Eyecare Services

At Green Brook Vision, Dr. Jaime Falco and our entire Green Brook optometry team are committed to providing advanced vision care in a professional and comfortable environment. As optometric physicians in Green Brook, our primary eye care service includes a complete eye exam that analyzes eye health and vision function. In addition to eye exams and vision testing, Dr. Falco and our team of optometry professionals provide testing for glaucoma, cataracts, dry eye disease, macular degeneration, and other medical eye conditions. Our Green Brook optometrist also offers glasses, contact lenses, and pre- and post-operative care.

Eye Exams

Dr. Jaime Falco, and the Green Brook Vision team take every examination very seriously. During a yearly examination, our Green Brook patients will receive a patient history review, a series of vision and eye tests, assessments of eye focusing and movement, and an eye health evaluation. Our optometric physicians will discuss any additional testing that may be required to diagnose and treat an eye disease or condition. Call us a today at 732-752-6222 to schedule an appointment.

Contact Lenses

Not sure that glasses are for you? Ask our Green Brook staff about contact lenses. Advances in the field of optometry have produced a variety of different types of contact lenses with a range of benefits. One of the newest technologies is a single use multifocal lenses, which allow you to see both far and close without the aid of spectacles. Our Green Brook optometrist will discuss the various options with you to determine which type will best fit your needs and lifestyle. Schedule your examination today by calling 732-752-6222. They are many advantages to consider when determining if contact lenses are right for you and our knowledgeable staff is here to answer any questions.

See the drop-down sections below for more information about our services:

At Green Brook Vision, we strive to meet all of your eye and vision care needs. Corrective lens evaluations and prescription management are provided by our optometrist in Green Brook. After a comprehensive eye and vision evaluation, our doctors will discuss the variety of contact lens options with you to select the type that best fits your vision needs and lifestyle. If you suffer from dry eye, allergies, or recurring eye infections, speak with our staff to determine whether contact lenses are right for you.

Evaluation

Prior to prescribing contact lenses, doctors must evaluate what level of vision correction you require. Refractive error (commonly known as nearsightedness, farsightedness, or astigmatism depending on the error) is evaluated by measuring how the eyes focus when a series of different lenses are placed in front of them. An optometrist may use either a phoropter or an automated instrument to take these measurements. To schedule an appointment for a vision evaluation with our Green Brook optometrist, call 732-752-6222 today.

Corrective Lenses

After determining the level of refractive error, Dr. Jaime Falco works with you to determine whether contact lenses or glasses are best for your lifestyle. If you suffer from certain conditions, such as dry eye or allergies, glasses may be the most comfortable corrective solution. Contact lenses are available in either soft or rigid gas permeable form. Contact lenses need to be changed daily, weekly, bi-weekly, or monthly, depending on what type of lens the doctors determine is the best fit for you. Specialized contact lenses, such as multifocal contact lenses, are also available for patients with special eye conditions. Call us at 732-752-6222 if you are interested in learning if contact lenses are a good fit for you.

Cosmetic Lenses

Advances in contact lens technology have created great options for cosmetic and prosthetic lenses. Custom contact lenses can be created to camouflage any color variation or irregularity and produce a natural eye color. Cosmetic lenses are also available to transform your eye color. Call us at 732-752-6222 and speak to our knowledgeable staff if you are interested in modifying or changing your eye color with contact lenses.

At Green Brook Vision, we strive to provide comprehensive, primary eye care for the whole family. Preventative and routine eye exams are important to maintaining good eye health. Often, eye and vision problems do not have obvious symptoms or signs, but are easily diagnosed by a licensed optometrist. By diagnosing eye and vision conditions early on, our optometrist is able provide treatment options and in many cases restore or prevent vision loss. The American Optometric Association recommends yearly or bi-yearly eye and vision exams, depending on whether you are at-risk or not.

Eye Exam and Consultation
During an eye exam, Dr. Jaime Falco will ask you questions about any symptoms or issues you are experiencing, medications your are currently taking, any blurry vision, your work environment, and your overall health. Family history and previous eye or vision conditions will also be discussed during this part of the examination. Dr. Jaime Falco will consider this information when determining any treatments or recommendations.

Vision Testing

Regular vision testing and evaluations ensure that you always have the clearest vision possible. Our Green Brook optometrist provides regular vision acuity test as part of a comprehensive eye exam. Dr. Jaime Falco will measure how each eye is seeing by using a wall eye chart and a reading eye chart. The results of these tests are portrayed as a fraction, with 20/20 being the standard for normal distance and reading vision. Depending on the results of your vision test, Dr. Jaime Falco may prescribe corrective glasses, contacts, or eye exercises.

Eye Function Testing

In addition to vision testing, an eye exam in our Green Brook office includes testing eye functionality. Our optometrist performs several tests to evaluate depth perception, color vision, eye muscle capabilities, peripheral vision, and responsiveness to light. Several other simple tests are completed to determine whether the eyes are focusing, moving, and working together properly. The test results enable our doctors to diagnose any underlying conditions that may be impairing the eyes ability to focus or work together.

Eye Health

As part of a comprehensive eye exam, our Green Brook optometrist examines the overall health of the eye through a visual examination and tonometry. Dr. Jaime Falco evaluate eye health by visually inspecting the eye and eyelids using magnification and a bright light. To examine the internal structures of the eye, we may dilate the pupils. Increased eye pressure may be an indicator of glaucoma, so we utilize tonometry to measure eye pressure. After completing these short tests, our doctors reviews the results and discusses an treatments with you. Contact us at 732-752-6222 today to schedule a comprehensive eye exam.

Contact lenses are not an easy solution for every person suffering with vision problems. Some eye conditions make wearing contacts a difficult proposition. However, it does not rule out wearing contact lenses altogether. It just means patients need to discuss options with their eye care provider and obtain specialized hard to fit contacts for their specific vision problems.

Reasons for Hard to Fit Contacts

Finding contact lenses that fit and wearing contact lenses in general can be made more challenging when these conditions affect your eyes:

  • Astigmatism
  • Dry eyes
  • Giant Papillary
  • Conjunctivitis (GPC)
  • Keratoconus
  • Presbyopia


Astigmatism:
Astigmatism develops when the front of the eye curves into a bulge or oval shape. It causes blurred vision and can be difficult to correct because regular contacts cannot account for the bulging.

Dry Eyes: When eyes become excessively dry, it leads to irritation, burning, redness and blurred vision. Contact lenses can exacerbate these conditions by making it feel like a foreign object is stuck in your eye.

GPC: This form of conjunctivitis is caused by inflammation on the inner surface of the eyelid. Protein buildup on contact lenses can make this condition worse.

Keratoconus: This is an uncommon condition that causes major discomfort when wearing contacts. Keratoconus happens when the cornea becomes thinner and allows the eye to bulge forward. The bulge forms into a cone shape.

Presbyopia: Eyes tend to have a tougher time focusing on close objects as they age. This condition is known as presbyopia. It typically affects people aged 40 or older.

Solutions for Hard to Fit Contacts

Wearing contacts is not impossible if you suffer from one of the above conditions. You do need to meet with an eye care professional, however, and get prescribed contact lenses that are tailored to deal with your specific vision condition.

Gas permeable lenses are a good solution for patients who suffer from GPC or Keratoconus. A GP lens will limit protein deposits from accumulating which will reduce GPC symptoms. It is also effective in containing corneal bulging and relieving pressure on the tissue for a Keratoconus sufferer.

Toric lenses are useful for correcting astigmatism. Since the lens needs to align with the bulge it is correcting, toric lenses must not rotate in order to fit on the eye. They are typically custom made to correct a specific astigmatism. For that reason, this type of lens takes longer to make and costs more than a traditional contact lens.

Bifocal and multifocal lenses can help remedy presbyopia. Monovision lenses are another option for presbyopia. This type of lenses can have one fitted for distance vision and the other for seeing close objects.

Medicated eye drops can be an effective solution for dealing with dry eyes. They will lubricate eyes enough to make contact lenses more bearable, although a punctual occlusion also must be done to plug the ducts in some extreme cases. GPC symptoms can also be lessened through medicated eye drops. They flush out protein deposits and reduce inflammation.

At Green Brook Vision, we provide comprehensive care to meet the vision needs of our patients. As an optometrist, Dr. Jaime Falco offers pre- and post-operative care for patients undergoing LASIK eye surgery or other eye surgical procedures. Our goal is to help you attain the clearest vision possible using advanced technologies.

Evaluation and Referral

LASIK (laser assisted in situ keratomileusis) surgery uses that latest advancements in technology to provide faster recovery times and precise results. LASIK surgery has been effective in treating myopia, hyperopia, astigmatism and other eye conditions. At Green Brook Vision, we provide evaluations and referrals for patients interested in LASIK surgery. Dr. Jaime Falco perform a complete review of your patient history as well as a full assessment of your eye health and vision. A current exam is important to determining if you are a candidate for LASIK surgery and if there are any other factors that may affect your results. The history review enables our optometrist to determine if your prescription is stable and you are healthy enough to consider surgery.

Once Dr. Jaime Falco have performed the evaluation and determined whether you are a candidate for LASIK, you will be given a referral to the LASIK surgery center we have worked with on an ongoing basis. The center will perform advanced diagnostic testing and will evaluate your eligibility for surgery. Various surgery options will be discussed with you if you are determined to be a surgical candidate. We will be in correspondence with the center regarding your evaluation and surgical determination. If you are considering LASIK surgery, call us at 732-752-6222 to schedule a consultation.

Post-Operative Care

Once your surgery is scheduled, we will schedule follow-up appointments for you in our Green Brook office. Typically, you will begin these follow-ups the day after the surgery and continue at prearranged times over the following six months. After 1 year, a full exam is recommended to determine the long-term results of your procedure. Dr. Jaime Falco are experienced in working with patients pre- and post-operation and will answer any questions that you have along the way. If you have questions about LASIK surgery, call 732-752-6222 to speak with our knowledgeable staff or email us.

Advantages of LASIK

If you have worn glasses or contact lenses for a long time, you may have wondered if LASIK surgery is a good choice for you. While not everyone is a candidate for LASIK, it does have some great advantages. People who play sports, have allergies, or who are looking for simplicity will all benefit from LASIK. To learn more about LASIK and your vision, call Green Brook Vision today at 732-752-6222.

Squinting at computer, tablet, or mobile screens for hours at a time is a normal part of our lives in the 21st century. Unfortunately, eye problems associated with this activity are also on the rise. Even if you have never had eye problems before, you may have noticed computer vision syndrome symptoms after two or more hours of screen time. Signs include:

  • Blurry vision
  • Eye strain and discomfort
  • Headaches
  • Dry, scratchy eyes
  • Neck and/or shoulder pain

 

Even if your symptoms are mild, they can worsen and cause other vision problems if not addressed. Our optometrist, Dr. Jaime Falco, can help.

Diagnosis and Treatment of Computer Vision Syndrome

The severity and length of computer vision syndrome symptoms depends on how long you stare at the computer, your posture, lighting, glare, the angle of the monitor, and whether or not you have other diagnosed or undiagnosed vision problems. If you already suffer from astigmatism, farsightedness, presbyopia, aging eyes, and/or diabetic eye problems, your computer vision symptoms may worsen. This can even be the case if you already have prescription contacts or glasses. Many regular eyeglasses and contact lenses are not designed to deflect the problems caused by computer screens.

Dr. Jaime Falco will take your symptoms, pre-existing conditions, and potential undiagnosed conditions into account as he performs the following eye tests:

  • Visual acuity—Measures the quality of your current vision.
  • Refraction—Tests the potential lens prescriptions that would optimize your vision.
  • Focus and Eye Coordination—Tests how well your eyes work together and how quickly and accurately your eyes are able to focus on objects and varying distances.

From these measurements, our doctors can design a treatment plan to help relieve your symptoms. For people with otherwise normal eyes and vision, a set of specially-designed glasses used during the time you are working on the computer can be very helpful. For patients already wearing contacts or glasses, new, more computer-friendly prescriptions are available. In addition to these treatment options, there are many things we can suggest to cut down on computer eye strain problems:

  • Computer setup—Adjust your monitor so that it is about 15-20 degrees lower than your eye level when seated between 20-28 inches away from the screen. Reference materials can be placed on a document holder between the monitor and keyboard, or to the side, but positioned for as little head movement as possible. Also invest in an anti-glare screen for your monitor to help reduce glare from surrounding lights. Be sure to sit and work with proper posture.
  • Adjust Lighting—If you can, reposition any lighting (or your computer) to minimize glare and use natural lighting whenever possible.

Eye Rest and Blinking Breaks—Every 20 minutes during your work, look away toward a distant point for 20 seconds to refocus your eyes, and give them a 15-minute break after each 2-hour computer session. Also remember to blink more frequently to keep your eyes moist.

With a combination of the proper optometry care and self-care, you can minimize computer eye syndrome and other modern-day vision problems. Contact us for an appointment today.

Many people are cheered by a bright, sunny day, but the effect of all that sunlight on the eyes is a less sunny proposition. UV and glare can create a variety of issues, from dangerous “snowblindness” to irreversible disorders that threaten your eyesight. Here are some frequently asked questions about the role of sunglasses in protecting the eyes from harm. If you want to know more about choosing the right sunglasses, call Dr. Jaime Falco at 732-752-6222 today.

What are UV rays? UV stands for ultraviolet, a band of spectrum invisible to the eye. Ultraviolet light consists of UVA, UVB, and UVC rays. UVC rays are stopped in Earth’s atmosphere before they reach the eye, but UVA and UVB can both reach the eye and potentially damage it.

How does UV affect unprotected eyes? UV rays can cause proteins inside the lens to become opaque or cloudy, a condition known as cataracts. Cataracts can make interfere with night vision, reduce your ability to see colors, and make reading difficult; they cannot be reversed, only removed. UV exposure can also cause retinal damage, changes in the eye tissues, and a temporary but irritating “sunburn” of the cornea called photokeratitis.

How do I know my glasses will protect my eyes? Choose glasses that claim to block at least 99 percent of UV rays — UVA as well as UVB. Look for label reading “UV 400,” since this designation means that the glasses block UV rays as small as 400 nanometers, providing 100 percent eye protection. Of course you need to protect your eyes from the glare caused by the visible spectrum as well. To accomplish this, select products that block 75 to 90 percent of visible light.

What are polarized lenses? Polarized lenses are specially designed to filter out certain types of glare that tend to radiate upward from horizontal surfaces when sunlight bounces off of these surfaces. They are recommended for tasks such as boating, fishing, skiing, golfing, jogging, and driving. Most polarized lenses will bear a label identifying them as such.

What types of glasses can I choose from? We are able to provide you with a wide range of sunglass options. If you normally wear glasses to correct your eyesight, you may be happy with a non-prescription pair of clip-ons or wraparound glasses that simply fit over your lenses. If you’d rather not wear that much equipment on your head all at once, you can order a pair of prescription “shades,” or you can order glasses that darken when exposed to bright light.

What additional types of protection should I consider? If you worry about light, including harmful UV, leaking in through sides or top of your sunglasses, wear a broad-brimmed hat to reduce some of this exposure. If you use prescription eyewear to correct your eyesight, you may also want to think about getting a pair of UV-blocking contact lenses in your prescription. These lenses may be worn alongside a non-prescription pair of sunglasses for optimum eye protection.

For more information on choosing the right sunglasses, contact our office today.

Sports vision testing helps athletes determine how well their eyes perform. These tests go beyond standard eye tests that only evaluate the ability to see letters and objects clearly on a standard eye chart. Sports vision testing takes eyesight evaluation one step further, which is vital to overall athletic training as well as specifically enhancing visual function.

While sports vision testing can vary greatly depending on an athlete’s specific needs, in general, sports vision testing can be beneficial for assessing athletic abilities associated with hand-eye coordination, eye tracking, and depth perception. If you are a local athlete looking to improve your performance, Dr. Falco can help.

Sports Vision Training Enhances Athletic Performance

Our Green Brook optometrist offers several different vision tests for assessing athletic performance and capabilities. The first test is the classic Snellen Eye Chart. Patients are asked to read lettering on a standard eye chart that is placed 20 feet away. You must identify the letters along the lines of increasingly smaller sizes until the letters can no longer be identified. Usually the 20/20 line is the fourth from the bottom; if you can correctly read this line, you have 20/20 vision. If you can read the smallest line, then you have 20/15 vision. This basic eye test is very important for identifying an athlete’s visual acuity.

While correcting visual acuity can seem like an obvious step, some athletes are unaware that they suffer from an undetected refractive error. Refractive errors are any number of different size and shape abnormalities that affect the eye’s ability to focus light on the retina, affecting vision. Depending on your athletic goals, you may wish to undergo a vision correction procedure like LASIK, which could eliminate the need for glasses and contacts.

Contrast sensitivity is also important for athletic performance. During a contrast sensitivity test, you will be asked to identify the orientation of parallel gray stripes against backgrounds of various colors. The backgrounds gradually begin to match the shades of the stripes. Low contrast sensitivity, especially in low-light conditions, will make it more difficult to track objects. A variety of solutions can be effective for addressing contrast sensitivity concerns. These solutions include wearing eyeglasses with a special lens tint to increase visibility, depending on your vision needs.

Ocular alignment tests, like the Hirschberg test, evaluate how well both eyes work together. Alignment problems are detected by analyzing specific points on the cornea where reflections occur. Dr. Jaime Falco also recommends eye dominance tests. Dominance is determined by focusing on an object as it moves closers; when one eye diverges or loses focus, this means that the other eye is dominant. If one eye loses focus too soon, you may be suffering from binocularity, a condition where both eyes struggle to work together to manage depth perception and visual coordination.

Athletic performance is not only enhanced in the gym; it also requires excellent visual processing speed and hand-eye coordination. Contact our local optometrist to learn more about the benefits of sports vision training and to schedule your sports vision test today.

Many vision problems do not require surgery for correction. In these situations, vision therapy is typically an option. Vision therapy is a form of physical therapy used on the eyes and brain. It is designed to resolve vision problems that can contribute to learning disabilities. This therapy can also be used an effective treatment for problems like lazy eye, crossed eyes, or double vision.

Common Questions about Vision Therapy

There is more to vision therapy than simply strengthening the eyes. It also enhances the neurological connections between the eyes and the brain. Eyes are the windows of the brain. It directly influences sight based on how it interprets images received. A healthy connection between the eyes and the brain is essential for good eyesight.

Here are answers to frequently asked questions about the nature of vision therapy:

How does vision therapy work?
It uses progressive vision exercises performed under the supervision of your eye care provider. Each set of exercises is tailored to meet the individual visual needs of a patient. These exercises are done 1-2 times per week in sessions lasting 30 minutes to a full hour. The exercises are designed to continue until visual processing problems show improvement.

What is the purpose of the vision exercises?
Vision exercises are designed to help patients improve basic visual skills that connect the eyes with the brain. These exercises can improve visual efficiency by changing how a patient interprets images. This helps them see and understand images correctly.

Do these exercises simply strengthen eye muscles?
Nothing about vision therapy is centered on strengthening eye muscles. These muscles can be strengthened through orthoptics if they need strengthening. This therapy is all about improving vision problems that may interfere with learning by strengthening the neurological pathways between the eyes and the brain.

What is the first step in a vision therapy program?
A comprehensive vision exam is necessary before starting therapy. Following the exam, your eye care provider can determine whether or not this type of therapy is the recommended treatment for your vision problems.

Is there scientific evidence that it really works?
It does work. Studies on vision therapy show it is effective in improving the lives of patients. Data shows that this therapy can improve visual function enough to keep it from interfering with a patient’s ability to absorb information and learn. In its own sphere, this therapy is as effective as physical therapy or occupational therapy..

Who typically needs vision therapy?
It can be a useful tool for helping children and adults alike. Children with learning or reading problems can benefit from the vision boost these exercises provide. Eyeglasses are not the solution when the problem is visual processing. These problems can’t be detected without tests done by an eye doctor. Adults can see vision improvement through this therapy as well. It can help curb eye-strain related vision processing problems brought on by working with computers all day.

Many patients with vision problems heartily embrace the idea of enjoying vision correction without having to wear eyeglasses or contact lenses. Not all of these patients, however, are good candidates for PRK or Lasik surgery, the two standard surgeries used to alter the way the cornea of the eye refracts light. If that describes you, don’t fret — because here at Green Brook Vision, we offer an advanced corneal reshaping technique known as orthokeratology, or Ortho-K. This non-surgical technique can produce changes to the way your cornea refracts light.

To understand the benefits of Ortho-K, let us first consider how the cornea works. The cornea is a transparent, spherical bulge that sits over the lens of your eye. In addition to protecting the inner parts of the eye, the cornea also performs some lens-like tasks of its own. The shape of cornea causes incoming light rays to be refracted, or bent, in such a way that the lens can focus them into a clear, sharp image before they pass on to the retina and optic nerve. Ultimately, the optic nerve transmits the image to your brain.

Deformations in the shape of the cornea cause refraction to go wrong in various ways, producing the fuzzy images characteristic of nearsightedness, farsightedness, and astigmatism. Glasses and contact lens are curved to “pre-refract” incoming light to compensate for your personal degree of corneal deformation. Laser surgery actually corrects the shape of cornea itself, eliminating most of all of the visual errors that might otherwise call for corrective lenses.

Corneal Reshaping While You Sleep

While you might leap at the thought of permanently correcting vision problems, laser surgery isn’t always the best eye care option. For instance, if you suffer from thin corneas, untreated cataracts, diabetes, certain autoimmune diseases, or a corneal disease called keratoconus, you should avoid laser eye surgery.

Some of our patients simply don’t like the idea of any kind of surgery, or they want a reversible procedure. Orthokeratology may be an ideal choice for these individuals. Dr. Falco will map the shape of your corneas precisely and then fabricate special contact lenses. Unlike standard contacts, you’ll wear these lenses at night. The lenses perform a subtle corneal reshaping as you sleep, meaning that you can take them out the next morning and enjoy perfect or near-perfect vision.

Ortho-K can help you see clearly for one or two days at a time, or possibly even longer. By wearing them regularly at night, you can maintain your clarity of vision for as long as you decide to continue using them. If you decide to use another form of vision correction, simply stop wearing the Ortho-K lenses and your corneas will assume their previous shape once again. Talk to our knowledgeable staff to see whether Ortho-K makes sense for you.