At the Ferrell Eye Clinic, we specialize in the diagnosis and treatment of all eye diseases. The vast majority of eye health issues can be managed by Dr. Adkins in our clinic through the use of medications or minor in-office procedures. Occasionally, severe conditions will require surgical intervention and Dr. Adkins will coordinate your care with a qualified ophthalmic surgeon.
Glaucoma is a serious eye disease which, if left untreated, can cause permanent blindness. At the Ferrell Eye Clinic we are equipped with advanced diagnostic tools to both diagnose and manage glaucoma patients. Intraocular pressure(IOP) is measured using Goldmann applination tonometry. High IOP is one of the early warning signs of glaucoma found on routine eye exams. Optical Coherence Topography(OCT) is used to image the optic nerve and measure the thickness of the nerve fiber layer(NFL) to determine the extent of any glaucoma damage. NFL loss is typically the first sign of glaucoma damage in an eye. Threshold peripheral field testing is done using either the Humphrey Matrix frequency doubling technology or traditional Humphrey visual field to assess the extent of vision loss as a result of glaucoma. Armed with these three pieces of data(IOP, nerve damage, and visual field loss), Dr. Adkins is able to determine the best treatment plan for each glaucoma patient and hopefully prevent permanent vision loss.
Age Related Macular Degeneration(ARMD) is the leading cause of blindness in people over the age of 65. There are two basic types of ARMD- dry and wet. Dry ARMD is the most common and least serious form of macular degeneration. After diagnosing a patient with dry ARMD on their dilated eye exam, Dr. Adkins will use the OCT to image the layers of the macula and look for any fluid leakage which would indicate the more serious wet type of macular degeneration. The patient's central visual function will be assessed using Preferential Hyperacuity Perimetry(PHP)- a test which looks for the distortion of the central vision typically seen with wet ARMD. Once a patient is confirmed with dry ARMD, Dr. Adkins will typically run these test every six months to guard against conversion from dry to wet ARMD. As soon as a patient is seen to be developing wet ARMD, Dr. Adkins will refer them to a retinal specialist for advanced treatment of that condition.
Dry eye is an often overlooked, but very common, ocular ailment. Other than refractive problems, there is no condition that we treat more often at the Ferrell Eye Clinic. To make the initial dry eye diagnosis, Dr. Adkins will asses the tear film quality using the biomicroscope- paying particular attention to potential trouble in each of the three layers of the tear film(mucous, water, and oil layers). Your Meibomian glands in your eyelid will be imaged using advanced imaging technology via Lipiscan. Special dyes such a lissamine green and sodium fluorescein may be used to stain the eye and look for muco-deficient cells. Lab testing using the TearLab to assess tear osmolarity will help quantify the extent of any dry eye. Once the type and severity of the dryness is determined, Dr. Adkins can use a variety of treatment options from palpative measures, to prescription drugs, to punctal occlusion. Advanced treatment of Meibomian Gland Dysfunction (the #1 cause of dry eye) is now available using Lipiflow for in-office gland expression. If you are suffering from chronic dry eye, call us at 304-645-2774 to get some relief.