21st Century Ophthalmology. 50 Years of Experience.
Our ophthalmology patients enjoy the skills of a world-renown ophthalmologist combined with a state-of-the-art eye care center. There is no need to look far when seeking an eye doctor near Palm Bay, FL. Dr. Gladnick can diagnose and treat 95% of the patients that visit us; however, he never hesitates to refer patients to another eye specialist in rare cases.
The list of eye health services we offer is extensive, but there are a couple special areas in laser eye surgery where an experienced ophthalmologist like Dr. Gladnick can really help. At Glad Eyecare and Surgery Center, we have an in-office surgical suite with over $1 million in high-tech laser equipment.
How is Laser Eye Surgery Used in Ophthalmology?
In our office, we perform the Lumenis SLT procedure to lower eye pressure in patients with primary open-angle glaucoma, the most common form of glaucoma. This painless therapy is FDA-cleared and is typically covered by Medicare when medically necessary. There are several advantages for patients with open-angle glaucoma when they receive Lumenis SLT laser eye treatment:
- Provides long-term control over eye pressure
- In many cases, reduces a glaucoma patient’s need for eye drop medication
- Reduces the danger of forgetting to take prescription eye drop medication
- Avoids the expense of glaucoma eye drop medication (especially the brand names)
- Less reliance on eye drops means less uncomfortable side effects, like burning sensations, redness and eye irritation
We use YAG (Yttrium-Aluminum Garnet) laser to prevent posterior capsular opacification (PCO), which is common after cataract surgery. This non-invasive procedure quickly and painlessly removes the cloudiness that sometimes develops on the lens after cataract surgery.
Laser eye surgery is often recommended for people with macular edema, proliferative diabetic retinopathy and wet macular degeneration.
For macular edema, laser eye surgery is used to reduce fluid leakage near the macula. For diabetic retinopathy and wet macular degeneration, pan-retinal photocoagulation (PRP) is used by your ophthalmologist to treat the retina. A focused, high-energy light beam is used to destroy abnormal blood vessels, preventing further leakage, bleeding and growth.
These procedures are painless. Usually only anesthetic eye drops are needed. This is an outpatient procedure, but your eyes will be dilated and you will need someone to drive you home afterward. Multiple laser eye treatments may be necessary. Laser eye surgery does not cure diabetic retinopathy or macular degeneration and does not always prevent further vision loss.
Is it Opthalmologist, Opthamologist, or Ophthalmologist?
The last spelling is correct. The first incorrect spelling, opthalmologist, forgets the “h” after the “p” in the first syllable of the word. The second incorrect spelling, opthamologist, contains the first error and also forgets the first “l” in the word. We hope you now forever remember how to correctly spell ophthalmologist and ophthalmology!
Ophthalmology Services at Glad Eyecare Center:
- Comprehensive Eye Exams
COMPREHENSIVE EYE EXAMS
A comprehensive eye exam involves a wide variety of tests and procedures to examine your eyes. They range from simple exams like having the patient read an eye chart to more complicated exams that visualize the miniscule structures inside the eye. Depending on the complexity of tests that you require to evaluate the health of your eyes, a comprehensive eye exam can take approximately one hour.
- Routine Eye Examination
ROUTINE EYE EXAMINATION
A routine eye examination is a comprehensive eye exam to evaluate your vision and the general health of your eyes.
- Visual Fields
A visual field test is an eye examination that can detect dysfunction in central and peripheral vision which may be caused by various medical conditions such as glaucoma, stroke, brain tumours or other neurological deficits.
- Astigmatism Correction
Astigmatism is an optical defect in which vision is blurred due to the inability of the optics of the eye to focus a point object into a sharp focused image on the retina. This may be due to an irregular or toric curvature of the cornea or lens. The two types of astigmatism are regular and irregular. Irregular astigmatism is often caused by a corneal scar or scattering in the crystalline lens, and cannot be corrected by standard spectacle lenses, but can be corrected by contact lenses. The more common regular astigmatism arising from either the cornea or crystalline lens can be corrected by eyeglasses or toric lenses. A ‘toric’ surface resembles a section of the surface of aRugby ball or a doughnut where there are two regular radii, one smaller than the other one. This optical shape gives rise to astigmatism in the eye.
- Glaucoma Problems
What is Glaucoma?
Glaucoma is a group of diseases that damage the eye’s optic nerve and can result in vision loss and blindness. However, with early detection and treatment, you can often protect your eyes against serious vision loss.
The Optic Nerve
The optic nerve is a bundle of more than 1 million nerve fibers. It connects the retina to the brain. (See diagram above.) The retina is the light-sensitive tissue at the back of the eye. A healthy optic nerve is necessary for good vision.
How does the optic nerve get damaged by open-angle glaucoma?
Several large studies have shown that eye pressure is a major risk factor for optic nerve damage. In the front of the eye is a space called the anterior chamber. A clear fluid flows continuously in and out of the chamber and nourishes nearby tissues. The fluid leaves the chamber at the open angle where the cornea and iris meet. (See diagram below.) When the fluid reaches the angle, it flows through a spongy meshwork, like a drain, and leaves the eye.
In open-angle glaucoma, even though the drainage angle is “open”, the fluid passes too slowly through the meshwork drain. Since the fluid builds up, the pressure inside the eye rises to a level that may damage the optic nerve. When the optic nerve is damaged from increased pressure, open-angle glaucoma-and vision loss—may result. That’s why controlling pressure inside the eye is important.
Another risk factor for optic nerve damage relates to blood pressure. Thus, it is important to also make sure that your blood pressure is at a proper level for your body by working with your medical doctor.
Source: National Eye Institute
- Diabetic Eye Problems
DIABETIC EYE PROBLEMS
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- Serial Tonometry
Tonometry: A standard eye test that is done to determine the fluid pressure inside the eye. Increased pressure is a possible sign of glaucoma, a common and potentially very serious problem if not detected and treated promptly. The pressure inside the eye is measured from the outside. In most cases, the pressure can be measured without anything actually touching the eye. The patient looks at an instrument that blows a small puff of air into the eye and then uses a special kind of sensor to detect the amount of indentation that the air puff causes on the surface of the eye. This indentation is normal and lasts only a fraction of a second. If patients need to have their eye pressure measured when this type of machine is not available (as in an emergency room), the pressure can be measured with an instrument that resembles a pen. One end of the instrument is placed on the surface of the eyeball. This feels like having a contact lens put in the eye. Tonometry does not cause significant pain and it is risk free.
- Fluorescein Angiogram
Intravenous Fluorescein angiography (IVFA) or Fluorescent Angiography (FAG) is a technique for examining the circulation of the retina and choroid using a fluorescent dye and a specialized camera. It involves injection of sodium fluorescein into the systemic circulation, and then an angiogram is obtained by photographing the fluorescence emitted after illumination of the retina with blue light at a wavelength of 490 nanometers. The test uses the dye tracing method.
- Fundus Photo
Normal fundus photographs of the right eye (left image) and left eye (right image), seen from front so that left in each image is to the person’s right. Each fundus has no sign of disease or pathology. The gaze is into the camera, so in each picture the macula is in the center of the image, and the optic disk is located towards the nose. Both optic disks have some pigmentation at the perimeter of the lateral side, which is considered normal (non-pathological). The left image (right eye) shows lighter areas close to larger vessels, which is regarded as a normal finding in younger people.
Fundus photography (also called fundography is the creation of a photograph of the interior surface of the eye, including the retina, optic disc, macula, and posterior (i.e. the fundus).
Fundus photography is used by optometrists, ophthalmologists, and trained medical professionals for monitoring progression of a disease, diagnosis of a disease (combined with retinal angiography), or in screening programs and epidemiology.
Compared to ophthalmoscopy, fundus photography generally needs a considerably larger instrument, but has the advantage of availing the image to be examined by a specialist at another location and/or time, as well as providing photo documentation for future reference. Modern fundus photographs generally recreate considerably larger areas of the fundus than what can be seen at any one time with handheld ophthalmoscopes.
Source: From Wikipedia, the free encyclopedia
Tomography refers to imaging by sections or sectioning, through the use of any kind of penetrating wave. A device used in tomography is called a tomograph, while the image produced is a tomogram. Tomography as the computed tomographic (CT) scanner was invented by Sir Godfrey Hounsfield, and thereby made an exceptional contribution to medicine. The method is used in radiology, archaeology, biology, atmospheric science, geophysics, oceanography, plasma physics, materials science, astrophysics, quantum information, and other sciences. In most cases it is based on the mathematical procedure called tomographic reconstruction.
Source: From Wikipedia, the free encyclopedia
- Corneal Topography
Corneal topography, also known as photokeratoscopy or videokeratography, is a non-invasive medical imaging technique for mapping the surface curvature of the cornea, the outer structure of the eye. Since the cornea is normally responsible for some 70% of the eye’s refractive power, its topography is of critical importance in determining the quality of vision and corneal health.
Source: From Wikipedia, the free encyclopedia
- Yag Capsulotomy
YAG laser capsulotomy, is a non-invasive procedure on the eye to remove the cloudiness that sometimes develops on the lens of the eye after cataract surgery. Dr. Gladnick uses an in-office laser for this procedure, which is very quick and painless.
- Retinal Surgery
Retinal surgery occurs when there is a detachment of the retina where the retina is not connected to its underlying layer of support tissue. Treatment must be rapid so that the entire retina does not detach, leading to blindness.
- Skin Cancer Removal
SKIN CANCER REMOVAL
- Eyelid Biopsy
Doctor Gladnick uses a biopsy for a definite diagnosis of eyelid cancer. In the biopsy procedure, a small amount of tissue is removed and examined under a microscope. If cancer is present, additional treatment such as surgery or radiation therapy may be required.
- Chalazion and Pterygium Removal
CHALAZION AND PTERYGIUM REMOVAL
Stye (Chalazion) Removal
When the oil gland in the eyelid becomes clogged, inflamed and enlarged then a Chalazion or stye is formed. A stye can resolve itself in its own time, but many people are not patient and want to have it removed. Sometimes warm compresses, antibiotics, ointments or pills will help but if these measures are not successful then Dr. Gladnick can perform a surgical removal of the stye with a very quick recovery time.
- Laser Treatments for Diabetic Retinopathy, Glaucoma, Macular Degeneration
LASER TREATMENTS FOR DIABETIC RETINOPATHY
Diabetic Retinopathy, Glaucoma, and Macular Degeneration are all eye diseases that people with diabetes face. All can cause loss of vision and eventually leads to blindness.
*DIABETIC RETINOPATHY— damage to the blood vessels in the retina.
*GLAUCOMA— increase in fluid pressure inside the eye that leads to optic nerve damage and loss of vision. A person with diabetes is nearly twice as likely to get glaucoma as other adults.
*MACULAR DEGENERATION- a gradual loss of the central part of the field of vision usually affecting both eyes that occurs especially in the elderly and can be accelerated by diabetes.
At Glad Eyecare and Surgery, Dr. Gladnick performs laser treatment for the above-mentioned eye diseases. Laser surgery and appropriate follow-up care can reduce the risk of blindness by 90 percent. However, laser surgery often cannot restore vision that has already been lost. That is why early diagnosis is the best way to prevent vision loss.
- Lesion Excisions
A common reason why skin lesions are excised, is to fully remove skin cancers such as basal cell carcinoma, squamous cell carcinoma or melanoma. If the cancer is not cut out it may spread to the surrounding skin and to other parts of the body (metastasise).
- Iridotomy / Iridectomy
Laser iridotomy uses a very focused beam of light to create a hole on the outer edge, or rim, of the iris, the colored part of the eye. This opening allows fluid (aqueous humor) to flow between the anterior chamber, the front part of the eye, and the area behind the iris, the posterior chamber. This opening may decrease pressure in the eye and usually prevents sudden buildup of pressure within the eye, which occurs during an episode of acute closed-angle glaucoma.
Some people feel a mild but sharp sensation in the eye during this procedure. But there usually is no pain after laser iridotomy.
- Glasses / Contact Lenses
GLASSES; CONTACT LENSES
Glad Eyecare offers a wide variety of eyeglasses and contact lens to suit your prescription and your style.
Plastic surgery on the eyelid, especially to remove fatty or excess tissue.
TEARLAB FOR DRY EYES
Tear Lab is a new and innovative way to easily and quickly diagnose dry eye disease. You can easily and objectively assess the patient’s response to therapy in a quantitative and objective way. It also makes the process of diagnosis and treatment transparent and easy for the patient to understand the process and therefore participate in the treatment. They can easily see and comprehend why they are experiencing the symptoms they have. When you understand the process and see the results, you are usually, motivated and committed to the course of treatment.