Eye Exam Near Honolulu


A comprehensive eye examination can detect eye diseases or other abnormalities that have not yet developed into symptoms. By scheduling an eye appointment now in our Honolulu area office, you are taking the first step to ensure your eyes stay healthy.  Early intervention is crucial in preventing vision loss from a disease such as glaucoma, which may not cause symptoms until significant and irreversible damage has taken place. Early detection of eye problems gives a patient a choice of treatment options and reduces the risk of permanent damage.  Located in Mililani, nearby Honolulu, you can trust Dr. Omphroy and his team to provide a thorough eye examination in a comfortable environment.

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A comprehensive eye exam should be performed once every year. Children should have regular tests to ensure that their vision is normal so that their schoolwork does not suffer. Older adults are at higher risk for eye conditions such as glaucoma, macular degeneration, and cataracts. During a comprehensive eye examination, simple refractive errors are detected, and severe eye problems or diseases, including the following, are diagnosed:
Eye Exam Equipment

  • Amblyopia (lazy eye)
  • Strabismus
  • Eye-tracking difficulty
  • Glaucoma
  • Diabetic retinopathy

Even in younger, healthy adults who are asymptomatic, a regular eye examination is essential. Serious medical conditions, such as high cholesterol, diabetes, and high blood pressure, can be detected, allowing patients to seek treatment early.


A comprehensive eye examination differs from a vision screening. The latter only tests visual acuity and is commonly performed by a school nurse, optician, pediatrician or other healthcare providers.

To evaluate the eyes thoroughly and detect any problems, the following tests are performed:

  • Visual acuity
  • Visual field
  • Retinal examination under pupil dilation
  • Slit-lamp
  • Tonometry (tests intraocular pressure (IOP))
  • Keratometry (measures the curvature of the cornea)
  • Refraction

Tonometry checks for the presence of glaucoma, and keratometry for astigmatism. All of the above tests are safe for all patients.


Based on the diagnostic findings of the examination, eyeglasses or contact lenses, medication for infection or inflammation, vision therapy, and vitamins or other supplements may be recommended. In some cases, eye surgery may be necessary.


The most common eye conditions diagnosed during a comprehensive eye exam involve refractive errors that cause blurry vision. These conditions affect millions of people in the United States and often get progressively worse as patients age. Refractive errors are easily treated.


Also known as nearsightedness or shortsightedness, myopia is a condition of the eyes in which nearby objects are clear, and distant objects are blurry. Almost a third of people in the United States have some degree of nearsightedness.


Also known as farsightedness, hyperopia is a condition of the eyes in which the focus on distant objects is better than the focus on objects closer to the eye, making nearby objects appear blurry. The eye is designed to focus images directly on the surface of the retina; with hyperopia, light rays focus behind the surface of the retina, producing a blurry image.


Astigmatism occurs when the curvature of the eye is irregular. There are two types of astigmatism: corneal, in which the shape of the cornea (the transparent covering of the eye) is irregular, and lenticular, in which the lens is imperfectly formed. Corneal astigmatism is more common. Astigmatism can result in blurred vision at any distance.


Presbyopia, meaning “old eye,” is a condition in which the eyes lose their ability to focus on close objects. It is considered a normal part of the aging process. Symptoms typically begin when patients are between 40 and 45 years old.

All of these vision conditions can be effectively treated with either eyeglasses or contact lenses. Corrective lenses may need to be used only during certain activities, such as reading, watching television or driving, or may be required at all times.

Comprehensive eye examinations are essential in checking for vision problems, eye diseases, refractive errors and overall health. How frequently the eyes should be examined is based on the patient’s age and particular circumstances.  Dr. Omphroy proudly serves Mililani, Honolulu and the surrounding areas. Call 808.625.5577 to schedule an appointment today!

When to Have an Eye Exam

An eye exam is a comprehensive analysis of vision and of the overall health of the eye. Using applicable screenings and instruments, Dr. Omphroy assesses the entire ocular structure, front to back in his Honolulu area office. Thorough eye exams can alert you to potential eye diseases, such as retinopathy, macular degeneration, cataracts, glaucoma, and more. Often, eye health is also an early indicator of health conditions such as high blood pressure, diabetes, and stroke risk.

The American Optometric Association estimates that 20 percent of preschool children have vision problems. Eye exams are recommended on the following schedule:
  • First eye exam at 6 months of age, then at 3 years.
  • Before entering elementary school.
  • Every 1 to 2 years thereafter, into adulthood.
  • After age 61, eye exams should be scheduled annually.

What is the cost of an eye exam?

Many people have vision coverage through their employer or other healthcare insurance. Check with your policy for the full extent of benefits. Eye exams range in price from under $100 to over $250. The cost of a full exam differs based on the tests that are needed. When comparing prices, keep in mind that it is better to obtain all care from the same eye doctor. This will cut down on the risk of duplicate screenings. Also, recognize the difference between an optometrist and an ophthalmologist in the ability to diagnose and treat the full range of eye conditions.


Eye Exams for Contact Lenses

Patients who wear or are interested in contact lenses should inform their eye doctor of this prior to an eye exam, as additional screenings may be necessary. These include:
  • Cornea measurement using light reflection to discern the curvature of the surface of the eyes.
  • Pupil and iris measurements.
  • Tear film test.
  • Corneal evaluation to determine the health of the eye and detect any changes to the eyes’ surface due to contact lens wear.

Contrast Sensitivity Test

Some patients may be advised to have contrast sensitivity testing. This part of a comprehensive eye exam is similar to vision testing using an eye chart. The difference is that a contrast sensitivity chart will contain alphabetical characters in horizontal lines that become progressively lighter in comparison to the background color. If necessary, special contrast screening devices may be used to evaluate visibility in lower light situations, such as driving at night.


Visual Field Test

Visual field testing measures the sensitivity of vision in the various regions of the visual field and also how far the eye can see to each side, and up and down, without moving the head. The measurements that are obtained during this examination enable us to identify early warning signs of glaucoma. Visual field testing may involve computerized instruments or manual screening.


Wavefront Eye Exams

You may be familiar with the details of a standard eye exam that revolves around your vision. After observing an eye chart with one eye covered, then the other, you then view that chart through a machine containing lenses of varying strengths. With each lens-change, you determine which offers better visual clarity. The subjective nature of the traditional eye exam leaves a fair amount of room for error. Wavefront eye exams minimize this risk by taking an automated measurement of the refractive errors in the eye.
You are most likely familiar with the traditional vision exams used to prescribe corrective eyewear. The eye doctor uses a machine that contains lenses of different strengths and switches the lenses until the one that produces the best image is found. The results of this exam are somewhat subjective, and are based on what patients think they see rather than what they actually see.


What is a Wavefront eye exam?

A Wavefront eye exam is performed to measure a wider range of refractive errors than is possible in a standard exam. The device that is used, an aberrometer, performs an analysis of light refraction through the structures in the eye that achieve focus.


Performing Wavefront Eye Exams

The Wavefront eye exam involves looking into the scanning instrument while the chin is resting on a shelf. The device works very quickly to record the path of light through the eye, and to produce a visual map of each that will facilitate the most accurate lens prescription or LASIK treatment plan.
Eye exams performed in our Honolulu area office are anything but basic. Call 808-625-5577 to schedule your visit, or click here to request a consultation