The office of Peter Schwartz MD in Ithaca, NY specializes in surgical care to treat eye-related disorders and conditions. Since 2006, we’ve treated many conditions—including cataracts, diabetic retinopathy and more—for patients of all ages throughout Tompkins County and surrounding communities in the Southern Tier of NY, including Binghamton and Elmira. Our state-of-the-art technology and equipment can provide our patients with a variety of eye surgery procedures for many different conditions. We’ll work with you to find the best procedure to help you on the path to recovery.
Blepharoplasty involves removing excess skin, muscle and fat around your eyelids. Although many people choose to undergo this procedure for cosmetic purposes, blepharoplasty can also help improve your vision. If you have excess skin around your eyelids, it can obstruct your peripheral vision and make it harder to see. In addition to making your eyes appear younger and more alert, eyelid surgery can also widen your field of vision by removing any excess skin that can be blocking your eyes.
Entropion and ectropion are two eyelid-related conditions that warp the shape of your eyelid and can cause pain and discomfort. Entropion causes your eyelids to turn inward, causing your skin and eyelashes to rub against your cornea. In contrast, ectropion causes your eyelids to turn outward and can prevent tears from properly draining from your eyes. Entropion and ectropion repair can help adjust your eyelids so that they rest comfortably over your eyes. For entropion, we can remove a small portion of your eyelid that’s causing irritation in order to tighten the muscles or reposition your eyelid with a skin graft if your entropion is caused by scarring or prior surgery around the area. For ectropion, we can tighten the skin and muscles in your eyelids, remove part of the eyelid that’s causing you issues or performing a skin graft if the ectropion is caused by scars or prior surgery.
If there’s a blockage in your tear ducts, we offer tear duct surgery to open up the ducts so your tears can drain properly. Tear duct blockage can be caused by many factors—including birth defects, advanced age, nose injuries and polyps, tumors and more—and can cause you to have frequently irritated or infected eyes. By opening up your tear ducts with surgery, you can avoid future eye discomfort.
If you frequently suffer from dry eyes, Punctal plugs can help restore some moisture to your eyes. This procedure involves inserting a small plug into your tear ducts to obstruct some drainage, increasing your eyes’ tear film and surface moisture. For resolving chronic dry eye, we use a semi-permanent silicone plug for a long-lasting solution. A Punctal plug occlusion is a good solution when prescription or non-prescription eye drops don’t do enough to relieve chronic dry eye.
Lesions on your eyelid can cause significant discomfort and even infection. We can surgically remove a variety of eyelid lesions—including warts, chalazia, neoplastic lesions and more—using top-grade tools and equipment to easily excise the lesion without causing further damage. After we’ve successfully removed the lesions, the area around your eyelids will feel much better and you’ll be able to avoid issues related to infectious lesions.
If your vision is blurry (even while wearing glasses or contacts) but you don’t feel any pain, you might have cataracts. A cataract is a clouding over the lens of the eye that causes vision loss that can’t be corrected with corrective lenses or refractive surgery. Cataracts can be caused by eye-related injuries, medications, diseases and aging; no matter the cause, having cataracts can present difficulties and cause you to feel stressed.
We offer cataract extraction surgery to remove the cloudy lens and replace it with an intraocular lens (IOL). This procedure involves removing the affected lens either by phacoemulsification (using ultrasound vibrations to break up the lens) or extracapsular extraction (removing the lens all at once) and replacing it with an IOL. The procedure usually takes less than an hour after all pre-op requirements are completed and you can go home and enjoy your improved vision the same day. After the procedure, we will apply a bandage or shield over the treated eye to protect it and schedule a post-op exam to remove the bandage and make sure the area is working correctly.
We offer YAG laser capsulotomy to patients who are experiencing complications following cataract extraction surgery. In some cases, the capsule that holds the IOL in place can get cloudy over time and obstruct your vision. If this occurs, we can surgically remove the capsule using a laser to remove the cloudiness and improve your vision. A YAG laser capsulotomy doesn’t require any incisions, entirely painless and only takes a few minutes. With the exception of a few temporary floaters, you don’t have to worry about post-procedure complications or discomfort.
If you’ve been diagnosed with closed-angle glaucoma, we can perform a laser iridotomy to decrease pressure in the eye. This can help you avoid pain and discomfort that stem from acute closed-angle attacks and progressive vision loss.
If you have closed-angle glaucoma, the angles in your eyes (the space between your corneas and iris near the edge of the iris) are closed, so the trabecular meshwork can’t direct fluid out of the eyes. This can cause pressure to build up in the eyes and can cause a variety of sudden symptoms, including eye pain, headaches, halos around lights, dilated pupils, vision loss, red eyes, nausea and vomiting. Although these symptoms usually last for a few hours, the glaucoma can lead to long-term problems like optic nerve damage and permanent vision loss.
During a laser iridotomy, we create a hole on the outer edge of the iris, which opens up the angle and allows fluid to drain from the trabecular meshwork. By reducing the pressure from fluid build-up in your eyes, the laser iridotomy can help reduce the frequency of acute closed-angle attacks and allow you to live your life without worrying about sudden onset pain, vision loss and nausea.
Trabeculoplasty can help patients who are suffering from open-angle glaucoma when eye drop medications don’t do enough to relieve eye pressure. We use a laser to create an opening in the sclera, allowing fluids to drain from the trabecular meshwork.
If you have open-angle glaucoma, the angle between your iris and cornea is open, but the drainage canals frequently get clogged, which creates pressure build-up in your eyes. Unlike closed-angle glaucoma, open-angle glaucoma is usually painless, but still results in progressive peripheral vision loss and can even cause tunnel vision if not treated.
By using a laser to create a hole in the sclera, a trabeculoplasty removes any obstruction in the angle or drainage system and relieves the pressure in your eyes, as well as preventing obstructions in your peripheral vision.
Trust us with your vision care and vision evaluations! To schedule surgery for your eyes, call us at (607) 266-7600.