Ocular Disease Management

True Eye Experts are at the forefront of cutting-edge eye care technology that allows for early diagnosis and preventative care for ocular diseases.  Our expert staff also have knowledge of effective treatment techniques that will make your ocular disease management as comfortable as possible. We follow all of the latest developments in eye care to provide you the best treatment for diseases such as cataracts, glaucoma, macular degeneration, and diabetic retinopathy.  We are by your side every step of the way to help you improve your quality of life.   Our priority is always you and your eye health. 

Cataract Surgery Co-Management

Cataracts are a disease of the eye that results in the clouding of the lens of the eyeball. Cataracts prevent clear images from appearing on the eye’s retina; causing mild, moderate, even severe blurred vision.

Typically an eye disorder associated with aging (over half of the people in America over age 80 have either had a cataract or cataract surgery), cataracts generally occur later in life as the lens structure within the human eye changes and gets older.

During the evaluation of your eye health we will carefully examine your lens for signs of cataract formation. If a cataract is noticed and the clouding is causing visual disruption, the optometrist will refer you to a trusted and respected surgeon for surgery, which is the only known cure for cataracts. Our Eye Care Practice will be there for you providing pre and post cataract surgery care.

Cataract Surgery

Cataract surgery is the removal of the natural lens of the eye (also called “crystalline lens”) that has developed an opacification, which is referred to as a cataract. Metabolic changes of the crystalline lens fibers over the time lead to the development of the cataract and loss of transparency, causing impairment or loss of vision. During cataract surgery, a patient’s cloudy natural lens is removed and replaced with a synthetic lens to restore the lens’s transparency.

Following surgical removal of the natural lens, an artificial intraocular lens implant is inserted (eye surgeons say that the lens is “implanted”). Cataract surgery is generally performed by an ophthalmologist (eye surgeon) in an ambulatory (rather than inpatient) setting, in a surgical center or hospital, using local anesthesia (either topical, peribulbar or retrobulbar), usually causing little or no discomfort to the patient. Well over 90% of operations are successful in restoring useful vision, with a low complication rate. Day care, high volume, minimally invasive, small incision phacoemulsification with quick post-op recovery has become the standard of care in cataract surgery all over the world.

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The more you know about cataracts, the better prepared you will be to deal with them – or help prevent them in the first place!

Glaucoma Testing and Treatment

What is Glaucoma?

Glaucoma is a disease of the eye that can cause permanent damage to the optic nerve. It is typically linked to a high buildup of pressure from the fluid inside the eye. Think of a water balloon that is over-inflated. Glaucoma is often referred to as the “sneak thief” of sight because it can develop over years with no symptoms. Typically, any vision loss that eventually occurs is untreatable. The only way to catch glaucoma before you become symptomatic is to have a comprehensive eye exam from your eye doctor on an annual basis.

Two Major Types of Glaucoma

 There are two different classifications of glaucoma: open-angle glaucoma and closed-angle glaucoma.  The “angle” is in reference to the valve inside of the eye that helps to drain fluid and regulate a normal pressure.  Your eye is constantly producing new fluid and draining old fluid. The production and drainage have to work in perfect harmony to keep healthy pressure. If there is too much fluid produced or if not enough is drained out, the pressure will rise and damage the optic nerve inside the eye.

There are other, less common, forms of glaucoma that also exist. They can be related to systemic diseases, medications, genetic abnormalities, or traumatic injuries to the eye.

A glaucoma is actually a group of eye diseases that cause damage to the optic nerve. The exact cause of the damage is unknown, but popular theories include elevated intraocular pressure and inadequate blood supply to the nerve.

Risk Factors for Glaucoma

Anyone can develop glaucoma. However, studies have shown that there are certain people at a higher risk.

  • Age – Anyone over 60 is most at risk, and this risk increases every year as you age.
  • Race – Glaucoma is about three times more likely to affect African Americans and Hispanics/Latinos than non-Hispanic Caucasians.
  • Systemic Medical Conditions – Conditions such as high blood pressure, diabetes, and heart disease can increase your risk.
  • Corticosteroid Use – Long-term use of steroid drops/creams and inhaled or systemic steroids (prednisone, hydrocortisone, etc) increases your risk.
  • Family History of Glaucoma
  • Previous Eye Injuries
  • Severe Nearsightedness

Diagnosis and Management of Glaucoma

The only way to catch glaucoma before it begins to cause visual symptoms is to have an annual exam from your eye doctor.  During True Eye Experts’ signature V-Eye-P Triple Check exam, our technicians will take digital images of the inside of your eye, including your optic nerve. We will measure the pressure inside your eyes as well. This information, along with your family history and risk factors, can help our optometrists detect any early signs of glaucoma.

If glaucoma is detected in the early stages, it is much easier to treat and manage.  True Eye Experts’ glaucoma management programs can prevent it from progressing and causing visual impairments.  In the unfortunate case that you are diagnosed with glaucoma, the type of treatment recommended by your optometrist depends on the severity and type of glaucoma.

If you have any questions about glaucoma or would like a comprehensive eye exam to screen for glaucoma, please schedule an appointment today!

Macular Degeneration

Untreated macular degeneration is one of the leading causes of blindness in those over 65 years old.

While researchers have not yet discovered a cure for age-related macular degeneration (AMD), there are treatment options which prevent the disease from progressing to blindness, and in some cases, they can even improve vision. It’s important to have an open discussion with your eye doctor about the risks and limitations of AMD treatments.

Types of Macular Degeneration:

There are 2 basic types of AMD, the wet form, and the dry form.

  • Dry macular degeneration is considered the less aggressive form of AMD. It typically progresses much more slowly, and the level of eyesight damage is less severe. Dry AMD is detected during routine eye exams, which is why it’s important to have yearly testing. Treating Dry AMD often involves high doses of zinc and antioxidants which have been shown to slow disease progression.
  • Wet macular degeneration is the more severe form of AMD. It occurs when there is abnormal blood vessel growth (angiogenesis), and leakage, which can cause scar tissue to develop. Treatments include laser surgery, injecting light sensitive dyes, or AMD medication injected directly into the eye to inhibit angiogenesis.

Are You at Risk for Macular Degeneration?

Age-related macular degeneration (AMD) is a major concern for adults over the age 50 and reaching their senior years. Macular Degeneration is an incurable eye disease that only through prevention and annual eye exams with your eye doctor in New Tampa or Trinity, FL can ensure optimal eye health.

Although the condition is called age-related macular degeneration for the main risk factor is aging, yet many Floridians should be aware of other contributing factors that also lead to the development of AMD.

Risk factors for Age-Related Macular Degeneration can include:

  • Genes, Race, & Family’s Medical History: While Caucasians with light-colored irises may develop signs as early as 50, genetic makeup can also mean earlier progression of AMD. For instance, 20 genes were linked to age-related macular degeneration, which shows how much your family history can influence the risk of AMD.
  • Smoking: Among the many detrimental health risks caused by smoking, age-related macular degeneration is one of them. Unfortunately, the small cigarette boxes don’t highlight how awful smoking can affect your health negatively.
  • Eating Habits, Dieting, & Exercise: Maintaining a healthy weight and regular exercise will prevent the development of AMD, especially when you add lutein and zeaxanthin to your diet, such as by eating green leafy vegetables. Obesity or overweight will increase the risk of AMD.
    For older patients who may have a medical history that includes heart disease, high blood pressure, or high cholesterol as well should know these are additional eye health risks.

AMD is an age-related eye disease that runs in families and is a leading cause of blindness in our aging population. There is no cure for this ocular disease, and AMD related vision loss is cannot usually be recovered. There are treatments, and preventative measures that can be taken, if detected early, so routine eye exams are essential.


Diabetic Retinopathy

Diabetic retinopathy is an eye disease that only affects diabetics. It occurs when the fragile vascular network that supplies the retina – the light-sensitive tissue at the back of the eye that helps us see – begins to swell or leak. During the beginning stages of the disease, there may be no noticeable symptoms, so it’s important to have your eyes checked at least once a year if you have diabetes. Once symptoms of diabetic retinopathy do develop, they can include: dark or black spots in your visual field, or blurry vision, and it increases over time. This is a result of bleeding at the back of the eye, which prevents a clear image from being transmitted from the retina to the brain. Whether you have type 1, type 2, or even just gestational diabetes, you are at risk for developing diabetic retinopathy. The longer you have had the disease, the greater the risk. It is essential to keep your blood sugar levels under control to prevent vision loss, and this may require a trip back to your primary care physician. Treating diabetic retinopathy can include vitrectomy, replacing the inner gel-like substance that supports the eyeball structure, and laser surgery. 

Special thanks to the EyeGlass Guide, for informational material that aided in the creation of this website. Visit the EyeGlass Guide today!

Schedule an appointment with True Eye Experts today.


What Our Patients Say

"I have been getting my eyes checked by Dr. Samuel Teske for years. He is very thorough and thoughtful. The staff is also very professional and attentive. Highly recommend True Eye Experts!"

"Everyone at this office is very friendly, helpful and professional whether it's helping you buy new frames, being fitted for glasses, or just interacting at the front desk. If something is wrong with my glasses, they are quick to remedy the situation. I would highly recommend this office for all your eye care needs!"

"Dr. Randich is personable and thorough. She spends time educating her patients with warmth and genuine concern. Staff is always friendly, helpful and quick!"

"Staff was very professional and the eye exam used the latest technologies. Very impressed with all that was done to check my eyes. Great experience!"