Cataract extraction by Phacoemulsification with Intraocular Lens Implantation
At this time the only form of cataract treatment is surgery. The advent of intraocular lens implants after cataract removal has made cataract surgery an increasingly positive and rewarding experience. Prior to surgery, we will discuss with the patient the surgical goals and techniques that will be used. This open and direct attitude helps to reduce patient anxiety.
Cataract surgery is performed on an outpatient basis and usually requires just a few hours from start to finish. Your eye will be treated with an anesthetic prior to the procedure so you’ll feel little, if any, discomfort. First a tiny incision will be made in the eye allowing your surgeon to use a small instrument about the size of a pen tip to break up the cloudy cataract. Once the cataract is removed, the intraocular lens is inserted through the same tiny incision and set into its permanent position.
After the procedure you’ll rest for a short while before you go home. Dr. Williams will examine your eye within 24 hours. You’ll need to use prescription eye drops to guard against infection and help your eye heal. For a few days, you may need to wear a protective shield, especially at night, to prevent you from rubbing your eye. While everyone heals somewhat differently, most patients see well enough to return to routine activities several days after surgery.
New technology has given patients more lens replacement alternatives, the most recent being the ReSTOR lens. Dr. Williams can discuss which option is best for you. Top
Glaucoma Treatment and Glaucoma Surgery
For patients with glaucoma it is necessary to have regular visits with Dr. Williams. The purpose of these visits is to ensure that your glaucoma is under control and not advancing. The disease tends to progress very slowly, and, because there are no detectable symptoms, it’s very difficult to tell if your condition has worsened. Dr. Williams recommends seeing his patients with glaucoma no less than three time annually.
During every visit your eye pressure will be measured. The primary role of glaucoma treatment is to lower eye pressure, usually achieved with eye drop medications. Dr. Williams may also measure the thickness of your cornea, the clear “window” covering the front of the eye. That thickness may affect the accuracy of your pressure measurements.
Dr. Williams may need to dilate your pupils to examine your optic nerves, which connect the eyes to the brain. It’s this structure that glaucoma damages, causing the gradual loss of your peripheral vision. As well, Dr. Williams may want to utilize a computerized optic nerve scan to more accurately measure the amount of glaucoma damage. Other tests may include a visual field exam and digital photos of the optic nerve. Top
Dry Eye Disease Diagnosis and Treatment
Dr. Williams may use a combination of methods to determine if you have Dry Eye, which include:
- Eye Drops, which contain a dye to aid in finding any dry spots
- Temporary Closing of Tear Ducts, done by inserting small dissolvable plugs into your tear ducts to prevent tear drainage and allow tears to build up and bathe the eyes. If you get relief during this test, Dr. Williams may recommend permanent closure of your tear ducts.
For patients with less severe dry eye symptoms, short-term relief may be possible with prescription eye drops or artificial tears. While artificial tears may soothe the eyes initially, they can increase the possibility of infection by washing away the natural infection-fighting tear film of the eye. This is why many patients may benefit from having their tear ducts permanently closed.
Long-term relief may be accomplished with Punctum Plugs—permanent, yet removable—tear duct plugs. Punctum plugs have a high rate of success and can be inserted easily and painlessly. They are tiny, non-dissolvable plugs inserted in your tear drainage ducts (puncta) where they act as a dam, so your natural tears have no where to go but onto the surface of your eyes. Another option Dr. Williams will discuss with you is cautery. This procedure will close off the tear drain, or punctum. Top
Digital Retinal Screening
This procedure enables Dr. Williams to take high-resolution digital photographs of the interior portion of your eye, called the retina. The color photograph is taken using our specialized retinal camera and shows detailed images of the various structures of the retina, including the optic nerve, blood vessels, nerve fibre layer and the macula. It can depict abnormalities that may threaten normal vision. This technology aids Dr. Williams’ ability to diagnose and document many diseases. It also provides a baseline for comparison with previous and future images, which aids in monitoring disease progression and response to therapy.
This procedure is appropriate for patients with glaucoma, diabetes-related eye problems, macular degeneration, and other retinal diseases and disorders. It is even useful in screening healthy eyes. Top
Diagnosing and Treating Macular Degeneration
Most patients do not realize they have a macular problem until blurred vision becomes obvious. Dr. Williams can detect early stages of Age-related Macular Degeneration (AMD) during a medical eye examination that includes the following:
- A simple vision test in which you look at a chart that resembles graph paper, called the Amsler grid;
- Viewing the macula with an ophthalmoscope;
- Taking special photographs of the eye with digital photography.
The exact causes of macular degeneration still are not fully understood. Nutrition plays a strong role in prevention of Macular Degeneration. Dr. Williams can counsel patients regarding proper prevention and nutrition. Top
Refractions for Eyeglass Prescriptions
Lakeland Optical is located on the bottom floor of our building, where you can fill your eyeglass prescription and choose from a huge variety of frames at competitive prices. Lakeland Optical has ABO-certified opticians on staff to assist you.
Lakeland Optical is open Monday through Friday from 8:30 a.m. until 5:30 p.m. Top
Contact Lens Fittings
Contact Lenses vary and are prescribed based on individual needs. They differ in comfort, fit, tint, materials and acceptability. These variables account for the widely differing needs of contact lens users. Dr. Williams wants to make wearing contact lenses as easy, comfortable and affordable as possible.
We keep numerous brands of contact lenses in stock at competitive prices and provide you with a cleaning solution with your purchase.
Your contact lens fitting is a separate fee from your eye exam. A change in lens may incur an additional fee. The fees for your exam and fitting are not refundable, even if your contact lenses are returned for whatever reason.
Feel free to discuss any questions you may have about contact lens charges with us, we’re here to serve your needs. Top
Diabetic Eye Disease Treatment
Most patients with Diabetic Retinopathy can be treated without substantial vision loss if detected early. It is very important for patients with diabetes to have yearly examinations. It can also be treated with a procedure called photocoagulation. This is used to seal off the leaking blood vessels and destroy any new growth. This is a virtually painless procedure because the retina has no nerve endings. Diabetic Retinopathy can cause your body to form a cataract or glaucoma. These conditions can be treated. Cataracts can be surgically removed. Glaucoma can also be treated by Dr. Williams. Top
Lasik Surgery is the most common form of refractive surgery. Farsighted patients can benefit from Lasik. The biggest advantage over other procedures is that it is relatively painless and good vision is normally achieved the following day after surgery.
After the eyes are anesthetized by drops, the surgeon creates a thick circular flap in the cornea. The flap is folded back and the corneal tissue is removed by the laser. Once the laser is complete, the flap is laid back into place. You will need to rest and fill any prescriptions following your Lasik procedure. You will need to rest for a couple of days and avoid strenuous activity as directed by your surgeon. Top
Routine Eye Examinations
Age and risk factors determine how often someone should have an eye exam. A comprehensive eye exam has many elements, including, but not limited to:
- Retinoscopy – As you focus on a target, Dr. Williams will shine a light at your eye and flip lenses in a machine in front of your eyes. This allows Dr. Williams to get a good idea of your prescription.
- Refraction – This is used to determine your exact prescription. An instrument will be placed in front of your eyes. This will show you a series of lens choices. You will be asked which choice is clearer. Based on your answers your level of farsightedness, nearsightedness, astigmatism, or presbyopia will be determined and a prescription for corrective lenses can be made.
- Slit-Lamp Exam – This instrument is used to examine the overall health of your eyes. This allows Dr. Williams to get a magnified image of your eye structure in order to evaluate and look for signs of infection or disease.
- Glaucoma Test – This test will measure the pressure inside the eye.
- Dilation – Drops are used to make the pupils larger in order to get a better view of the internal eye. The drops usually take about 20-30 minutes to take effect. The drops will make your eyes sensitive to light, and you will have trouble focusing on objects up close. These effects will last only a few hours. You will need sunglasses after a dilated exam. Dilation is very important for people at risk for eye disease. It allows for a thorough evaluation of the health of the inside of your eyes.