Zeiss MEL 80 Eximer Laser System

ZEISS camera lenses were recognized as the world’s highest quality after their introduction in the 1800s. In the late 1980s, ZEISS optical lenses became the technology of choice for the developers of vision correction lasers.

Carl Zeiss became a notable manufacture of optics in Jena Germany in 1840. His company went on to develop revolutionary optics for microscopes and all types of optical devices. To this day, Zeiss is known worldwide as a leader in the manufacturing of highly precise quality optics.
Zeiss utilized their extensive history in optics to develop their fourth generation Mel 80 excimer laser.

Mel-80-224x168 USAThe MEL™ 80 is the latest excimer laser to receive FDA approval. The MEL™ 80 is a top quality Carl Zeiss Meditec product, designed to make the correction of vision defects, more patient-friendly and individual. All the parameters of this ultramodern work platform are oriented towards increasing efficiency, achieving optimum treatment results and the rapid recovery of vision. Key factors here are the very high speed treatments, and the high-performance eyetracker system that increases safety for patients.
• The fasted laser which leads to shorter treatment times and better outcomes.
• A lightning fast 1050 hertz eye tracker for a safer more accurate treatment.
• The latest laser cleared for FDA approval.
• A wavefront optimized treatment pattern that results in better correction and less glare at night time.
• A “flying spot” laser that utilizes a small treatment beam for a more accurate treatment profile and better vision.

Carl Zeiss Meditec has been a refractive surgery pioneer for more than 20 years. Combining its finest optics with the most advanced excimer laser technology available, Carl Zeiss Meditec brings you laser vision correction with a fourth-generation laser platform, the MEL 80.”MEL” stands for “Meditec Excimer Laser.”

The MEL 80 is a fourth generation Carl Zeiss excimer laser platform, taking vision correction to a new level. By reshaping the human cornea to its most natural shape during treatment, your vision can now be similar to the quality of lenses on which Carl Zeiss has built its reputation. The goal is to deliver high resolution vision with a custom treatment unique to your prescription. Carl Zeiss engineers created this advanced vision correcting technique using the latest wavefront techology innovations. This scientific method takes into consideration not only the clarity of vision from the shape of your eye, but it also treats other irregularities within your eye that may prevent you from having a higher quality of vision. One of the fastest excimer lasers in the world, your treatment is completed within seconds.

Zeiss VisuMax Femtosecond Laser

Carl Zeiss has over 160 years of experience in the development of optics and Zeiss high performance optics are key to providing an optimum corneal flap. In general, patients who qualify for LASIK are also candidates for the VisuMax laser corneal flap treatment, and thus will benefit from its accuracy and gentleness.

Carl Zeiss began developing optics in 1840. His company, Carl Zeiss Meditec, went on to become the foremost leader in highly precise optics. The quality of the German engineering is known worldwide for its unsurpassed high quality. Zeiss is a leader in many fields of optics, from lenses, telescopes, microscopes and sporting optics.

VisuMax-224x168The same precise engineering has been used to develop the VisuMax femtosecond laser. The VisuMax is so precise that it requires 7 times less energy than other femtosecond lasers. Less energy is always key when treating the delicate tissue of the cornea. The high precision of the optics combined with the low energy create better outcomes for patients who are treated on the VisuMax femtosecond laser.

Gentle Treatment

Patient comfort was a high priority for the engineers at Carl Zeiss Meditec. Other femtosecond lasers use high suction during the creation of the corneal flap. This higher pressure can be uncomfortable and cause the patient to lose vision during the creation of the flap.
The VisuMax laser is incredible advancement in patient comfort. The comfort provide by the VisuMax creates a much better surgical experience for the patient. The VisuMax laser used a curved surface like a contact lens. The curved surface is natural to the cornea and creates a comfortable experience for the patient. Patients that have had treatment on the VisuMax compare their experience to putting in a contact lens.
Doctors enjoy the increased safety when using the VisuMax for “bladeless” LASIK. Most potential complications can occur when using a mechanic blade to create the cornea flap. Doctors have embraced “bladeless” LASIK because of the increased patient safety and ease of use.
During treatment the VisuMax femtosecond laser uses very precise optics to focus the laser energy. A femtosecond laser uses focused laser energy to create very small bubbles inside the cornea. The VisuMax places these tiny bubbles inside the cornea in a pattern that creates a corneal flap.
The doctor can create a very precise flaps that are unique to each patient. This flexibility and precision allow for a greater range of treatment options than are available with a mechanical blade.

Why do we offer the VisuMax laser for bladeless all laser LASIK?
• Patient Safety
• Better outcomes
• Quicker recovery time
• Unsurpassed patient comfort

Flap creation with the VisuMax is a completely bladeless procedure. The creation of the corneal flap with the VisuMax is very fast and takes approximately 20 to 30 seconds, while the complete LASIK procedure may take approximately 15 minutes.

A very accurately focused laser beam is guided through to the cornea in a computerized treatment that is unique to each patient. The laser beam moves across and through the cornea, creating a layer of very tiny bubbles under its path. These bubbles quickly disappear, and the tissue above the bubbles becomes the corneal flap that can be easily lifted by your surgeon.

Everyone has a curved cornea. Nature often provides us with the best answers, and the VisuMax features a unique, curved contact glass to maximize patient comfort. This technology allows for the patient to maintain visual sight during the entire procedure. This is possible since the curved contact interface attaches to the cornea during the treatment and the cornea is only slightly flattened, which prevents unnecessarily high intraocular pressure and stress to the eye. This provides maximum comfort and it allows you to see throughout the entire procedure, unlike with microkeratomes or other femtosecond lasers, where your vision is “blacked out” for a while and patients have reported feeling uncomfortable pressure. Patients often describe the VisuMax procedure like the insertion of a soft contact lens.

Due to the Zeiss high performance optics, the laser beam is guided very precisely to the desired depth, resulting in most accurate flap thickness. In addition, the laser beam is directed in a very focused manner, which allows the doctor to apply only minimum laser energy to the eye during the treatment. As a result, the tissue outside the defined area of the cut remains untouched.

Since the VisuMax is able to create very thin corneal flaps, some patients who were previously not a candidate for LASIK due to thin corneas, are now benefiting from the procedure, thanks to the VisuMax. Your doctor will make the final determination.

Benefits of Blade-Free

The VisuMax laser provides more stability and greater flap precision when compared to LASIK. LASIK’s greatest complication is flap problems after surgery. Because blade free is so precise, this risk is significantly reduced.

The blade-free Lasik vision correction surgery can produce real benefits for some patients. They include:
• Decreased risk of flap complications.
• Decreased incidence of postoperative dry eye
• Unlike other alternatives to LASIK, it preserves many of the benefits of LASIK including a short and largely pain-free recovery.
• More accurate outcomes in terms of patients’ postoperative vision.
• Benefits of vision correction surgery are available to those who might have previously been poor candidates.
• Less pressure on the eye during the surgery.
• Reduced incidence of patients needing a second operation to correct their vision.
• Flaps created with a laser are less likely to become dislodged later.

Bladeless IntraLase™ FS Laser

IntraLase FS Laser

The IntraLase FS Laser brings a new level of safety and assurance to vision correction surgery by providing an all-laser approach for optimal precision. Now, the accuracy of a computer-controlled laser may be used to create the corneal flap for LASIK, providing unprecedented control and the ability to customize the flap for each of our patients.

Traditionally, the creation of a corneal flap was performed with a mechanical, hand-held device (known as a microkeratome) which moved across the cornea to cut the flap.

With Intralase, the corneal flap is made
with a laser instead of a microkeratome

Because many LASIK complications are attributed to the unpredictable performance of the microkeratome, the new IntraLASIK all-laser surgical approach is being eagerly embraced across the US. Now, The IntraLase FS laser is a safer, computer-controlled alternative to a mechanical microkeratome for creating corneal flaps in the LASIK procedure. Although mechanical microkeratomes are safe, they can cause complications in 1 in 2500 or 5000 cases. Using the IntraLase FS Laser takes LASIK safety to the next level by significantly reducing the chance for removing that rare complication.

LASIK using the IntraLase FS Laser is called IntraLASIK. To make the corneal flap, the IntraLase FS Laser, the laser beam is focused into a tiny spot of energy that passes harmlessly through the outer layers of the cornea until reaching its exact focal point within the central layer of the cornea. There the corneal flap procedure is initiated, silently and painlessly, with remarkable precision. The IntraLase FS Laser can also be used to create the channels and entry cuts for placement of Intacs. Using the IntraLase FS Laser for this procedure assures that the two segments are placed at the exact same depth and removes the need for making the more surgically difficult mechanical channel.

Researchers are exploring the possibility of using the IntraLase FS Laser in other procedures, such as cornea transplants and glaucoma treatment.

Why we’ve invested in the IntraLase FS Laser:

  • IntraLASIK provides our patients with an extra margin of safety by eliminating potential complications from mechanical microkeratomes.
  • IntraLASIK allows us to perform LASIK on patients with thin corneas because we can make a precisemore shallow flap, which allows us to correct higher levels of refractive error.
  • IntraLASIK provides both the patient and the surgeon with a higher level of confidence knowing the creation of the flap will be without complications. Patients and surgeons relax more during the procedure making it more enjoyable for all.
  • IntraLASIK makes laser vision correction an all laser procedure, which significantly adds to its precision and predictability.
  • IntraLASIK also creates better fitting flaps. Once put back in place, these flaps form a tight seal, making flap dislocation after the procedure more difficult.
  • The corneal flap procedure with IntraLASIK, using the IntraLase FS Laser is painless and more comfortable as there is much less pressure placed on the cornea with the laser vs the mechanical microkeratome.

For more information about IntraLASIK, go to http://www.intralase.com/

*IntraLASIK proprietary software is offered exclusively by IntraLase Corp. IntraLase and IntraLASIK are trademarks of IntraLase Corp.

VISX STAR S4™ Excimer Laser System

VISX laser systems have been used to perform millions of laser vision correction procedures in the U.S. and around the world. Every year, more doctors use VISX lasers to perform laser vision correction surgery than any other system. The VISX STAR S4 is one of the most advanced systems on the market today. This technologically advanced laser offers faster treatments using variable spot beam technology and an eye tracking system that tracks in all three dimensions.

The VISX STAR S4 can be used in combination with VISX CustomVue™ to address the unique imperfections of each individual’s vision. CustomVue can provide our patients with the potential to experience better vision than is possible with glasses or contact lenses.

VISX STAR S4 ActiveTrak™ excimer laser

Why we’ve chosen the VISX STAR S4 Excimer Laser System:

  • The STAR 4 variable beam technology allows the doctor to treat patients with different laser beam sizes and shapes, determined by each patient’s visual needs.
  • The VISX Exclusive SmartBeam™ technology adjusts beam size according to treatment, minimizing the amount of corneal tissue that needs to be removed.
  • With ActiveTrak™ 3D eye-tracking technology, the laser detects and compensates for small eye movements by guiding the laser beam to keep it centered precisely over the treatment area.
  • VISX’s exclusive Active Trak™ is the only system that allows the doctor to track eye movement in all three dimensions. Having the beam centered correctly on the eye at all times helps ensure precise results.
  • Unlike other lasers with eye-tracking technology, ActiveTrak requires no pupil dilation, leading to an even quicker recovery time.
  • VISX laser systems produce an extremely smooth surface on the cornea after the procedure. Smoother ablations, as they’re known, promote faster healing and result in better visual outcomes.
  • VISX laser systems achieve an optical zone that may result in reduced problems with night vision.
  • VISX laser systems require a shorter procedure time than many lasers, which enhances comfort and may reduce the risk of postoperative complications.

For more information about the VISX STAR S4 Excimer Laser System go to: http://www.visx.com

For a list of FDA approved lasers go to: http://www.fda.gov/cdrh/lasik/lasers.htm

Eyelid Surgery


Through modern techniques and advances in an eyelid rejuvenation procedure called blepharoplasty, your doctor can help restore a more youthful, alert and healthy look to your droopy eyes. Sometimes referred to as a “mini facelift,” blepharoplasty has become one of the most popular cosmetic procedures for both men and women because of its high level of patient satisfaction. Blepharoplasty can be performed on both the upper and lower eyelids.

Blepharoplasty is for those who:

  • have eyelids encroaching on their field of vision
  • want to reduce loose skin over their eyes or bags under their eyes

Before and After Pictures

D. Reske P1 8-4-11Before-sm
D. Reske P3-20-12After-sm
D. Cooper P2 6-23-11Before-sm
D. Cooper P11-1-11After-sm
B. Johnson P3 8-2-11Before-sm
B. Johnson P10-25-11After-sm
C. Hildebrand P2 6-7-11 Before-sm
C. Hildebrand P1-12-12After-sm

Before surgery

Your doctor will evaluate the condition and health of your eyes. Specifics regarding your vision, tear production, use of contact lenses, use of medications and personal expectations will be discussed. This information, along with other factors such as age, skin type and ethnic background will allow both you and your surgeon to come to a mutual decision. A plan will be discussed regarding the surgical technique, amount of surgery and type of anesthesia to be used.

What to expect on procedure day

You will arrive 30-60 minutes prior to your procedure. Once you have been checked-in and settled comfortably, you will be prepared for surgery. Blepharoplasty is generally performed using a local anesthetic. You may be given a mild sedative to help you relax.

If you are having surgery performed on your upper eyelids, your surgeon will remove the excess skin, muscle and fatty tissue that have accumulated in the inside corner of your eye, next to your nose. The incisions will be made along the natural folds in your skin so that as the incisions heal, they become difficult, if not impossible to see.

If your surgery is on your lower eyelids, your surgeon will make the incision inside or behind the eyelid (providing there is not too much excess skin). This technique is called a transconjunctival blepharoplasty, which allows the removal of fatty deposits while avoiding the need for an external incision. If you have excessive skin or muscle folds below the eye, an incision may also be made just below the base of the eyelashes. As this incision heals, the fine scar should become barely visible.

After the procedure you will need to have someone drive you home. You may experience some bruising and swelling for a week to a month after the surgery, longer in some cases. Cold compresses and head elevation will help reduce these effects. Your doctor may also recommend eye ointments and/or eye drops to keep the eye moist and clean.

Postoperative discomfort is usually relatively mild, but your eyes may feel sticky, dry and itchy for a week or so after the procedure. You will need to take special care in cleaning around your eyes for the first week or two.

Stitches are usually removed within five to ten days after surgery. Self-absorbing stitches will dissolve on their own. Make-up or sunglasses may be used to camouflage temporary bruising after the stitches are removed.


The decision to have blepharoplasty is an important one that only you can make. The vast majority of our patients are extremely happy with their appearance after blepharoplasty, however, we cannot guarantee you will have the results you desire. Although the positive effects on your appearance from having blepharoplasty are immediate, your results will not be considered final for up to a year as the healing process continues.

Serious complications with blepharoplasty are extremely rare, but like any surgical procedure it does have some risks. If you decide that blepharoplasty is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Blepharoplasty is generally considered a cosmetic procedure and most insurance companies will not pay for the procedure. However, if your eyelids are encroaching upon your field of vision, the procedure may be covered as “medically necessary” surgery. We would be happy to contact your insurance carrier to determine if they cover the procedure.

Eyelid Malposition – Entropion & Ectropion

Two of the most common forms of eyelid malposition are entropion and ectropion.


Entropion is the inward turning of the eyelid, usually the lower, causing the lashes to rub against the cornea (the clear surface of the eye). Patients complain of eye pain, excessive tearing, redness and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and some vision loss.

Causes of Entropion

Laxity of eyelid tendons combined with weakening of muscles with age commonly cause entropion, although it could also occur as a result of trauma or scarring.


Ectropion is an outwardly turned or sagging lower lid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.

Causes of Ectropion

Common causes of ectropion include age-related tendon laxity, trauma, scarring, or facial nerve paralysis associated with Bell’s Palsey.


Initially, lubrication drops or ointments may give temporary relief from the irritation caused by entropion and ectropion; however, surgical treatment is usually the only long term solution.


Entropion repair is normally performed on an outpatient basis under a local anesthesia.


This surgery is usually performed on an outpatient basis, so you will go home the same day. There is minimal discomfort after the procedure. You may experience blurred vision, which should last under 24 hours. Ice packs are recommended for the first two days while bending and heavy lifting should be minimized. Swelling and bruising around to eyes lasts for seven to ten days. Most patients can return to work after one week.

Argon Laser Trabeculoplasty (ALT)

Laser surgery has become increasingly popular as an intermediate step between drugs and traditional glaucoma surgery. The most common type of laser surgery performed for open-angle glaucoma is called Argon Laser Trabeculoplasty (ALT). The objective of the surgery is to help fluids drain out of the eye, reducing intra-ocular pressure that can cause damage to the optic nerve and loss of vision.

Although your eye care professional may suggest ALT surgery at any time, it is often performed after trying to control intra-ocular pressure with medicines. In many cases, you will need to keep taking glaucoma medications even after ALT surgery.

ALT is for those:

  • who have been diagnosed with glaucoma
  • whose doctor has determined that ALT is appropriate for controlling their intra-ocular pressure

What to expect on procedure day

Your treatment will be performed in a specially equipped laser room. It does not require a surgery center. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your doctor will hold up a special lens to your eye as a high-energy beam of light is aimed at the lens and reflected onto the trabecular meshwork inside your eye. You may see flashes of bright green or red light. Your doctor will make 50-100 evenly-paced laser applications in 10-15 minutes. This will be done in one or two treatment sessions. The laser beam will cause some areas of your eye’s drain to shrink, resulting in adjacent areas stretching open to permit the fluid to drain faster. You will not feel any pain during the procedure.

Your eye pressure will be checked shortly after your procedure and drops may be prescribed to alleviate any soreness or swelling inside your eye. You should relax for the rest of the day. Follow-up visits are necessary to monitor your eye pressure. While it may take a few weeks to see the full pressure-lowering effect of this procedure, during which time you may have to continue taking your medication, many patients are eventually able to discontinue some of their medications. Most patients resume normal activities within a few days.

Realistic expectations

The effect of the surgery may wear off over time. Two years after ALT surgery, the pressure from glaucoma increases again in more than half of all patients. Serious complications with ALT are extremely rare, but like any surgical procedure, it does have some risks. You will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Pan-Retinal Photocoagulation

Diabetic retinopathy does not usually impair sight until the development of long-term complications, including proliferative retinopathy, a condition in which abnormal new blood vessels may rupture and bleed inside the eye. When this advanced stage of retinopathy occurs, pan-retinal photocoagulation is usually recommended.

Pan Retinal Photocoagulation stops vessels on the retina from leaking

During this procedure, a special laser is used to make tiny burns that seal the retina and stop vessels from growing and leaking. Hundreds of tiny spots of laser are placed in the retina to reduce the risk of vitreous hemorrhage and retinal detachment. Targeted laser applications can treat specific areas in the central vision that are leaking. The laser is used to destroy all of the dead areas of retina where blood vessels have been closed. When these areas are treated with the laser, the retina stops manufacturing new blood vessels, and those that are already present tend to decrease or disappear.

The goal of pan-retinal photocoagulation is to prevent the development of new vessels over the retina and elsewhere, not to regain lost vision.

Pan-retinal photocoagulation is for those:

  • who have been diagnosed with proliferative retinopathy
  • whose doctor has determined that pan-retinal photocoagulation is the appropriate treatment for their condition

What to expect on procedure day

Your treatment will be performed in a specially equipped laser room. It does not require a surgery center. It is usually performed without anesthesia, although some will want a local anesthetic.

Before your procedure begins, an eyelid holder will be placed between your eyelids to keep you from blinking. Next, your ophthalmologist will begin laser treatment with an argon or diode laser. The laser treats the peripheral (outside) and middle portions of your retina. It does not treat the central or macular region because this would likely cause serious loss of vision.

The initial treatment usually consists of approximately 1,500-2,000 spots of laser per eye. This will be done in two or more sessions.

Your vision will be poor immediately after the treatment, but will recover to the pre-treatment level over time. You should plan to have someone drive you home, and you should relax for the rest of the day. Most patients resume activities within a few days. Regular follow-up visits are required.


The goal of pan-retinal photocoagulation is to prevent the development of new vessels over the retina and elsewhere, not to regain lost vision. There is no improvement in vision after the laser treatment. Vision may decrease due to edema/swelling of the retina, after the laser treatment. It may improve to its previous level in two to three weeks or may remain permanently deteriorated. Recurrences of proliferative retinopathy may occur even after an initial satisfactory response to treatment.

This procedure sacrifices peripheral vision in order to save as much of the central vision as possible and to save the eye itself. Night vision will be diminished. After pan-retinal photocoagulation, blurred vision is very common. Usually, this blur goes away, but in a small number of patients some blur will continue forever.

Serious complications with pan-retinal photocoagulation are extremely rare, but like any surgical procedure, it does have risks. These risks can be minimized by going to a specialist experienced in pan-retinal photocoagulation.

If you and your doctor decide that pan-retinal photocoagulation is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Cataract Surgery

Over fifty percent of people over the age of 60, and quite a few younger than that, suffer from cataracts. Currently there is no medical treatment to reverse or prevent the development of cataracts. Once they form, the only way to see clearly again is to have them removed from within the eye.

In your parents’ or grandparents’ day, cataract surgery was considered risky, required a lengthy hospital stay and was usually postponed for as long as possible. Today, cataract surgery is performed on an outpatient basis and takes only a few minutes. It is now one of the most common and successful medical procedures performed. In fact, following cataract surgery, many patients experience vision that is actually better than what they had before they developed cataracts.

Cataract surgery is for those who:

  • believe that their quality of life has been impaired by poor vision
  • have been diagnosed with cataracts
  • have no health issues affecting their eyes

What to expect on surgery day

You will arrive at the surgery center about an hour prior to your procedure. Once you have been checked in you may be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape may be applied around your eye.
Eye drops or a local anesthetic will be used to numb your eyes. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your eye will be completely numbed before the procedure.

A very small incision will be made and a tiny ultrasonic probe will be used to break up the cataract into microscopic particles using high-energy sound waves. This is called phacoemulsification.

The cataract particles will be gently suctioned away. Then, a folded intra-ocular lens (IOL) will be inserted through the micro-incision, then unfolded and locked into permanent position. The small incision is “self-sealing” and usually requires no stitches. It remains tightly closed by the natural outward pressure within the eye. This type of incision heals fast and provides a much more comfortable recuperation.

Intra-Ocular Lens replaces the natural lens of the eye.
The IOL is placed inside the capsular bag of the eye.

If your eye has pre-existing astigmatism, your surgeon may elect to make micro-incisions in the cornea to reduce your astigmatism. These are called LRIs or limbal relaxing incisions.

Pre-existing astigmatism can be treated with limbal relaxing incisions.


You will go home soon after the surgery and relax for the rest of the day. Everyone heals somewhat differently, but many patients report improvement in their vision almost immediately after the procedure. Most patients return to their normal activities within a day or two.

Realistic expectations

The decision to have cataract surgery is an important one that only you can make. The goal of any vision restoration procedure is to improve your vision. However, we cannot guarantee you will have the results you desire.

Once removed, cataracts will not grow back. But some patients may experience clouding of a thin tissue, called the capsular bag, that holds the intra-ocular lens. In most cases, a laser is used to painlessly open the clouded capsule and restore clear vision with a procedure called a capsulotomy.

The capsular bag may become cloudy in the future.

Serious complications with cataract surgery are extremely rare. It is a safe, effective and permanent procedure, but like any surgical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with cataract surgery.

After a thorough eye exam, you and your doctor will determine if cataract surgery is an option for you. You will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

Posterior Capsulotomy

A posterior capsulotomy is a non-invasive laser procedure to eliminate the cloudiness that occasionally interferes with a patient’s vision after cataract surgery. In modern cataract surgery, the cataract is removed, but a thin membrane that held the cataract is left in place to hold the implanted artificial lens.Leaving the capsule in place during cataract surgery is a great advancement because it allows the vision after surgery to be more stable and ensures fewer surgical complications. However, sometimes the posterior or back portion of the capsule becomes cloudy over time. This can be resolved with a quick in-office laser procedure.

The capsular bag can become cloudy over time.

A posterior capsulotomy is for those who:

  • have had cataract surgery
  • believe that their vision is being affected by cloudiness

What to expect on procedure day

Once you have been checked-in, drops will be used to numb your eye; no injections or needles are used. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.

Your ophthalmologist will use a YAG laser to create an opening in the center of the cloudy capsule. The opening allows clear passage of the light rays and eliminates the cloudiness that was interfering with your vision.

Opening the bag with the laser allows for clear passage of light rays.

The entire procedure takes only about five minutes and you can leave soon afterward. The results of the procedure are almost immediate, however your vision will probably be a little blurry from the drops so someone will need to drive you home. Your doctor may prescribe anti-inflammatory drops for you to use for a few days following the procedure. Most patients resume their normal activities immediately.

Realistic expectations

Serious complications with posterior capsulotomy are extremely rare. It is a safe and effective procedure, but like any medical procedure, it does have some risks. Going to an eye specialist experienced with the procedure can significantly minimize the risks involved with posterior capsulotomy.

If you and your doctor decide that posterior capsulotomy is an option for you, you will be given additional information that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

If you would like more information about this procedure you can make an appointment or contact the office for additional information.

Hair removal treatments

Introducing powerful, versatile, and innovative aesthetic treatments, with the Palomar StarLux® Pulsed Light and Laser System.

Permanent Hair Reduction Through Pulsed Light

The Old Solutions

If you live with unwanted hair, you’ve probably tried some of the typical solutions such as shaving, waxing and electrolysis. If so, you’ve found that:

  • Shaving is a daily nuisance.
  • Waxing is painful and only a short-term solution.
  • Electrolysis is effective, but since it only treats one hair follicle at a time, it’s not practical for large areas and is extremely time consuming.

The Pulsed Light Alternative

Palomar Pulsed Light Systems offer a lasting solution for unwanted hair.

  • Permanent: Concentrated pulses of light loosen the hair and disable the cells responsible for new hair growth.
  • Fast: Small areas, such as underarms and upper lip can be treated in 10 minutes or less. Even large areas, like the back or legs, can be treated in under half an hour.
  • Comfortable: Various cooling methods keep the light pulses mild and skin safe, allowing for more comfortable treatments than electrolysis or waxing.
  • Convenient: Unlike waxing, there is no need to let hair grow out between treatments. You can remain hair free all the time.

Frequently Asked Questions

How does Palomar pulsed light work?

Palomar Systems uses specialized hand pieces which filter light from different parts of the spectrum. Each band of the spectrum has a wavelength that is ideal for different treatments, such as hair reduction, sunspot removal and acne treatment.

The Palomar hair removal hand pieces emit pulses of light into the hair follicles. The light is absorbed by the pigment in the follicles and converted to heat. The heat then loosens the hair and disables cells responsible for hair growth.

How is Palomar pulsed light different than a laser?

Pulsed light systems and lasers are very similar, but Palomar Pulsed Light Systems use a much larger treatment window than most lasers. This spreads light over a wider area of skin and allows faster coverage of the skin and quicker treatments as a result.

What body areas can I get treated?

Any area except around the eyes. The upper lip, face, neck, underarms, bikini line, legs, chest and back can all be treated.

What are Palomar treatments like?

Your treatment provider will move the hand piece over the skin, pulsing it all the while. Each pulse will send a beam of light through your skin. A flashing light, an audible tone and a mild sensation on the skin will tell you when the hand piece is being pulsed.

What should I expect after treatment?

  • Immediately after treatment, you can expect a mild sunburn-like sensation, possibly accompanied by minor swelling. This usually lasts 2 – 24 hours, and can be soother with cold gel or ice packs
  • The treated hair will continue to appear for 7 – 30 days post-treatment. This is not new hair growth but the treated hairs being expelled from the skin.
  • At any given time, some of your hair is not in a phase of active growth. Therefore, you will need more than one treatment to affect the growth of all your unwanted hair.


Rejuvapen Micro-Needling Device


Rejuvapen Results



BOTOX® injection is a revolutionary wrinkle reduction procedure that can reduce or eliminate wrinkles in the upper third of the face, including forehead lines, frown lines between the eyes and crow’s feet around the eyes. It is not surgery. There is no chance of scarring.


BOTOX® is a protein that weakens and inactivates muscles that wrinkle the skin. When BOTOX® is injected in extremely small doses directly into a specific muscle, it blocks the signals from the brain from reaching the muscle. As the muscle weakens, the skin overlying the muscle relaxes and the wrinkles caused by muscle contractions soften and often disappear. The effect can last from 4 to 5 months.

BOTOX® injection is for those who

  • want to reduce or eliminate facial wrinkles

Before your treatment

Ask your doctor to determine if you are a candidate for BOTOX® injection. Together, you will determine the number and regularity of treatments best for you.

What to expect on procedure day

Your treatment can be performed in an examination room environment. Since it isn’t a surgical procedure, it does not require a surgery center. Your doctor will inject an extremely small dose of BOTOX® into designated facial muscles using a micro-needle. It will only take a few seconds. You might feel a stinging sensation that will subside quickly.

You won’t see the effects of the initial injections for three or four days, and improvements will continue for several days after that. If you experience any discomfort after the procedure, you can use ice compresses or over-the-counter pain medication. You may have a little bit of bruising.


Because this procedure is non-invasive and non-surgical, you may return to your normal activities immediately.

Realistic expectations

BOTOX®, when used in these extremely small doses, has a high level of safety. Since Botox proteins are only attracted to muscles, it has no effect on the central nervous system. It does not cause numbness in the area of the injections, and muscles related to other facial expressions are rarely affected. One or two patients in every hundred may experience a temporary drooping of the eyelid, but this usually goes away in a week or two.

Serious complications with BOTOX® injection are extremely rare, but like any medical procedure, it does have some risks. Going to a specialist experienced in Botox injection can significantly minimize the risks. The vast majority of our patients are extremely happy with their appearance after BOTOX® injection, however, we cannot guarantee you will have the results you desire.

If you decide that Botox injection is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed. Be sure you have all your questions answered to your satisfaction.

BOTOX® is a registered trademark of Allergan, Inc.