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Examinations Eye Disease & Emergencies Cataract Surgery Glaucoma Treatment
Optos System Testing Lasers Patient Education
Daniel W. Hanson, M.D. - Owner Staff

How We Use Technology

A key component in quality care is technology, but technology is only as useful as the skills and the knowledge of the physician interpreting it.

From the moment you walk in the door, you will be introduced to state-of-the-art technology in eye exams, laser treatments, and eye care education.�

Optos System

Optomap Graphic This unique wide-field visual imaging technology was incorporated into our practice in 1999 to better serve our patients. Boys Smith Vision Center was the first ophthalmology practice in the state of Washington to use it.

With this latest technology, dilation is no longer necessary. The Optos system utilizes state-of-the- art laser technology to capture an image of the back of the eye quickly and easily without the need to dilate the pupil.

The Optomap's ultra-wide view allows your doctor to confirm your retinal health, or discover signs of abnormalities or disease. The Optomap just takes minutes to perform; it is fast, painless, and comfortable for patients. It is particularly helpful when you return for your annual exam as it provides a permanent record of the condition of your retina. Early detection of retinal disorders is critical to preventing serious progression and loss of vision. Optomap pictures allow your doctor compare yearly images side by side to discover even subtle changes and better monitor the health of your eye.

Optomap Virtual Retinal Scan Detecting disease with the Optomap retinal exam-

Testing of Vision

Cirrus HD-OCT 4000:
This new high-performance optical coherence tomography (OCT) instrument from Carl Zeiss Meditec offers a quantum leap forward in imaging. Featuring spectral domain technology, Cirrus HD-OCT delivers exquisite high-definition images of ocular structures, precise registration and intuitive, efficient operation. It is extraordinarily fast, designed for patient comfort and efficiency. The Cirrus High Definition 3-D data cubes captures the details critical to detect small abnormalities and subtle change. It is particularly useful in managing diabetes, glaucoma and macular degeneration.

IOL Master:
The IOL Master allows fast, accurate measurements of eye length and surface curvature, necessary for cataract surgery. The IOL Master is more efficient because it allows measurements to be taken with complete confidence in the accuracy of the results. Also, because the IOL Master is non-contact (nothing touches the eye itself), there is no need for anesthesia and there is no potential for spread of contamination from the IOL Master.

Epic 2100 Graphic The EPIC is a faster and more accurate method of testing refractive error, including near sightedness, far-sightedness and astigmatism. With its speed and superior performance, the EPIC accurately measures the refractive power by using built-in charts and corrective lenses. The EPIC allows for more accurate and precise refractions in less than half of the time of the conventional method. It uses three separate computers that are integrated to work together.�

Heidelberg Retina Tomograph III: Retired - See HD OCT above
HRTII Graphic For many decades, the diagnosis of glaucoma largely rested on measuring the pressure in the eyes and a test called the visual field test. It is now widely recognized that a change in the shape of the optic nerve can be detected in some people five or more years before any other changes can be detected. The HRT is a new laser scanning system that provides the most accurate measurement of the shape of the optic nerve available today. This system uses scanning laser tomography to produce the 3-dimensional images, which allows precise measurements of optic nerve. The HRT III is arguably the best system available that helps differentiate between normal eyes and early glaucoma long before field defects are present.

Octopus Visual Field Test:
Octopus 301 Graphic A modern and faster method of testing your field of vision, this Swiss system is known for providing excellent statistical information while giving most patients utmost comfort during the exam. While the more commonly used automated field of vision tests do not even detect whether your eyes are closed or blinking, this system constantly monitors your eye position for more accurate results. During an Octopus examination, a light point is presented to you in a predetermined fashion in a lighted bowl and you will be asked to press a button when you see the light point. The responses are then analyzed statistically and compared with a database of normal responses.�

Goldmann Perimeter:
Goldmann Graphic The Goldmann Visual Field is a manual form of testing the field of vision or the peripheral vision. When performed by a skilled technician, areas of the periphery that need further testing can be investigated with a high degree of accuracy. This type of visual field test is ideal for patients who suffer from arthritis in the hands, early Alzheimer's disease, or have short span of concentration. We are proud to be one of a handful of clinics in Washington State that are able to offer this test to our patients.


Selective Laser Trabeculoplasty(SLT):
Selective Laser Trabeculoplasty It's a common procedure used to treat glaucoma. When SLT is done, your physician uses a laser to treat the drainage pathways (the trabecular meshwork) in your eye. The procedure can lower the pressure in your eye and may help prevent more damage to the optic nerve and further loss of vision. Your physician uses eye drops to numb your eye. A special contact lens is put on your eye to help direct the laser's beam of light at the trabecular meshwork in your eye. The laser makes 50 to 100 evenly spaced burns. You may see a few brief flashes of light and feel little, if any, discomfort. The procedure usually takes less than 10 minutes. You may be able to go home soon after it is done.

YAG Laser:
Yag Laser Graphic A YAG laser capsulotomy is a procedure in which your physician uses a laser to make a cut in the capsule of your eye after cataract surgery. The capsule is the thin, clear membrane that holds the lens in place. The opening makes it possible for light rays to pass through. If the capsule has become cloudy after cataract surgery, this procedure can help you see better. The procedure can be done in only a few minutes. First, your physician numbs your eye with eye drops and then puts in another kind of eye drop to lower your eye pressure. Next, your physician may place a special lens over the surface of your eye. Then the laser painlessly creates an opening in the capsule. The laser is so precise that it does not affect other parts of your eye.

Patient Education

Eyemaginations 3D-Eye Office
We offer 3D-Eye Office, powered by Eyemaginations, which is a 3D-animated software program designed to enhance patient communication and increase awareness of products and services offered within our clinic. �Through the use of narration, music and 3D animation, this interactive program allows us to educate,�train, as well as entertain patients on a variety of topics such as glaucoma, astigmatism, macular degeneration, corneal neovascularization, cataracts just to name a few. Available in English or Spanish.

American Academy of Ophthalmology
American Academy of Ophthalmology brochures We carry a full line of colorful, informative brochures by the American Academy of Ophthalmology to better educate our patients. These brochures provide extensive information on any particular eye related condition, disease, refraction errors and their correction (glasses and contact lenses), surgeries (both traditional and laser), learning disabilities, and eye safety for children.�

Patient Education and Surgery Consultation
Our Surgical Consult and Patient Education Room is dedicated for our patients that have or are thinking about having surgery, or want to know more about the diagnosis and prospect of their treatment. Our ophthalmic technician will explain the details and process of treatment and or surgery that our eye doctor discussed with you. Through our variety of videos, models, computer software and diagrams that we have in our consultation and education room, we are better able to explain procedures and answer any questions you may have. Our room provides the privacy and comfort that many of our patients seek. Parents who are having their child seen by one of our physicians or orthoptist (eye therapist), will generally be given a lengthy consultation about their child's eye treatment plan ensuring that all aspects of the child's condition and treatment is fully understood. We believe a better educated patient leads to a happier patient.

Boys Smith Vision Center | 109 North Pine | Ellensburg, WA 98926 | Vision Center: (509) 962-3937 | The Optical: (509) 933-3937
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