19987 1st Ave S #105, Normandy Park, WA 98148 | 206.242.8545

Medical Eye Care

Your eye health is our top priority

Dry Eye Disease Treatment

Dry eye can be a serious condition that can affect our quality of life. It can be caused by many things such as aging, a dry or windy environment, excessive computer use, contact lenses, and certain medications just to name a few.   

Signs and Symptoms that you may have if you have Dry Eye Disease (DED): 

  • Burning sensation in eyes
  • Gritty/sandy feeling in eyes
  • Light sensitivity and/or glare
  • Transient blurry vision (especially on the computer)
  • Tearing eyes (Think of how much your eyes tear after riding a bike into the wind, it is a reflex from your brain to tell you your eyes are extra dry)
  • Discomfort with your contact lenses by the end of the day  

Dr. Bansal takes dry eye seriously and wants her patients to know how there is help. She uses a combination approach to diagnosing and treating your dry eye so you can see more clearly and comfortably. She will devise a customized treatment plan for each of her dry eye patients.   

Some of the treatment she uses are:  

  • Eye drops (often, both over the counter and prescription drops are necessary)
  • Eye ointments 
  • External lid and lash hygiene 
  • Nutritional counseling 
  • Punctal occlusion
  • Lifestyle changes 
  • Moisture chambers
  • Referral for Serum Treatment, Eyelid Surgery, IPL and Lipiflow Treatments 

Diabetic Eye Exams

If you’ve been diagnosed with diabetes having a diabetic eye exam is of utmost importance. You may feel that your vision is stable and doesn’t bother you, so why should you have your eyes examined thoroughly every year? Diabetic retinopathy is the most common cause of blindness in American adults and you may not have any changes in your vision until it is too late. Generally, the condition is treatable, but if not caught early enough it can lead to permanent vision loss and blindness.    

The disease is caused by changes in the blood vessels of the retina. The high amounts of insulin can cause the blood vessels to swell and leak fluid. In some people abnormal blood vessels grow on the surface of the retina and will need immediate treatment to preserve your vision. 

The longer someone has diabetes, the more likely he or she will get diabetic retinopathy. Between 40 to 45 percent of Americans diagnosed with diabetes will have some stage of diabetic retinopathy. Dr. Bansal will spend extra time carefully examining the retina for any signs of diabetic retinopathy. We also use special technology to take a photo of the inside of your eye to track your eye health. She will also communicate her findings to your primary care physician so that they can make sure you are not at risks for other conditions diabetes can cause.  

During pregnancy, diabetic retinopathy may be a problem for women diagnosed with gestational diabetes. To protect vision, every pregnant woman with diabetes should have a comprehensive dilated eye exam with retinal photography as soon as possible.

Glaucoma Assessment

Dr. Bansal has been trained to diagnose and treat glaucoma. In fact she has been involved with some of the major U.S. glaucoma research studies (Ocular Hypertension Treatment Study & Advanced Glaucoma Intervention Study) as a Research Coordinator. 

Glaucoma is a disease that affects over 2.5 million people. Glaucoma gradually deteriorates peripheral vision and eventually can lead to total blindness if not detected and treated. It is most often caused by high eye pressure that can damage the optic nerve that sends the vision signals to the brain. Once vision is lost it can never be recovered so it is very important to monitor for it yearly. You have a higher risk of glaucoma if someone in your family has had the disease, you are over 60, or you have African or Latin American heritage. 

If you are found to have glaucoma the eye pressure can be lowered with drops and monitored over time in order to prevent further vision loss. Dr. Bansal will check your eye pressure gently and accurately with an instrument called the Goldmann Tonometer (we do not use the air puff testing method) and evaluate your optic nerve for signs of glaucoma. She may recommend special testing such as a peripheral vision sensitivity test and also retinal imaging of your optic nerve to monitor patients for the development of the disease.

Retinal Imaging 

Vision is our most precious sense so we should do everything we can to preserve it. Dr. Bansal believes in annual eye exams with retinal imaging for the optimal long term care of our eyes. That way she can be sure to catch any vision threatening conditions at the first sign. 

It is especially recommended if you have systemic diseases such as diabetes, high blood pressure, high cholesterol, are on any high risk medications, or have a family history of these or other conditions such as glaucoma or macular degeneration.  

B-Town Eyecare offers the best in retinal imaging with the Optovue iCam retinal camera to all patients. This state of the art technology allows us to examine the retina more carefully. The photo takes only a few seconds, it provides a permanent record to compare and track potential eye disease and offers a static view of the retina that Dr. Bansal can review with you and use as a baseline in the future for comparison.

Ocular Coherence Tomography (OCT)

Optical coherence tomography (OCT) is a non-invasive imaging test. OCT uses light waves to take cross-section pictures of your retina.  With OCT, Dr. Bansal can see each of the retina’s distinctive layers.  This allows her to map and measure their thickness. These measurements help with diagnosis. They also provide treatment guidance for glaucoma and diseases of the retina. These retinal diseases include age-related macular degeneration (AMD) and diabetic eye disease. 

You will sit in front of the OCT machine and rest your head on a support to keep it motionless. The equipment will then scan your eye without touching it. Scanning takes about 5 – 10 minutes. If your eyes were dilated, they may be sensitive to light for several hours after the exam.

OCT is useful in diagnosing many eye conditions, including:

  • Macular hole
  • Macular pucker
  • Macular edema
  • Age-related macular degeneration
  • Glaucoma
  • Central serous retinopathy
  • Diabetic retinopathy
  • Vitreous traction

The OCT is often used to evaluate disorders of the optic nerve as well. The OCT exam helps your ophthalmologist see changes to the fibers of the optic nerve. For example, it can detect changes caused by glaucoma.

iWellness Screening

Sight threatening diseases such as glaucoma, macular degeneration, diabetic retinopathy and others often have no outward signs or symptoms, which is why eye exams, including a thorough retinal evaluation, are important to protect vision. In an effort to provide a more thorough eye exam, we are excited to let you know that during your next visit to B-Town Eyecare, you will experience the benefits of the latest advancement in primary eyecare – the iWellnessExam™ SD- OCT retinal scan as part of our comprehensive eye exams.

The iWellness Exam uses breakthrough technology called spectral domain optical coherence tomography or SD-OCT. Similar to an MRI or CT scan, the iWellness Exam captures high definition cross sectional images of your retina, which is the back of your eye, and allows Dr. Bansal to see in unprecedented clarity what may be invisible with traditional examination methods.

Many eye problems can develop without warning and progress without symptoms. In early stages, you may not even notice a change in your vision. But sight threatening conditions and diseases such as macular degeneration, glaucoma, diabetic retinopathy and others can be detected with a thorough evaluation of the retina, including the iWellness Exam.

The iWellness Exam is a fast, painless procedure that provides:

  • A detailed SD-OCT scan report to show a healthy eye or detect very early signs of disease.
  • A retinal thickness map and ganglion cell complex assessment giving Dr. Bansal detailed information simply not available with other methods.
  • The opportunity for you to view and discuss your iWellness Exam report with Dr. Bansal at the time of your exam.
  • A permanent record for your file, which allows Dr. Bansal to compare your iWellness Exam reports each year to look for changes.

As part of your pre-examination work-up, our technician will perform this test which Dr. Bansal will review with you during your examination. The results of this exam will become a part of your permanent patient record.

Ocular Emergencies

Some eye conditions require an urgent examination and treatment. Most patients with an eye emergency will be seen the same day, and all patients will be seen within 24 hours. An emergency exam consists of the same components as a comprehensive exam, with careful attention to the areas of concern. Treatment will be discussed with the patient and close follow up arranged depending on the severity of the condition.

Our staff will work with you to schedule your emergency eye exam appointment as soon as possible. State of the art equipment 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.