Focus Eyecare Wilmington NC | Your Eye Exam
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Eye Disease

Eye Disease

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Dry Eyes

Dry Eyes

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Learn About Eye Anatomy

At Focus Eye Care, we are dedicated to providing you with 20/20 vision (100% sight!) by utilizing the latest eye-care technologies to accurately determine your prescription. In order to thoroughly check your eye health, our eye examinations also check for any possible compromise or threat to your eyes’ health. We believe that communication is the key to your satisfaction at Focus Eye Care and every attempt is made to ensure that you understand what is happening with your eyes. We are a full scope optometric practice committed to quality care and excellent patient service.
Comprehensive eye exams are the best way to ensure healthy vision for you and your family. If it has been more than a year since you’ve had one or if you’ve noticed changes in your vision, it is probably time to schedule an appointment.

Preparing for your eye exam

As with a physical examination, it is important to know your medical history when preparing for your eye exam. Our doctors will ask about your vision, medications, your eye history, health history and your family’s health history. This information is essential, as many systemic and external factors can impact your eye health. They will also ask details about what symptoms you may be experiencing with your eyes.

You can visit to begin organizing a complete family health history if you wish.

During Your Eye Exam

We will perform a number of tests on each eye’s internal and external structures to evaluate the retina, optic nerve, muscles, cornea, blood vessels, pupil, lens, iris, conjunctiva, eyelid and eyelashes. Below is more information about an eye exam’s different stages.


This part of the exam tests your ability to see clearly and to focus your eyes. Our doctors will place a series of corrective lenses in front of your eyes and ask you to read an eye chart at a distance. They will ask questions to determine whether you are far-sighted, near-sighted, astigmatic, presbyopic, or a combination of these. We will also examine your eye muscles at this time: evaluate their ability to rotate and coordinate properly and determine how well the two eyes are working together. Your close-up vision will also be assessed to confirm if a prescription is beneficial for computer work and reading. Not everyone has an easy time with the refraction and answering as to which option is clearest. We know it’s not always easy, but we are willing to spend extra time and energy to reduce the pressure and establish the best possible prescription for you.

Visual System

Using an ophthalmoscope and a microscope, your eye health will then be assessed all the way from front to back. An assessment of the front of the eye will detect the presence of dry eyes, allergies, and other acute and chronic ocular surface disease. Next, our doctors perform the Fundus Evaluation to examine the retina specifically. This procedure detects vision problems related to cataracts, glaucoma, diabetes, high blood pressure, macular degeneration and brain disorders. Both of our doctors are well trained in the diagnosis, treatment, and management of ocular disease.

Assessment and Plan

At the end of the consultation, we will discuss your sight and eye health as well as all the options available if treatment is required. We will spend ample time throughout the exam explaining any conditions and ensuring that all your questions are answered. But please feel free to ask questions to anyone on our team, as it is our aim that you leave feeling reassured and happy. Following this you will receive your prescription and have an opportunity to review and select your lens and frame options.

State of the Art Equipment

At Focus Eye Care, we’ve invested in phenomenal diagnostic equipment in order to deliver to you the best care possible. We have an OCT to perform retina and optic nerve scans. It then compares your analysis to a database full of damaged and normal tissue. It also provides Dr. Brimer and Dr. Bryant with a cross section image of the back as well as the front section of the eye. This allows them to see if there are defects not visible in a standard exam.

We have an Optomap that allows us to take photographs of the retina. One of the main reasons a doctor dilates the eye is to be able to view the peripheral retina, but even then it doesn’t show up on a typical retinal photograph. What’s unique about the Optomap is that it allows the peripheral retina to be photographed, even when you’re not dilated! This is an invaluable tool in documenting any peripheral thinning or “freckle” so we can monitor it closely for change.

Our topographer is so much more! It is the Oculus 5M, which allows us to take high-resolution images and visdeos of the front of the eye, but we can also image the meibomian glands within the lid. This tells us if these glands are damaged, causing the eye to dry out. The 5M also takes a video and evaluates how quickly the tears break up between blinks. It shows any dry patches present. The 5M can measure how thick the fluid layer is in the eye and how good the oil water balance is. These are just a few of the benefits of this very specialized piece of equipment that so few doctors have.

Visual field tests often seem more complicated than they are. At Focus Eye Care, we try to make our visual field tests fun and can be likened quite simply to a game of space invaders. The only difference is that you have to keep your eye in one place the whole time. Each time you think you see a spot of light, as with the aliens in space invaders, you hit a button and it lets us know. The purpose of field-testing is to check your peripheral vision, which may be affected in some cases. The most common eye condition causing field loss is Glaucoma. Sometimes more serious conditions like pituitary tumors may be caught by having a field test. In this case, the field test could be a lifesaver.

We also have very specialized equipment to treat dry eye, equipment you won’t find within a 2 hour radius of Wilmington! Go to our Dry Eyes page to learn more.