Vision Re-examination: What to Expect During Your Eye Test - Ophthalmology

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Vision re-examination?


On July 1st, I was scheduled by the district office to go to Tri-Service General Hospital for a vision re-examination.
As a result, the doctor asked me to return for another re-examination on July 11th.
I was instructed to wash my hair beforehand and not to use any hair gel.
So, I went to Tri-Service General Hospital on July 11th.
I entered a dark room where the technician placed many wires on my head.
She first covered one of my eyes (I wear glasses).
My right eye has mild myopia, and my left eye has amblyopia.
Then, she turned off the lights and asked me to look at the computer screen, which kept flashing.
She told me to focus on the red dot in the center.
After that, she asked me to rest my chin on a machine and look at the red dot inside it.
At this point, the machine continuously displayed astigmatism (like a camera).
After finishing, the procedure was repeated for my other eye.
When testing my mildly myopic right eye, it was done successfully in one attempt.
However, for my congenital amblyopic left eye, it had to be repeated several times.
The technician was monitoring another computer screen, which seemed to be checking my optic nerve or brain waves.
After completing the tests, she asked me to measure my visual acuity again, and then it was over.

Could anyone please tell me what kind of examination this was? Thank you.
Also, she asked me to wear glasses for the vision measurement, whether it was the glasses prescribed by the doctor or my own.
Even after correction, my left eye still only sees around 0.3.
I am wondering if this might affect my eligibility for alternative military service.

Yaimingwai, 20~29 year old female. Ask Date: 2005/07/25

Dr. Ke Meilan reply Ophthalmology


Hello: The technician will perform an electrophysiological examination of the eyes to measure the function of the optic nerve and retina.
Sincerely, Dr.
Komeilan, Ophthalmology.

Reply Date: 2005/07/25

More Info


During your recent eye examination, it sounds like you underwent a series of tests designed to assess your vision and the health of your eyes. Based on your description, here’s a breakdown of what you likely experienced and what each part of the examination entails.

1. Initial Setup: The instruction to wash your hair and avoid hair gel is likely to ensure that nothing interferes with the examination, particularly if any imaging or tests require a clear view of your eyes. Hair products can sometimes leave residues that might affect the equipment or the clarity of the examination.

2. Visual Acuity Testing: When you entered the dark room and were asked to cover one eye while looking at a screen, this is a standard procedure to measure visual acuity. The red dot you were instructed to focus on is likely part of a visual acuity test, where you assess how well you can see at various distances. The flashing screen may have been used to check for any visual disturbances or to gauge your response to dynamic visual stimuli.

3. Refraction Test: The part where you were asked to look through a machine while focusing on a red dot is likely a refraction test. This test helps determine your exact prescription for glasses or contact lenses. The machine you mentioned that showed "scattering" could be a device used to assess astigmatism or other refractive errors. The repeated attempts with your left eye, which has amblyopia (commonly known as lazy eye), indicate that the technician was trying to find the best correction for your weaker eye.

4. Visual Field Testing: After the refraction test, you mentioned being asked to look at another screen while your head was positioned on a machine. This could be a visual field test, which assesses your peripheral vision and can help detect any issues with your optic nerve or brain function. This test is crucial, especially for individuals with a history of vision problems, as it can reveal conditions like glaucoma or other neurological issues.

5. Final Measurements: The final measurement of your vision with glasses is standard practice to ensure that your current prescription is effective. The fact that your left eye only achieved a visual acuity of 0.3, even with correction, suggests that the amblyopia may be significantly affecting your vision. Amblyopia is often a result of the brain favoring one eye over the other, leading to reduced vision in the weaker eye.


Additional Considerations:
- Understanding Amblyopia: Amblyopia can be challenging to treat, especially in older children and adults, as the brain has already developed a preference for the stronger eye. Treatment options may include vision therapy, patching the stronger eye, or using special lenses to encourage the weaker eye to work harder.

- Importance of Follow-Up: Given your history of amblyopia and the current visual acuity results, it’s essential to follow up with your eye care provider. They may recommend additional treatments or therapies to help improve the vision in your left eye.

- Potential for Improvement: While amblyopia can be difficult to correct in adulthood, some therapies may still yield improvements. Discussing your concerns and treatment options with your eye doctor can provide you with a clearer path forward.

- Regular Eye Exams: Regular eye examinations are crucial, especially if you have existing conditions like amblyopia. These exams can help monitor your eye health and adjust prescriptions as needed.

In conclusion, the tests you underwent are standard procedures in an eye examination, particularly for assessing visual acuity and the health of the eyes. If you have further questions or concerns about your vision or the results of your tests, don’t hesitate to reach out to your eye care professional for more personalized advice and treatment options.

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