Eye Exams

Urban Optiques provides one of the most thorough eye exams in Metro-Detroit.  Depending on when you last had your eye exam and your health history, an eye exam at Urban Optiques will typically take 30-40 minutes. It is painless and many people even find it to be fun.  Below we walk you through a typical eye exam with Dr. Michelle at Urban Optiques.

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Eye Exam Steps

Eye Exam Step One: Complete Your Health History

Complete Your Health History Sheet

The first step in your eye exam is completing or updating your health history sheet.  This health history sheet will provide the doctor with an overview of your general health, as well as let her know about any medical conditions you may have that could impact your eyesight or vision. You'll also be asked to provide a list of any medicatons may be taking, as well as answer a few questions about yourself and any hobbies or activities you participate in that might require specialized vision care or eyewear. The team will provide you with the health history sheet when you arrive for your eye exam, or you can download it here and bring the completed sheet with you to your exam (great if you are pressed for time!.)

Eye Exam Step 2: Review Your Health History with the Eye Doctor

Preliminary Review of Health History and Consultation

Once you've entered the exam room, the doctor will review your health history with you and discuss any problems you may be experiencing with your vision. If you have any pre-existing medical conditions, the doctor will also review these with you. Once that is complete, the doctor will be begin with the nuts and bolts of your eye exam. Typical the actual examination will begin with a procedure known as retinoscopy.

Eye Exam Step 3: Retinoscopy


Retinoscopy is typically the first step in your eye exam.  This proceedure is used to determine your base prescription and involves having you fixate on a eye chart while the doctor shines a light at your eye and flips lenses in a machine in front of your eyes. Using this method, the doctor can actually get an approximation of your current prescription.

Eye Exam Step 4: Refraction


Refraction is a test that Dr. Michelle uses to determine your precise prescription and then fine-tune it. This is the test that most people associate with an eye exam. Dr. Michelle will place your face behind an instrument called a phoropter, which allows her flip lenses in front of each eye. She'll then ask you which of the two lenses makes your vision clearer. She'll continue to do this until your exact prescription is obtained.

Eye Exam Step 5: Cover Test

Cover Test

A cover test is one of the simplest procedures during you eye exam. The cover test is used to see how your eyes are working together.  During this test, Dr. Michelle will have you stare at a small object in the distance and then cover each of your eyes alternately with a small paddle.  As the doctor does this, it allows her to observe how much each eye has to move when uncovered to register the object you are staring at. This test will be conducted both close-up and far-away. This test is used to detect strabismus, or eye turn, which can cause amblyopia, poor depth perception and binocular vision problems.

Eye Exam Step 6: Slit Lamp Examination

Slit Lamp Examination

A slit lamp is a piece of equipment that doctor uses to examine the health of your eyes.  The slit lamp is basically a microscope that allows us to magnify the structures in your eyes and check for signs of infection or disease. During the slit lamp examination, Dr. Michelle will have you place your chin in the chin rest of the slit lamp and then shine a light from from the slit lamp onto your eye.  The doctor then looks through the oculars to examine your eye. She first looks at the structures in the "front" of your eye (your lids, cornea, iris, etc.,) and then using a special lens, will examine the inside of the eye (the macula, retina, optic nerve, etc.)  The slit lamp allows the doctor to identify a wide-range of possible eye diseases and conditions, including macular degeneration, cataracts, corneal ulcers, and diabetic eye disease.

Eye Exam Step 7: Glaucoma Test

Glaucoma Test

The Glaucoma Test measures the pressure in your eye and is a critical diagnostic test for the early identification and treatment of glaucoma. There are a number of methods of testing for glaucoma, but our primary test is the "air-puff" test (also known as non-contact tonometer.) For this test, your chin will be placed in a chin rest and you'll be asked to focus on a light source. The doctor will then administer a quick, painless burst of air that measures the resistance of your eye to the pressure. This allows the eye doctor to determine your inter-ocular pressure (or pressure within the eye.) Again, the "air puff" is completely painless and no instrument ever comes in contact with your eyeball. Depending on the circumstances, the doctor may opt for a different glaucoma test, called applanation tonometer, which involves placing a numbing drop in the eye and then gently pressing on the cornea to measure pressure. Having a glaucoma test is an important part of maintaining healthy eyes and identifying potential issues early-on.

Eye Exam Step 8: Visual Field Testing

Visual Field Test

The eye doctor may also perform a visual field test to check for potential "blind spots" in your peripheral or "side" vision. These blind spots indicate developing glaucoma or can be used to identify brain damage from tumors or strokes.

Eye Exam Step 9: Dilation


Dilation is performed to make the pupils larger and allow the doctor to get a better view of the structures inside the eye. During the dilation procedure, eye drops will be placed in your eyes. You'll then be asked to wait between 15 - 30 minutes for the drops to take effect. Once your pupils are adequately dilated, Dr. Michelle will use a variety of different instruments and light sources to examine the inner structures of your eye. Because dilation makes your eyes more sensitive to light, you should bring a pair of sunglasses with you to minimize light sensitivity while driving home. If you forgot your sunglasses, we always have extra pairs we can loan you.

After Your Eye Exam

Once your eye exam is complete, Dr. Michelle will review your results.

If any problems are found, she may schedule a follow-up exam or refer you out to a specialist.

If your eyes are nice and healthy and you just need a prescription, your reward for finishing the exam is to have fun picking out your new frames. After your exam, you'll work with the optical team to pick out your new eyeglass frames and go over your lens and coating options.

Schedule an Eye Exam

About Urban Optiques

Urban Optiques provides vision care, eye exams & exclusive designer eyewear to Northville, Plymouth, Novi, Livonia, Ann Arbor, Farmington, West Bloomfield, Royal Oak, Ferndale, Birmingham, & Metro-Detroit.

Contact Us

Northville Square Mall
133 W. Main St. - Suite 243
Northville, MI - 48167

Tel: 248.347.9090 Fax: 248.773.7528