Cano & Manning Eye Center has the ophthalmology expertise to provide you with outstanding, personalized vision care. Our medical services are provided by Board Certified Ophthalmologists who take the time to understand, evaluate and treat each patient using state-of-the art diagnostic tools, therapies and surgical procedures when indicated. Below you will find a brief description of many of these services.Know Who is Taking Care of Your Eyes
A comprehensive eye exam evaluates the visual system and eye health using a number of different of tests. Unlike a simple vision screening, which only assesses vision, a comprehensive eye exam includes a battery of tests in order to do a complete evaluation of the health of the eyes and vision. The tests selected may vary from eye doctor to eye doctor and includes dilation of the eyes and a refraction (a test done to determine the appropriate glasses/contact lens prescription, if needed).
Cataracts cause the lens of your eye to become cloudy. This is due to normal eye changes that frequently begin to happen after age 40, when normal proteins in the lens start to break down. This is what causes the lens to get cloudy. People over age 60 usually start to have some clouding of their lenses.
Myopia, or nearsightedness, is a refractive error, which means that the eye does not bend or refract light properly to a single focus to see images clearly. In myopia, close objects look clear but distant objects appear blurred. Myopia is a common condition that affects an estimated 25 percent of Americans. It is an eye focusing disorder, not an eye disease.
Presbyopia is when your eyes gradually lose the ability to see things clearly up close. You may start to notice presbyopia shortly after age 40. You will probably find that you hold reading materials farther away in order to see them clearly.
Hyperopia (farsightedness), is a refractive error, which means that the eye does not bend or refract light properly to a single focus to see images clearly. In hyperopia, distant objects look somewhat clear, but close objects appear more blurred. It is an eye focusing disorder, not an eye disease.
Astigmatism is an imperfection in the curvature of your eye’s cornea or lens, which causes your vision for both near and far objects is blurry or distorted.
The cornea is the clear, dome-shaped window of the front of your eye. It focuses light into your eye. Issues that can occur with the cornea and require medical treatment include: abrasions, dystrophies, erosion, laceration, transplantation and ulcers.
If your eyes do not produce enough tears, it is called dry eye. Dry Eye also occurs when your eyes do not make the right type of tears or tear film.
Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of your eye. That extra fluid increases the pressure in your eye, damaging the optic nerve. Glaucoma is a leading cause of blindness for people over 60 years old. But blindness from glaucoma can often be prevented with early treatment.
Emergency care is typically needed when there is trauma to the eye or severe infection (previously undiagnosed) both of which require immediate medical care.
The retina is the layer of nerve cells lining the back wall inside the eye. This layer senses light and sends signals to the brain so you can see. Eye problems that can affect the retina include:
A surgical procedure that remove the lens of the eye and, in most cases, replace it with an artificial lens. Normally, the lens of the eye is clear. A cataract causes the lens to become cloudy, which eventually affects clarity vision.
A laser treatment used to improve vision after cataract surgery. The surgery treats the lens membrane (called the bag or capsule) when a capsule thickens after cataract surgery and becomes cloudy.
Corneal transplant surgery
Surgical reshaping of the cornea to correct refractive vision errors
Surgical removal of a pinkish, triangular tissue growth on the cornea of the eye.
A procedure used to treat angle-closure glaucoma caused by relative or absolute pupillary block. This surgical procedure eliminates pupillary block by allowing the aqueous to pass directly from the posterior chamber into the anterior chamber, bypassing the pupil.
An argon laser treatment for glaucoma used to help reduce intraocular pressure caused by open-angle glaucoma.
Dr. Cano is a certified iLASIK surgeon
LASIK is a surgical procedure using laser energy to reshape the cornea for better eyesight. At Cano & Manning Eye Center, we’ve been successfully treating patients with LASIK for years, and it’s one of our most popular treatment options. The entire procedure takes less than 15 minutes per eye and, although the patient is fully awake and able to communicate throughout, LASIK is absolutely pain-free. Following is what to expect during a typical LASIK procedure.
1. We’ll begin by anesthetizing your eye with drops.
2. A small suction ring is placed around the cornea and serves as a platform for the Intralase laser, an instrument used to separate the surface layers of the cornea without a metal blade.
3. With the Intralase, the surface layer of the cornea is separated, and the corneal flap is folded back.
4. Then an eyelid speculum will be positioned to hold open the eyelids. You’ll be asked to look at a blinking red target light while the laser removes a predetermined amount of tissue from the inner cornea to correct the individual’s refractive error. The equipment emits a clicking sound as each microscopic layer of tissue is removed. The cornea is made flatter to treat nearsightedness, steeper to treat farsightedness and more spherical to correct astigmatism. The length of time of this part of the procedure varies with the amount of tissue to be removed. The laser uses features such as iris registration and Customvue technology to make each treatment specific for each individual.
5. The cornea is then placed back into its original position and allowed to dry for a few minutes where it bonds without the need for stitches.
6. The microkeratome and eyelid speculum are removed, additional drops are placed into the eye, and a clear plastic shield placed over the eye for protection. Generally, vision following the procedure is slightly blurry at first, so you’ll need to be driven home and should relax for the rest of the day.
7. The first follow up visit should be scheduled for the day after the procedure, with additional visits scheduled periodically to monitor healing and evaluate your particular recovery.
Your ophthalmologist may suggest blocking your tear ducts. This makes your natural tears stay in your eyes longer. Tiny silicone or gel plugs (called punctal plugs) may be inserted in your tear ducts. These plugs can be removed later as needed.
Trichiasis is a common eyelid abnormality in which the eyelashes are misdirected and grow inwards toward the eye. Those inward-turning lashes rub against the cornea (the clear, dome-like window covering the colored iris and the pupil), the conjunctiva (the thin, clear membrane covering the sclera, which is the white part of the eye) and the inner surface of the eyelids, irritating the eye. Removal of these inward-turning lashes offers relief from eye irritation.
Also called an ultrasound biometry, it is used as a routine diagnostic test that provides data on the length of the eye, a major determinant in common sight disorders. The most common use of the A-scan is to determine eye length for calculation of intraocular lens power for cataract surgery.
The process of measuring the thickness of the cornea. It is used prior to refractive surgery and is also useful in screening for patients suspected of developing glaucoma.
A non-invasive imaging technique used for mapping the surface curvature of the cornea.
The layer of cells on the inside of the eyeball is called the endothelium. This single layer of hexagonal cells is largely responsible for pumping the nourishment into and out of the rest of the cornea. If this cell layer fails, the cornea becomes thick and is no longer clear. We are given a limited number of endothelial cells at birth, and If they are damaged due to disease or trauma, they don't grow back. Certain inherited changes cause a premature loss of corneal endothelial cells. A cell count might be ordered for a suspicious change in the appearance or thickness of the cornea prior to cataract surgery.
Optical coherence tomography (OCT) is a non-invasive imaging technique routinely used to visualize and quantify the layers of the retina. It also provides information on the optic nerve.
This test uses a gonioscope in conjunction with a slit lamp, or operating microscope, to view the anatomical angle formed between the eye's cornea and iris. This test is useful in diagnosing and monitoring glaucoma.
A test that allows a health professional to see inside the fundus of the eye and other structures using an ophthalmoscope (or funduscope). It is often performed as part of a general eye exam and is crucial in determining the health of the retina, optic disc and vitreous humor.
A test usually given as part of a routine eye examination. It may also be called a vision test. This test tells your eye doctor exactly what prescription you need in your glasses or contact lenses. A refractive error means that the light is not bending properly when it passes through the lens of your eye.
A standard eye test that is done to determine the fluid pressure inside the eye. Increased pressure is a possible sign of glaucoma, a common and potentially very serious problem if not detected and treated promptly. The pressure inside the eye is measured from the outside.
This test evaluates the total area in which objects can be seen in a patient’s peripheral (side) vision when a patient focuses their eyes on a central point.
At Cano & Manning Eye Center, the well-being of our patients and the success of their treatment is always our top priority. We look forward to meeting you!