LASER-ASSISTED CATARACT SURGERY NOW AVAILABLE
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.

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

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

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

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General Opthalmology


The Complete Eye Examination

Having your eyes periodically checked by your ophthalmologist (Eye MD) will help preserve your precious eyesight. Eye exams should be yearly for children who require eyeglasses, due to rapid changes often seen in young people. Young adults with healthy eyes may go longer between exams, but older individuals (over age 45) will require eye exams at least every two years as the eyes age, lose their reading focus, and later begin to develop the often seen problems of cataract, glaucoma, macular degeneration, and other disorders. Diabetics and others with “at risk” eyes will require more frequent follow up. A proper eye exam does not just test you for eyeglasses. Carefully understanding your entire medical history, your medications, allergies, prior surgeries, and current medical problems are essential in understanding and helping you preserve your eye health. Arranging your complete eye examination simple requires a phone call to speak to one of our receptionists. No referral is necessary, and Eye MDs of Puget Sound accepts most major insurances.

Corneal Disease

The cornea is the clear round dome on the front of your eye. It is the window through which light must first pass. The cornea's health is critical to clear vision. Any scratch, whether caused by a branch, a fingernail, or a foreign object will carry an infection risk to the cornea, and should be evaluated and treated by your doctor. The cold virus (Herpes Simplex) and the shingles virus (Herpes Zoster) are exceptions, and can invade the cornea without trauma. Scratchy pain, light sensitivity, and blurred vision are typical symptoms. The cornea can be clouded by hereditary dystrophy, in which a gene defect will lead to loss of clarity or integrity. Most dystrophies are detected during the course of your periodic eye exam, as they are visible to the doctor when he looks at your cornea with the microscope.

Corneal Abrasion

Painful! Usually caused by trauma, loss of the corneal surface lining will definitely get your attention. A scratch from a twig or branch, fingernail, a paper edge, contact lens, or a foreign object blown in from the air, the common problem is a defect in the corneal surface lining. This little raw spot is exquisitely painful and is an avenue for infection (see above). Fortunately, the surface cells recover quickly and efficiently in most cases. Your doctor or ER physician will first examine to be sure the abrasion is only superficial, and then recommend an antibiotic, and may patch close the eyelids to speed healing if the abrasion is large. Never use a surface anesthetic eye drop for pain control, as this medication is toxic to the healing cells. A poorly healed or infected corneal abrasion can lead to permanent scarring and loss of vision.

Dry Eye

Proper lubrication is critical to the health and clarity of the clear cornea of the eye (see corneal diseases above). Oily tears and mucus, spread across the cornea by our eyelids as we blink, are constantly produced by glands in the lids and delicate lining of the eye (conjuctiva). Also, watery tears produced when the eyes are stimulated by an irritant, or when we cry, add additional protection and come from the lacrimal gland beneath the upper eyelid. Lack of proper tear production or eyelid closure quickly leads to burning, grittiness, and light sensitivity, symptoms of dry eye and exposure. Left untreated, dry eyes can lead to painful keratitis sica and permanent corneal scarring. The gradual loss of tears occurs with the aging process, and in most cases is a mild condition responding to artificial tear drops.

Blepharitis

Blepharitis means eyelid inflammation or infection. Blepharitis is the most common eye infection encountered. It occurs when the margin of the eyelid becomes overly infested with normal skin bacteria. The lid then develops redness, crusting, and loss of eyelashes. The patient develops symptoms of burning, dryness and itching. Blepharitis is not due to poor hygiene in most cases, but can occur in anyone, especially those with a condition called acne rosacea. Blepharitis is generally obvious and can be diagnosed by the doctor by using a penlight, but occasionally is subtle and microscopic evaluation is required. The hallmark of treatment for blepharitis is moist compresses and eyelid cleansing using a gentle shampoo. Baby shampoo works well, but can be drying.

Flashes and Floaters

Flashes or flickers of light in one or both eyes, or floating spots or strings in the vision can be normal, or can be symptoms of serious eye disease. Generally these symptoms are a harmless nuisance caused by aging changes in the gel part of the eye called the vitreous. Floaters are best seen when looking at a brightly illuminated background such as the ceiling, the sky, a snow field, a putting green, or sometimes even when reading. Most older individuals have floaters, and they can occur earlier in nearsighted people. However, if floaters suddenly increase in number in one eye, especially if preceded by sparky flashes of light, they can also be a symptom of a serious retinal condition, and should be promptly evaluated by the ophthalmologist.

Macular Degeneration

Lining the inside of the eye is the retina, a thin sheet of nervous tissue. In the very center of the retina is a specialized area called the macula, where the rods and cones are most dense, and therefore provide the sharpest vision. Any disease which disturbs the macula can interfere greatly with eye function. Macular degeneration is classified as “dry” or “wet.” Dry AMD involves gradual atrophy or “wearing out” of the layer beneath the macula. Given time, many with dry AMD will transition to the more aggressive wet AMD. Tiny abnormal blood vessels sprout up beneath the macula and leak blood, rapidly damaging the rods and cones of the macula. If not treated promptly, scarring will occur beneath the macula. Vision loss can be severe and permanent.

Those found to have the signs of dry AMD will be counseled to take steps to minimize their risk of getting wet AMD, and to self-test their eyesight to pick up early signs of vision distortion. Macular degeneration can only be detected by examination of the retina. You can call Eye MDS of Puget Sound to schedule your eye examination, especially if you are over 65 or have AMD in your own older family members.

Conjunctivitis (Pink Eye)

The delicate membrane that lines the inner eyelids and surface of the eye is called the conjunctiva. Inflammation of the conjunctiva causes reddening (conjunctivitis). It is most commonly caused by viral infection, but can also occur from bacterial infection, allergy, or dry eye, and can be mimicked by more serious internal eye inflammation. The treatment of conjunctivitis requires a visit to the doctor to properly diagnose the cause. The most common pink eye is viral conjunctivitis, usually painless, creating a mild mattery discharge, and often associated with other viral cold symptoms such as fever, stuffy nose, cough and sore throat. Viral pink eye is contagious and will require a child to stay at home from school or day care, an adult to be careful to wash hands. If mild, no treatment is required and like a cold, the body will fight off the virus in a few days. If more severe, or due to bacterial infection, an antibiotic eye drop is prescribed. If allergic, there is usually itching, with stringy discharge and more boggy swelling of the conjunctiva, and antihistamine eyedrops are prescribed.

Watery Eyes

One of the most common complaints we see is watery eyes. Generally, our tear drainage ducts are adequate to remove tears so that our vision is kept clear, but excess tear production can overwhelm the tear ducts and cause flooding and watering. A scratched eye, a foreign particle, UV flash burn, exposure from poor blinking or improper eyelid closure (common in aging), or even dry eye can result in overproduction of tears to the point that they overflow the tear ducts and pool (see under Corneal Diseases and Dry Eye). The tear duct may also be blocked by the swelling that occurs in allergy or infection, often responding to antibiotic or allergy eyedrops. If blocked by scarring, narrowing, mucous plug, stone or tumor (rare), surgery may be required. A simple irrigation of the duct that can be done in the office may clear a stone or mucous plug, but in some an entirely new tear duct must be reconstructed if there is any hope at relieving the patient of symptoms. Seeing an Eye MD to properly diagnose the cause of watering is essential in treatment success.



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