- GlaucomaGlaucoma is a disease that damages the optic nerve and causes vision loss – often without warning and symptoms. Like a cable wire, the optic nerve is responsible for carrying the images we see to the brain. Damage to the optic nerve can occur when the pressure within the eye increases, usually due to a build-up of aqueous fluid inside the eye. This leads to the development of blind spots in our field of vision. However, damage may occur without elevation of the intra-ocular pressure. Conversely, the pressure may at times be elevated without damaging the optic nerve. This is a condition known as Ocular Hypertension. Blind spots in the field of vision usually go undetected by the individual until the optic nerve is significantly damaged and a great loss of peripheral or central vision has occurred. A Visual Field evaluation can detect glaucomatous damage in its very early stages. If the disease is untreated the optic nerve may be damaged to a point that irreversible blindness will result.
- OphthalmologyDr. Raymond M. Girgis is the Medical Director of the Center for Eyecare. He is a board certified ophthalmologist and a fellow of the American Academy of Ophthalmology. Dr. Girgis is licensed to practice medicine in New Jersey and Pennsylvania. Read more →
- Macular DegenerationDr. Shoshana Nyquist is a board certified ophthalmologist and a fellow of the American Academy of Ophthalmology. She is a medical and surgical Ophthalmologist with expertise in the treatment and diagnosis of all medical disorders of the eye, including dry eye, glaucoma, allergic and herpetic eye diseases, eyelid problems, macular degeneration, and diabetic eye disease. She performs cataract surgery, cosmetic eyelid procedures, as well as laser surgery for glaucoma and diabetic eye disease. Read more →
- Laser Eye SurgeryLASIK (laser in situ keratomileusis) is an outpatient surgical procedure used to treat nearsightedness, farsightedness and astigmatism. With LASIK, an ophthalmologist (Eye M.D.) uses a laser to reshape the cornea in the front of the eye. This improves the way the eye focuses light rays onto the retina at the back of the eye.
- CataractsIt is primarily the patient who determines when surgery is needed. Some patients have mild cataracts but major problems with glare and halos that make it difficult to drive a car at night or fly a plane, for example. If it is determined that these complaints are due to cataracts, surgery can be considered. Other patients may have more advanced cataracts but few complaints. For example, a patient who no longer drives and only needs to watch TV and read with a bright light may have little difficulty, and so surgery would not be needed. The concept that the cataract is “ripe” or ready is no longer considered a valid indication for surgery.
- Cataract SurgeryWhen is cataract surgery needed? When cataracts reduce vision so that normal activities become difficult, it is time to consider surgery, which is the only way to remove cataracts.
- Eye ExamThe Center for Eyecare performs complete eye exams for individuals age five years old and older. Routine eye exams are one of the best ways to protect your vision. Eye exams can detect eye problems at their earliest stage — when they are most treatable. A complete eye exam typically includes an evaluation of vision with a refraction (determination of a possible prescription for glasses), papillary exam, movements of each eye, visual fields, external exam of the eyes, biomicroscopic (slit lamp) exam, eye pressure and dilated exam of the back of the eyes (fundus). Many of these tests will be performed with the latest in computerized testing devices and/or with the finest in ophthalmic instruments.
- Internal MedicineDr. Raymond M. Girgis is trained to treat diabetic retinal diseases. With his background in Internal Medicine, Dr. Girgis is uniquely qualified in the evaluation and treatment of this disease. In many cases, the treatment can be successfully achieved with retinal laser procedures. In more advanced cases, surgical operations must be performed.
- Diabetes Care
- Diabetic RetinopathyDiabetic retinopathy, the most common diabetic eye disease, is caused by changes in the blood vessels of the retina. There are two types of diabetic retinopathy...
- Ultrasound• Phacoemulsification is the most effective and common cataract removal method in use today. After the eye is numbed with anesthetic, a small incision is made in the side of the cornea (the front window of the eye). A tiny ultrasound instrument is inserted and used to break up the cloudy lens, which is then suctioned out of the eye. In rare cases another technique called extracapsular extraction of the cataract is required instead.
- BotoxBOTOX® is a non-surgical procedure that can help to reduce fine lines and wrinkles in the face. A few small injections are placed in specific areas to help relax the muscles that cause those lines to form. The injections last up to four months and patients report a great improvement in the reduction of lines and wrinkles.
- Eyelid SurgeryThe goal of eyelid surgery, called blepharoplasty, is to reduce the baggy or sagging tissues, which may include skin, muscle and fat. During surgery, incisions are made in the natural folds of the eye. Fortunately, eyelid scars tend to heal very well and are rarely conspicuous when fully healed. The results can be a refreshed appearance, with a younger, firmer eye area.
- BlepharoplastyYour eyes are usually the first things that people notice about your face. Unfortunately, due to the natural aging process, your upper and lower eyelids may become droopy or baggy because the eyelid skin stretches and the muscles around the eye weaken. Aesthetically, such conditions can detract from the overall attractiveness of one’s eyes and cause a tired or older looking appearance. When severe, these conditions also may cause functional problems such as a reduction in the field of vision or inability to wear glasses comfortably.