Our Services
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Custom Cataract Surgery
State of the art cataract surgery refers to techniques to decrease the recovery time for the eye after surgery, and to match the post operative vision with the needs of the patient. No stitch surgery reduces the need for anesthesia and allows for a smoother and more comfortable post-operative recovery period. There is no implant that can give the patient perfect vision at every distance, and it is not possible to restore vision to the way the patient saw when they were a teenager. However, through sophisticated measurements and calculations we can choose an intraocular lens implant which will attempt to reduce or eliminate the need for full time glasses wear for most of the activities of daily living.
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Limbal Relaxing Incisions and Premium Lens Implants
Virtually all health insurance plans cover cataract surgery and traditional implants once the patient's vision drops to a certain level. For certain patients, additional techniques such as Limbal Relaxing Incisions, Astigmatic Lens Implants and Multifocal Lens Implants may be discussed and recommended to provide an optimal visual outcome. Health insurers allow the patient to choose these options and self-pay the additional costs that are incurred in these procedures.
Limbal Relaxing Incisions
Limbal relaxing incisions are small incisions placed in the cornea (clear front part) of the eye at a precise location and depth to decrease the amount of astigmatism of the eye. It is possible to treat low levels of astigmatism with this technique. These may be placed at the time of cataract surgery or at a later time.
Astigmatic (Toric) Lens Implant
Toric lenses are premium lens implant made available with the correction for astigmatism manufactured into the lens. It is then able to be implanted and rotated in the eye at a specific axis to provide the needed correction. Patients with very high amounts of astigmatism may need both Limbal Relaxing Incisions and an Astigmatic IOL to achieve the best possible post operative correction.
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Multifocal Lens Implants
These implants can help reduce the need for near correction (reading glasses) after cataract surgery. There are several types available, based on your examination and visual needs. We can recommend which option would be best for the patient.
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Laser Treatment of Glaucoma
Glaucoma is an eye disease in which pressure inside the eye (intraocular pressure) rises, damaging the optic nerve and causing vision loss. In a healthy eye, fluid is produced in the ciliary body, enters the eye, and then drains through tiny passages called the trabecular meshwork. In people with glaucoma, these passages become blocked and intraocular pressure rises.
Glaucoma can be treated with medications, laser surgery or traditional surgery. Common laser treatments include:
- Laser Peripheral Iridotomy (LPI) - For patients with narrow-angle glaucoma. A small hole is made in the iris to increase the angle between the iris and cornea and encourage fluid drainage.
- Argon Laser Trabeculoplasty (ALT) and Selective Laser Trabeculoplasty (SLT) - The trabecular passages are opened to increase fluid drainage. ALT/SLT is effective in about 75% of patients, and SLT may be repeated, if needed.
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YAG Laser Capsulotomy
During cataract surgery, your doctor replaces the clouded, blurry area of the lens with an artificial one to correct vision. However, after surgery, many people experience a gradual clouding on the covering of the new lens, a condition known as aftercataract or secondary membrane. Clouding is common after cataract surgery and can cause blurred vision to return, but a solution is available to treat this side effect.
A procedure called a posterior capsulotomy, can be performed to remove the clouding of the lens capsule letting light pass through to the retina to improve your vision.
The capsulotomy can be performed in your doctor's office and is a painless procedure that does not require any anesthesia.
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Diabetic Laser Treatment
Patients with diabetes are at an increased risk of developing eye diseases that can lead to vision loss and blindness, such as diabetic retinopathy, cataracts and glaucoma. In fact, diabetes is actually the leading cause of blindness in the United States.
Diabetic eye conditions often develop without any noticeable vision loss or pain, so significant damage may already be done to the eye by the time the patients notices any symptoms. For this reason, it is important for diabetic patients to have their eyes examined at least once a year. Early detection of eye disease can help prevent permanent damage.
Sometimes diabetic laser treatment is needed to attempt to improve or protect your vision. This treatment can be performed in your eye doctor's office. It is important for patients to realize that these procedures cannot cure diabetic eye conditions, but rather help reduce vision loss for patients with advanced cases of the condition.
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Specialized Testing
The following advanced testing of the eyes are performed in our office:
Automated visual fields - measurement of the sensitivity of the central and peripheral field of vision.- Corneal Pachymetry - ultrasonic measurement of the thickness of the cornea. Useful in the diagnosis of glaucoma.
- Slit Lamp and Fundus Photos - Photograph of the structures of the front and back of the eye.
- OCT (Optical coherence tomography) - Measurement of the thickness of the retinal nerve fiber layers and optic nerve head. Useful in the diagnosis and treatment of glaucoma, macular degeneration, diabetic retinopathy and a variety of other disorders.
- IOL Master - measurement of the curvature of the cornea, and the length of the eye to allow for the calculation of the power of the intraocular lens implant (IOL).
- Fluorescein Angiography - Photo of the retina after the injection of fluorescein dye. Used to detect areas of leakage of fluid in the retina.
