Log In to View YOUR Personal Health Record
We are pleased to offer you convenient, secure access to information from your eye care record through an online portal called RevolutionPHR. The acronym PHR stands for “Personal Health Record” and represents an online location where you and only you can view important information about your relationship with us.
RevolutionPHR utilizes the highest standards of online security while allowing you to view portions of your eye care record through any standard Internet browser on a PC or Mac computer or an iPad We encourage you to use the Login information created specifically for you to review the many features available.
You can decide if access to RevolutionPHR is right for you, and participation is completely optional. We have no record of your access and we allow you to use this online portal at your discretion.
Steps to Access RevolutionPHR
- Access the Internet through your preferred Internet browser on any PC or Mac computer or an iPad
- In the Internet address bar (often called the Toolbar) type this address: https://www.revolutionphr.com
- Insert the Username discussed with our office staff (Call our office at 615-889-2274)
- Insert the Temporary Password that was created specifically for you.
- This process will lead to a Reset Password screen where you will be prompted to re-enter the Temporary Password and then log your personal Password that must be at least 6 characters long, including at least one number and one capital letter.
We genuinely hope that you find value in having access to this information in a timely and secure environment.
Insurance We Accept
- Superior Vision
- Vision Care Plan (VCP)
- Humana Vision
- Davis Vision
- TriCare Standard
CareCredit is a healthcare credit card designed for your health, beauty, and wellness needs. It’s a way to pay for the costs of many treatments and procedures and allows you to make convenient monthly payments. For complete details of healthcare financing terms, please review the CareCredit account agreement within the application. Get more information about CareCredit.
Frequently Asked Questions
All information below is provided by Dr. Hammond and is written based on his knowledge and practices.
Generally medicine names what is wrong with you. In vision we name what is right. So take your glasses off and determine where you see the best, near or far. If it’s near you are near sighted, if far, you are farsighted. Or another way to remember is to compare it to being right handed or left handed. If you are more dexterous with your right hand you are right handed. If you are better with your left hand you are left handed. Good at near-nearsighted. Good at far-farsighted.
As you may have noticed most all doctor offices have gone to electronic medical records in the last few years. Initially new federal regulations are requiring this change, but we are finding advantages that come with electronic health records. We understand that in the beginning the online paperwork may seem inconvenient, but as everyone becomes more familiar with it, the updating of your own information and having complete access to it at any time will be a great advantage. While paper appears quicker there was also a lot of duplicate work and this system makes everyone more efficient. Additionally, communication with your primary care physician or other health care providers is becoming easier. This makes the coordination of care more efficient.
An annual exam is a good idea. You may not need to change your glasses but your eye health should be evaluated. Besides eye health there are many signs visible in the eye which point to systemic illnesses as well. Most eye disease is treatable, we just need to find it.
A photograph allows us to see most of the back part of the eye at one time. Dilation is good but only a small area of the retina can be seen at once. Subtle changes in color and structure are more easily seen with a photo. Also, a photo allows the doctor to compare your eye to previous years. Minor retina changes are difficult to document on paper, and it’s impossible for the doctor to remember changes from year to year.
Many medications have ocular side effects. For example your dry eye may be caused by the allergy medicine you take. Also, you may tell us that you have high blood pressure and you are on three different medications for this. That’s a lot of medication to control the problem. In this case the doctor should pay closer attention to the blood vessels in your eye to watch for possible blinding retina bleeding. Perhaps the doctor notices changes in the eye which look suspicious for high levels of cholesterol but you are not taking cholesterol lowering medication. In this situation a referral to your primary care doctor is in order.
Probably, but let’s take a look to be sure the problem is the same. A red eye my look and feel the same to you but your problem may be different. Many eye conditions appear the same but have different causes and treatment. Only a doctor and a microscope can be sure which medication will be most effective.
If it’s just an allergy, yes. If it’s an infection it won’t help much. Prescription allergy drops are so much better than nonprescription. Over the counter drops neutralize the histamine. Prescription drops also keep histamine from being released. The result is more comfort in a shorter period of time.
A couple of things. Since Diabetic Eye Disease is mostly vascular in nature anything that documents the functioning of the retina or a photo showing the presence of blood in the retina is helpful. We recommend a photo to locate hemorrhages and their changes and a Visual Field to monitor retinal sensitivity from year to year. These tools allow us to closely follow our diabetic patients and coordinate care with their primary care provider.
Children change very rapidly. During growth phases their height and weight varies a lot. As a child grows up they grow to more of their adult body size. The eyes are no different. It is perfectly normal for a child’s prescription to double at certain times in their life. Those pants that fit them last spring now come to mid shin, the same is true for glasses. These changes slow down in their early teens but continue on into their mid 20’s.
A complete exam begins with the usual paperwork. We have provided you with a pass word for our electronic health record so that you can breeze through check in. On average it will take 10 minutes for the intake process if you do it on line, 20 to 30 if you do it when you arrive.
Next is pretesting where a brief history is taken. Your medications are verified and various tests are performed. This takes 15 minutes or so depending on your history.
Then the doctor will see you and further evaluate your eyes. The doctor will get to know you a little and then proceed to listen to what your concerns are. This can be quick or take longer depending on what your problem is. It takes time to “connect the dots” if there is a systemic cause for your problem. This is followed by tests and more questions. Finally, the doctor will explain your case making sure you understand your situation and its treatment which typically takes another 20 to 30 minutes.
Next on to optical if you need glasses or contact lenses. We take time to insure you understand your insurance benefits and help you with the selection of the best frame and lens choices. This takes 15 to 60 minutes, depending on your selection.
So no, as you can see you can’t get a good eye exam in a half hour.
Contact lenses are medical devices and you need the ocular health of your eyes checked once a year to be sure your eyes are healthy and your current contacts are not harming you. Also, you might have a minor change in prescription. If you are going to buy more contacts shouldn’t the power be the most accurate and up to date? Otherwise you will be wasting your money on the wrong lenses. And finally, in the state of Tennessee it is the law that contact lens prescriptions are good for only 1 year.
The contact lens prescription is built upon the glasses prescription but there are other factors involved. The curvature of the cornea, the quality of the tear film and matching the prescription to available contact lens parameters are some of the things that must be considered. Calculations are done to assure the best vision. But perhaps the most important is the knowledge of the fitter as to what lens works the most effectively for your particular situation. So there’s more testing, calculating and finally the expertise of the doctor which are factored into the fee.
In Dr. Hammond’s opinion in 3 days you should be feeling pretty well use to them. There is still some adjustment to go and undiscovered improvements to find, but in general 3 days is average if you are using them full time. If you don’t feel you are well on your way by then please call us. We may need to see you back to recheck or adjust them.
A progressive multi focal lens is a type of bifocal that has an infinite number of focal ranges. This allows clear vision from far to about 8 inches. There is no line for others to see or the wearer to look over. Straight ahead the wearer sees the distance. Then as their line of sight drops down through the lens, the intermediate range comes in. A little lower and print at near is easily read. In the first few hours of wear the reading portion appears narrow and the wearer may feel they must move their head side to side as they read. This widens as the wearer becomes familiar with the lens. Progressive lenses in the past have a bad reputation for being difficult to adapt to. In our experience a non-adapt is usually the result of a poor initial fit or an inferior lens design used to save a few dollars. Our success rate is nearly 100% in fitting these lenses. Properly done, Progressive Lenses offer the best vision and the best look.
Eye Strain from computer use is common and actually quite expected. The human visual system is designed for short periods of near tasks followed by longer periods of distance viewing. When you spend 5+ hours a day staring at a screen you’re going to fatigue. Glasses specifically made for the computer can help optimize your eyesight when viewing your computer screen. This is especially true for bifocal wearers who find they must raise their chin to see the screen clearly. Additionally, there is concern about possible retinal damage from “Near Visible Blue Light” or “Near Blue”. This wavelength of light is just outside of our eye’s ability to detect but causes damage just the same. Almost all electronic devices with screens produce this radiation. Computer screens, tablets and cell phones are all rich in Near Blue. Our understanding of the damage caused by Near Blue will take several decades to determine as the number of Macular problems will likely skyrocket. To combat this, there are tints available to block or absorb this damaging radiation and to eliminate eye strain. The cost is modest compared to the cost of Macular Degeneration later in life.
No, you won’t harm your eyes but you may put a lot of strain on them and give you a headache. You won’t see very well either. Lenses are a little difficult to make. Most cheap sunglasses have stamped out lenses which cause distortion. The name brands are all very good. As a rule of thumb, the more expensive the sunglasses the better they are. Of course prescription suns may be a little pricey but their performance and patient satisfaction is very high.
The surfacing and edging of lenses is mostly science with a little art and human touch thrown in. In Dr. Hammond’s opinion it is best to leave the making of glasses to people who do it all the time and with many years of experience. We use only the best labs. We check them out thoroughly and order our own prescriptions from them to be sure. We are picky. Occasionally the quality will slip at a particular lab and we will fire them. You as a patient deserve the best quality lenses that are custom made to your prescription and the way you use your eyes. We generally split our business between 3 or 4 different labs. Each lab is really good at particular things. We pick the best option for you prescription. es, it costs us more and reduces our profit but as we learned many years ago-“we are only as good as the products we sell.”
You should know some vision insurance companies require us to process your prescription through their company owned labs. Some are good and some are bad. We always keep your interests in mind and send them back if they are not within specs.
Absolutely. We release glasses and contact lens prescriptions. We request you bring back your new glasses for us to check to be sure they are as prescribed, especially if specific lens choices were recommended. We find about 30% of the prescriptions are off. Contact lenses may take a few days to weeks to complete the fit. Once this is complete we will be glad to provide that prescription also.
We can help you. We have worked with several competition shooters to eliminate that awkward chin up position. The key is tuning the lens power to focus the front sight without blurring the target too much. This varies with your arm length and sights. A 5 foot tall woman shooting a 2inch revolver is different from a lanky 6’4’’ male holding an extended line of sight Glock 35. For those with a carry permit you may bring your weapon with you to your exam. Dr. Hammond will help you find the right prescription. The fix can be a dedicated pair of glasses with the appropriate prescription or a daily disposable contact lens you wear with your regular glasses that you insert once you get to the range then remove and toss for the drive home.
Eye Drops are expensive to develop and difficult to manufacture. It takes many years of studies and development work to bring a new drug to market. Next there are the FDA requirements which must be met costing millions of dollars. This protects the public but raises the cost even more. So the R&D is expensive. Then the process of making the drops must be done under sterile conditions-not an easy task. Finally potential legal fees must be anticipated and rolled into the price. As new drugs are developed their costs are the highest, but in many cases work best.
Dr. Hammond developed cataracts at 53. His mother at 75 and his father, 81. In past generations 73 was the norm. Now many people in their mid-50’s develop cataracts and require surgery. The cause is unknown but is probably related to environment or diet. Computer use may also be a factor. The fact is, we really don’t know. The good news is that cataract surgery is relatively painless and quick. Usually, the patient has good distance vision without glasses. They may need reading glasses but that’s a minor problem for most people.
LASIK is a really good procedure. It’s accurate, painless and because the cornea is reshaped to an almost perfect shape, vision is truly “Hi Def”. The most important part of LASIK surgery is the pre-testing. The surgeons we refer to are very careful in evaluating each individual case. Unlike some LASIK providers our partnering doctors sometimes tell a patient that LASIK is not right for them. Their goal is perfection, not “you’re better than you were”. Most people can have LASIK. The limiting factors are thin corneas, prescriptions that are too high or underlying cornea conditions. We can give you a good idea if you are a candidate, but the surgeon has the final say.
Well, that depends. Optometrists are primary health care professionals trained to examine, diagnose, treat and manage diseases of the eye. An optometrist also has training in systemic disease and it’s relation to the eye. They also perform minor surgical procedures, prescribe glasses and contact lenses. If you have a red eye, glaucoma or need glasses or contacts you need an Optometrist.
Ophthalmologists do the same things but their training is extensively in eye surgery. They spend years in residency programs learning how to operate on eyes. Their primary focus is surgical. If you need cataract surgery or your retina reattached, you need an Ophthalmologist.
Both work well together. For instance, the Optometrist finds the cataract and refers the patient for surgery to an Ophthalmologist. The Ophthalmologist does the surgery and sends the patient back to the optometrist who monitors the healing process and then prescribes glasses or contacts if needed and resumes the routine year to year care of the patient.