Common Procedures and Diseases

Common Procedures and Surgeries

Cataract Extraction with Intraocular Implantation

A cataract extraction with intraocular lens implantation is a procedure in which an eye surgeon removes a clouded lens (cataract) from the eye and replaces it with an artificial lens (lens implant).

Yag Laser Capsulotomy

A YAG laser capsulotomy is a procedure in which an eye surgeon makes a small opening in the capsule of your eye. The capsule is the thin, clear membrane that holds the lens in place. During a YAG laser capsulotomy, your eye surgeon uses a special laser to make a cut in the capsule. This makes a clear opening for light rays to pass through.

When is it used?

Sometimes, especially after cataract surgery, the capsule becomes cloudy. Your vision becomes blurry. This procedure can improve your vision.

Glaucoma Surgery

Selective Laser Trabeculoplasty (SLT) is used to reduce or eliminate the need for glaucoma drops. The SLT laser should promote drainage of fluid from your eye.

Trabeculectomy – we also treat glaucoma by trabeculectomy. This procedure is done in Arcadia.

Droopy Eyelids/Ptosis Surgery

If vision is obstructed or reduced due to droopy lids, or you wish to be rid of that “tired” look, eyelid surgery is performed in Arcadia.


LASIK or Lasik (laser-assisted in situ keratomileusis) is a type of refractive surgery for correcting myopia, hyperopia, and astigmatism. It is performed by ophthalmologists using a laser. LASIK is similar to other surgical corrective procedures such as photorefractive keratectomy, PRK, (also called ASA, Advanced Surface Ablation) though it provides benefits such as faster patient recovery. Both LASIK and PRK represent advances over radial keratotomy in the surgical treatment of vision problems, and are thus viable alternatives to wearing corrective eyeglasses or contact lenses for many patients. Here is brief overview of the procedure:

Common Conditions and Diseases


A cataract is a cloudiness that develops in the natural lens of the eye. Cataracts occur because of the aging process, may be inherited, and may occur as the result of eye injuries, systemic diseases or medications. As the lens becomes cloudy, vision becomes blurred.

Your doctor will guide you when the blurring of your vision prevents you from seeing to do your normal activities such as reading or driving.


Glaucoma is a disease of the eye usually associated with an elevated intraocular pressure. The elevated eye pressure can cause damage to the optic nerve, with resulting vision loss and blindness. Glaucoma may be inherited or may be caused as a result of the aging process, following eye injuries, or be secondary to medications and systemic diseases.

The two most common types are:

  • Open angle glaucoma – This is the most common type. It occurs in about 2% of the population, and makes up 90% of all glaucoma patients. It is associated with elevated intraocular pressure because of deterioration in the channels which drain fluid from the eye. Unfortunately, there are no symptoms so that it has to be diagnosed by having an eye exam. Symptoms only occur in the advanced stage when an individual is losing vision. Eye exams are very important to detect this type of glaucoma.
  • Narrow angle glaucoma – This usually occurs in the older age group. In this type of glaucoma, the iris or colored part of the eye obstructs the drainage channels of the eye. This may occur very suddenly, resulting in a rapid increase in ocular pressure, and is usually very painful, with blurred vision and nausea.

Macular Degeneration

The macula of the eye is the central part of the retina, the part which is used for detailed vision such as reading and recognizing people. Damage to or destruction of the macula is known as macular degeneration. When macular degeneration is fully developed, the individual is unable to read, drive or recognize people. There are two primary types of macular degeneration, the dry type and the wet type.

Dry-Type Macular Degeneration

In the dry type, the deterioration in the macular area of the retina and the deterioration in the vision are slow and gradual, and may occur over a period of years. There is often a family history of macular degeneration, and frequently changes in the retina, called drusen, are present before the actual degeneration occurs. There is no treatment of proven value for the dry type of macular degeneration, although nutritional supplements are used often.

Wet-Type Macular Degeneration

The wet type of macular degeneration usually begins abruptly with a change in or loss of vision associated with a hemorrhage or an abnormal blood vessel membrane developing in the macular area of the retina. Vision loss is often severe immediately. Treatment consists of both laser and injections.

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