Entropion & Ectropion Repair

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Entropion Repair

 

What is entropion and how is it repaired? 

With entropion, the eyelashes and skin of the eyelid turn into the eye; they rub against the cornea causing pain and irritation.

To repair an eyelid with entropion the eye surgeon will make an incision at the outer corner of the eyelid and along the eyelashes; sometimes the incision is made on the inside of the eyelid. Then, the surgeon will tighten the tendons that hold the eyelid in the correct position.

If entropion is caused by caused by scars or prior surgery, the eye surgeon may graft or surgically place a small amount of tissue from another area of the body; this helps lessen the pull on the eyelid caused by the scar and repositions the eyelid. This should help the skin and eyelashes from irritating the cornea.

Ectropion Repair

 

What is ectropion and how is it repaired? 

With ectropion, the lining of the inner eyelid is exposed. Tears do not drain properly from the eye leading to tearing and discomfort.

To repair ectropion the eye surgeon may tighten the tendons that normally hold the eyelid in the correct position. He or she may also remove a tiny piece of eyelid tissue to bring the lid back toward the eyeball.

If ectropion is caused by scars or prior surgery, a skin graft or place tissue from another part of the body may be used to relieve the tension caused by the scar and help reposition the eyelid. After surgery, the incisions made in the eyelid are closed with stitches or surgical adhesive.

Community Eye Center's Oculoplastic Surgeon

A talented and sought-after licensed Cosmetic and Oculoplastic Surgeon with board certification in Anti-aging Medicine. Dr. Mishra offers a comprehensive array of treatments, including cosmetic and functional eyelid surgery, BOTOX, cosmetic and other options at Community Eye Center.

Read More About Oculoplastics & Cosmetics

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 Photo Of Woman Wearing Glasses With Blue Frames

Financing For Cosmetic, Oculoplastics and Eyelid Surgery

Many private health insurance plans will cover the cost of functional eyelid surgery; this procedure may also be covered under Medicare. But, in the case that a procedure is not covered, or if you choose an elective procedure, Community Eye Center (CEC) partners with organizations that offer financial assistance.

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Person On Operating Table At Community Eye Center's St. Lucy Eye Surgery Center, Smiling With Nurses Standing Nearby To Review

Entropion & Ectropion Repair

Community Eye Center offers Southwest Florida with the best oculoplastic, cosmetic and plastic surgery, including treatment of common eyelid malposition, entropion and ectropion repair.

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Cosmetic Treatments, Oculofacial Plastic & Reconstructive Surgery

Community Eye Center offers oculofacial plastic and reconstructive surgery options for patients with cosmetic, functional or reconstructive surgery needs. Our board-certified cosmetic and oculoplastic surgeon, Dr. Mishra, has extensive training and years of experience focused on plastic and reconstructive eye surgery. Dr. Mishra will customize and tailor your treatment plan. With attentive care, he strives to meet your goals with results that look not only beautiful but also natural.

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A Doctor Holding A Woman's Eyelid Up While Tracing The Area For Eyelift Surgery Incision

Eyelid Lift Surgery (Blepharoplasty)

Eyelift surgery, also known as eyelid surgery or blepharoplasty, is a surgical procedure that is performed to remove excess skin from the upper eyelids and/or reduce bagginess from lower eyelids.

This procedure is done for both cosmetic and functional reasons. While it can improve appearances, it is also done to improve sight for those whose eyelids sag and get in the way of their vision.

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Intraocular Lens Choices During Cataract Removal

Intraocular Lens Choices With Cataract Removal Surgery

Intraocular lenses (IOLs) are used to replace clouded lenses during cataract surgery. These lenses are implanted inside the eye when the original lens is removed. This is called refractive lens exchange. There are three types of lens exchanges available:

Monofocal IOL

The Standard/Basic cataract lens removal package include standard, preoperative measurements, and placement of a single focal lens implant. Every effort is made to provide for accurate lens measurements and a new eyeglass prescription is provided post-operatively. This package is the most cost-effective.

  • After surgery, patients may need glasses 100% of the time for reading and driving (distance and near).
  • The standard treatment and lens are typically covered by insurance companies including Medicare.
  • Patients who choose the standard monofocal lens often do so with the goal of removing the cataract with no additional fees.
  • The standard monofocal lens has only one focusing point and will correct vision that was impeded by the natural cloudy lens.
  • This lens does not correct astigmatism.
  • With the use of this lens, it is common to still depend on glasses after the surgery. Glasses would be required for distance, intermediate and near focus and to correct astigmatism. Patients may also need bifocal, trifocal or reading glasses.
  • If a patient chooses this option and later desires to be less dependent on glasses, an enhancement may be purchased at a later date. 

Premium Lens With Astigmatism Treatment

A custom cataract lens removal package choice includes a multifocal lens choice. With this package, a patients need for eyeglasses after surgery may be reduced or eliminated.

  • After surgery, the goal is to achieve better distance or near vision but patients may need glasses 100% of the time for reading (near).
  • Patients who choose the enhanced vision treatment do so with the goal of removing the cataract and replacing the lens with an aspheric monofocal lens with astigmatic management, for an additional fee.
  • This custom category is recommended for all post-Lasik and PRK patients.
  • The Enhanced package includes all necessary additional testing for astigmatism management for clearer distance vision.
  • With this option, there are several ways to manage astigmatism including a toric lens implant, corneal relaxing incisions and/or WaveTec laser vision customization.
  • This is your best choice if you do not mind wearing glasses for reading but want better, clearer distance vision while driving.

Premium Lens With Astigmatism And Presbyopia Treatment

A custom cataract lens removal package choice includes a multifocal lens choice. With this package, a patients need for eyeglasses after surgery may be reduced or eliminated.

  • The goal is to reduce dependency on glasses for distance and near vision.
  • Most patients should expect not to wear glasses the majority of the time for distance and near vision. It may still be necessary to wear glasses to maximize nighttime driving due to low light and for fine print at near or intermediate and may still require appropriate lighting.
  • Premium Enhanced Cataract Surgery expands the enhanced approach with the use of a multifocal premium lens implant (ReSTOR or Crystalens). The lens chosen is based on the visual goals of the patient.
  • After surgery, the goal is to reduce dependency on glasses for distance and near vision. 
  • An additional fee includes removing the cataract and replacing the lens with custom presbyopic correcting lens technology as well as astigmatism correction and/or the use of WaveTec laser vision customization if needed. 
  • The Premium package includes the custom presbyopic correcting lens technology with all necessary additional testing for astigmatism management for clearer distance and near vision.
  • This is your best choice if you want to achieve better, clearer distance vision while driving and the ability to read with minimal dependency on glasses.

Community Eye Center Cataract Surgeons

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

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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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Recovery After Cataract Surgery

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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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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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Which Eye Care Professional To Choose: Ophthalmologist, Optometrist or Optician?

Which Eye Care Professional To Choose: Ophthalmologist, Optometrist or Optician?

There is a question about eye care professionals that our staff receives frequently. It is a question that is hugely significant when scheduling an eye appointment at Community Eye Center.

“What’re the differences between ophthalmologists, optometrists and opticians?”

We are always happy to address this concern for patients because it streamlines their visit by providing them with eye care that suits their individual eye needs. Whether a patient requires a comprehensive eye exam, eyeglasses, or is seeking treatment for a more complex eye condition, Community Eye Center’s goal is to offer expedient care and direct patients to the best eye care provider for their needs.

While there is some overlap in the services provided, the levels of training and expertise are unique to each type of provider. To alleviate confusion, here is a glimpse at the different care that each of these providers offers:

Ophthalmologist

Often, the term “eye doctor” is used as a universal term to describe ophthalmologists and optometrists. The use of this name is accurate because they are both doctors who concentrated in eye care. However, there are differences in the level of training and what ophthalmologists or optometrists can diagnose and treat.

The critical distinction between an ophthalmologist and an optometrist is that an ophthalmologist is a medical or osteopathic doctor (MD or DO) who specializes in eye and vision care.

As a doctor of medicine, who has completed school and a minimum of eight years of medical training, ophthalmologists can diagnose and treat any eye condition or disease, perform eye surgery and prescribe eyeglasses and contact lenses for vision correction. Ophthalmologists are qualified to care for all eye conditions and diseases.

Ophthalmologists are often also involved in scientific research about the causes and cures for eye diseases and vision disorders. Some ophthalmologists may also choose to specialize in a specific area of their medical training or surgical eye care. These subspecialties require additional fellowship training. Subspecialties of ophthalmology may include glaucoma, retina, cornea, pediatrics, and plastic surgery. This extensive training is to prepare ophthalmologists to care for more complex cases in specific areas of the eye.

Optometrist

Optometrists are licensed to practice optometry, but are not medical doctors and do not perform eye surgery. Optometrists hold a doctor of optometry (OD) degree after completing four years of optometry school, preceded by three years or more years of college.

Optometrists are doctors who provide care ranging from comprehensive eye examinations and vision correction with the fitting of glasses and contact lenses to diagnosis and management of ocular diseases such as glaucoma, cataracts, diabetic retinopathy, macular degeneration, pre and post-operative care for surgical patients, and dry eye evaluations.

Optician

Opticians are technicians who receive training to design and fit eyeglass lenses, frames and contacts as well as other vision correcting devices. They may use prescriptions which are provided by ophthalmologists or optometrists but cannot test vision or write prescriptions for vision correction. Opticians cannot diagnose or treat eye conditions or diseases.

If you would like more information about the eye care providers at Community Eye Center, Schedule an appointment with one of Community Eye Center. You may also call Community Eye Center at +1-941-625-1325 for information or to schedule an appointment.


For over 30 years, Community Eye Center (CEC) and its eye doctors have provided excellence in eye care from multiple south-west Florida locations, eye only surgery center, and optical services. CEC 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, eye surgeons, oculoplastic specialists, cataract specialists, and more), CEC offers comprehensive and expedient care.

West Nile And The Eyes

West Nile And The Eyes

 

VENICE/NORTH PORT/PORT CHARLOTTE, FL— SEP 14, 2018

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

OR

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Dr. Eric Liss A Top Cataract Surgeon In Port Charlotte, North Port And Venice Florida Poses For His Headshot At Community Eye Center, A Full-Service Eye Care Clinic
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Dr. Eric Liss On Red Tide And Eyes

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Red Tide And Eyes

Eye Symptoms That Should Never Go Unchecked


With the summer season of beaches and fun in the sun comes another, less welcoming aspect of life in Southwest Florida, red tide. While the focus is usually on the respiratory and ecological impacts of these blooms of harmful algae, it is important to keep in mind that red tide can also significantly impact the eye health of you and your loved ones.

For the past couple months, Southwest Florida has been impacted by Red Tide. These algal blooms, caused by a species of dinoflagellate, known as Alexandrium fundyense, can cause people to have throat irritation, congestion, sneezing, itching, coughing, wheezing and even chest tightness. But, Red Tide may also cause people eye irritation including itchy and burning eyes, symptoms that can indicate serious eye conditions.

“Many patients may be familiar with the typical seasonal allergy symptoms such as redness and itchy eyes but it is important to consider the possibility that red tide can also be a significant factor for some individuals,” said Dr. Eric Liss, ophthalmologist at Community Eye Center. “For some, these symptoms may be minor and not overly bothersome, however other people may have significant difficulties with eye comfort, appearance, and even vision.”  

People experiencing eye irritation from Red Tide may benefit from a comprehensive eye exam. Different from a typical optical visit, during a comprehensive eye exam, eye doctors check the eyes for signs of chronic and progressive eye conditions that can significantly impair a person’s vision, comfort and ability to function normally.

“Just as it is important to get a regular physical exam even if you don’t have active symptoms, it is similarly important to regularly assess eye health for potentially silent but visually damaging conditions such as glaucoma or macular degeneration,” said Liss. “An otherwise healthy adult should receive a comprehensive eye exam on an annual basis, with more frequent visits depending on the presence and severity of ocular disease.”

Comprehensive medical eye exams become even more critical as people age because conditions such as cataracts, glaucoma and macular degeneration become more common. Early diagnosis and intervention of these diseases can often prevent vision loss or blindness.

“There is a widespread misperception that just because you don’t have any complaints about your vision that means that your eyes are healthy.  I see patients on a daily basis who have normal vision but who nonetheless are affected by potentially blinding conditions,” said Liss. “A clinic visit to address a quality of life complaint such as eye irritation is the perfect opportunity to make sure your overall eye health and vision are as good as they can be.”  

 

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