Our Services

In our continued efforts to bring the most advanced technology available to our patients, Dr. Moss is proud to announce the inclusion of the Eidon Retinal Exam as an integral part of your eye exam.

Many eye problems can develop without warning and progress with no symptoms. Early on, you might not notice any change in your vision. However, diseases such as macular degeneration, glaucoma, retinal tears or detachments, as well as other health problems such as diabetes and high blood pressure, can be detected with a thorough exam of the retina. The retina is the part of your eye that catches the image of what you are looking at, similar to the film in a camera.

The Eidon Retinal Image provides:

• A scan to confirm a healthy eye or detect the presence of disease.
• An overview or map of the retina, giving your eye doctor a more detailed view than he can achieve by other means.
• The opportunity for you to view and discuss the images of your eye with your doctor at the time of your exam.
• A permanent record for your medical file, enabling your optometrist to make important comparisons if potential problems show themselves at a future examination.

The eye care medical field has an unusual split between two different types of insurance for covering eye issues: health insurance and vision insurance. Not all patients have both.

In most cases, your health insurance is used to cover medical and surgical eye problems but not routine exams or the cost of contacts or glasses. Those things are often covered by separate vision insurance.

Why the difference? Originally, health insurance was created to take care of health “problems” and wasn’t designed to cover “routine,” “screening,” or “wellness” exams.

Since health insurance wasn’t going to cover “routine” eye exams, the vision insurance industry arose to help insure/cover those routine exams as well as the costs of glasses and/or contacts if they were needed.

That dichotomy now often causes great confusion when you make an appointment at your eye doctor.

There are also differences in what the insurance will cover as a reason for the exam.  Vision insurance typically covers ONLY routine exams. Those are exams for which you are coming in specifically to get your vision, glasses and/or contact lens prescription checked and get an overall eye health screening.  That means you CAN’T have a medical complaint about your eyes that you want the doctor to deal with. Eyes itchy? Need to use your medical/health insurance.  Dry eyes? Need to use your medical/health insurance.  Have a cataract? Glaucoma? Macular Degeneration? Need to use your medical/health insurance.

Why not just use your medical insurance all the time? That’s mostly because if you have no complaint at all your medical insurance won’t cover that visit (and “my vision is a little blurry” usually won’t cut it).  There is one other issue and that is the refraction.

A refraction is when we check to see if you need a new eyeglass or contact lens prescription. Health insurance won’t cover the fee for the refraction, which is a procedure that is separate from your eye health exam. Your vision insurance will cover the refraction but not the exam if you are having a medical problem.

Here’s the real kicker. Your health insurance will cover your medical eye problems and your vision insurance will cover your refraction, BUT you can’t use both insurances at the same visit. It has to be one or the other.  (Ridiculous right? I didn’t make the rules, just trying to abide by them.)

So, what are your choices if you have both a vision plan and health insurance? If you have a problem, you need to use your health insurance. If you want to have your eyes refracted so you can get new glasses at the same time you can either pay out of pocket for the refraction OR you can come back in for a second visit, using your vision plan to get a refraction and eye health screening exam so that the refraction gets covered. (Again - I didn’t invent these rules--I am just trying to help you navigate them.) If you don’t want to make two visits, then use your health insurance (with the appropriate complaint) and pay for the refraction and just use your vision insurance to help pay for the actual contacts or glasses you are going to buy.

If you have a question, it’s best to ask when you call the office to inquire about an appointment.

Article contributed by Dr. Brian Wnorowski, M.D.

When patients come to our office for eye exams, many times there is testing that we do to help us diagnose problems.  One of these tests uses Optical Coherence Tomography or OCT.   Pictures taken with our OCT machine are generated by light waves that reflect off the back of the eye or retina, creating images similar to what could be produced by a low-power microscope. The OCT also provides cross-sectional images.   These images can display the various layers of the retina.  This technology is also used to image the optic nerve, which is important in glaucoma treatment and management.

OCT is a non-invasive and no-contact test that doesn't require preparation from the patient. There is no exposure to radiation since the machine uses light to obtain the images.  The patient sits in front of a machine, a couple of bright flashes like a normal camera flash go off, and then the photos can be viewed on the machine within a minute.

The OCT is an extremely valuable tool used to help diagnose and manage common retinal eye diseases such as macular degeneration, macular edema (fluid in the retina), and macular hole/epiretinal membranes. We use the initial OCT images to aid in making a definitive diagnosis.  The OCT compares these initial images of your eye to a database of images of normal eyes matched to your age. In this way, the first OCT images we take can help point out potential issues if there is something that looks different from normal or average.  Subsequent OCT images can then compare how you look now compared to how you looked initially.  This can be very valuable in gauging how well treatment is working or if the problem is progressing.

The other common use of the OCT is for monitoring and managing glaucoma.  We usually take initial images of the optic nerve, and the OCT can then compare these images to those of age-matched healthy control patients.  The OCT will usually be repeated every year so we can follow any changes or progression over time.

The advent of OCT has revolutionized the way we evaluate the retina because we can now detect subtle findings not otherwise easily seen during clinical exams. This makes the OCT one of the most valuable tests we can do in our office.