Our Services

Comprehensive Eye Care

We provide comprehensive eye care to patients of all ages. 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.

Macular Degeneration Treatment

Macular degeneration, also known as age-related macular degeneration (AMD) is a common condition in older adults and the leading cause of vision loss and blindness in people over the age of 65. As we age, the tissue in the eye responsible for central vision slowly begins to deteriorate which can significantly affect a patient's quality of life.

While there is no cure for macular degeneration, there are several treatment options available to help patients manage this condition and preserve their vision.

Laser for Diabetic Retinopathy

Diabetic retinopathy is a complication of diabetes that weakens the blood vessels that supply nourishment to the retina (the light-sensitive lining in the back of the eye where vision is focused). These weak vessels can leak, swell or develop thin branches, causing a loss of vision.

Laser surgery can be used to treat diabetic retinopathy. The procedure is performed in the doctor's office and requires only anesthetic eye drops to numb the area prior to treatment. Laser treatment usually takes less than 30 minutes to perform, and patients can go home immediately following surgery. Most patients return to work and other normal activities the next day.

Cataract Surgery

A cataract is a cloudy area in the lens in the front of the eye. There is no pain associated with the condition but there are other symptoms, including:

  • Blurred/hazy vision
  • Spots in front of the eye(s)
  • Sensitivity to glare
  • A feeling of “film” over the eye(s)

The only effective way cataracts can be removed is with surgery. The procedure is performed using sterile technique in an operating room on an outpatient basis (in and out surgery). It is not painful and in most cases individuals are able to resume most of their regular activities one or two days after surgery. The surgical procedure known as phacoemulsification, involves the use of ultrasonic energy to emulsify (break into pieces) the cataract and aspirate (or vacuum) the lens particles. The cloudy lens of the eye is then replaced with a permanent plastic intra-ocular lens. Over 90% of patients who have had cataract surgery have regained their vision. Cataract surgery is highly successful however complications in any surgery can occur and patient results may vary.

Insurance covers a “monofocal” intra-ocular lens implant that corrects distance or near vision, but not both and does not correct for astigmatism. “Premium” lenses are available to correct distance and near vision, but are not covered by health insurance. People who select a premium lens would be less reliant on glasses. “Toric” lenses are also available to correct for astigmatism but they are not covered by insurance either and reading glasses would still be needed.

Glaucoma Treatment and SLT

Glaucoma is the leading cause of blindness and visual impairment in the US, and can affect patients of all ages.

There are two main types of glaucoma, open-angle and angle-closure. Open-angle glaucoma is the most common type of glaucoma and involves fluid in the eye not draining properly through the trabecular meshwork. Angle-closure glaucoma involves a sudden buildup of pressure in the eye and poor drainage because the angle between the iris and the cornea is too narrow.

Many patients do not experience any symptoms during the early stages of glaucoma which makes it difficult for many patients to know if they have the disease. As glaucoma progresses, patients may experience a loss of peripheral or side vision, along with sudden eye pain, headache, blurred vision or the appearance of halos around lights.

There are several different exams performed to diagnose glaucoma, including a visual field and visual acuity test. These tests measure peripheral vision and how well patients can see at various distances. Other tests may also be performed, such as tonometry to measure the pressure inside the eye and pachymetry to measure the thickness of the cornea.

Once glaucoma has been diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. There is no cure for glaucoma, so treatment focuses on relieving symptoms and preventing further damage from occurring. Most cases of glaucoma can be treated with eye drops, laser surgery or microsurgery.

Selective Laser Trabeculoplasty (SLT)

Selective Laser Trabeculoplasty (SLT) is an advanced treatment option for glaucoma patients that lowers eye pressure and increases fluid drainage. This procedure offers a simple solution to glaucoma symptoms through a minimally invasive procedure with no side effects, scarring or pain.

The SLT procedure is effective for almost all patients with just one session. It has been performed successfully in Europe for the past 10 years and is now FDA approved for use in the US. It is performed in the office and takes just a few minutes, providing long-term results through the use of a low-energy laser beam.

Complications in any surgery can occur and patient results may vary. Patients should discuss this with their surgeon.

Refractive Surgery (LASIK/ PRK)

Many people who are tired of wearing glasses or contact lenses seek the help of refractive surgeons. Refractive surgery improves vision by correcting refractive errors such as nearsightedness (myopia), farsightedness (hyperopia) and astigmatism. A high percentage of patients enjoy 20/20 vision or better after their procedure.

Complications in any surgery can occur and patient results may vary. Patients should discuss this with their surgeon.

The most common refractive surgery procedures include:

  • Laser in situ keratomileusis (LASIK)
  • Intralase (Bladeless LASIK)
  • Photorefractive keratectomy (PRK), including Advanced surface ablation (ASA)
  • Phakic intraocular lenses (IOLs)

LASIK

LASIK surgery is a combination of microsurgical and excimer laser procedure that is used to treat and correct Myopia, Hyperopia, and Astigmatism. LASIK procedure includes a laser and a highly specialized instrument called a microkeratome. Microkeratome is used in the procedure to create a thin flap in the cornea. The excimer laser is then used underneath the corneal flap. This flap is returned to its original position and allowed to heal without any necessary stitches.

IntraLase®

IntraLase® has redefined the world of LASIK vision correction. Also known as bladeless LASIK, the IntraLase® all-laser procedure eliminates the need for a metal blade during surgery, helping bring clear vision to many people who feel uneasy about going "under the knife" during LASIK.

The state-of-the-art IntraLase® technology replaces the microkeratome blade that has traditionally been used to cut the necessary corneal flap during laser vision correction procedures. Rather than creating the flap with a blade, IntraLase® uses laser energy to make a quick, painless incision.

Neuro Ophthalmology

Neuro Ophthalmology is a division of ophthalmology that examines the relationship between the eye and the brain, focusing on the optic nerve, orbit and brain. Neuro-ophthalmic diseases include optic neuritis, papilledema, stroke, brain tumors, headaches, MS and many others. Symptoms associated with these disorders usually include vision loss, vision disturbance, diplopia and eyelid and facial spasms. Sudden vision loss can be caused by tumors or aneurysms that need to be treated immediately. It can also be caused by obstruction of blood vessels in the optic nerve or retina. Neuro-ophthalmic diseases are often the first sign of a more serious neurologic condition and must be treated immediately.

At Mignone Medical Eye Care, we can diagnose and treat your neuro-ophthalmic disorders through a series of tests and treatments. Diagnostic services often include fundus photography, MRI, CT scan, ultrasound, cerebral angiography and optical coherence tomography. Some testing may be performed in a hospital setting. Neuro-ophthalmologic evaluations are detailed and comprehensive examinations that can last several hours. A complete medical history is taken. Your doctor will examine your visual field, eye movement and often perform neurologic exam.

» Click here to learn more about Neuro-Ophthalmology


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