Central Oregon Eyecare

Prolonged Eyesight IS Possible

Sep 28 2018

By: Brian Oulman, OD


Yes!  You read that correctly. Central Oregon Eyecare is proud to announce a revolutionary piece of equipment that can- with over 90% accuracy- diagnose Macular Degeneration before there are any clinical signs.

What does this mean? It means even though the surface of your macula looks healthy, Macular Degeneration may have already started and be in a “subclinical” stage. With early detection our physicians can explain the proper protection to potentially give you longer eyesight or better yet the possibility of never losing your eyesight from this horrendous progressive eye disease.

Losing eyesight is one the most traumatic events that could happen in one’s lifetime.  Ask yourself which of the 5 senses would be the worst to lose. Did you think eyesight? Imagine not being able to see or recognize faces, not being able to drive or even read a book comfortably.

Is 6.5 minutes’ worth your time to know if you have subclinical Macular Degeneration?


This is why we are proud to introduce the Adapt Dx, by Maculolgix, at Central Oregon Eyecare. The AdaptDX is a dark adaptation test. It determines how long it takes for your eyes to adapt in the dark.

Think about going into a dark room after being in the sunlight. We are simply measuring how long it takes for your eyes to adjust.

There are 2 different types of Adapt Dx tests: the rapid and the extended test.  The Rapid test takes no longer than 6.5 minutes to determine with over 90% accuracy if AMD is present.

If this rapid test determines the presence of the disease then the second, extended, test will be administered to determine the actual time it takes to adapt to the dark. Over time these times will be graphed and monitored to determine the progression (if any) occurs.

Our physicians will discuss the proper lifestyle changes that might need to occur, the appropriate nutrients and supplements to take daily AND the proper eyewear protection you will need to increase the chance of prolonging any vision loss.  (In my next blog, I will discuss the lifestyle changes, nutrients/supplements and eyewear protection so stay tuned.)


This test is designed for patients if night time vision is difficult, the time it takes from light to dark seems like it is getting longer, you have a family member with Macular Degeneration or if you just want to know if your macula is healthy.

With the advances in healthcare to help us live longer, there is a higher prevalence of Macular Degeneration. We now can be more proactive with our eyesight and eye health to see longer. The aging process affects all of us in different ways, please have you and your loved ones schedule a yearly eye health exam to SEE longer.

Taking Personal Eyewear Measurements; Central Oregon Eyecare is Different!

Sep 12 2018

By: Brian Oulman, OD

I want to walk you through a process and let you in on a little secret. A secret that 90% of opticals don’t do or just don’t know about: Proper Personal Eyewear Measurements known as Position of Wear measurements (POW). If you have ever purchased eye glasses to see better, I hope you had more than 2 forms of personal or POW measurements taken. You are probably thinking, what are the position of wear measurements? Great question and let me answer that.

The POW measurements include, the Pupillary Distance, the Optical Center or Segment Height Distance, the Vertex Distance, the Pantoscopic Tilt and finally the Wrap Measurement. Yes, there are a total of 5 measurements that are needed to ensure your new prescription lenses inserted into your frame are as precise as possible. These are medical devices and Central Oregon Eyecare opticians know this and take pride in their knowledge to help you see better. Now, I would like to further explain each POW in greater detail and why they are so crucial.
The pupillary distance is simply the distance between your eyes, to center the lens horizontally. The optical center is measured from the bottom inside part of the frame to the center of your pupil, whereas the segment height determines where a progressive, bifocal or trifocal segment begins. The optical center and segment height are taken to ensure the exact vertical height. The segment height is measured from the bottom inside part of the frame to either; the center of your pupil for progressives, the lower lid margin for bifocals or the lower pupil margin (the location on the bottom where the black circle of your eye meets the colored part or Iris) for trifocals. The vertex distance determines how far your frames will be from your eyeball and extremely important for high prescriptions. For many prescriptions as the distance increases or decreases the prescription actually is different and needs to be adjusted for the surfacing of your new lenses. The pantoscopic tilt determines the angle of your frame and lastly the wrap angle measurement determines the curvature of your new frame.

With your input and cooperation our doctors obtain a new prescription to help improve your eyesight. Our opticians are some of the finest in the industry and have been trained to take all 5 of these measurements. The importance of these are to make sure you are actually using the exact prescription the doctor gave you. If these measurements are not properly taken, it is a coin toss if you are using the prescription obtained in the exam room with the doctor. Most opticals will take 2 measurements, the pupillary distance and the optical center or segment height distance, but is that enough, as you can now see the answer is NO! If these personal measurements are not taken, patients may have induced prism in their lenses causing eye strain, a pulling sensation and overall uncomfortable blurred vision. Most patients will be frustrated and think the prescription is way off, when in reality it was the measurements that were wrong or not taken. Patients have the ability to purchase their eye glasses in all sorts of settings, even online in today’s world. Eye glasses are medical devices and should be considered as such, that is why Central Oregon Eyecare goes above and beyond to ensure your medical device is as precise as possible while looking good in your new frame style. Please make sure you and your loved ones have their yearly eye health examination to SEE the difference!

Cataract Awareness = Remove the Cloud

Jun 18 2018

By: Brian Oulman, OD


Have you ever been driving in the desert, look out at the horizon and a large billowing brown dust storm is moving across the land.  Unfortunately, with a certain number of birthday parties this browning will happen to the lens of your eye.  The changing of color or simply a clouding in the lens of your eye is known as cataracts.  The lens is located directly behind the Iris (the color portion in your eyeball).  An advanced cataract can be noticed by looking at a person and instead of their pupil (the black circle in the eyeball) being black it looks cloudy.  Most patients would never get to this stage, especially if they are having their yearly annual eye health exams.

Cataracts can be extremely frustrating and luckily there is a surgical procedure that removes the cloudy lens and is replaced by a clear artificial lens.   This is known as cataract surgery and is performed by a surgeon.  Removing a cloudy lens creates brighter and more colorful vision.  Patients will always ask if they will need glasses, which is a valid question.  The answer is most likely.  Every patient is unique and responds differently to the surgery.  To help reduce the chances of having to wear glasses the implant lenses have become so advanced that patients can “upgrade” the implant to provide clearer eyesight after surgery.  Some patients even select the multifocal implant to ensure they can do everyday tasks without glasses.

So the lens gets cloudy with age and you can have it surgically removed, but what might you notice if you have cataracts.  For a majority of patients their night time vision gets worse. Glare tends to be the number one side effect at night with headlights or other light sources.  This makes driving uncomfortable and for some scary, to the point where people stop going out at night.  One reason for this is at night the pupil gets bigger to let more light in the eye, however, this light has to go through a cloud which scatters the light in the back of the eye, creating increased glare.


Another noticeable issue that patients experience would be needing more light when trying to read or do activities up close.  Our pupils will get smaller when we read or do activities up close which will decrease the amount of light into our eye, then what ever light gets in has to go through a cloud further decreasing the amount of light.  Thus more light is needed.

There is an interesting phenomenon that occurs in diabetic patients with uncontrolled blood sugars.  There’s fluid being produced and filtered in the front part of the eye that will contain a certain sugar level.  If a patient is experiencing uncontrolled blood sugars, the sugar level in this fluid can rise, the lens will absorb some of the sugar causing the lens to swell.  This swelling can cause a change in a patients’ prescription making glasses difficult to use.  As the sugar level subsides the lens will begin to return to normal size.  Not only can this swelling change the prescription it can cause an early onset of cataracts.

There are many forms of cataracts and most progress slowly taking decades to form.  For a majority of patients, cataracts begin in the decade of the 60’s. If you or someone you know has had lifestyle changes due to their vision or if you have heard of the complaints listed above, you may want to have them examined to determine if it is cataracts.  Please ensure you and your loved ones have their yearly eye health examine to keep everyone seeing their brightest.

Healthy Vision: More than 20/20

May 7 2018

By: Nicholas Blight, OD

Healthy vision is more than just 20/20. Our eyes are designed to constantly and instantly provide visual feedback about our physical surroundings, it’s a big job and theychair need as much help as we can give them. In honor of healthy vision month, I would like to share some vision tips, to keep your eye healthy happy and seeing great.

The first vision tip is to have regular comprehensive eye examinations. The American Optometric Association recommends a child’s first eye check at 12 months old, the next at three years old, again right before starting school and then annually thereafter. During an exam an update prescription for glasses is given, the eye health is evaluated and several recommendations are offered to improve visual performance and wellbeing.

safetyAlong with annual exams, tip number two is to keep glasses and contact lens prescriptions updated. Using the most up to date prescription is important to reduce eye strain and headaches, and to provide the clearest and most comfortable vision. Replacing contact lenses on the approved and recommended schedule is also key for healthy eyes and to avoid infections and discomfort.


My next tip is about workplace wellness. Eye protection, such as safety glasses and face shields are critical to protect against eye injury andpc avoid preventable damage and vision loss. If your work environment doesn’t include flying bits of metal, wood or other small projectiles you likely spend a significant amount of time on a computer or other device screen. You may be at higher risk for visual issues related to fatigue and stain. High energy blue light emitted from digital screens tend to make our eyes work hard while focusing. Blue light also interrupts the body’s natural sleep-wake cycle. Over the course of a day, that additional work causes tired eyes that feel strained, and may cause difficulty falling asleep or getting a restful night. Wearing glasses that filter blue light can reduce strain, help your eyes feel less tired at the end of the day and even improve your sleep habits.

vrgLet’s talk about nutrition, my last healthy eye tip is about how you can provide high quality building blocks for the best structure and function of the eyes. If you’re like me, you have childhood memories of you mother, grandmother or another caring adult in your life, telling you to eat your vegetables. And to overcome your hesitation, they may have said something like “carrots are good for your eyes.” While they were correct, there are a lot of great things we can eat that are good for your eyes. Following is a list of vitamins and minerals that are essential for good eye health, and some examples of foods where we can get them.


Beta-carotene – is converted into Vitamin A, which is needed for the mucin layer of tears, and is crucial for good night vision

Foods rich in Beta-carotene: carrots, sweet potatoes, apricots, and cantaloupe.

Zinc – Is required to transport Vitamin A from the liver to the eyes and is made into melanin

Foods rich in Zinc: legumes, black-eyed peas, kidney beans, lima beans, and peanuts. Other foods high in zinc are oysters, lean beef, pork, and chicken – dark and breast meat

Vitamin C – supports blood vessel health and is an anti-oxidant that protects against macular degeneration and diabetic retinopathy

Foods rich in Vitamin C: citrus fruits such as lemons, oranges, grapefruit, and tangerines. Other foods with high-levels of Vitamin C are peaches, red peppers, tomatoes, strawberries, bok choy, cauliflower, and papaya

Omega 3s – stimulates vision development for infants, protects against dry eye, macular degeneration and glaucoma

Foods rich in Omega 3s: salmon, tuna, trout, sardines, and halibut

Lutein and zeaxanthin – these are macular pigments that block high energy blue light, which causes macular degeneration, and protects against cataracts

Foods rich in Lutein and Zeaxanthin: kale, spinach, romaine lettuce, collards, turnip greens, eggs, broccoli, peas, and corn

Vitamin E – Antioxidant that protects against free radical damage and reduces risks of macular degeneration

Foods rich in Vitamin E: sunflower seeds, hazelnuts, almonds, sweet potatoes, and fortified cereals

I hope you find these healthy eye tips helpful, and that this month can be the start to a lifetime of happy healthy great seeing eyes.

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