Adults may have strabismus (misaligned eyes) either from a residual childhood strabismus or they may acquire strabismus in adulthood. New strabismus that develops in an adult can result from conditions such as thyroid eye disease, stroke or tumors, but often there is no identifiable cause. An Ophthalmologist trained in strabismus is the most qualified specialist to treat adults with misaligned eyes.
A cataract is a clouding of the lens in the eye that affects vision. Most cataracts are related to aging. Cataracts are very common in older people. By age 80, more than half of all Americans either have cataract or have had cataract surgery. The symptoms of early cataract may be improved with new eyeglasses, brighter lighting, anti-glare sunglasses, or magnifying lenses. If these measures do not help, surgery is the only effective treatment. Surgery involves removing the cloudy lens and replacing it with an artificial lens.
Comprehensive Ophthalmology services include screenings for eye diseases and disorders, visual acuity exams, prescriptions for eyeglasses, and surgical evaluations. Comprehensive ophthalmologist specialize in medical and surgical first-line treatment for disorders.
MCOA provides an entire range of contact lens fitting and care. The most recent advancements in contact lens technology are available. At our MCOA Optical Salons, we are committed to giving our patients an uncompromising, personalized experience. Our experienced staff is certified and registered in Texas.
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MCOA is dedicated to advancing the field of Ophthalmology through research, clinical studies and the development of new instruments and techniques. We are engaged in multiple clinical research trials of new therapies for various ophthalmological diseases. You will find information about some of these studies below.
Wet Age-Related Macular Degeneration
Allergan Cedar – Phase 3 study for wet age-related macular degeneration
Daiichi – Phase 1 Dose Escalation and Expansion Study of DS-7080a in Subjects With Neovascular Age-related Macular Degeneration
Genentech Ladder – Phase 3 Port sustained delivery system of Ranibizumab for Patients with Wet nAmd
Ohr MAKO – Phase 3 study for wet age-related macular degeneration
Diabetic Macular Edema
Allegro DME – A Phase 2, Multi-Center, Randomized, Controlled, Double-Masked Clinical Trial Designed to Evaluate the Safety and Exploratory Efficacy of Luminate (ALD-1001) as Compared to Avastin in the Treatment of Diabetic Macular Edema
Roche Boulevard DME – A phase 2 study for diabetic macular edema
Eyegate – A Prospective, Multi-Center, Randomized Double-Masked, Positive- Controlled, Phase 3 Clinical Trial Designed to Evaluate the Safety and Efficacy of Iontophoretic Dexamethasone Phosphate Ophthalmic Solution Compared to Prednisolone Acetate Ophthalmic Suspension (1%) in Patients with Non-Infectious Anterior Segment Uveitis
Regeneron Panorama – A phase 3 study for diabetic retinopathy
A typical clinical trial visit could include the following:
* Note all Procedures are protocol dependent *
Participants of MCOA clinical research will have the newest treatments available to treat related eye problems. We have an expert team comprised of knowledgeable doctors and staff, who will follow you through the trial process. Many of today’s complex eye diseases are genetic and do not yet have effective treatments. Our research is leading the way for new effective ways to treat current eye diseases. There are many benefits to participating in a clinical trial with us.
If you or someone you know is interested in finding out more, please contact us by either calling our Clinical Trials department at 210-697-2006, our main number at 210-697-2020 or email us.
Diabetic eye disease comprises a group of eye conditions that affect people with diabetes. These conditions include diabetic retinopathy, diabetic macular edema (DME), cataract, and glaucoma. All forms of diabetic eye disease have the potential to cause vision loss. Early detection, timely treatment, and appropriate follow-up care of diabetic eye disease can protect against vision loss.
A consequence of diabetic retinopathy, DME is swelling in an area of the retina called the macula. Because diabetic retinopathy often goes unnoticed until vision loss occurs, people with diabetes should get a comprehensive dilated eye exam at least once a year.
Dry AMD is most common type of macular degeneration and affects 90% of the people who have the condition. In the dry form, there is a breakdown or thinning of the layer of retinal pigment epithelial cells (RPE) in the macula.
Dry eye occurs when the eye does not produce tears properly, or when the tears are not of the correct consistency and evaporate too quickly. There are 2 types of Dry Eye Syndrome. Aqueous tear-deficient dry eye is a disorder in which the lacrimal glands fail to produce enough of the watery component of tears to maintain a healthy eye surface. Evaporative dry eye may result from inflammation of the meibomian glands, also located in the eyelids. These glands make the lipid or oily part of tears that slows evaporation and keeps the tears stable.
Dry Eye Procedures
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Medical experts estimate that over three million Americans have glaucoma, but only half of those are aware that they have the disease. Glaucoma is dangerous. Awareness is our best defense. Widespread misconceptions about glaucoma contribute to unnecessary loss of vision. A majority of adults incorrectly believe that symptoms of pressure or pain in the eyes are associated with the early stages of this disease and that vision loss from glaucoma can be corrected. Both are mistaken beliefs that impede detection and treatment of glaucoma in its early stages when loss of sight can be prevented.
LASEK eye surgery is a variation of PRK to correct myopia (nearsightedness), hyperopia (farsightedness) and astigmatism. LASEK combines certain methods from both LASIK and PRK. LASEK works by reshaping the cornea using an excimer laser, allowing light entering the eye to be properly focused onto the retina for clearer vision without eyeglasses or contact lenses. The LASEK procedure involves a little of both LASIK and PRK. Like in PRK, the corneal epithelium is separated from the underlying stromal layer. But instead of completely removing and discarding the epithelial tissue, the LASEK surgeon pushes the ultra-thin epithelial “flap” to the side (it remains attached to the eye on one side, like the thicker corneal flap made in LASIK), exposing the corneal stroma for laser reshaping.
LASIK is an outpatient refractive surgery procedure used to treat nearsightedness, farsightedness and astigmatism. A laser is used to reshape the cornea — the clear, round dome at the front of the eye — to improve the way the eye focuses light rays onto the retina at the back of the eye. With LASIK, an ophthalmologist creates a thin flap in the cornea using either a blade or a laser. The surgeon folds back the flap and precisely removes a very specific amount of corneal tissue under the flap using an excimer laser. The flap is then laid back into its original position where it heals in place.
LipiFlow® is a new procedure designed to treat the root cause of Evaporative Dry Eye, blocked Meibomian glands. Opening and clearing these blocked glands can allow them to resume natural production of lipids (oils) needed for a healthy tear film. Imagine returning to doing the things you enjoy, without worrying about your eyes. LipiFlow® could be your first step to dry eye relief.
Now offering a $50 Bilateral Lipiflow Rebate!
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Your eye wear should fit your lifestyle. At Medical Center Ophthalmology Associates you’ll get the eye wear you need for the way you live, work and play!
We have an optical department in all of our San Antonio offices that offer a wide range of specialty products. Just a few of the products available include high quality frames, specialty lenses to fit every lifestyle and dry eye products.
A Pediatric Ophthalmologist is an ophthalmologist who has undergone additional training in order to understand and treat the eyes and developing visual system of infants and children. In addition, these physicians often treat adult strabismus as well. Our Pediatric Ophthalmology service provides comprehensive, compassionate care of children’s vision ranging from general eye exams to treatment of the most complex childhood eye diseases and disorders, including childhood glaucoma.
MCOA is pleased to offer our patients PROKERA®, a new treatment for chronic Dry Eye that heals the surface of your eye (cornea) and returns your eye to a normal, healthy state. PROKERA is a simple procedure and is easily inserted and removed in our office. Once removed your cornea is rejuvenated so you can see and feel better. In a recent patient survey, 93% of patients with Dry Eye said they felt better after treatment with PROKERA.
PROKERA is similar to a contact lens and is made of amniotic tissue, which is known for its natural therapeutic actions and heals your eye faster with less pain, scarring, and inflammation. The amniotic tissue used in PROKERA is provided by a tissue bank regulated by the FDA and has passed numerous quality control tests making it safe and effective. Clinical studies have shown PROKERA reduces the sign and symptoms of Dry Eye, and helps soothe pain, heal the eye, and improve vision.
PROKERA is the only U.S. Food and Drug Administration (FDA)-cleared therapeutic device that reduces inflammation and promotes healing. For more information visit www.prokerainfo.com.
Prokera helps treat
Do you suffer from Dry Eye?
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TrueTear causes eyes to produce their own natural tears using tiny pulses of energy. These pulses activate a natural response through clever technology called neurostimulation. These pulses cause the glands surrounding the eyes to react and temporarily produce real tears!
Uveitis is inflammation of the uvea — the middle layer of the eye that consists of the iris, ciliary body and choroid.
Uveitis can have many causes, including eye injury and inflammatory diseases. Exposure to toxic chemicals such as pesticides and acids used in manufacturing processes also can cause uveitis.
Wet macular degeneration is the more advanced type of AMD. Although it affects only 10-15 percent of those who have the condition, it accounts for 90 percent of the severe vision loss caused by macular degeneration.
The corneal specialists also are involved in refractive surgery, which is the general term referring to many different procedures to correct visual perception or focus, with the objective of reducing or eliminating the need for glasses and contact lenses. These procedures include: