Dr. Charles McBride Optometrist

12370 SW First Street
Beaverton OR  97005
503.644.3614
drc@drcharlesmcbride.com


Dr. Charles McBride

Welcome!

For over 60 years we have been serving patients around the world, specializing in those that live right here in Beaverton, Oregon. Careful and detailed, we manage everything from the simple to the complex in young children, adults and seniors. Our practice is honest and evidence-based and is endorsed by many in the region and beyond because they trust us to care for their eyesight and eye health.



Charles A. McBride, O.D.

Cheerful, energetic and enthusiastic, Dr. McBride's love of his work is always on display. Although exacting and particular, he is quick to laugh at himself and see the lighter side. Charlie grew up in Beaverton, Oregon and started working with contact lenses at a young age under the guidance of his father and grandfather, both optometrists. He went on to Oregon State University and later Pacific University where he earned his doctorate. Dr. McBride enjoys fishing and reading and loves to fire up the grill on Sundays. He is always up to the challenge of helping people see their best. "The most important tools I use to help people see better are my ears." Dr. McBride resides in Beaverton with his wife Carrie.

PROFESSIONAL PROFILE
  • Optometry School 1995 – Pacific University College of Optometry, Forest Grove, OR
  • Medical Practice 1995 to present – Private practice, Beaverton, Oregon
AFFILIATIONS
  • American Association of Doctors of Optometry
  • Scleral Lens Society
  • Glaucoma Special Interest Group
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Examination

Our eye examinations are carefully performed whether it is for a first time comprehensive evaluation or a focused consultation. We examine children, adults and seniors. We manage vision problems as well as medical eye issues including glaucoma, macular degeneration, cataracts, conjunctivitis, corneal disease, retinal disease and uveitis. We carefully evaluate the eye surgeons we work with to ensure your excellent care.

Examinations are on time and paced comfortably. Pupil dilation with eye drops is often needed for proper examination. This leaves the eyes moderately blurry and light sensitive for 3-5 hours afterwards. Most feel relatively comfortable driving with sunglasses after having been dilated.

We bill both vision and medical insurances as permitted. Those with special needs or requests can nearly always be accommodated.

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Contact Lenses


We fit contact lenses - lots of them. They work amazingly well in many situations, do just the trick in others and, sometimes, we can come up with more effective solutions. Whether there is a particular need or general interest, we can determine how well they are likely to work for you. We'll carefully guide you through the process, whether it's your first time or you are an experienced wearer.

  • Will they work for me?
  • Contact lenses work very well in many situations. To begin, you have to have your eyes carefully examined to determine whether or not contact lenses are going to be advantageous. If you are a good candidate for contact lenses, we'll discuss the best options in detail.

    In general, contact lenses are a good fit for myopic or significantly hyperopic children and adults. Astigmatism can always be corrected. If you are having trouble reading at near, there are solutions. Patients with irregular corneas resulting from disease, injury or graft are often excellent candidates for contact lenses.

  • What types of contact lenses do you fit?
  • We are experienced in fitting ALL types of contact lenses. This includes soft spheres, soft torics, rigid spheres and rigid front/back/bitorics, WAVE lenses, corneal molding lenses (orthoK), hybrid lenses, and scleral lenses including toric sclerals. We are able to fit bifocals, multifocals, aspherics and monovision in all lens types in all replacement modalities with some lenses needing daily replacement and others lasting for up to four years.

    We purposefully do not have formal affiliation with particular manufacturers, so we are able to use whichever lab, manufacturer or contact lens brand is best suited to your needs. We have no limits as to which lenses we are able to work with.

  • Rigid contact lenses
  • Rigid contact lenses are often a terrific solution. They often provide the best vision possible, are easy to insert and remove and are very safe. The smooth front surface is an ideal refractive surface and we use that to your advantage. Because of their safety profile, we don't require annual visits. For that reason and because they often last for a number of years, they tend to be less expensive over the long term. The downside is that they take a bit longer to get used to.

  • Hybrid contact lenses
  • Hybrid contact lenses are a combination of both soft and rigid lenses. They have a rigid center "button" surrounding by a soft lens "skirt". They offer the theoretical advantage of crisp rigid lens optics combined with immediate soft lens comfort. While we have considerable experience with this lens modality, we have more success in general with other lens designs. We generally reserve this option for unusual occasions.

  • How old does a child have to be to wear contact lenses?
  • As a technical/safety matter there are no age restrictions. For example, infants, in rare instances, can wear contact lenses. As a practical matter, however, it depends on your child's interest, personality and, for children younger than six years of age, their finger dexterity. Children are our favorite contact lens patients because they learn excellent habits that last forever. Parents are frequently surprised at how self-sufficient and responsible children are with contact lenses.

  • What is the process like?
  • If you are a first time wearer, time will be set aside for comprehensive instruction on how to insert and remove the contact lenses properly. You will learn about contact lens solutions, how to care for your lenses and what to do if there is a problem. The process involves determining which lenses are going to work best for you. This takes from three visits to many, depending on the circumstances. When the process is complete, you will be seeing clearly and comfortably, confident in all aspects of contact lens wear.

    If you are an existing wearer, the process tends to move faster and ensures you are up to date. Finding the ideal lens is critical to make sure your vision is clear and your lenses are comfortable. The process for an experienced wearer usually takes 1-3 visits but can occasionally take more if your eyes are particularly complicated.

  • Soft contact lenses
  • For soft contact lens wearers, eye care visits are covered in full for one year's time. There is no limit on how many contact lenses can be purchased during that year. If you need more lenses, simply give us a call or email and we'll mail them to your home. If your vision changes, we'll fix it. If your eye is irritated, we'll get you in the same day. We take care of all of your needs for a whole year. After the year ends you come back in for your annual eye exam and contact lens evaluation.

  • Corneal molding lenses
  • Corneal molding, also known as Wave, CRT or orthokeratology, is a fascinating process that involves wearing the contact lenses at night instead of during the day. They are rigid lenses that carefully and safely alter the curvature of the front surface of the eye during sleep. In the morning they are removed and vision remains sharp without contact lens wear during the day. These are amazing lenses and a fascinating technology for the right individual. The latest evidence suggests that in young children they have a long-term benefit of preventing myopia from worsening. Exciting stuff!

  • Scleral lenses
  • Scleral lenses are amazing. Unlike traditional contact lenses, they don't contact the clear, front surface of the eye – the cornea. Instead, they vault the cornea completely with the outer rim settling gently on the white portion of the eye. This has major advantages. They are our lens of choice for eyes with keratoconus, pellucid marginal degeneration, corneal transplants, stem cell transplants, Steven-Johnsons Syndrome and other eye conditions that result in an irregular corneal surface.

  • How much does it cost?
  • The cost varies and is a combination of professional fees plus the lenses. We do everything we can to keep the cost of the lenses at a minimum. You might be surprised to learn that we provide all soft contact lenses at our wholesale cost. Please call or send us an email if you have questions.

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Scleral Lenses


Scleral lenses are rigid contact lenses that are much larger in diameter than traditional contact lenses. Their chief advantage is that they do not touch the cornea. They vault over it! This is especially helpful when the corneal surface is irregular. This advantage was recognized early on by contact lens pioneers like my grandfather, but early contact lens materials in the 1950's made them impossible to wear for any length of time. Only recently have material engineering and manufacturing techniques evolved to the point where scleral lenses are not only a good solution, they are amazing.

Besides providing the sharp vision resulting from a smooth, rigid contact lens surface, they have a large optic zone which minimizes glare, especially at night. And scleral lenses are very comfortable, even initially. Traditional rigid contact lenses require more adaptation because they are small and interact with the eyelids. Scleral lenses are large, ranging from 15-24mm in diameter (about the size of a nickel to a quarter) and fit under the upper and lower eyelids allowing for smooth blinking.

The key to successful scleral lens wear is ensuring an even weight distribution where the peripheral lens comes in contact with the white part of the eye – the sclera. (There are actually two soft layers of tissue on top of the sclera, the episclera and conjunctiva. Scleral lenses rest on the conjunctiva.) This is not always easy because the sclera often varies in curvature in different areas of the front of the eye. Ideal weight distribution in this case is accomplished by fitting scleral contact lenses that vary in curvature. Occasionally, the curvature must be made to vary in each quadrant of the eye separately, called a quadrant-specific scleral lens.

One of the most exciting features of scleral contact lenses is that they stay put once they settle into their natural position on the eye – and, if the sclera and scleral lens are non-spherical, they settle into the same position every time. This allows for complex surfacing of the front surface of the lens and the ability to correct for any type of refractive error – a huge advantage over traditional soft and smaller rigid gas permeable contact lenses.

Scleral lenses are especially beneficial for those with irregular corneal shapes produced by various eye conditions including: keratoconus, pellucid marginal degeneration, corneal grafts, corneal stem cell transplants, Stevens -Johnson syndrome and previous corneal injury. We can also fit them in cases of very large amount of myopia, hyperopia or astigmatism because they work so well and are so comfortable, allowing all-day wearing times.

The process begins with a standard eye examination to determine if sclerals are likely to be an effective solution. We guide you through the process from beginning to end, which usually takes several weeks and a bit of tinkering. We aim for perfection!

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Eye Glasses


At Dr. McBride's office we have three generations of experience providing solutions for every optical situation. Frame and lens selection is a critical part of making sure you are able to see as well as possible. We also know you want to look great, which is why we offer a large selection of the latest frame styles to suit every need, expertly fitted to wear comfortably and perform like you expect. Looking for a stylish European style? It's here. Retro? We’ve got you covered. Large, small, nerdy or rugged, we have them all.

We use all available lens designs and manufacturers to suit the needs of your prescription, and all frame adjustments and minor repairs and free for the lifetime of your custom eyewear.

All of our products are of the finest quality. If you have a great prescription obtained elsewhere you would like to bring in, we will make it even better with just the right selection of frames and lenses.

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Insurance


Before deciding if we are participating providers with your insurance company, we must first decide if your visit will be routine vision or medical.

In routine vision, the examination focuses on vision and eye health. You can compare it to a routine physical exam required by your primary care physician. For a patient that wears glasses and/or rigid contact lenses it is recommended that you come in every two years for a routine eye exam, while for a patient that wears soft contact lenses it is every year.

An exam is considered medically based if you have either an ocular disease or ocular trauma. Examples of ocular diseases are cataracts, glaucoma, macular degeneration, keratoconus, and diabetic retinopathy. In addition, if you have not been diagnosed with an ocular disease, but have diabetes, visual field loss, or other risk factors for ocular diseases your visit will be considered medical. In either of these two cases, you will be asked to come in at least once a year for an examination, depending on your specific needs.

Ocular trauma is also considered medical, but is more of an "emergency" visit. Examples of ocular trauma are retinal hemorrhages, vitreous detachment, conjunctivitis, swelling of the eye or eyelid, etc. For more information, please see the section titled, "ocular trauma".

The folllowing is a list of insurance providers that we are able to bill at our office:

  • Aetna
  • Blue Cross
  • Cigna
  • Health Net
  • Medicare
  • Moda Health (ODS)
  • Providence Health Plan (if open-option)
  • UMR
  • United Health Care
  • VSP

The following is a list of insurance providers that we are NOT able to bill:

  • LifeWise
  • Spectera
  • Eye Med
  • Blue View Vision
  • Davis Vision
  • Optimum

For questions regarding insurance please contact our office. We happily check on all our patients' benefits prior to their scheduled appointment.

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LASIK (Laser-Assisted in Situ Keratomileusis)

LASIK is a form of laser vision correction used to treat a variety of refractive errors, such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. While this surgery has been succesful for many people, it is important to point out that it is not for every patient and it doesn’t mean that you will never have to wear corrective lenses. If you would like to find out if you are an eligible candidate for LASIK or have questions regarding the procedure, please feel free to discuss the surgery at your exam with Dr. McBride.

While we do not perform the surgery at our office, we are happy to refer all eligible patients to the Pacific Cataract and Laser Institute, which has locations all over the Pacific Northwest. In order to thoroughly examine your eligibility and promote the highest possible success rate, the referall process involves a total of 5 pre-operation appointments with Dr. McBride (once a week for the month prior to surgery). In addition, in order to ensure proper healing and stability of vision, Dr. McBride sees all post-operation LASIK patients for a total of 5 visits (one day, one week, one month, three months, and six months after surgery). We want you to know that even though we are not personally performing the surgery, we are there for you every step of the way.

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Macular Degeneration

Macular degeneration is a potentially debilitating eye disease most often affecting seniors. The macula is the portion of the retina, the layer of the eye that acts like the film of a camera, which allows for our ability to see fine detail and read print. In macular degeneration, the macula loses its smoothness initially resulting in distorted central vision. In later stages the photoreceptor cells within the macula degenerate and cease to function leading to vision impairment.

If it is present, macular degeneration will be identified during your examination. The more common form, the dry form, can sometimes be slowed with the use of a combination of vitamins known as an AREDS2 supplement and the evidence for this will be discussed. Examination with high resolution OCT helps us to detect disease progression and to determine if there has been a conversion to the more dangerous "wet" form of the disease. When this happens, referral to a retinal surgeon is necessary for management with what are called anti-VEGF injections into the eye. It's not as bad as it sounds and can be very helpful in preserving vision.

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Glaucoma


Affecting about 2% of the population glaucoma is the leading cause of irreversible blindness in the west. The most common form is painless and doesn’t present with symptoms until the later stages of the disease.

We test for glaucoma during your examination with careful examination of the optic nerve and assessment of other risk factors including family history, intraocular pressure measurement, corneal thickness and peripheral vision sensitivity. Those with suspected glaucoma will be tested thoroughly with spectral domain OCT to measure nerve fiber layer thickness and retinal thickness symmetry along with threshold peripheral vision studies and gonioscopic angle evaluation.

Treatment is often effective with the simple use of eye drops to lower one’s intraocular pressure and we collaborate with glaucoma surgeons if drops are ineffective and further steps need to be taken to lower eye pressure.

Most individuals with glaucoma are seen every three months to ensure that the disease process is substantially slowed or halted and has minimal impact on one’s quality of vision. Whatever needs to be done to preserve your vision, we’re on top of it.

Glaucoma: What Every Patient Should Know




Diabetic Retinopathy


A person with high blood sugar and/or diabetes risks subjecting the blood vessels throughout their body to damage, including the tiny blood vessels inside the retina, the part of the eye that communicates with the brain to form an image. Damage to the retina's blood vessels is known as diabetic retinopathy, and is the leading cause of blindness in working-age Americans. A person's risk becomes more severe if they have had diabetes for a long time or poorly control their blood sugar. It is for that reason, that it is important for all diabetic patients to have an eye examination each year, along with frequent visits to their primary care physician. Besides diabetic retinopathy, diabetes can also increase a patient's risk for developing other ocular diseases, such as glaucoma and cataracts, further enhancing the need for routine eye examinations.


Ocular Trauma


Experiencing pain and discomfort in or around your eye, redness, swelling, and/or seeing random flashes of light? Like any part of the body, the eye can become injured or come in contact with a foreign body or infection requiring urgent intervention. If you suspect this is happening to you, please call our office so we can address your concerns and get you on the schedule as soon as possible.


Cataracts


Cataracts are a natural part of aging, and are simply a change in the clarity of the eye's lens. Normally, the change in clarity is gradual, and may even go unnoticed; however, in some cases the change can occur quite rapidly. As the lens, located behind the iris (colored part of the eye) is in charge of focusing light on the retina, which in turn communicates with the brain to form an image, this change in clarity can disrupt a person's vision and cause discomfort. It may be compared to having a foggy car windshield. Part of a routine eye examination, includes checking for cataracts and monitoring their progression. Once they have progressed to cause visual changes that can't be corrected by eyeglasses, we will begin to consider cataract surgery.



Cataract Surgery


If you are diagnosed with cataracts, we will ask you to come in annually so that we can carefully monitor their progression. Although at early stages cataracts may be corrected with eyeglasses, the only effective way to care for advanced cataracts is to surgically remove the cataract and to insert an artificial lens. While we do not perform cataract surgery at our office, we participate in co-management with the Pacific Cataract and Laser Institute, which has offices located all over the Pacific Northwest. Co-management involves scheduling your evaluation and surgery times, providing you with a detailed schedule and any necessary information, and seeing you one day, one week, and one month after surgery on each eye. We want you to know that even though we are not personally performing the surgery, we are there for you every step of the way.

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