Comprehensive Eye Exams

Routine eye examinations are important for children, teens, adults and geriatrics. Eye exams keep children and teens current with vision demands made by education. Adults need eye exams to keep up with their visual demands, as well, including driving, electronic usage and hobbies. Our geriatric population is more likely to need cataract evaluations, systemic coordination for hypertension and diabetes, and other eye conditions that may not be symptomatic. Below are common eye conditions that may be found during your routine eye exam, and which Dr. McLaughlin is trained to manage:

  • Astigmatism
  • Blepharitis
  • Computer Vision Syndrome
  • Hyperopia
  • Myopia
  • Strabismus
  • Amblyopia
  • Cataracts
  • Dry Eye / Ocular Surface Disease
  • Keratoconus
  • Presbyopia

Contacts

Contact lenses may be a good solution to your visual needs for a number of reasons, including cosmetic change, active lifestyles, comfort, and in some cases enhanced vision. They should be medically evaluated on your eyes on a yearly basis to ensure proper corneal health.

Specialty Contact Lenses

  • RGPs — We fit RGP lenses for patients that are accustomed to wearing them, those that have high astigmatism, and those that want a multifocal option.
  • Scleral Lenses — We use Custom Stable™ lenses to provide the clearest and most comfortable vision possible when a patient has an irregular cornea resulting from a number of different causes, such as keratoconus, severe dry eye, post-refractive surgery changes, and other corneal diseases that cause scarring.
  • Myopia Management — Myopia (nearsightedness) is commonly diagnosed in childhood and can worsen over time, increasing the risk of more severe sight conditions later in life. 95% of parents say their child’s eye health/vision is absolutlely essential to their child’s overall well-being. MiSight® 1 day contact lenses reduced the rate of myopia progression in children (aged 8-12 at the initiation of treatment) by 59% on average, resulting in a lower prescription.

Disease Management

Eye disease is a broad term for any medically abnormal process happening in the eye. Sometimes eye diseases are extremely noticeable and symptomatic. Other times, eye diseases may only be found through routine eye examinations, as they may not be causing any symptoms at all. Below is a list of common eye diseases that you may be symptomatic of, or may be found during your routine examination:

  • Allergies
  • Cataracts
  • Diabetic Eye Disease
  • Dry Eye / Ocular Surface Disease
  • Glaucoma
  • Hypertension
  • Infections
  • Inflammations
  • Macular Degeneration
  • Retinal Holes or Tears
  • Styes / Swollen Eyelids

Eye Emergencies

We believe in providing comprehensive eye care, including urgent eye care needs. Dr. McLaughlin is trained in the treatment of eye infections, eye injuries, and other eye urgencies. Please contact us if you experience any of the common eye symptoms below:

  • Sore, burning, red or itchy eyes
  • Mucus or watery discharge
  • Pain and light sensitivity
  • Foreign body sensation
  • Tenderness or swelling in the eyelid
  • Sudden and persistent blurriness
  • Flashes of light or onset of a new and persistent floater
  • Loss of vision in one or both eyes
  • New onset of double vision that is constant

Common eye urgencies may result from the following conditions:

  • Scratch to the eye
  • Trauma to the eye
  • Foreign body in the eye
  • Chemicals in the eye
  • Dislodged contact lens
  • Retinal detachment
  • Auto-immune disorders
  • Uncontrolled hypertension
  • Uncontrolled diabetes
  • Neurological diseases and syndromes

Eye Surgery Co-management

We enjoy providing pre- and post-op care for any surgical needs you may encounter. She refers her patients to caring and competent ophthalmologists, including general ophthalmologists, retinal specialists, corneal specialists, and oculoplastics specialists. Whatever your needs, Dr. McLaughlin will gladly provide the support you need before and after your care with the specialist. Surgeries in which we will assist include:

  • Cataract extraction
  • Corneal cross-linking
  • MIGs
  • LASIK
  • LASIK alternatives:
    — Photorefractive Keratectomy (PRK)
    — Refractive Lens Exchange (RLE))
    — Implantable Contact Lens (ICL)

Dry Eye / Ocular Surface Disease

Ocular Surface Disease (OSD) is caused when one or all of the components of the tear film are not in balance. Dry Eye Syndrome (DES) and Meibomian Gland Dysfunction (MGD) are two of the most common conditions that contribute to OSD. Clogged Meibomian glands along both upper and lower lid margins contribute to 86% of OSD progression and dry eye. The oil is important because it prevents the water layer beneath it from evaporating. Poor lacrimal gland function further reduces the production of our tear layer, creating dryness. Understanding the complex components of our tear film is important in creating a proper treatment approach for OSD.

What are the symptoms?

The most common symptoms of Ocular Surface Disease include:

  • Redness
  • Scratchiness
  • Burning
  • Watery Eyes
  • Eye Fatigue
  • Blurred Vision

OSD is chronic and progressive, the longer you wait to treat it, the worse it gets. Just like high blood pressure, there is no cure, just ongoing treatment to keep it from progressing. With proper treatment, however, we’ve seen great improvement in symptoms. Treatment should become a daily routine. If you stop, the condition will simply come back.

What are the risk factors?

Ocular Surface Disease can develop for many reasons. Some risk factors include:

  • Age — a majority of people 40 and higher
  • Gender — women are more likely to develop dry eyes due to hormonal changes caused by pregnancy, the use of contraceptives, and menopause
  • Medications — antihistamines, decongestants, blood pressure medications, and antidepressants
  • Medical Conditions — seasonal allergies, autoimmune disorders, diabetes, and thyroid disease
  • Environmental Conditions — exposure to screen time, CPAP machines, fans, and dry climates
  • Contact Lenses — contact lens use including number of years, hours
    per day, and timeliness of disposing 

How is Ocular Surface Disease treated?

We start with a full eye examination and carefully examine the ocular surface with specific diagnostic equipment to determine which areas of the tear film are in distress. Our doctor will then formulate an initial treatment plan which may include:

  • Blink training
  • Artificial tears
  • Heat masks
  • Lid margin hygiene to encourage better oil gland production
  • Supplements that may be beneficial
  • Prescription eye drop medication
  • TempSure™ procedures for Meibomian Gland Dysfunction (MGD)
  • Scleral lenses
  • Amniotic membrane technology
  • Autologous serum eye drops
  • A combination of some of these strategies

How does the TempSure™ treatment work?

TempSure™ treats Meibomian Gland Dysfunction (MGD) by working on the oil-producing glands. The glands reside along the upper and lower eyelids and become blocked over time. This allows the water layer of the tear film to evaporate, leaving the eyes to feel dry, irritated, and burning — especially upon waking. Over time these plugged glands can lead to atrophy (death of the glands), lid laxity and ocular surface disease, and dryness. As this condition worsens it can impact the ability to see clearly.

This non-invasive treatment delivers radiofrequency energy that creates heat. As your skin’s temperature increases, the treatment allows the thickened oil to liquefy, which rejuvenates the glands and prevents the tears from evaporating. As an added benefit, it also helps with dermatochalasis (droopy eyelids) to create a smoother, healthier-looking appearance!

Does the TempSure™ treatment hurt or is there any downtime?

During treatment, you’ll experience a gentle pain-free warming sensation around the eyes. Many of our patients say it feels like a hot stone massage.

After the treatment, there is usually only a slight redness of the treated area. This redness will generally disappear soon after. You’ll be able to return to your daily activities immediately following treatment.