Millard Vision Center

Unlike glasses, which only require a prescription, contacts sit directly on the surface of your eyes, so the fit must be precise for both comfort and safety.

During a contact lens fitting, the eye doctor takes detailed measurements of your eyes. This includes the curve and diameter of your cornea, the size of your pupils, and sometimes the white part of your eye (sclera) to determine how the lens will sit. Pupil size is important in specific situations. For example, people with large pupils may notice halos or glare when driving at night if the lens’s optical zone is too small. Pupil size also affects the fit of multifocal lenses, which provide clear vision at multiple distances. The tear film is checked to ensure your eyes stay comfortably moist. Trial lenses allow you to test both clarity and comfort before a final prescription is written.

First-time wearers receive hands-on training, learning how to insert and remove lenses safely and how to clean and store them properly.

The fitting also helps determine the best type of contact lenses for your needs. Options include daily disposables for convenience or weekly and monthly lenses for cost-effectiveness, as well as specialty lenses like toric lenses for astigmatism or multifocal lenses for presbyopia.

Because this process involves extra testing, time, and expertise beyond a standard eye exam, it is usually billed separately. The goal is to ensure your contacts are safe, effective, and tailored specifically to your eyes. When scheduling your appointment, mention if you are interested in a contact lens fitting and whether you are a first-time wearer.

Regular eye exams are essential for maintaining healthy vision and detecting potential eye problems early. Even if your vision seems clear, an exam can uncover issues like glaucoma, cataracts, or macular degeneration before they cause noticeable symptoms.

A routine eye exam primarily focuses on your vision and determining whether you need glasses or contact lenses. During the exam, the eye doctor performs several tests, including:

• Visual acuity: Measures how clearly you see at near and far distances using eye charts.
• Peripheral/visual field testing: Checks side vision to detect blind spots or early signs of glaucoma.
• Color vision testing: Determines if you have difficulty distinguishing colors, which can affect daily tasks.
• Eye movement and focusing tests: Ensures your eyes work together and can shift focus smoothly between distances.
• Basic eye health evaluation: Looks at the cornea, lens, retina, and optic nerve for any visible signs of disease.

Routine exams also allow your prescription for glasses or contact lenses to be updated if needed. The frequency of exams depends on age, health, and risk factors, with most adults benefiting from an eye exam every one to two years.

Scheduling a routine eye exam helps keep your vision clear and your eyes healthy. Be sure to mention any vision changes or health concerns, and whether you wear contact lenses when booking your appointment so the eye doctor can provide the most thorough care.

Dry eyes are a common eye condition causing discomfort and potential vision loss. Tears normally keep our eyes moist, but some people can't produce enough tears, leading to inflammation and damage. Symptoms include stinging, burning, itching, light sensitivity, mucus, redness, a feeling of something in the eyes, difficulty wearing contact lenses, eye strain, or blurred vision. Dry eyes may seem a minor annoyance, but if untreated, they worsen over time. Severe cases can lead to conjunctivitis, corneal ulcers, keratitis, difficulty reading or driving, and trouble wearing contact lenses.

Millard Vision Center specializes in diagnosing and treating dry eye conditions, employing various commonly used treatment options:

Eyelid Cleansers

Cleansers maintain clean eyelids and clear meibomian glands by removing oil, debris, and contaminants from the eyelid area.

Meibomian Gland Expression

The doctor manually expresses upper and lower meibomian glands after thermal heating, preventing clogging and clearing blocked glands.

LipiFlow

Using a special device, the eye care professional applies gentle heat to your lids, improving eye oil quality and opening meibomian glands. The procedure takes place with a specially designed eyecup.

iLux

Using a handheld device, the doctor heats and presses eyelids, opening blocked meibomian glands. The device features a smart tip for targeted treatment while protecting the eye’s surface.

BlephEx Treatment

A painless in-office procedure that removes bacteria and toxins from lash margins. The optometrist uses a micro-sponge to exfoliate eyelids. This process usually takes just a few minutes.

Intense Pulsed Light Therapy (IPL)

IPL therapy combats gland dysfunction, reduces Demodex mites, and fights inflammation. Treatment involves applying light pulses to the eyelids, with multiple sessions scheduled a month apart.

Interested in more? Schedule an appointment with Millard Vision Center to identify the cause of your dry eyes, assess tear production, and receive proper management through the use of advanced dry eye technology that address both symptoms and underlying causes.

Millard Vision Center is one of the eye care professionals in Omaha, offering Ortho-K services. Orthokeratology is a non-surgical method of temporarily reshaping the cornea of the eye using specially designed contact lenses. The goal of orthokeratology is to reduce, control, or slow the progression of myopia (nearsightedness) or astigmatism. The lenses used in orthokeratology are either rigid, gas-permeable lenses or special daily replaceable soft contact lenses such as the overnight therapeutic lenses ACUVUE Abiliti and CooperVision MiSight.

The process involves the patient wearing these specially designed lenses while they sleep or during the day. And the lenses intended for daytime wear also offer vision correction. The lenses gently reshape the cornea, and upon waking, the patient can remove the lenses and experience improved vision without the need for glasses or contact lenses during the day. The effects of orthokeratology are temporary, so the lenses need to be worn regularly, typically every night, to maintain the corrected vision.

Orthokeratology is sometimes referred to as corneal reshaping therapy. It is becoming a popular option for adults to achieve freedom from daytime vision correction and for children to slow the progression of childhood myopia. Good candidates for Ortho-K are:

• Children between the ages of eight and 14 with progressive myopia.
• Adults with low to mild nearsightedness.
• Patients with low to moderate astigmatism.

Consult with Millard Vision Center to determine if orthokeratology is an option for you or your child.