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Ophthalmology

Ophthalmology

Ophthalmology Department covers specialties in ophthalmology and optometry.

For an overview of general services and detailed information on different procedures offered by the hospital.

  • Optometry Services
  • Ophthalmology Services

Optometry Services

The Palo Alto Medical Foundation optometry services provide comprehensive eye care for our patients. Optometrists are independent primary health care providers who conduct examinations to determine the overall health of the eyes. Optometrists screen for diseases such as glaucoma, cataracts, macular degeneration, hypertensive retinopathy and diabetic retinopathy. They also prescribe corrective lenses when needed, such as glasses and contact lenses.

Therapeutically certified optometrists prescribe medications to treat many eye diseases, such as red eye and conjunctivitis. The California Board of Optometry certify the licenses and regulates the eye care professionals.

Ophthalmology Services

In addition to general ophthalmology, including cataract evaluation and surgery, sub-specialty services are available in cornea and external diseases, glaucoma, paediatric ophthalmology and strabismus, neuro-ophthalmology, oculoplastic surgery and vitreo-retinal surgery.

Cataract Surgery

On ageing the lens of eye it may get cloudy causing loss of vision. This condition is known as cataracts. Surgeons remove cloudy lens and replace it with a synthetic lens restoring the vision. Recent advances in cataract surgery include the implant of accommodative and multi-focal lenses to assist with near vision and “toric” implants to correct astigmatism. Other treatments for astigmatism after cataract surgery include limbal relaxing incisions.

Glaucoma Treatment & Surgery Options

Glaucoma is an eye disease that results from increased pressure within the eye caused by fluid backup. Over time, this elevated pressure causes damage to the optic nerve and lead to blindness. Early detection is the key for saving the eye sight. A simple test during regular eye examination can catch glaucoma in its earliest stages.

Glaucoma can be treated with eye drops, pills, laser surgery, traditional surgery or a combination of these methods. As vision loss from glaucoma is irreversible, its early detection is required.

When medication does not achieve the desired results, or have intolerable side effects, surgery is suggested.

The Palo Alto Medical Foundation offers a number of innovative procedures for surgically treating glaucoma, including:

  • Selective Laser Trabeculoplasty
  • Irectomy or Laser Iridotomy

Corneal Transplant

Cornea is the clear front of the eye that covers the colored iris and the round pupil. Light is focused while passing through the cornea so that we can see. To stay clear, the cornea must be healthy.

Damage or disease, however, may cause the cornea to become hazy. If the cornea is damaged it may become swollen or scarred. In any case, its smoothness and clarity may be lost. The scars and swelling of cornea cause distortion of light, resulting in glare or blurred vision. In such situation corneal transplant surgery may be needed to replace the cornea with tissue from donor.

In the last several years, a number of new techniques for corneal surgery came into market which offer the potential for faster recovery and fewer complications than traditional full thickness corneal transplantation (penetrating keratoplasty) perform these cutting-edge procedures including Descemet’s stripping endothelial keratoplasty (DSEK), Laser-assisted ant Erior lamellar keratoplasty, Laser-assisted deep anterior lamellar keratoplasty, Laser-assisted Intacs for keratoconus and Boston artificial cornea.

These procedures may be recommended for people who have:

  • Vision problems caused by thinning of the cornea. This is called
    keratoconus.
  • Scarring of the cornea from severe infections or injuries.
  • Vision loss caused by cloudiness of the cornea. This is called Fuchs'
    dystrophy.

Retinal Surgery

The human retina is a light sensitive tissue lining the inner surface of the eye. The optics of the eye creates an image of the visual world on the retina, which serves the same function as the film in a camera. Light striking the retina initiates a cascade of chemical and electrical events that trigger nerve impulses and are sent to visual centres of the brain. Due to disease or injury, the retina may get torn or detached from the back of the eye. Sudden or gradual increase in “floaters” (particles obscuring vision) in the eye or “light flashes” cutting off vision are signs of retinal detachment and a medical emergency. Eye care professional must immediately be contacted in such situation.

A variety of laser and surgical options are available for various disorders of retina such as laser treatment or surgery, diabetic retinopathy and other pathologies, intravitreal injections.

Strabismus Surgery

Strabismus, sometimes known as “squint” or “misalignment of the eyes,” is a disorder in which the line of sight of one eye is not aligned with that of the other eye. Surgery is performed on the eye muscles in order to properly adjust the way these muscles rotate the eyes restoring the normal eye-image.

Products and Services

  • Eye Exams
  • Eyeglasses
  • Contact Lenses
  • Specialty and Custom Lenses
  • Consulting and Sales of Soft Contacts
  • Designer Frames
  • Diagnosis and Treatment of Eye Infections
  • LASIK and Cataract Surgery Co-Management