- ArthritisDry eye is often part of the normal aging changes of the body. However, it can be exacerbated or accentuated by sun, wind, cold, indoor heaters or air conditioners, computer screens, reading, high altitude or recent eye surgery. Certain health conditions and medications can also contribute to dry eye. These include: sjogrens syndrome, diabetes, post-menopause, rheumatoid arthritis, asthma, pregnancy and thyroid disease. Medications include: antihistamines, diuretics (water pills), antidepressants, hormone replacement therapy, blood pressure medications, decongestants and oral contraceptives.
- Primary CareWhen it comes to eye care, the eye doctors at ECVA work together, along with your primary care doctors and specialists, to ensure the patients' best interests are always the primary goal. The doctors at ECVA are trained to treat patients of all ages, so the entire family can receive quality eye care under one roof.
- GlaucomaGlaucoma is an eye disease in which the optic nerve - the part of the eye that carries the images we see to the brain - is damaged. The optic nerve contains many small nerve fibers that are very sensitive to pressure changes inside the eye. If the intra-ocular pressure (pressure inside the eye) exceeds a critical level (which may be different for each person), damage to the optic nerve begins. Once destroyed, these nerve fibers cannot regenerate. This can lead to permanent vision deficits such as blind spots, visual field defects or even complete blindness. Early detection and control of intra-ocular pressure are the keys to preventing optic nerve damage and blindness from glaucoma.
- OphthalmologyThe American Academy of Ophthalmology has established recommendations as to when you should begin and continue routine eye exams based on age and risk. These guidelines can be found on its " The Eyes Have It " website. A baseline screening can help identify signs of eye disease at an early stage when many treatments can have the greatest impact on preserving vision.
- Macular DegenerationMacular degeneration is the breakdown or loss of function of the cells responsible for vision in the macula. The macula is the small, central area of the retina responsible for reading and seeing fine detail. It is the part of the retina used when one attempts to thread a needle or read the phone book. Macular degeneration does not affect the peripheral vision, however. Thus, even in the most severe cases, peripheral or "side" vision can remain essentially normal.
- Laser Eye SurgeryOur ophthalmologists are board-certified medical doctors. Each has completed college and at least eight years of additional medical training. Ophthalmologists specialize in eye and vision care and are licensed to practice medicine and surgery. In addition to diagnosing and treating all eye diseases, ophthalmologists perform eye surgery and prescribe and fit eyeglasses and contact lenses to correct vision problems.
- CataractsA cataract is a clouding of the normally clear lens of the eye. The lens is what focuses light from the outside world onto your retina. If the lens is cloudy, hazy, yellow or opacified, the image formed on the retina is not sharp or clear and the result is blurred vision.
- Cataract SurgeryIn traditional cataract surgery, your ECVA surgeon uses a hand-held metal or diamond blade to create an incision in the area where the sclera (the white of the eye) meets the cornea (clear area on top of the eye). Once opened, the surgeon uses special instruments to break up and then gently remove the cataract, which is located right behind the pupil. Next an intraocular lens (IOL) is inserted and implanted, to replace the cloudy natural lens.
- Eye ExamDiabetic eye disease refers to a group of eye problems that people with diabetes may face as a complication of their disease. All forms of diabetic eye disease have the potential to cause severe vision loss and blindness. Additionally, because diabetic eye disease often goes unnoticed until vision loss occurs, people with diabetes should get a comprehensive dilated eye exam at least once a year as recommended by the American Diabetes Association, The Centers For Disease Control, Medicare and every major insurance company in the country.
- Pregnancy
- Internal MedicineDr. Cotter, a board-certified ophthalmologist, joined the ECVA staff in May 2009, arriving back in Buffalo from San Diego, CA, where he previously practiced. A graduate of SUNY Buffalo School of Medicine, Dr. Cotter received his Bachelor's degree in Anthropology from SUNY at Buffalo, graduating magna cum laude. He completed his ophthalmology residency at SUNY at Buffalo's Medical and Dental Consortium and his internship in internal medicine at Sister's of Charity Hospital in Buffalo.
- AutismDr. Awner specializes in complex pediatric ophthalmic conditions and works closely with other pediatric sub-specialists at OCH including Pediatric Neurosurgeons, Neurologists, Rheumatologists, Endocrinologists, Geneticists, Autism and Developmental specialists, along with others. He is Consulting Ophthalmologist for the multi-disciplinary Craniofacial team, Neurofibromatosis and Neuro-Oncology services.
- Mental HealthCataracts can significantly impact daily activities and quality of life. Restoring clear vision through cataract surgery can help individuals regain independence and perform tasks with greater ease, such as reading, driving, participating in hobbies, and engaging in social activities. Improved vision can also lead to enhanced overall well-being and mental health.
- Diabetes Care
- Thyroid
- Diabetic RetinopathyDiabetic Retinopathy involves changes to retinal blood vessels that can cause them to bleed or leak fluid, distorting vision. Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults.
- UltrasoundThe only real treatment for a cataract is surgical removal. Contrary to popular belief, cataracts are not removed by laser. Most cataract surgery today is done by ultrasound disruption of the lens, called phacoemulsification, with placement of a clear acrylic or silicone lens implant. Once a cataract is removed, it cannot "grow back." But, in about 10 percent of people, a thin membrane can form on the back of the implant. This can be removed simply and in just a few minutes with a laser.
- General Surgery
- Botox
- Eyelid Surgery
- Plastic Surgery
- BlepharoplastyAn eyelid lift, or blepharoplasty (BLEF-uh-roe-plas-tee), is a surgical procedure to remove skin and to add or remove fat from the eyelids. The term "eyelid lift" is a misconception because the eyelid is not lifted during surgery.
- Rashes
- Sports MedicineThe long-term health benefits of sports are clear: they provide good exercise for maintaining proper weight, improve strength and coordination, and help build lifelong healthy habits and social skills. But for more than 40,000 people each year, there are health risks in playing sports. These include sports eye injuries the vast majority of which are preventable.
- Allergies