Services
About Us
This may come as a surprise to you, but we genuinely love people and we genuinely love giving people great vision! Your vision is our mission…
At Provision Optometrists we truly embrace giving you the best possible vision. We want you to leave our practice with the best and most appropriate eye care and eyewear suitable for YOU.
Our friendly personnel ensure loyalty and client satisfaction. We do our best to meet the needs of each individual.
You are unique and to make sure that we meet your unique needs, we allow enough time for your eye examination and frame selection. We combine advanced digital equipment, patience and integrity to provide the most accurate prescription and diagnosis. If you like a holistic approach to eye care, you are at the right place. We believe your eyes are the windows to the health of your whole body (Matt 6:22).
Trust us to care for your eyes and we will give you insight to your health.
Professional Services
A thorough eye examination is far more than just doing a refraction & dispensing spectacles and contact lenses.
The Optometric oath states:
“With full deliberation, I freely and solemnly pledge that: I will practice the art and science of optometry faithfully and conscientiously, and to the fullest scope of my competence. I will uphold and honorably promote by example and action the highest standards, ethics and ideals of my chosen profession, and the honor of the degree, which has been granted me.”
Optometry is part of primary health care. Seeing a knowledgeable optometrist with diagnostic instruments is very beneficial because it allows for early detection and monitoring of preventable and serious eye conditions like glaucoma, diabetic retinopathy, and macular degeneration, which often have no early symptoms but can lead to irreversible vision loss.
Advanced tools, such as optical coherence tomography (OCT) and digital retinal imaging, provide detailed images of the eye’s internal structures, enabling more accurate diagnosis and timely, effective treatment to preserve your long-term vision.
Detecting Silent Conditions:
Many serious eye diseases, like glaucoma, may not show warning signs until significant vision damage has occurred. Diagnostic instruments help detect these conditions in their early stages.
Monitoring Progression:
Tools like the OCT create detailed cross-sectional images of the retina, allowing optometrists to monitor the progression of conditions like macular degeneration and diabetic eye disease.
Systemic Health Indicators:
The health of your eyes can indicate other health issues, such as intra-cranial pressure, diabetes, high blood pressure, or even MS and other auto-immune diseases. An optometrist’s comprehensive exam can reveal these warning signs, contributing to early diagnosis and management of overall health.
Accurate Vision Correction: Regular exams ensure your prescription for glasses or contact lenses is up-to-date, ensuring better vision, comfort, and safety.
Personalized Care:
An optometrist with advanced diagnostic capabilities can provide a more personalized and detailed understanding of your unique eye health needs, allowing for tailored management and treatment plans.
Glaucoma screening tests are a group of eye exams used to detect glaucoma, a condition that damages the optic nerve—often due to high intraocular pressure (IOP). Early detection is crucial because glaucoma typically causes no pain or early symptoms until vision loss occurs.
Here’s an overview of the main tests used to diagnose and monitor glaucoma:
Tonometry – Eye Pressure Test
Purpose:
Measures the intraocular pressure (IOP).
Normal Range: Usually 10–21 mmHg. (The thickness of the cornea should be taken into account.) We measure the eye pressure and thickness of the cornea as part of our standard eye examination.
Optical Coherence Tomography (OCT)
Purpose:
Uses light waves to create detailed images of the optic nerve and retina, measuring the thickness of nerve fibers.
Why it’s useful:
Detects early structural damage even before vision loss occurs. At Provision Optometrists, we do OCT scans on every patient as part of a full eye examination.
Perimetry (Visual Field Test)
Purpose:
Checks for blind spots (scotomas) or loss of peripheral vision, which is often the first sign of glaucoma damage.
Recommended Testing Schedule to screen for glaucoma:
Ages 40–54: Every 2 years
Ages 60+: Every year
High-risk groups (family history, African descent, diabetes, high IOP, etc.): Annually or as advised by an eye specialist.
Testing and monitoring macular degeneration
(AMD — Age-related Macular Degeneration)
Optical Coherence Tomography (OCT)
Purpose:
Gold standard for diagnosing and monitoring both dry and wet AMD.
How it works:
Uses light waves to produce detailed cross-sectional images of the retina.
Findings:
Dry AMD:
Thinning or atrophy of the macula.
Wet AMD:
Fluid, swelling, or abnormal blood vessels.
Patient self-monitoring:
We give all our macular degeneration patients an Amsler grid to monitor their vision at home.
They should:
Note and report distortion, dark spots, or blurred areas immediately.
We love to educate and help our patients to prevent and slow down the progression of AMD:
Maintain healthy lifestyle habits (quit smoking, eat leafy greens, protect eyes from UV).
Color vision testing is used to determine how well someone can distinguish between different colors — especially shades of red, green, and blue. It helps identify color vision deficiencies (commonly called color blindness).
Purpose:
• To check if a person has normal color perception.
• To detect inherited color vision deficiencies (common in men).
• To monitor acquired color vision changes due to diseases affecting the optic nerve, retina, or macula (e.g. diabetes, glaucoma, macular degeneration).
A color vision test is also required for Skippers and pilot lisences.
Ishihara Color Plate Test:
Uses a series of plates with colored dots forming numbers or patterns.
• People with red-green color blindness may not see the numbers clearly.
• Quick, simple, and widely used for screening.
Causes of Color Vision Deficiency
• Congenital (genetic): Red-green deficiency inherited from the mother (X-linked).
• Acquired: Due to eye diseases (glaucoma, macular degeneration), optic neuritis, certain medications, or exposure to chemicals.
Fundus Photography and OCT Scanning
These two eye tests are often done together by optometrists or ophthalmologists to check the health of the retina and detect eye diseases early. Here’s a breakdown of each:
Fundus Photography
Captures a high-resolution image of the back of your eye (the fundus), including the retina, macula, optic disc, and blood vessels.
How it works:
• A special retinal camera takes a photograph through the pupil.
• The image is used to document and monitor changes over time.
What it helps detect:
• Diabetic retinopathy
• Macular degeneration
• Glaucoma (changes in the optic nerve)
• Retinal detachment or tears
• Hypertensive retinopathy
Advantages:
• Quick, non-invasive, and painless
• Provides a permanent visual record
• Allows comparison between visits
OCT (Optical Coherence Tomography) Scanning
Provides cross-sectional, 3D images of the retina, showing the different layers in microscopic detail.
How it works:
• Uses light waves (not X-rays) to scan the retina.
• The reflected light is analyzed to create a detailed image of each layer of retinal tissue.
What it helps detect:
• Macular degeneration (wet and dry types)
• Glaucoma (measures optic nerve fiber thickness)
• Diabetic macular edema
• Retinal swelling or fluid
• Vitreomacular traction
Advantages:
• Detects early changes before vision loss occurs
• Provides quantitative data (e.g. layer thickness)
• Excellent for monitoring treatment progress
Refers to a collaborative approach where optometrists and ophthalmologists (or other healthcare providers) work together in diagnosing, treating, and monitoring patients with eye diseases or conditions. This teamwork ensures patients receive comprehensive, continuous, and specialized care.
Purpose of Co-Management
• To combine primary eye care (routine exams, early detection, ongoing monitoring) with specialized treatment (surgery, advanced medical interventions).
• To improve patient outcomes, convenience, and continuity of care.
• To ensure timely referral and follow-up for complex or progressive eye conditions.
Common Conditions Co-Managed
1. Glaucoma – Optometrists monitor intraocular pressure and optic nerve health; ophthalmologists may manage surgical or complex medical treatment.
2. Cataracts – Optometrists perform pre- and post-operative care; ophthalmologists perform the surgery.
3. Diabetic Retinopathy – Optometrists screen and monitor; ophthalmologists provide laser or injection therapy.
4. Macular Degeneration (AMD) – Shared monitoring and imaging; ophthalmologists administer anti-VEGF injections.
5. Refractive Surgery (e.g., LASIK, PRK) – Optometrists handle patient evaluation, counseling, and post-op follow-up; surgeons perform the procedure.
6. Keratoconus – Joint management with specialty contact lenses and possible corneal cross-linking.
7. Ocular Surface Disease (Dry Eye) – Shared care for diagnosis, management, and advanced therapies.
How Co-Management Works
1. Initial Diagnosis: Usually by the optometrist during routine eye exams.
2. Referral: If surgical or advanced intervention is needed, the patient is referred to an ophthalmologist.
3. Treatment Phase: The ophthalmologist provides medical/surgical treatment.
4. Post-Treatment Care: The optometrist continues follow-up care, adjusting treatment and monitoring recovery.
Benefits
• Seamless continuity of care between different professionals.
• Enhanced patient trust and convenience.
• Efficient use of healthcare resources.
• Shared expertise for better treatment outcomes.
Pediatric eye tests & Visual therapy
This video explains what BrainRx cognitive training is all about:
How BrainRx Works
- Personalized Assessment: The process begins with a test, like the Gibson Test of Cognitive Skills, to identify a client’s specific cognitive strengths and weaknesses.
- Tailored Training: Based on the test results, a personalized program is developed, combining fun, challenging, game-like exercises with digital components.
- One-on-One Guidance: A personal Cognitive Trainer provides direct guidance and support, pushing the client to improve beyond their comfort zone.
- Strengthening Cognitive Skills: The exercises are designed to strengthen core brain skills, including:
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- Focus and concentration
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- Working memory
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- Visual and auditory processing
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- Processing speed
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- Logic and reasoning
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- Long-term memory
Who BrainRx Helps
BrainRx programs are designed for people of all ages, from children to seniors:
- Children: To help with learning, reading, and homework difficulties.
- College Students: To enhance learning efficiency and overall performance.
- Career Adults: To gain a competitive edge and improve mental acuity.
- Seniors: To combat age-related memory decline and maintain mental sharpness.
- Individuals recovering from injury: To recover mental skills lost due to traumatic brain injuries.
Key Benefits
- Lasting Results: The program aims for lasting improvements in cognitive function and IQ.
- Improved Learning Ability: By strengthening core skills, BrainRx enables easier and more effective learning.
- Increased Mental Speed: Clients can experience faster thinking and information processing.
- Holistic Approach: The training addresses the underlying cognitive skills that support learning and performance across life.
Eye movement tracking can help diagnose reading difficulties and enhance reading ability by identifying atypical patterns and providing data for targeted interventions. It can help diagnose issues like dyslexia or ADHD by detecting irregular fixations or regressions, while it enhances reading through training programs that improve eye movement fluency and other cognitive skills.
How eye movement tracking aids in diagnosis
- Identifies atypical patterns: Eye tracking reveals how a person’s eyes move across a text, identifying patterns that are common in conditions like dyslexia or ADHD.
- Differentiates from other conditions: It can help distinguish between a genuine learning disability, such as dyslexia, and other issues that can mimic it, like poor vision, headaches, or fatigue.
- Provides objective data: Tracking provides objective, measurable data, such as fixation duration and saccade length, which can serve as an unobtrusive diagnostic tool for learning difficulties.
How eye movement tracking enhances reading
- Informs educational material design: By analyzing how readers interact with texts, educators can improve the design and effectiveness of educational materials and learning situations.
- Facilitates targeted interventions: The data can guide the creation of targeted interventions, such as vision therapy or specialized software, to improve eye movement and reading skills.
- Improves reading fluency: Eye movement training, sometimes using software that presents information in specific sequences, can help improve rapid eye movements and overall reading fluency.
- Enhances cognitive skills: Eye-tracking training has been shown to improve not only reading skills but also other cognitive functions like memory and learning speed.
Reflex integration therapy helps children and individuals with developmental or trauma-related challenges by using exercises to integrate retained primitive reflexes—automatic movements from infancy that should naturally disappear—into mature, voluntary movement patterns. By encouraging the brain to reorganize itself and develop neural pathways, the therapy improves motor control, balance, coordination, sensory processing, and emotional regulation, which can positively affect learning, focus, and overall daily functioning. Trained therapists typically provide this therapy through personalized, play-based activities and sensory techniques in a supportive environment.
What are primitive reflexes?
- These are involuntary, automatic movements babies are born with to help them survive and develop in early life.
- Examples include the Moro reflex (startle reflex) and the Asymmetrical Tonic Neck Reflex (ATNR).
- In healthy development, these reflexes should be inhibited and integrated by a certain age, typically around 6-12 months.
What happens when reflexes are retained?
- If primitive reflexes don’t integrate, they can persist and interfere with higher-level development.
- This can lead to difficulties with motor skills, balance, coordination, posture, eye movements and focus. This can lead to reading and learning difficulties.
- Retained reflexes can also affect sensory processing and emotional regulation.
What does the therapy involve?
- A trained therapist assesses an individual to identify retained reflexes and create a personalized treatment plan.
- The therapy uses specialized lasers and gentle, targeted exercises and activities to stimulate the nervous system and encourage the brain to integrate these reflexes.
- Activities can include movement-based exercises, sensory integration techniques (like light, sound, and touch), and play-based activities.
Who can benefit?
- Children with developmental challenges, including motor delays, ADHD, and Autism.
- Individuals who have experienced trauma, which can disrupt the nervous system and lead to retained reflexes.
- Anyone experiencing difficulties with motor control, balance, coordination, or sensory processing due to retained reflexes.
Vision therapy is a program of eye and vision exercises and activities designed to improve visual skills, often by strengthening the connection between the eyes and the brain. A customized program, developed by an eye doctor, uses tools like specialized lenses, prisms, patches, and digital simulations to treat conditions such as lazy eye (amblyopia), eye alignment problems, and issues with focusing and eye teaming. Vision therapy aims to improve visual abilities, which can then help with tasks like reading, learning, and maintaining attention.
What it involves:
- Personalized exercises: Programs are tailored to individual visual needs.
- Specialized tools: Therapists use tools like lenses, prisms, patches, and balance boards.
- Eye-brain coordination: The goal is to train the eye-brain connection for improved visual function.
- In-office and at-home practice: Sessions occur in an office with supervision, and patients may also do exercises at home.
Conditions treated:
Vision therapy can address various visual problems, including: Amblyopia (lazy eye), Eye movement disorders, Eye alignment and coordination issues, Focusing problems, and Eye teaming (binocular vision).
Benefits:
- Improved visual skills: Enhances skills like focusing, eye tracking, and hand-eye coordination.
- Better reading and learning: Can help with reading difficulties, concentration, and attention.
- Enhanced 3-D vision: Improves depth perception and clear 3-D vision.
Behavioral optometrists go beyond standard vision checks to assess and treat how the eyes and brain work together, using a holistic approach to understand visual function, especially for learning and daily tasks. They diagnose and manage visual problems like focusing difficulties, eye coordination issues, and visual processing disorders that impact reading, writing, and computer use. Treatments include vision therapy, specialized eyewear, and tailored home programs to improve visual efficiency, comfort, and performance.
What They Assess
Behavioral optometrists evaluate an individual’s visual system’s functional abilities, not just visual acuity (how clearly they see). This includes assessing:
- Focusing and Eye Coordination
- Eye Movement Abilities (tracking, focusing)
- Visual Processing Skills (how the brain interprets what the eyes see)
- Visual Analysis Skills (required for handwriting and reading)
- Visual-Motor Integration (the connection between visual and physical actions)
Conditions They Treat
They help people with various conditions, including:
- Learning-Related Issues
- Difficulty with reading or writing
- Amblyopia (lazy eye)
- Strabismus (turned eye)
- Symptoms of dyslexia, ADD, and ADHD
- Neurological Issues
- Vision problems after a stroke or head injury
- Vision difficulties for people with Autism Spectrum Disorders
How They Treat
Treatments are tailored to the individual and can include:
- Vision Therapy: A program of exercises and activities to improve visual skills and eye-brain connections.
- Specialized Eyewear: Prescription spectacles, contact lenses, prism lenses, or glasses with specific tints and filters.
- Home Programs: Exercises and activities to be done at home to support in-office therapy.
- Balance Boards and Computerized Activities: Tools used to enhance visual performance and integration.
- Collaboration with Other Professionals: Working with teachers, occupational therapists, and other specialists to provide a comprehensive approach.
Specialised Services
Ortho-K is very successfully used to slow the progression of myopia in children, reducing the risk of future eye problems.
Who can benefit from orthokeratology?
- Individuals with specific refractive errors:
Ortho-K lenses can correct myopia (nearsightedness), hyperopia (farsightedness), and astigmatism (irregular cornea shape) within certain prescription limits. - Children and adolescents: It is especially beneficial for children with progressive myopia, as it can help slow its advancement and reduce the risk of serious eye conditions later in life.
- Athletes and active individuals: People who play sports or have physically demanding jobs can benefit from not having to wear glasses or contacts during the day.
- People with dry eyes or allergies: Those who experience discomfort from wearing traditional daytime contact lenses can benefit from wearing lenses at night instead.
- Those who don’t want surgery:
It is a good alternative for people who are not candidates for or do not wish to have refractive surgeries like LASIK. - Individuals seeking daytime vision correction: Anyone who prefers clear vision during the day without the need for glasses or contacts can benefit from this temporary correction.
Syntonics is a term that refers to the practice of using specific frequencies of light to
treat certain health conditions, particularly in the field of visual health and neurological wellness.
It’s a form of phototherapy that uses light stimulation to improve the function of the nervous system, enhance brain function, and address various visual or neurological disorders.
The word “Syntonics” is derived from the word “syntony”, which means to bring into balance.
The core idea behind Syntonics is that specific light frequencies can stimulate the brain and nervous system in a way that promotes healing, balance, and improved function. The term itself comes from the word “syn,” meaning together or with, and “tonics,” referring to substances or treatments that restore or invigorate health.
It is the use of visible light frequencies, through the eyes, to enhance visual attention and the ability to comprehend what we see. Syntonic phototherapy has been used clinically for over 80 years in the field of optometry and is proven to be both safe and effective with a high rate of success.
It is based on the principle that specific light wavelengths entering the eye can balance the body’s autonomic and endocrine systems. Using light as an energy therapy is also utilized in different ways by a variety of healthcare professionals from GPs to Chiropractors, to Acupuncturists, Physical Therapists and Psychologists.
Syntonics is a gentle, passive and natural way of rebalancing the autonomic nervous system that is crucial to clear, comfortable and efficient vision.
How does Syntonic treatment work?
Syntonics uses specific coloured light produced by a small lamp. Typically a patient sits in a darkened room and view a circle of coloured light for +-20 minutes over a span of +-30 sessions. The colour of the light used in the lamp is based on the type of vision or other related problems. The light travels through the eyes and stimulates the retina, sending signals to the brain Studies show that light frequencies even have the ability to affect EEG patterns. Light has an effect on heart rate and the hormones affecting emotions.
The goal of Syntonic Phototherapy is to treat visual conditions by balancing the autonomic nervous system. Light entering the eyes not only allows us to see but also joins together other important brain centres such as the hypothalamus and pineal gland to allow normal visual processing to occur. Coloured light therapy, through the eyes, can act as a powerful tool to stimulate the biochemistry of the brain.
The specifically prescribed filters generate wavelengths of light to complement the patient’s neurological and endocrine system to create changes in symptoms, behaviour (mood, attitude, coping-ability), performance (academic, athletic, expressive) as well as changes in optometric test results.
Who could benefit from Syntonics?
Children and adults with:
Amblyopia (lazy eye)
Strabismus (eye turn)
Binocular vision dysfunctions
Reading and learning difficulties
Attention and concentration issues
Acquired brain injuries
Traumatic brain injuries (TBI) and concussions
Headaches and migraines
Eye strain and visual fatigue
Extreme light sensitivity
High-level athletes:
Syntonics can be used for visual training to improve performance.
Individuals experiencing visual consequences of stress and trauma:
Syntonics can help with visual relief and potentially improve visual field.
Individuals with learning disabilities and attention deficit disorders:
Vision therapy can help improve visual processing skills.
How do Optometrists choose the appropriate wavelengths of light for treatment?
Syntonic Phototherapy evaluation begins with an assessment of symptoms, eye tracking ability, binocular eye coordination, visual motor performance, pupillary reaction to light and peripheral vision sensitivity. The perceptual visual field is tested for size, perception of motion and response to colour.
Pupil responses are examined because abnormal pupil responses reveal imbalances in the autonomic nervous system. Optometrists also evaluate the patient’s functional fields or peripheral vision sensitivity. Functional fields are a measure of how effectively a patient can process visual information. Reduced functional fields are common in patients with fatigue and stress. Research has shown that the smaller the functional field, the poorer the optometric and academic performance.
Is there scientific evidence that Syntonics can work?
Many scientific papers and publications have shown Syntonics to be effective and that this relatively short term treatment can significantly improve visual skills, peripheral awareness, memory, behaviour, mood, general performance and academic achievement.
In 1941, Harry Spitler was the first to detail how ocular light stimulation results in changing the physiology of the thalamus, hypothalamus and pituitary gland in the brain. Spitler concluded that imbalances in the nervous and hormonal systems caused many bodily, emotional, and visual ailments.
Syntonics is a term that refers to the practice of using specific frequencies of light to treat certain health conditions, particularly in the field of visual health and neurological wellness.
It’s a form of phototherapy that uses light stimulation to improve the function of the nervous system, enhance brain function, and address various visual or neurological disorders.
The word “Syntonics” is derived from the word “syntony”, which means to bring into balance.
The core idea behind Syntonics is that specific light frequencies can stimulate the brain and nervous system in a way that promotes healing, balance, and improved function. The term itself comes from the word “syn,” meaning together or with, and “tonics,” referring to substances or treatments that restore or invigorate health.
It is the use of visible light frequencies, through the eyes, to enhance visual attention and the ability to comprehend what we see. Syntonic phototherapy has been used clinically for over 80 years in the field of optometry and is proven to be both safe and effective with a high rate of success.
It is based on the principle that specific light wavelengths entering the eye can balance the body’s autonomic and endocrine systems. Using light as an energy therapy is also utilised in different ways by a variety of healthcare professionals, from GPs to Chiropractors, to Acupuncturists, Physical Therapists and Psychologists.
Syntonics is a gentle, passive and natural way of rebalancing the autonomic nervous system that is crucial to clear, comfortable and efficient vision.
How does Syntonic treatment work?
Syntonics uses specific coloured light produced by a small lamp. Typically, a patient sits in a darkened room and views a circle of coloured light for +-20 minutes over a span of +-30 sessions.
The colour of the light used in the lamp is based on the type of vision or other related problems. The light travels through the eyes and stimulates the retina, sending signals to the brain. Studies show that light frequencies even have the ability to affect EEG patterns.
Light has an effect on heart rate and the hormones affecting emotions.
The goal of Syntonic Phototherapy is to treat visual conditions by balancing the autonomic nervous system. Light entering the eyes not only allows us to see but also joins together other important brain centres, such as the hypothalamus and pineal gland to allow normal visual processing to occur. Coloured light therapy, through the eyes, can act as a powerful tool to stimulate the biochemistry of the brain.
The specifically prescribed filters generate wavelengths of light to complement the patient’s neurological and endocrine system to create changes in symptoms, behaviour (mood, attitude, coping-ability), performance (academic, athletic, expressive), as well as changes in optometric test results.
Who could benefit from Syntonics?
Children and adults with:
- Amblyopia (lazy eye)
- Strabismus (eye turn)
- Binocular vision dysfunctions
- Reading and learning difficulties
- Attention and concentration issues
- Acquired brain injuries
- Traumatic brain injuries (TBI) and concussions
- Headaches and migraines
- Eye strain and visual fatigue
- Extreme light sensitivity
High-level athletes:
Syntonics can be used for visual training to improve performance.
Individuals experiencing visual consequences of stress and trauma:
Syntonics can help with visual relief and potentially improve the visual field.
Individuals with learning disabilities and attention deficit disorders:
Vision therapy can help improve visual processing skills.
How do Optometrists choose the appropriate wavelengths of light for treatment?
Syntonic Phototherapy evaluation begins with an assessment of symptoms, eye tracking ability, binocular eye coordination, visual motor performance, pupillary reaction to light and peripheral vision sensitivity. The perceptual visual field is tested for size, perception of motion and response to colour.
Pupil responses are examined because abnormal pupil responses reveal imbalances in the autonomic nervous system. Optometrists also evaluate the patient’s functional fields or peripheral vision sensitivity. Functional fields are a measure of how effectively a patient can process visual information. Reduced functional fields are common in patients with fatigue and stress. Research has shown that the smaller the functional field, the poorer the optometric and academic performance.
Is there scientific evidence that Syntonics can work?
Many scientific papers and publications have shown Syntonics to be effective and that this relatively short-term treatment can significantly improve visual skills, peripheral awareness, memory, behaviour, mood, general performance and academic achievement.
In 1941, Harry Spitler was the first to detail how ocular light stimulation results in changing the physiology of the thalamus, hypothalamus and pituitary gland in the brain. Spitler concluded that imbalances in the nervous and hormonal systems caused many bodily, emotional, and visual ailments.