muscles, check your side vision, and then they would check your prescription to determine if you need any adjustments to your glasses or contact lenses. In other words, if your diabetes is not controlled, you may find that your eye prescription becomes more minus in power. In that case, it may be best to hold off on prescribing these glasses, since your prescription may fluctuate again in a few months once you have better control of your diabetes and blood sugar levels. And then they don't want you to have gotten those pair of glasses unnecessarily. 

Examining the front part of the eye

During the diabetic eye exam an important aspect is examining the front part of your eye under a microscope to make sure that there are no new blood vessels growing in the front part of your eye. Diabetes is caused by a lot of sugar inside of the blood vessels that your body is unable to properly use. As a result, the blood vessels may become weak and brittle, and they may break, causing new blood vessels to grow. These new blood vessels grow because oxygen can reach certain areas. New blood vessels, however, are not healthy for your eyes, and they may reduce your vision. 

Why is it important to test for Glaucoma if you have diabetes?

Diabetes can cause other eye conditions like glaucoma which can result from new blood vessels growing on the drainage area inside your eye. The eye doctor will test for increased pressure, which is associated with glaucoma. 

Why is it important to test for Cataracts if you have diabetes?

The eye doctor will also examine you for cataracts, as diabetes can accelerate the development of cataracts.   

An annual eye exam is essential to make sure your diabetes does not progress to diabetic retinopathy

Additionally, they make sure you don't have diabetic retinopathy. Retinopathy is caused by damage to the blood vessels of the retina which is the light-sensitive tissue at the back of your eye. If you have mild or moderate diabetic retinopathy, your eye doctor may wish to see you every six months or even every three to four months instead of every year. Whatever the case may be, make sure you visit your eye doctor as soon as possible if you have diabetes so that they can properly manage and treat your condition.

Fluorescein angiography

Fluorescein is injected into your arm and travels through your bloodstream to your eyes. Fluorescein is used to highlight any abnormalities in your eye's blood vessels to ensure an accurate diagnosis.  

Optical coherence tomography (OCT)

Optical coherence tomography is used to image the back of the eye. It shows the retina in its various layers and the presence of abnormal fluid or other abnormalities can be found. It is also used to monitor the effects of treatment. Our office is equipped with a state of the art OCT machine, which enables our eye doctors to take high resolution images that indicate clearly when your diabetes is putting your vision at risk.   

Schedule a diabetic eye exam at Amplify EyeCare Manhattan

We invite you to schedule a diabetic eye exam at our medical optometry office located on the Upper East Side of Manhattan. Our eye doctors are experienced and compassionate, taking the time with each patient to perform a comprehensive diabetic evaluation and advanced testing to ensure that your vision and eyes stay healthy.  Call us at [mbv name="token-practice-phone"] to schedule a diabetic eye exam, appointments are available.
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Pediatric eye exams
https://www.youtube.com/watch?v=V3Tis8tRMn4   The purpose of pediatric eye exams is to make sure that the child's eyes are developing properly and that their vision is healthy. It's also crucial to realize that a screening that a child may undergo at their pediatrician's office or school is not the same as a comprehensive eye exam done by a pediatric optometrist. Therefore, it's very important to have your child undergo a complete eye examination with their pediatric optometrist.  

What to expect in a pediatric eye exam?

Ask if any changes to your child’s vision: During a pediatric eye exam, parents are asked what brought their child to the office and if they notice any changes in their child's vision or if they notice any problems at school.  Family history: Parents are asked about their family health and vision history before undergoing a full checkup.  Eye chart: Depending on the child's age, the appropriate eye chart is selected. The standard is a letter eye chart, but for children who may not be familiar with alphabets yet, a picture or different shapes may be used. In the case of a young child who is not yet verbal or a child with special needs, there are special charts that can be used to determine the child's vision without the need for verbal response.  Visual acuity for near and far: It is then determined whether the child can see clearly up close and from far away. A typical eye exam involves checking one eye at a time, then both together. Eye Movements: During a pediatric eye exam the eye doctor will look at the child’s eye movements to make sure that both eyes are moving properly which is critical for reading.  After that, the child's eye muscles are examined for deviations.  Developmental Visual Skills: One of the important things assessed during a pediatric eye exam is the full range of visual tools your child will need in the classroom and at play. Their eye teaming, binocularity, depth perception, color vision, and focusing skills are all part of an in depth pediatric eye exam.  Checking for astigmatism: Next, the child is examined for astigmatism. Their front part of the eye is also examined by placing them behind a microscope. Other methods may be used depending on their age. In the case of very young children, a transilluminator light or a magnifying glass may be used to examine the front part of the eye to ensure there are no infections or allergies. Dilation of eyes: Their eyes are dilated to not only check out the back of the eye, but also to find out their real prescription since they usually have a strong focusing ability. While their prescription is measured before dilating their eyes, a special drop is used to relax their focusing abilities, because that will let the eye doctor know what their true prescription is, since after dilating their eyes and measuring their prescription again, they may be hiding a lot of plus power they were suppressing because they were over focusing. This provides a true indication of their prescription.  Power of lens for children: This is followed by prescribing the right power lens for the child.  Once all of the results are gathered, the eye doctor would discuss all of this information with the child and with the parent. Depending on the results, this may warrant further treatment.   

Common eye problems found In children

Perceptual issues: If the child suffers from perceptual difficulties, neurological deficits, hand eye coordination problems, letter reversal issues, or poor eye tracking, further perceptual testing should be conducted. If the perceptual testing indicates an underlying visual problem the child will be recommended vision therapy to address those issues. Myopia: Children with a minus prescription will be recommended to begin a program to slow down their progression. When a child is enrolled in a myopia management program, the aim is to slow down the progression of their minus prescription in order to prevent future vision problems that can arise from a high minus prescription. Amblyopia: If a child suffers from amblyopia, treatment is essential to try to strengthen that non-dominant eye.  

Early stages of testing

When a child is young, they have good plasticity, meaning they can adapt and change more rapidly. That's why it's so important to have a pediatric eye exam, so that if they have any of these issues, they are caught early on so that the condition does not progress and becomes more difficult to manage.  A pediatric optometrist prefers to see children between the ages of 6 and 12 months, then between the ages of 3 to 5 years just before entering school, and then before entering first grade between the ages of 6 and 7. So be sure to visit our pediatric eye doctors at Amplify EyeCare Manhattan to ensure your child's eyes are properly managed, diagnosed, and treated. Our pediatric optometrists Dr. Nat Wernick and Dr. Sarah Pinkhasov have extensive experience and training in working with children at all stages of their development.
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Flash burns
https://www.youtube.com/watch?v=X-LeJU4CzJE   A flash burn is basically the same as getting a sunburn, but it is on your eyes rather than your skin. It occurs after prolonged exposure to the sun or other intense light source. The UV rays from sunlight or bright light can damage the cornea, the front part of your eyes.   

What are the causes of corneal flash burns?

There are various different ways you can get these flash burns,
  • They can occur when the sun is reflecting off of water or snow.
  • Staring at the solar eclipse without the proper eye protection
  • Photographer’s flood lamps
  • Welding torches
  • Nearby lightning strike
  • Halogen lamps
  • Sun lamps that are typically seen in tanning salons
 

What are some of the symptoms of flash burns?

Typically symptoms of flash burns include:
  • It can cause a lot of pain. 
  • It can make your eyes very red and look bloodshot.
  • It can cause a very gritty sensation, a lot of tearing in your eyes.
  • It can cause blurry vision. 
  • It can cause sensitivity to light
Within three to twelve hours of ultraviolet exposure, patients may begin exhibiting symptoms. If the flash burn happened at the workplace, ensure your management is informed so that any further damage can be avoided. You should also get an eye examination immediately. Call our office at [mbv name="token-practice-phone"] to schedule an emergency eye exam right away.   

How are flash burns treated?

An eye doctor typically prescribes antibiotic eye drops and copious amounts of artificial tears to lubricate the eyes. Since sensitivity to light is one of the symptoms, it's important to wear sunglasses and to protect your eyes. Typically, it will resolve after a few days, but it's really important to get treatment right away so there aren't any scars that can hamper your vision.  Additionally, it is very important to prevent any flash burns from happening because depending on their severity, they may affect not only the front, but even the back of your eye and really affect your vision. You should wear your ski goggles when engaging in activities such as skiing, and purpose specific protective eyewear when engaged in high risk activities such as welding.   Generally, the cornea can heal itself and leaves no scars behind. Healing takes a couple of days if the recommendations of the eye doctor are followed. In many cases, the eye doctor will want you to come back within a few days so that they can check that the cornea is healing properly.
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Scratched Eye
https://www.youtube.com/watch?v=UxdlAx9DZ8s

  Scratched eyes are medically known as corneal abrasions, which usually occur in an instant and are one of the most common causes of eye injuries. These injuries impact your cornea, the outer surface of the eye.   

Symptoms of a scratched eye

Scratched eyes can be extremely uncomfortable as the cornea is the most densely innervated part of the human body with approximately 7,000 sensory neurons per square millimeter. When you get a scratch in your eye, you might experience the following symptoms:
  • A lot of pain
  • A lot of sensitivity to light
  • Decrease in your vision
  • Headaches
  • Nausea
  • Gritty sensation as if sand or dust is in your eyes.
  • Excessive tearing
  • Twitching eye
You might experience these symptoms because your cornea contains a lot of nerve endings, so when there is a cut, you may feel a lot of pain. The good news is that when seen in a timely manner a scratched eye does not normally lead to long term complications.   

How is a scratched eye diagnosed?

Our optometrist will diagnose your scratched eye by assessing your vision and taking a look at your eyes under the microscope. In order to determine what the best treatment is for your eyes, our eye doctor would apply a yellow dye and then use a blue filter to determine how deep the scratch is and how severe the scratch is.  

What are some of the causes for a scratched eye?

Some causes for a scratch can be as simple as:
  • You may have rubbed your eye too hard
  • When you were taking out one of your contact lenses, your fingernail might have scratched your eye
  • If you're a parent and you have a child, your child might have scratched your eye
  • If you work in a very risky work environment such as if you're a welder or a plumber you're more susceptible to eye injuries
  • Patients with severe dry eye may get scratches to their eye when their eyes are extremely dry
Some causes of a scratched eye are preventable, and proper precautions should be made to prevent your eye from being scratched. For example if you work in a job that has lots of dust or debris such as woodworking or construction, it's important to take the proper precautions and wear safety goggles. But whatever the case may be, it's really important to visit your eye doctor so that we can properly manage, diagnose and treat your condition.  

How is a scratch in the eye treated?

An open wound from a scratched eye would typically require an eye doctor to prescribe antibiotic eye drops to prevent infections from developing. A bandage contact lens and copious lubrication of preservative-free artificial tears may also be prescribed. Bandage lenses do not have any prescription power and are worn on your eyes to act as a band aid and a barrier so that you don't irritate the scratched area of your eye every single time you blink.  It's really important to follow our doctor's follow up regimen so that you can come back to the eye doctor and make sure everything is healing correctly. And then depending on how your eyes are healing, they would adjust the medication and then also safely remove that bandage contact lens.   

Schedule an emergency eye exam at Amplify EyeCare of Manhattan

If you have scratched your eye, please don’t delay, schedule an emergency appointment by calling our office at [mbv name="token-practice-phone"]. We have open slots available for emergency appointments, and are usually able to see you that same day. Early intervention and treatment of a scratched eye is essential to prevent infection and complications, always schedule an eye exam right away if you have scratched your eye.
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What is astigmatism?
https://www.youtube.com/watch?v=8Cr4YtpzBH0   Astigmatism is an eye condition where your eyeball is not perfectly circular like a basketball, but is shaped more like a football, resulting in blurry or distorted vision if you are not corrected. Astigmatism is a common problem among Dr. Pinkhasov's patients, and almost all of them have some degree of astigmatism.   

Symptoms of astigmatism

While some people with astigmatism do not experience any symptoms, other people might experience any of the following:
  • Blurry or distorted vision
  • Eye strain/ irritation
  • Headaches
  • Tiredness
  • Squinting 
  • Problems with night vision such as driving at night
It is possible that these symptoms are caused by another health issue or vision problem besides astigmatism. Please schedule an appointment with our eye doctor if you are experiencing any of these symptoms. During your comprehensive eye examination, you will receive a proper diagnosis and treatment plan based on the underlying cause of your symptoms.  

Causes of astigmatism

In general, astigmatism is inherited and is a condition people are born with. It can also develop as a result of an eye disease, injury, or surgery. Astigmatism may be a result of keratoconus, a degenerative eye disorder that occurs when the cornea becomes thinner and becomes more cone-shaped.  

Risk factors for astigmatism

Individuals of all ages, children to adults, can develop astigmatism. People with the following conditions are more likely to develop astigmatism:
  • Family history of astigmatism
  • Family history of keratoconus or other corneal conditions
  • Excessive nearsightedness or farsightedness as these can change the shape of your eyes
 

Types of astigmatism

Astigmatism can be classified into two types: corneal astigmatism and lenticular astigmatism.

Corneal astigmatism

In corneal astigmatism, the front part of your eye which is a clear, thin layer, is not evenly shaped. As a result, when light enters your eye, it doesn't bend properly, resulting in blurry or distorted vision.

Lenticular astigmatism 

In lenticular astigmatism, instead of the cornea being irregularly shaped, it is the lens directly behind the cornea that is irregularly shaped, which produces a similar effect. A distorted or blurred vision occurs if the light goes through an irregular or uneven surface, resulting in blurry or distorted vision.  

Treatment for astigmatism in NYC

Astigmatism can be easily corrected with glasses, contact lenses, or refractive surgery. A comprehensive prescription would contain three components. There will be a sphere power, and if you have astigmatism, you'll also have a cylinder and axis power to help you correct it. If you have high levels of astigmatism, you may benefit more from being fitted with specialty hard contact lenses to better correct your astigmatism, since glasses may not be the best option for people with really high levels of astigmatism. You should, however, always keep an alternate pair of glasses handy.  You should schedule an eye exam with our optometrists if you experience any symptoms of astigmatism so that they can properly diagnose you and and determine the best course of treatment for you, whether you need glasses, specialty contacts, regular soft contact lenses or toric contact lenses, or if you are qualified or a good candidate, they may refer you for refractive surgery. Call our office at [mbv name="token-practice-phone"] to schedule an eye exam for astigmatism.
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The Importance of Early Detection and Treatment of Glaucoma
https://www.youtube.com/watch?v=L7URUZdxdo4   Glaucoma is an eye condition that damages your optic nerve, the link between your eye and your brain. Patients with glaucoma often don't notice any symptoms until it has reached its end stage, which makes it known as a silent disease.   

What are the symptoms associated with glaucoma?

One of the most common symptoms is loss of peripheral vision. Once it gets severe enough, it causes tunnel vision and, ultimately, blindness. Eye pain, severe headache, blurred vision, redness in eyes, halos around lights, vomiting and nausea are some of the symptoms of acute closed angle glaucoma. Since glaucoma is a slowly progressive condition, if you are properly treated and you adhere to your treatment, then the risk of any vision complications as a result of glaucoma is typically low. However, it also depends on the type of glaucoma you have.  

What are the risk factors for glaucoma?

Generally, your eye doctor will go over several different components during your eye exam. Your eye doctor will first review your risk factors for glaucoma.  Family history: One of the main risk factors for glaucoma is whether you have a family history of glaucoma. Does your mom, dad, siblings, grandparents have the disease? If yes, then you are at a greater risk for developing it.  High eye pressure: High eye pressure is another risk factor. During your eye exam, you will be screened for these risk factors by measuring your eye pressure. While it is possible to have normal eye pressure and still have glaucoma, almost all kinds of glaucoma are related to high eye pressure. Typically, normal eye pressure falls between 10 and 21. If it's higher than 21, it's more concerning.  Other factors: In addition to looking at your age, race, ethnicity, and medical history, they also look at whether you have diabetes, high blood pressure, or are taking high doses of steroids, all of which can increase your risk of glaucoma.  

How does glaucoma affect the eye?

Our eyes are filled with a fluid that supplies them with nutrients and energy. It is called aqueous humour. The ciliary body in our eye produces it and it's discharged out of the angle component. This angle component is formed by the junction between the colored part of your eye called the iris and the front part of your eye called the cornea. Whenever your drainage area starts to get clogged up, it prevents that aqueous from draining properly, which causes your eye pressure to increase. High eye pressure can start to compress on the back part of your eye, which is your optic nerve, and that is why it increases your risk of glaucoma. In addition, it can cause damage as well as a condition called cupping that can impair your vision.   

How is glaucoma diagnosed?

During your eye exam, it is very important for your eye doctor to dilate your eyes so they can look at the back of the eye, look at the optic nerves to make sure there is no thinning, no cupping, or damage so that you can properly check for glaucoma. In cases where it appears that your optic nerves look a little suspicious or that there’s an increase in your cupping, or thinning, different images of your eyes are taken with a device that is called OCT.  In addition to measuring the different layers of the back part of your eye, it detects whether your optic nerve has thinned. Visual field testing is also done. It tests your side vision, looking for any blind spots. Certain patterns on this visual field may indicate you have some early stages of glaucoma. If you are at risk of developing glaucoma, then they take these images as baselines and compare them to your original images at your follow-up. If your condition progresses and your risk increases, then your treatment may begin immediately.  

How is glaucoma treated?

In the event that you do suffer from glaucoma, there are a variety of treatment options. However, the treatment will depend on the type of glaucoma you have. In open angle glaucoma, the drainage areas open but you still have an elevated eye pressure, whereas in angle closure glaucoma, the drainage area closes and you experience severe eye pain and redness. It can impair your vision and cause nausea and vomiting. The main treatment for that is to quickly attempt to lower your eye pressure as fast as possible with different eye drops, possibly even oral medications as well. Furthermore, there is a laser procedure that attempts to create a hole to allow your aqueous to drain out and bring your eye pressure down. There are also various other types of glaucoma such as pseudoexfoliative glaucoma, and neovascular glaucoma, so your eye doctor will tell you which one you have, but typically the treatment is to drop the pressure in your eyes using various eye drops. Depending on the severity of your glaucoma, there are various oral medications or surgical procedures such as lasers or other procedures to alleviate your condition.   

Why is it important to have an annual comprehensive eye exam?

Having your annual eye exams is important as glaucoma that is detected and treated early is the best way to reduce the risk of vision loss. In some cases your eye doctor may want to follow up with you earlier as soon as every three to four months so they can observe you and catch the disease in its early stages, since you won't notice symptoms until it's already too late. While any comprhensive eye exam is crucial, it is also important to visit an optometrist that has the best technology available to monitor the progress of the disease. At our office located in the Upper East Side of Manhattan we have an Ocular Coherence Tomographer (OCT) and Visual Fields, which are extremely useful in detecting and managing the disease. Call our office today at [mbv name="token-practice-phone"] to schedule your annual eye exam.
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