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Our Services

Comprehensive Eye Exams

Glaucoma Treatment | Non-proliferative Diabetic Retinopathy (NPDR) Treatmnet | Proliferative Diabetic Retinopathy (PDR) Treatment | Galloway | Manahawkin | Margate A comprehensive eye exam with one of our highly skilled Physicians and technicians is completed to obtain accurate measurements and ensure overall healthiness of the eye.

Regular eye exams are an invaluable tool in maintaining your eyes' health by detecting and preventing disease. Some diseases develop slowly without causing pain or vision loss. Early detection of any problems can reduce the risk of further harm and allow for a choice of treatment options.

Although not very common, there are several eye diseases that patients can inherit from their parents. These diseases can affect the eye muscles, tear drainage system, cornea, lens and retina. They may cause difficulty focusing, vision loss or even blindness. Some of these conditions are present at birth, while others do not develop until much later in life.

Your doctor may recommend regular eye exams for patients whose parents were affected by a hereditary eye disease, in order to diagnose any potential conditions as early as possible. Some conditions, such as retinal detachment, macular degeneration and cataracts, do not cite heredity as the main cause, but may create an increased risk if there is a family history of the condition.

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Glaucoma: Advanced Treatments

Glaucoma is referred to as the "sneak thief of sight". Many patients do not experience any symptoms. Vision loss starts with loss of peripheral vision and in late stages affects central vision. Patients who go untreated with glaucoma may face some visual loss or even blindness. It is one of the leading causes of blindness in the United States. It is as common as high blood pressure and diabetes, but has a widespread lack of familiarity.

Glaucoma is a specified pattern of optic nerve damage and visual field loss caused by a number of different eye diseases, which can affect the eye. Not all, but most of these diseases, are characterized by elevated intraocular pressure. This is an important risk factor for the development of glaucoma, not the disease itself, because it strikes without obvious symptoms.

Everyone should be concerned about glaucoma and its effects. It is important for each of us, from infancy to senior citizens, to have our eyes checked regularly. Early detection and treatment of glaucoma are the only ways to prevent visual impairment or even blindness.

There are a few conditions that tend to put people at a greater risk. These include:

You are over 45 and have not had your eyes examined regularly
Family history of glaucoma
Abnormally high intraocular pressure
You have diabetes
Are of African descent
You are nearsighted
Have regular or long-term steroid/cortisone use
Have had a previous eye injury

Our physicians can perform a series of simple tests which can help to determine whether or not you have glaucoma or are likely to develop the disease, even before you have symptoms. The most important thing you can do to protect your vision from glaucoma is to have regular eye exams. If your eye doctor finds that you have the disease or that you are at risk for the disease, treatment can be recommended to minimize the risks or effects.

Glaucoma FAQ's »

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Diabetic Eye Care

Non-proliferative Diabetic Retinopathy (NPDR) Treatmnet | Proliferative Diabetic Retinopathy (PDR) Treatment | Galloway | Manahawkin | Margate Diabetes can affect eyesight, and if you have diabetes mellitus, your body does not use or store sugar properly. High blood sugar levels can damage blood vessels in the retina, the nerve layer at the back of your eye that senses light and helps to send images to the brain. The damage to retinal vessels is referred to as diabetic retinopathy. There are two types of diabetic retinopathy:

Non-proliferative Diabetic Retinopathy (NPDR)

NPDR is commonly known as background retinopathy and is an early stage of diabetic retinopathy. In this stage, tiny blood vessels within the retina leak blood or fluid. The leaking fluid causes the retina to swell or to form deposits called exudates.

Many people with diabetes have mild NPDR, which usually does not affect their vision. When vision is affected, it is a result of macular edema and/or macular ischemia. Macular edema is swelling or thickening of the macula (small area in the center of the retina that allows us to see fine details clearly). The swelling is caused by fluid leaking from retinal blood vessels. It is the most common cause of visual loss in diabetes and may be mild to severe. Even with mild cases, however, the peripheral vision continues to function. Macular Ischemia occurs when small vessels close. Vision blurs because the macula no longer receives sufficient blood supply to work properly.

Proliferative Diabetic Retinopathy (PDR)

PDR is present when abnormal new vessels (neovascularization) begin growing on the surface of the retina or optic nerve. The main cause of PDR is widespread closure of retinal blood vessels, preventing adequate blood flow. The retina responds by growing new blood vessels in an attempt to supply blood to the area where original vessels closed.

The new vessels are normally accompanied by scar tissue that may cause wrinkling or detachment of the retina. PDR may cause more severe visual loss than NPDR and affects both central and peripheral vision.

Your risk of vision loss is minimal when problems are detected at an early stage and patients maintain strict control of their blood sugar. Regular visits to your ophthalmologist are extremely important.

There are various forms of treatment depending on the severity and extent of the patient's diabetic eye condition. Our retinal specialist can help you understand these conditions and decide on possible plans of treatment.

Contact Lenses

Contact Lenses | Galloway | Manahawkin | Margate Over 30 million Americans wear contact lenses, according to the American Optometric Association. Reasons range from appearance and practicality to a need for sports and activities. Unlike glasses, contact lenses move with your eyes so you can enjoy a larger field of vision with fewer distortions. Unlike glasses, contact lenses are less affected by wet weather, do not steam up, and provide a wider field of vision.

There are many different kinds of contacts, including rigid and flexible, extended wear, disposable and planned replacement lenses. Some can be made as bifocals or in different colors. After a thorough eye exam and consultation with an experienced physician, patients who qualify for contact lenses can discuss which type is right for them. All contact lenses require special care and cleaning. You'll need to make regular follow-up visits to ensure your eyes remain healthy.

Dr. Shissias, Dr. Mazur, Dr. Vivadelli and Dr. Ryan are specialized in contact lenses. Their expertise includes gas permeable (hard) contact lenses and specialized contacts for certain medical conditions such as keratoconus.

We offer hundreds of types of contact lenses and are even able to offer bifocal contacts, toric lenses, monovision, colored contacts and so much more!

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