Comprehensive Eye Exam At Dr. Cohen’s Office

A comprehensive eye examination includes two very distinct parts, a visual system evaluation and a thorough health exam. In examining the visual system, a series of tests are performed to evaluate how well the two eyes work together as a team and how well each eye focuses individually. For example, eye muscle balance and depth perception is checked to make sure that one eye is not straining more than the other. Only by examining the visual system properly can an exact eyeglass prescription be determined. Dr.Cohen’s examination is thorough in all aspects of evaluating both external and internal tissues of the eye. Most importantly, Dr.Cohen will check for cataracts, obtain exact eye pressure measurements to help determine risk for and diagnose glaucoma, and obtain a complete view of the inside of the eyes by dilating, or opening your pupils with dilating drops. Dilation allows the doctors to view your retinas in the back of your eyes and effectively screen you for serious sight threatening conditions such as macular degeneration, diabetes and high blood pressure. Many other conditions or diseases of the eyes or body can be detected or suspected by a dilated eye exam.

Detection of Eye Diseases

“ARE YOU AT RISK FOR VISION LOSS?” Glaucoma, Macular Degeneration and Retinal Diseases are the leading causes of blindness today. The number of eye diseases are increasing each year and affecting millions of people. At Dr. Joseph Cohen’s office we have the latest HRT diagnostic test that can detect structural damage in the eye up to 8 years earlier than most other diagnostic test in eyecare. Early detection of eye diseases can assist in preserving your vision and quality of life.


Dry Eyes

Dry Eyes, is a condition many people confront. It is caused when the tears produced by the eyes are insufficient in moisture, lubrication, and other features that help keep the eyes remain protected. Dry eyes may also be stimulated by environmental aspects such as weather that irritate the eye and dry up tears. People with dry eyes often feel discomfort in a variety of forms including irritation, inflammation, or the feeling of something in the eye. People with Chronic Dry Eyes are diagnosed by Dr. Cohen and repeatedly have a decrease in the amount of tear creation due to obstruction or just a minimization in tears. People with chronic dry eyes tend to have the uncomfortable feelings and symptoms for a longer period of time where as dry eyes for a person who works on a computer frequently maybe more short term. Treatments for minor degrees of dry eyes may not be as efficacious for chronic dry eyes because of the deviating causes. Dr.Cohen specializes in the detection of dry eyes and they are several treatment that can alleviate the problem.


Glaucoma is the name for a group of diseases that can damage the optic nerve of the eye. Good vision depends on a healthy optic nerve. The eye has a mechanism much like a drain system: A clear fluid regularly flows in and out of the anterior chamber of the eye, nourishing nearby tissues, and keeping the pressure in the eye at whatever is normal for each person. However, in an eye affected with the most common form of glaucoma called open angle glaucoma the drain is clogged for some unknown reason and the fluid cannot flow out. This build-up of fluid in the anterior chamber causes the pressure to rise and can damage the optic nerve. The pressure must be lowered and controlled either with eye drops, pills, or surgery to prevent damage to the optic nerve and preserve vision. Glaucoma affects at least 2 million adults in the United States and is the leading cause of blindness here. As many as 1 million people here may have glaucoma and do not know they have it. Initially, people with glaucoma may begin to lose their peripheral, or side vision. “That’s good in a way because the peripheral vision is what we use at least and in the end it’s something that potentially could be expendable. However, that is also bad because the vision loss can progress very rapidly or very slowly without the person realizing it, until central vision has been markedly altered as well Dr. Cohen can detect the first signs of glaucoma during a comprehensive eye examination. Your pupils must be dilated (usually with a drop or two of medication) so Dr. Cohen can look into the back of your eyes.


Another eye disorder that can occur with little warning is a cataract, which is a clouding of the lens within the eye. The lens is composed of water and protein. The protein is arranged so that light can pass through and focus on the retina. If the protein clumps together, however, it starts to cloud over a small area of the lens. In time, this cloudy mass of protein called a cataract can grow larger, making it hard to see. That’s when it becomes a problem. Like glaucoma, cataracts are painless. Often people with cataracts begin to complain about glare. Colors may seem faded, and eyeglasses or contact lenses may need frequent changing. Ironically, people with cataracts may need increased light to read, and to lessen other vision problems. If the cataract worsens, however, surgery may be necessary to remove the cloudy lens and replace it with a new lens. By the year 2020, there will be more than 12 million individuals in the 65 or older age group who will probably need treatment for cataracts. Besides age, other factors that scientists believe may put you at greater risk for developing a cataract include heredity, alcohol use, smoking, long-term exposure to high levels of the sun’s ultraviolet rays, some medications and systemic disorders such as diabetes. Cataract is perhaps the most common cause for a drop in vision in the world. Cataract removal is the most common operation performed in the United States today and with the comprehensive exam, Dr. Cohen will be able to detect Cataract.

Age-Related Macular Degeneration

In stark contrast to glaucoma and cataract, age-related macular degeneration (AMD) diminishes sight in a dramatic way: It affects the central vision. Although people with AMD rarely go blind because of it, many find it difficult to read, drive and perform other daily functions that require central vision. The number of cases of the disorder increases substantially among individuals over age 60. About 5 percent of the 34 million adults over age 65 or 1.7 million of us have some degree of vision loss because of this disease. The macula is located in the center of the retina, which is the light-sensitive layer of tissue at the back of the eye. Normally, when you are reading, light is focused onto the macula. AMD can affect this in two ways. When the light-sensitive cells in the macula break down slowly over time, less macula is available to handle light properly. This breakdown is called dry AMD, which affects about 90 percent of people with AMD. Although dry AMD cannot be treated, most people do not lose their vision entirely from this form of the disorder, because the damage to the macula occurs so slowly. In wet AMD, new blood vessels begin to develop behind the retina. These new vessels tend to be very fragile and often become leaky. The blood and other fluid they leak causes rapid deterioration of the macula. Although only 10 percent of people with AMD have this form, wet AMD accounts for 90 percent of all blindness from AMD. People with dry AMD will probably not notice any changes in their vision. Over time, a blind spot may begin to develop in their central vision. People with wet AMD, however, may begin to see the blind spot quickly. In addition, wet AMD can cause straight lines to appear wavy. During your eye exam, Dr.Cohen may give you a special grid to stare at how this grid looks to you may help the doctor to diagnose AMD. Also, your doctor will look for yellow deposits called drusen in the retina. The presence of drusen is an early sign of AMD. With Dr.Cohen’s comprehensive exam, he will be able to detect macular degeneration and the onset of it.


Are you tired of waking up in the morning unable to see clearly? Imagine the time you could save by not having to wear contact lenses everyday. Millions of people have turned to LASIK to help them improve their vision. Lifestyle and Career Opportunities. If you are considering this exciting alternative to eyeglasses or contact lenses, wouldn’t it be helpful to have a much clearer view of how to proceed to the next step? Amidst all the noise and confusion of competing radio, TV, and newspaper advertisements there are three basic questions to consider: Am I a suitable candidate for the LASIK procedure? How do I choose the finest doctors and appropriate technology to achieve the safest and most satisfying visual results? How do I get the highest standard of quality and professional care at an affordable fee? Candidacy Evaluation With recent technology advances in the development of lasers for vision correction, millions of people who are nearsighted, farsighted and astigmatic can now see without depending on glasses or contact lenses for most activities. Dr. Joseph Cohen will provide an independent objective opinion on how to best achieve vision correction to fit your lifestyle. Comprehensive Exam Once it is determined that you are a candidate, Dr. Joseph Cohen will perform a comprehensive pre-operative examination in the comfort and convenience of his office. This will help determine the precise details needed for your customized surgical procedure. Your Custom Vision Correction Procedure On the day of surgery you will arrive ahead of your scheduled surgery time. All measurements will be re- checked and additional information will be captured to ensure that your procedure is truly personalized for your visual needs. The procedure is painless and only takes a few minutes. Afterwards, you will be given all the necessary medications and sent home to rest. Post Operative Care You will be seen for post-operative care by Dr. Joseph Cohen. At these visits your vision will be monitored as will the general health of your eyes. You will be seen the day after you procedure and typical follow-ups are one week, one month and three months after surgery. There may be some variations to your post-operative care if indicated by your doctor. Annual exams should be scheduled regularly. These exams are designed to monitor and detect early signs of eye disease and other health problems. As your eye care professional Dr. Joseph Cohen’s primary concern is to ensure the health of your eyes throughout your lifetime.

Why Annual Exam?

Encourage family members and friends who may be at high risk for glaucoma Blacks over age 40 and everyone over age 60 to have an eye examination through dilated pupils every two years. The sun’s ultraviolet rays can be dangerous to eyes. When purchasing sunglasses, ask for ones manufactured with a UV blocker. Be sure the blocker is designed to screen out both ultraviolet A and ultraviolet B rays. Quit smoking. It is not only bad for your heart and lungs, but also for your eyes. If you are pregnant and have diabetes, get an eye exam in which your eyes are dilated every trimester. If you have diabetes, get eye exams in which your eyes are dilated once a year. If you have diabetes, check with your doctor about how to maintain tight control of your blood sugar.