Providing comprehensive eye care, laser assisted cataract surgery, diabetic eye care and glaucoma treatment with offices in Tacoma and Olympia, Eye MDs of Puget Sound is committed to excellence in ophthalmology. Your vision is our top priority and we strive to provide expert eye care in a comfortable, professional atmosphere.

To make an appointment with Dr. Geissler, please call 253-248-2020. To make an appointment with Dr. Deem, please call 253-272-4600.

Our state-of-the-art facilities offer the most advanced medical and surgical technology available for all your eye care needs. We have a full service optical dispensary integrated conveniently within our facilities. Our Board Certified physicians are skilled in the latest treatments for glaucoma and diabetic eye disease. We provide laser assisted cataract surgery and offer multifocal ReSTOR, Tecnis, and Toric intraocular lenses to our patients. We also offer ocular plastic and elective facial plastic surgery procedures as well as Custom LASIK and Epi-LASIK laser eye treatments as part of our comprehensive approach to all your eye care needs.

We appreciate the trust you have placed in us. We realize that your eyesight is a precious gift and we are dedicated to preserving it for a lifetime.

Cataract surgery is a common procedure performed to restore vision.


Diabetic retinopathy, or weak blood vessels of the eye, is a concern for diabetic patients.


Glaucoma occurs due to pressure on nerves of the eye and may cause vision loss.


LASIK laser surgery can reduce or eliminate the need for glasses.



Dermatochalasis is the medical term for extra drooping skin of the upper eyelid(s). This lowering of the upper eyelid skin causes a reduction in the field of vision where the eyelid either partially or completely obstrcts the pupil. Patients with dermatochalsis often have difficulty keeping their eyelids open. To compensate, they will often arch their eyebrows in an effort to raise the drooping eyelids. In severe cases, people with dermatochalasis may need to lift their eyelids with their fingers in order to see.

There are many causes of dermatochalasis, including age-related weakening of the skin, congenital weakness, trauma, or most commonly heredity. As we age, the skin around the eyelid can stretch and cause the eyelid to fall. This is the most common cause of a droopy eyelid. Dermatochalasis may also occur following routine LASIK or cataract surgery due to stretching of the skin around the eyes.

Dermatochalasis can be corrected surgically and involves removal of the excess eyelid skin that has gotten droopy. This surgery is called a blepharoplasty. The goal is to elevate the eyelid to permit a full field of vision and to achieve symmetry with the opposite upper eyelid.

A blepharoplasty can be done for functional or cosmetic purposes.

Functional or Reconstructive Blepharoplasty: This is performed on the UPPER eyelids to restore vision by removing excess skin which blocks the visual axis. Functional blepharoplasty may be covered by insurance. Following are the three essential elements of a functional blepharoplasty:

  • Patient should have noticeable visual improvement after skin elevation off their eyelids.
  • A visual field test is done to document the loss of the superior field of vision.
  • Photographs should clearly show upper eyelid skin laying across the eyelashes.

Cosmetic Blepharoplasty: The goal of cosmetic blepharoplasty is to accentuate the appearance of the eyes at the patientís request and is not done to improve vision. Cosmetic blepharoplasty can be performed on the upper or lower eyelids, or both.

Blepharoplasty Before/After Photos:

©2014-2016 Eye MDs of Puget Sound