LASIK, a form of refractive surgery, is an popular option for vision correction, often eliminating the need to wear glasses or contact lenses. Simply put, LASIK reshapes the cornea with a laser.

Other surgical alternatives have become available. Among these is a technique called phakic IOL implantation which involves implanting a lens behind the cornea, but in front of the iris. With this new option, many of those who were too highly nearsighted for LASIK are now candidates for refractive surgery.

If you are interested in refractive surgery, please let us know. Refractive surgery is not to be taken lightly. Detailed testing is necessary to determine whether or not you are a good candidate for the surgery.  If testing shows you to be a good candidate, we can help you choose the refractive surgeon who is most appropriate for your case. In addition, we provide post-operative care for refractive surgery. 

We are grateful that we can also offer in-office procedures to relieve Meibomian Gland Dysfunction (MGD) symptoms and improve meibum quality and production.

Intense pulsed light (IPL)

Intense pulsed light (IPL) is light that is pulsed at the surface of the skin. IPL use in aesthetics to target skin conditions like rosacea, age spots, sun damage, and fine lines is well documented. IPL in eyecare is used to reduce inflammation and improve gland function, which can lead to better tear stability. Radio frequency (RF) employs energy waves to stimulate the tissue around your eyes. The heat generated by the RF energy helps liquefy hardened meibum. Additionally, IPL and RF can help tighten eyelids and the skin around the eyes, improving lid function.

Low-level light therapy (LLLT)

Low-level light therapy (LLLT). While the IPL uses intense pulses of light, LLLT allows for longer exposure of low-level light on the face and over the closed eyelids. The most common wavelengths used are red, near infrared, and blue. Red and near infrared are used to decrease inflammation. The heat from the near infrared helps liquefy hardened meibomian, while blue light kills bacteria. We will often combine red, blue, and near infrared wavelengths.

MiBo Thermoflo

MiBo Thermoflo supplies continuous controlled heat that is applied to the outer skin of the eyelids along with ultrasound gel for a gentle massage. The heat is absorbed deep into the tissue and breaks down the hardened meibum. The gentle massage will help clear debris and hardened meibum.

Each treatment offers a different mechanism of action. There is an additive effect of combining all three to treat MGD.

Our goal is to treat MGD early when possible. If left untreated, the condition worsens until glands start dropping out. The glands are no longer able to secrete oil into the proper location, resulting in significant dry eye symptoms.

By addressing the underlying causes of dry eye and MGD, our goal is to help improve overall eye health and enhance your daily quality of life.

BOSA / OPTOS / OCT

We are committed to offering the latest in eye care technology. The Solix OCT (optical coherence tomography), Optos Optomap, and M&S Bruder Ocular Surface Analyzer are key parts of that commitment. Digital images are stored for future reference, enabling us to monitor changes over time.

The M&S Bruder Ocular Surface Analyzer (BOSA) is a powerful tool to help diagnose and manage ocular surface diseases. The BOSA helps evaluate the ocular surface, the tear film layers, and meibomian glands, consolidating test results for streamlined assessments.

Optomap is an ultra-widefield retinal imaging system. It is the only true, clinically validated, ultra-widefield retinal image that can capture 82% or 200° of the retina in a single capture. With this comprehensive view, we are able to detect, monitor, and treat retinal conditions with greater accuracy.

While the Optomap is excellent for wide-field imaging, detecting specific peripheral retinal issues, like small retinal tears or holes—particularly those located in the far periphery—can be an issue.

I do not use the Optomap to replace dilated retinal exams. Traditional dilation allows me to examine your retina more thoroughly, especially in the peripheral areas where some problems might go undetected with just the Optomap. I prefer to combine both methods for the most comprehensive care for patients with more complex or severe conditions.

Visionix Solix Retinal Imaging

Solix is an advanced, high-speed OCT platform that helps us evaluate the back of the eye (retina) in a quick and comfortable visit. These scans support early detection, accurate diagnosis, and better long-term monitoring. Many retinal conditions develop silently. OCT imaging helps us spot subtle changes early, often before vision is affected, so you can get the right care at the right time.

Optikam's EY-Stick measurement device obtains eyewear measurements that take into account how the frame will be worn by the patient once dispensed.

These personalized “as-worn” measurements allow lens designs to be customized to take into account Vertex Distance, Pantoscopic Tilt and Frame Wrap.

As-worn measurements improve monocular Pupillary Distance measurements as well. The Pupilometer measures the monocular Pupillary Distances anatomically based on the center of the patient's face, whereas OptikamPad will obtain monocular Pupillary Distances using the mid-point of the frame which takes into account the frame fit and possible nose pad adjustments.

1 Picture 10 Measurements

In the time needed for an ECP to obtain two measurements using a pupilometer and a Sharpie, OptikamPad provides the ten measurements needed for Position of Wear:

    Monocular Pupillary Distance (PD)
    Multifocal Seg Heights
    Pantoscopic Tilt (Panto)
    Rear Vertex Distance (RVD)
    Wrap (Face Form Tilt)
    Near Pupillary Distance
    A, B, ED/MBS and DBL values

These measurements, when accounted for in the fabrication of the patient's lenses, offer the best visual experience.