Comprehensive Eye Examinations

Regular eye exams are crucial to maintaining good eye health. Prevention and early detection are key in taking care of your eyes. Some eye diseases can cause harm to the eyes without any pain or visual loss. Early detection of any eye problems can reduce the amount of harm done and allow your ophthalmologist a choice of treatment options.

We offer a number of traditional and laser surgical services, including:

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Treament for Glaucoma

For patients who have open angle glaucoma, Selective Laser Trabeculoplasty (SLT) is used to open the drainage system in these patients so that the internal drainage system of the eye functions better. In that way, the pressure is then lowered in the eye. This procedure is effective in 75% of patients.
For patients with narrow angle glaucoma, a small hole is placed in the iris to open up the angle between the iris and the cornea to facilitate fluid drainage.
Neodymium:YAG Laser Cyclophotocoagulation (YAG CP) is for patients with very severe glaucoma damage where all other procedures have failed.  The ciliary body that produces the fluid inside the eye is destroyed. Ciliary processes are obliterated.
For patients who are having cataract surgery and have glaucoma as well. This laser is applied to the ciliary processes (the area where the fluid is made in the eye) so that fluid production is decreased. This in turn, lowers the pressure inside the eye.

Treatment for Diabetic Retinopathy

A laser treatment for proliferative diabetic retinopathy. The laser is applied to the peripheral retina. This shrinks the blood vessels, often prevents them from regrowing, and decreases the chances of the blood vessels bleeding into the vitreous or causing a retinal detachment.
Focal treatment is used to seal specific leaking blood vessels in a small area of the retina, usually near the macula. The ophthalmologist identifies individual blood vessels for treatment and makes a limited number of laser applications to seal them off.
Avastin is an Anti-Vegf agent that is used to treat diabetic macular edema, neovascular glaucoma  and proliferative diabetic retinopathy.

General Surgery

Minor Surgery

We perform no-stitch cataract surgery through a very small incision. After the eye is numbed with anesthesia: Step 1 involves a phacoemulcification (ultrasound) probe is inserted into the eye and the cataract is broken up or emulsified. It is then gently removed from the eye. Step 2 involves the placement of a new artificial lens called an IOL. The IOL will correct for the majority of your distance vision. Fine tuning is done with prescription glasses. Some patients will only need glasses for reading.

There are 2 basic categories of intra-ocular lens.

The first category contains a basic spherical lens which correct for distance vision alone. However, it does not correct for astigmatism (an imperfection in the eye’s curvature) or presbyopia (the ability to read). The astigmatism and presbyopia are corrected for with glasses.

The second category includes “premium” lenses. One corrects for astigmatism. The other corrects for presbyopia and gives the individual the ability to see both at distance and near for reading. The lens correcting for distance and near vision may allow the individual to go completely without glasses.

For patients in whom medications and laser have not been helpful, a new drainage passage is created by cutting a small hole in the sclera (the white part of the eye) and a reservoir is made between the sclera and the conjunctiva (the thin clear covering of the eye).

An expert medical witness is a physician qualified, by reason of his skill, knowledge, education, experience, or training to testify on a particular medical area. He is a person who has knowledge about the medical and health care profession, beyond that of an average person.

A qualified medical expert can offer an opinion about the medical issue related to the situation, patient, or case. This can include reviewing files, providing a second opinion, or writing a report, completing an assessment, and testifying. Commonly in legal scenarios the opinion is generally rendered during the discovery stage of trial. As a general rule, witnesses are not allowed to offer opinions about the facts at hand. However, medical expert opinions are an exception to this general rule. Dr. Bryant also does Independent Medical Examinations (IME) as well as Peer Medical Reviews.