This form is to be used for patient referrals.
|Service Descriptions||Patient Fees|
Dry Eye Assessment (Learn More Here)
Lipiflow: Thermal Pulsation system opening and clearing blocked glands allowing the body to resume the natural production of lipids required for a healthy tear film.
*If you undergo a dry eye assessment, you’ll receive a $185 discount on the LipiFlow procedure.
|Meibomian Gland Expression– Manually expressing the contents of the meibomian glands helps diagnose meibomian gland disease (MGD) and is a proven therapy for posterior blepharitis and evaporative tear dysfunction.||$51.92/eye|
|BlephEx– to treat Blepharitis and Demodex
A hand piece is used to very precisely and carefully spin a medical grade micro-sponge along the edge of eyelids and lashes, removing scurf and debris and exfoliating eyelids.
|BlephEx Wipes– wipes contain tea tree oil, the only known natural ingredient proven to kill Demodex mites||$34.50|
|BlephEx post-treatment follow-up||$35.00|
|AMD Macular Assessment this includes a progression analysis
Includes OCT ( Zeiss Macular 512×200 OU scan; RPE scan report; Progression analysis available), Visual Fields and Examination
|MaculaRisk/VitaRisk (testing to determine best treatment plan for patients with Macular Disease)
Includes Genetic Test to aid in selection of the most appropriate AMD supplement (eg. with or without zinc)
|MaculaRisk/VitaRisk (testing to determine probability of developing Macular Disease)
Includes Genetic Test and Assessment
|Anterior Segment Photography||$15.00|
|Corneal Topography– non-invasive medical imaging technique for mapping the surface curvature of the cornea.||$50.00|
|Oculus Keratograph Pupillometry – Accurate, reliable & objective pupil measurement
Improves quality of vital neurological examinations and monitoring. IE: concussions
Includes full assessment: Retinal photos, Pachymetry, Gonioscopy and Anterior OCT angle, macula and ONH OCT Analysis.
|Visual Fields Assessment – 10-2; 24-2; 30-2||$30.00|
|Visual Fields Motor Vehicle||$50.00|
|Visual Field Esterman||$70.00|
|Specular Microscopy – non-invasive photographic technique that allows visualization and analyzation of the corneal endothelium. Using computer-assisted morphometry, modern specular microscopes analyze the size, shape and population of the endothelial cells with progression analysis.||$25.00|
|Low Vision Assessment:
Includes trial frame refraction, eccentric fixation training (if applicable), training and practice with Eschenbach low vision devices (eg. handheld magnifiers, MaxTV, SmartLux Digital) to improve magnification and contrast sensitivity. Each low vision assessment is designed to achieve one primary goal (eg. reading newspaper, seeing TV, signing name on cheques). Patients should bring any current magnifiers that they use to the appointment with them.
|RGP Fitting- Sphere||$150.00|
|RGP Fitting- Toric||$190.00|
|RGP Fitting- Bi-Toric||$230.00|
|RGP Fitting – Multifocal||$200.00|
|Eye See Eye Learn||0|
|Eye seals hydrating sleep mask||$65.00|