Glaucoma Diagnostics

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Glaucoma Diagnostics

Diopsys NOVA Vision Testing System  This instrument provides our office with painless, non-invasive vision tests that utilize electrophysiological technology, including Visual Evoked Potential (VEP) and pattern Electroretinography (ERG).  

Visual Evoked Potential (VEP)  VEP measures the electrical activity in the vision system.  When light from an image enters your eye, it is converted into electrical energy at the retina and travels through the optic nerve to the visual cortex of the brain which processes vision.  The Diopsys NOVA-VEP test measures the strength of the signal reaching your visual cortex and how fast it gets there.

Pattern Electroretinography (ERG)  ERG measures the function of your retina- the light-sensitive layer at the back of your eye.  When light from an image enters the eye, it is converted into electrical energy by specialized cells in the retina.  These cells send electrical impulses through the optic nerve to the brain where the image is processed.  The Diopsys NOVA-ERG test records how well the cells of the retina are conveying electrical impulses within the eye.

 Diopsys NOVA Vision Testing System


Zeiss Humphrey Visual Field Analyzer  This instrument is a key component in measuring a patient's subjective visual field changes.  In other words, this instrument allows our doctors to understand how glaucoma or other disease processes affect what a patient is actually able to see.  This instrument can help to distinguish glaucomatous damage from visual field changes due to other processes.

Visual Field analyzer


Heidelberg Optical Coherence Tomographer  This instrument is a sensitive indicator of retinal nerve fiber layer loss.  In other words, this instrument helps our doctors know changes are taking place in the back of a patient's eye prior to the patient noting actual vision changes.  This instrument is capable of detecting nerve fiber layer loss long before it becomes apparent to a patient, and is very useful in tracking the effectiveness of a treatment regimen.



DGH Pachymeter   This instrument is used to measure the thickness of a patient's cornea, which is the clear dome on the front of the eye.  Corneal thickness is important in the diagnosis and treatment of glaucoma as it directly affects the intraocular pressure measurement done on office visits.  Thin corneas are a risk factor for developing glaucoma, and must be taken into account by doctors when deciding what a "safe" intraocular pressure is for any given patient.


Dr Holmes

Dr. Holmes using the OCT on a patient.


"I went to Dr. Boland approximately three years ago due to severe eye pain in the right eye.  He diagnosed me with severe dry eye disease.  In April Dr. Boland told me about a new treatment called Lipiflow.  I had the treatment and two days later my eye pain was gone.  I would recommend this treatment for anyone who has severe dry eye disease.  The Lipiflow treatment has been a miracle for me."

-Reba H.

"When Dr. Boland suggested Lipiflow for my dry eyes after years of over the counter drops as well as prescription drops, hot compresses, changing makeup and creams, and eventually just going without and still not getting relief – I didn't hesitate to leap at the chance for this procedure. I didn't care about the cost. I wanted my life back and hoped that this might enable the outcome. Let me state without reserve that I couldn't be happier and so grateful that Dr. Boland has invested in this technology!"




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dry eye center


Learn more about the Lipiflow and other cutting edge technology used to diagnose and treat dry eye disease.

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