OUR EYECARE SERVICES

When you visit McDonald Optical, you’ll get the highest quality of care possible. For routine needs or vision improvement, talk to our team today.

 

Routine Vision Exams

Routine vision examinations include medical history, vision testing, eye function testing, and eye health evaluations. Before you change your prescription or continue with the same lenses for another year, our doctors ensure your new prescription is completely precise and accurate, and also check for any additional factors that could require specialty lenses or treatments.

 

Of course, our eye doctors perform a series of tests to examine your eyes’ form and function. You may read letters from different distances, but we’ll also test your eyes’ responses to light, movement, and other changing conditions, as well as the way your eyes work separately and together. We want to know how sharply and clearly you see, but we also need to understand other factors that could affect your eyewear, like corneal curvature and vision conditions. Our eye exams include:

 

Medical History and Consultation

During an eye exam, the doctors will ask you questions about any symptoms or issues you are experiencing, medications your are currently taking, any blurry vision, your work environment, and your overall health. Family history and previous eye or vision conditions will also be discussed during this part of the examination. The doctors will consider this information when determining any treatments or recommendations.

 

Vision Testing

Our doctors will measure how each eye is seeing by using a wall eye chart and a reading eye chart. The refraction, or prescription determination, is only performed by our highly experienced optometrists. Depending on the results of your vision test, our doctors may prescribe corrective glasses, contacts, or eye exercises.

 

Eye Function Testing

Our optometrist may perform several tests to evaluate depth perception, color vision, eye muscle capabilities, peripheral vision, and responsiveness to light. The test results enable our doctors to diagnose any underlying conditions that may be impairing the eyes ability to focus or work together.

 

Eye Health

Our doctors evaluate eye health by visually inspecting the eye and eyelids using magnification and a bright light. To examine the internal structures of the eye, we may dilate the pupils. Increased eye pressure may be an indicator of glaucoma, so we utilize tonometry to measure eye pressure. After completing these tests, our doctors review the results and discuss treatments with you.

 

Comprehensive Eye Exams

Comprehensive eye exams are more in depth than routine exams. If you have eye disease, certain systemic diseases, take certain medications, or symptoms of an eye disease you will receive a comprehensive eye exam. During your this exam, your eye doctor will take precise measurements and use sophisticated tools and computer equipment to evaluate your eyes. These evaluations may require dilation beforehand, which allows us to see more of the eyeball and detect the earliest signs of diabetes or degeneration. Checking everything from the number of blood vessels to the amount of fluid pressure, your eye doctor will look for signs of cataracts, glaucoma, diabetic retinopathy, macular degeneration, and other diseases that gradually damage the eyes and vision without proper treatment.

 

Digital Retinal Photography

Digital Retinal Photography is new technology that represents the latest in eye disease detection. It allows us to more thoroughly evaluate your retina, the sensitive tissue in your eye that is responsible for vision. The retina is susceptible to a variety of diseases, which can lead to vision loss. Digital Retinal Photography gives us a more comprehensive way of viewing your eyes than was previously available and it allows us to perform a more thorough exam. As it adds to our ability to evaluate the health of your eyes; it is especially important if you have headaches, spots or flashes, a family history of glaucoma, diabetes or macular degeneration, high blood pressure, or elevated cholesterol.

 

Schedule your eye exam appointment today with one of our optometrist.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to make an appointment.

 

Contact Lenses

More people than ever can wear the contact lenses Iowa City has to offer, thanks to modern technology. McDonald Optical can help hard to fit patients as well as those who might want to switch to contacts, or who just need a new prescription. Ask us today about all the options.

 

What Vision Conditions Can Contacts Treat?

 

Some people believe that they cannot wear contact lenses because they have a specific eye condition. However, McDonald Optical sees patients with all sorts of vision issues and fits many pairs of hard to fit lenses each year. Conditions such as astigmatism, dry eye, and keratoconus do not necessarily prevent you from wearing contacts.

 

What Types of Contacts Are There?

 

Contacts have come long ways from just soft and hard options. Now, there are gas permeable lenses, bifocal lenses, hybrid lenses, and more. There are also various types of contacts meant to be worn for anywhere from one day to several months.

 

Gas permeable lenses help your eyes breathe. This can help alleviate irritation from the lenses, as well as improving overall eye health. Some lenses have a rigid gas permeable center and soft edges, to give the sharpest vision while maintaining comfort. These are referred to as hybrid lenses.

 

Multifocal and bifocal contact lenses are available for people with myopia and presbyopia. There are two basic types of multifocal lenses. One is similar to bifocal glasses, with two distinct areas on the lens that focus at different lengths. The other has graduated levels of powers that more naturally mirror the transition from distance to close-up vision.

 

Cosmetic lenses are available for people who wish to change their eye color temporarily. Both subtle and more extreme hues are available. Unlike most contacts, they can be purchased without a lens power, which is called a plano version. People who need prescription lenses can also find them in a wide variety of colors.

 

Length of Wear

 

Taking out your contacts, washing them, and putting them away was the old standard. Although there are still plenty of contacts that are cared for this way, there are also new, exciting options. Daily disposables and extended wear contacts are some of them.

 

Daily disposables are meant to be taken out at the end of the day and thrown away. Some people find that their eyes tolerate these contacts better because they do not build up protein on them like re-usable lenses do. Weekly and bi-weekly disposable lenses are also available.

 

Extended wear contacts are intended to be worn continuously for a given period of time. These contacts don't have to be taken out at night, although some people do. The period of time these lenses are approved to be worn for varies from a few days to a couple of weeks.

 

Schedule a contact lens exam today with one of our optometrist.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to make an appointment.

 

LASIK Surgery Referrals

At McDonald Optical, we provide comprehensive care to meet the vision needs of our patients. Our doctors offer pre- and post-operative care for patients undergoing LASIK eye surgery or other eye surgical procedures. Our goal is to help you attain the clearest vision possible using advanced technologies.

 

Evaluation and Referral

 

LASIK (laser assisted in situ keratomileusis) surgery uses that latest advancements in technology to provide faster recovery times and precise results. LASIK surgery has been effective in treating myopia, hyperopia, astigmatism and other eye conditions. At McDonald Optical, we provide evaluations and referrals for patients interested in LASIK surgery. The doctors perform a complete review of your patient history as well as a full assessment of your eye health and vision. A current exam is important to determining if you are a candidate for LASIK surgery and if there are any other factors that may affect your results. The history review enables our optometrist to determine if your prescription is stable and you are healthy enough to consider surgery.

 

Once the doctors have performed the evaluation and determined whether you are a candidate for LASIK, you will be given a referral to the LASIK surgery center we have worked with on an ongoing basis. The center will perform advanced diagnostic testing and will evaluate your eligibility for surgery. Various surgery options will be discussed with you if you are determined to be a surgical candidate. We will be in correspondence with the center regarding your evaluation and surgical determination.

 

Post-Operative Care

 

Once your surgery is scheduled, we will schedule follow-up appointments for you in our Iowa City office. Typically, you will begin these follow-ups the day after the surgery and continue at prearranged times over the following six months. After 1 year, a full exam is recommended to determine the long-term results of your procedure. Our doctors are experienced in working with patients pre- and post-operation and will answer any questions that you have along the way. If you have questions about LASIK surgery, call 319-337-4995 to speak with our knowledgeable staff or email us.

 

Advantages of LASIK

 

If you have worn glasses or contact lenses for a long time, you may have wondered if LASIK surgery is a good choice for you. While not everyone is a candidate for LASIK, it does have some great advantages. People who play sports, have allergies, or who are looking for simplicity will all benefit from LASIK.

 

Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to discuss your LASIK referral.

 

Eye Surgery Referrals

 

Eyeglasses have been a traditional solution for correcting vision problems for many centuries. When contact lenses arrived on the scene, they offered a new practical solution for restoring vision. Now an increasing number of eye surgery options have displaced glasses or contacts as the only solutions for healthy vision.

 

Eye Surgery Evolution

Advanced technology has made it possible to reshape eyes and restore vision to healthy levels for many people from all walks of life. Surgical techniques and tools have rapidly evolved over the past two decades to create procedures that are both safe and helpful.

 

Corrective surgeries for eyes now include everything from using lasers to reshape the cornea surface to inserting artificial lenses. These procedures correct how light entering the eye is processed – leading to much sharper vision in patients.

 

The state of the cornea is a determining factor in these surgeries. Thinner corneas with a high degree of myopia, for example, usually require a more invasive surgery to reshape the eye surface enough to improve vision.

 

Types of Eye Surgeries

Laser correction surgeries offer a snapshot of evolution in eye surgeries. Photorefractive Keratectomy (PRK) became the first successful surgery to change the shape of the cornea through removing tissue. The FDA approved PRK in 1995 and it is still widely used early in the 21st Century. With PRK, it only takes a few days for vision improvements to be realized.

 

LASIK followed on the heels of PRK. It involves cutting a thin flap in the outer covering of the eye to reshape the cornea. Unlike PRK, it only takes a few hours to gain sharper vision with LASIK surgery. There is some risk of suffering dry eye and other complications such as halos around bright lights until the flap fully heals. LASIK can be done with the aid of a mechanical cutting tool, using all lasers or incorporating wavefront technology that measures how light hits the eye.

 

Nearsighted patients are not alone in benefiting from surgeries. Farsightedness can be corrected through Conductive Keratoplasty (CK). It uses a small probe and low heat radio waves to create spots around the cornea periphery. CK steepens the cornea to give patients better near vision.

 

Some eye surgeries require implanting new artificial lenses to produce vision improvements. Implantable lenses similar to contact lenses can correct more severe levels of nearsightedness. These artificial lenses go permanently over the natural lens on the eye. Refractive Lens Exchange (RLE) takes it a step further and replaces the natural lens with an artificial lens of a different shape. RLE is done to correct extreme farsightedness.

 

Eye Surgery Considerations

Our eyes change as we age, so some corrective surgeries are not a good option for everyone. People under 18, for example, are not good candidates for laser eye surgeries because their eyes change rapidly as their bodies are growing.

 

Health also factors into eye surgeries. If you have diabetes or other medical conditions that impact eyesight, certain eye surgeries may pose serious risks.

 

Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to your eye surgery needs. We will refer you to the best surgeons in the area.

 

Vision Therapy

 

Many vision problems do not require surgery for correction. In these situations, vision therapy is typically an option. Vision therapy is a form of physical therapy used on the eyes and brain. It is designed to resolve vision problems that can contribute to learning disabilities. This therapy can also be used an effective treatment for problems like lazy eye, crossed eyes, or double vision.

 

Common Questions about Vision Therapy

There is more to vision therapy than simply strengthening the eyes. It also enhances the neurological connections between the eyes and the brain. Eyes are the windows of the brain. It directly influences sight based on how it interprets images received. A healthy connection between the eyes and the brain is essential for good eyesight.

 

Here are answers to frequently asked questions about the nature of vision therapy:

 

How does vision therapy work?

It uses progressive vision exercises performed under the supervision of your eye care provider. Each set of exercises is tailored to meet the individual visual needs of a patient. These exercises are done 1-2 times per week in sessions lasting 30 minutes to a full hour. The exercises are designed to continue until visual processing problems show improvement.

 

What is the purpose of the vision exercises?

Vision exercises are designed to help patients improve basic visual skills that connect the eyes with the brain. These exercises can improve visual efficiency by changing how a patient interprets images. This helps them see and understand images correctly.

 

Do these exercises simply strengthen eye muscles?

Nothing about vision therapy is centered on strengthening eye muscles. These muscles can be strengthened through orthoptics if they need strengthening. This therapy is all about improving vision problems that may interfere with learning by strengthening the neurological pathways between the eyes and the brain.

 

What is the first step in a vision therapy program?

A comprehensive vision exam is necessary before starting therapy. Following the exam, your eye care provider can determine whether or not this type of therapy is the recommended treatment for your vision problems.

 

Is there scientific evidence that it really works?

It does work. Studies on vision therapy show it is effective in improving the lives of patients. Data shows that this therapy can improve visual function enough to keep it from interfering with a patient's ability to absorb information and learn. In its own sphere, this therapy is as effective as physical therapy or occupational therapy.

 

Who typically needs vision therapy?

It can be a useful tool for helping children and adults alike. Children with learning or reading problems can benefit from the vision boost these exercises provide. Eyeglasses are not the solution when the problem is visual processing. These problems can't be detected without tests done by an eye doctor. Adults can see vision improvement through this therapy as well. It can help curb eye-strain related vision processing problems brought on by working with computers all day.

 

Schedule a appointment with one of our optometrist to discuss vision therapy.  Call our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to schedule  your appointment.

 

 

Computer Vision

 

Do your eyes feel uncomfortable two hours working on a computer?  Do you experience headaches after staring at a screen?  You might be suffering from computer vision syndrome.  Fortunately, our eye doctors in Iowa City can offer options to bring you relief.

 

Symptoms of Computer Vision Syndrome

 

Sitting in front of a computer screen for extended periods can cause a number of computer vision issues, even without any prior vision problems.

 

The most common symptoms include:

 

Blurred vision

Discomfort and eye strain

Headache

Eyes that feel dry and scratchy

Shoulder and/or neck pain

Unfortunately, symptoms that are initially mild can progress and eventually result in other vision issues.  Our doctors of optometry can help you get relief.

 

How severe your symptoms are and how long they persist depend upon a number of factors:

 

The length of time you stare at a computer

Posture

Lighting

Glare

Monitor angle

Any existing vision problems

In patients who have farsightedness, aging eyes, astigmatism, presbyopia, and/or eye problems related to diabetes, symptoms caused by computer vision syndrome could worsen.  This is true even for those already wearing prescription glasses or contact lenses.

 

Diagnosis and Treatment from Our Eye Doctors in Iowa City

 

The first step toward relief from a computer vision problem is a comprehensive exam from one of our eye doctors in Iowa City.  This includes a discussion of your health history, current symptoms, and any pre-existing issues.  Our optometrist performs these assessments to check for undiagnosed vision conditions:

 

Visual acuity tests evaluate the quality of current vision.

 

Refraction assesses possible prescriptions that could provide optimal vision.

 

Focus and eye coordination tests show our doctor of optometry how well a patient’s eyes can work together and how accurately they focus at various distances.

 

Based on the results of the exam, our optometrist will create a customized treatment plan to help relieve computer vision syndrome and to give you the best possible vision.  For patients with no other vision problems, a special set of glasses solely for computer use often helps.  Individuals who already have prescription eyewear can often get relief from a new prescription better designed to accommodate computer use.

 

Our eye doctors will also discuss in greater detail the following changes:

 

Altering the arrangement of the computer, the monitor, and reference material in a workspace; adding an anti-glare monitor screen; and using correct posture

Adjusting lighting to reduce glare and take optimal advantage of natural light

Scheduling specific breaks to blink and rest your eyes

Schedule an Appointment with Our Optometrist to Get Computer Vision Relief Today!

When was your last eye exam?   Our eye doctors in Iowa City will help you get relief from computer vision syndrome and make sure that you receive state-of-the-art, compassionate eye care.

 

Schedule an eye  exam today with one of our optometrist.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to schedule your  appointment.

 

Sports Vision

 

Sports ability is much more than how fast you can run or how well you can catch a ball. A wide variety of factors combine to create your ability to play a certain sport, including many different factors related to vision. At McDonald Optical we have patients who play many different sports, and we constantly find that the more finely-tuned your visual abilities are, the more you'll excel at your chosen sport.

 

Sports Vision Skills

 

Sports vision isn't just the ability to see across the pitcher's mound or watch your golf ball fly into the distance. A lot of factors combine to make a great athlete, including:

 

Depth perception: can aid in following the movement of balls or seeing a trail downhill while skiing.

 

Hand-eye coordination: crucial for baseball players and others who play a sport that includes equipment.

 

Eye tracking ability: useful for football and basketball players who need to follow the path of a ball or hockey players who need to chase a puck.

 

Types of Sports Vision Testing

 

We offer a wide variety of sports vision testing, depending on the athlete and the type of vision needs she has. We won't give every patient every test available, but in general, these are among the most common tests given to help improve sports performance.

 

The Snellen Eye Chart

This familiar eye chart has rows of letters, with each line getting progressively smaller as they go down the chart. This test is the basic beginning for virtually all eye tests. It creates the baseline information on which we can build a visual profile, all designed to increase your sports performance.

 

Contrast Sensitivity Tests

These tests determine your ability to spot objects in front of a field of similarly colored background objects. If we find you have poor contrast sensitivity, we can fit you with special tinted eyeglasses that help you to determine the difference between shades of the same color. If you already wear contact lenses, it always helps to keep them very clean, as any specks on your lenses can reduce your contrast sensitivity.

 

Eye Tracking

We have tests using a variety of devices that can determine how well your eyes can track a moving object.

 

Ocular Alignment

This test can find out how well your eyes work together. Eyes focusing on different objects at the same time, or even slightly different spots on the same object, can make it increasingly difficult for you to handle a ball or aim at a goal.

 

Looking for Iowa City Eye Doctors?

 

Your vision and coordinated eye abilities have a significant impact on your success in any given sport. Whatever game you play, it's important that you're playing at your best. Our professional vision team can help make sure that happens. Call our office at 319-337-4995 to make an appointment today.

 

Refraction assesses possible prescriptions that could provide optimal vision.

 

Focus and eye coordination tests show our doctor of optometry how well a patient’s eyes can work together and how accurately they focus at various distances.

 

Based on the results of the exam, our optometrist will create a customized treatment plan to help relieve computer vision syndrome and to give you the best possible vision.  For patients with no other vision problems, a special set of glasses solely for computer use often helps.  Individuals who already have prescription eyewear can often get relief from a new prescription better designed to accommodate computer use.

 

Our eye doctors will also discuss in greater detail the following changes:

 

Altering the arrangement of the computer, the monitor, and reference material in a workspace; adding an anti-glare monitor screen; and using correct posture

Adjusting lighting to reduce glare and take optimal advantage of natural light

Scheduling specific breaks to blink and rest your eyes

Schedule an Appointment with Our Optometrist to Get Computer Vision Relief Today!

When was your last eye exam?   Our eye doctors in Iowa City will help you get relief from computer vision syndrome and make sure that you receive state-of-the-art, compassionate eye care.

 

Schedule a eye exam today with one of our optometrist and to discuss your sports vision needs.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to make an appointment.

 

Eye Disease

 

The Most Common Eye Diseases

 

Our full-spectrum practice provides patients with a number of options for treating eye diseases and disorders.  These are the three most common eye diseases our optometrists see:

 

Glaucoma develops after the excessive pressure in the eye damages the optic nerve.  Without proper treatment, blindness results from this damage.

 

Age-related macular degeneration (AMD) destroys central vision over a period of time.  It occurs after a breakdown of the macula in the center of the retina.  AMD takes a number of forms and if untreated, can result in blindness.  Symptoms might include blurred vision, perceiving straight lines as wavy, trouble seeing details, and difficulty with color vision.

 

Diabetic eye disease, or diabetic retinopathy, occurs when diabetes causes leakage of blood or serum from eye vessels.  This can cause retinal swelling that impairs vision, the production of new blood vessels that are fragile, and hemorrhaging of the retina.

 

A yearly eye exam can also diagnose a number of other conditions a doctor of optometry treats.  Examples include cataracts, astigmatism, and dry eye.

 

Treatment Options from Our Eye Doctors

 

Treatment of an eye disease begins with a vision exam.  Our eye doctors perform both routine and comprehensive exams.  A routine exam includes a discussion of your medical history and any symptoms you might be experiencing vision and eye function testing and an eye health evaluation.

 

Patients who have an eye disease, or shows signs or symptoms of an eye disease receives a comprehensive exam. To evaluate your eyes, our optometrists use state-of-the-art tools that take precise measurements.  They look for signs of eye disease and other disorders that can damage your vision without the right treatment.  One helpful new technology we use for detecting eye disease is digital retinal photography.

 

Our treatment for glaucoma includes medication in drop form. We sometimes also recommend medical help for any accompanying hypertension.

 

AMD treatment includes injectable drugs and other options to slow progression of the disease.

 

Our eye doctors carefully monitor patients for any signs of diabetic eye disease and recommend that they seek medical treatment for their diabetes.

 

The best way to maintain eye health is to undergo regular exams.  We can fill all your eye care needs at either of our two locations.  Schedule an appointment with one of our McDonald Optical optometrists, Annette Nickel and Matthew Houck, for eye disease treatment in Iowa City or for any other vision care you need.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to schedule an appointment.

 

Dry Eyes

A dry eye problem not only affects how eyes feel, but it can also impair vision if left untreated.  If you face this issue, dry eye treatment in Iowa City at either of our two McDonald Optical locations can make life brighter and greatly improve your comfort level.

 

Causes and Symptoms of Dry Eyes

 

Around 30 million U.S. individuals have received a diagnosis of dry eye.  It is one of the most common reasons patients visit our optometry practice.  Although there are dozens of potential causes, the most frequent include:

 

Computer and electronic device usage

Certain autoimmune disorders

Eyelid abnormalities

Medications that cause eye dryness

Neurological issues

Meibomian Gland Dysfunction (MGD)

Lowered production of tears linked to aging

Environmental factors such as windy or smoky conditions

Some of the symptoms of dry eyes make everyday activities such as reading, using a computer, and watching television very uncomfortable.  These are the most common signs:

 

Eye irritation or redness

Stinging or burning

A scratchy feeling

A sensation of grit or sand in the eyes

Excess tearing

Sensitivity to light

Trouble wearing contact lenses

Fluctuating vision quality and blurring

Eyes that feel fatigued

 

Patients with chronically dry eyes face an increased risk of infections, foreign body damage, and serious issues such as ulceration of the cornea.  Fortunately, dry eye treatment at McDonald Optical can help bring relief.

 

How McDonald Optical Eye Doctors Treat Dry Eyes

 

The first step in resolving dry eyes is finding the cause.  Our eye doctors begin with comprehensive eye and vision exams.  A number of tests evaluate tear production and function in individuals with dry eyes.

 

For many patients, treatment is a combination of professional care in our office and home care.  Several medications address the symptoms of dry eyes.  They include cyclosporine A 0.5% (brand name: Restasis®), corticosteroid ointments and drops, oral antibiotics, and antibiotic ointments and drops.

 

In-office procedures available are these:

 

Lid expression to treat Meibomian Gland Dysfunction

Punctal occlusion to reduce tear drainage

Bandage contact lenses

Therapeutic scleral devices and scleral lenses for severe ocular surface disease

Patients can take steps at home to improve dry eyes.  Among the most useful are taking optometrist recommended dietary supplements, utilizing artificial tears and ointments, applying warm compresses, and using medicated eyelid scrubs.  Improving the environment with devices such as air filters and humidifiers is also helpful.

 

Schedule a Consultation with One of Our Optometrists

 

Do you have dry eyes?  Get relief and fill all your eye care needs at either of our two convenient locations.  Schedule an eye exam today with one of our optometrist.  Call us at our downtown location: 319-337-4995 or our Sycamore location: 319:337-3737 to make an appointment.

EYECARE & EYEWEAR AS INDIVIDUAL AS YOU

DOWNTOWN: (319) 337-4995

IOWA CITY MARKETPLACE (SYCAMORE): (319) 337-3737

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