We utilize Optical Coherence Tomography (OCT) scanning laser technology. This is helpful for assessing changes to the retinal layers in your eyes. This is especially useful when assessing for conditions such as glaucoma, macular degeneration, changes due to diabetes or hypertension, and many other potentially sight threatening conditions. This instrument is very useful in monitoring for improvement or worsening of certain conditions by providing a more detailed analysis of the retinal layers than a physical exam can.
We now have a precision digital lens determining system from Marco Vision. The new Evolution system will help our doctors in determining your lens prescription. If you have myopia, hyperopia, astigmatism or presbyopia, this new system will help in determining the most precise lenses that will provide you with clear comfortable vision.
The Evolution is an integrated system that allows us to compare your new prescription with your old instantaneously. Your results are then automatically entered in your electronic chart with no chance for transcription errors.
Computers have changed the way the world operates today. Electronic records have been a part of our care for over 10 years. We can now easily access your previous electronic charts with the click of a button. Prescriptions for your lenses or medications are printed; not handwritten. We can easily generate a letter for your family physician about any eye conditions you have that are related to systemic conditions, such as diabetes or hypertension.
Frequency Doubling Technology (Humphrey FDT) is used to assess your peripheral vision. This is useful as a screening tool to look for any defects in your peripheral vision that may be due to things like glaucoma, stroke, head trauma, and others. If there are defects on your screening visual field test, then we will have you return to the office for more comprehensive visual field testing.
Automated Refraction and Keratometry (Humphrey 599) is used to help us determine your spectacle lens power as well as the shape of your eye; which is especially important in contact lens fitting.
Corneal Topography (Eyesys Vista) maps the corneal surface of your eye. This is very helpful in certain contact lens cases, as well as managing corneal diseases such as keratoconus.
Electronic Record Keeping (Office Mate Exam Writer) keeps your chart neat, organized and accurate. The ability to analyze your chart is not dependent on the doctors' handwriting or the interpretation of a scribe.
Fundus Photography (Canon 4-45) is used to take detailed photos of your retina. This is useful for monitoring changes over time. This is used most often for monitoring changes in the optic nerves in relation to glaucoma, changes in the macula due to macular degeneration, and tracking progress of diabetic or hypertensive retinopathy. This is also useful for a monitoring tool to determine stability of lesions such as a choroidal nevus in your retina.
Automated Refraction for Children and Non-Verbal Patients (Canon RK-1) By simply looking at a picture in a piece of equipment, your spectacle lens requirements can be estimated with good precision. This is useful to our doctors when a patient is unable to verbalize how well they are seeing during the eye exam.
We know your vision is important to you and it is important to us. When you come for your appointment, we make sure to schedule ample time for your appointment so you will not feel rushed. Our office provides complete eye care for both adults and children. Our comprehensive eye examinations provide a thorough evaluation of your eyes inside and out. Your visual skills and abilities are carefully evaluated and appropriate treatment is prescribed. We are committed to keeping up with eye care advancements and technology.
We can fit you into a pair of lenses that is the best possible for you. We are experienced in handling the most difficult of prescriptions including toric lenses which correct for astigmatism, high near-sightedness or high far-sightedness, and multifocal contact lenses. We can also give you a new eye color if your prescription is available.
We will help you find the very best eyewear to suit your needs. We will also provide you with a high level of service after you receive your glasses, maintaining and repairing them should they become broken or damaged. We strive to provide you with the most up-to-date frame and lens designs available. Our skilled opticians will adjust and fit your glasses for the best comfort and vision.
Most people with vision correction issues are wanting to know more about LASIK and whether it is right for them.
Here is a brief description of the procedure;
A flap is surgically cut (or excised with a laser) in the cornea and gently folded back. A Laser is used to reshape the cornea. The flap is then put back in place. The healing process is relatively fast and the discomfort level is quite low. Most patients are quite comfortable even at their 1 day postoperative visit.
LASIK is not for everyone. People's eyes are different so even though you may have had a friend who has had LASIK, it may not be the best course of treatment for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon and procedure appropriate for you.
After the procedure, we take great care with your post-operative managment and communicate frequently with the performing surgeon regarding your results.
Our office provides many of the preoperative and postoperative surgical services for Cataract surgery, Refractive surgery (such as LASIK) and others. We offer this in conjunction with hospitals and surgery centers. We work with eye centers including EyeCare Physicians and Surgeons, EyeHealth NW, Retina Consultants, Dr.Teplick, Pacific Cataract and Laser Institute and others to provide the best care for you.
Our office provides emergency services should this be needed by you. Please call our office at 503-874-2020 during office hours, after hours or on weekends. If the answering service is unable to contact the doctors after hours you will be referred to an on call eye doctor. Follow-up visits to monitor your recovery will be scheduled as needed.
Dry Eyes: Symptoms include scratchy eyes, burning, redness and "gritty" feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye, and from review of your symptoms. Treatment may include artificial tears, lubricating eye ointment, and/or punctal plugs inserted in the tear drainage canals. Further intervention, including prescription drops for dry eye (Restasis) may be necessary depending on the extent of dry eye and how responsive your eyes are to therapy.
Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and monitor cataracts. When the cataract affects the vision to the extent that you are avoiding certin activities, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.
Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye; which leads to peripheral vision loss. Even though it is often associated with high pressure in the eye, this is not something you will feel. Also, there are cases where a person has normal eye pressure, and they can still develop glaucoma. This is why it is to important to get regular dilated eye exams to monitor the health of your eyes. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that are used to treat more advanced glaucoma.
Diabetes: Diabetic patients should have a dilated retinal examination each year. Even though a diabetic may feel that their sugar is well controlled and that they are having no vision issues, there may be still be damage occuring in the retina. With both our clinical exam and our up-to-date instrumentation, we will take a thorough look at your retina. If we discover advancing diabetic eye disease that needs treatment or further evaluation, we will refer you to a retinal specialist.
Corneal Refractive Therapy (Paragon CRT) is for people who want to see without lenses during the day but cannot or do not choose Lasik. This option includes wearing lenses while you sleep which changes the shape of your cornea during the day to allow for clear vision. Call our office for an information packet including a CD.
LENS THICKNESS-can be minimized with careful frame and lens choices. Melissa can help you choose a frame and a lens material that will minimize lens thickness. Anti reflective coating will also enhance what you see as well as how others see you. Ask her for a demonstration.
FASHION-Melissa can tell you which frames are the latest in fashion and guide you in choosing a complimentary style.
SPORTS EYEWEAR-Polycarbonate is a very safe lens material that will offer you maximum eye protection.
COMPUTER EYEWEAR-Melissa is very skilled in helping you find eyewear that will maximize your visual comfort while working at a computer.
OSHA SAFETY EYEWEAR-Melissa has samples of OSHA approved eyewear that will protect your eyes from hazards at work or home. She can show you samples of newer more fashionable safety glasses. Do you work with power tools, saws, drills, weed eaters, chain saws, grinders, nail guns, hammers, or any other tools that produce flying particles? She has special prices on these safety glasses to encourage you to protect your eyes.
Free introductory visit-meet Dr Gilge and the staff.
Free frame adjustments
Free colored contact lens makeover
Free Vision Screening-Autorefraction
Free frame styling and consultation
Free safety eyewear consultation
Free sports eyewear consultation
New AR (anti reflective lenses) reduce night driving glare. They also help reduce glare from overhead flourescent lighting, and can help you see with less eyestrain while using a computer. New THIN high index lenses make your lenses thinner and lighter.
Polarized lenses provide maximum comfort in bright light when driving, golfing, fishing, or relaxing on the beach. Transitions lenses are "right in any light." These lenses change from light to dark depending on the lighting conditions. New improvements to the technology of these lenses makes them turn from light to dark and back again very quickly, reducing your adaptation time.
We have a large selection of fashionable sunglasses. These help protect your eyes from ultraviolet radiation as well as giving you more comfortable vision whether it is for driving, sporting activites, or reading on the beach.