Procedures & Service

 

Routine and Diabetic Eye Exams

Temas Eye Center is pleased to provide routine eye exams, including specialized care for diabetic patients.  Regular eye exams can detect vision problems, eye disease, and even general health problems before you are aware a problem exists.

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Cataract Treatment

Human lens yellows with time.

Human lens yellows with time

Cataracts are the leading cause of poor vision in adults.  Cataracts can occur at any age.  They may be present at birth or may develop as a result of injury, disease or the normal aging of the eye.

What is a cataract?

A cataract is a clouding of the normally clear lens of the eye, which is located behind the pupil.  The clouding blocks the passage of light through the eye to the retina.  As a result, the retina receives a blurred image, which it transfers to the vision center.

What are the symptoms of a cataract?

People with cataracts often describe their vision as being blurred, distorted, or hazy.  Following are some other common symptoms:

     Halos or glare around lights
     Double vision
     Frequent changes in glasses prescription
     Difficulty driving at night
     Decreased color preception
     Difficulty reading small print


How are cataracts diagnosed?

A cataract can be diagnosed during a regular eye exam.  Using special instruments, the doctor can determine the size, type and location of the cataract.  Other tests may be done that measure sensitivty to glare, color vision and contrast sensitivity.  This type of exam can be done by an Optometrist or an Ophthalmologist.

How are cataracts treated?

A cataract cannot be treated by eye drops, herbs, medication, or a change in diet.  Once cataracts form, the only way to restore clear vision is to surgically remove the cataract and insert a replacement lens.

When should cataract surgery be performed?

A cataract often takes months or years to develop.  When loss of vision begins to interfere with your daily activities and your quality of life, you should discuss cataract surgery with your eye doctor.

How safe is cataract surgery?

The doctors at Temas Eye Center introduced numerous advanced cataract and implant surgeries to the Triad area.  Their modern techniques have reduced the complication rate from over 50% in the 1980's to less than 5% today.


Cataract Surgery

Modern cataract surgery is performed on an outpatient basis, and takes only a few minutes.  At Temas Eye Center, the doctors use a procedure called "Clear Cornea" cataract surgery.  A few of the benefits of this advanced procedure are:

     No injection - anesthetic drops are used instead of painful shots, eliminating the risk of eye damage and bleeding.
     No stitches - a tiny, self-sealing incision is made in the cornea--requiring no stitches--which allows rapid return to normal activities.
     No patch - you will not be "blind" for the day.
     Short surgery time - our surgery takes only 5 to 7 minutes.
     Recovery - most people can return to normal activities within a day or two.  The American Society of Cataract and Refractive Surgeons reports that 98% of cataract patients had improved vision after surgery.

At Temas Eye Center, we specialize in cataract surgery.  If you or someone you know has concerns about cataracts or cataract surgery, or if you are unsure if surgery is the right answer for you, please give us a call! We will gladly provide you an honest second opinion.

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Multifocal Lens Implants

Multifocal Lens Implants.

After lens replacement or cataract surgery, a new lens implant is placed back into the eye. Conventional single-vision lenses only provide good distance vision, so patients still require glasses for intermediate and near vision. Unlike conventional single-vision lens implants, Multifocal Lenses have multiple focus zones that provide a full range of vision from distance to near.

The ReSTOR lens is clear, foldable, and made from an acrylic material.  This special lens is designed to help you see distance, near, and everything in between. This lens has shown promise for patients with mild macular degeneration that require a hand magnifier to help read.

The doctors at Temas Eye Center will help you choose the best lens for your lifestyle. 

You do not have to have cataracts to get this lens, so patients over 40 years old using magnifiers or bifocals to read small print can also consider a Clear Lens Extraction with a Multifocal Lens Implant.

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Clear Lens Extraction (CLE)

Clear Lens Extraction (CLE) is an outpatient procedure where the natural lens of the eye is removed before it becomes cataractous. CLE is designed for patients who are not eligible for Laser or Implantable Contact Lens surgery. The procedure involes "washing" out the natural lens and replacing it with a permanent clear implant. CLE takes less than 5 minutes to perform and visual recovery takes only a few days. This is the same advanced procedure Dr. Temas uses for cataracts.

Consider Clear Lens Extraction if you:
     - are not a candidate for PRK, LASIK or Implantable Contact
       Lenses,
     - are over 40 years old and need glasses to read
     - want permanent correction of your prescription error

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Presbyopia Correction

Most people over 40 years old need to use reading glasses or bifocals to read small print.  This is due to the natural aging of the eye where the lens becomes less flexible, also known as Presbyopia.

Although the aging process cannot be reversed, we can remove the natural lens through Clear Lens Extraction and replace it with a Multifocal Lens Implant. The ReZoom and ReSTOR implants can return that "20 to 30-something" vision safely and permanently.

Please refer to the Clear Lens Extraction and Multifocal Lens Implant sections for more information.

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LASIK

Steps of LASIK surgery.

Steps of LASIK surgery

Laser in-Situ Keratomileusis (LASIK) corrects vision by reshaping the corneal tissue beneath the surface of the cornea rather than on the surface, like PRK.  LASIK combines the accuracy of the Excimer laser with the healing benefits of a surgical procedure called Lamellar Keratoplasty, which has been performed since 1949.  LASIK allows faster and more predictable correction of nearsightedness, farsightedness, and astigmatism than PRK.

Technique:  After the eye has been numbed with drops, an  eyelid holder is placed between the lids to prevent blinking.  A microkeratome then creates a corneal "flap".  During this process you may feel a little pressure, but usually no significant discomfort.  The "flap" is then gently lifted and folded over to the side.  As you look at a target light, the laser painlessly reshapes the cornea.  Just like in PRK, the cornea is made flatter to correct nearsightedness, steeper to correct farsightedness and rounder to treat astigmatism.  The protective flap is then placed back over the treated area where it bonds with the reshaped cornea, eliminating the need for 'bandage' contact lenses or stitches. 

Because LASIK is performed under a protective layer of tissue, there is less surface area to heal, less risk of corneal haze, less postoperative discomfort, less need for postoperative medication, and vision returns more rapidly.

Find out if you're a candidate for LASIK surgery - schedule a consultation today!  Temas Eye Center requires a minimum age of 21 for all LASIK patients.  Patients under the age of 25 must present proof of unchanged vision prescription for at least two years. 

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What to ask about your LASIK surgeon

Always ask these questions about your surgeon:

How long has the surgeon been performing refractive surgery?
  
- At Temas Eye Center, we have been performing refractive surgery for more than 20 years.

What is the surgeon's re-operation rate?
- Temas Eye Center's rate is only 1.5% -- we do it right the first time! Multiple surgeries can lead to permanently reduced vision.

What is the infection rate?
-
Temas Eye Center has maintained a 0% infection rate since we began performing refractive surgery in 1991.

Does the surgeon live in the area or just "show up" on the surgery day?
- All of Temas Eye Center's doctors live in the Winston-Salem area and are proud to be a part of our community.

 

 Remember:


 
Not every laser is equal.

 Temas Eye Center uses the VISX laser, which is the only 3-dimensional tracking laser approved by the FDA.

 For more information on the VISX Laser, please visit the following link: www.visx.com/professionals/visx_technology/customvue.php


  Not every surgeon is equal.

 At Temas Eye Center, you will receive care unmatched by any other surgical group in the area. When researching surgery, remember: you wouldn't want a discount surgeon performing your brain surgery, so don't choose a discount operation to fix one of your most important senses - your sight. Bad surgery is no bargain at any price.

 

Call us today to learn more about refractive surgery and to schedule a FREE screening!

              336-659-8180  or  800-772-6564

 

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PRK

PRK being performed.

PRK being performed

Photo-Refractive Keratectomy (PRK) treats low amounts of nearsightedness, farsightedness and astigmatism by reshaping the surface layers of the cornea.  The procedure is virtually painless since only drops are needed to numb the eye. The eyelids are gently kept open with an instrument, and the surgeon carefully removes the thin surface layer of the cornea.  As the patient looks at a target light, the laser painlessly reshapes the cornea in just a few seconds. The cornea is made flatter to treat nearsightedness, steeper to treat farsightedness and/or more spherical to treat astigmatism.

After the treatment, a "bandage" contact lens is placed on the cornea to promote healing.  Patients may experience blurred or hazy vision for one to five days, and variable discomfort until the epithelium re-covers the treated area.  Eye drops and pain medication are used to minimizing any significant discomfort.   Final visual results are achieved around several days to a few months depending on healing tendencies.  PRK is most often used on patients who are not candidates for LASIK.

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Implantable Contact Lens (ICL)

Visian Lens.

Visian Lens

The phakic IOL or Implantable Contact Lens (ICL) is the newest and safest technology on the market to correct mild, moderate and high amounts of nearsightedness. The ICL is for people who are not good candidates for PRK or LASIK. 

Benefits

    Treats greater range of nearsightedness than PRK or LASIK (-3.00 to -20.00 diopters)
     FAST recovery
     NO dry eye problems
     NO corneal tissue removed
     Provides High-Definition vision
     Removeable - can take advantage of future technology


The procedure

One to two weeks prior to insertion of the lens, Dr. Temas will use a YAG laser to make one or two small openings near the outer edge of the iris.  These openings serve as outlets that will allow the fluid in your eye to circulate around the ICL.

The insertion of the lens is done in less than ten minutes in an outpatient surgical facility.  Eye drops are given to numb the eye. You may or may not be given a mild sedative.  A small incision is made in the cornea for the lens to be inserted.  The lens is placed either behind the iris (the colored part of the eye), or on top of the iris, depending on your prescription, and is centered on the pupil. Special marks on the lens ensure proper positioning.That's it! 

Temas Eye Center offers the FDA-approved Visian lens. Temas Eye Center is the first practice in Winston-Salem certified to perform the ICL procedure.

We expect ICL's will eventually replace PRK and LASIK for nearsightedness between  -3.00 and -20.00 diopter. Call us for more information about this revolutionary procedure and to schedule a FREE screening!

For more information, please visit the following link:

http://www.visianinfo.com

 

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Incisional Procedures (RK, AK)


Radial Keratotomy (RK)

RK is effective for low levels of nearsightedness.  It was first attempted in the 1890's, but improved in the 1970's by a Russian physician, Dr. Fyodorov. He discovered that placing numerous spoke-like incisions in a "radial" pattern around the center of the cornea reduced or eliminated nearsightedness. RK has been performed successfully on millions of patients, but is rarely performed today.

Astigmatic Keratotomy (AK)
 
AK is performed on patients who have astigmatism.  To reduce astigmatism, the cornea must be made less oval.    This is accomlished by making curved incisions in the cornea, causing it to relax and become more round.  AK has virtually been replaced by laser and lens implant procedures, which are more predictable.

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Glaucoma Management

Acute Glaucoma.

Acute Glaucoma

Glaucoma is one of the leading causes of blindness in adults.  It is estimated that 1 in 50 adults over the age 35 has glaucoma.  Glaucoma is a hereditary disease and is more likely to develop in people who are severely nearsighted, have diabetes, and/or are of African decent.  Early symptoms of glaucoma are hard to detect, but with proper treatment visual damage can be prevented.

What is glaucoma?

Glaucoma is a group of diseases that cause damage to the optic nerve.  The optic nerve is responsible for transmitting the image projected onto the retina, to the visual center of the brain.  Glaucoma, can cause blind spots in the peripheral (side) field of vision.

What causes glaucoma?

The eye contains a watery fluid called the aqueous, which normally circulates through the eye, leaves through a drainage system and returns to the blood stream.  In glaucoma, the drainage system becomes blocked, or there is an overproduction of fluid, which causes the pressure in the eye to increase.  The increased pressure can damage the optic nerve, which can lead to vision loss. Poor blood flow to the optic nerve, herbs, medications, diabetes, and other diseases can also cause glaucoma-like vision loss. It is not known what causes the malfunction of the fluid system.  There is much research being done to further understand glaucoma. 

What can be done?

A thorough eye exam can detect whether you have glaucoma.  Specialized tests such as visual field testing and optic nerve photography are essential in determining your risk of vision loss.  If you are found to have glaucoma, treatment with medication, lasers or advanced surgeries can effectively control the condition.

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Financing Your Procedure

At Temas Eye Center, we want to make it possible for you to afford your procedure and fit it into your budget.  We are pleased to offer interest-free and traditional payment plans through Care Credit. Our traditional payment plans can extend your payments out to 60 months and for as low as $50 per month.

You can apply online using the link below:

Click here to go to CareCredit.com

If you need further assistance, please give us a call at (336) 659-8180 and we will be happy to help!

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