The Moran Eye Center at the
Primary Children's Medical Center
|
100 North Mario Capecchi Drive |
 Primary Children's Medical Center |
The Moran Eye Center connects to Primary Children's Medical Center where the clinic is located.
The Moran Eye Center
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The John A. Moran Eye Center at the University of Utah has a reputation for world-class vision care. This outstanding level of care is maintained at the Moran Eye Center at Primary Children's Medical Center, located in Salt Lake City. Our eye care is second to none along the Wasatch Front, where we see patients from Utah, Wyoming, and Idaho. We take pride in our caring attentiveness to patients and offer comprehensive optometric and ophthalmic vision care for all ages and needs.
Doctors - Read more about our world class physicians.
Policies:
It is our single goal that you and your child have an outstanding experience wtih us. To help us help you, please be prepared with the following:
- Your insurance information.
- Your insurance card as we will need to copy it.
- A referral if your insurance requires it.
- Your co-pay and this is particularly important as the University will charge you a $20 fee if it is not made at the time of your visit.
- Fill out the enclosed information sheets and bring it with you to your visit.
- Arrive 15 minutes before your appointment so that we may best help you.
In our years of helping children just like your son or daughter it is our experience that you should plan on being with us for "3" hours. We
have also found that it is best if you and your child come alone leaving other children and family members at home. We would like to spend quality time with
you and your child and this will help us facilitate that goal.
If we can help your prior to or after your visit please call us:
801-581-2352 or toll free at 877-248-6374.
Ophthalmology Services
What sets the ophthalmology services at the Moran Eye Center at Primary Childrens Medical Center apart from other vision care options available in the Park City area? We feel it is the outstanding training, experience and knowledge our ophthalmologists possess and the matchless referral options available to you. Dr. Schubach would be happy to discuss your options in regards to LASIK surgery or any other ophthalmology needs you may have.
Information about Moran ophthalmologists and ophthalmology services at the Moran Eye Center can be found on the Find a Doctor page.
We treat adult strabismus. Read more below...
Strabismus can be either a disorder of the brain coordinating the eyes or a disorder of one or more muscles, that causes a dysfunction of the usual direction and power of the muscle or muscles. Strabismus sometimes involvews the brain, in which the eyes are not properly aligned with each other. It typically involves a lack of coordination between the extraocular muscles that prevents bringing the gaze of each eye to the same point in space and preventing proper binocular vision. Often strabismus adversely affects depth perception.
Diagnosis
During eye examinations, ophthalmologists, orthoptists, and optometrists typically use a cover test to aid in the diagnosis of strabismus. If the eye being tested is the strabismic eye, then it will fixate on the object after the "straight" eye is covered, as long as the vision in this eye is good enough. If the "straight" eye is being tested, there will be no change in fixation, as it is already fixated. Depending on the direction that the strabismic eye deviates, the direction of deviation may be assessed. Exotropic is outwards (away from the midline) and esotropic is inwards (towards the nose).
A simple screening test for strabismus is the Hirschberg test. A flashlight is shone in the patient's eye. When the patient is looking at the light, a reflection can be seen on the front surface of the pupil. If the eyes are properly aligned with one another, then the reflection will be in the same spot of each eye. Therefore, if the reflection is not in the same place in each eye, then the eyes must not be properly aligned.
Laterality
Strabismus may be classified as unilateral if the same eye consistently 'wanders', or alternating if either of the eyes can be seen to 'wander'. Alternation of the strabismus may occur spontaneously, with or without subjective awareness of the alternation. Alternation may also be seen following the cover test, with the previously 'wandering' eye remaining straight while the previously straight eye is now seen to be 'wandering' on removal of the cover. The cover-uncover test is used to diagnose the type of strabismus (also known as tropia) present.
Onset
Strabismus may also be classified based on time of onset, either congenital, acquired or secondary to another pathological process, such as cataract.
Treatment and management
As with other binocular vision disorders, the primary therapeutic goal for those with strabismus is comfortable, single, clear, normal binocular vision at all distances and directions of gaze.
Whereas amblyopia, if minor and detected early, can often be corrected with use of an eyepatch on the dominant eye and/or vision therapy, the use of eyepatches is unlikely to change the angle of strabismus. Advanced strabismus is usually treated with a combination of eyeglasses or prisms, vision therapy, and surgery, depending on the underlying reason for the misalignment. Surgery attempts to align the eyes by shortening, lengthening, or changing the position of one or more of the extraocular eye muscles and is frequently the only way to achieve cosmetic improvement. Glasses affect the position by changing the person's reaction to focusing. Prisms change the way light, and therefore images, strike the eye, simulating a change in the eye position.
Early treatment of strabismus and/or amblyopia in infancy can reduce the chance of developing amblyopia and depth perception problems. Eyes that remain misaligned can still develop visual problems. Although not a cure for strabismus, prism lenses can also be used to provide some comfort for sufferers and to prevent double vision from occurring.
In adults with previously normal alignment, the onset of strabismus usually results in double vision (diplopia).
Prognosis
When strabismus is congenital or develops in infancy, it can cause amblyopia, in which the brain ignores input from the deviated eye. Strabismus can lead to a permanent weakening of vision in the strabismic eye called amblyopia (this may not always happen), sometimes referred to as lazy eye. The appearance of strabismus may also be a cosmetic problem. One study reported that 85% of adult strabismus patients "reported that they had problems with work, school and sports because of their strabismus." The same study also reported that 70% said strabismus "had a negative effect on their self-image."[4]
Differential diagnosis: pseudostrabismus
Pseudostrabismus is the false appearance of strabismus. It generally occurs in infants and toddlers whose bridge of the nose is wide and flat, causing the appearance of strabismus. With age, the bridge of the child's nose narrows and the folds in the corner of the eyes go away. To detect the difference between pseudostrabismus and strabismus, a Hirschberg test may be used.
Pathophysiology
Strabismus can be an indication that a cranial nerve has a lesion. Particularly Cranial Nerve III (Occulomotor), Cranial Nerve IV (Trochlear) or Cranial Nerve VI (Abducens). A strabismus caused by a lesion in either of these nerves results in the lack of innervation to eye muscles and results in a change of eye position. A strabismus may be a sign of increased intracranial pressure, as CN III is particularly vulnerable to damage from brain swelling.
More commonly however, squints are termed concominant (i.e. non paralytic). This means the squint is not caused by a lesion reducing innervation. The squint in this example, is caused by a refractive error in one or both eyes. This refractive error causes poor vision in one eye and so stops the brain from being able to use both eyes together.
Other terms
Strabismus is often incorrectly referred to as "lazy eye" (which in fact refers to the associated condition amblyopia). It is also referred to as "squint", "crossed eye", "codeye" and "wall eye".
"Cross-eyed" or "boss-eyed" means that when a person with strabismus looks at an object, one eye fixates the object and the other fixates with a convergence angle less than zero, that is the optic axes overconverge. "Wall-eyed" means that when a person with strabismus looks at an object, one eye fixates the object and the other fixates with a convergence angle greater than zero, that is the optic axes diverge from parallel.
Optometrists/Optometry Services
At the Moran Eye Center at Primary Childrens Medical Center our doctors provide pediatric through adult vision examinations, including contact lens fittings with the newest technology, superior eye glasses, and vision and sports therapy. Our exams are geared to determine your exact visual prescription and detect any vision problems or eye diseases you may encounter. For your convenience, please schedule appointments in advance, although if you are willing to wait for the first opening, we accept walk-in appointments.
Optical Shop
Many of our young patients find an excellent selection of glasses and contact lenses across the indoor bridge from our Moran clinic in Primary Children's Medical Center (PCMC) to the University of Utah Moran Eye Center Optical Shop. It is a short walk, and the Optical Shop there has specialists that are trained specifically in pediatric eye care.
Below is a list of our nine locations of optical shops in and around Salt Lake.
9 Convenient Moran Eye Center Optical Locations to Serve You:
University of Utah | Davis Vision Center
| Greenwood Health Center |
Parkway Health Center | Primary Childrens Medical Center Health Center | Redwood Health Center |
South Jordan Health Center | Stansbury Health Center | Westridge Health Center |
Vision Correction Alternatives
Our Primary Childrens Medical Center-based eye doctors conduct pre-operative and post-operative laser vision examinations. We are happy to talk with you about your vision correction options and suggest that you take advantage of the free educational forums in the evenings at Moran clinics several times each month. This will help you understand your options and helps determine if you are a candidate for LASIK surgery. Our forums last approximately one hour and are presented by one of our world-class ophthalmic surgeons.
The refractive ophthalmologists at the Moran Eye Center have some of the highest successful vision correction outcomes in the Western United States. The Moran Eye Center is a regional referral center for complications after LASIK, and for complex procedures where the patient has special needs. We are renowned for our caring approach to LASIK and other vision correction procedures and long-term follow up.
LASER: LASIK-including custom or wavefront technology with iris registration software Photorefractive Keratectomy (PRK), Laser Epithelial Keratomileusis (LASEK) Epi-Lasik© and Intralase©
NON-LASER: Intrastromal Corneal Ring Segments (INTACS©), Conductive Keratoplasty (CK), clear lens extraction (also called refractive lens exchange), implantable contact lenses, multifocal and accommodative lenses, custom LASIK technology, refractive lens exchange, corneal diseases and treatments; Surgeries: traditional corneal transplant, sutureless corneal transplant, partial thickness corneal transplants, artificial corneal, Intacs© for Keratoconus, corneal transplantation, high risk keratoplasty, keratoplasty in association with iris and lens abnormalities.
Go to Primary Childrens Medical Center Health Center Website