Patients

Modern Eyecare

Using technology to overcome the challenges of accessibility

With modern technology, almost all parts of the human eye can now be imaged in high resolution. Using Care1, these files can be sent electronically to an ophthalmologist for review. This is called Telemedicine. Ophthalmologists are medical doctors and surgeons who specialize in the eye. An ophthalmologist will review the testing done at your optometrist’s office, and then collaborate with your optometrist to make a diagnosis and recommendations for treatment, specifically for you. Treatment and follow-up will then be administered by your optometrist.

Benefits To Patients

Care1 enhances your healthcare experience

Getting an ophthalmologist’s opinion about your eyes only takes a few days.
At a Care1 Integrated Clinic, you are able to have your medical condition evaluated by an ophthalmologist without having to travel to their office.
Telemedicine is more efficient than a regular doctor’s visit, which means more time spent discussing your diagnosis and treatment with you.

Eye Conditions

Many eye conditions can be diagnosed and treated via telemedicine

Glaucoma is a disease where the pressure inside the eye is too high, and so causes damage to the optic nerve.  This results in the loss of the patient’s peripheral sight. Over time, the patient develops tunnel vision. Patients can go completely blind in the most advanced cases. Glaucoma is one of the leading causes of blindness in Canada.The problem with glaucoma is that in the vast majority of patients, there are no noticeable signs or symptoms until things are too late. Unfortunately, vision that is lost from glaucoma can never be recovered. Patients who have a risk factor for glaucoma are Glaucoma Suspects and need to be monitored regularly. This involves measurements of eye pressure, in addition to photos, OCT, and side vision tests. These tests are performed regularly, to see if there is deterioration over time. If the test results are stable, then treatment is not needed. If the test results show worsening, then the patient may need treatment to prevent blindness.

Symptoms

          • Loss of your side of vision

 

          • Blurred vision

Risk Factors

          • Family history of glaucoma

 

          • Age over 40

 

          • Black or Hispanic ethnicity

 

          • History of elevated eye pressure

If you have one of the above risk factors, you can be examined at a Care1 Clinic for glaucoma.

Macular degeneration, also referred to Age Related Macular Degeneration (ARMD or AMD), is a degeneration of the macula, which is the part of the retina responsible for central vision. Central vision is the vision that is needed for reading or driving. Macular degeneration is the leading cause of vision loss and blindness among Canadians who are age 65 and older. 1.4 million Canadians currently have macular degeneration. AMD is diagnosed as either Dry (non-neovascular) or Wet (neovascular). Dry AMD is early macular degeneration, and refers to thinning of the retina, as well as deposits of metabolic material called drusen. Wet AMD refers to the growth of abnormal blood vessels on the retina . Wet AMD can cause very severe visual loss, but the good news is that there are very good treatments available now.

Symptoms

          • Blurry vision

 

          • Difficulty reading

 

          • Difficulty recognizing faces

 

          • Needing a brighter light to read

Risk Factors

          • Age over 65

 

          • Obesity and inactivity

 

          • Family history of macular degeneration

 

          • High blood pressure

 

          • Smoking

 

          • Lighter eye color

If you have one of the above risk factors, or already have a macular degeneration, you can be monitored regularly at a Care1 Clinic to see if you qualify for treatment.

When the blood sugars are high, it can cause damage to the blood vessels on your retina. When blood vessels are damaged, they can leak fluid and cause damage to tissues, causing vision loss. Over time, diabetic retinopathy can get worse and cause blindness. Diabetic retinopathy is one of the leading causes of vision loss in North America. Patients with both type I and type II diabetes are at risk. Sometimes, you will not notice symptoms with your vision until it is too late. This is the reason that the guidelines recommend that all patients with diabetes should get an eye examination at least once per year.

Symptoms

          • Blurred vision

 

          • Fluctuating vision

 

          • Floaters

Risk Factors

          • Duration of diabetes

 

          • High blood sugars

 

          • High blood pressure

 

          • High cholesterol

 

          • Pregnancy

 

          • Smoking

If you have diabetes, you can be examined at a Care1 Clinic to check for diabetic retinopathy. If you already have diabetic retinopathy, you can be monitored at a Care1 Clinic to decide when you may need treatment.

Inside the eye is a lens that helps focus the light into your eye. As people get older, this lens becomes more and more cloudy. This is called a cataract. Cataracts are the most common cause of visual loss in patients over 40, and is one of the most important causes of blindness in the world. More than 2.5 million Canadians have cataracts. Cataracts are painless, and are usually detected during routine eye exams. Fortunately, they are treatable. Cataract surgery can be performed when the vision worsens to the point that it interferes with daily activities, such as driving, reading, or watching TV. Cataract surgery is one of the most safe and successful procedures in medicine, with a greater than 95% success rate. During the surgery, an ophthalmologist will remove your cloudy lens and replace it with a clear artificial lens.

Symptoms:

          • Blurred vision

 

          • Glare, especially at night

 

          • Poor central vision

 

          • Inability to distinguish colors

 

          • Double vision

Risk Factors:

          • Age

 

          • Family history of cataracts

 

          • Diabetes

 

          • Smoking

 

          • Alcohol

 

          • Sun exposure

 

          • History of eye injury

You can be checked for cataracts at a Care1 Clinic. If you have cataracts, we can refer you in an expedited fashion to an ophthalmologist.

Equipment

The starting point for high quality care

Optical Coherence Tomography

OCT is a noninvasive imaging test that uses light waves to take pictures of your retina. The retina is the thin tissue lining the back of your eye, and is responsible for vision. With OCT, each of the retinal layers can be seen at a resolution thousands of times better than with the human eye. This assists with diagnosis and treatment for many diseases, including glaucoma, diabetes, and macular degeneration.

Visual Field Analyzer

A VF machine allows doctors to check your peripheral vision. This is especially important in the diagnosis and management of diseases such as glaucoma, stroke, brain tumors, and other neurological problems. Repeating a VF multiple times is important for detecting if your peripheral vision is worsening.

Fundus Camera

The specially designed cameras used in fundus photography take high contrast images of the inside surface of your eye. This allows your doctor to evaluate important structures, such as your retina and optic disc, for signs of disease. Using Care1, these photos can be reconstructed into a 3-dimensional image (much like when you watch a 3D movie). A doctor at a different location, can then put on special glasses and see your eye in 3D, and make diagnosis and treatment plans.