comprehensive & advanced technology
Dr. Sciberras offers a wide array of diagnostic and treatment technologies to provide comprehensive and state-of-the-art eye care, both routine and urgent care, disease prevention and monitoring. Early detection, identification and monitoring small changes in your ocular health and vision are key to preserving life-long vision. We have made the investments to do just that, because your vision matters to us.
OCT stands for Optical Coherence Tomography. It is a non-invasive screening and diagnostic imaging test that uses light waves to take detailed cross-sections of the retina, optic nerve, and cornea. With OCT, your eye care professional can see each of the retina’s distinctive layers. These measurements assist in earlier diagnosis and treatment decisions for both glaucoma and retinal diseases.
The SOCT Revo 80 offers detailed imaging of the retina, optic nerve, vitreous gel, cornea, and angle, plus axial length measurement, which is important in myopia management. This technology represents an advanced diagnostic tool, providing valuable information on the fine details important for early disease detection and treatment monitoring. OCT is useful in diagnosing many eye conditions, including glaucoma, macular degeneration or edema, Plaquenil toxicity, diabetic retinopathy, and vitreous or retinal detachment.
We are proud to partner with altris AI. This unique AI algorithm is trained on the biggest clinical dataset to help detect more than 70 retinal diseases with a cumulative accuracy of 91%. Patient-friendly reports on your individual scans can be generated for your own record-keeping and peace of mind.
AutoREFRACTOR and keratoMETER
1. Auto-refractor: the instrument focuses light into the patient’s eye and measures the amount of light reflected by the eye’s retina. In so doing, the instrument is able to provide an accurate estimate of the patient’s prescription, which the doctor can then use as a guide in helping determine and fine-tune the final prescription for glasses and/or contact lenses. This measurement takes only a few seconds to complete, and is performed on all patients prior to seeing the doctor for their eye exam.
2. Auto-keratometer: the instrument measures the curvature of the cornea, or front of the eye, to determine contact lens fitting and optical integrity of the eye.
3. Eye Pressure and Corneal Thickness Measurements: the eye’s internal pressure is measured with a soft stream of air, while the corneal thickness is measured simultaneously. This provides information to deduce your glaucoma risk and candidacy as it relates to laser eye surgery.
PERSONALIZED LENSES WITH OPTIKAM
Optikam’s measurement device obtains eyewear measurements that take into account how the frame will be worn by you.
These personalized “as-worn” measurements allow lens designs to be customized to take into account Vertex Distance, Pantoscopic Tilt and Frame Wrap.
As-worn measurements improve monocular Pupillary Distance measurements as well. The Pupilometer measures the monocular Pupillary Distances anatomically based on the center of the patient’s face, whereas Optikam will obtain monocular Pupillary Distances using the mid-point of the frame which takes into account the frame fit and possible nose pad adjustments.
Optikam provides the ten measurements needed for Position of Wear:
- Monocular Pupillary Distance (PD)
- Multifocal Seg Heights
- Pantoscopic Tilt (Panto)
- Rear Vertex Distance (RVD)
- Wrap (Face Form Tilt)
- Near Pupillary Distance
- A, B, ED/MBS and DBL values
These measurements, when accounted for in the fabrication of your lenses, offer the best visual experience, as they can be truly customized, allowing you to achieve superior lens comfort and resolution.
This technology represents a significant benefit in the exam process. The digital refraction system offers more accurate and less time-consuming determination of your spectacle prescription. It also enables immediate comparison of your new prescription versus your old prescription or current glasses. Prescription determinations can be frustrating for patients, but this system makes the process faster, more precise and easier for the patient to make subjective choices.
Digital Retinal imaging
Our Digital Retinal Imaging System provides clear, true-color photography of the retina and optic nerve. Some of the benefits of using retinal imaging are:
- easily demonstrate a healthy eye or detect disorders
- affords the doctor a more sophisticated, confident perspective than he/she could get by other means
- the chance for you to view and discuss image findings with the doctor at time of examination
- high-resolution and wide view of important retinal features allowing for a more comfortable patient exam
- less bright light will be required to examine your eye
- a permanent record for your file, allowing the eye care professional the ability to view and compare images each year to detect subtle structure changes
- our camera can image through cataracts, making diagnosis more accurate
- image copies are emailed to you for your own records
Virtual field analyzer
The Virtual Field Analyzer uses a comfortable, portable headset to quickly measure a patient’s peripheral vision and optical nerve pathway integrity. This device measures your sensitivity to peripheral light to help diagnose and monitor diseases such as glaucoma, MS, drug toxicity and macular degeneration, as well as the functional impact of stroke and head injuries. Tests are also available for color vision assessment, police and fire department applications, and driving test requirements.
SPECTACLE LENS ANALYZER
This instrument is the VX40 automated lensometer. Its function is to measure the power of your spectacle lenses. It can detect and analyze bifocals, progressive, and single-vision lenses. It is compatible with all lens technologies and brands. The VX40 analyzes and then depicts the measurements in the form of a topographic map of the power ranges across the lens. Computerized lens mapping allows us to check all glasses for accuracy, design and aberrations. We verify all new lenses in this way to ensure accuracy and quality of all the eye wear we dispense. If you have any issues with your glasses dispensed from us, please contact us so we may remedy them.
Meibography is an infrared image taken of the inner side of the eyelids to quantify and qualify the meibomian gland system, which is correlated to the tear break up time of the eyes’ nourishing tears. The images are then digitally analyzed to help diagnose dry eye causes/risks and therefore guide treatment options, as well as the monitoring of treatment outcomes. Dry eye affects a large portion of the general population, and is on the rise in younger subjects at younger ages due to the rise in use of digital devices.
Image courtesy: Modern Optometry
Wikipedia defines corneal topography as: a non-invasive medical imaging technique for mapping the anterior curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye’s refractive power, and is critically important in determining the quality of vision and corneal health. Corneal tomography goes a step further and measures both anterior and posterior corneal surfaces. The three-dimensional map is a valuable aid to the examining eye care professional and can assist in the diagnosis and treatment of a number of eye conditions; in planning cataract surgery and intraocular lens implantation; in planning refractive surgery such as LASIK or corneal cross-linking, and evaluating its results; or in assessing the fit of contact lenses. Image courtesy: Revo OCTs
The EYE GIFs System is a patient education software app that provides interactive eye anatomy animations to complement the doctor’s explanation of your eye exam findings. This helps each patient fully understand their diagnosis, risks and treatment options, allowing them to easily grasp otherwise difficult eye-related concepts. It is very useful in explaining cataracts and its surgical correction, glaucoma, refractive errors and their correction, eyelid and tear flow problems, retinal and vitreous detachments.
aBMax Eyelid Treatment
We offer periciliary eyelid scaling or blepharo-exfoliation to remove bacteria, crust, and debris from the eyelash base and lid margins, thereby clearing the meibomian glands to improve important oil secretions. Meibomian gland dysfunction is the most common cause of dry eye.
The blepharo-exfoliating process, blephex for short, is done with a safe, hand-held device. It spins a surgical-grade, moistened, sterile micro-sponge along the eyelash roots and lid margins. This short procedure removes biofilm buildup to help improve eyelid hygiene, increase oil secretions important to the tear film, leading to improved eye comfort and health. In a retrospective study, patients that underwent treatment had a 56% improvement in symptoms, 39% improvement in dry eye signs, and more than three second improvement in their tear film stability.
i-pEN tear Film osmolarity
When either the quantity or quality of secreted tears is compromised, a more concentrated tear film results (known as increased osmolarity). The I-Pen is a quick and safe device used to measure tear film osmolarity, or the concentration of dissolved salts in your tears. An elevated concentration places stress on ocular surfaces, namely the corneal epithelium and the bulbar conjunctiva. Knowing the tear film osmolarity is useful in cases of dry eye symptoms and the presence of ocular surface disorders and for pre/post-surgical patients (eg. LASIK or cataract surgery), and for managing dry eye therapy over time.