Scope of Practice

We are proud to offer you a wide range of specialty ophthalmology procedures. From macular degeneration to glaucoma and more, Gordon Opthalmology Surgical Associates has the expertise to provide the right answers for you.

Cataract Evaluations and Surgery

A cataract occurs when there is a clouding of the natural crystalline lens of the eye, which blurs vision. After papillary dilation, slit lamp microscopic examination is used to detect the presence o cataract. This is the prime manner in which the degree of cataract present can be ascertained. At this point it is essential to evaluate other simultaneous ocular diseases, such as macula degeneration; knowledge of coexisting eye disease is critical for determining whether cataract surgery alone will result in significant visual improvement. Finally, lifestyle visual needs are discussed in order to make a final judgement as to whether one should proceed with cataract surgery.

After the decision to proceed with cataract surgery is made, discussion as to the type of intraocular lens to implant during surgery is initiated. The pros and cons of the various lens implant types, such as standard, multimodal, and accommodating is fully discussed.

Preoperative preparations, such as eye drops required prior to surgery, logistics of preoperative medical clearance, and choosing a date for surgery are completed during a consultation with our surgical coordinator.

Laser Vision Correction

Laser vision correction involves using a laser to reshape or change the optics of the cornea in order to reduce the dependance on glasses. A consultation for laser vision correction requires a complete ocular examination to determine suitability for this restorative vision procedure. Patient education of techniques, including all laser “no blade” intalase lasik, as well as customized laser ablation using Visx Custom Vue wavefront technology, are comprehensively discussed.

Once the decision to undergo lasik is made, our patients consult with our surgical coordinator to choose a date that fits in with their schedule. All lasik is performed at the Somerset Eye Institute, which houses the latest equipment to preform both “no blade” lasik and custom ablation.

Glaucoma Evaluation

Glaucoma is defined as damage to the optic nerve, usually in the presence of elevated intraocular pressure. The true risk of glaucoma to any one individual may be as high as 5-10% during a lifetime. Oftentimes, diagnosing a particular person with glaucoma is a complex determination, as it is not simply having an elevated intraocular pressure.

Making the proper determination requires a number of examinations. Aside from measuring the pressure, careful examination of the optic nerve is performed, photographs are taken, and any deviation from a normal appearance is document. Additional tests include visual fields, corneal thickness measurements, and retinal nerve fiber layer analysis. Serial pressure measurements over time may be required as well. After performing the above, a synthesis of the data enables us to determine whether glaucoma exists and if treatment is necessary.

Treatment may consists of eye drops to lower pressure, laser to allow better internal or external fluid flows to lower pressure, or actual operating room surgery to create new drainage pathways for fluid to leave the eye and therefore lower intraocular pressure.

Macular Degeneration Evaluation

Macular degeneration is usually an age related disease which causes a degeneration of the macular region of the retina, which is central to seeing clearly. Although age related, it is also associated with smoking, excessive sun exposure, poor nutrition, and genetics. An evaluation involves a careful inspection of the macula for evidence of early signs of degeneration and whether there are signs that significant risk of deterioration exists.

Prevention consists of nutritional supplements and avoidance of the risk factors noted above. For those at significant risk, intraocular injections of medication may be required. Such interventions are usually performed by highly esteemed retinal specialists, with whom our practice has had a 30 year relationship.

Diabetic Eye Evaluations

Diabetes can cause harm to the blood vessels of the retina which, in many cases, can cause swelling and bleeding into the surrounding retinal tissues which can cause vision loss. Evaluation for diabetic retinal disease consists of careful inspection of the retina through a dilated pupil. Baseline photographs for future comparisons are taken. If diabetic retinal changes threatening vision, a prompt intervention is likely required. This would ordinarily be performed by an esteemed retinal specialist group with whom our practice has had a 30 year relationship.

General Eye Care

Our practice also performs routine eye examinations, as well as treats emergent conditions such as styles, conjunctivitis, iritis, corneal abrasions, dry and allergic eye, onset of floaters, and a myriad number of other eye conditions.