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Archive | Procedures

Aquaflow

The AquaFlow is a tiny piece of collagen that is implanted in a space carefully prepared by your doctor under the white of the eye. It maintains the space created by your doctor to increase fluid outflow in order to reduce pressure within the eye. The AquaFlow Collagen Glaucoma Drainage Device when used with a non-penetrating deep sclerectomy procedure has been proven to significantly lower intraocular pressure while minimizing both the complications often associated with penetrating procedures and reducing the need for medications.

The procedure to implant the AquaFlow device requires approximately 30 – 45 minutes from start to finish. In most cases, the patient is made comfortable with a mild sedative while anesthetics are used to numb the eye.
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Cornea Transplant

Endothelial, Anterior Lamellar

(Penetrating Keratoplasty)

A corneal transplant surgery may restore vision in otherwise blind eyes. The most common indication for this procedure is corneal decompensation following cataract surgery. Other common indications include: corneal ulceration, corneal scars, keratoconus, herpes simplex and varicella zoster viral opacifications, Fuchs Endothelial Dystrophy, and congenital abnormalities of the cornea.
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Cataract Surgery

Overview

For the majority of cases, surgery is the only cure. Modern cataract surgery is typically performed through a small incision. High-frequency ultrasound, called phacoemulsification, is used to break up the cloudy lens material, and a micro-vacuum removes it from the eye. A clear, artificial implant lens of appropriate power is placed inside the eye to provide focusing power. Today, no-stitch cataract surgery is performed whenever possible.

The Procedure

ICL-graphic

Before the procedure can begin the pupil is dilated, and the surgical area is prepared using a sterile cleanser. A topical anesthetic is then administered to the surface of the eye. An incision of 2.5 to 3 millimeters in length is then created at the junction of the cornea (the clear front of the eye) and the sclera (the white part of the eye).
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Accomodative IOL

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Intraocular Lenses

Intraocular Lenses come in a variety of materials and designs. Your surgeon generally chooses a lens made of a material that is best suited to your individual situation. All intraocular lenses used in our practice are coated with UV filters. Some lenses are yellow in color. These lenses are theoretically better at blocking the light rays in the blue spectrum which are thought to be related to the development of macular degeneration in some patients. Some intraocular lenses are designed to be multifocal in certain lighting circumstances, which may enable patients to see both at distance and near without the aid of spectacles.
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Endothelial Transplant

(Posterior Lamellar Keratoplasty and Deep Lamellar Endothelia Keratoplasty)

An exciting advance for people with diseased corneas is now available. For certain patients, posterior lamellar keratoplasty (PLK) and deep lamellar endothelial keratoplasty (DLEK) are new surgical options for the treatment of defective corneal pump cells. The most common indications for endothelial transplantation include Fuchs’ Endothelial Dystrophy and corneal decompensation after cataract surgery.
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Trabeculectomy

Trabeculectomy is a glaucoma surgery that creates an alternative drainage pathway for fluid in the eye, thereby lowering the eye pressure.

The Procedure

Surgery is done in an outpatient operating room with a local anesthetic injection. The conjunctiva, the mucous membrane overlying the white part of the eye, is incised and dissected off the eye. A small trapdoor flap is then created in the sclera, the thicker white part of the eye underlying the conjunctiva. Beneath this flap a tiny hole is created to allow fluid to flow out of the eye. The trapdoor flap is then gently stitched down so that the fluid coming out of the eye is controlled. The conjunctiva is subsequently stitched back in place in a watertight fashion so the fluid from the eye collects beneath it, forming a small elevation called a bleb.
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Plasma Blade

Fugo Blade/Plasma Blade

Highly precise instruments like the Fugo Blade are especially useful in cataract surgery and in surgical treatment of glaucoma. Having laser-like interaction with tissue, the Fugo blade cuts with a 100-micron filament that heats to 450°C. The heat is extremely focused so there is minimal damage to surrounding tissue.

The Fugo Blade Procedures

Transciliary Filtration for Glaucoma . The Fugo Blade creates a small pore through the sclera and ciliary body without true cutting, using plasma energy surrounding its filament. The tissue bonds separate, allowing a nearly resistance-free incision and minimal bleeding. The incision acts like a bypass to help the eye’s natural fluid drain more easily and thereby lower eye pressure.
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Strabismus

NEED TEXT FOR ACTUAL PROCEDURE – The text here is same as one under conditions —Strabismus is a condition in which the eyes point in different directions from each other. It is commonly referred to as a “crossed eyes” or “wandering eyes” or a “lazy eye.” There are different types of strabismus including eyes that turn in, turn out or turn up or down. In-turning eyes are the most common kind in children. Strabismus may be present early in infancy or may develop later in life, though it is commonly first noted in childhood. Strabismus may be present constantly or only occasionally. The cause for strabismus is often not known, though there are some systemic conditions that may be associated with strabismus.

People with strabismus may note double vision or may not have any visual concerns. Treatment for strabismus depends on the type and may include glasses, prism lenses and/or surgery.

A thorough eye exam is necessary to determine the type of strabismus present and evaluate for any potential loss of vision. Children are especially vulnerable to vision loss from strabismus and should have a prompt eye exam as soon as the strabismus is detected.

Facial Rejuvenation

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BOTOX

Facial rejuvenation describes a wide variety of treatments and procedures seeking to maintain or restore the texture, appearance and/or position of the face. As time passes the skin and other soft tissues of the face are subject to potentially damaging forces such as ultraviolet light, repeated muscle contraction, and gravity. Altered pigmentation, rhytids (wrinkles), loss of skin elasticity, and drooping or sagging of the skin may result. Treatment options for facial rejuvenation are numerous and include such options as non invasive therapies (light emission treatments, microdermabrasion, chemical peels), injectible therapies (botulinum or BOTOX®, collagen or other filler agents) and surgical treatments (blepharoplasty or eyelid lift, brow lifts and midface lifts).
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Eyelid Surgery

Surgical treatments

blepharospasm-360Blepharoplasty describes removing excess eyelid skin and/or muscle or repositioning eyelid soft tissues to restore a more refreshed, alert and rested appearance. Often upper eyelid skin drooping is at least partly accounted for by a drooping eyebrow. Lifting the eyebrows returns them to a more youthful position and decreases the appearance of tiredness or droopiness of the upper eyelid. An eyelid crease incision made during blepharoplasty or an endoscopic approach with small incisions hidden by the hairline may be used to elevate the eyebrows. Simply removing upper eyelid skin without repositioning the eyebrow may worsen the problem by pulling the brow further down.

The lower eyelids are often affected by bulging of the soft tissues, causing a lumpy appearance and altered contour. Lower eyelid blepharoplasty often involves repositioning the soft tissues with minimal removal of excess skin. Lower eyelid skin tone can often be improved with noninvasive treatments.
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