Eyes

Oakland Regional Hospital Eye Surgeons that can improve your lifestyle:
 
 

Our Board Certified eye surgeons specialize in Oculoplastic, Orbital, and Neuro-Ophthalmic Surgery as well as Ophthalmology.  There are convenient hours available for consultations.

Common Eye Conditions and Treatments:

Cataract Surgery
This surgery is the removal of the lens of the eye that has developed an opacity, which is referred to as a cataract. Metabolic changes to lens fibers over time lead to the development of loss of transparency. Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted. Cataract surgery is generally performed by an ophthalmologist in an ambulatory (rather than inpatient) setting, in a surgical center or hospital, using local anesthesia (either topical, peribulbar, or retrobulbar). Well over 90% of operations are successful in restoring useful vision, with a low complication rate.
 
YAG Posterior Capsulotomy
This quick outpatient procedure  utilizes a YAG laser to clear the central portion of opacified posterior lens capsule. Some people can develop a posterior capsular opacification (also called an after-cataract) weeks to several years after cataract surgery. As a physiological change expected after cataract surgery, the posterior capsular cells undergo hyperplasia, showing up as a thickening, opacification and clouding of the posterior lens capsule. The YAG laser makes small holes in the posterior capsule behind the implant. This creates a clear central visual axis for improving visual acuity.
 
Multifocal Implants
Multifocal implants are artificial lenses that replace the eye's natural lens that is removed during cataract surgery. The new multifocal implants offer the possibility of seeing well at more than one distance, without glasses or contacts. Traditional IOLs are monofocal, meaning they offer vision at one distance only (far, intermediate, or near). By distributing light through optical zones of differing power, the multifocal implants provide light that is focused for near, intermediate and distance. These implants, therefore, provide the probability of good vision without total dependence on eyeglasses or contacts. It's important to note that there is no guarantee that you will be able to see well at all distances under all circumstances totally without eyeglasses or contact lenses after cataract surgery even if you have a multifocal implant. In most studies, multifocal lenses resulted in total independence from glasses or contacts in about 80% of cases. The other 20% wear glasses or contacts occasionally for some activities.
 
PRK
This laser eye surgery procedure intended to correct a person's vision and reduce their dependency on glasses or contact lenses. The procedure permanently changes the shape of the anterior central cornea using an excimer laser to ablate (burn off) a small amount of tissue from the corneal stroma at the front of the eye, just under the corneal epithelium. The outer layer of the cornea is removed prior to the ablation. Because PRK does not involve a permanent flap in the deeper corneal layers, the cornea's structural integrity is less altered by PRK, but PRK can be more painful and visual recovery is slower. In the majority of patients, PRK has proven to be a safe and effective procedure for the correction of myopia.
 
Intraocular Lens Implants
Intraocular implants are implanted lenses in the eye, usually replacing the existing crystalline lenses because they have clouded over with a cataract, or they have been removed as a form of refractive surgery to change the eye's optical power. They usually consist of acrylic or silicone with plastic side struts, called haptics, to hold the lens in place within the capsular bag. The procedure can be done under local anesthesia with the patient awake throughout the operation. The procedure usually takes less than 30 minutes in the hands of an experienced ophthalmologist. The recovery period is about 2-3 weeks. After surgery, patients should avoid strenuous exercise or anything else that significantly increases blood pressure. They should also visit their surgeons regularly for several months so as to monitor the implants.
 
Ptosis Repair
Completed under general anesthesia in infants and young children and under local anesthesia in adults, is performed by making an incision in the drooping eyelid, and carefully advancing and tightening the levator muscle, which elevates the upper eyelid. Once the lid height is secured in the desired location, the eyelid incision is closed with tiny sutures. One or both eyes may need to be treated.
 
Ectropion Repair
Involves surgical correction of an outwardly turned (everted) eyelid. The condition most often is associated with aging, though it may also occur congenitally, as a result of scarring or other surgeries, or secondary to facial nerve paralysis (Bell’s palsy). If not repaired, the condition may lead to thickening of the mucosal surface on the inside of the eyelid (conjunctiva) with consequent inflammation of and danger to the health of the eye itself. This typically is completed with an incision of the skin at the lateral corner of the eye. The surgeon then excises a small segment of the lateral aspect of the lower eyelid, and subsequently reconnects the eyelid to underlying tissues and the upper eyelid. Usually only a few stitches are placed in the skin at the lateral corner of the eye, and these are often removed 7 to 14 days later. There is typically almost immediate resolution of the condition.
 
Selective Laser Trabeculoplasty
A laser procedure used to treat glaucoma by reducing the pressure in the eye. SLT is not associated with systemic side effects or the compliance and cost issues of medications. SLT utilizes selective photothermolysis to target only specific cells, leaving the surrounding tissue intact. SLT works by using laser light to stimulate the body's own healing response to lower your eye pressure. Using a special wavelength and energy, the laser affects only pigmented (melanin containing) cells of your eye. SLT improves the flow of fluid in the eye, which in turn lowers your eye pressure.
 
Trabeculectomy
Is a surgical procedure to treat glaucoma by lowering eye pressure. In this procedure, a tiny piece of the wall of the eye, which may include the trabecular meshwork (the natural drain), is removed by the surgeon. This opens a new drain which creates a bypass for the trabecular meshwork to reduce eye pressure. The eye pressure is reduced because fluid can now drain with relative ease through the new opening into a reservoir (bleb) underneath the conjunctiva (which comprises the surface of the eye). The fluid is then absorbed by the body. Although the results of the trabeculectomy depend on numerous factors and can vary greatly, as a general rule approximately 70% of operated eyes will have satisfactory eye pressure and no need for medication one year after surgery. If eye drops are added, over 90% of eyes will have a satisfactory lowering of eye pressure.
 
Pterygium Excision
Is the surgical removal of a fibrous, fleshy growth on the surface of the clear cornea, usually beginning on the inner aspect of the eye. Dryness and exposure to ultraviolet light seem to be important factors in their development. They tend to be slowly progressive, but in many patients, pterygia stabilize and don’t seem to cause problems. If clear vision is threatened by the presence of a pterygium, surgical excision is indicated. Other indications for surgery are increasing astigmatism or the desire for removal for cosmetic reasons. Surgery for excision of pterygia usually is performed in an outpatient setting under local or topical anesthesia with the patient returning home the same day. The pterygium is carefully dissected away. Postoperatively, the eye generally is patched overnight and healing typically takes many weeks with patients applying prescribed topical eye-drops or ointments several times a day. In the early phase of healing, the eye may be slightly swollen and bloodshot in appearance. Eventually the surgical site improves in comfort and appearance. Pterygia often recur, sometimes quite rapidly after removal. Certain forms of radiation therapy and drops are available to reduce this risk. Nevertheless, recurrence is a difficult problem especially in high risk climate areas.
 
Chalazion Excision
Is performed if a chalazion persists for more than 6 weeks. It is a quick and easy surgery that can be performed in a doctor’s office. It involves lancing the cyst, draining the contents, and removing the cyst lining with a curette. A chalazion (kuh-LAY-zee-on) is a cyst that forms in the eyelids as a result of a blockage in one or more of the meibomian glands that produce oil that forms the outer layer of tears. It initially may resemble a stye – being red, tender and swollen. But after a few days, a chalazion typically becomes a painless, slow-growing bump that, unlike a stye, does not contain live bacteria. However, it may attract bacteria and lead to an infection or occur as an after-effect of a stye. In most cases, chalazia are gone within a few months, although one chalazion cyst may be followed by other, possibly larger cysts over several years.
 
Blepharoplasty (Eye Lift)
Can be either a functional or cosmetic surgical procedure intended to reshape the upper eyelid or lower eyelid. When an excessive amount of upper eyelid skin is present, the skin may hang over the eyelashes and cause loss of peripheral vision. The outer and upper parts of the visual field are most commonly affected and the condition may cause difficulty with activities such as driving or reading. In this circumstance, upper eyelid blepharoplasty is performed to improve peripheral vision. Lower eyelid blepharoplasty is almost always done for cosmetic reasons, to improve puffy lower eyelid "bags" and reduce the wrinkling of skin.