Understanding Sesame Eye Exams: A Complete Assessment of Eye Health

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Understanding Sesame Eye Exams

Routine eye exams are an essential part of preventative healthcare. Getting your eyes checked regularly can help detect vision problems and eye diseases early, when they are most treatable. One type of comprehensive eye exam is the sesame eye exam.

The sesame eye exam is a complete assessment of ocular health and visual function. It is designed to thoroughly evaluate the eyes and related structures to identify any signs of disease or vision issues. Keep reading to learn more about what to expect during a sesame eye exam.

What is a Sesame Eye Exam?

A sesame eye exam is a comprehensive ophthalmological evaluation of the eyes. It involves multiple tests to check for refractive errors, eye muscle coordination, eye health, and visual acuity.

The term "sesame" refers to the variety of tests conducted as part of the eye exam. Just as sesame seeds have many layers when you open them, a sesame eye exam contains numerous layers of testing.

A sesame eye exam includes assessment of:

  • Visual acuity
  • Eye alignment
  • Focusing ability
  • Depth perception
  • Color vision
  • Pupil response
  • Eye pressure
  • Retinal health

In addition to a vision test, the sesame exam evaluates the external and internal structure of the eyes to screen for signs of eye disease. The doctor will also review your personal and family medical history related to vision and ask about any eye problems you've been experiencing.

Why Get a Sesame Eye Exam?

There are several reasons to get a complete sesame eye exam on a regular basis:

  • Check for vision issues: A sesame exam thoroughly evaluates refractive errors like nearsightedness, farsightedness, astigmatism, and presbyopia. It can determine if you need a stronger eyeglasses prescription or if vision correction is needed.
  • Detect eye diseases: The sesame exam tests for eye diseases like glaucoma, cataracts, and retinal disorders. Early detection allows these diseases to be treated before vision loss occurs.
  • Monitor eye health: A baseline sesame exam gives the optometrist or ophthalmologist important information about your eyes' structure and function while healthy. Subsequent exams can identify any changes.
  • Evaluate related health issues: Since the eyes provide a window into overall health, the sesame exam can reveal indicators of diabetes, high blood pressure, autoimmune disorders, and neurological conditions.
  • Check children's vision: Amblyopia (lazy eye), misaligned eyes (strabismus), and refractive errors are best treated early in life. A sesame exam helps assess visual development in infants and children.
  • Meet license requirements: Regular eye exams are necessary to obtain or renew a driver's license in most states. A sesame exam meets this vision screening requirement.

What to Expect During the Exam

A sesame eye exam generally takes 30-60 minutes to complete. The basic structure of the exam includes:

Patient History

The doctor will start by asking about:

  • Current vision and eye problems
  • Eye injury or surgery history
  • Family history of eye disease
  • Medical conditions and medications
  • Eyeglass prescription and contact lens wear

External Eye Assessment

The outer structures of the eyes will be examined, including:

  • Eyelids - checked for abnormalities like inflammation, tumors, and drooping.
  • Conjunctiva - the thin membrane lining the inside of the eyelids and covering the white of the eyes is inspected for redness, swelling, and discharge.
  • Cornea - the clear outer layer of the eye is evaluated for scratches, swelling, and clarity.
  • Iris - the colored part of the eye is observed for any potential signs of disease.
  • Pupil reaction -tested by shining a light into each eye to check pupil response and equality.

Visual Acuity Assessment

Visual acuity will be tested by having you read letters on an eye chart. This checks how clearly you see at various distances.

You'll read the eye chart once wearing your current vision correction, then again after eyedrops that dilate (widen) the pupils. Dilating drops allow for a better view inside the eyes.

Eye Focusing and Coordination Tests

Additional tests evaluate how well the eyes work together as a team. These may include:

  • Cover test - the doctor uses a hand-held object to cover each eye separately. This checks eye alignment and movement.
  • Eye movement exam - you follow a light or object as it moves in different directions to test eye tracking.
  • 3D vision testing - special glasses or instruments evaluate depth perception and stereoscopic vision.
  • Eyeglass prescription check - lenses are swapped in and out or settings adjusted to determine the proper refractive correction.

Eye Pressure Measurement

A tonometer instrument measures the internal eye pressure (intraocular pressure). Elevated pressure can signal conditions like glaucoma.

Internal Eye Exam

After the pupils are dilated, the doctor uses specialized instruments to thoroughly inspect the inside of the eyes. This includes examination of the:

  • Lens - evaluates for cataracts (cloudiness) and other abnormalities.
  • Vitreous - the gel-like substance filling the eyeball is inspected for opacities.
  • Optic nerve - checked for signs of swelling or damage.
  • Retina - thoroughly evaluated for retinal holes, tears, detachment, and other pathology.

Additional Testing

Depending on findings during the exam, the doctor may recommend additional tests. These could include:

  • Eye photography
  • Retinal scan
  • Corneal topography
  • Computerized visual field testing

Choosing an Eye Doctor for Sesame Exams

Sesame eye exams should be performed by an eye doctor specially trained to conduct the various tests involved. There are two types of eye doctors to consider:

Ophthalmologists

Ophthalmologists are medical doctors who specialize in diseases and surgery of the eyes. After medical school they complete several additional years of ophthalmology residency training.

Benefits of seeing an ophthalmologist include:

  • Can provide a full spectrum of eye care, from vision exams to medical treatment to surgery
  • Recognize signs of underlying medical conditions during eye exams
  • Prescribe medications along with eyeglasses or contacts

Ophthalmologists frequently handle complex eye diseases, injuries and surgery. However, for routine sesame exams, an optometrist can often provide the same quality of evaluation.

Optometrists

Optometrists are doctors of optometry who specialize in primary eye care. After completing optometry school they undergo supervised clinical training.

Reasons to see an optometrist include:

  • Expertise in conducting comprehensive eye health evaluations
  • Prescription and

FAQs

How often should I get a sesame eye exam?

The American Optometric Association recommends a comprehensive eye exam every 1-2 years for adults aged 18-60 with no vision problems or risk factors. Those with certain conditions like diabetes or high myopia may need annual sesame exams. For children, the first exam is around age 6 months, with frequent exams recommended through age 6 to evaluate visual development.

Do I still need an exam if my vision seems fine?

Yes, even if you can see clearly and have no obvious vision issues, it is still important to get regular sesame eye exams. They check for subtle changes in refraction and early signs of eye disease that you may not notice on your own. An exam is key for early detection and treatment.

What is checked during a child's sesame exam?

A pediatric sesame exam evaluates visual acuity, eye focusing, eye coordination, eye alignment, depth perception, color vision, eye structure, and prescription needs. Amblyopia, strabismus, and refractive errors are detected and treated early to optimize visual development.

Can I get a sesame exam online?

There are some online vision exam options, but a complete in-person sesame eye exam is recommended for a thorough evaluation of all aspects of ocular health by an eye doctor. Telemedicine exams focus mainly on prescription checks and do not replace comprehensive in-office exams.

How much does a sesame eye exam cost?

The cost for a sesame exam can range from $100-$250 or more depending on your insurance coverage. Vision insurance plans often provide an annual eye exam benefit. For uninsured patients, many offices offer discounts or payment plans.

Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.

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