Blepharitis is a common eye problem involving the inflammation of the eyelids. The condition can affect people of all ages, and while often uncomfortable, it is not contagious. Blepharitis may be categorized into two distinct types. Anterior blepharitis affects the outside edge of the eyelid where the eyelashes take root, and Posterior blepharitis occurs at the inner edge of the eyelid where it touches the surface of the eyeball.
There are several possible causes of blepharitis, including bacterial or fungal eyelid infections, seborrheic dermatitis (dandruff), dry eyes, Rosacea, eye allergies, eyelash mites, lice, as well as dysfunction of the oil glands in eyelids. Symptoms of the condition may include a burning or stinging sensation of the eyes, red or swollen eyelids, a crusty debris along the eyelashes, itchiness, irritated or watery eyes, sensitivity to light, blurred vision or a sensation of grittiness around the eyes.
As with all conditions that affect your eye health and vision, it is important to consult with an eye doctor. Without proper care, blepharitis can lead to other problems such as a stye, chalazion, pink eye, or even a corneal injury. One of the keys to blepharitis treatment is to keep the eyelids clean and free of crust. The eye doctor will advise you on the proper methods of self-care. When indicated, medications may also be prescribed to control inflammation or treat any infections as well as address any underlying conditions.
Recently multiple diagnostic and treatment approaches often not covered by insurance have been developed. Although appropriate in some cases the vast majority of patients respond to traditional approaches Dr. Isaacs philosophy of treatment with this and other conditions is finding simplest level of treatment to alleviate symptoms.
Blepharitis is often a recurring condition, which means that an effective approach to care involves consistent maintenance of the eyelid area. The eye doctor will be able to advise you on the best course of action for addressing your blepharitis, allowing you to live comfortably with the condition and minimize its impact on your daily life.
Before your cataract surgery Dr. Isaacs will discuss your visual needs, and do some tests and measurements to select the right intraocular implant for you.
As a cataract develops you may start to feel like you are looking through a foggy window and you may experience one or more the following symptoms:
It is of paramount importance that if you are experiencing any of these symptoms to schedule a comprehensive eye examination with our office. Early diagnosis and management are essential to preserving vision.
Today, thanks to advances in care, removing cataracts to restore vision is a routine, safe and effective surgical procedure. It involves removing the cloudy damaged lens and then replacing it with an artificial intraocular lens (IOL). Dr. Isaacs offers correction of astigmatism with toric lenses and/or corneal incisions and multifocal lenses.He is certified in use of Femtolaser assisted cataract surgery. In most cases, cataract surgery can be performed on an outpatient basis with the entire procedure typically taking less than an hour.
Before your cataract surgery, our ophthalmologist will do some tests and take some measurements to select the right intraocular implant for your needs. Today, new types of lens implants are available that can help correct other vision problems and in some instances reduce your dependence on eyeglasses. As your trusted partner in care, we'll address all your questions and concerns regarding your procedure as well as explain what you expect every step of the way.
Your eyesight is a precious gift, and protecting against vision loss is essential to maintaining your quality of life. By taking the simple step of making a comprehensive eye examination part of your healthcare routine, you can help safeguard your vision.
As part of a comprehensive eye examination, the office of Fredrick A. Isaacs MD PC will assess your eye health and every aspect of your vision. In addition to determining your proper eyeglass or contact lens prescription, we’ll screen for eye diseases that can lead to vision loss, as well as check for any other problems that may affect eye health. Since your eyes can be an indicator of your overall health, we’ll also look for any warning signs of underlying medical conditions such as high blood pressure, high cholesterol, or diabetes.
It’s also essential for children to have their eyes checked on a regular basis. Periodic eye exams help determine if their vision is developing on schedule and detect any emerging issues that might require treatment.
By scheduling an appointment with the office of Fredrick A. Isaacs MD PC for routine exams and care, we can help you and every member of the family enjoy optimal vision while protecting the health of their eyes.
A comprehensive eye exam provides an in-depth look at the health of your eyes and a thorough assessment of the quality of your vision.
We begin by reviewing your overall medical history and gathering relevant information on your eye health history and that of your family. We’ll also discuss any symptoms you may be experiencing, along with any work-related or environmental conditions that may affect your vision. You’ll then receive a thorough clinical examination to check the health of your eyes and assess the quality of your vision. While taking a close look at your eyes, we perform a series of comfortable tests to determine your visual acuity. We also check the degree to which your eyes work together, how well your eyes follow a moving object, your depth perception, and evaluate other indicators of vision function.
You’ll also be carefully screened for the development of eye diseases that can lead to vision loss. Many eye diseases, including glaucoma, macular degeneration, diabetic retinopathy, as well as other conditions affecting the retina, demonstrate few if any overt signs or symptoms until irreparable damage to your eyesight has occurred. Detecting diseases that can threaten your sight in their earliest stages supports effective management and care.
As surprising as it sounds, your eyes are the only part of the body where blood vessels and nerve tissue can be viewed directly without surgery. For this very reason, a comprehensive eye exam can potentially reveal telltale signs of illnesses and medical conditions that have originated elsewhere in the body. Eye exams can provide critical findings in the diagnosis of congenital syndromes & inherited disorders, primary cancers and metastases, cardiovascular disease, circulatory problems, blood disorders, autoimmune diseases, and infectious diseases, endocrine disorders, or the side effects of certain drugs.
At the office of Fredrick A. Isaacs MD PC, we’re passionate about providing the highest quality of care and dedicated to meeting the vision care needs of every member of your family. We offer a complete range of services, including comprehensive exams, prescription lenses, and contacts, as well as vision screening services to detect any developing conditions affecting the health of your eyes.
Approximately 80% of the information from our environment is gathered and sent for processing by way of our eyes. Healthy vision not only supports the enjoyment of our surroundings, but it also enables us to carry out our daily routines. Comprehensive eye exams performed on a routine basis, or more frequently as recommended, enable the timely correction of vision impairments along with the early detection, management, and treatment of any emerging eye problems.
A comprehensive eye exam involves a series of comfortable and pain-free tests that offer a close-up look at your eye health and visual function. Between having all the tests performed and discussing the results with our eye doctor, you can expect your visit to last up to an hour.
While every patient is different, many of the following tests are typically performed during a comprehensive eye exam:
Visual acuity testing – Measures the sharpness of your vision and how each eye compares to the optimal standard of 20/20 vision
Color blindness testing – Helps to detect hereditary color vision deficiencies or eye health problems that may affect your color vision
Stereoptsis testing – Evaluates how well your eyes work as a team with regard to depth perception and 3D vision.
Eye muscle testing – Checks for eye muscle weakness, poor control, or impaired coordination as your eyes follow a moving object
Pupil testing – Checks how your pupils respond to light
Autorefraction – A computerized test that provides an approximate and preliminary measure of your prescription
Retinoscopy – Uses reflected light to estimate the lens power needed to correct your vision
Refraction – Determines the type and level of refractive error and your exact eyeglass prescription
Keratometry – Measures the shape and curvature of the cornea
Slit-lamp examination – Examines the structure at the front of your eyes along with those farther back within the eye under high magnification
Peripheral Visual Field – Evaluates the integrity of your peripheral vision and checks for blind spots
Intraocular Pressure Measurement – Checks for the presence of glaucoma
Pupil dilation – Dilating the eyes allows for a better view of the back of the eye and its internal structures. It provides a clearer look at the retina, small blood vessels, and the optic nerve. A dilated eye exam offers an opportunity to check for eye diseases such as diabetic retinopathy, glaucoma, and age-related macular degeneration (AMD). This type of exam is essential for individuals at risk for eye disease.
Please note: dilating eye drops take about 20 minutes to work, and your eyes may be sensitive to light for a few hours following your exam. It’s wise to bring sunglasses to your visit or have someone drive you home from the exam.
Although the above tests provide a detailed view of eye health and function, additional evaluation and testing are sometimes indicated. Further testing may include fundus photos, optical coherence tomography, fluorescein angiography, corneal topography, automated visual field, and others. Today, advanced retinal imaging devices can capture high resolution, wide-angle views of the retina, and save these images for comparisons over time.
At the office of Fredrick A. Isaacs MD PC, you can rest assured that your vision care is in the best of hands. We maintain a position at the forefront of advances in technology and treatment to provide patients with the highest quality of care.
Did you know that more than 150 million people in the United States alone wear some form of corrective eyewear to correct refractive errors?
Your eye operates in much the same way as a camera. Just as the lens of a camera focuses the entering light on a piece of film to produce a sharp image, the lens of your eye focuses light on the retina to form a picture that is then sent to the brain. When a refractive error is present, it means that your eye cannot focus light correctly on the retina. A refractive error is a common eye disorder that can occur for a number of reasons; it may be due to an irregularly shaped cornea (the clear front surface of the eye), the length of the eyeball itself, or develop as the lens of your eye ages.
There are a number of symptoms that can be associated with a refractive error. While the most common one is blurred vision, you may also experience other symptoms such as headaches, double vision, eye strain or glare, and halos around light.
Myopia (nearsightedness) – Myopia is the most common refractive error. Most cases of myopia occur because the eyeball is too long, and light is focused before it reaches the retina. It can also be the result of the cornea or the lens being too curved relative to the length of the eyeball.
Hyperopia (farsightedness) – Hyperopia is a refractive error that is due to the eyeball being too short and/or a cornea that is flatter than normal. In cases of hyperopia, it is more challenging to see up-close objects clearly.
Astigmatism – Astigmatism is due to an irregularly shaped cornea or lens. In cases of astigmatism, the eye is unable to evenly focus light on the retina to produce a clear image. Astigmatism may occur in conjunction with myopia or hyperopia.
Presbyopia – Presbyopia is a refractive error that affects the majority of individuals over the age of 40. It occurs with advancing age as the lens of the eye loses its elasticity, and its ability to focus. With presbyopia, it is more difficult to see up close.
Refractive errors can be readily detected during the course of an eye exam. To do this, we’ll have you read a vision chart as well as perform tests to assess how the light bends as it travels through the cornea and the lens of your eye. Once it is determined that a refractive error is present, we’ll determine the exact prescription needed to correct your vision.
In the old days, the only way to correct refractive errors was by wearing eyeglasses. While wearing a pair of eyeglasses remains an excellent and fashionable way to enjoy clear, crisp vision, choosing contact lenses or refractive surgery to alter the cornea's shape can also effectively correct some vision impairments.
Based on your specific needs and lifestyle, our office will guide you in choosing the safest and most appropriate treatment to maintain the health of your eyes and the quality of your vision.
As everyone knows, the health of your eyes is essential to your overall function and quality of life. Yet despite the desire to ward off the effects of aging, much like everything else in the body, your eyes and vision are not immune to the changes that come with time. At the office of Fredrick A. Isaacs MD PC, we do our utmost to help you protect the health of your eyes and preserve the quality of your vision throughout every stage of life.
While the need for reading glasses in middle age is typically part and parcel of the aging process, there may be other emerging vision changes that are indicative of more serious eye conditions. With advancing age, your risk of eye disease significantly increases. In addition to glaucoma, age-related macular degeneration, diabetic retinopathy, and cataracts, the incidence of problems such as dry eye, floaters, and retinal detachment also occur with greater frequency in older adults. As a matter of fact, by the age of 65, one in three seniors are affected by an eye condition that results in vision impairment.
Since many eye diseases develop without discomfort, routine eye care is essential. For this reason, a baseline eye exam is recommended at the age of 40. By performing an examination at this time, our office can detect eye disease and vision problems early in their onset, when treatment and management to preserve your eyesight are most effective. And, while annual eye exams are essential for older adults, if you are under the age of 40 and have a family history of either glaucoma or macular degeneration or suffer from systemic conditions such as diabetes or high blood pressure, it’s also important to get your eyes routinely checked.
Taking your child for a comprehensive eye exam at an early age and maintaining the recommended eye care schedule as they grow is the best way to ensure your child's vision development and that they acquire the visual skills needed to fully participate in all their activities.
According to guidelines established by the American Optometric Association, children should receive an eye exam at between 6 months to 12 months of age, once between the ages of 3 and five, before entering first grade and then annually thereafter. However, in the presence of certain risk factors or diagnosed vision issues and impairments, the recommended exam schedule may differ.
At the office of Fredrick A. Isaacs MD PC, we provide skilled and experienced vision care for children and do our very best to make sure they enjoy optimal vision as they grow. Our specialized pediatric eye care services include child-friendly and age-appropriate exams to check visual acuity, eye tracking, focusing skills, and problems such as nearsightedness, farsightedness, lazy eye (amblyopia), crossed eyes, dyslexia, color blindness, disease or medical conditions. Depending upon the findings at your child’s eye exam visit, eyeglasses, vision therapy, or additional procedures will be prescribed as needed.
Even if your vision is 20/20, it’s essential to keep in mind that everyone requires a comprehensive eye exam periodically. Nonetheless, how often you or a member of your family should have one depends on several factors. A patient’s age, family and personal medical histories, a previous eye injury, existing eye conditions, and environmental or occupational factors influence the recommended frequency.
The American Optometric Association offers the following guidelines:
Children – Children should receive an eye exam at between 6 months to 12 months of age, once between the ages of 3 and five, before entering first grade and then annually thereafter. However, in the presence of certain risk factors or diagnosed vision issues and impairments, the recommended exam schedule may differ.
Adults – In the absence of risk factors, adults between the ages of 18 to 39 years should schedule an eye exam at least once every two years. Because several eye diseases can develop with age, a baseline eye exam is recommended at the age of 40. A patient’s risk factors determine the recommended schedule between the ages of 40 and 64 years. At-risk adults over 40 may require annual or more frequent eye exams. For low-risk adults, the eye doctor may determine that an exam every two years may suffice. For adults 65 and older, annual exams are recommended.
It’s essential to remember to bring your current eyeglasses or contact lenses prescription to your visit. If you also wear reading glasses, computer glasses, protective eyewear, or other visual aids, you may want to bring these as well. Because getting your pupils dilated can leave you sensitive to light for several hours following your appointment, it’s wise to bring sunglasses to the appointment.
In addition to your medical and eye health history, you will be asked about your family’s eye health history and any contributing factors that may increase your risk of eye disease. As best you can, be prepared with this information. It’s also helpful to have a comprehensive list of any medications that you are taking. Remember to bring your medical insurance and vision insurance card and information along to your visit.
If you have questions or concerns about your eye health and vision, an eye exam visit offers an excellent opportunity to discuss what's on your mind and get helpful eye care tips and guidance.
It’s essential to keep in mind that vision screenings take a very basic look at your eyesight and are not used to diagnose or treat vision problems. They are designed to merely detect them and are often performed by a school nurse or pediatrician. While a vision screening may be useful in identifying a vision impairment that requires further care, it is by no means a substitute for a comprehensive eye exam. As a rule, the only way to precisely detect and diagnose any vision abnormalities or identify the presence of eye disease is through a comprehensive and in-person eye exam.
If you have vision insurance, you can expect to have coverage for some aspects of care. While every vision plan offers specific benefits, they generally offer some coverage for routine care such as annual exams and eyewear. If your eye condition qualifies as a medical issue, some coverage under your medical insurance may apply. At the office of Fredrick A. Isaacs MD PC, we strive to optimize your insurance benefits and minimize your out-of-pocket expenses. Although our financial office is well versed in the complexities of insurance coverage, it’s always a good idea to review your specific benefits with your HR department or insurance carrier.
At the office of Fredrick A. Isaacs MD PC, we welcome patients of all ages and offer a comprehensive range of vision care services and products to help every member of your family protect the health of their eyes and enjoy optimal sight. We use the most advanced technology and proven treatment methods to deliver precise, gentle, and effective care. Whether you or any member of your family require an eye exam, prescription lenses, protective eyewear, contacts, and hard-to-fit contact lenses to pre and post-LASIK care or other eye care services, we’re well equipped to help.
For more information on our office and the many services we provide, give us a call today.
Today’s contact lenses offer satisfying and safe solutions to address an extensive range of vision needs.
If you are interested in wearing contact lenses, our office will examine your eyes to determine which type of lenses will provide you with the most accurate and comfortable fit as well as select the best ones to suit your daily vision requirements.
At present over 35 million Americans utilize contact lenses. While most individuals wear contact lenses for corrective purposes, a smaller percentage of people use them for either a therapeutic or cosmetic purpose.
Corrective contact lenses are used to provide clear, crisp vision for individuals who are dealing with either one or a combination of the following vision impairments:
We also offer hard-to-fit contact lenses for the treatment of eye irregularities related to disease or injury.
Choosing the correct type of contact lenses to provide a healthy and comfortable vision experience is based on your prescription, eyes shape and daily needs. Our eye doctor will measure your eyes to select the proper lens type and fit as well as determine the precise amount of vision correction that is required.
The following types of contact lenses are available:
Soft Contact Lenses
By far the most comfortable and popular contact lenses available today are soft contact lenses, made of water absorbing materials called hydrogels. Because of the high water content, these contact lenses are soft, flexible and extremely easy to wear. Soft contact lenses come in many versions and are available for daily wear, extended wear, or as disposables.
Daily-Wear Contact Lenses
Daily-wear disposable contact lenses are a type of soft lenses that are designed to be worn during the day and discarded nightly. Much more convenient and lower maintenance than other types of contact lenses, disposable lenses are a popular choice for many contact lens wearers.
Extended-Wear Contact Lenses
Extended-wear contact lenses can be worn both daily and overnight for longer periods of time. While some extended wear contact lenses are FDA approved for one to two weeks of continuous wear, others can be worn up to 30 days. Available as either gas permeable or soft contact lenses, an extended-wear contact lens prescription offers the convenience of not having to frequently remove your contact lenses for maintenance along with the benefit of waking up to clear, crisp vision. However, in the absence of proper care, extended-wear lenses may pose a higher risk of infection.
Rigid Gas-Permeable Lenses
More rigid and durable than soft contact lenses, rigid gas-permeable (RGP) contact lenses allow a healthy flow of oxygen to reach the eye. More resistant to lens deposits than soft contact lenses, RGP lenses do not need to be replaced as often and are less likely to harbor bacteria. Though initially not as comfortable as soft lenses, due to the ability to retain their shape, RGP lenses can provide crisper, clearer vision.
Toric Contact Lenses
Toric contact lenses are specially designed contact lenses used to help correct astigmatism. Typically, available as soft contact lenses, some toric contact lenses also come in a rigid gas-permeable version.
Bifocal and Multifocal Contact Lenses
Bifocal contact lenses contain two prescriptions in each lens to improve near and far vision for individuals affected by refractive errors and age-related presbyopia. Multifocal contact lenses have more than one lens power to provide clear vision for objects at multiple distances. While bifocal contact lenses contain two distinct segments with different prescriptions, multifocal contact lenses transition gradually between lens powers.
Monovision
Monovision offers an alternative approach for individuals who may be having difficulty getting used to bifocal or multifocal contact lenses. In these cases, single vision lenses are worn in each eye with one correcting for distance and the other correcting for near vision
Tinted or Cosmetic Contact Lenses
For individuals seeking a new look, contact lenses are available to correct vision and to enhance or change one’s natural eye color.
Your vision is in the very best of hands at our office. From assessing the health of your eyes to prescribing and accurately fitting you with just the right pair of contact lenses and instructing you in the proper methods of care, our eyecare professionals are with you every step of the way.
Diabetes is a complex metabolic disorder that impairs the body’s ability to produce or use insulin effectively to regulate blood sugar levels. Unfortunately, over time elevated blood sugar levels can cause damage throughout the body with many complications to one’s health and overall wellbeing.
The term “diabetic eye disease” refers to a group of conditions that potentially threaten the eyesight of people with diabetes. This group of conditions includes diabetic retinopathy, diabetic macular edema (DME), cataracts and glaucoma.
Early detection is critical for the prevention of vision loss from diabetic eye disease. If you have diabetes, seeing an eye doctor for a comprehensive dilated eye exam at least once a year and more often as recommended is strongly advised.
In addition to scheduling a comprehensive dilated eye exam and taking care to control your blood sugar levels, it’s essential that you pay close attention to any changes in your vision. Contact our office right away if you notice any sudden fluctuations or if your vision becomes spotty, blurry or hazy.
Dr. Isaacs has the latest imaging equipment for diagnosing and treating diabetic retinopathy, including Cirrus OCT and microangiography and flourosein angiography. If you have or develop diabetic retinopathy, he is treated diabetic retinopathy for many years. Currently he utilizes intravitreal injections and laser treatment. So patients can take advantage of receiving diabetic and comprehensive eye care by one provider in one convenient location.
Suffering from dry eye can be more than just mildly annoying. It is often a chronic condition that can result in significant discomfort and cause visual disturbances that interfere with your daily activities.
Symptoms of dry eye may include:
If you are experiencing persistent symptoms of dry eye, it is important to make an appointment for a comprehensive eye exam. During this visit, our eye doctor will check your symptoms, review your overall health history and discuss which medications you are taking that may be contributing to this condition. We will also examine your eyelids, evaluate your blink dynamics and inspect the cornea of your eyes. As part of this evaluation, we will look for any environmental factors that may be putting you at risk for dry eye. Diagnostic tests to measure the quantity and quality of your tears will be performed as needed.
The treatment our office prescribes for your dry eye will be determined by the severity of your symptoms and if any underlying conditions are present. The overall objective of the treatment plan is to restore a sufficient amount of tears to relieve your eye discomfort, minimize the dryness, and protect the health of your eyes. Recently multiple diagnostic and treatment approaches often not covered by insurance have been developed. Although appropriate in some cases the vast majority of patients respond to traditional approaches Dr. Isaacs philosophy of treatment with this and other conditions is finding simplest level of treatment to alleviate symptoms. Additional treatment options may include anti-inflammatory eye drops or tablets, medications to boost tear production, or procedures to conserve tears and prevent them from draining away. Sometimes special lenses or goggles are recommended to keep the moisture in your eyes.
As a highly skilled eye care professional, our doctor addresses a broad spectrum of eye emergencies and is well equipped to provide you, as well as any member of your family, with the prompt and effective care that's needed.
If you have received an injury to your eye, gotten something stuck in your eye, your eye is red or painful, or are experiencing a sudden loss of vision or unusual visual disturbances, it is important that you contact our office right away for care. These are urgent situations that require immediate attention to prevent more serious consequences, including further injury, infection, and even vision loss.
By utilizing state-of-the-art diagnostic technology and providing expert care, our doctor will precisely diagnose, treat, and help you to manage your eye care emergency.
Glaucoma is a progressive disease that diminishes the capacity of the optic nerve to transmit visual information to the brain. When left untreated or uncontrolled, it results in a gradual and irreversible loss of vision. Peripheral vision is initially impaired followed by a decrease in central vision and an eventual complete loss of sight.
Glaucoma is the leading cause of blindness world. In the United States alone more than 3 million people are afflicted with glaucoma, and 120,000 have gone blind from the disease. However, because many types of glaucoma develop without any pain or symptoms, an individual who has not had routine eye care may be completely unaware that they have glaucoma until significant damage to their vision has taken place.
As your eye doctor, our office carefully monitors your vision to check for the presence of a comprehensive range of conditions that may compromise the health of your eyes and the quality of your vision. Glaucoma is diagnosed with an examination that involves measuring the pressure inside your eyes and examining the optic nerve as well as assessing its function. Moreover, we'll also check your peripheral vision to determine if any blind spots have developed. If indicated, additional testing will be conducted to provide information relevant to diagnosis and care. All additional testing such as an OCT of optic nerve and visual field are done at our leisure world Plaza location.
Although there is no cure for glaucoma just yet, we can help you manage and control the condition to help preserve your vision. Treatment varies depending on the severity of the disease. Current therapies for the most common form of glaucoma are aimed at reducing the intraocular pressure. Treatment may include eye drops, pills, laser procedures or surgical operations to slow down the progression of the disease and prevent further damage.
Macular degeneration is a progressive disease that affects the cells in the back part of your eye, which allows you to visualize objects that are straight ahead. Over time it damages your capacity for sharp, central vision. With macular degeneration, it becomes increasingly more difficult to perform daily tasks such as reading or writing as well as recognizing faces or colors. Among the early signs of vision loss from macular degeneration, are shadowy areas in your central vision and unusually fuzzy or distorted vision. While individuals with advanced cases of macular degeneration are considered legally blind as the result of a profound loss of central vision, their peripheral vision, which is less clear than central vision, is retained. Most people do not experience vision loss in the early stage of age-related macular degeneration and the progression can be slow and painless.
An eye doctor can often detect early signs of macular degeneration before any symptoms are experienced. If signs of the condition are found, additional tests to verify the diagnosis may be ordered. Once the diagnosis has been confirmed, treatment to manage the condition and to slow the progression will be prescribed.
There are 2 forms of macular degeneration, wet and dry. Wet progresses more rapidly and is the cause for visual loss and the majority of patients with macular degeneration. Dry is managed with nutritional supplements and/or nutritional and lifestyle changes. Dr. Isaacs has the latest imaging equipment for diagnosing and treating macular degeneration, including Cirrus OCT and microangiography and flourosein angiography. He has also been treating with intravitreal injections for many years. As such patients can receive advanced treatment for macular degeneration in the comfort and convenience of Dr. Isaacs office.