We are a patient-centered practice. All of the decisions made are based on the patient's benefit and well being. This philosophy is reflected by our patients' satisfaction and our passion for providing complete eye, hearing and cosmetic care. Out team works diligently and train constantly to bring the latest and finest eye care techniques to the Ocala area.
Your guide to great vision begins here!
As a patient of Ocala Eye, you will benefit from a wide range of options to improve your vision in a way that compliments your lifestyle. Whether it's stylish eyeglass frames and advanced lens technologies available at Ocala Eye Optical, or precise and safe surgical options mastered by our surgeons, achieving your desired vision is our top priority.
Vision Enhancement at Ocala Eye
To learn more about eye care or to schedule your appointment, call 352.622.5183.
To learn more about cataract surgery or to schedule your appointment, call 352.622.5183.
Your Cataract Treatment Options at Ocala Eye
Ocala Eye cataract patients benefit from a range of surgical and lens implant options which allows their post-operative vision to best match their visual lifestyle and needs. These choices – HD Everywhere, HD Distance, Standard Plus and Standard – are attainable through state of the art advancements in surgical eye care. We personally tailor each treatment to help our patients choose the proper combination of diagnostics, surgical approach, and visual outcome that is right for them.
Laser assisted cataract surgery? Sure, we have that.
Eye surgery has included laser technology for decades, but use of the femtosecond laser in cataract surgery has only recently evolved. It now represents a true medical value to our cataract patients. Femtosecond laser assisted-cataract surgery helps surgeons create more precise incisions, safer lens capsule openings, and reduces lens removal time. This means less ultrasound energy is needed to remove the cataract. Critical incisions can also be now performed with greater accuracy than standard techniques. Not all cataract surgeries will include the femtosecond laser use. Laser cataract surgery may, however, be included when you elect one of our HD cataract treatment options.
Cataract Surgery: What should you expect?
Before cataract surgery is scheduled, your doctor will check your eyes and determine if you're a good candidate for this procedure. If cataract surgery is recommended, your Ocala Eye doctor will review the different package options available and give recommendations based on your visual needs and lifestyle. At Ocala Eye, each patient is given his or her own Vision Care Specialist that will take their unique measurements, review the procedure in great detail, and aid throughout the pre-operative process. The operation itself entails making a tiny incision in the eye. Through this incision, your surgeon inserts an instrument about the size of a pen tip. This instrument uses ultrasound to vaporize and vacuum the cloudy lens and thereby removes it from the eye. Once the cataract is removed, your Ocala Eye surgeon will replace your eye's natural lens with a permanent new artificial intraocular lens implant (or IOL) through the same tiny incision and set it carefully into position. Cataract surgery is a modern outpatient procedure that generally takes less than 20 minutes. A topical anesthetic is used for minimal discomfort and most individuals require no stiches or special patching. After surgery, you'll be prescribed eye drops that guard against infection and aid in the healing process. It is very important to follow the eye drop schedule given by your surgeon and Vison Care Specialist. Avoid rubbing your eyes, lifting heavy objects, and swimming for the first two weeks following surgery. Every patient will go through a series of post-op visits for several weeks following cataract surgery to make sure the eye is healing properly. Recovery time after surgery is generally quick and usually occurs within a few days after the procedure. Most patients notice better vision soon after surgery and continue to see improvement in vision over the following weeks. More than 1.8 million people have cataract surgery each year in the United States, and more than 95% of those surgeries are performed with no complications.
Why do some cataract surgery procedures cost more?
Advancements in Cataract Surgery have surpassed the ability for Medicare and other insurance entities to cover the latest medical technologies and diagnostic testing. The doctors of Ocala Eye believe the patient should have a choice in selection among medical technologies, diagnostic safety tests and visual outcomes to best suit their needs. For more information we advise an appointment with one of our physicians who can review all your options and determine if surgery is right for you. Our well-trained pre-op staff can also answer most cataract surgery questions at 352-622-5183.
What are the benefits of cataract surgery?
Refractive Lens Exchange
If you've never heard of refractive lens exchange (RLE), then you might be missing out. The marvels of modern surgical techniques and the advanced technology of multifocal intraocular lenses (IOLs) have made this procedure increasingly popular among patients who could never have dreamed of being free of their glasses or contact lenses. So, who can benefit from refractive lens exchange surgery, and what can you expect during and after the procedure? If you have any questions about the procedure or whether refractive lens exchange surgery is right for you, your eye care professional can help you make the right decision.
What is Refractive Lens Exchange?
Refractive lens exchange, also referred to as clear lens exchange or refractive lensectomy, replaces the eye's clear natural lens with an artificial intraocular lens (IOL) to correct refractive errors, such as blurred vision, difficulty reading, or crossing of the eyes in children. Remarkably, clear lens extraction dates back to the 18th century, when Abbé Desmonceaux became the first to perform the surgery in France in 1776 in a patient whose natural lens power was too strong to allow normal vision. The procedure became more widespread in Europe in the 19th Century to treat severe near-sightedness but fell out of favor because of complications due to the techniques used during that era. In particular, refractive lens exchange represents a viable alternative for people with severe refractive errors who are not candidates for laser-assisted in-situ keratomileusis (LASIK), allowing them to attain sharper focus and reduce the need for glasses for both distance vision and near vision.
Not A Candidate for LASIK?
Historically, lens replacement surgery was reserved for cataract patients in order to replace their cloudy lenses with a new, artificial one. But as the surgical techniques and technology have become more safer and more sophisticated, more people with glasses and contact lenses are consulting with their eye care specialists to see if clear lens exchange might be the best way to correct their refractive errors. Patients with abnormal corneas or significant myopia (nearsightedness), hyperopia (farsightedness) or astigmatism (asymmetric curvature of the cornea) are not good candidates for laser surgery (LASIKor PRK).
What About Near Vision?
Most people may not be aware that laser vision correction surgery such as LASIK only corrects distance vision and so does not address the issue of presbyopia.
Presbyopia is a condition that affects most people but tends to become noticeable after the age of 40 and is associated with the lens of the eye becoming more rigid and less flexible, leading to a diminished ability to focus on objects nearby.
Until recently presbyopia could only be treated with monovision or reading glasses, with other refractive surgical techniques unable to directly address the loss of near vision.
But refractive lens exchange is now allowing presbyopia sufferers to see the world much more clearly. And among patients having both presbyopia and significant hyperopia, clear lens exchange may be the sole surgical option for achieving clear vision.
Refractive Lens Exchange: A Treatment For Early Cataracts
Middle-aged or older individuals may start developing cataracts that could progressively deteriorate and require cataract surgery. If you experience the early signs of cataracts, clear lens exchange surgery could prove a viable option; instead of allowing cataracts to evolve to where they cause significant loss of vision and need to be removed, RLE can circumvent the process to restore vision right away. Symptoms of early or mild cataracts include:
More pale vision in one eye, compared to the other
Poor night vision
Glare or halos around lights
Refractive Lens Exchange: The Procedure
Refractive Lens Exchange: The Procedure
RLE is an outpatient procedure that is usually completed in under 20 minutes. Each eye is done one at a time, with the surgeries spaced out over a week or two. Numbing anesthetic drops are employed before the procedure, so typically patients feel no discomfort. Recovery times are minimal: most people can return to work, resume driving and take up their normal activities within a week after surgery.
Results of Refractive Lens Exchange
It can take up to several weeks to observe the full benefits of refractive lens exchange.
You may experience visual disturbances like blurred vision, halos, or scratchy sensations while your eyes heal. However, the majority of patients experience an immediate, rapid and progressive vision improvement after surgery.
The artificial intraocular lens (IOL) will actually be integrated into your eye (not on the surface of the eye like a contact lens) so it's not visible to others.
The artificial intraocular lens is a permanent replacement for your natural crystalline lens and is made to last the rest of your life, and the long-term risk of visual regression is minimal.
No glasses. No contact lenses. Just pure, clear vision from the doctors you trust. Isn't it time you lived your life in HD?
For our patients, the CustomVue LASIK procedure is literally a life-changing event.
Some remark that they see detail in their child's face they never knew was there. Others talk about waking up and seeing the alarm clock without having to reach for their glasses. But universally our patients say they wish they had gotten LASIK sooner, because the clarity and visual freedom is something they've wished for their whole lives. And thousands of procedures later, our list of happy patients continues to grow every day.
LASIK surgery using a microkeratome blade has now been replaced with the option of having all-laser customized LASIK.
A specialized femtosecond laser first creates a corneal incision and then the CustomVue laser reshapes the cornea to bring your world into focus. Your evaluation and the LASIK procedure are performed at the state-of-the-art Ocala Eye Surgery Center.
Why Ocala Eye for Your LASIK?
Ocala Eye's refractive surgeons were the first to perform LASIK in north central Florida and have performed thousands of refractive surgeries - including LASIK, EpiLASIK, Conductive Keratoplasty (CK), InTacs, and Refractive Lens Surgery. In addition, our surgeons have been referred patients from other eye doctors for more challenging cases either initially or after having had surgery elsewhere. Refractive surgeons Dr. Mark Jank and Dr. Peter Polack were the first to perform the LASIK procedure in north central Florida.
From personalized attention to exclusive 'extras' such as our Zen Relaxation Room with shiatsu chairs, our patients rave about their experience as much as the results of their surgery. Our surgeons own and operate the facility where they perform their procedures, so you can rest assured that they will see you throughout the entire process from before your procedure to after your procedure.
After almost twenty years of experience, we have LASIK down to a science - from the CustomVue individualized laser vision correction to our unique climate-controlled procedure room to neural network planning software, we are constantly enhancing our time-tested process.
Is LASIK for Me?
LASIK (Laser-Assisted Intrastromal Keratomileusis) is approved for the correction of Myopia (near-sightedness), Hyperopia (far-sightedness), and Astigmatism. At Ocala Eye, we have stringent criteria to ensure the best possible outcomes for our patients:
21 Years and older
Although the FDA has approved the procedure for patients 18 years or older, most patients' eyes will not have stopped growing until age 21 or so. Exceptions have been made when documentation demonstrates stability of prescriptions over the past several years (see #2). Most patients who qualify for LASIK are generally between the ages of 21 and 50 or so. Patients older than 50 may begin to show signs of cataract formation (a normal part of aging) and need to be evaluated to ensure they are are good candidates. As cataracts become more significant with increasing age, there are other alternatives to LASIK which are more appropriate for these patients.
Refraction (eyeglass or contact lens prescription) within a certain range and stable for at least 2 years
LASIK today does have an upper limit; beyond this range, patients might be recommended other options that would best fit their needs safely. A stable refraction ensures that the treatment goal is not a 'moving target' and increases the likelihood we hit that target the first time.
Your corneas must be within a normal range of thickness and curvature.
Corneas that are too thin may not be treated safely if too much tissue is removed.
LASIK takes the place of your glasses or contacts. It doesn't give you superhuman abilities. We don't chase theoretical numbers. Instead, we create 20/Happy patients.
No significant eye disease
There are some conditions that may exclude a patient from having the LASIK procedure including, but not limited to, severe dry eye disease, certain corneal dystrophies, significant cataracts, and possibly glaucoma or retinal disease. Additionally, certain systemic conditions are contraindicated unless they have been well-controlled such as rheumatoid arthritis.
No history of prior corneal refractive procedures
This is assessed on a case-by-case process, as some patients who have had LASIK elsewhere before, and for which there is good documentation, may qualify for an 'enhancement' procedure. Similarly, certain patients who have had prior PRK, CK, or InTacs may also be qualified.
Not currently nursing or pregnant
Hormonal changes during these stages have been known to affect wound healing and so are contraindications. Similarly, there are certain medications which are contraindicated such as Retina-A and Accutane.
Can I Afford LASIK?
Get ideas and help from Ocala Eye on how to cover LASIK fees. After almost twenty years, we know a few thinsg about getting you what you want.
Cheaper than glasses or contacts?
When you calculate the cost of glasses or contact lenses with cases, cleaners, and solutions over your lifetime, a strong case can be made for the one-time cost of LASIK.
What is the price tag you put on being able to see the leaves on trees, of being able to see your kids at the water park, or being able to wear those designer sunglasses without a prescription?
In addition to being able to pay for LASIK with your medical spending account (MSA) or health spending account (HSA), we have easy financing solutions which make your painless procedure even more painless.
What Can I Expect from Ocala Eye LASIK?
An honest assessment in a "no-pressure" atmosphere.
Come discuss your goals with us. Get a free LASIK evaluation and get all of your issues and questions answered by one of our highly-skilled clinical team members, not a sales person in a suit.
20/20 vision is actually not for everyone. This is why it is important to evaluate each and every person's individual needs and goals. An active outdoorsy person may want the distance vision as far as possible, while a 45 year-old accountant might want a slight under-correction to help with office work. The one-size-fits-all promises of corporate laser centers makes their job easier but may not make sense for everyone.
Excellent distance vision
LASIK corrects distance vision only; near vision is age-related. As we age into our 40's and older, the near vision normally starts to change requiring the use of reading glasses.
Will LASIK Work?
It did for Dr. Polack. In 2000, he trusted his career to whether LASIK would work or not. Ever since his own LASIK, he has been able to help hundreds of patients each year gain the vision they deserve.
The cornea is the outer surface of the eye. In normal vision, light rays first pass through the cornea and are directed through the pupil. The light is then focused by the lens so that a sharp image is projected onto the retina. With astigmatism, the curvature of the cornea is irregular. The lack of uniform curvature creates a random, inconsistent focus pattern, especially when combined with near-sightedness or far-sightedness. Ocala Eye ophthalmologists can correct astigmatism in several ways. Two of the most common are limbal relaxing incisions (LRIs) and the use of CustomVueTM LASIK.
Limbal Relaxing Incisions
With the LRI, your Ocala Eye doctor creates relief points on the cornea using a precision instrument. These tiny incisions help to even out the curvature of the cornea and reduce the presence of astigmatism. The LRI is a common vision correction option that our cataract patients choose when having their cataract surgery.
Astigmatism can also be treated with the Excimer laser used in the CustomVueTM LASIK procedure. Wavefront technology provides a treatment pattern for the LASIK procedure that addresses "higher-order" visual defects. This means that greater degrees of astigmatism as well as near-sightedness and far-sightedness can be resolved using CustomVueTM LASIK.
Ocala Eye Optical
Consult an Ophthalmologist at Ocala Eye in Florida
We at Ocala Eye dedicate ourselves to helping your vision last a lifetime
Which is why we offer comprehensive eye care including comprehensive eye exams, cataract surgery, CustomVue, NearVision, and premium lens implants such as ReSTOR®, Crystalens AO™, TECNIS® Multifocal, and other ophthalmic procedures. including comprehensive eye exams, cataract surgery, CustomVue LASIK, NearVision, and premium lens implants such as ReSTOR®, Crystalens®, TECNIS® Multifocal, and other ophthalmic procedures.
When you visit with an ophthalmologist at our Ocala, Florida offices, your individual case will be discussed and assessed at length.
We will then determine which vision correction procedure is best for you.
What are Cataracts and why do they cloud up my vision?
A cataract is a clouding of the normally clear lens of the eye. It can be compared to a window that is frosted or yellowed, or looking through a foggy or dusty car windshield. Things look blurry, hazy or less colorful with a cataract. The lens inside your eye is subject to the effects of age just like any other body part – with time, it just doesn't function like it used to. When we are younger, the human lens is clear and flexible so objects at a variety of distances are easily focused. As time goes by the clear lens gradually, and sometimes rapidly, becomes cloudy, forms a cataract, and focus starts to fail. The most common type of cataract is related to the normal aging process of the eye. Other causes of cataracts include family history, medical conditions like diabetes, traumatic or surgical eye injury, medications, long-term unprotected exposure to sunlight, or occupational exposure.
Common Symptoms Include
Blurry vision, reading or distance
Glare and/or light sensitivity
Poor night vision
Double vision in one eye
Fading or yellowing of colors
Cataract surgery represents an opportunity to regain lost quality of vision. Featuring individualized vision enhancement techniques, Customized Cataract Care gives you the opportunity to optimize your eyesight like never before. Your Ocala Eye ophthalmologist will review your customized treatment plan that allows you to get the most benefit from your cataract procedure. Popular Customized Cataract Care Options.
Next Generation Lens Implants
Aspheric Lens Implants
TECNIS® Multifocal IOL
An evolution of the ReZoom™ Lens Implant
The TECNIS® Multifocal IOL is a premium multifocal lens implant that provides for vision at all distances- far, intermediate and near. The TECNIS Multifocal IOL is an evolution of the popular ReZoom™ IOL. Like other presbyopia-correcting lenses such as the ReSTOR® IOL and Crystalens AO™ IOL, the TECNIS Multifocal IOL is an optional lens implant that can be inserted during cataract surgery and is designed to give the recipient independence from glasses for the majority of tasks.
A Premium Multifocal IOL
Similar to the ReSTOR®, the TECNIS Multifocal IOL allows for a complete range of vision by splitting light that enters the eye into several focus points, giving it a "multi-focal" function. There is an adaptation period for multifocal IOLs when your brain trains itself on which image to process. If you wish to focus on close objects, the near focal point image that the TECNIS Multifocal projects onto the retina is accepted by the brain. For far away objects, the distant focal point image is accepted.
TECNIS Multifocal IOL and Medicare
Recent Medicare changes now qualify a portion of the TECNIS Multifocal procedure for cataract coverage. This leaves a residual out of pocket cost that you would pay for the near vision correction features of the TECNIS Multifocal. Ocala Eye features payment plans that make the TECNIS Multifocal a viable choice for your lens replacement surgery. In addition you will receive an entire year of follow up care which includes vision enhancement such as LASIK or CK® if deemed necessary by your Ocala Eye physician to fine tune your vision.
Ocala Cataract Options - Which one is right for me?
Cataract surgery is one of the most common surgical procedures in the United States. This certainly holds true with the Ocala Eye Surgery Center where we perform thousands of these operations every year. While the majority of cataract surgery patients who opt for standard monofocal (fixed-distance) intraocular lens implants (IOLs) can see distant objects very clearly after their procedure, this usually means a new glasses prescription is needed for seeing near objects. The TECNIS Multifocal, Crystalens AO™ and ReSTOR® were designed with a specific patient in mind - one may be a better choice for you than the other when you and your ophthalmologist consider lifestyle, medical history, and your individual eye physiology.
Contact us to make an appointment and one of our board-certified ophthalmologists will determine if you are a candidate for TECNIS Multifocal lens implants. At our Ocala, Florida eye care offices, we carefully evaluate each patient, performing a thorough eye examination and reviewing medical history to ensure you are a good candidate for the procedure. The actual surgery for TECNIS Multifocal lens implants is performed as an outpatient procedure at our Ocala, Florida surgery center and the actual operation takes less than 30 minutes. Your surgeon will provide you with specific instructions to follow after you receive your TECNIS Multifocal lens implants. Patients who already have intraocular lens implants from previous cataract surgery are not candidates for the TECNIS Multifocal.
For Ocala Eye patients struggling with their vision due to cataracts, the AcrySof® ReSTOR® IOL represents a technologically advanced option for those wishing to become independent of reading and prescription glasses. Like the Crystalens® that Ocala Eye has offered since 2004, the ReSTOR® IOL (intraocular lens) is designed to not only give excellent distance vision, but also allow for vision in the intermediate and near ranges. This enables many of the ReSTOR® recipients to be independent of glasses for any task. The ReSTOR® allows for a complete range of vision by splitting light that enters the eye into several focus points, giving it a "multi-focal" function. When you wish to focus on close objects, the near focal point image that the ReSTOR® IOL projects onto the retina is accepted by the brain. For far away objects, the distant focal point image is accepted. FDA clinical studies have shown that those who receive ReSTOR® implants in both eyes are glasses independent for the vast majority of tasks. These include such daily activities as reading the newspaper, putting on makeup and shaving.
ReSTOR® and Medicare
Recent Medicare changes now qualify a portion of the ReSTOR® procedure for cataract coverage. This leaves a residual out of pocket cost that you would pay for the near vision correction features of the ReSTOR®. Ocala Eye features payment plans that make the ReSTOR® a viable choice for your lens replacement surgery. In addition you will receive an entire year of follow up care which includes vision enhancement such as LASIK or CK® if deemed necessary by your Ocala Eye physician to fine tune your vision.
Cataract Options Ocala - Which one is right for me?
Cataract surgery is one of the most common surgical procedures in the United States. This certainly holds true with the Ocala Eye Surgery Center where we perform thousands of these operations every year. While the majority of cataract surgery patients who opt for standard monofocal (fixed-distance) intraocular lens implants (IOLs) can see distant objects very clearly after their procedure, this usually means a new glasses prescription is needed for seeing near objects. The ReSTOR®, Crystalens AO™ and TECNIS® Multifocal were designed with a specific patient in mind - one may be a better choice for you than the other when you and your ophthalmologist consider lifestyle, medical history, and your individual eye physiology.
Contact us to make an appointment and one of our board-certified ophthalmologists will determine if you are a candidate for ReSTOR® lens implants. At our Ocala, Florida eye care offices, we carefully evaluate each patient, performing a thorough eye examination and reviewing medical history to ensure you are a good candidate for the procedure. The actual surgery for ReSTOR® lens implants is performed as an outpatient procedure at our Ocala, Florida surgery center and the actual operation takes less than 30 minutes. Your surgeon will provide you with specific instructions to follow after you receive your ReSTOR® lens implants. Patients who already have intraocular lens implants from previous cataract surgery are not candidates for the ReSTOR®.
Crystalens AO™ represents a significant advance in intraocular vision correction technology – and north central Florida's leader in Crystalens AO™ is Ocala Eye. Unlike other cataract IOL (intraocular lens) options, the revolutionary Crystalens AO™ is the only vision solution that works with the muscles in your eye to provide a complete range of sight from near to far and all distances in between – reducing or possibly eliminating the need for glasses. The design element that makes Crystalens AO™ a unique replacement lens for cataract and other surgeries is "hinges" which allow the lens to move, or accommodate in response to contraction of the ocular muscles. This accommodation simulates the natural focusing mechanism of the eye.
With Crystalens AO the Advantages Are Clear
Crystalens AO lens implants are the first and only accommodating intraocular lenses approved by the Food and Drug Administration. Choosing Crystalens AO as your IOL can reduce your dependency on reading glasses after lens replacement surgery such as cataract surgery. Compared with multi-focal IOLs the Crystalens AO also holds advantages in intermediate distance vision and lowered incidence of glare when driving at night.
Crystalens AO and Medicare
Recent Medicare changes now qualify a portion of the Crystalens AO procedure for cataract coverage. This leaves a residual out of pocket cost that you would pay for the near vision correction features of the Crystalens AO. Ocala Eye features payment plans that make the Crystalens AO a viable choice for your lens replacement surgery. In addition you will receive an entire year of follow up care which includes vision enhancement such as LASIK or CK® if deemed necessary by your Ocala Eye physician to fine tune your vision. FDA clinical studies have shown that of those who receive Crystalens® implants in both eyes: 92 percent experienced 20/25 distance vision; 96 percent experienced excellent intermediate vision; 73 percent could read fine print without glasses. Real-life Crystalens® results without glasses or contact lenses: 98 percent could pass their drivers test; 100 percent could read their computer screen or put on their makeup; 98 percent could read a magazine.
One of our highly skilled ophthalmologists will determine if you are a candidate for Crystalens AO lens implants. At our Ocala, Florida eye care offices, we carefully evaluate each patient, performing a thorough eye examination and reviewing medical history to ensure you are a good candidate for the procedure. The actual surgery for Crystalens AO lens implants is performed as an outpatient procedure at our Ocala, Florida surgery center and the actual operation takes less than 30 minutes. Your surgeon will provide you with specific instructions to follow after you receive your Crystalens AO lens implants. Patients who already have intraocular lens implants from previous cataract surgery are not candidates for the Crystalens AO.
Electing cataract surgery with the Blended Vision option will give you a greater range of glasses-free vision that is not typically observed with the standard cataract procedure which emphasizes distance vision. This option, also known as monovision, does not quite replicate the full range of glasses-free vision achieved with Premium Next Generation lens implants. Blended Vision does, however, allow many individuals a greater degree of glasses independence than those who elect cataract surgery with standard lens implants alone. During the cataract surgery procedure, your Ocala Eye ophthalmologist will replace the cloudy lens within your eye with a lens implant (IOL). Utilizing detailed pre-operative measurements and specific surgical techniques your Ocala Eye surgeon can adjust the properties of the standard IOLs and set one lens power for vision in the near ranges and the other lens power for distance vision. This customized or "blended" version of cataract surgery produces a greater degree of glasses independence than the fixed-distance standard procedure, although you may still require glasses for some tasks. Medicare and most insurance pay for the standard cataract procedure, but there is an out of pocket expense to cover the cost of the extra care and customization involved in the Blended Vision procedure. These out of pocket costs are less than choosing cataract surgery with Next Generation Premium IOLs. Your Ocala Eye ophthalmologist will explain the benefits of all lens implant options and the particular procedure which would be best suited for you. To help you understand the different ranges of vision available and verbalize your preferences for visual outcome, please see the 5 Zones of Vision chart below.
CustomVue Customized LASIK at Ocala Eye
No glasses. No contact lenses. Just pure, clear vision from the doctors you trust. Isn't it time you lived your life in HD? For our patients, the CustomVue LASIK procedure is literally a life-changing event. Some remark that they see detail in their child's face they never knew was there. Others talk about waking up and seeing the alarm clock without having to reach for their glasses. But universally our patients say they wish they had gotten LASIK sooner, because the clarity and visual freedom is something they've wished for their whole lives. And thousands of procedures later, our list of happy patients continues to grow every day. LASIK surgery using a microkeratome blade has now been replaced with the option of having all-laser customized LASIK. A specialized femtosecond laser first creates a corneal incision and then the CustomVue laser reshapes the cornea to bring your world into focus. Your evaluation and the LASIK procedure are performed at the state-of-the-art Ocala Eye Surgery Center.
Ocala Eye offers CustomVue™ custom LASIK and Epi-LASIK at our surgery center in Ocala, Florida. CustomVue™ uses Wavefront™ technology to precisely map the individual differences in each eye. The Wavefront™ scan is 25 times more accurate than standard methods used for glasses and contacts. An Excimer laser then reshapes the cornea to treat nearsightedness, farsightedness, and astigmatism. Ocala Eye makes LASIK affordable to free yourself from the hassle of glasses and contact lenses. We offer complimentary consultations, and finance plans are available to fit any budget including interest-free options.
What makes Wavefront™ technology important?
Wavefront™ was originally designed for use in astrophysics to help detect and reduce visual aberrations in telescope lenses. When used in laser vision correction, Wavefront™ analyzes how light waves travel through your eyes, mapping out the distortions and imperfections unique to your vision. This 3D map is then saved. The computer-guided Excimer laser will correct the surface of your eyes based on the information on the 3D map. Since your own unique visual distortions are accurately assessed and precisely corrected, the possibility of achieving 20/20 vision or better is increased.
What three things does CustomVue LASIK at Ocala Eye have in common with the Hubble Space Telescope?
Both can precisely detect light wave imperfections (aberrations) and correct them using Wavefront technology so the most clear images are produced. Light sources under dark conditions (whether it's galaxies or night driving) are free from ghosting and halos. Both produce rewarding results that can be enjoyed for years.
How LASIK works
LASIK (Laser-Assisted Stromal In-situ Keratomileusis) is a popular refractive surgery procedure used to treat patients suffering from myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. The procedure is a combination of keratomileusis, which involves cutting of the cornea, and Excimer laser photoablation, which uses a laser to reshape the surface of the eye. The cool ultraviolet beam of the laser delivers a preprogrammed number of pulses to correct and reshape the exposed surface of the eye. The corneal flap is then put back into place where it heals without the need for stitches.
How Epi-LASIK works
Epi-LASIK (Epithelial Laser In-Situ Keratomileusis) is a laser vision correction procedure performed for patients who may not be good candidates for traditional LASIK. People who qualify for Epi-LASIK may have thin corneas, dry eyes, or other conditions. During the Epi-LASIK procedure, the epithelium (the thin outer layer covering the cornea) is lifted with a non-cutting instrument. The cornea is then reshaped with a laser as it would be during a normal LASIK procedure. Though the visual recovery time is generally slower than traditional LASIK, the visual outcome is the same. When you visit Ocala Eye for a laser eye surgery consultation, one of our surgeons will review your vision correction options and discuss the risks and benefits of each procedure.
Three easy LASIK steps
To schedule a FREE Wavefront™ custom LASIK evaluation in the Ocala, Florida area, contact our refractive coordinator at Ocala Eye today.
Free consultation (not available to Medicare recipients)
Free preop appointment including dilated exam with your Ocala LASIK surgeon
How Does Lasik Work?
The Lasik Procedure
How it works: (1). Microkeratome blade of femtosecond laser is used to create a thin circular 'flap' in the corona. (2). Excimer laser removes some corneal tissue under hinged flap. (3). Excimer laser uses a cool ultraviolet light bean to remove microscopic amount of tissue from the cornea and reshape it. (4). After the cornea reshaping, the flap is laid back in its place and it heals naturally. (5). The eyes only needs topical anesthetic drops and there is minimal discomfort after the procedure.
The History of Lasik
It uses laser underneath a corneal flap (in situ) to reshape the cornea (Keratomileusis).
1950s Spanish Ophthalmologist jose Barraquer MD performs a thin cut in the cornea to change its shape
1985 Steven Troket MD of Columbia University & R. Shrinivasan of IBM Research Lab first use the UV excimer laser on non-human eyes
1989 Marquerite B. MacDonlad MD performs the first human PRK laser surgery on a live human eye
1989 Gholam A. Peyman MD patent a method - LASIK - where the laser applied under a flap of tissue
1990 loannis Pallikaris MD performs the first LASIK on a live patient after one year later
What Does it Fix?
The Lasik Procedure
The day before surgery please stop using; makeup, perfume, lotion.
Refractive Coordinator will performs specific measurements & testing.
LASIK Surgeon will perform through exam, review tests, and explain procedure.
What Happen During the Procedure?
Take a Pill and Chill
The nurse will give your a mild sedaptive pill to take the edge off while you relax in our exclusive Zen Room.
After being brought into the procedure room, you'll lie down on the laser bed, and numbing drops will be placed in the eye - this eliminates the urge of blink.
This gently spreads the lids apart and allows the eye to be docked to the laser that create the flap - most patients will feel a slight pressure.
The Femtosecond laser will painlessly create a thin flap in the cornea at predetennined depth.
You'll move right over to the Excimer laser where the flap is lifted and a small amount of tissue is removed to perform the vision correction.
The flap is replaced, eyedrops applied, and then you're bought back to Zen room (and our famous massaging chair). After a few minutes the doctor will check you before you are discharged.
Comprehensive Eye Exams
Why are eye exams important?
The visual symptoms of poor eye health can manifest themselves gradually. Changes can be so subtle that they go unnoticed until vision is severely affected. Regular comprehensive eye exams can detect eye disease or other conditions that could lead to vision loss if left untreated. Eye exams may also give your Ocala Eye doctor clues to the health of other systems in the body. Ocala Eye is the largest and most experienced eye care practice in the Heart of Florida. Our medical staff consists of ten ophthalmologists, two optometrists, and a complete staff of trained assistants and nurses. It is our mission to preserving and enhancing the visual health of our patients.
What happens during an eye exam?
Several factors can help determine the extensiveness of the eye exam- the patient's medical history, any complaints about their vision and how long it has been since their last complete exam. For this example we will discuss a comprehensive dilated eye exam. Before more detailed tests are performed, there are several initial evaluations that can give your eye doctor some clues as to how your overall vision is functioning. The autorefractor is a device that is used to examine for refractive errors. One eye is tested at a time using a series of pictures. After the autorefractor test, evaluation of the visual fields, pupils, and extraocular muscle function are performed. After the initial testing, the more detailed portion of the eye exam usually follows a "front to back" analysis of your eyes, beginning with the refraction. While sitting in the exam chair, you will be asked to identify letters on a wall chart. This helps determine your visual acuity. An instrument called a phoropter is then placed in front of your eyes to determine if your vision can be improved with eyeglasses. The phoropter houses a multitude of lenses that can be easily rotated to help the clinician determine is your prescription.
Ocala Eye uses an applanation tonometer to determine the internal pressure of your eye. High intraocaular pressure is an indicator of the potential for developing glaucoma. Numbing eye drops are administered along with fluorescein dye prior to using the tonometer. A blue light is used to assist in the intraocular pressure measurement as well as determining irregularities on the corneal surface.
With the initial data gathered from the aforementioned tests, your Ocala Eye ophthalmologist or optometrist will need to more closely examine the structures of your eye. Examination takes place using a slit-lamp microscope and a head-mounted binocular indirect ophthalmoscope (BIO). This part of the examination requires your pupils to be dilated. Eye drops are administered to relax your iris and increase pupil diameter. The slit lamp microscope has a support where you rest your chin and stabilize your head. The eye doctor then uses a narrow beam of different wavelengths (colors) of light to show details specific to various eye structures. The eye doctor first examines the eyes in layers using the slit lamp microscope, starting with the anterior (front) structures like the cornea, eyelids and tear ducts then progresses further into the eye. Middle structures like the lens and vitreous are examined next followed by the posterior (back) structures including the retina and optic nerve. After the slit lamp evaluation, your Ocala Eye doctor will continue with the examination using the binocular indirect ophthalmoscope. When combined with a hand-held lens, the BIO allows the doctor to see peripheral features of the retina. When the examination is complete, your Ocala Eye doctor will discuss their findings and give you an overall description of your eye health. With many eye diseases, early detection can have a significant effect on treatment options. Regular eye exams help your eye doctor gather important information that can help to preserve your vision for a lifetime.
Ocala Eye offers convenient optical services at each of our office locations.
Our optical centers are staffed by experienced and licensed opticians who will help you find the prescription eyewear and sunglasses that are right for you. Ocala Eye Optical has a wide selection of frames at affordable prices.
Featured Fashion Frame Designers
Saks Fifth Avenue
Caviar / Cazal
Featured Sunglasses and Sports Eyewear Designers
Costa del Mar®
At Ocala Eye Optical, we also offer a wide selection of lenses utilizing advanced technologies including:
Crizal No-Glare lenses which aid in reducing eye strain, scratching, smudging and help with night driving
Light, thin, durable, and scratch-resistant lens materials
Xperio UV Polarized lenses to reduce blinding glare so you can see the outside world with sharper color and greater depth
Varilux Progressive no-line lenses for improved vision at all distances
Transitions® adaptive lenses that darken with UV light
Computer specialty lenses to prevent Computer Vision Syndrome (CVS)
Contact lenses are available to treat a wide variety of problems. Our optometrists specialize in matching the best contact lens options for your eye anatomy and vision prescription. Below are just some of the common eye conditions that can be corrected with custom contact lens applications:
Myopia or nearsightedness
Hyperopia or farsightedness
Presbyopia or the need for reading glasses or bifocals
Cosmetic alteration of eye color
Specialty Fitting of Custom-made Contact Lenses
Ocala Eye Optical is also able to offer specialty fitting of custom-made contact lenses for less common conditions such as:
Corneal surface disease
Optical error remaining after refractive surgery
Cosmetic and functional improvement after surgery or injury
YOU KNOW? The cost of Dry Eye to the U.S. society overall has been estimated to be from $4 billion in direct costs to as high as $55 billion if all indirect costs are included (lost wages, decreased productivity, etc.).
The First and Only Dry Eye Center in North Central Florida
Dry Eye is one of the most under-diagnosed ocular diseases, and yet it is the most common reason why patients go see their eye care professional. Dry Eye Disease is a progressive condition where the eyes cannot produce sufficient lubrication to maintain the normal health of the ocular surface. This can be due to inadequate production of tear fluid (aqueous), oil (lipid), or mucus (mucus) or if something is interfering with the eye'e mechanical ability to blink or close. Women are more frequently affected than men, and it is often caused by hormonal changes due to aging and menopause or medical conditions. Your eyes need a constant layer of tears - called the "tear film" - to maintain and protect the ocular surface. In Dry Eye, underlying changes to the health of the tear-producing glands can result in a change in the quantity and quality of the tears you make. This results in a tear film that can no longer provide enough nourishment or protection to the surface of your eye. This can lead to damage of your eye's surface, which, in turn, can lead to more serious effects of Dry Eye.
Long Term Effects of Dry Eye
When the production of natural, healthy tears is reduced, Dry Eye can cause serious irritation to the front of the eye, particularly the cornea. A natural, healthy tear film not only lubricates the surface of the eye. A natural, healthy tear film not only lubricates the surface of the eye, but also works to fight infection and provides important nourishment that is vital for clear vision. Increased risk of infection and serious visual impairment may result in cases where a severe dry eye condition has gone untreated over time. Reduced tear production over a long period of time increases the risk of permanent damage to the front of the eye (ocular surface disease).
Treatment with the Dry Eye Center at Ocala Eye
In keeping with our philosophy of offering comprehensive eyecare to patients in north central Florida, Ocala Eye is proud to be the area's first and only practice with a dedicated Dry Eye Center. Located in both our Paddock Park and our Villages offices, our Center offers a wide-range of diagnostic and therapeutic resources together with our 20+ years of unmatched experience in the field.
Dry Eye Evaluations
Determining the cause of your Dry Eye condition is important in deciding which treatment options are best for you. Your evaluation consists of a thorough examination and a review of your medical and personal history. This is followed by a panel of diagnostic modalities unique in the area to Ocala Eye's Dry Eye Center. Based on your exam and your test results, a personalized regimen will be prescribed for you. During the examination, the doctor examines the entire nasolacrimal system including the ocular surface, the lid margins, the nasolacrimal ducts ('tear' ducts), the meibomian glands, and the blink mechanism. Careful evaluation of the meibomian glands for their function and quality of secretions offers clues as to the potential causative factor. Besides lid (Blepharitis) and meibomian gland disease (Meibomitis), there are many other factors related to Dry Eye disease including:
Auto-immune diseases (such as arthritis, fibromyalgia, etc.)
Side effects from medications
Hormonal changes (particularly in women)
Environment (heat, humidity, wind, etc.)
Mechanical factors (such as previous eyelid surgery)
Additional Dry Eye Tests
LipiView Lipid Interferometry
LipiView Lipid Interferometry uses a high-speed camera to capture images of the tear film, processing 14 million pixels per second – more than a billion data points in total. It also uses thermal imaging to evaluate the health of the meibomian oil glands. This non-invasive process takes less than 5 minutes, and provides your doctor with information to further assess the lubrication system of your eyes.
Human tears normally contain a certain amount of salt, known as osmolarity. Too high a level of osmolarity causes many of the symptoms of Dry Eye such as burning and stinging. More importantly, high osmolarity can lead to damage of the surface of the eye over time (ocular surface disease). The tear film osmolarity can now be measured in seconds using the TearLab Osmolarity Test, which painlessly takes a tiny sample of your tears for analysis. Osmolarity testing is covered by most insurance, including Medicare.
InflammaDry (MMP-9) Testing
Patients with chronic dry eye may manifest what are known as inflammatory markers. One such marker is MMP-9 (Matrix Metalloproteinase-9) which can now be tested for using a rapid, non-invasive test in the office. Using a small sample of your tears, the InflammaDry test works sort of like an at-home pregnancy test, showing positive or negative within a few minutes. The results of this test, in conjunction with other tests and findings from the examination, help the doctor guide your treatment.
Dry Eye Treatment Options
Our board certified and fellowship trained ophthalmologists will work with you to determine the best treatment method for your particular case of dry eye. To learn more about some of the more common treatment methods, click on one of the tabs below.
LipiFlow Thermal Pulsation technology applies controlled heat to the inner eyelid, and mild intermittent pressure releasing lipids from the blocked meibomian glands. It does this without damage to the glands or the delicate structures of the eye. LipiFlow treats the upper and lower eyelids simultaneously. The procedure, performed in a doctor's office, is virtually painless and some patients consider it somewhat like a spa experience. In some cases, treatment can be performed the same day as your evaluation and total treatment time is approximately 12 minutes for both eyes. There are no restrictions or limitations after the procedure. In a clinical study, 79% of patients reported improvement of their overall dry eye symptoms within four weeks, ranging from 10% to 100% improvement. The duration of effect has been more than a year or two, but in our experience this can be prolonged if patients are a daily dry eye regimen.
IPL (Intense Pulsed Light) for Dry Eye
LipiFlow Thermal Pulsation technology applies controlled heat to the inner eyelid, and mild intermittent pressure releasing lipids from the blocked meibomian glands. It does this without damage to the glands or the delicate structures of the eye. LipiFlow treats the upper and lower eyelids simultaneously. The procedure, performed in a doctor's office, is virtually painless and some patients consider it somewhat like a spa experience. In some cases, treatment can be performed the same day as your evaluation and total treatment time is approximately 12 minutes for both eyes. There are no restrictions or limitations after the procedure. In a clinical study, 79% of patients reported improvement of their overall dry eye symptoms within four weeks, ranging from 10% to 100% improvement. The duration of effect has been more than a year or two, but in our experience this can be prolonged if patients are a daily dry eye regimen. For more information visit www.LipiFlow.com. Intense Pulsed Light therapy (IPL) has been used for years by dermatologists to treat a variety of skin conditions such as vascular facial lesions, rosacea, and pigmented areas as well as wrinkle and hair removal. More recently, it was discovered that patients who had undergone these skin treatments had improvement in their dry eye condition. IPL is not a laser, but a light-based device. Filters are used to apply specific wavelengths of light to target abnormal blood vessels in the eyelids and skin that are often responsible for causing eyelid inflammation and resultant meibomian gland dysfunction. In addition, the light energy is absorbed by the glands themselves, melting and increasing the flow of impacted meibomian secretions. Many patients with evaporative dry eye have associated rosacea and blepharitis and respond well to IPL therapy. The light settings are based on your skin type. A protective eye shield is gently placed to cover your eyes. A cool gel is then applied onto the skin surface and then the IPL treatment is performed. Most patients experience a tingling and heating sensation as the light is applied. Lastly, the meibomian glands are expressed to relieve the gland obstructions. The procedure is relatively comfortable and quick — taking only about 10 to 15 minutes in total. Some patients may require up to four treatments initially (one per month) and then maintenance treatments may be needed on an annual basis. This can vary depending upon each individual patient's disease severity. Many patients schedule treatments every 3-6 months regularly not only because of the beneficial effect on dry eye but also because they like the improved appearance of the skin.
MiBo Thermoflo is a therapeutic medical device that provides safe, affordable and effective therapy for patients with meibomian gland dysfunction. This is done by applying continuous heat with the probe to the outer skin of the eyelids using gentle massage. The procedure takes approximately 10-12 minutes per eye. The heat is absorbed deep into the tissue and it breaks down the hardened oils in the meibomian glands. In many cases the doctor may need to express the glands after the procedure to remove the melted contents With a prescribed maintenance regimen, the meibomian glands will eventually begin secreting thinner and clearer oils which will allow for a healthier tear film. MiBo Thermoflo can also be used for treatment of styes, chalazions or areas where drainage needs to be encouraged.
Bleph-Ex for treatment of Blepharitis
One of the traditional treatments for blepharitis patients is to scrub their lid margins to remove bacteria. Lid scrubs helps control or reduce symptoms of itching, crusting and foreign body sensation. For some patients, this is sometimes hard to do at home. Fortunately, there is now an in-office treatment for blepharitis: Bleph-Ex uses a micro-sponge is used to exfoliate and clean the eyelids and lashes, removing the bacteria and debris from the lid margins. The treatment takes only a few minutes and both eyes can be done on the same day. By eliminating the scurf and bacterial debris, the openings of the meibomian glands are cleared, allowing them to secrete oil unobstructed. Symptoms of itching and crusting are reduced or eliminated. Before CCH Treatment, loose tissue (indicated by the left red arrow) blocks the tear film (yellow fluid) causing irritation. After CCH Treatment, a nice even tear film (indicated by the right red arrow) is seen across the entire lower lid. Conjunctival chalasis or CCH is an often under-diagnosed condition common in patients who suffer from dry eye symptoms. CCH is the abnormal loosening of the conjunctiva, the thin membrane which covers the surface of the eye and is responsible for producing a major part of the eye's lubrication. CCH is caused by chronic dry eye and inflammation and results in folds of tissue which can catch on the lids during blinking, producing the common complaints of 'foreign body sensation' or a feeling like there is something in the eye. In addition, this loose tissue obliterates the pocket, known as the inferior fornix, which is normally found between the eye and the lower lid and that acts as a reservoir of tear fluid during blinking. Without this reservoir, the eye quickly runs out of lubricating fluid. This, coupled with the irritation due to the loose tissue, causes the eye to water excessively. This often explains the paradoxical symptom of tearing that is common in dry eye disease. Initially conservative measures such as improving the tear production and oil production can minimize the symptoms due to CCH. But in most cases the only real treatment is removal of the loose tissue and replacement with a thin membrane of amniotic membrane, obtained from umbilical cords. During the 15-minute minor surgical procedure, this membrane is 'glued' onto the surface of the eye without any stitches. Many patients will experience relief of their symptoms within just a few days. Read the following article.
Conjunctival Chalasis (CCH)
Before CCH Treatment, loose tissue (indicated by the left red arrow) blocks the tear film (yellow fluid) causing irritation. After CCH Treatment, a nice even tear film (indicated by the right red arrow) is seen across the entire lower lid. Conjunctival chalasis or CCH is an often under-diagnosed condition common in patients who suffer from dry eye symptoms. CCH is the abnormal loosening of the conjunctiva, the thin membrane which covers the surface of the eye and is responsible for producing a major part of the eye's lubrication. CCH is caused by chronic dry eye and inflammation and results in folds of tissue which can catch on the lids during blinking, producing the common complaints of 'foreign body sensation' or a feeling like there is something in the eye. In addition, this loose tissue obliterates the pocket, known as the inferior fornix, which is normally found between the eye and the lower lid and that acts as a reservoir of tear fluid during blinking. Without this reservoir, the eye quickly runs out of lubricating fluid. This, coupled with the irritation due to the loose tissue, causes the eye to water excessively. This often explains the paradoxical symptom of tearing that is common in dry eye disease. Initially conservative measures such as improving the tear production and oil production can minimize the symptoms due to CCH. But in most cases the only real treatment is removal of the loose tissue and replacement with a thin membrane of amniotic membrane, obtained from umbilical cords. During the 15-minute minor surgical procedure, this membrane is 'glued' onto the surface of the eye without any stitches. Many patients will experience relief of their symptoms within just a few days.
Meibomian Gland Probing
LipiFlow Thermal Pulsation technology applies controlled heat to the inner eyelid, and mild intermittent pressure releasing lipids from the blocked meibomian glands. It does this without damage to the glands or the delicate structures of the eye. LipiFlow treats the upper and lower eyelids simultaneously. The procedure, performed in a doctor's office, is virtually painless and some patients consider it somewhat like a spa experience. In some cases, treatment can be performed the same day as your evaluation and total treatment time is approximately 12 minutes for both eyes. There are no restrictions or limitations after the procedure. In a clinical study, 79% of patients reported improvement of their overall dry eye symptoms within four weeks, ranging from 10% to 100% improvement. The duration of effect has been more than a year or two, but in our experience this can be prolonged if patients are a daily dry eye regimen. For more information visit www.LipiFlow.com. Intense Pulsed Light therapy (IPL) has been used for years by dermatologists to treat a variety of skin conditions such as vascular facial lesions, rosacea, and pigmented areas as well as wrinkle and hair removal. More recently, it was discovered that patients who had undergone these skin treatments had improvement in their dry eye condition. IPL is not a laser, but a light-based device. Filters are used to apply specific wavelengths of light to target abnormal blood vessels in the eyelids and skin that are often responsible for causing eyelid inflammation and resultant meibomian gland dysfunction. In addition, the light energy is absorbed by the glands themselves, melting and increasing the flow of impacted meibomian secretions. Many patients with evaporative dry eye have associated rosacea and blepharitis and respond well to IPL therapy. The light settings are based on your skin type. A protective eye shield is gently placed to cover your eyes. A cool gel is then applied onto the skin surface and then the IPL treatment is performed. Most patients experience a tingling and heating sensation as the light is applied. Lastly, the meibomian glands are expressed to relieve the gland obstructions. The procedure is relatively comfortable and quick — taking only about 10 to 15 minutes in total. Some patients may require up to four treatments initially (one per month) and then maintenance treatments may be needed on an annual basis. This can vary depending upon each individual patient's disease severity. Many patients schedule treatments every 3-6 months regularly not only because of the beneficial effect on dry eye but also because they like the improved appearance of the skin. MiBo Thermoflo is a therapeutic medical device that provides safe, affordable and effective therapy for patients with meibomian gland dysfunction. This is done by applying continuous heat with the probe to the outer skin of the eyelids using gentle massage. The procedure takes approximately 10-12 minutes per eye. The heat is absorbed deep into the tissue and it breaks down the hardened oils in the meibomian glands. In many cases the doctor may need to express the glands after the procedure to remove the melted contents With a prescribed maintenance regimen, the meibomian glands will eventually begin secreting thinner and clearer oils which will allow for a healthier tear film. MiBo Thermoflo can also be used for treatment of styes, chalazions or areas where drainage needs to be encouraged. One of the traditional treatments for blepharitis patients is to scrub their lid margins to remove bacteria. Lid scrubs helps control or reduce symptoms of itching, crusting and foreign body sensation. For some patients, this is sometimes hard to do at home. Fortunately, there is now an in-office treatment for blepharitis: Bleph-Ex uses a micro-sponge is used to exfoliate and clean the eyelids and lashes, removing the bacteria and debris from the lid margins. The treatment takes only a few minutes and both eyes can be done on the same day. By eliminating the scurf and bacterial debris, the openings of the meibomian glands are cleared, allowing them to secrete oil unobstructed. Symptoms of itching and crusting are reduced or eliminated. Before CCH Treatment, loose tissue (indicated by the left red arrow) blocks the tear film (yellow fluid) causing irritation. After CCH Treatment, a nice even tear film (indicated by the right red arrow) is seen across the entire lower lid. Conjunctival chalasis or CCH is an often under-diagnosed condition common in patients who suffer from dry eye symptoms. CCH is the abnormal loosening of the conjunctiva, the thin membrane which covers the surface of the eye and is responsible for producing a major part of the eye's lubrication. CCH is caused by chronic dry eye and inflammation and results in folds of tissue which can catch on the lids during blinking, producing the common complaints of 'foreign body sensation' or a feeling like there is something in the eye. In addition, this loose tissue obliterates the pocket, known as the inferior fornix, which is normally found between the eye and the lower lid and that acts as a reservoir of tear fluid during blinking. Without this reservoir, the eye quickly runs out of lubricating fluid. This, coupled with the irritation due to the loose tissue, causes the eye to water excessively. This often explains the paradoxical symptom of tearing that is common in dry eye disease. Initially conservative measures such as improving the tear production and oil production can minimize the symptoms due to CCH. But in most cases the only real treatment is removal of the loose tissue and replacement with a thin membrane of amniotic membrane, obtained from umbilical cords. During the 15-minute minor surgical procedure, this membrane is 'glued' onto the surface of the eye without any stitches. Many patients will experience relief of their symptoms within just a few days. Read the following article written by Dr. Polack and published on the Bio-Tissue website for more information: A Safe, Effective Procedure for Conjunctivochalasis. In cases of chronic obstruction of the meibomian glands, it may be necessary to physically probe the glands to remove impacted secretions or fibrotic scarring. If the glands have not been active for an extended period, the lid margins are debrided under a local anesthetic followed by probing of the gland openings with devices that are almost as thin as an eyelash.
Other Adjunctive Therapies
In more severe cases of dry eye, particularly those associated with collagen-vascular disease such as rheumatoid arthritis, more aggressive treatment may be indicated:
Topical or systemic immunosuppressive therapy
Bandage contact lenses or scleral shell lenses
Amniotic membrane or corneoscleral patch grafts
Autologous serum eye drops
Lateral tarsorrhaphy (surgical partial closure of the eyelids)
Glue patch for perforations
Complications of Severe Untreated Dry Eye Disease
In a small minority of cases, severe Dry Eye Disease, if not appropriately managed, can lead to significant consequences:
Chronic Surface Disease which can affect the vision
Limbal stem cell deficiency
Corneal melts which can lead to perforation and loss of the eye
At Ocala Eye, we offer surgical and non-surgical treatment for glaucoma performed by our two fellowship trained Ocala glaucoma specialists, Michael Morris, M.D. F.A.C.S. and Mohammed K. ElMallah, M.D. Our dedicated staff will assist you throughout your glaucoma treatment, always striving to inform and educate you about your condition while doing our best to save or improve your vision. Glaucoma is sometimes referred to as the "silent thief of sight" because it can cause blindness with little or no warning. Glaucoma is a group of diseases usually associated with elevated intraocular pressure leading to optic nerve damage and characteristic loss of vision. Glaucoma affects the side vision early in the disease, while the central vision is not affected to late in the disease process. It is possible to lose half of the optic nerve fibers before a change in vision is noted which is why early detection is so important.
Ocala Eye has the only private practice Cornea Service in Marion County and features the latest technology used in the diagnostic testing for corneal abnormalities and diseases. Our cornea specialists, Peter J. Polack, M.D., F.A.C.S. and Hussain Elhalis, M.D., can determine the cause and specify treatments for diseases affecting the cornea. If necessary, advanced corneal transplant techniques such as DSAEK/DMEK can be used to restore lost vision. Corneal Diseases The cornea is the eye's outermost layer. It is the clear, dome-shaped surface that covers the front of the eye and it helps direct light rays towards the lens for focusing. Unlike most tissues in the body, the cornea contains no blood vessels to nourish or protect it against infection. The cornea must remain transparent to see well, and the presence of even the tiniest abnormal blood vessels can affect vision. The preservation of your sight is our top priority and our Ocala Eye Cornea Specialists can perform a thorough evaluation of the eye using:
Pentacam Corneal Topography
Ocular Cohernece Tomography (OCT)
To treat diseases and other problems associated with the cornea, we use the following surgical procedures.
DSAEK First Introduced in Central Florida by Ocala Eye
Individuals in the central Florida area who need a cornea transplant in order to restore their vision now have another option for treatment at Ocala Eye. DSAEK (pronounced dee-sak) is a transplantation procedure that is associated with quicker visual recovery, a smaller incision, and much less astigmatism than the standard corneal transplant technique known as penetrating keratoplasty (PKP).
Standard cornea transplant method (PKP)
PKP has been the standard of care for many years and most physicians are very familiar with the postoperative care. It provides excellent vision with the appropriate glasses or contact lenses in most cases. It does require frequent visits to the doctor to measure the cornea, prescribe glasses, and take care of the stitches. The cornea is a transparent dome on the front of the eye. Corneal edema (swelling) produces decreased vision due to loss of transparency of this normally clear tissue. The swelling arises from a loss of endothelium, a thin layer of cells found on the back surface of the cornea. These cells are not capable of dividing or repairing themselves. The only treatment for visually significant corneal swelling is to replace these cells. Until recently, the only way to replace endothelial cells was to perform a full thickness corneal transplant procedure called penetrating keratoplasty (PKP), requiring complete removal of the patient's cornea and replacement with a donor cornea. Unfortunately the wound can take years to heal so the new cornea is sutured in place with very fine stitches left in place indefinitely to maintain strength and stability. After the operation, it usually takes several months to years to obtain your best vision. It is very difficult to predict the final curvature of the cornea; so after surgery, glasses or contact lenses are required in the majority of cases. If the stitches break, there may be a feeling like having sand in the eye, and removal of the stitches may change the curvature of the cornea requiring new glasses. In addition, the broken stitches may produce a corneal infection requiring the use of antibiotics to treat the infection and can rarely lead to graft failure.
After the DSAEK procedure
After DSAEK, the vision clears faster than the full thickness corneal transplant operation and you can return to your normal activities within two weeks with the exception of swimming. Like full thickness corneal transplantation, eye drops are required for at least a year and more often for the rest of your life to prevent graft rejection, where the body recognizes the tissue as being foreign and reacts against it. Fortunately graft rejections are very unusual (less than 10% of cases) and if they do occur, can be treated successfully in the majority of cases with frequent eye drops and occasionally oral medications. The cornea is a privileged site where powerful immunosuppressive medications such as those associated with heart or kidney transplants are rarely necessary to prevent graft failure. Ocala Eye is pleased to bring this new procedure to central Florida and we look forward to working with this new option for improving our patents' vision.
The DSAEK advantage
Recently a new procedure has been developed to replace the endothelial cells that does not require a full thickness replacement of the cornea.
In the DSAEK procedure (Descemets' Stripping Automated Endothelial Keratoplasty), a thin piece of donor corneal tissue containing the endothelial cells and posterior stroma is inserted through a small incision on the side of the eye. This tissue adheres to the back surface of the original cornea and clears the corneal swelling.
The advantages of DSAEK are that extensive stitching of the cornea is not required and the eye heals more quickly.
Although glasses will still be required after the operation, they may be much thinner as the power of the eye after surgery is much more predictable. In addition, the surgery is safer as the new cornea is inserted through a small incision rather than a complete opening of the front part of the eye reducing the chance of a devastating hemorrhage during the surgery or infection afterwards. Because a smaller incision is used, the eye is left stronger so that if it is inadvertently struck there is less likelihood of a serious injury.
The main disadvantage of the DSAEK procedure
is that the new endothelium is manipulated more directly than in a full thickness corneal transplantation, potentially producing more damage and possibly resulting in graft failure. There is a 10% chance that the new tissue will not adhere properly requiring repositioning, or in less than 1% of cases, re-operation. The long-term survival of this tissue has not been fully studied. The cornea is also left much thicker than the original due to the addition of tissue to the posterior aspect of your current cornea. This may make it more difficult to follow glaucoma.
In order to make the new tissue stick onto the back of the old cornea
an air bubble is used to completely fill the front part of the eye for an hour after surgery. After that time the air is partially released and left overnight. During the first twenty-four hours, it is important to stay on your back as much as possible to keep the air bubble positioned correctly, anchoring the new tissue in place. When you are seen the next day, the position of the new tissue will be checked. It may be necessary at that appointment or the next appointment one week later to reposition the new tissue by placing a new air bubble. Once the tissue sticks, it remains in place, so the most critical post-operative period is the first six weeks.
Fuchs' dystrophy is a hereditary condition which occurs when endothelial cells gradually deteriorate without any apparent reason. It is one of the most common conditions requiring a corneal transplant. Although it can be seen in people as young as their 30s or 40s, it is typically seen later in life. As more endothelial cells are lost over the years, the endothelium becomes less efficient at pumping water out of the cornea resulting in swelling. In the early stages of the Fuchs' dystrophy, this swelling can cause cloudy vision; eventually, in later stages, this can lead to pain and severe visual impairment. A unique symptom of Fuchs' dystrophy is foggy vision in the morning which clears as the day progresses. In this stage, symptoms may be lessened with saline drops or ointment. As the disease progresses, however, the fogginess lasts most of the day. When drops can no longer clear the vision, and it interferes with daily activities, a patient may need to consider a corneal transplant. Fuchs' Dystrophy - Before DSAEK surgery, showing thickened, cloudy cornea and After DSAEK surgery, showing clear cornea. The pupil is irregularly-shaped due to previous iris surgery.
A Pterygium is a pinkish, triangular-shaped tissue growth on the cornea. Pterygia are more common in sunny climates and in the 20 to 40 age group. Studies suggest where sunlight is strong, wearing protective eyeglasses, sunglasses, and/or hats with brims may help reduce the incidence of pterygium. Because a pterygium is visible, many people want to have it removed for cosmetic reasons. It is usually not too noticeable unless it becomes red and swollen from dust or air pollutants. Surgery to remove a pterygium is not recommended unless it affects vision, causes significant discomfort, or if the ophthalmologist notes that it has a suspicious appearance. If a pterygium is surgically removed, it may grow back, particularly if the patient is less than 40 years of age and does not reduce risk factors, such as direct sun exposure or chronic irritation from allergies or a dusty or dirty work environment.
In some cases, if the pterygium is small, not growing and not symptomatic, observation is acceptable. The doctor will check for signs of growth or a change in appearance, either of which would be a reason to recommend removal.
Many eye surgeons will remove a pterygium with the simple excision technique. Using a topical or local anesthetic, the pterygium is dissected from the surface of the eye. The 'defect' that is left will gradually heal. While simple excision is the least difficult technique to perform, it is associated with more discomfort and a higher chance of recurrence than other techniques.
Excision with Amniotic Graft
A technically more difficult method is to remove the pterygium as above but to then cover the defect with a graft made of amniotic tissue, which is harvested from placental tissue. This tissue has natural healing properties, allowing the eye to recover faster and with less pain, and the risk of recurrence is lower than with simple excision. The graft can usually be attached to the surface of the eye using a fibrin glue and without the need for sutures. Sometimes this technique is performed using a drug called Mitomycin-C, an antimetabolite which blocks scar tissue from forming.
Excision with Conjunctival Autograft
The most technically challenging method is removal of the pterygium with placement of a conjunctival autograft ('auto' meaning from the same patient) on the defect. This tissue is harvested from the patient's own eye, usually underneath the upper lid where the donor site can heal quickly. The conjunctival graft is either sutured in place and/or fibrin glue can be used. If sutures are used they are typically removed in the office about 2 weeks after surgery. This technique has the lowest risk of recurrence.
More commonly used in the past, a small probe tipped with a Strontium-90 radioactive isotope was placed on the operative site to block scar tissue formation. This was generally a safe procedure but there were cases of poor wound healing leading to serious complications. The problem with beta radiation is the inability to measure exactly how much energy the surface of the eye was being exposed to. This has largely been replaced by Mitomycin-C as mentioned above.
Corneal ulcers are infections of the cornea. They are most often associated with soft contact lens use or trauma to the cornea. Prompt identification of the pathogen (usually bacteria) and aggressive treatment is needed to limit damage to the eye. In some cases, infection of the cornea can lead to infection inside the eye (endophthalmitis) and, rarely, loss of the eye. Early testing possibly including a diagnostic scraping or biopsy may be required to determine the cause of the infection. Our corneal specialist works with microbiologists and pathologists at nearby laboratories.
Herpes of the eye, or ocular herpes, is a recurrent viral infection that is caused by the herpes simplex virus and is the most common infectious cause of corneal blindness in the United States. The herpes simplex virus is present in most humans and many people manifest the virus as fever blisters around the mouth. Why only some people develop herpes in the eye is unknown. Ocular herpes can produce a painful sore on the eyelid or surface of the eye and cause inflammation of the cornea. Prompt treatment with anti-viral medications helps to stop the herpes virus from multiplying and destroying epithelial cells. Repeated flare-ups can lead to significant scarring and possibly blindness. In some cases, a corneal transplant may be required.
Ocular Surface Disease
Ocular Surface Disease
The retina is the part of the eye that translates what you see into information your brain can understand. When light enters the eye, the cornea and lens focus the image onto the retina, which lies at the back of the eye. Like film in a camera, the retina receives the projected image. This visual information is sent from the retina to the brain via the optic nerve. Chander N. Samy, M.D., F.A.C.S. and Robert J. Kraut, M.D. are Ocala Eye's retina specialists. They provided care for eye problems and diseases such as:
The retina has many distinct areas that help process visual information. Located in the central area of the retina, the macula is considered to be the visual"sweet spot." The macula allows you to focus on someone's face, read a magazine article, or study a picture. Age-related macular degeneration (AMD), in its wet form, involves the growth of abnormal blood vessels in the retina. Visual changes include: Words on a page look blurred. Dark or empty area in the center of vision. Straight lines look distorted.
Macular Degeneration Treatment
Dr. Samy and Dr. Kraut will carefully monitor for the progression of macular degeneration. The type of treatment for wet macular degeneration depends on the location, size and other characteristics of the abnormal blood vessels. Possible therapies include: Vitamin therapy (for dry macular degeneration) - Anti-oxidants and zinc may reduce the risk of progression from dry to wet macular degeneration in many patients. Intraocular Injectable Medications – Several injectable medications are currently available and may be discussed as part of your treatment. These medications are designed to stop the actual growth of the abnormal blood vessels. Over the next few years, even more effective versions are expected to be approved by the FDA. Laser surgery - Depending on the location of the abnormal blood vessels, a thermal laser may be the treatment of choice. Photodynamic therapy (PDT) - Visudyne®, a light-sensitive medication, is injected into blood vessels in the patient's arm and travels to the abnormal blood vessels in the macula. A"cold" laser is used to activate the Visudyne® in the eyes and stop or minimize the progression of the abnormal vessels. Multiple treatments are often necessary.
If you have diabetes, your body struggles to maintain proper levels of blood glucose. High blood glucose levels can damage blood vessels in the retina and lead to diabetic retinopathy, which can include complications such as micro-aneurysms, abnormal vessel formation, vitreous hemorrhage, and optic nerve damage. Early detection of diabetic retinopathy is the best protection against loss of vision. By maintaining normal blood glucose levels and controlling your diabetes, the risk of developing a vision problem is minimized.
Diabetic Retinopathy Treatment
The best long term treatment is to successfully control all of the risk factors that are associated with diabetes including obesity, elevated blood glucose, and hypertension. Diabetic retinopathy progression can be minimized if it is diagnosed early in the disease process. Dr. Samy and Dr. Kraut have the latest treatment options at their disposal should surgical intervention be required. Laser surgery - Depending on the condition of the eye, a variety of laser treatments can be used to shrink abnormal blood vessels and reduce fluid leakage inside the eye. While the goal of laser surgery is preventing further loss of vision, it does not cure diabetic retinopathy. Furthermore, depending on the severity of diabetes, additional vision loss may occur. Vitrectomy - With advanced cases, vitreous hemorrhage may occur. In this situation, the growth of abnormal blood vessels causes severe bleeding in the back portion of the eye. Microsurgery can be performed to remove the abnormal vitreous membranes and the blood.
Floaters and Flashes
Flashes appear as flashing lights or lightning streaks as vitreous gel pulls on the retina. Flashes are more common as people age, but the increase in frequency of flashes should prompt you to see your Ocala Eye ophthalmologist. A sudden increase in flashes and/or floaters could indicate the presence of a retinal tear or retinal detachment. Prompt scheduling of an evaluation is very important in these situations. When people reach middle age, the vitreous gel inside the eye may begin to clump together making small particles that appear to float across the field of vision. These"floaters" are more apparent when staring at light colored backgrounds such as a blue sky or white wall. Posterior vitreous detachment can cause a more rapid onset of floaters and is more common in people who have had a history of:
YAG laser surgery
Inflammation inside the eye
During the aging process, changes in the vitreous jelly can also induce a hole in the macula. Since the macula is responsible for producing the sharpest visual images, significant changes in vision can occur such as a dark spot or distortion in the central vision. Macular Hole Treatment.
It is extremely important to have the macular hole repaired using the timeline given to you by your Ocala Eye ophthalmologist. Macular hole surgery involves removal of the vitreous and any membranes surrounding the macular hole. The vitreous cavity is then filled with a temporary gas bubble. In order for the hole to close, proper positioning of the head (face-down position) is required during the post-operative period.
LASIK Tune Up
LASIK Tune Up After Cataract Surgery
Cataracts affect roughly 20.5 million Americans aged forty and over. That number is expected to skyrocket to 50 million by 2050. Every year in the United States, more than 3 million people undergo surgery to remove cataracts. In fact, cataract surgery is the most frequently performed surgery in the country. But even though the vast majority of cataract surgeries performed provide excellent results, occasionally patients will require a LASIK, PRK enhancement or 'tune up' sometime after undergoing the procedure. So why would you need a LASIK laser 'tune up' after you've had cataract surgery? And just what does that process involve?
What is a Cataract?
A cataract is the slow development of the clouding of the eye's natural lens. Normally, cataracts display a gradual progression with age and mainly affect individuals over the age of 50. According to the American Academy of Ophthalmology, about half of all Americans age 75 and older suffer a significant decrease in vision due to cataracts. Cataracts alter the light rays passing through the lens of the eye, generating blurry or steamy vision. They can cause problems with reading, driving or distinguishing the facial expressions of others. A cataract usually starts out quite small and goes mostly unnoticed. However, it slowly evolves over time, growing larger and cloudier. If it gets to the point where the cataract is impeding your ability to read, to drive safely or to perform routine tasks, then it might be time to consult your eye doctor.
Why Would I Need a Tune Up?
Cataract surgery involves replacing the cloudy lens of the eye with an intraocular lens implant (IOL). Even with new technological advances and high success rates in cataract surgery, sometimes a residual refractive error will occur, called a 'refractive surprise', resulting in an unsatisfactory visual outcome, and a burdensome dependence on glasses just to see adequately. In the best case scenario, the patient's prescription is embedded into the implant so that after surgery, they will be able to see correctly without the use of reading glasses or contact lenses. However, in as many as one out of ten cases, perfect alignment between the implant and the patient's prescription is unattainable, due to the high complexity of estimating and calculating the strength of the implanted lens. Other complexities may arise with patients who have previously undergone LASIK, photorefractive keratectomy (PRK) or radial keratotomy (RK) surgeries, or patients with other corneal surface irregularities. The solution to these challenges frequently lies with LASIK laser eye surgery. In most of these cases, LASIK is the most efficient way to fine-tune and correct a patient's refractive errors after cataract surgery.
How is a LASIK Tune Up Performed?
A LASIK tune up can be performed in as little as several weeks after cataract surgery. In LASIK surgery, a fine, round flap is created in the cornea using an advanced surgical tool called a femtosecond laser. The flap is then folded back by the surgeon to access the middle layers of the cornea. Another specially designed laser - an excimer laser - beams ultraviolet light to reshape the cornea, enabling it to focus visible light more effectively onto the retina and thus enhancing eyesight. After reshaping the cornea, the flap is set back into place, allowing the eye to heal naturally. LASIK surgery is performed painlessly under topical anesthetic drops, and no bandages or stitches are needed.
What are the Results of a LASIK Tune Up?
Restoration of vision happens relatively fast after LASIK surgery and little to no discomfort is felt during the recovery process. LASIK is probably the safest of all refractive surgical techniques as it doesn't physically enter the eye. Working on the surface of the cornea gives LASIK a high security profile. LASIK has been shown to be a beneficial, noninvasive and accurate procedure to correct refractive errors after cataract surgery. Recent studies have shown that using LASIK for the correction of residual errors provided exceptional results to almost 93% of patients. If you've already had cataract surgery and aren't completely satisfied with the results, contact our board certified eyecare specialists for a complete consultation.
Nearly 50 million americans suffer from hearing loss. Call today for your complimentary hearing evaluation: 352.622.5183. "I didn't think my hearing needed correction until I sat with our hearing specialist Kate Maen to review my results. Now with my custom fitted hearing aids, the change in sound clarity is truly remarkable." John S. Deaton, D.O. Hearing Aid User .
Much like age-related changes in your eyesight, the ability to hear a full range of sound can diminish so gradually over the years that it's hard to notice.
Hearing loss, which usually begins after age 35, is progressive and degenerative. By age 65, one out of three adults will experience hearing loss. This can contribute to increased isolation, anxiety and depression. Additionally, there is a link between untreated hearing loss and the development of dementia and Alzheimer's disease.
Why is my eye doctor concerned about my hearing?
Hearing and vision are the two most important senses.
Similar to how smell affects taste, hearing and sight are deeply intertwined. It is proven that Inner ear problems can affect how we see, and people with vision problems such as macular degeneration need to depend on their hearing even more. Hearing and vision loss are known to both begin to deteriorate around the same age. At Ocala Eye, we can evaluate these two senses and provide treatment options all in one location.
Ocala Eye Hearing Services are a benefit exclusively for our patients.
Patients have repeatedly asked their Ocala Eye doctor where to go for an honest assessment of their hearing, with many indicating they would be more comfortable if Ocala Eye offered a hearing program. Now your choice for complete eye care can also meet your hearing health needs with the latest automated screening equipment and the highest quality digital hearing aids.
Symptoms of Hearing Loss
According to the Mayo Clinic, signs and symptoms of hearing loss may include:
Muffling of speech and other sounds
Difficulty understanding words, especially against background noise or in a crowd
Trouble hearing consonants
Frequently asking others to speak more slowly, clearly and loudly
Needing to turn up the volume of the television or radio
Withdrawal from conversations
Avoidance of some social settings
Our Hearing Specialist
Do you have a hearing loss that needs to be evaluated by a professional?
Kate Maen is a board-certified Hearing Instrument Specialist with over 16 years of experience. She works closely with your Ocala Eye doctor to assess your hearing abilities and offer solutions that are unique to each patient. With expertise in performing hearing evaluations, diagnosing hearing loss, and providing available solutions, our specialist helps with providing the best in hearing healthcare to The Villages and Ocala.
Recognize the Onset of Hearing Loss
If you answered yes to more than two of the above questions, or are over age 65 and have not had a hearing evaluation in the last three years, we encourage you to call and make a complimentary hearing evaluation with our hearing specialist. Please contact us today at (352)-622-5183 to schedule an appointment. Recognize the onset of hearing loss by asking yourself the following questions:
Do you have a problem hearing over the telephone?
Do you avoid crowded places because of difficulty hearing conversations?
Do you have dizziness, pain, or ringing in your ears?
Have others told you that you don't seem to hear them?
Do people complain that you turn the TV volume up too high?
Do you frequently have to ask others to repeat themselves?
Do you have to strain to understand conversations?
Do you have trouble knowing where sounds are coming from?
Do you have difficulty understanding women or young children?
Do you hear better through one ear than the other when you are on the telephone?
Why choose Ocala Eye for hearing aids?
You already have an established relationship with your Ocala Eye Doctor.
Professional services for vision and hearing all within one office.
You see the same friendly faces and receive the high quality of care that you expect of Ocala Eye.
Ocala Eyes full-service Hearing Department will provide you with professional help in customizing an affordable hearing solution that fits your lifestyle and expectations.
From custom fit, to ready-to-wear models, your hearing aid from Ocala Eye will offer you the best in digital clarity, modern design, and all-day comfort.
To learn more about cosmetic surgery or to schedule your appointment, call 352.622.5183.
There are a number of eyelid conditions and diseases that we can treat with oculoplastic surgery at Ocala Eye. Our oculoplastic surgeon, Alan M. Lessner, M.D., is fellowship trained in multiple cosmetic and reconstructive eyelid and orbital surgeries. Dr. Lessner specializes in cosmetic upper and lower blepharoplasty, endoscopic forehead brow lifts, and midfacial rejuvenation- including the use of fillers and fat. He treats patients with skin cancer in and around the eyelids, other tumors involving the eye and eye socket, blocked tear drainage systems, drooping eyelids, and malposition of the eyelids such as ectropion and entropion. Eyelid lifts and BOTOX® injections aren't just cosmetic procedures. For some they are essential treatments to maintain unobstructed sight because as we get older our skin loses elasticity, causing our eyelids to droop over the eye and reduce our usable visual field. In addition to our cosmetic eyelid and facial surgery options, Ocala Eye Aesthetics offer various skin treatments with our licensed medical aesthetician, Denisse Gonzalez, LST. Denisse offers her clients a complete range of skin rejuvenation services to enhance appearance, address pigmentation concerns, and nourish skin cells. Denisse utilizes all-organic products in conjunction with her skin therapy techniques such as facials, microdermabrasion, and anti-aging treatments to achieve the best possible results.
Peels, Facials and Waxes
There is a science to healthy and radiant skin.
Age, skin type, and skin health are important factors in developing a regimen for optimal care. Our experienced physicians and licensed medical aesthetician offer a full range of skin rejuvenation services, from nourishing facial treatments with all-organic products to appearance enhancing medical procedures.
Not sure where to start?
Schedule a complimentary skin therapy consultation for a personal skin care analysis with our licensed aesthetician, Denisse Gonzalez. 352-671-9539.
Facials & Microdermabrasion
Ocala Eye Signature Facial (60 Min)
Promotes glowing, youthful skin. This treatment smoothes fine lines and wrinkles by feeding your skin with natural nutrients, antioxidants and vitamins found in Acai Berries. Plumps and regenerates to give your skin a youthful appearance.
Express Facial (35 Min)
Rice powder and mild compounds gently remove dead skin cells and soften the skin while antioxidant-rich Strawberry Rhubarb cleans and tightens your pores. We finish this facial with an antioxidant mask for the ultimate skin hydration.
Teen Clear Skin (45 Min)
Our Clear Skin treatment detoxifies and revitalizes acne-prone skin with gentle organic ingredients to sooth inflammation without damaging effects to the skin. Stone Crop reduces formation of sebum and bacteria, while yogurt gently exfoliates and probiotics improve the skins balance.
Organic Microdermabrasion (60 Min)
Organic grains gently exfoliate your skin. This treatment has a rejuvenating effect on common problems such as acne scarring and mild discoloration, sun damage and wrinkles. It's a painless, non-surgical procedure.
Combine our luxurious Signature Facial with Organic Microdermabrasion for rejuvenated skin that is refreshed and nourished.
Vitamin C Antioxidant Facial Treatment (45 Minutes)
Restore a youthful and healthy glow with a burst of antioxidant power and fruit enzymes. This naturally aromatic treatment drenches skin in 30% vitamin C to stimulate collagen and strengthen elasticity. Buff away dead skin cell build up for a burst of pure nutrition, while repairing sun damage and leaving skin with a brighter and smoother complexion.
Noni Firming Facial with Copper Peptides & DMAE (45 Minutes)
Triple de-wrinkling complex of DMAE, peptides and a potent blend of cell renewal therapy work together as a super-firming and resurfacing treatment. This treatment also replenishes essential nutrients in the skin and provides an instant semi-permanent firmness that can last up to 10 days.
Eminence Organic & Skin Fitness Products.
Blueberry Detox Firming Peel (75 Min)
This naturally exfoliating peel deep cleans pores and tones the look of skin. The combination of raspberry juice, blackberry juice and pineapple extract is high in vitamins and antioxidants that will nourish and refresh your skin. Plus, lactic acid will remove dead skin cells and improve the appearance of your skin's texture.
Obagi Blue Radiance Peel (45 Min)
A series of 4-6 peels is recommended for best results. Addresses early signs of skin aging, mild to moderate photo-damage, hyperpigmentation, rough or uneven skin, and acne.
Yam & Pumpkin Enzyme Peel (45 Min)
Improve the surface appearance of your skin with this professional strength cocktail of natural ingredients including beta-carotene, enzymes, amino acids, pineapple, papaya, willow bark, collagen, and green tea extracts.
True Beauty Peel (45 Minutes)
Provides glowing youthful skin, designed to nourish and rebuild the aging process.
Arctic Berry Peel (45 Minutes)
Restores radiance, reduces fine lines and wrinkles, reduces dark spots and improves dullness using an exquisite blend of arctic berries, lingonberry seed oil and hibiscus seed extract.
Aqua Marine with Caviar Peel (45 Minutes)
A unique blend of glycolic and lactic acid, caviar, phyto retinals and marine algae. The natural botanicals stimulate cell growth and boost collagen; smoothing, firming and renewing your skin.
Margarita Peel with Blue Agave (45 Minutes)
This 25% lactic acid peel treatment helps brighten discolorations while toning the skin; increasing uniformity of color, texture and clarity. This truly purifying, detoxifying, moisturizing and balancing treatment harnesses the power of nature's nutrients from chlorophyll and blue agave.
Blueberry Wine Peel (45 Minutes)
Collagen boosting properties found in blueberries and red wine act as age defying enhancers. This peel includes a red wine concentrate with noni berries and a chocolate wasabi toning masque that will leave skin noticeably smoother, firmer and hydrated.
Cranberry Detoxifying Peel (45 Minutes)
Natural acids and enzymes blend with the antioxidant and anti-bacterial properties of cranberry making this a great treatment to detoxify dull and congested skin.
Pomegranate Peel (45 Minutes)
Exfoliated blend of natural fruit enzymes, cherry puree, pomegranates and red wine saturate skin in a healthy cocktail of antioxidants. Increase the vitality of skin with this skin strengthening and smoothing treatment for a more revitalized and rejuvenated complexion.
Pumpkin & Ginger Peel (45 Minutes)
Reduces the signs of aging using a blend of antioxidants, natural acids and pumpkin puree. This peel results in visibly smaller pores, reduced acne, diminished fine lines and wrinkles and a firmer, smoother texture.
Wild Cherry Bark Peel (45 Minutes)
Resurface and refine your skins appearance with a powerful blend of salicylic acid and anti-inflammatory wild cherry bark. This blend will lighten pigmentation, reduce acne and acne scars for a high-intensity, resurfacing treatment.
Wraps, Masks & More
Bright Eye Renewal Treatment (30 min)
A four step treatment: Gentle fruit enzymes exfoliate fine lines and crow's feet, Cucumber gel relives puffy stressed eyes, iron-rich wild plum re-energizes and brightens, and raspberry extracts hydrate and increase skin elasticity.
Only available in addition to another service. This mask provides the ultimate hydrating lift. The natural plant ingredients and marine–based collagen boost skins firmness, while Aloe, Vitamin E & C soothe and nourish.
Rejuvenating Lips (30 Min)
A three step treatment: Citrus and pineapple enzymes exfoliate the lip area removing dryness and vertical lip lines; A Shea butter and avocado masque with natural peptides that stimulate collagen for fullness; and sunflower seed oil to add hydration.
Soy Blueberry Slimming Wrap
NOVALASH Eyelash Extensions
A new and revolutionary fat removal technology that requires no surgery! Treatments vary from 20 to 40 minutes. The treatment focuses on the abdomen, arms, thighs, flanks (love handles), and the back. Most clients will experience 2-6cm of circumference reduction after every single session. The results will increase with each visit.
Radio Frequency Skin Lifting Treatment
Gently raises the temperature of the collagen of the deep tissue in your skin providing instant contractibility, which helps tighten skin, reduce fat, enhance luminosity, reduce wrinkles, and stimulate collagen rebirth while lifting the sagging skin on your forehead, under the eyes, cheeks, jawline, and neck. Pricing is also available in packages of 6 treatments each. Procedures per Session:
Face & Neck
Thighs – Inner & Outer
We use a paraben and gluten free Satin Smooth wax, which is a non-irritating hair removal product for sensitive skin.
Eyebrow with design
Side & Chin
The following appearance enhancing medical procedures are offered by our board-certified Ocala Eye Aesthetics doctors and require an initial consultation with our aesthetician.
Dermal Fillers - Restylane / Juvederm
Latisse Eyelash Enhancement
Cosmetic Eyelid Surgery
Endoscopic Brow Lifts
Involuntary eyelid twitches and blinking can also interfere with normal vision. Some patients who suffer from blepharospasm may blink so violently that they cannot see. Depending on the case Dr. Warren may treat this condition by administering a small application of BOTOX® Cosmetic. This treatment stops the nerve activity that is responsible for uncontrollable eyelid movement. BOTOX® Cosmetic is also used to ease the appearance of fine lines and wrinkles around the eyes. The effects of BOTOX® injections are not permanent and may require repeat administrations for the desired effect.
Sometimes the eyelid may sag as the result of a flaccid tendon or muscle that normally elevates the lid to clear the pupil. This procedure improves vision function by shortening the tendon and muscle structure so that the eyelid does not interfere with upper field vision. The need for a ptosis surgery may arise from the gradual loss of integrity in the levator tendon as you age. Dr. Warren will thoroughly review your history and present you with the best treatment options available.
Eyelid lift surgery (blepharoplasty) can be used to correct droopy or sagging eyelids to improve vision function as well as cosmetic appearance. With age the tissues around the eyes can lose their elasticity and cause the eyelids to interfere with the incoming light and its passage through the pupil. This procedure removes excess skin and fat around the eyes so that the pupil is not obstructed. A pleasant feature of this surgery is that the face no longer appears tired, drowsy, or old. Blepharoplasty can also be used in more complicated surgical procedures such as in the removal of cancers around the eye or eyelid area or in restoration and reconstructive procedures.
Tear Duct Surgery
Tear duct obstruction is a very common problem in infants and frequently, within the first five or six months of life, it clears up on its own but also occurs in adults. The tear system in our eyes is like a shower system. Each eye has a tear gland that is continually making tears, even when we are not crying, and a tear duct (or drain pipe) to drain tears out of the eyes and into the nose. (This is why we get a runny nose when we cry.) Some children are born with a blockage in the bottom of the tear duct and the result is similar to what happens when a shower drain is blocked. Excess tearing in adults may be caused either by poor tear drainage or an overproduction of tears. Tears are produced in the tear gland. By lubricating the eyes, tears play a vital role in the maintaining the health of the eye. When the eye is irritated excess tears are produced. People are not always aware of the eye irritation, but instead may notice the overproduction of tears. Tears normally drain into small holes located in the inside corner of the upper and lower eyelids. The tears then collect in the tear sac. The tear sac lies under the skin between the corner of the eye and the nose. Next, the tears flow through a small tube, called the nasolacrimal duct, into the nose. The tears are pumped through this drainage system by the opening and closing of the eye. A blockage in any part of this drainage system can prevent tear drainage and lead to excess tears running out of the eye and down the cheek. Tear Duct Treatment Ocala:
When the nasolacrimal duct, the tube which drains tears into the nose, is blocked a surgical procedure is usually required.
During this procedure, called a DCR (Dacryocystorhinostomy), a hole is created between the tear sac and the inside of the nose.
When the nasolacrimal duct is only partially blocked your doctor will often attempt to widen the opening by flushing water through the duct.
An eyedrop with both anti-inflammatory and antibiotic medications will then be prescribed in an attempt to reduce the swelling in the duct and promote tear drainage. These attempts to open the duct are often successful but may need to be repeated periodically.
When the tubes, called canaliculi, which drain the tears into the lacrimal sac are blocked surgical therapy is required but far more complicated.
In most cases both a DCR and reconstruction of the canaliculi will be performed.
Eyelid weakness or malposition may be treated by surgically tightening and repositioning the lids.
Each ophthalmologist at Ocala Eye is Board-Certified and has undergone rigorous training and education in their individual fields of specialization. This includes four years of premedical courses in college, four years of medical school, three to five years of internship/ophthalmology residency, and for some, additional fellowship sub-specialty training. After all of this is completed, each physician must then pass lengthy exams to receive board certification. All of our ophthalmologists have years of surgical experience and each are members of leading professional associations for eye surgeons at the national, state, and local level. Meet the team:
Mark A. Jank, M.D.
Refractive Surgery, Cataract Surgery, Diseases and Surgery of the Anterior Segment. Mark A. Jank, M.D. practices comprehensive ophthalmology having primary interests in small incision cataract surgery utilizing advanced no-shot / no stitch techniques with simultaneous reduction of astigmatism. Keeping pace with the newest vision technologies featured as part of the Ocala Eye Customized Cataract Care program, Dr. Jank is proficient in the implantation of the latest IOLs which give his cataract patients and others the opportunity to restore youthful vision and gain freedom from the daily inconvenience of glasses and contact lenses. Dr. Jank's refractive surgery expertise further includes LASIK and Conductive Keratoplasty (CK) for the correction of advanced refractive errors. Dr. Jank also has a special interest in complicated intraocular problems faced by patients who have had trauma or previous unsuccessful surgery. Dr. Jank joined Ocala Eye in July 1988, following nine years of active duty as a U.S. Air Force physician. His military career culminated in Tampa serving as MacDill Air Force Base department of ophthalmology's chief surgeon. In recognition of his leadership at MacDill, he received the Air Force Meritorious Service Medal in 1988 for improving cataract surgery procedures. A graduate of Johns Hopkins University and the University of Miami School of Medicine, Dr. Jank performed two years of internal medicine residency, followed by three years of ophthalmology residency at Lackland Air Force Base's Wilford Hall Medical Center in San Antonio, Texas. He was awarded a letter of commendation by the Air Force Surgeon General for implementing an ophthalmology training program for Air Force emergency room medical personnel. He was later appointed special consultant in Ophthalmology to The Surgeon General. Dr. Jank periodically takes time out from his practice to visit third world countries where he does charitable surgery on needy patients. Dr. Jank is a diplomate of the American Board of Ophthalmology and also of the National Board of Medical Examiners. He is a fellow of the American Academy of Ophthalmology, the International Society of Refractive Surgeons, the American Society of Cataract and Refractive Surgery, the American and Florida Medical Associations, and the Marion County Medical Society.
John S. Deaton, D.O.
Cataract Surgery, Diseases and Surgery of the Anterior Segment. John S. Deaton, D.O. joined Ocala Eye in January 1990. Dr. Deaton practices comprehensive ophthalmology having primary interests in Customized Cataract Care utilizing advanced procedures and techniques. He is also an expert in the use of multi-focal lens implants, which gives his cataract patients and others an opportunity to restore youthful vision. Dr. Deaton graduated from the Oklahoma State University College of Osteopathic Medicine in 1978 and served a one-year internship at Tulsa Regional Medical Center. He then began ophthalmic training with the armed forces by completing a two-year ophthalmology preceptorship at the William Beaumont Army Medical Center in El Paso, Texas. His military service continued with a three-year ophthalmology residency at the Wilford Hall USAF Medical Center, Lackland Air Force Base, Texas in 1984. His distinguished military career spanned eight years, culminating with duty as the consultant ophthalmologist at the USAF Hospital, Lakenheath, England. Born in Oklahoma City, Dr. Deaton returned to Oklahoma after his military service in June 1987. Before moving to Florida he was an eye surgeon at the Tulsa Regional Medical Center and a clinical instructor in ophthalmology at his alma mater, Oklahoma State University College of Osteopathic Medicine. Dr. Deaton is board certified by the American Osteopathic Academy of Ophthalmology. His professional memberships include the American Academy of Ophthalmology, Florida Society of Ophthalmology, the Osteopathic College of Ophthalmology, the American Osteopathic Association, the American Medical Association, the Florida Medical Society, and the Marion County Medical Society. He is a diplomate of the National Board of Examiners for Osteopathic Physicians and Surgeons.
Michael Morris, M.D., F.A.C.S.
Glaucoma Surgery, Cataract Surgery, Diseases and Surgery of the Anterior Segment. Michael Morris, M.D. is a fellowship trained glaucoma specialist. His primary interests are medical, laser, and surgical treatment of glaucoma, anterior segment surgery and the latest implementations of Customized Cataract Care utilizing advanced procedures and techniques to restore youthful vision. Dr. Morris is also actively involved in glaucoma research where he continues to test new glaucoma treatments. Dr. Morris joined Ocala Eye in August 1994 after completing a Glaucoma Fellowship at the University of Florida. He graduated from Stanford University in 1985 earning a Bachelor of Science Degree garnering distinction honors in Biological Sciences, and was elected to the honor society, Phi Beta Kappa. He attended medical school at the Yale University School of Medicine where he was awarded his Medical Degree in 1989. Dr. Morris completed an internship in Internal Medicine in 1990 at the Greenwich Hospital in affiliation with the Yale University School of Medicine. He pursued his ophthalmology training at the Manhattan Eye, Ear and Throat Hospital from 1990 to 1993. During his final year, he was selected as the Chief Resident. Dr. Morris is a member of the prestigious American Glaucoma Society, which selects its members based on clinical achievement, published articles, and peer recognition. He is also a diplomate of the National Board of Medical Examiners, and is Board Certified by the American Board of Ophthalmology. He has achieved fellow status from both the American College of Surgeons and the American Academy of Ophthalmology. His other professional memberships include the American Society of Cataract and Refractive Surgery, the Florida Society of Ophthalmology, the American and Florida Medical Associations, and the Marion County Medical Society.
Chander N. Samy, M.D., F.A.C.S.
Diseases and Surgery of the Retina and Vitreous. Chander N. Samy, M.D. is a retinal sub-specialist with fellowship training in diseases and surgery of the retina and vitreous. His field of expertise comprises age-related macular degeneration (including the latest and most advanced treatments), retinal detachment surgery, laser surgery, diabetic retinopathy, and macular hole surgery. Dr. Samy joined Ocala Eye in August 1996. After graduating from the Yale University School of Medicine, he completed an Internal Medicine internship at Yale-New Haven Hospital in 1991. His training continued at the Massachusetts Eye & Ear Infirmary at Harvard Medical School, with an Ophthalmology residency followed by a fellowship in diseases and surgery of the retina and vitreous. Dr. Samy is board-certified by the American Board of Ophthalmology. He is a fellow of the American Academy of Ophthalmology and the American College of Surgeons. He is also a member of the American Society of Retina Specialists, American Medical Association, Florida Society of Ophthalmology, Florida Medical Association, and the Marion County Medical Society.
Peter J. Polack, M.D., F.A.C.S.
LASIK Surgery, Premium Cataract Surgery, Cornea Surgery, External Disease/Dry Eye and Refractive Surgery. Dr. Polack is a fellowship-trained specialist in refractive surgery, cornea and external diseases. His primary interests are diseases and surgery of the cornea, including sutureless cornea transplants utilizing the DMEK/DSAEK method, LASIK, Conductive Keratoplasty (CK), and PRK/epi-LASIK. Dr. Polack is a LASIK patient himself, having undergone the procedure in May 2000. Utilizing the latest techniques and technologies of Customized Cataract Care, Dr. Polack gives his cataract patients an opportunity to restore youthful vision and gain freedom from glasses and contact lenses. He also receives referrals from other ophthalmologists for more complex cases such as cataract surgery patients who have undergone previous refractive surgery. Dr. Polack joined Ocala Eye in August of 1996. He is a graduate of Stetson University and the University of South Florida College of Medicine. After completing an internship at Bayfront Medical Center in St. Petersburg, he was awarded the Dyson Foundation Research Fellowship at Cornell University Medical College. Dr. Polack then returned to Florida for a year, studying corneal diseases with his father, Frank M. Polack, M.D., an internationally-known cornea specialist. He completed his ophthalmology residency at the New York Eye & Ear Infirmary where he was a Chief Resident. Following his residency, he obtained a cornea and refractive surgery fellowship at the University of South Florida under J. James Rowsey, M.D., a pioneer in refractive surgery. Dr. Polack is a diplomate of the National Board of Medical Examiners and is Board Certified by the American Board of Ophthalmology. He is a fellow of the American Academy of Ophthalmology, the American College of Surgeons, the American Society of Cataract and Refractive Surgery, the International Society of Refractive Surgery, and other international cornea societies. Dr. Polack has lectured on corneal diseases and has taught courses on corneal transplant surgery to other ophthalmologists. In addition to publishing several articles, abstracts, and papers, he has coauthored ophthalmology textbooks. Outside of his practice, he is on the editorial board of Ophthalmology Management magazine, where for the past ten years he has written a column on electronic medical records and technology in the medical practice. He blogs and podcasts on a variety of practice-related topics on MedicalPracticetrends.com and is a Most-Viewed Writer on the expert website Quora.com .
Jodie A. Armstrong, M.D.
Cataract Surgery, Diseases and Surgery of the Anterior Segment. Jodie A. Armstrong, M.D. is no stranger to the Heart of Florida area; after all she was born and raised in Ocala. Beginning with her college education, Dr. Armstrong has traveled throughout the country diligently completing her medical training and establishing her medical career. She joined the accomplished medical staff of Ocala Eye in August 2006. Dr. Armstrong is an accomplished cataract surgeon utilizing no-shot, no-stitch techniques with the latest methods of astigmatism reduction. Moreover, her experience includes the instruction of ophthalmology residents at the prestigious Bascom Palmer Eye Institute on how to achieve the best visual outcomes. Her interests also include general ophthalmology and preventative eye exams. Dr. Armstrong's path to ophthalmology lead through both Florida State University and the University of Miami, where she began her medical school training in 1996. Her medical studies continued in Washington, D.C. where she earned her M.D. in 2000 at Georgetown University. Following her Georgetown Transitional Internship at Inova Fairfax Hospital, Dr. Armstrong began her residency at the University of Texas Health Science Center San Antonio. Upon completion of her residency, she relocated to Miami and obtained medical staff positions at Bascom Palmer and the Veterans Affairs Hospital. While serving concurrently as an Assistant Professor of Clinical Ophthalmology at Bascom Palmer and the active Chief of Ophthalmology for the VA Hospital, she contemplated a move back to her home town. Dr. Armstrong decided that Ocala was where she wanted to settle her family and establish a permanent home for her ophthalmology practice. Dr. Armstrong is certified by the American Board of Ophthalmology. She holds memberships with leading medical societies including the American Society of Cataract and Refractive Surgeons, American Academy of Ophthalmology, American Medical Association, and Florida Medical Association.
Mohammed K. ElMallah, M.D.
Glaucoma Surgery, Cataract Surgery, Diseases and Surgery of the Anterior Segment. Mohammed K. ElMallah, M.D. is a fellowship-trained glaucoma specialist and board certified ophthalmologist. He practices comprehensive ophthalmology with primary interests in the laser and incisional surgery treatments of glaucoma. Dr. ElMallah is also skilled in the latest surgical procedures for cataract removal utilizing small incision, no stitch techniques. Dr. ElMallah joined Ocala Eye in August 2008 upon completion of his Glaucoma Fellowship at the Duke University Eye Center. After obtaining his undergraduate degree in computer science from Harvard University, Dr. ElMallah began on his path to ophthalmology at the Baylor College of Medicine and earned his medical degree in 2002 as a Presidential Scholar. Dr. ElMallah's core ophthalmology studies continued at the Illinois Eye and Ear Infirmary at University of Illinois at Chicago where he completed his residency. His ophthalmology training culminated in 2008 with the completion of a glaucoma fellowship at Duke University. In addition to his academic and surgical accomplishments, Dr. ElMallah has been a featured speaker at numerous ophthalmology conferences and has published several articles in peer-reviewed medical journals. Dr. ElMallah is Board Certified by the American Board of Ophthalmology. His professional affiliations include memberships in the American Glaucoma Society, American Academy of Ophthalmology and the Florida Medical Association.
Hina N. Ahmed, M.D.
Cataract Surgery, Diseases and Surgery of the Anterior Segment. Hina N. Ahmed, M.D. is a Board-certified, fellowship-trained ophthalmologist. She practices general ophthalmology with primary interests in cataract surgery and laser surgery. Dr. Ahmed is skilled in the latest surgical procedures for cataract removal utilizing including small incision no stitch techniques and enjoys providing comprehensive eye care for her patients. Dr. Ahmed joined Ocala Eye in August 2005 after completing her fellowship at the University of Pennsylvania's Scheie Eye Institute. In 2008 Dr. Ahmed relocated from Ocala to Baltimore, Maryland and joined Omni Eye Specialists. There she continued to provide comprehensive medical and surgical eye care while focusing on community outreach and encouraging preventative eye exams. Dr. Ahmed was instrumental in building relationships with Baltimore area optometrists and co-managing patients with complex disease. She conducted continuing medical education seminars for Baltimore and the surrounding communities. She rejoined the Ocala Eye staff in March 2011. Dr. Ahmed graduated with a Bachelor of Science degree in Biology from Dartmouth College where she garnered cum laude honors. Following her desire to study the systems of the body she set her sights on medicine. She attended Wright State University's medical school where she received recognition as a research fellow and earned her medical degree in 2000. Dr. Ahmed's core ophthalmology training took shape during three years of residency service at the Case Western Reserve University in Cleveland, Ohio. A medical school interest in histology led to a natural exploration of microsurgery techniques in the eye, including cataract surgery. Her caring approach towards her patients and their thorough medical care was recognized in June 2004 by being honored with the Humanism in Ophthalmology Award. Dr. Ahmed is Board Certified by the American Board of Ophthalmology. Her professional affiliations include memberships in the American Academy of Ophthalmology, Florida Medical Association, and Marion County Medical Society.
Hussain Elhalis, M.D.
Cataract Surgery, Refractive Surgery, Cornea Surgery and External Diseases. "It is an honor to be able to help my patients achieve their best possible vision and improve their quality of life." Hussain Elhalis, M.D. is a fellowship trained specialist in cornea, refractive surgery, and external diseases. He practices general ophthalmology with primary interests in refractive cataract surgery. He uses sutureless techniques and provides the latest in premium lens implant technology. His goal is to allow his patients the opportunity to regain youthful vision and greater independence from glasses and contact lenses. Dr. Elhalis also specializes in laser vision correction with LASIK and PRK, and corneal transplantation using the latest DSAEK and DMAEK techniques. After graduating with honors in biological sciences from Wayne State University in 2005, Dr. Elhalis attended medical school through the scholars program at Ross University School of Medicine in New Jersey. He was awarded highest honors for graduating in the top 5% of his medical school class. He then completed his internal medicine training at Henry Ford hospital in Michigan. Dr. Elhalis completed his ophthalmology residency and fellowship specialty training at the University of Florida in Gainesville. Dr. Elhalis is an active member of the American Academy of Ophthalmology, Florida Society of Ophthalmology, Cornea Society, American Society of Cornea & Refractive Surgery, and the International Society of Refractive Surgery.
Vishwanath Srinagesh, M.D.
Vishwanath Srinagesh, M.D., practices comprehensive ophthalmology and specializes in the latest small-incision sutureless cataract surgery techniques, premium lens implant technology, and vision-enhancing refractive surgery. "Dr. Vish" joined Ocala Eye in 2015 after completing his ophthalmology residency as Chief Resident at the Krieger Eye Institute in Baltimore, Maryland. Dr. Vish garnered Magna Cum Laude honors at Union College in New York while completing his bachelor's degree in Biology, and later finished a master's of science degree in Healthcare Management from Union Graduate University. Dr. Vish earned his Doctor of Medicine at Albany Medical College in May 2011. During his time at Albany Medical College, he discovered his passion for Ophthalmology after spending time shadowing private practitioners in clinic and surgery. In addition to providing care for his patients, Dr. Vish stayed actively involved in ophthalmic research and authored several studies investigating the treatment of Dry Eye. Recognition in research has led Dr. Vish to present his findings at physician conferences and for publication in national journals. During his Ophthalmology training, Dr. Vish also found opportunities to reach out to those less fortunate and assist in providing their medical care. While in Baltimore, he participated in special clinics that provided eye exams and medical care to the homeless population. He was also a member of the Health Equity Task Force which sought to reduce disparities in access to healthcare within the region. Personal interests for Dr. Vish include a passion for tennis and the arts. Dr. Vish has enjoyed coaching youth tennis and organizing tournament play at city facilities. He also instructs children and adults in fundamentals of oil painting. Dr. Vish holds professional memberships with the American Academy of Ophthalmology, the Association for Research in Vision and Ophthalmology, American Society of Cataract and Refractive Surgery, and the American Medical Association. It is an honor and privilege to provide the highest quality care to my patients.
Robert J. Kraut, M.D.
Diseases and Surgery of the Retina and Vitreous. Robert J. Kraut, M.D. is a Board certified ophthalmologist with fellowship training in medical and surgical treatments of the retina. Dr. Kraut practices ophthalmology with emphasis on diseases and surgery of the retina. He joined the medical staff of Ocala Eye in March 2007 and has been practicing in central Florida Since 1999. Dr. Kraut's areas of expertise include macular degeneration, diabetic retinopathy and retinal detachment. After graduating from the University of Pennsylvania, Dr. Kraut completed medical school at the University of Medicine and Dentistry of New Jersey in 1992. Dr. Kraut's ophthalmology residency took place at the Friedenwald Eye Institute of Maryland General Hospital in Baltimore in 1996 where he completed his senior year as chief resident. His training continued at Louisiana State University where he was awarded the Medical and Surgical Retina fellowship. Dr. Kraut is Board certified by the American Board of Ophthalmology and is president of the Central Florida Society of Ophthalmology. His professional affiliations include the Florida Society of Ophthalmology, American Society of Retina Specialists, and the American Academy of Ophthalmology. Dr. Kraut has published articles specific to diseases and surgery of the retina in leading peer reviewed journals and textbooks.
Alan M. Lessner, M.D.
Alan M. Lessner, M.D., is a fellowship trained ophthalmic plastic and reconstructive surgeon who treats a variety of eyelid, orbital, reconstructive and cosmetic problems. He has practiced in this field for 25 years in Gainesville, Florida, both in private practice and as a clinical associate professor in ophthalmology at the University of Florida. His expertise includes cosmetic upper and lower blepharoplasty, endoscopic forehead browlift surgery, midfacial rejuvenation including the use of fillers and fat. He treats patients with skin cancer, other tumors involving the eye and eye socket, tear drainage blockages, drooping eyelids, and malpositions of the eyelids such as ectropion and entropion. Dr. Lessner received his medical degree from Albany Medical College in New York. He subsequently did his ophthalmology residency at the University of Florida. He went on to subspecialize in oculoplastic and orbital surgery by completing fellowships at the Jules Stein Eye Institute of UCLA, Los Angeles, and the University of British Columbia in Vancouver, Canada. He is a member of the American Society of Ophthalmic Plastic Surgeons, and is Board Certified in Ophthalmology. Dr. Lessner has peer reviewed publications including book chapters and citing's in academic journals in ophthalmology and oculoplastic procedures. His techniques have been followed nationally and internationally, and he has lectured in Europe, Australia, Canada, and throughout the United States. We are pleased to welcome Dr. Lessner to the Ocala Eye practice, and we are confident he will serve our patients in a caring and competent manner.
Hazem Samy, M.D., F.R.C.S.
Dr. Hazem Samy, MD, FRCS, is a well-rounded Neuro-ophthalmologist with significant experience in diseases of the Central Nervous System that affect the visual system. Multiple sclerosis, brain tumors, strokes and double vision are some examples for such medical conditions that may affect the vision. Dr. Samy has been practicing in academic positions at different universities for the last 12 years. He practiced as Director of the Neuro-Ophthalmology Service at the University of Pittsburgh Medical Center until 2009 before becoming the Director of the Neuro-Ophthalmology service at the University of Florida in Gainesville. Dr. Samy is Certified by the American Board of Ophthalmology and by the Royal College of Surgeons in Edinburgh UK. He completed his Neuro-Ophthalmology Fellowship at the University of Illinois in Chicago and a Glaucoma Fellowship at the University of Florida. He started his ophthalmology training at the Institute of Ophthalmology in Cairo, Egypt, and proceeded with further training at Princess Alexandra Eye Pavilion in Edinburgh UK before moving to Chicago where he completed his Neuro-ophthalmology training. Dr. Samy also practiced General Neurology at the University of British Columbia in Vancouver, Canada. His extensive previous training and substantial medical and surgical experience allow him to serve the community in Central Florida with great confidence in Ocala Eye, and at the University of Florida as Assistant Professor in the Department of Ophthalmology since 2009. Dr. Samy is a member of the North America Neuro-Ophthalmology Society, American Glaucoma Society and American Academy of Ophthalmology. He joined the Ocala Eye medical staff in 2015 to help serve their patients with Optic Neuropathies and Ocular Motility disorders.
Juan A. Menjivar, O.D.
Optometry and Contact Lenses. Juan A. Menjivar, O.D. is a Board Certified Optometric Physician who specializes in primary care optometry with an emphasis on sports vision and contact lenses. Dr. Menjivar earned a Bachelor of Science in Biochemistry from the University of Texas at Austin prior to pursuing his Doctorate in Optometry at the University of Houston. Dr. Menjivar established his optometry practice in 2008 and was welcomed to the Ocala Eye medical staff in June 2010. Dr. Menjivar's optometry training encompassed several specialty programs, notably his work as a National Eye Institute Predoctoral Research Fellow at the Visual Optics Institute, and an internship in Bausch & Lomb's Global Clinical Program where he contributed to the development of new clinical studies as well as management of ongoing studies. A strong interest in sports-specific vision applications also opened an opportunity for Dr. Menjivar to work with the Boston Red Sox, Los Angeles Dodgers, and St. Louis Cardinals organizations. After additional externship experience at the Quantico, Virginia Marine Corps Base Naval Clinic and Advanced Eye in Canyon, Texas, he established his practice in Florida. Dr. Menjivar holds professional affiliations with leading optometric associations including the American Optometric Association, Florida Optometric Association, North Central Florida Optometric Society, and the American Academy of Optometry. He also actively participates in community service programs such as the Lions Club Special Olympics initiatives, and has traveled on numerous mission trips to Mexico, Honduras, and Belize to assist those in need of vision services.
Kathryn M. Mar Jip, O.D.
Primary Care Optometry and Contact Lenses. Katherine Mar Jip, O.D.Kathryn M. Mar Jip, O.D., practices comprehensive optometry, performing routine and diabetic eye examinations. She is passionate about primary eye care with an emphasis in contact lenses. Dr. Mar Jip graduated Cum Laude from San Francisco State University in 2007 where she earned her Bachelor of Science in Biology with an emphasis in Cellular and Molecular Biology. A graduate of Indiana University School of Optometry, Dr. Mar Jip was involved with Volunteer Optometric Services to Humanity throughout her time in optometry school. Through this organization, she traveled to Guanajuato, Mexico, where she helped see thousands of patients. That experience encouraged her to do one of her clinical rotations there, where she gained experience in diabetic and corneal disease. Prior to joining Ocala Eye in 2016, Dr. Mar Jip completed rotations at Naval Health Clinic Quantico and The Villages VA Outpatient Clinic, both focusing on primary care. A member of American Optometric Association, Florida Optometric Association, and North Central Florida Optometric Society, Dr. Mar Jip is dedicated to providing the most comprehensive possible eye care while developing long lasting relationships with patients.
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