Ophthalmology Program

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Ophthalmology is the medical and sugical specialty concerned with the eye, the visual pathways and the tissues around the eye. The Ophthalmologists here at La Peer offer the latest eye surgeries including cataract surgery, vitrectomy, tear duct surgery, orbital surgery and cosmetic surgery. Our doctors also provide the highest quality medical services and diagnostic testing.

The Department of Ophthalmology here at La Peer not only offers breakthrough eye surgeries such as cataract surgery, conductive keratoplasty and clear lens extraction but rather a medical program beginning with consultation, moving through diagnosis and treatment, and ending in only the very highest quality aftercare to ensure that your eyes stay healthy and conditions do not develop or reoccur.  

Not only that, but the La Peer Surgery Center's Department of Ophthalmology also has one foot firmly in the door of extensive medical research into the area. The aim of this is to be at the forefront of patient care in ophthalmology and to ensure our physicians remain at the very top of their profession in terms of what they can offer to the patients they treat.  

Some of the most common procedures covered by our ophthalmology team are:

  • Cataract surgery
  • Refractive surgery
  • Vitreo-retinal surgery
  • Eyelid surgery

Ophthalmology: Overview

Ophthalmology is the branch of medicine that deals with eye physiology, anatomy and diseases. A specialist in this branch of medicine is called an ophthalmologist. The word "ophthalmology" is derived from the Greek words "ophthalmos, which means eye, and "logos," which means thought, discourse or word. The literal meaning of ophthalmology is the science of the eye. Ophthalmology is associated to other sub-specialties that include:

Cataract- This is a change in the clarity of the eye's natural lens that degrades visual quality slowly. The progress of cataract causes vision loss and potential blindness.  Most cataracts are associated to aging. This disorder is common to older people.

Glaucoma- This is a disorder of the optic nerve, the main vision nerve. The optic nerve receives light from the retina and transmits it to the brain where electrical signals are recognized as vision. This disorder is characterized by a certain pattern of progressive optical nerve damage to the optic nerve that starts with a subtle loss of the side vision.

Neuro-ophthalmology- This is a sub-specialty of both ophthalmology and neurology that concerns visual disorders associated to the nervous system.

Ocular oncology- This is the branch of medicine that deals with tumors associated to the eye and its adnexa.

Ophthalmic pathology-This is a surgical pathology and ophthalmology subspecialty that deals with the characterization and diagnosis of both neoplastic and non-neoplastic eye diseases.

Medical retina- This deals with the cure or treatment of retinal disorders by non-surgical means.

Refractive surgery- This is an eye surgery that is used to enhance the eye's refractive state and minimizes or eradicates reliance on contact lenses and glasses.

Ophthalmology Diseases/Conditions Review

  1. Conjunctivitis- This is the inflammation or infection of the membrane that lines the conjunctiva or the eyelid. The common cause of conjunctivitis is the exposure of the conjunctiva to bacteria and other irritants. Other causes include:
    1. Certain diseases
    2. Chemical exposure
    3. Parasites
    4. Use of contact lens
    5. Fungi
    6. Allergies
    7. Chlamydia
  2. Cataracts-This is the cloudy area of the eye's lens. Rarely, cataracts can be congenital. However, adult cataracts develop gradually as a person ages and are likely to run in families. Adult cataracts are classified as mature, immature and hypermature.
  3. Glaucoma- This is a disorder that is caused by increased intraocular pressure (IOP) that result from the malfunction or malformation of the drainage structure of the eye. The common types of glaucoma are open angle, acute angle closure, secondary glaucoma and congenital glaucoma.
  4. Farsightedness- This disorder is associated with the difficulty in seeing near objects. It is usually the result of the focus of the visual image behind the retina instead of directly on it. It can be caused also by small size of the eyeball or the weakness of the focusing power. Symptoms of farsightedness include blurred vision, aching eyes, eye strain, crossed eye and headache.
  5. Endophthalmitis- This is a serious condition that involves inflammation or swelling within the eyeball. This is usually caused by infection or bacteria. Symptoms of this include pain, decreased vision, swelling of the eyelids and redness.
  6. Blindness- This is the state of being sightless. Different types of blindness include:
    1. Night blindness- The difficulty to see under cases of decreased illumination.
    2. Snow blindness- The loss of vision after the eyes are exposed to huge amounts of ultraviolet light.

Ophthalmology Diagnosis
Eye disorder diagnosis is partially based on the symptoms experienced by the person, the look of the eyes and the examination results. A number of tests can be done to confirm a disorder or to identify the severity and extent of the disease. Each of the eyes is examined separately.

Refraction-This is a procedure that evaluates focusing error. This is used to diagnose disorders with visual acuity that is caused by refractive errors like farsightedness, nearsightedness, presbyopia and astigmatism.

A phoropter may be used in conjunction with a Snellen chart to identify the right corrective lenses for a person being evaluated for contact lenses and eyeglasses. This has a full range of corrective lenses that allow a person to compare various levels of correction while looking at the chart.

Visual Field Testing-As part of the routine in eye examination, the visual field may be tested. In case of particular vision changes, it may also be tested in details. Peripheral vision can be can be simply tested with a doctor facing the person and slowly move a finger in toward the center of the person's vision from above, below, right and left.

Automated refraction- This is performed while using machines that identify the eye's refractive error by measuring the change of the light when it enters the eye.

Ophthalmoscopy- This is performed by utilizing a direct ophthalmoscope to shine a light into the eye enabling the doctor to examine the lens, cornea, vitreous humor, optic nerve, retinal veins and arteries.

Color Vision Testing- There are various tests that may be utilized to detect a lessened ability to perceive particular colors. Ishihara plates are small and colored circle patterns collected together on a white background to form a huge circle. The small circles are arranged to allow people with normal vision to view a certain number.

Ophthalmology Treatments
Impaired vision may be caused by age-related eye disorders, head injuries or refractive errors. An experienced ophthalmologist has the capability to diagnose eye conditions and recommend the proper treatment course.

Cataract- Treatment of cataract involves surgery to remove the eye's clouded lens and replace it with a clear artificial one. The removal and replacement part of the surgery vary as they should be dependent on the patient and the ophthalmologist.

Glaucoma- Glaucoma can be treated by medication or surgery. Either treatment is aimed to lower intraocular pressure. In the U.S., glaucoma medications are regarded as the first-line treatment for glaucoma. Failure of such treatment will force the ophthalmologist to consider performing surgery to minimize intraocular pressure.

Macular Degeneration- Although there is no known treatment for dry macular degeneration, a treatment for the wet form of the disorder is known. During early diagnosis, wet macular degeneration may be treated with photodynamic therapy (PDT) or laser therapy.

Diabetic Retinopathy- This condition does not often need treatment; however, when treatment is needed, it must be aimed at preventing prolonged vision loss and enhancing impaired vision. Treatments for this condition include vitrectomy and laser photocoagulation.

Endophthalmitis-Treatments for this disorder depend on its causes. Treatments of postoperative endophthalmitis include:

  1. Systematic antibiotic and intravitreal steroids administration
  2. Pars plan vitrectomy or vitreous aspiration

Treatments of traumatic endophthalmitis include:

  1. Hospital admission
  2. Ruptured globe treatment
  3. Vancomycin and cephalosporin administration
  4. Topical fortified antibiotics
  5. Intravitreal antibiotics
  6. Pars plana vitrectomy
  7. Tetanus immunization

Some of the procedures and conditions treated at La Peer Surgery Center.

Medical Conditions
Retinal Detachment,
Age-related Macular Degeneration
Degeneration,
Flashes and Floaters
Macular Holes
Macular Edema
Keratomilleusis
Intracorneal rings
Astigmatism
Diabetic Retinopathy
Blow out fractures
Cataracts
Proliferative Retinopathy
Corneal diseases
Diabetic Retinopathy
Double Vision
Ectropion
Entropion
Graves' Disease
Macular Puckers
Orbital fractures
Pterygium
Ptosis
Strabismus
Glaucoma
Medical Procedures
Orbital Surgery
Pterygium Excision
Central Serous Choroidoretinopathy
Retinal Detachment Surgery
Ptosis Repair
Cataract Surgery
Intraocular Medication Injections
Diabetic Retinopathy
Central Serous Choroidoretinopathy
Peritnial Retanothopy
Indocyanine Green (ICG) Angiography
Retinal Angiography
Fluorescein Angiography
Retinal Angiography
Refractive surgery
Implantable contact lenses
Epikeratophakia
Limbal relaxing incisions
Corneal transplant surgery
Anterior vitrectomy
Pars plana vitrectomy
Retinal detachment repair
Pneumatic retinopexy
Retinal cryopexy
Retinal cryotherapy
Partial lamellar sclerouvectomy
Partial lamellar sclerocyclochoroidectomy
Partial lamellar sclerochoroidectomy
Scleral buckle
Laser photocoagulation
Macular hole repair
Posterior sclerotomy
Canthectomy
Canthorrhaphy
Lateral canthotomy
Epicanthoplasty
Tarsorrhaphy
Transposition / repositioning procedures
Entropion repair
Canthal resection
Canthopexy

If you have an eye complaint, or believe that you need treatment for an issue pertaining to your eyes or vision then please get in touch with us. You can do this via the online contact form or via phone or email.

La Peer Surgery Center- Department of Ophthalmology
(310) 360-9119
8920 Wilshire Blvd #101
Beverly Hills, CA 90211
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Doctors

Dr. Guy Massry

Dr. Guy G. Massry is a specialist in cosmetic surgery on the eyelids, forehead, and middle face. In addition to performing first-time surgeries, he also is an expert is repairing problems resulting from previous cosmetic surgery. readmore


Dr. David J. Parks

Address: 8920 WILSHIRE BLVD, SUITE 500 Beverly Hills, CA, 90211
Office#: (310) 289-3666
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Dr. Roberts Sacks

Address: 435 N. ROXBURY DRIVE, SUITE 107 Los Angeles, CA, 90210
Office#: (310) 275-6179
Email: This e-mail address is being protected from spambots. You need JavaScript enabled to view it
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Dr. Aaron Savar

Internship: (Surgery) UCLA School of Medicine
Residency: (Ophthalmology) Harvard Medical
School/Massachusetts Eye and Ear Infirmary
Fellowship: (Ophthalmic Plastic and Reconstructive Surgery)
U.T. M.D. Anderson Cancer Center, Houston, TX readmore


Dr. David Savar

B.A.: Johns Hopkins University
M.D.: Boston University
Post Doctoral Training:
Internship: (Medicine) Michael Reese Medical Center, Chicago
Residency: (Ophthalmology) Jules Stein Eye Institute of U.C.L.A.
Fellowship: (Ophthalmic Plastic and Reconstructive Surgery)
University of Toronto
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