Ocular Health Analysis

Take a moment to analyze your clarity and focus…

Accurate vision gives you the ability to see life with precision.  It offers a sense of assurance while driving at night, and allows us to comfortably perceive our surroundings.  The following questions are intended for you to honestly assess your eyesight and to help you better understand vision improvements that could enhance your quality of life.  Think about your vision and ask yourself the following questions:

Are objects constantly blurred and out of focus?

Are you a diabetic with dark shadows in your field of vision?

Are you a diabetic with fluctuations in vision quality?

Are you a diabetic with sporadic eye pain?

Are your eyes red and have a scratchy feeling?

Do dark colors seem muted or hazed?

Do have trouble focusing on distant objects?

Do you ever experience double vision?

Do you experience a burning sensation upon closing your eyes?

Do you experience difficulty seeing at night?

Do you feel discomfort in your eye, almost like you have sand in it?

Do you find yourself squinting to focus?

Do you get headaches or strain your eyes when reading?

Do you get teary-eyed when you wear certain perfumes, lotions, or cosmetics?

Do you have a difficult time distinguishing between different colors?

Do you have an increased sensitivity to light?

Do you have difficulty seeing in low light situations?

Do you have difficulty with depth perception?

Do you have one eye that wanders while the other is looking straight ahead?

Do you have red, itchy, puffy eyes?

Do you see partial double images around an object when trying to focus?

Do you want to eliminate the need to wear your contacts or eyeglasses?

Have you been poked in the eye with a foreign object?

Have you experienced an increase in drainage fluid that crusts around your eyes?

Have you experienced an increased feeling of pressure behind one or both eyes?

Have you experienced difficulty navigating while walking?

Have you experienced pain in your eye after an injury?

If you answered yes to ANY of these questions, it may be caused by a serious eye condition.  To receive a personalized assessment of your ocular health analysis, please complete this form.

Recognizing a change in vision or unfamiliar pain is the first step in determining chronic eye conditions. Contact our office today to schedule a comprehensive eye exam.

Note: Messages sent using this form are not considered private. Please contact our office by telephone if sending highly confidential or private information.


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