Glaucoma Treatment Options

Treatment options for glaucoma include eye drops, pills, laser surgery, traditional surgery or a combination of these methods. When treating glaucoma, the goal is to prevent vision loss, as the disease is progressive and vision loss from glaucoma is irreversible. When glaucoma is detected early, it is drastically more manageable; and with proper medical treatment, most people will not lose their sight.

There are many medications that can be prescribed to prevent vision-threatening damage. Discussing all of the potential side effects and finding the right treatment or combination of treatments for each patient, the doctors at Community Eye Center work as a team with their patients in the battle against glaucoma.

Surgical Glaucoma Treatment Options

If medications alone do not achieve the desired results or have intolerable side effects, our doctors may suggest surgery for glaucoma management.

Trabecular Bypass Stent Surgery

To implant a trabecular bypass stent, your ophthalmologist will create a small incision in your cornea. Then he or she will place a stent, which looks like a tiny tube, into part of the eye’s drainage system. The stent allows fluid to bypass an area that is not draining efficiently. This reduces eye pressure.

Laser Trabeculoplasty

With laser trabeculoplasty, your surgeon will put a special contact lens on your eye. This helps focus and deliver the light from the laser to the precise location. The surgeon applies the low energy laser to the area called the trabecular meshwork; this is where fluid naturally drains from the eye. The laser causes microscopic changes in the eye’s tissue allowing fluid to drain better, reducing eye pressure.

Implant Surgery

In glaucoma implant surgery, the drainage implant is usually placed in the area under either the upper or lower eyelid. Your ophthalmologist will stitch the implant to the sclera, the white part of your eye. Your ophthalmologist may cover the tube of the implant with a patch. Fluid will drain out to the area around the implant. A tiny tube is attached to the drainage implant and inserted into the front chamber of the eye, usually just in front of the iris. The tube sends fluid from the inside of the eye to the implant where it is absorbed into the body.

Laser Iridotomy

With laser iridotomy, the ophthalmologist uses a focused beam of light to create a tiny opening about the size of a pinhead in the iris; this opening allows trapped fluid behind the iris to flow into the front of the eye, usually reducing pressure. A laser iridotomy is an important way to treat or prevent a sudden rise in eye pressure that can seriously affect your eyesight.

Mini Filtration Implants

In mini filtration implant surgery, your ophthalmologist will create a small flap underneath the upper eyelid in the sclera, the white part of your eye. Then he or she will implant a tiny drainage device under the flap. This device is called a mini shunt, which opens a pathway for fluid to drain from inside the eye. The fluid collects in an area around the implant caused a filtering bleb, where it is gradually absorbed into the body.


During trabeculectomy surgery, your ophthalmologist makes a tiny incision in the conjunctiva, the clear lining over the sclera (or the white part of the eye); this is done under your upper eyelid and near the edge of the iris. Next, he or she will create a small flap in the sclera underneath the incision. Then, a tiny piece of tissue is removed under the flap to make an opening into the eye. A small piece of the iris may also be removed to keep it from blocking the opening. This opening serves as a new channel for fluid to drain gradually from the eye, reducing pressure. The flap is sewn back into place with tiny stitches, which help guard against too much fluid draining out at once. The area where the fluid drains from the trabeculectomy is called a filtering bleb. As fluid filters out of the eye and into the bleb, it looks like a bubble. Because the bleb is under the eyelid, it is not usually visible.

Community Eye Center Doctors

Community Eye Center offers comprehensive eye care from multiple South West Florida locations.

Read More About Glaucoma & Glaucoma Treatment Options

There is a lot of information on the internet about eye health. The best information will come directly from a board-certified eye doctor. Call (941) 625-1325 to book a consult with one of Community Eye Center’s ophthalmologists, optometrists or opticians today.

Glaucoma Informational Video

In the healthy eye, fluid called aqueous humour is made in the front of the eye and flows out through a tiny drain called the trabecular meshwork. The trabecular meshwork is located in an area called the drainage angle. If fluid does not flow out of the drainage angle properly, eye pressure increases and damages the optic nerve.

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A photo showing how if the drainage angle is too narrow for fluid to flow out of the eye properly, pressure increases. Eventually the pathway for fluid to flow out of they eye may become completely blocked.

Closed Angle Glaucoma

If the drainage angle is too narrow for fluid to flow out of the eye properly, pressure increases. Eventually the pathway for fluid to flow out of they eye may become completely blocked.

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Types Of Glaucoma

Open-angle glaucoma, the most common form of the disease, occurs when the eye’s drainage canals become clogged over time, resulting in increased eye pressure that causes damage to the eye’s optic nerve.

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Glaucoma Treatment Options

Treatment options for glaucoma include eye drops, pills, laser surgery, traditional surgery or a combination of these methods. When treating glaucoma, the goal is to prevent vision loss, as the disease is progressive and vision loss from glaucoma is irreversible. When glaucoma is detected early, it is drastically more manageable; and with proper medical treatment, most people will not lose their sight.

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Cataracts Frequently Asked Questions

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The lens of the eye can be compared to a camera lens. The eye lens is found behind the iris and the pupil. The lens focuses the light back toward the retina and the image is recorded there. Like a camera lens, the eye lens can also adjust focus.

Unlike a camera, the eye lens is not made of glass; it is mainly made of water and protein.  In an eye with normal vision, this protein is arranged in a way that the lens is clear and light is able to pass through it. But, sometimes the protein clumps together and starts to cloud the lens. This is a cataract. Over time, the cataract can grow and cloud a larger area of the lens, making it progressively more difficult to see.

Gradually, as cataracts progress, patients may experience symptoms such as:
  • Painless cloudy, blurry or dim vision
  • More difficulty seeing at night or in low light
  • Sensitivity to light and glare
  • Seeing halos around lights
  • Faded or yellowed colors
  • The need for brighter light for reading and other activities
  • Frequent changes in eyeglass or contact lens prescriptions
  • Double vision within one eye

If the clouding is mild or only involves a small part of the lens, vision may only be slightly affected. If there is more clouding and it affects the entire lens, vision will become severely limited and cataract surgery becomes necessary.

Age is the most common cause of cataract. However, cataracts do not only affect senior citizens. In fact, people can have age-related cataracts in their 40s and 50s. Most with cataracts in middle age will not experience a major impact on vision; it may take several years for the cataract to advance to cause a more severe problem. There are less common types of cataracts, not related to normal aging; these include: Non-age related Cataracts from other disease or medication These cataracts are caused by other eye diseases or previous eye surgery. Chronic disease can make you more likely to develop cataracts; for example, diabetes has been proven to increase the risk of cataracts. Excessive use of steroid medications can spur the development of this type of cataract as well. Congenital or developmental Cataracts This type of cataract can occur in infants or children. These cases may be hereditary or they can be associated with some birth defects; some occur without any obvious cause. Traumatic Cataracts These cataracts are related directly to an eye injury. Traumatic cataracts may appear immediately following an injury, or they can develop several months or even years later.

Cataracts can be diagnosed through a comprehensive eye exam. Our doctors at Community Eye Center perform thousands of these exams each year. During the exam:

  •    Patients will have a visual test that uses an eye chart test to measures sight at various distances
  •    Patients will have a dilated eye exam, during which drops are placed in the eyes to widen, or dilate, the pupils; a magnifying lens is used to examine the retina and optic nerve for damage and/or other possible eye issues; after the exam, the patient’s vision might be blurry for a few hours
  •    Patients will undergo a tonometry test. During this test an instrument is used to measure the pressure inside the eye
  •    Some patients may also require other tests may be required to determine the health and examine the structure of the eye.

Cataract surgery is rarely an urgent situation. It should be done when the patient is medically stable and when the patient’s cataracts begin to interfere with the patient’s ability to function in everyday activities such as driving and reading. A cataract may need to be removed even if it is not causing vision problems. For example, it may be necessary to remove a cataract if it prevents examination or treatment of another eye issue, such as age-related macular degeneration or diabetic retinopathy.

Choosing the right lens depends on a variety of factors, including lifestyle, medical history and the patient’s visual needs and expectations. Our doctors take time with the patient to help determine the implant that will be best suited for their unique needs. If it is determined that surgery is appropriate, this questionnaire will help your surgeon provide the best treatment for your visual needs.

Community Eye Center and St. Lucy’s Outpatient Surgery Center perform only eye surgery; because of this, all of our procedures are efficient and streamlined. Upon arrival, patients walk into a very warm, friendly environment, where they are asked the appropriate questions by our staff and allowed to express their own questions and concerns prior to surgery. Patients are relieved to find the surgery is painless. The eye surgeon uses anesthetic eye drops to numb the eyes, as well as I.V. medication to relax the patient. Using a process called phacoemulsification; the surgeon breaks up the cataract and “vacuums” it from the eye pouch – a very safe and proven technique.  The lens implant is then inserted. In most cases, a suture is not needed. The entire process takes 15 minutes.

More than 60 percent of patients see better than 20/30 the first day after cataract surgery. Those with pre-existing medical conditions, such as macular degeneration, glaucoma and corneal problems, usually find it takes a little longer to see clearly.

Post-surgery our doctors prefer to see patients the day after the procedure, then five days later and then again after two weeks. Most patients’ eyes stabilize during that time. Antibiotic drops are given to prevent infection and ease inflammation.

It is not necessary to travel for superior eye care.  Community Eye Center’s St. Lucy’s Outpatient Surgery Center is the only outpatient eye surgery center in Charlotte County with national accreditation from the Accreditation Association for Ambulatory Health Care. To earn this, the facility has to adhere to a rigorous standard. The doctors at Community Eye Center deliver exceptional care; this is fostered by the fact that CEC specializes exclusively in eye care.

Community Eye Center Cataract Surgeons

Community Eye Center offers treatment and diagnosis for cataracts as well as multiple surgery options, including premium lens implants. Community Eye Center's cataract surgeons are board-certified and dedicated to providing patients with excellence in eye care.

Read More About Cataracts & Cataract Surgery

There is a lot of information on the internet about eye health. The best information will come directly from a board-certified eye doctor. Call (941) 625-1325 to book a consult with one of Community Eye Center’s ophthalmologists, optometrists or opticians today.

A Loving Couple Who Choose To Look Into Each Others' Eyes

Types of Lens Choices With Cataract Surgery

There is a lot of information about cataract surgery lens choices on the internet. The best and most up-to-date information will come directly from a board-certified eye doctor.

Community Eye Center (CEC) is ophthalmology, optometry, optical in multiple Southwest Florida locations with its own AAAHC accredited eye-only surgery center.

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Providing Excellence In Care For Patients At Community Eye Center's Eye-Only Surgery Center, Dr. Michael A. Baskind, CRNA, PhD Stands Next To A Patient In A Post Cataract Surgery Recovery Room

Recovery After Cataract Surgery

Cataract surgeries are typically quick and uneventful. An estimated 3.5 million cataract removals are performed each year in the United States. It is one of the most common surgical procedures. Numbers also show that the chance of a good outcome and improved vision after surgery are excellent.

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Voted The Best Cataract Surgeon In The Area, Dr. Spadafora Performs A Cataract Surgery On A Patient At Community Eye Center's Eye-Only Surgery Center

About Cataract Surgery

Ophthalmologists, optometrists and eye health professionals work as a team to provide comprehensive eye care at Community Eye Center (CEC). Eye specialists including, cataract, glaucoma, retina and oculoplastics as well as an accredited eye only surgery center, CEC offers the best cataract surgery options possible for positive patient outcomes. Eye doctors may be seen at any of CEC’s multiple Florida locations in Port Charlotte, North Port, and Venice.

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An Eye-Only Surgery Center, Eye Clinic and Optical Shop, Community Eye Center Offers Patients, Like The One Smiling At The Camera, With Comprehensive Eye Care Including Treatment For Macular Degeneration, Cataracts, Glaucoma And More

Financial Assistance For Cataract Surgery

Cataract surgery is generally covered under insurance and Medicare plans. But, in the case that a procedure is not covered, or if you choose to upgrade your surgery to one of our elective procedures, such as a premium lens choice, Community Eye Center (CEC) partners with organizations that offer financial assistance for cataract surgery.

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Laser-Guided Cataract Surgery

Community Eye Center performs Laser-Guided Cataract Surgery. Dr. Schaible and Dr. Spadafora conducted research with a form of YAG laser in human cataract surgery more than a decade ago for the FDA.

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Premium Lens Choices With Cataract Surgery

In the past, cataract surgery used to be about preventing blindness; however, with the sophisticated advances in cataract removal, premium lens choices and ORA laser-guided cataract surgery, surgeons can return a patient’s vision to the way it was years ago.

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Ready to schedule a consult?
Please call:

+1 (941) 625-1325


West Nile And The Eyes

West Nile And The Eyes



Did you know that West Nile Virus can result in lesions to the part of the eye which gives us our sharp, central vision? With the recently issued mosquito-borne illness advisory, Community Eye Center (CEC) seeks to inform about eye manifestations of the West Nile Virus.

Late last week, health the Florida Department of Health Charlotte County issued a mosquito-borne illness advisory. The advisory arose after a recently confirmed human case of West Nile Virus.

Often, patients will present no symptoms of the West Nile Virus. But, in about 20% of cases, those infected may develop a fever and other symptoms including headaches, body aches, joint pains, vomiting, diarrhea or rash. In rare cases, West Nile can develop into a potentially life-threatening disease that affects the central nervous system.

Those infected with West Nile Virus may also experience eye manifestations including anterior uveitis, retinal vasculitis, optic neuritis, subconjunctival hemorrhage, sixth nerve palsy, nystagmus, and congenital chorioretinal scarring. The most common eye manifestation related to the illness is asymptomatic multifocal chorioretinitis (lesions to the macula).

Multifocal chorioretinitis consists of small, multifocal, retinal lesions together with intraocular inflammatory. Symptoms include blind spots, floaters, eye discomfort and perceived flashes of light. Commonly treated with steroids, chorioretinitis can also happen to those who have never had the West Nile Virus. Chorioretinitis is considered a chronic eye condition. Symptoms can return or worsen even after successful treatment.

With asymptomatic multifocal chorioretinitis resulting from West Nile Virus,  patients may experience vision loss. Vision typically returns after the West Nile infection subsides. Still, in severe cases of chorioretinitis associated with West Nile, permanent vision loss has been reported.

Often happening gradually in adults, vision changes can go unnoticed. A routine comprehensive exam is the best way to ensure that vision stays sharp. Comprehensive medical eye exams become even more critical as a person ages because conditions such as cataracts, glaucoma and retinal conditions become more common. Early diagnosis and intervention of these diseases can often prevent vision loss or blindness.

Whether in need of a routine exam or facing something more complex, Community Eye Center’s eye care providers are prepared to help. For over 30 years, CEC has provided excellence in eye care from multiple south-west Florida locations, eye only surgery center, and optical services.

Community Eye Center offers total eye care including cataract surgery, dry eye treatment, treatment of macular degeneration and all other retinal diseases, glaucoma treatment, diabetic eye exams, eyelid & cosmetic surgery, comprehensive eye exams, contact lenses & glasses, and 24/7 emergency eye care. Selecting only the most qualified and dedicated eye health professionals (board-certified ophthalmologists, optometrists, opticians, oculoplastic specialists, cataract specialists, and more), CEC offers comprehensive and expedient care.

For more information about the effects of West Nile on eye health, please contact Community Eye Center at +1-941-625-1325.

Community Eye Center (CEC) was first founded in 1980 by Dr. Anthony Limoncelli to serve the area residents by providing a central resource for the eye health needs of the community. Over three decades, CEC has grown to include nine physicians at multiple Southwest Florida locations, an eye only surgery center and optical services. A part of CEC, St Lucy’s Eye Surgery Center is the only facility in Charlotte County dedicated exclusively to eye surgery.

Ready to schedule a consult?
Please call:

+1 (941) 625-1325


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Free Cataract Screenings & Seminar

Dr. Bradley O’Neill will hold a free cataract seminar and offer free cataract screenings.

Attendance is reserved for the first 25 to RSVP before January 7th, 2020. Please call (941) 625-1325 to RSVP for this event.

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