Specialized Procedures

Over the years optometry has changed from a profession dealing strictly with spectacles to becoming primary care providers dealing with many specialized procedures. The doctor at My Family Vision Clinic perform or co-manage the following procedures:

Punctal Occlusion

Punctal occlusion is a treatment for patients with dry eyes or tear chemistry problems due to lack of tear volume.

Patients suffering from dry eyes that are not responsive to tear supplements such as drops and/or ointments often times get relief if the drainage openings (puncta) in the lid are closed. This is accomplished by gently inserting a small silicone plug into the puncta so more volume of tear fluid is retained on the surface of the eye. The plugs can be easily removed at a later date if necessary.

The cost of this treatment is reimbursable by Medicare and Major Medical Insurance.

Foreign Body Removal

The doctor at My Family Vision Clinic are licensed to remove foreign bodies (metal, wood, fiber, plant material, etc.) from the front surface of the eye.

Iron foreign bodies left in the eye too long will rust, which causes the eye to not heal properly. This can be removed with special instruments under the high magnification of a biomicroscope.

The procedures are done with the use of anesthetic drops so there is no pain. After the removal, the eye will be treated with drops to stop possible infection.

Some abrasions may need to be treated with a bandage contact lens to reduce pain and speed healing.

These procedures are reimbursable by Major Medical Insurance.

Glaucoma Treatment

The treatment of glaucoma has, in the past, required patients to travel from home to an see an ophthalmologist. My Family Vision Clinic provides this service right here at home.

Dr. Moser is licensed to detect and treat glaucoma. In addition, we have a glaucoma specialist available to travel to McCook, Nebraska if needed for consultation.

Refractive Surgery

Refractive surgery refers to a procedure in which the eye is surgically altered to eliminate or greatly reduce a person’s dependence on glasses or contacts.

Worldwide, one procedure, LASIK, has come to be used the vast majority of the time. With LASIK the central area of the cornea is reshaped with a cool laser beam after the epithelium has been lifted. Then the flap is replaced and vision is quickly restored. As all technology quickly changes, there have been recent improvements in this area.

My Family Vision Clinic has been providing LASIK co-management since 1998; evaluating and consulting with patients and their suitability for LASIK.

Other refractive procedures such as INTACS are used to a lesser extent primarily due to the fact that they are only successful in a smaller percentage of patients.

Intacs

These are small clear prescription inserts placed in the peripheral cornea. These inserts reshape the corneal curvature to correct nearsightedness. There is no corneal tissue removed and the central portion of the cornea is untouched. They can be removed or replaced if your prescription changes. Intacs will not correct as large a refractive error as LASIK.

LASIK

The doctor at My Family Vision Clinic, LLC evaluates and consults with patients and their suitability for LASIK. We will do the pre-op examinations and all the necessary post-op followup evaluations in our clinic.

The majority of our patients have gone to the Dishler Laser Institute in Denver, Colorado. Dr. Jon Dishler has extensive training and vast experience. His clinic is strictly devoted to refractive surgery and his results are excellent. He has performed over 52,000 LASIK procedures. Dr. Dishler utilizes the latest technology – custom cornea wavefront measurement of the front surface of the eye, which provides the highest reliability of post-op vision. The Dishler Clinic is one of only two centers in Denver using the Intralasik laser to create the flap which is the initial step of lifting the corneal epithelium. This results in much less variation in the thickness of the flap which gives the best opportunity for sharp, clear vision.

We also do pre-op and post-op care with the TLC LASIK Centers, one of which is in Denver, Colorado; the Sutton, Linder & Sutton group of ophthalmologists in Lincoln, Nebraska; as well as Nebraska Laser Eye, Dr. Mark Johnston, in Omaha.

Cataract Surgery

When cataracts have advanced to the point that a change in your glasses prescription will not allow you to see adequately then you should see a cataract surgeon. The doctor and staff at My Family Vision Clinic will assist you in the process of selecting a surgeon, making appointments and following your progress during the post-op period. When the operated eye has a stable refraction, usually 4 to 5 weeks, you will be able to obtain a new prescription to enhance your vision. This new lens will maximize your ability to see without the interference of the cataract. If you have Medicare then a portion of the cost of new glasses will be assumed by Medicare and your supplement.

The doctor at My Family Vision Clinic comanage cataract patients with several surgeons in the area. If you have any questions please feel free to call our clinics in McCook or Benkelman.