Medical Eye Care, Emergency Eye Care AND SURGICAL CO-MANAGEMENT
MEDICAL EYE CARE
We provide medical eye exams and medical eye care services for children, adults and seniors. We detect, diagnose and treat common eye diseases and eye traumas including ocular allergy, dry eyes and eyelids disorders, conjunctivitis, keratitis, corneal abrasions and lacerations, corneal and eye surface foreign bodies, corneal ulcer, Iritis or uveitis, vitreous floaters or detachment, intraocular hemorrhage (bleeding), Glaucoma, Cataracts, Macular degeneration, retinal and optic nerve diseases, and identify systemic conditions that manifest in the eye (diabetes, hypertension, etc.) and vision-threatening high-risk medications used for treating systemic diseases (Plaquenil, Interferon, Gilenya, Tamoxifen, steroids, Viagra etc.), and we will coordinate care with primary care physicians and surgeons.
EMERGENCY EYE CARE
A wide variety of acute eye diseases and eye traumas are ocular emergencies and need prompt diagnosis and treatment. Our Clinic provides emergency eye care services for patients of all ages. We have the diagnostic equipment and experienced eye doctor to render prompt effective care. If you need these eye care services for prompt evaluation and treatment, call our office instead of going to the emergency room and sit there for hours. If you have red eyes, swollen eyes, eye pain, blurry vision, double vision, distorted vision, sudden loss of vision, floaters or flashes of light, eye injury, (Pic.1), chemicals or foreign bodies stuck the eyes (Pic.2), call our office right away for an appointment, and we will see you immediately or shortly depending on the nature of your eye problems.
We evaluate, diagnose, and treat or manage the eye diseases and injuries that are commonly seen in urgent or emergency eye care. For examples, conjunctivitis (Pic3), keratitis (Pic.4), corneal abrasions and lacerations, corneal and eye surface foreign bodies (Pic.2), corneal ulcer, iritis or uveitis (Pic.5), vitreous floaters or detachment, intraocular hemorrhage (bleeding, Pic.1).
We provide medical eye exams and medical eye care services for children, adults and seniors. We detect, diagnose and treat common eye diseases and eye traumas including ocular allergy, dry eyes and eyelids disorders, conjunctivitis, keratitis, corneal abrasions and lacerations, corneal and eye surface foreign bodies, corneal ulcer, Iritis or uveitis, vitreous floaters or detachment, intraocular hemorrhage (bleeding), Glaucoma, Cataracts, Macular degeneration, retinal and optic nerve diseases, and identify systemic conditions that manifest in the eye (diabetes, hypertension, etc.) and vision-threatening high-risk medications used for treating systemic diseases (Plaquenil, Interferon, Gilenya, Tamoxifen, steroids, Viagra etc.), and we will coordinate care with primary care physicians and surgeons.
EMERGENCY EYE CARE
A wide variety of acute eye diseases and eye traumas are ocular emergencies and need prompt diagnosis and treatment. Our Clinic provides emergency eye care services for patients of all ages. We have the diagnostic equipment and experienced eye doctor to render prompt effective care. If you need these eye care services for prompt evaluation and treatment, call our office instead of going to the emergency room and sit there for hours. If you have red eyes, swollen eyes, eye pain, blurry vision, double vision, distorted vision, sudden loss of vision, floaters or flashes of light, eye injury, (Pic.1), chemicals or foreign bodies stuck the eyes (Pic.2), call our office right away for an appointment, and we will see you immediately or shortly depending on the nature of your eye problems.
We evaluate, diagnose, and treat or manage the eye diseases and injuries that are commonly seen in urgent or emergency eye care. For examples, conjunctivitis (Pic3), keratitis (Pic.4), corneal abrasions and lacerations, corneal and eye surface foreign bodies (Pic.2), corneal ulcer, iritis or uveitis (Pic.5), vitreous floaters or detachment, intraocular hemorrhage (bleeding, Pic.1).
Pic 1. Eye trauma causes bleeding in the anterior chamber inside the eye (Hyphema): Emergency eye care is needed for timely dilated comprehensive eye evaluation for potential retinal damages, tear or retinal detachment and secondary glaucoma |
Pic 2. Metallic foreign body stuck in the cornea with rust ring formation: Emergency eye care is needed to evaluate the eye injury and remove the foreign body from the cornea to prevent eye infection and visual loss. |
Pic3. Keratoconjunctivitis: One of the common types of "pink eye". Eye surface infection and inflammation affect both the cornea and conjunctiva, causing blurry vision, red, "watering" and photophobic eye with or without pain. |
Pic 4. Herpes Keratitis: Corneal infection from herpes virus, causing blurry vision, red, burning, and photophobic eye with pain. Urgent or emergency eye care is recommended for timely evaluation and treatment to prevent visual loss. |
Pic 5. Anterior Uveitis: Intraocular inflammation of the iris/uvea causes decreased vision, red, painful and severe photophobic eye. Emergency eye care is needed for timely evaluation and treatment to prevent visual loss from panuveitis, secondary glaucoma and cataracts. |
LASER VISION CORRECTION AND EYE SURGERY CO-MANAGEMENT
We perform pre- and post-operative eye care and provide co-management for cataracts, glaucoma, retinal diseases, corneal transplants, corneal INTACS, corneal cross linking and laser vision corrections (LASIK, PRK, ep-LASIK, LASEK ) with skilled surgeons. If you are interested in LASIK or PRK surgery, call our office for appointment to evaluate whether you are a good candidate for refractive surgery.
Laser vision corrections use computer-assisted programmed excimer laser that emits non-thermal cool light beam to remove/ablate a quantified microscopic amount of stromal tissue from the cornea to permanently mold/reshape the cornea to a desired shape for vision correction. The surgical procedures come in different forms based on whether to create a corneal flap, to remove corneal epithelium layer and how the epithelium is removed.
In LASIK (Laser-Assisted in Situ Keratomileusis), a thin hinged LASIK flap is created from the cornea with a microsurgical instrument (microkeratome) or femtoseconds laser (blade-free Intralase). After the flap is lifted, the underlying corneal stromal tissue is ablated to a desired shape for vision correction with the precisely focused excimer laser. Then the flap is placed back in position, and a bandage soft contact lens is placed to cover the cornea for a few days to keep the flap in place as it heals. The excimer laser is programmed with the patient’s vision correction prescription in conventional LASIK. In wavefront-guided LASIK (custom wavefront LASIK), the laser is programmed with each patient’s unique wavefront data that create a detailed 3-D map of patient’s cornea guiding the reshaping of cornea to a precise personalized vision correction. The wavefront technology used can evaluate the unique characteristics of each individual’s eyes and measure subtle abnormality in corneal surface, and thus provide more precise vision correction than conventional LASIK. LASIK gives less post-operative discomfort and rapid vision recovery, and is the most commonly performed Laser vision correction procedure.
Eye Surface Ablation (Advanced Surface Ablation) is a Laser vision correction where the corneal epithelium layer (the outer surface layer of the cornea) is removed and the corneal surface is permanently reshaped with excimer laser. This form of Laser vision corrections includes PRK (Photo Refractive Keratectomy), LASEK (Laser Epithelial Keratomileusis) and Epi-LASIK.
In PRK, the corneal epithelium is removed and discarded, then the underlying cornea surface is reshaped with excimer laser. The corneal epithelium layer grows back within a week. LASEK is a variation of PRK with preservation of the corneal epithelium layer to promote the post-operative healing with less discomfort. In LASEK, the very thin sheet of corneal epithelium is removed with a fine sharp microsurgical blade (Trephine) and diluted alcohol that loosens the epithelium layer. After the underlying corneal stromal tissue is reshaped with the excimer laser, the corneal epithelium layer is placed back in position. The replaced epithelium layer can take longer to heal in LASEK than the growth of a new epithelium layer in PRK. Epi-LASEK is basically same to LASEK except that the sheet of epithelium layer is created and separated from cornea with a special microkeratome (Epi-keratome) without the use of alcohol to loosen the epithelium. For all eye surface ablation laser vision correction, a bandage soft contact lens is placed to cover the cornea at the end of the procedure until the epithelium layer heals or regenerate. Eye surface ablation has slow recovery of vision and more discomfort than LASIK, but it is a safer procedure without cutting the cornea to create the LASIK flap that weakens the cornea, and also it eliminates flap-associated complications such as compromised flaps or slipped flaps, diffuse lamellar keratitis, epithelium ingrowth and untreated higher order aberrations from the flap.
LASIK remains the most popular laser vision correction. PRK is the choice for those not qualified for LASIK due to thin cornea, very high myopia, and high risk for eye injury (for an example, contact sports player) etc.