The retinal practice at of Nevyas Eye Associates utilizes the talents of Dr. Edward Deglin and Dr. Joshua Greene who specialize in retinal and vitreous medicine and surgery and Dr. Mitchell Stein, who specializes in medical retinal treatment. Our retinal services include examination and treatment for peripheral retinal disease including retinal holes and retinal detachments, and central retinal disease including macular degeneration and diabetic retinopathy. We have the latest red/green/yellow lasers for retinal treatment as well as the new Visudyne system for the treatment of certain types of macular degeneration. Intraocular injection of the newer antiangiogenic drugs such as Lucentis are now being performed by our retinal specialists.
Our Argon laser plus the solid state three-color laser are used for treatment of many different conditions including retinal holes, diabetic retinopathy and macular degenerative disease. Retinal laser surgery is performed in the minor surgery suites of the Delaware Valley Laser Surgery Institute with the latest digital photographic instrumentation.
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Ptosis is the medical term for “droopy eyelids”. In this, condition the upper eyelid actually begins to sag causing the lid to cover some of the upper regions of the eye itself. There are many ways in which ptosis can develop. It can be caused by the normal aging process, by a congenital abnormality (present before birth), or by an injury or disease. Ptosis develops when the attachments of the muscle to the eyelid degenerate. Then, because the muscle is no longer fully attached to the solid structures inside the eyelid, the muscle contracts but the eyelid does not lift fully. In many cases, patients want to correct ptosis for cosmetic reasons, although there are also medical reasons for the repair. Medically, ptosis can cause significant vision loss in the upper field of vision. Ptosis can usually be remedied or improved by appropriate ophthalmic plastic surgery in our ambulatory surgical center. Ptosis surgery is performed by our ophthalmic plastic surgeons, Drs. Amiram Shapiro and Kenneth Morgenstern.
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Keratoconus is a disease that causes a thinning of the cornea – the clear front portion of the eye. As a result of this condition, the cornea progressively bulges outward into a cone-like shape. This disease rarely results in blindness, but it can significantly impair your ability to have fully useful vision with or without glasses and contact lenses.
While no one knows the exact cause of keratoconus, there is evidence that heredity plays a role, and that environmental factors may worsen the condition. It normally affects both eyes, but can progress at a different rate in each eye. Most cases of keratoconus do show stabilization sometime between the ages of 30 and 40, but in approximately 20% of keratoconus patients, a corneal transplant is eventually needed to restore useful vision.
Once you have been diagnosed with keratoconus, a few treatment options are available. The first step is to be evaluated by one of our doctors, who will most likely advise you to stop any eye rubbing immediately. The action of rubbing the eyes, either forcefully or gently has been shown to exaggerate the effects of keratoconus.
The treatment of this disease begins with the use of a rigid contact lens which creates an ideally shaped corneal surface by allowing the tear film to fill in between the contact lens and the irregularly shaped cornea. A proper contact lens fit is absolutely crucial to obtain the best possible visual outcome and level of comfort. For those people who are contact lens intolerant, or who are no longer getting a positive effect from the rigid lens, Intacs for Keratoconus surgery may be an option.
Dr. Anita Nevyas-Wallace has been performing the Intacs procedure since 1999 in our Delaware Valley Laser Surgery Institute. Intacs corneal implants provide a unique option to improve vision in people who have keratoconus, and possibly to postpone the need for a corneal transplant. Intacs can be used for nearsighted and astigmatic patients who no longer achieve useful vision with glasses and contact lenses. It is important to realize that Intacs for Keratoconus are not designed to eliminate your need for glasses and contact lenses, but are instead used to restore the ability to achieve useful vision with contact lenses or glasses.
The Intacs surgery is a minimally invasive procedure using tiny plastic inserts. The inserts are placed just under the eye's surface in the periphery of the cornea. They help to restore the cornea to its more natural “dome shape”. They have the advantage of being removable and exchangeable, and the surgery usually takes about 20-30 minutes per eye. If you have been diagnosed by your eye doctor with keratoconus, please call and schedule an evaluation with Dr. Anita Nevyas-Wallace to see if Intacs for keratoconus is an option for you.
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BOTOX® 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.
There is little to no downtime or recovery and most patients return to work directly following the treatment. BOTOX® will not radically change your appearance because the effects are confined to the region of injection and the BOTOX® does not remain in your body indefinitely.
Dr. Anita Nevyas-Wallace offers BOTOX® treatments in our Bala Cynwyd office. She will determine exactly where to administer the injections to achieve the desired results. A technician will provide you with an ice pack to help numb the area prior to treatment. The procedure takes approximately 10 minutes and discomfort is brief and minimal. While the treatment cannot permanently erase lines and wrinkles, re-treatments are not usually necessary for 3-4 months, depending on each individual. An appointment for your BOTOX® treatment can be made by calling our Bala Cynwyd office at 1-800-9LASER6. For further information on BOTOX®, see www.allergan.com
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Your 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.
The 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.
The operation is performed as an outpatient procedure in our very own Delaware Valley Laser Surgery Institute. A full examination is needed to determine whether this procedure would be appropriate for you. Call to arrange an appointment in our Bala Cynwyd office.
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