About the “Eye Dock”: Early Detection of Eye Diseases Without Symptoms

I joined the Kyushu University department in 2001 and became an ophthalmologist, and for a long time I spent almost all my time thinking about the pathophysiology of eye diseases (why they occur) and how to treat them.

Since 2015, when I began practicing alone as the only physician on Itoshima (Hayashi Eye Clinic branch), and now, continuing to practice in Takatori, Sawara Ward,
I especially feel the importance of “early detection” of disease.

For those who wish, an eye checkup is available as a self-pay service (Eye Dock, eye checkup).

About the “Eye Dock”:
Early detection of eye diseases without subjective symptoms

Comprehensive Eye Examination (Eye Check-up): Examination Courses

Test	(1) Comprehensive Eye Screening ¥22,000	(2) Basic Eye Screening ¥11,000	(3) Glaucoma Early Detection Screening ¥16,500	(4) Presbyopia and Age-related Eye Disease Screening ¥16,500	(5) Children and Students Eye Screening ¥11,000	(6) Eye Strain and Dry Eye Screening ¥11,000	Additional Eye Screening (please ask us)	What it tells us
Eye examinations
Objective refraction								The approximate power of your eyes, measured by an instrument
Corrected visual acuity (distance)								How well you can see at a distance with glasses or contact lenses
Corrected visual acuity (near)								How well you can see up close with glasses or contact lenses
Visual acuity with your current glasses								How well you see with the glasses you use now
Power of your current glasses								The power of the glasses you use now
Intraocular pressure								The firmness of the eye (a check for lifestyle-related eye disease)
Axial length								The front-to-back length of the eye (related to the progression of myopia)
Eye position (alignment)								How the eyes are aligned (whether there is strabismus or signs of it)
Eye movements								How the eyes move (whether they move smoothly)
Convergence								How the eyes turn inward when looking at near objects
Binocular function								How well the two eyes work together to see
Accommodation analysis								AccommoRef: the focusing power of the eye (a check for presbyopia and eye strain)
Wavefront aberrometry and corneal topography								The degree of distortion of the cornea and the lens
Corneal endothelial cells								The number and shape of the cells on the back of the cornea (especially important for contact lens wearers)
Anterior segment 3D imaging								A detailed three-dimensional examination of the front of the eye (whether there is anything to watch for regarding glaucoma)
Posterior segment 3D imaging (OCT)								A detailed three-dimensional examination of the back of the eye (signs of glaucoma, retinal disease and so on)
Widefield fundus photography								Imaging of a wide area inside the eye
OCT angiography								An examination of the blood vessels inside the eye
Additional tests
Visual field								The extent of the area you can see
Pupil dilation								An examination using drops to widen the pupil (to look at the inside of the eye in detail)
Tear secretion								Assessment of the amount of tears (Schirmer test)
Consultation (board-certified ophthalmologist)
Slit-lamp biomicroscopy								A magnified examination from the surface to the inside of the eye
Tear film breakup time (BUT)								Assessment of the quality and quantity of tears

* The marks show which tests are included in each course. Additional eye screening can be selected in addition to any course.

* All eye examinations are performed by nationally certified orthoptists.

* Prices include tax.

* All of the Comprehensive Eye Examination courses above are by appointment only.

If you have any of the following symptoms or conditions, the visit is covered by insurance.

• Decreased vision, or different vision in the left and right eyes
• Difficulty seeing near
• Blurred vision
• Distorted vision
• A feeling that something is wrong with the eyes
• Seeing black spots floating (floaters)
• Excess tearing, discharge, etc.
• Contact lens use
• Diabetes, high blood pressure, high cholesterol
• Autoimmune disease (collagen diseases such as rheumatoid arthritis)
• Atopic dermatitis, etc.

* Eye symptoms and the diseases they may indicate are described on the“Medical Guide”page.

◯ Refraction test, visual acuity test
　Whether you have hyperopia, myopia, astigmatism, or presbyopia / whether your glasses or contact lenses fit
◯ Intraocular pressure test
　Whether glaucoma is suspected
◯ Slit-lamp microscopy
　Detailed observation from the front of the eye to the fundus
◯ Tear secretion test
　Whether dry eye is present
◯ Three-dimensional retinal imaging (optical coherence tomography, OCT) and non-mydriatic fundus photography
　Glaucoma and retinal disease may be detected

» Advances in retinal imaging: ultra-widefield fundus photography

Visits without an appointment are also fine.

Early detection is especially important for glaucoma.
Many studies have clarified who is “prone to glaucoma” (risk factors).¹。
◯ Poor eyesight (= high myopia)
◯ Age 40 or older (1 in 20 people aged 40 and over has glaucoma)
◯ A blood relative with glaucoma
◯ Low or high blood pressure
◯ Migraine
◯ Diabetes
◯ Smoking
◯ Cold hands and feet, etc. (Flammer syndrome）²

* In health checkups done by companies and the like,
the three leading causes of blindness, glaucoma, diabetic retinopathy, and age-related macular degeneration, are not diagnosed.

(References)
1. McMonnies, C.W., 2017. Glaucoma history and risk factors. J Optom 10, 71–78. https://doi.org/10.1016/j.optom.2016.02.003
2. Konieczka, K., Ritch, R., Traverso, C.E., Kim, D.M., Kook, M.S., Gallino, A., Golubnitschaja, O., Erb, C., Reitsamer, H.A., Kida, T., Kurysheva, N., Yao, K., 2014. Flammer syndrome. EPMA J 5, 11. https://doi.org/10.1186/1878-5085-5-11