Eye Disease Diagnosis & Management in North Toronto

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High-Quality Medical Care for Your Eyes

Unlike disease that affects the body, eye disease is often difficult to detect on your own. Most conditions don’t exhibit symptoms in the early stages of eye disease, making them undetectable until significant vision loss has already occurred.

A full medical eye exam from an optometrist is the best way to protect your eyes from disease.

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Technology We Use

In many cases, vision loss due to eye disease is irreversible. Once you begin to notice vision problems or vision loss, the damage can’t be undone. A comprehensive eye exam using some or all of these diagnostic tools will help us diagnose eye diseases early so we can better preserve your vision.

The iWellness scan gives us insight into the health of the area below your retina, allowing us to detect early signs of disease. It also helps to provide an eye health baseline. With this baseline, we can better identify changes over time and detect smaller changes as soon as possible.

The Visionix VX120 is a multi-function anterior segment analyzer. It’s a combination of a wavefront aberrometer and a pachymeter, meaning with this device, we can measure the shape and thickness of your cornea. It can also be used as a non-contact tonometer, also known as the “air puff test”. This test measures the eye’s pressure, which can be an indicator of certain types of glaucoma.

Optical coherence tomography is a type of retinal imaging. It shows us the distinctive layers of the retina and measures its thickness and irregularity. Using this information, we can detect disease that affects the retina like diabetic retinopathy and age-related macular degeneration.

Fundus photography uses a specialized low power microscope combined with a camera to photograph your retina. The machine takes a photo of your eye with a flash to provide us with a detailed image of your retina. With this information, we can detect diseases like glaucoma, age-related macular degeneration, and diabetic retinopathy.

Disease & Conditions We Look For

Cataracts are the leading cause of blindness in Canada. They are a common part of ageing and happen when the usually transparent lens becomes cloudy and opaque, causing blurry vision. While they are common, this condition is very treatable after the proper diagnosis.

In their early stages, cataracts can be managed with stronger glasses prescriptions, and workarounds such as magnifying aids and increased light can minimize their effect on your daily activities. As cataracts progress, they can be treated with cataract surgery.

Glaucoma is among the leading causes of blindness in Canada. The term glaucoma encompasses a number of diseases that cause progressive degeneration of the optic nerve. The degeneration leads to loss of nerve tissues that results in gradual but irreversible vision loss.

Open-angle glaucoma is the most common form of glaucoma and is characterized by elevated eye pressure resulting from a backup of fluid. When glaucoma is diagnosed early, it can be treated with eye drops, medication, and surgery.

Age-related macular degeneration (AMD) is the leading cause of blindness in adults over age fifty-five. It affects the macula, which is the central part of the retina that is responsible for detailed vision. Those with AMD often have difficulty reading, driving, and recognizing faces.

Ageing is the most significant risk factor for AMD, but you can reduce your risk by wearing sunglasses and eating healthily. The main management methods for AMD include nutritional supplements and lifestyle modifications, like quitting smoking.

Conjunctivochalasis is a fairly common condition seen by optometrists. The conjunctiva is the tissue that lines the inner eye, and “chalasis” means relaxation of tissue. Conjunctivochalasis occurs when the conjunctiva loses its elasticity and becomes loose, causing it to bunch up in the lower lid margin.

The symptoms can be very similar to dry eye, but the pain will be more localized and especially apparent when blinking. Many patients also experience an “out of body sensation”. Once conjunctivochalasis is diagnosed, it can be treated with medications like corticosteroids.

Retinal holes and tears are small breaks in the retina. While they may not cause vision problems right away, it’s important to diagnose holes and tears early as they can cause fluid to leak into the space behind the retina, damaging the light-sensitive cells that are responsible for vision.

In severe cases, holes and tears can lead to full retinal detachment. The main signs of retinal detachment include a sudden onset of floaters and flashes.

If you notice any sudden changes in your vision like floaters and flashes, visit your optometrist right away for an emergency appointment.

The vitreous is the liquid that gives your eye its shape and volume. It’s contained in a sac that is attached to the retina. When vitreous detachment occurs, the vitreous pulls away from the retina and shrinks. While vitreous detachment may not cause vision problems right away, it can lead to a retinal detachment, an incredibly serious condition that, if not treated promptly, can lead to vision loss or even blindness.

Our Location

Where to Find Us

Find us on the 5th floor of the Hullmark Corporate Centre.

Parking & TTC

Underground parking is accessible via Anndale Drive. The subway can be accessed via the Sheppard-Yonge station.

Our Address

4789 Yonge Street, Suite 505
North York, ON M2N 0G3

Contact Information

Phone: 416-322-0379
Fax: 416-322-9964
[email protected]

Hours of Operation

Monday
9 AM – 5 PM
Tuesday
9 AM – 5 PM
Wednesday
9 AM – 5 PM
Thursday
9 AM – 5 PM
Friday
9 AM – 4 PM
Saturday
Closed
Sunday
Closed
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Medically-Focused Optometry Services

Comprehensive Eye Exams

Comprehensive Eye Exams

An eye exam is for more than just updating your prescription. When you visit us for an eye exam, you will receive a complete eye health assessment using advanced diagnostic and imaging technology.
Comprehensive Eye Exams

Myopia Management

Myopia Management

Myopia often develops in childhood and becomes progressively worse over time. With myopia management methods, that doesn’t have to be the case. The progression of myopia can be slowed through various myopia management techniques.
Myopia Management

Specialty Contact Lenses

Specialty Contact Lenses

Everyone’s eyes are unique, which is why we carry a variety of specialty contact lenses. We also use advanced equipment to find the best contact lenses for your eyes and offer a wide selection of specialty contact lenses to suit your needs.
Specialty Contact Lenses

Dry Eye Management

Dry Eye Management

Dry eyes aren’t something you have to live with. If you’re suffering from dry eye disease, visit our dry eye clinic for diagnosis, treatment, and relief. Our specialized technology allows us to thoroughly examine your eyes and get to the root of the problem.
Dry Eye Management

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See What People Are Saying About Us

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Our Testimonials

I was diagnosed with dry eye syndrome in 2015. I received successful treatment and it was controlled with eye drops for several years. I then had cataract surgery in both eyes in 2019, which resulted in severe dry eye syndrome. On the advice of my optometrist, I used several eye drops, ointments and warm compresses throughout the day. However, this did not lessen the symptoms or improve my situation. I experienced constant discomfort, gritty feeling in my eyes and blurry vision, which hindered me from reading, working on the computer and seeing clearly. In addition, the hours devoted to treatment at home with drops took up a great deal of my day. My condition had a significant impact on my everyday life.

Finally, my optometrist referred me to Dr. Roshni Echharam at North Toronto Medical Optometry and Vision Care who specializes in treating dry eye syndrome. She recommended five treatments, (4 IPL and I Lipiflow) which she clearly explained to me at the onset. After the first treatment, my life changed significantly. My vision became clear, I have no discomfort and I feel I have gotten my life back, since I do not spend hours on drops and treating my eye. Reading and working on the computer are now a pleasure. I see clearly once again. Dr Echharam is wonderful; she is caring and explains what she is doing in detail during the treatments. Her staff, like she, are also efficient and thoughtful. I feel deep appreciation for Dr. Echharam and her staff.

Elizabeth Nemethy

In January 2020 Dr. Echharam began treating me at her dry eye clinic.  Dr. Echharam’s knowledge of dry eye is amazing. Over the course of a number of weeks she provided treatments, suggestions and regular consultations to address my dry eye symptoms. I have seen a drastic improvement in the health of my eyes as a result of Dr. Echharam. I cannot recommend North Toronto Vision Care enough. It is obvious that Dr. Echharam loves her work and truly wants to do her best for every patient she sees.

Anna Dalgarno

I came to Dr. Roshni’s clinic for a dry eye consult and received IPL treatments. At first, I was very hesitant since I need to lip-read people to understand them (I am Deaf) and when my eyes were closed during the first procedure I was nervous. But she explained the process in advance very well and we came up with cues for me to hear or feel. I was comfortable and then knew what to expect after the first treatment. In addition, after each IPL treatment when it came to cleaning my eyelids, I had a fear of anyone coming near my eyes but she displayed extreme patience and understanding and we went at my own pace. I would recommend this clinic for individuals who have any concerns with their eyes in general or whom need dry eye treatments.

R.F

Dr Echharam has been my eye doctor for several years.

During that period, I have seen her grow into one of the best eye care doctors.

She has studied advanced herself and has all the equipment to back her claim to the utmost claim of care for dry eyes in all her patients. In my books she comes highly recommended.

Bill Ricciuto

Dr. Echharam rapidly diagnosed my eye issues, made sure that I had additional medical tests to rule out more serious conditions and provided state of the art treatment that addressed the root causes of my dry eye problem such that the problem quickly improved. This treatment, while not fun, was successful. 

Under her care, I am managing my dry eye condition well and monitoring my eyes to ensure that the condition remains stable. Could not be in better hands.

Howie Nisenbaum

Dr. Echharam is friendly, knowledgeable and has tons of patience. She has worked wonders with my dry-eye issue; always researching new products or solutions. The whole team takes such care in every aspect of your visit. My son and I have been with Dr. Echharam for close to 15 years.

Ann Bradt

Dr Echharam is an experienced and knowledgeable optometrist who is also super kind and patient. In addition to my vision issues she has also treated my dry-eye problems with great success. She has many recommendations and ointments to try in order to relieve the dryness and improve my oil glands etc in my eye lid and I’m happy to say my eyes are so much better now. Front medical staff are very efficient and pleasant. Parking is available in the building or across the street. I highly recommend this eye clinic.

Sue Poulton

First of all thank to all who left the amazing reviews about Dr. Roshni Echharam, which led me to that clinic. I appreciate that the scheduling was perfect, I had no wait times. I had a severe dry eyes situation and the thoroughness with which I was examined was amazing. The prescription and care advised is right on! The next day and I am already feel great.

Carmalin Francis

My eyes were really dry & uncomfortable 8 months ago. After my 1st IPL I already felt some relief less irritated. After 2nd IPL also some improvement but after 3rd IPL big improvement my eyes felt much more better. I don’t need to put too much drops now. I had 2 different optometrists before and they didn’t help me at all. They just told me to put drops. I am lucky finally got Dr. Echaram to solve my problem. Thank you so much for your caring & expertise.

Addy Lee

Seeking treatment from Dr. Eccharam at North Toronto Medical Optometry was the best decision I ever made for my dry eyes. Before that, I had been to a number of ophthalmologists and optometrists, all of whom failed to accurately diagnose the cause of my dry eyes or offer any effective treatment options. From the moment I walked into Dr. Eccharam’s clinic, I was blown away by the level of care, compassion and clinical expertise I received from her and her team. My dry eye exam included a comprehensive series of tests, after which Dr. Eccharam collected my full history, explained my test results in great detail and answered every one of my many questions with attention and patience. She also recommended a course of treatment that has significantly improved my dry eye symptoms and has even allowed me to start wearing contact lenses again! I am so thankful to Dr. Eccharam and her team for the outstanding level of care I received and for helping me get back to living my life without inflammation and pain.

Rozhen Asrani

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