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Sequential and Baseline Testing

Our goal is to keep your eyes healthy, by detecting and treating eye disease and ocular disorders at the earliest possible stage. That is why “baseline and sequential” testing is recommended. Those tests diagnose eye problems which might otherwise remain undetected.

Unfortunately, healthcare changes have created a system by which insurance companies dictate the testing to be done, instead of the doctor deciding what is best.

Circle “Yes’ for those tests you choose. If not sure about a test, circle “Not Sure”. To decline a test, cross it out.

* Optovue Analysis ($65)

Baseline and Sequential Testing

1) Optovue Analysis: (Microscopic imaging beneath the surface of the retina and optic nerve) WELLNESS

• This state-of-the-art, advanced technology test, detects the earliest signs of macula area retinal disease, detachment, and degeneration.

• It also helps in the diagnosis of multiple sclerosis, Alzheimer’s disease, diabetic retinopathy, and glaucoma.

• Optovue testing also helps determine if macula-area retina disease is the cause of blurry vision, when eyesight does not improve to 20/20 with glasses.

2) Visual Field Mapping: (Hidden blind spot detection) VFS

• Finds peripheral retina disease, glaucoma, or neurological conditions (like stroke or brain tumor).

• Indicated when there is double vision, headaches, balance issues, vague visual complaints, or reading problems.

3) Eye Muscle Alignment / Focus Flexibility Testing: (Eye coordination testing) EMFT

• Indicated when vision goes in/out of focus, or blurs when viewing distance after reading.

• It is also for headaches, eyestrain, double vision, dizziness, or depth perception issues.

• Reading or learning issues, always indicate the need for this test.

• It can detect stroke, multiple sclerosis, neurological problems or diabetes (even with no vision complaints).

• Important for nearsighted children. It detects a type of progressive myopia, requiring special treatment.

4) Retinal and Optic Nerve Photography: (Digital color imaging of the back wall of the eye) RPNM

• This test detects subtle visible signs of macular degeneration, glaucoma, and neurological problems over a wide span of the back of the eyes, which may not be detected by Optovue imaging of the macula area of the retina, and could be missed during a routine eye exam.

• Diabetic and high blood pressure retinopathy beyond the macula area of the retina can also be detected

• This is an excellent pediatric test that images the health of the back of the eye, because children usually don’t sit still enough for a thorough retina exam.

5) Topography: (Corneal surface distortion testing) EET

• Topography detects keratoconus, a hidden cornea disease, or irregular astigmatism, before they start causing blur, eyestrain, or double vision.

• Patients who already complain of double vision, or have blur not helped by glasses should have this test. The test also helps detect dry eyes.

• Children and adults who do not do well on the “which is clearer, lens one or lens two” astigmatism part of an eye exam benefit from this test. It is recommended when vision does not improve to 20/20.

6) Pachymetry: (Glaucoma probability test) EEP

• When used to determine the future risk of glaucoma, this test is performed once a lifetime. It is appropriate for all ages.

• Recommended for contact lens patients to determine baseline for the detection of cornea edema.

• Patients concerned about cornea disease or have a family history of cornea disease, need this test.

Patient Portal

THIS ---->https://holisticvision.imatrixbase.com/online-patient-forms/child-registration/sequential--and-baseline-testing.html

Office Hours

Monday10 am7 pm
Tuesday9 am6 pm
WednesdayVT OnlyVT Only
Thursday9 am6 pm
Friday9 am2 pm
SaturdayBy Appt.By Appt.
Day Open Closed
Monday Tuesday Wednesday Thursday Friday Saturday Sunday
10 am 9 am VT Only 9 am 9 am By Appt. Closed
7 pm 6 pm VT Only 6 pm 2 pm By Appt. Closed


Patient Portal


"Dr. Sapossnek is an excellent optometrist. She has my complete trust. She is so thorough in her exams and includes parents in conversation and education, so I know and understand all the facets of my children's vision. All of the above [in the Patient Satisfaction Survey are] EXCELLENT, no need to elaborate. I feel fortunate to have found Dr. Sapossnek and am glad all of us can go to her-both for my child with vision therapy needs, daughter and I with glasses, and son who needs neither."

Huntingdon Valley, PA

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