Explore your vision
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Frequently asked questions

Browse practical answers by topic. Contact reception for current information about fees, medical aid, parking and opening hours.

Does submitting the form confirm my appointment?

No. The form emails an enquiry to reception. Appointments are arranged directly with the practice; nothing is booked online.

How do I discuss the right appointment?

Choose the concern closest to your needs or select “Unsure”. A short description, any established diagnosis and the correction you currently use will help the practice guide you.

How long will my appointment take?

Appointment length can vary, especially for complex contact-lens assessments. Please contact the practice to confirm current arrangements.

What is the cancellation policy?

Please contact the practice to confirm current arrangements.

Can I use the enquiry form for urgent symptoms?

The forms are for non-urgent requests and are not monitored as an emergency service. For sudden pain, injury or a rapid change in vision, seek prompt advice from an appropriate emergency or medical service.

Where is Eksteen Optometrists?

Eksteen Optometrists is at Vergelegen, 137 Milner Road, Rondebosch, Cape Town, 7700, South Africa (opens Google Maps in a new tab). Contact reception if you need exact entrance or arrival guidance.

Is parking available?

Please contact the practice to confirm current arrangements.

Is the practice wheelchair accessible?

Please contact the practice to confirm current arrangements.

Which entrance should I use?

Please contact the practice to confirm current arrangements.

What are the opening hours?

Please contact the practice to confirm current arrangements.

What may a comprehensive eye examination include?

It may include your visual and health history, distance and near vision, refraction, eye coordination where relevant and an eye-health assessment. The exact tests depend on age, symptoms and findings.

Should I bring my current spectacles?

Yes. Bring the spectacles and contact lenses you use, together with previous prescriptions or reports if available. This gives useful context for change over time.

Will my pupils be dilated?

Dilating drops may be clinically useful in some examinations, but are not required for every person. The clinician should explain the reason, temporary effects and driving implications before proceeding.

Can an eye examination detect eye disease?

An optometric examination may identify findings that need monitoring, further assessment or referral. It should not be described as ruling out every possible disease, and medical or surgical care may require an ophthalmologist.

What is a scleral lens?

It is a larger gas-permeable lens designed to vault the cornea and land on tissue over the sclera, the white of the eye. A fluid reservoir is held beneath the lens.

Who may benefit from a scleral-lens assessment?

They may be considered for selected irregular corneas, keratoconus, post-surgical corneal changes or other complex visual and ocular-surface needs. Suitability and current availability must be confirmed individually.

Are scleral lenses always comfortable?

No lens can be guaranteed comfortable. Diameter and corneal vault can be useful for some people, but fit, surface, handling, fluid, eye health and wear time all matter.

Will I need teaching?

Yes. Application, removal, filling, cleaning and warning signs need supervised instruction using the products and routine prescribed for your lens.

What is a corneal RGP lens?

It is a small, shape-retaining, oxygen-permeable lens that rests on the cornea. The tears between the lens and cornea can help create a more regular optical surface.

How is it different from a scleral lens?

A corneal RGP is smaller and moves on the cornea; a scleral lens is larger, vaults the cornea and lands farther out. Each has different fitting, handling and visual considerations.

Is an adaptation period normal?

Some awareness can occur while adapting to a corneal rigid lens. Pain, increasing redness, unusual light sensitivity or sudden blur is not something to push through and needs advice.

How often are rigid lenses replaced?

Replacement depends on the lens, condition, wear, surface and clinical findings. Follow the individual review and replacement plan rather than a generic online interval.

Can I use tap water on my lenses or case?

No. Keep lenses and cases away from tap, shower, swimming-pool and other water because of infection risk. Use the products prescribed for your lens.

What should I do if a lens hurts?

Remove it. Do not continue wearing or reinsert a lens into a painful, markedly red, light-sensitive or suddenly blurred eye; seek prompt professional advice.

Can I use any contact-lens solution?

No. Soft, corneal RGP, scleral and hydrogen-peroxide systems have different requirements. Follow the exact products and steps prescribed for your lens.

Can I learn insertion and removal from a video?

A video can refresh steps after teaching, but it cannot check your technique or adapt it to your eyes, hands and lens. Supervised instruction remains essential.

Why should I carry spectacles?

Up-to-date spectacles provide a safe back-up when lenses must be removed because of discomfort, a lost lens, illness or another problem.

What is keratoconus?

Keratoconus is a condition in which the cornea becomes thinner and changes shape. The resulting irregular focusing can cause blur, ghosting, glare or frequent prescription changes.

Do specialist lenses stop keratoconus progressing?

No. Contact lenses may improve optical correction while they are worn; they do not treat the underlying progression of keratoconus.

Why might spectacles no longer be clear enough?

Spectacles correct regular focusing errors well. As the corneal surface becomes more irregular, they may not neutralise all of the distortion. Spectacles can still be useful in some cases.

When is an ophthalmologist involved?

An ophthalmologist may assess progression and medical or surgical options such as corneal cross-linking. The optometrist and ophthalmologist can have complementary roles.

Is an irregular cornea always keratoconus?

No. Irregularity may relate to keratoconus, another corneal condition, scarring, injury or previous corneal or refractive surgery.

How is corneal irregularity assessed?

The clinician combines history, refraction, eye-health findings and corneal-shape measurements where relevant and available. No single colour map should be interpreted in isolation.

Which lens is best for an irregular cornea?

There is no universal best lens. A custom soft, corneal RGP, scleral or other design may be considered after assessing shape, eye health, vision, comfort and handling.

Can a contact lens treat the cause?

A lens may create a more regular optical surface and improve vision. It does not treat every underlying disease or surgical issue.

What is orthokeratology?

Orthokeratology uses specially designed rigid gas-permeable lenses during sleep to temporarily change corneal shape. The lenses are removed in the morning.

Is the effect permanent?

No. The cornea tends to return towards its original shape after wear stops. Continued prescribed wear is needed to maintain the refractive effect.

Will I see clearly all day?

Some suitable wearers may have useful daytime vision without spectacles or daytime lenses, but the response and how it changes during the day vary. Clear vision cannot be guaranteed.

Is overnight wear risk-free?

No. Sleeping in contact lenses increases the risk of complications, including sight-threatening infection. Careful selection, hygiene, regular aftercare and prompt response to symptoms are essential.

Can orthokeratology form part of myopia management?

It may slow eye growth for some suitable children, but no option can promise that myopia will stop. An assessment should compare the benefits, limitations, risks and practical demands of available options.

What is myopia management?

It describes evidence-informed approaches intended to slow the rate at which childhood myopia progresses, while also providing clear vision.

Can it cure or reverse myopia?

No. Management does not cure myopia or promise to reverse the eye's growth. Effects vary, and progression may continue despite treatment.

What options are available at Eksteen Optometrists?

Contact the practice to discuss which myopia-management options are currently available and appropriate.

Does outdoor time still matter?

Regular outdoor time is a positive habit, particularly in relation to myopia onset. It supports, but does not replace, prescribed correction, assessment or clinically indicated management.

How long does management continue?

There is no universal end point. Age, change over time, response, adherence, risks and preferences all matter, and longer-term evidence continues to develop.

What signs might suggest that my child needs an eye examination?

Possible signs include squinting, moving close, closing one eye, headaches, visual tiredness, avoiding sustained near work or difficulty seeing a classroom board. These signs are not a diagnosis.

Can a child have a vision issue without complaining?

Yes. Children may assume their way of seeing is normal or may not have the words to describe it.

Can children wear contact lenses?

Some can when the lens is clinically appropriate and the child and family can follow safe handling, hygiene and aftercare. Readiness is individual rather than defined by one universal age.

Does an eye examination diagnose learning difficulties?

No. It can identify relevant vision and eye-health findings, but reading, attention and learning have many influences and may need assessment by other appropriate professionals.

Who may refer a patient?

Optometrists, ophthalmologists, hospitals and other healthcare professionals can contact the practice to discuss whether a referral is appropriate.

What information is useful?

A concise reason for referral, relevant diagnosis and history, current correction, best available vision, previous surgery and useful reports or corneal measurements may help. Send only necessary information through the confirmed secure route.

Will the referring professional receive feedback?

Discuss with the practice whether feedback to the referrer is appropriate, and agree the method, timing and consent process.

Can a patient contact the practice without a referral?

Please contact the practice to confirm current arrangements.

How should supporting documents be sent?

Do not send sensitive records through an unconfirmed channel. Contact the practice for the current secure transfer process.

Should I book travel before the appointment is confirmed?

No. Contact the practice, describe your needs and wait for confirmation of the appointment and likely requirements before making travel arrangements.

What should I bring?

Bring current spectacles and lenses, lens products, previous prescriptions, referral letters and relevant reports or scans that you have been asked to provide.

Can a complex lens be completed in one visit?

Do not assume so. Assessment, diagnostic fitting, manufacturing, teaching and refinement may require more than one visit.

Can I have a remote consultation first?

Remote pre-assessment has not been confirmed. Please contact the practice to confirm current arrangements.

Can the practice recommend accommodation or transport?

Please contact the practice to confirm current arrangements.

Does the practice claim from medical aid?

Please contact the practice to confirm current arrangements.

What does a specialist assessment cost?

Fees can depend on the assessment and possible lens pathway. Please contact the practice to confirm current arrangements.

Are lenses included in the consultation fee?

Please contact the practice to confirm current arrangements.

Can I receive an estimate before proceeding?

Ask the practice when fees and likely stages can be discussed. Do not rely on prices from another clinic or jurisdiction.

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