Surgical Services

 
 

We’re standing by, so your life doesn’t

At Eye Physicians and Surgeons we pride ourselves on being leaders in the field of surgical ophthalmology. Through the years, we have brought many new surgical technologies and techniques to the people of Iowa and continue to work closely with other surgeons and industry to continue to stay leaders in the field.

 
 

Advanced cataract surgery

At Eye Physicians & Surgeons, we strive to remain at the forefront of the field. In the past few years we have introduced many advances in cataract surgery to the state of Iowa, including new intraocular lens design and intraoperative guidance and verification for cataract refractive surgery.

Laser vision correction

Laser Vision Correction has enjoyed a resurgence in popularity over the past decade. Advances in techniques and technologies have continued to make these surgeries even safer and more accurate than years past. Along these lines, we are happy to announce that we are the third practice in the country to feature the iDesign 2.0 laser vision correction system. This technology brings the latest in treatment and process to provide you with the best possible outcomes.

collagen cross-linking

Collagen Cross-linking was approved by the FDA in 2016 and we were the first practice in Iowa to treat patients with keratoconus soon thereafter. This life changing technology allows the surgeon to halt the progression of this blinding disease and save vision for people suffering from keratoconus.

 

No matter your need, we’re ready:

 
 

LASIK/PRK

 

Laser refractive surgery has seen a significant increase in popularity over the past decade.  Millions of these procedures have been performed throughout the country with an overwhelming rate of satisfaction. 

Laser refractive surgery is a safe and effective way to reduce your dependency on glasses.  Currently, there are two variations of the surgery, LASIK and PRK.  Both surgeries use the same VISX laser to reshape the cornea and can be used to treat nearsightedness, farsightedness, and astigmatism. 

 
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Cataract Surgery

 

A cataract is a clouding of the lens inside the eye.  Just like the lens of a camera, if the lens of the eye is cloudy, the eye cannot take a clear picture.  This clouding of the lens often happens over many years.  In the early stages, a change in your glasses prescription can help counter the effect.  However, eventually, you may need cataract surgery.

At Eye Physicians and Surgeons, we believe in staying at the forefront of advancements in medical and surgical techniques.  We utilize small incision, sutureless, microsurgical techniques to remove your cloudy lens and replace it with a clear artificial lens implant. In addition, we offer the latest in implant lens technology as well as intra-operative ORA technology to aid in lens selection.

 

 

Collagen Cross-Linking

 

After its FDA approval in 2016, we became the first practice in the State of Iowa to perform collagen cross-linking.

Collagen cross-linking (CXL) is the newest FDA approved treatment for keratoconus, a blinding disease of the cornea.  

While in Oklahoma, Dr. Cohen was a principal investigator for the Avedro clinical trial. Avedro, the company that developed this technology for use in the U.S., announced in April of 2016 that the FDA had finally approved this treatment.  During the trial, Dr. Cohen had the opportunity to treat and follow many patients over multiple years.  Since its approval, Dr. Cohen has had the opportunity to continue to treat many patients with keratoconus and post-LASIK ectasia and has more experience with this technology than anyone in the state of Iowa.

Nobody in Iowa will provide you better care - we’re the expertise you need. If you, or someone you know has keratoconus or post-LASIK ectasia, please call our office today for an evaluation.

 

 

Corneal Surgery

 

We offer evaluation and management for a range of corneal diseases, including Fuchs Dystrophy, Keratoconus, pterygium, ocular surface tumors, and dry eye.    

Dr. Cohen is a Board certified ophthalmologist and subspecialty trained in cornea and external diseases and offers the latest in corneal transplant techniques including partial and full thickness transplants (DMEK, DSAEK, DALK, and PKP). He also has extensive experience performing pterygium surgery, LASIK/PRK, ocular surface tumor removals, and collagen cross-linking.

Whatever the case is, we’re ready to help.

Photo by  Motah  on  Unsplash

Photo by Motah on Unsplash

 
 

Glaucoma Surgery

 

Glaucoma is a disease that affects the optic nerve, the part of the eye which receives images collected by the retina and sends them to the brain.  Every eye maintains a certain amount of internal pressure, called intraocular pressure.  When this pressure rises to abnormal levels however, it can put extra stress on the optic nerve, causing significant damage.  Optic nerve damage results in loss of vision, and ultimately blindness.

There are a wide range of surgical treatments for this disease, including laser surgery, minimally invasive surgery (MIGS), and traditional surgery.  The treatment (or combination of treatments) for an individual is chosen based upon the type of glaucoma and other details of the particular case.  At Eye Physicians and Surgeons we have introduced several new MIGS procedures to Iowa with excellent results. These surgeries have the advantage of a lower complication rate compared with older, traditional glaucoma surgeries. Currently, we offer combined ab interno canaloplasty and trabeculotomy, iStent inject, and micro-pulse cyclophotocoagulation.

We encourage you to contact us today to schedule a consultation on how we can address your glaucoma needs.

 
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Retina Surgery

 

As one gets older, the vitreous, the clear gel-like substance that fills the inside of the eye, tends to shrink slightly and take on a more watery consistency. Sometimes as the vitreous shrinks it exerts enough force on the retina to make it tear.

Retinal tears increase the chance of developing a retinal detachment. Fluid vitreous, passing through the tear, lifts the retina off the back of the eye like wallpaper peeling off a wall. Laser surgery or cryotherapy (freezing) are often used to seal retinal tears and prevent detachment.

At Eye Physicians & Surgeons, we take great care in making sure that if you’re unfortunate enough to experience a retina related problem, that we’ll go the lengths you need to preserve your vision.

Through a partnership with Iowa Retina Consultants we are able to offer full service retinal surgery and consultation at our Iowa City location.

 
 

Eyelid Surgery

 
Photo by  Eli DeFaria  on  Unsplash

Photo by Eli DeFaria on Unsplash

As we age, gravity leads to the accumulation of excess tissue above our upper eyelids. In some people this may cause a functional impairment of their peripheral vision. When this becomes the case, surgery can be performed to eliminate this excess tissue and bring the eyelid back into its proper position.

For a consultation, please call to schedule.

 
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Pediatric Surgery

 

 

While we usually think of older people when we think of eye operations, in fact there are several problems that infants and children have which are best addressed by surgery. A large percentage of babies are born with blocked tear drainage systems.  This is due to a failure of the drainage to open up by birth. The symptoms of this are persistant  tearing and mattering. Fortunately, with time and correct massage techniques, most of these will open up by one year of age.  However, a few babies will require intervention so that mattering and tearing clears up.  This surgery is called nasolacrimal duct probing and irrigation.  It is usually successful in curing the situation. Rarely, an additional intervention in the form of a silicone stent is required. The silicone stent holds the drainage system open for a while so that it heals open, rather than closing off again. Both of these surgeries are very quick, usually less than five minutes but because of the delicacy of the tissues, general anesthesia is performed. 

 

Other surgeries babies and children may need are removals of bumps and other lesions of the eye lids. Rarely, eye muscle surgery is required for crossed or wandering eyes.  Fortunately, these surgeries can often be avoided by using eye glasses and patching, which are offered by Dr. Strnad. Extremely rarely babies can be born with cataracts and other serious ocular problems.  These conditions can by diagnosed by our clinic and appropriate referrals can be made.


 
 

Our Surgical Centers

 
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Iowa City ASC

The Iowa City ASC is a state-of-the-art facility providing exceptional outpatient surgical services. The center opened its doors in October of 2008, is fully equipped with four operating rooms, and is conveniently located just off Interstate 80, just down the street from our Iowa City practice location.

2963 Northgate Dr.
Iowa City, IA 52245
319-248-1500

 

Outside of Iowa City

 
 

Henry County Health Center

For the people of southern Iowa, Henry County Health Center provides a wonderful place to have eye surgery. Dr. Cohen performs state of the art cataract surgery, pterygium surgery, and glaucoma surgery at this location.

 

Washington County Hospital

WCHC is fully equipped and state of the art. Dr. Watts performs cataract surgery at this location.

 

Keokuk County Health Center

Keokuk Health Center recently updated its cataract surgical suite with state of the art microscopes and surgical instruments. Dr. Watts performs surgery at this location

 
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