Here at Kosier Eye, we know how important proper eye care is. We are dedicated to providing the highest level of service so you can have the vision you deserve.
We truly believe in routine eye examinations so that you can see as clearly as possible. Once you have to get glasses or contacts, it is even more important to watch the health of your eyes. You also need routine checks to ensure your prescription has not changed.
To ensure good eye health and vision, we are very proud to offer the following services:
Comprehensive Eye Exams
On average, we recommend scheduling an appointment once every two years to ensure your eyes are remaining healthy. If you have been diagnosed with an eye condition, however, we recommend scheduling an appointment once or twice a year depending on the severity.
During your appointment, we will review your patient history, visual acuity, perform preliminary tests, and evaluate your eyes’ overall health.
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Multifocal Lenses
Multifocal lenses are designed to help patients see clearly at more than one distance, reducing the need to constantly switch between different pairs of glasses for reading, computer work, and distance vision.
These lenses can be especially helpful for patients who are experiencing presbyopia, age-related near vision changes, or difficulty focusing between close-up and far-away objects. Depending on your vision needs, lifestyle, prescription, and eye health, multifocal lens options may include progressive lenses, bifocal or trifocal lenses, multifocal contact lenses, and advanced lens options discussed during cataract care when appropriate.
At Kosier Eye, we take the time to evaluate how you use your eyes every day. Whether you spend long hours on a computer, read frequently, drive often, or want more convenient vision correction for daily activities, we can help determine whether multifocal lenses are a good option for you.
Our goal is to provide lenses that support comfortable, functional vision for the way you live, work, and see the world.
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Computer Vision
Computer Vision is a relatively new term within the optometry field and refers to eye problems associated with the prolonged use of computers and electronics that utilize a digital screen. Although it can be temporary, there are times when computer vision can strain the eyes to a degree that permanently affects your vision as well. An existing eye condition can worsen as the eyes try to focus and adjust to a computer screen, and precautions should be taken if you spend long hours in front of a computer screen.
If you have been experiencing blurry vision, dry eyes, eye strain, headaches, neck or back pain, try adjusting the lighting, posture, and the distance in front of your computer screen. If computer vision symptoms persist, call us to request an appointment, we will perform a full evaluation.
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Diabetic Eye Care
Diabetes can affect more than just your blood sugar. It can also do some damage to your eyes if you are not careful.
Diabetic eye disease can cause vision loss if you are not careful. It can cause you to have trouble with everyday tasks even if you have regular glasses or contacts. It can even cause blindness.
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Dry Eye Treatment
Kosier Eye is proud to offer dry eye treatment for our patients. Ocular Surface Disease, also known as dry eye, can occur from certain medications, naturally by aging, or as a symptom arising from systemic diseases such as Sjogren’s syndrome, Rheumatoid arthritis, or Lupus. If you have a minor case of dry eye, you may be experiencing irritation, excessive tearing, fluctuating vision, and/or a burning sensation in your eyes. Excessive dry eyes, or dry eye symptoms that go untreated, have the potential to damage eye tissue, scar your corneas, and impair your vision.
Micro Incisional Glaucoma Surgery
STREAMLINE is exciting because the ClickPulse technology allows us to combine the creation of micron-sized goniotomies in the trabecular meshwork with delivery of OVD into the canal of Schlemm in one unified step. This can be done as a standalone procedure or combined with routine cataract surgery. Rather than only treating one aspect of the conventional outflow pathway by implanting a stenting device during cataract surgery, we can use STREAMLINE to target the entire outflow system by creating precision goniotomies, dilating the canal of Schlemm, stretching the trabecular meshwork, and flushing the distal collector channels in one click of the button, without leaving an implant behind.
XEN® Gel Stent is another advanced surgical option for select patients with glaucoma, particularly patients whose eye pressure remains difficult to control despite medication, laser treatment, or previous glaucoma procedures. The XEN Gel Stent is a tiny, soft gel implant designed to create a new drainage pathway for fluid inside the eye, helping lower intraocular pressure and reduce the burden of uncontrolled glaucoma.
XEN may be performed as a standalone glaucoma procedure or combined with cataract surgery when appropriate. By offering advanced options such as STREAMLINE and XEN Gel Stent, we can tailor glaucoma treatment to each patient’s eye anatomy, disease severity, treatment history, and long-term pressure-control goals.
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Macular Degeneration
Macular degeneration is a deterioration of the central portion of the retina, the inside layer of the eye that records the images we see and sends them through the optic nerve from the eye to the brain for processing. The macula, or the center of the retina, is responsible for focusing central vision in the eye and controls our ability to see and process information.
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Eye Surgery
Cataract Surgery
A cataract is a clouding of the eye lens that makes it hard for you to see. If your vision starts to cloud up you can have it removed with surgery and replaced with an artificial lens. There are new technology lenses, including advanced lens options for appropriate candidates, that may help some patients become less dependent on glasses after cataract surgery.
Eyelid Surgery
You may begin to have problems with your eyelids affecting your vision and your daily activities. We offer a test at our office that along with an exam from Dr. Kosier will determine if your eyelid surgery may be covered by your medical insurance. If the documentation and the testing provides us with the information needed to move forward, we will call your medical insurance to get prior authorization if needed.
Glaucoma Surgery
We offer a laser surgery that is available at the office for patients that have increased pressure and that may want to become less dependent on eye drops. There are also surgical procedures which are done as outpatient surgery at the hospital including a new technology istent. Dr. Kosier may recommend these procedures for patients that are candidates.
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Common Eye Disorder
American adults worry more about going blind. Always use eye protection to avoid injuries and wear sunglasses to protect your eyes from UV rays. People over 40 should have their eyes checked every two years and people over 60 should have their eyes checked every year.
ANATOMY OF THE EYE
• Cornea: clear tissue in the very front of the eye • Conjunctiva: tissue covering the eye and inner lid • Iris: colored part of the eye surrounding the pupil • Pupil: dark hole in the iris that regulates the amount of light going into the eye • Lens: small clear disk inside the eye that focuses light rays onto the retina • Retina: layer that senses light, and creates electrical impulses • Macula: small central area in the retina • Optic nerve: connects the eye to the brain • Vitreous: clear, jelly-like substance that fills the middle of the eye
CATARACTS
One of the most common eye problems among seniors, the development of cataracts can cause vision problems and vision loss. A cataract is a painless clouding of the lens in the eye that causes blurry vision.
It progresses slowly as we age. Causes of cataracts include aging, diabetes, trauma, some medications, and excessive UV light exposure.
Your doctor can see a cataract while doing a routine eye exam. Surgery is curative as the cloudy lens is removed and replaced with an artificial one, called an IOL or intraocular lens. There are many types of Intraocular lens and will determine where the eye is in focus following surgery.
AGE-RELATED MACULAR DEGENERATION (AMD)
Age-related macular degeneration is an eye disease that can begin at any age, but usually develops after age 60. This eye condition progressively destroys your macula, which is the central portion of the retina.
There are two types: wet and dry. In wet macular degeneration, abnormal blood vessels behind the retina start to grow, leaking blood and fluid, causing loss of central vision. Treatment consists of injections to stop or slow the leakage. In dry macular degeneration, the light-sensitive cells in the macula slowly break down causing central vision to diminish over time. Treatment consists of special vitamins to slow the process.
CONJUNCTIVITIS (PINK EYE)
Conjunctivitis, or pinkeye, is an eye disease that causes redness and inflammation of the clear tissue covering the eye and the inside of the eyelids. It is caused by bacterial or viral infections and irritants such as chemicals, pollutants, or allergens.
Most infections do not need antibiotics. Bacterial conjunctivitis can be treated with antibiotic drops or ointments. A crusty discharge makes opening the eyelids difficult.
UVEITIS
Uveitis is inflammation to the middle layers of the eye called the uvea. The uvea consists of the iris, the ciliary body and the choroid and contains the arteries and veins. Causes of uveitis include trauma or injury to the eye, infections, or rheumatologic or inflammatory diseases that affect other parts of the body. The main symptom of uveitis is pain in the eyeball. The eye will look red and you may notice blurred vision, light sensitivity, and spots in your vision.
Treatment for uveitis depends on the cause. Anti-inflammatory or antibiotic drops will be prescribed.
EYE ALLERGIES
Causes of eye allergies are usually due to seasonal allergies, sensitivities to cosmetics or medications, or dust. Over-the-counter eye drops that contain antihistamines or decongestants are usually helpful. Make an appointment if these do not work, or if you experience pain, discharge, or extreme eye redness.
STYE
A stye is an infection of the oil gland at the base of an eyelash. It appears as a red, raised pimple on the edge of the eyelid. Symptoms are pain, tenderness, redness, and swelling with a small pustule. The eyeball itself may feel irritated or as if something is scratching it due to the swelling of the eyelid. If the stye comes to a head and releases pus this usually leads to resolution, if not, an appointment is indicated.
KERATOCONUS
The cornea is the clear surface covering the front of the eye. It is normally smooth and round. Weakness in the structure of the cornea can lead to a cone-shaped abnormal bulge to the front of the eye in a condition called keratoconus. Changes in the shape of the cornea make it difficult for the eye to focus even with the help of glasses or contact lenses. This is diagnosed by corneal topography in the office.
BLEPHARITIS
Blepharitis is inflammation of the eyelids. The inflammation can be found on the outer (anterior) or inner (posterior) eyelid. Symptoms include burning, itching, swelling, flaky material at the base of the lashes, crusting of the eyelids, tearing, or blurred vision. Common causes of blepharitis are problems with oil glands at the base of the eyelids, infections, or other skin conditions. Treatment includes frequent cleaning, light scrubbing. Severe cases of blepharitis may require antibiotics or steroids or treatment with lipiflow to unblock oil glands.
CHALAZION (EYELID CYST)
A chalazion is the inflammation of a small cystic gland in the eyelid. The gland becomes clogged and the gland swells. Chalazions are treated with warm compresses, they may require antibiotics. If the chalazion becomes severe, causes changes in vision, or is persistent, it may be removed surgically in the office. And is covered by insurance.
CORNEAL ULCER
A corneal ulcer is a small crater (ulcer) on the front part of the eye, usually following an infection. Bacteria, viruses, or fungus can be the cause.
People who wear contact lenses are at higher risk for corneal ulcers.
Symptoms of a corneal ulcer include:
- pain,
- intense redness,
- feeling as if something is in the eye,
- sensitivity to light
- blurry vision.
If you suspect a corneal ulcer or have the symptoms of a corneal ulcer and wear contact lenses, make an appointment immediately. High potency antibiotics will be prescribed.
DIABETIC RETINOPATHY
There are two types of diabetic retinopathy:
- Nonproliferative retinopathy, the less severe type in which there may be bleeding in the retina and leakage of blood or lipid causing a swelling in the center of the eye requiring treatment.
- Proliferative retinopathy, a more severe type where new abnormal blood vessels grow abnormally on the retina. These vessels may bleed into the vitreous.
Treatment involves laser surgery and intraocular injections and surgery. Strict glucose control and a healthy lifestyle with weight loss, dietary restrictions, and exercise can reduce the risk.
CROSSED EYES OR DOUBLE VISION
Crossed eyes is an eye problem involving a misalignment of your eyes. This may be congenital or acquired.
Young children born with this disorder may develop decreased vision in one eye (amblyopia, also known as “lazy eye.”). Treatment for strabismus involves using an eye patch on the stronger eye, eye exercises, and possibly surgery.
Acquired or new onset diplopia needs evaluated to determine the cause, as some causes require immediate treatment.
FLOATERS
Floaters are caused by aging changes in the vitreous jelly of the eye. They are a common consequence of aging. If you develop multiple floaters, or floaters associated with pain make an appointment. In general floaters do not cause blindness and are mostly harmless, but can be a sign of a retinal detachment, bleeding, inflammation or infection.
Age Related Macular Degeneration
Age-related macular degeneration is an eye disease that can begin at any age, but usually develops after age 60. This eye condition progressively destroys your macula, which is the central portion of the retina.
There are two types: wet and dry. In wet macular degeneration, abnormal blood vessels behind the retina start to grow, leaking blood and fluid, causing loss of central vision. Treatment consists of injections to stop or slow the leakage. In dry macular degeneration, the light-sensitive cells in the macula slowly break down causing central vision to diminish over time. Treatment consists of special vitamins to slow the process.
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LipiFlow®
LipiFlow® is an FDA-approved treatment for Meibomian gland dysfunction (MGD) — the leading cause of dry eye. LipiFlow® treats MGD by warming and massaging the inside of the eyelids to restore healthy oil production and improve tear quality.
The results vary from patient to patient, but the effectiveness of a single LipiFlow treatment tends to last from 6 months to one year. Dry eye is a chronic disease, therefore it requires regular treatments to properly manage and control. Effective. A single 12-minute session can offer significant relief to patients suffering from dry eyes and meibomian gland dysfunction (MGD). For optimal results, we recommend you undergo treatment every 12 months.
A clinical study showed that over three-fourths of patients experienced a significant reduction in symptoms in just one month. This is much more effective than other single-use treatments for dry eye. It’s also more effective than eye drops and other dry eye treatments.
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Astigmatism
Astigmatism is one of the most common vision conditions, and most people have some form of astigmatism. It can be caused by an irregular-shaped cornea or an abnormal curvature of the lens.
Minor astigmatism may not affect your vision or require treatment. However, many cases cause blurred or distorted vision, which can result in pain and headaches. Typically, astigmatism is present with nearsightedness and farsightedness.
During your examination, we test for astigmatism using a phoropter and retinoscope, which both measure refraction.
Depending on the severity of the astigmatism, we can provide eyeglasses or contact lenses to help correct your condition. There is also a wide range of other solutions that may also work for you. We would be happy to discuss your options with you at your appointment.