Comprehensive Eye Care
We provide comprehensive eye care on patients ages eight and older. Our doctors are fully trained and experienced to diagnose, treat and prevent conditions from myopia and hyperopia to glaucoma, cataracts and everything in between.
We strive to provide our patients with safe, minimally invasive treatments to effectively relieve symptoms and preserve vision and overall eye health. As a comprehensive ophthalmology practice, our services include not only laser vision correction and small-incision cataract surgery, but also treatments for a range of conditions such as glaucoma, the diabetic eye, dry eye and macular degeneration.
Corneal Disease Treatment
The cornea is a thin, clear, spherical layer of tissue on the surface of the eye that provides a window for light to pass through. In a healthy eye, the cornea bends or refracts light rays so they focus precisely on the retina in the back of the eye.
There are many diseases that can affect the cornea, causing pain or loss of vision. Disease, infection or injury can cause the cornea to swell (called “edema”) or degrade (become cloudy and reduce vision). Common diseases and disorders that affect the cornea include:
- Bullous Keratopathy
- Conjunctivitis (“Pink Eye”)
- Dry Eye
- Corneal Dystrophies including Fuchs’ Dystrophy and Lattice Dystrophy
- Glaucoma (High Eye Pressure)
- Keratitis (Viral Inflammation)
- Ocular Herpes
- Shingles (Herpes Zoster)
- Stevens-Johnson Syndrome
Treatment for corneal disease can take many forms, depending on the underlying problem as well as the patient’s preferences. Some conditions resolve on their own, while many can be treated with medication. If the cornea is severely damaged or if there is a risk of blindness, a corneal transplant may be recommended to preserve vision. Please call our office for an appointment if you have any problems with your cornea.
When the cornea becomes cloudy or misshapen from injury, infection or disease, transplantation may be recommended to replace it. During the procedure, the cornea is replaced with one from a human donor. Corneal transplants are usually performed with local anesthesia so there is no pain. The new cornea carries little risk of rejection and can last for many years.
The procedure is done on an outpatient basis.
DSAEK is the latest technique in corneal transplantation. Short for Descemet-stripping automated endothelial keratoplasty, DSAEK offers potentially better post-operative vision because a smaller amount of tissue is transplanted and shorter recovery times to patients in need of new corneas. DSAEK is done with local anesthesia so there is no pain. The procedure is done on an outpatient basis.
Keratoprosthesis is an alternative procedure for corneal disease patients who do not qualify for corneal transplantation. It is FDA-approved, and as of 2009, over 3,000 keratoprosthesis procedures have been successfully performed. Utilizing an artificial cornea comprised of clear plastic, keratoprosthesis is the most popular alternative for corneal transplantation throughout the world.
Keratoprosthesis is performed as an ambulatory procedure under local anesthesia, although general anesthesia may be used on infants and children. The keratoprosthesis is inserted into a corneal graft and stitched into the cornea. The natural lens, if still present, is removed, and a soft contact lens is then placed into the eye; this lens must be worn daily and causes no discomfort. If desired, a colored contact lens can match the color of the keratoprosthesis with the color of your other eye. Keratoprosthesis typically takes about an hour and a half to perform.
The procedure is done often on an outpatient basis.
Intacs® corneal implants are clear, thin lenses similar to soft contact lenses to correct the shape of the cornea. The two half ring lenses are placed in the periphery of the cornea and work from within to reshape the cornea and correct mild nearsightedness. Intacs can also be used to treat keratoconus, a weakening and thinning of the cornea. Intacs implants are FDA-approved and usually give patients 20/20 vision. Most patients no longer depend on glasses or contact lenses with Intacs. After implantation, there is no maintenance needed and the lenses cannot be felt or seen. They can be removed or replaced for new prescriptions.