- Cataract surgery
- Routine eye exams
- Glasses and contact lenses
- Corneal diseases
- Corneal transplant
- Diabetic eye exams
- Glaucoma treatment
- Dry eye treatment
Routine Eye Exams
Dr. Miller provides routine eye exams for patients of all ages. During these comprehensive exams, a series of tests are performed, including those to assess visual acuity, refraction and to look for any potential eye disease(s). Dr. Miller recommends a routine eye exam every 1-2 years.
Glasses and Contact Lenses
Dr. Miller provides refractions for glasses and/or contact lenses. We fit all types of contact lenses including: soft contacts, gas-permeable (rigid) contacts, and specialty lenses for patients with keratoconus. Patients new to contact lenses should plan on a second visit where they will spend time with a technician who will explain how to use and care for contact lenses.
Dr. Miller is a sub-specialist corneal surgeon, specializing in the following corneal diseases:
Keratoconus is a progressive eye disease in which the normally round cornea thins and begins to bulge into a cone-like shape. The cornea is the clear, central part of the surface of the eye. In patients with keratoconus, the cone-shaped cornea deflects light and causes distorted vision.
Sign and Symptoms of Keratoconus
Keratoconus often begins to develop in the teen years to the early 20s, although it can develop at any age. Changes in the shape of the cornea occur gradually, usually over several years. In most patients with keratoconus, both eyes eventually become affected.
Keratoconus can be difficult to detect because it usually develops very slowly. Signs of keratoconus may include:
Corneal Transplant Surgery
For patients with advanced keratoconus, corneal transplant surgery may be necessary. For more information on this surgery, visit the corneal transplant page.
Pterygium is a growth on the cornea (the clear front window of the eye) and the conjunctiva - the thin, filmy membrane that covers the white part of your eye (sclera). These growths are believed to be caused by dry eye, exposure to wind and dust and UV (ultra-violet) exposure.
In many cases no treatment is needed. Sometimes eyedrops and ointments may be used to reduce inflammation (swelling). If the growth threatens sight or causes persistent discomfort, it can be surgically removed.
The endothelial cells can be lost due to aging, from inherited diseases, from trauma, or from previous intraocular surgery. If a critical number of endothelial cells are lost, and the cornea becomes swollen and cloudy, medical therapy is usually not helpful and a corneal transplant operation is indicated. The remainder of the corneal layers, the stroma and the outer epithelium, are usually healthy. A large number of patients requiring corneal transplant surgery have these sorts of problems where only the endothelial cells have been injured or lost.
Diabetic Eye Exams
For patients with diabetes, it is necessary to have an annual dilated exam. It is important to have this yearly exam because diabetic retinopathy is the only treatable complication of diabetes. Dr. Miller will perform a complete exam and will send a report of his findings to your primary care physician.
Dry eye occurs when the eyes aren't sufficiently moisturized, leading to itching, redness and pain from dry spots on the surface of the eye. The eyes may become dry and irritated because the eyes don't produce enough tears, or because the tears themselves have a chemical imbalance.
Dry eye is not only painful, it can also damage the eye's tissues and impair vision. Fortunately, many treatment options are available.
Non-surgical treatments for dry eye include the use of artificial tears, moisturizing ointment, and/or prescription medication. If these methods fail, small punctal plugs may be inserted in the corners of the eyes to limit tear drainage, or the drainage tubes in the eyes may be surgically closed. Eyelid surgery is also a solution if an eyelid condition is causing your dry eyes.