Comprehensive Eye Exams


Patient history helps to determine any symptoms you are experiencing and can be critical in diagnosing any issues you may be having.

Visual acuity measurements evaluate how clearly each eye is seeing. As part of the testing, you are asked to read letters on distance and near reading charts.

Refraction is conducted to determine the appropriate lens power needed to compensate for any refractive error (nearsightedness, farsightedness, or astigmatism).

This testing will look for problems that keep your eyes from focusing effectively or make using both eyes together difficult.

This testing can include Keratometry, an Eye Health Evaluation, depth perception and color vision, etc.

Coming to our office

New patients visiting our office are coming in to see our doctors because of our expertise, care, and dedication to patient satisfaction. In some cases, your doctor may have recommended Dr. Silbert to you for surgery or medical eye care; in others, you might have decided for yourself that you want to be seen at Conestoga Eye or a friend told you about us. No matter how you decided to come to Conestoga Eye – either for medical reasons or for great glasses –  please know that you are always welcome and we love to know how you found us. Please make sure to tell us when you make your visit.

Making your appointment

All patients who make an appointment should complete our new patient paperwork throughly and completely. This is very important as information in your medical history can impact your vision and be an important part how you are diagnosed and treated for different disorders. The best way to complete your new patient paperwork is online through our patient portal. Our office staff will give you your patient portal activation code when you make your appointment.

Your Visit

When you enter Conestoga Eye, you will be greeted by our front desk staff and asked to check in. Please remember that if it is your first appointment, we will ask for copies of your driver’s license or insurance cards. Children seeing Dr. Silbert for the first time must come with their legal parent or guardian as there is paperwork that person must sign and complete.

Our technicians will then take you in-room to review your medical history, check your vision, and talk to you about what brought you into Conestoga Eye that day. If you are to have dilation, this is when drops will also be administered. You will then see Dr. Silbert or one of our optometrists (whoever you are scheduled with), Dr. Hosey or Dr. Woodall. Our doctors will see you to evaluate your concerns and issues and discuss what can be done to help improve your symptoms. Our doctors will always send a letter to your primary care physician letting them know what you were seen for and the treatments prescribed. Please let us know if there are more doctors you would like this letter sent to.

Surgical Procedures with Dr. Silbert 

Please know if you are seeing Dr. Silbert for any in office procedure or surgery, please know that lesion,  bump, or possible basel cell spot removals are never done the same day. Dr. Silbert will first asses the areas of concern and we will schedule your in-office or surgical procedure shortly there after. If an approval or authorization is needed from your insurance this must be obtained before your procedure is done.

The Office Experience. 

Please note: We collect co-pays, co-insurance, and any unmet deductibles at the time of your visit. If you have any questions regarding what those amounts might be, please do not hesitate to give us a call and our staff will be happy to assist you with gathering that information.

Eye Exams for Children

A pediatric ophthalmology appointment will take longer than a routine doctors appointment. Most children will need to be dilated for at least their first appointment and it can take 30-60 minutes for the eye drops to work. We have a fun children’s play area to occupy your child and encourage you to bring your child’s favorite toy and snacks. For future appointments if your child needs to be dilated again we can often let you do this at home before your appointment to save you time.

First the orthoptist or technician will see your child to gather some baseline information. Your child’s visual acuity, pupils and eye movements will be assessed. Sometimes other assessments are made such as eye pressure, color vision, 3D vision, and measuring how well your child’s eyes are focusing. We will then put eye drops in your child’s eyes to dilate the pupils so Dr. Silbert can do a full exam, which includes looking for refractive error (nearsightedness, farsightedness, astigmatism) and examine the back of the eye to assess the overall health.

What we hope to tell you at the end of your appointment is that your child’s eyes are perfectly normal and they do not need to come back for further appointments. Sometimes we will see children with lazy eyes and we may start non-surgical treatment with eyeglasses. Less frequently surgery may be discussed to treat conditions such as chronically watering eyes or an eye that crosses or drifts.

Adult Eye Exams

Your first visit to an ophthalmologist usually requires a comprehensive dilated eye exam, which makes our appointments typically longer than other doctor’s appointments. Most appointments will take a total of approximately 90 minutes.

Please complete your new patient paperwork before your exam. Also bring any other information which might aid in your eye exam, such as eyeglasses, eyeglass prescriptions, old records, blood work results, CT/MRI results, a log of your symptoms.

First the orthoptist or technician will gather some basic information, which may include your visual acuity, eye pressure, eye muscle measurements, color vision and refraction if needed. Depending on the reason for your visit, your eyes will probably be dilated and it will take approximately 20 minutes for the eye drops to work. During this time feel free to browse our optical shop or have your current glasses adjusted. Once your eyes are dilated Dr. Silbert will examine your eyes.

Dr. Silbert will discuss his findings with you and options for treatment if necessary. This may include eye drops, surgery, further testing or other options. He will answer all your questions and let you know if any follow up is necessary.

Routine & Medical Exams

Regular eye examinations are important to maintain your vision for your lifetime. At Conestoga Eye, we believe it is important you are aware of your insurance benefits and how they apply to your visit. We have prepared this sheet to help you understand how your visit is submitted to your health insurance or vision insurance for today’s visit. Benefits may vary based upon the reason for your visit.  

Routine Eye Examinations   A “routine eye exam” takes place when you come for an eye examination without any medical complaint, symptom, or condition which affects the eye. The doctor checks your vision, determines your eyeglass and/or contact lens prescription, and screens the eyes for disease. Examples that will necessitate your visit being submitted as a vision exam include:

  • Basic eye exam
  • Glasses / Contact Lenses

Medical Eye Examinations   Your visit will be coded and billed as a “medical eye examination” whenever you are being evaluated or treated for a medical condition or symptom that you bring up, eye problems you tell our staff about, or a condition that the doctor finds in the examination. Examples that will necessitate your visit being submitted as a medical exam include but may not be limited to:

  • Blurry Vision related to a medical diagnosis or condition
  • Diabetes mellitus/Hypertension
  • Dry, redness, or irritation of eyes
  • Allergies
  • Headaches
  • Floaters and/or flashing lights
  • Contact Lens intolerance
  • Glaucoma
  • Referral from outside physicians
  • High risk medications (auto immune, systemic illness treatment)
  • Cataracts
  • Eye muscle imbalance
  • “Lazy eye”
  • Macular degeneration

The purpose of your visit will determine which insurance benefit will be used. If your doctor determines that your problem falls under the category of a “medical eye examination”, your visit may be billed as a medical exam instead of a routine vision exam, which will be subject to co-pays and deductibles according to your medical insurance plan. You will be informed of this determination during your visit with the doctor. You will then have the option to pay out of pocket for your refraction (glasses/contact lens prescription) or schedule a return appointment, using your applicable vision insurance.

Good Faith Estimates & Self Pay Exams

Good Faith Estimate for Routine Eye Exam (Glasses/Contacts) 
Good Faith Estimate for Medical Eye Exam
No Surprises Act Information 

Comprehensive Eye Exams

Updated on 2022-04-15T18:53:58+00:00, by admin.