As part of your routine eye exam, Dr. Manders now offers High Resolution Retinal Photography, which uses a computer‐integrated digital imaging system to record a detailed view of the retina. Since nothing touches the eye, photo‐documentation is painless and non-invasive. This digital image provides an excellent reference point for future comparisons.

Retinal photography assists Dr. Manders in the detection and management of problems such as diabetic changes, hypertensive retinopathy, macular degeneration, optic nerve disease, and retinal holes or thinning.

Dr. Manders recommends that all of patients receive this screening at least once. It is especially important for people with a history of high blood pressure, diabetes, retinal diseases, flashing lights, floaters, headaches or a strong glasses prescription.

Most vision plans do not cover the nominal cost of routine screening, but medical insurance may cover this diagnostic test if an underlying health reason warrants it.

Most people with vision correction issues want to know more about LASIK and whether it is right for them. Here is a brief description of the procedure:

A flap is surgically cut in the cornea and gently folded back. An Excimer Laser is used to reshape the cornea into a flatter shape (this is much like a contact lens corrects vision by forming a new shape on the cornea). The flap is then put back in place, acting like a natural bandage. The healing process is quick and the discomfort level is quite low.

People will often say that they did not feel anything, and could see well the very first day. Most people have improved vision in 24-48 hours. but it must be noted that each person will heal at a different rate. Vision, although greatly improved immediately after surgery, often continues to improve for some weeks, even months.

LASIK is not for everyone. People's eyes are different so even though you may have had a friend who has had LASIK, it may not be the best course of treatment for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon, procedure and laser appropriate for you.

After the procedure, our unsurpassed post-op care involves monitoring your eyes and adjusting your medication for the best possible results.

Our office provides many of the surgical services such as Cataract surgery, Laser surgery, Refractive surgery and Strabismic surgery. We offer this in conjunction with the hospital and local eye surgeons.

Additionally, we have working arrangements established with other specialized eye care doctors to manage such things are retinal detachments, retinal tears and hemorrhages.

Our office provides emergency services for eye infections and eye injuries. Please call our office at 734-428-2020 during office hours or our emergency number; 734-260-5160 after hours or on weekends. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.

Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears; eye drops for treating allergies; and/or punctal plugs inserted in the tear drainage canals.

Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.

Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.

Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.

Macular Degeneration: Age-related macular degeneration is the leading cause of legal blindness in people older than 55 years in the United States, affecting more than 1.75 million individuals in the U.S. This number is expected to increase to almost 3 million by 2020. As overall life expectancy increases, age-related macular degeneration has become a major public-health concern. Dr. Manders can help diagnose and treat macular degeneration and will refer you as needed to specialists.

People who have lost eyesight due to injuries or eye disease may need special products to help them function as independently as possible. We offer a full range of these products through our office, ranging from a simple hand magnifier to a closed circuit TV system.

In addition, we can direct those who have low vision problems to products that will help them carry on the day-to-day tasks that they need to perform. In some cases we can set up a program for the low vision patient with the National Library of Congress to receive "books on tape," a service for the blind.

Seeing clearly is not enough. For many people, reading and hand-eye coordination tasks can be very difficult. The act of sight not only includes one's eyes, but also includes the neurological activity that processes the visual information. Throwing a ball or skiing down a hill are learned activities; to do either well takes practice. Those who do it best are those who started learning at the earliest age.

Sight plays an important role in learning these activities. Sight is the steering mechanism; it is the main activity that provides feedback regarding what really is happening. Manchester Eye Care Center can provide Vision Therapy to help individuals learn how to process visual information and develop better hand-eye coordination skills.