Summer 2018 Edition
7 Restoring Sight: pg
Patient Stories
10 LASIK FAQ
pg
www.gundersenhealth.org/vision 1 In Focus
12
pg
Healthy Vision at Every Age
CONTENTS
Summer 2018
4 Provider Spotlight Drs. Amy & Justin Atherton, Optometrists
5 Premium Cataract Lenses Understanding your options
7
6
Meet Roberta Iliff, a Gundersen team member of 22 years!
7
8
Employee Spotlight Restoring Sight: Patient Feature Keratoconus is a condition that affects the shape of the cornea. Learn about how Gundersen eye doctors helped restore vision for Cindy.
8
Advanced Glaucoma Treatments Our very own Dr. Falkenberry is on the forefront of minimally invasive glaucoma treatments.
10 LASIK FAQ
12
Laser vision correction is a great option for those looking to gain freedom from glasses and contacts. Learn more about it here.
11 Contact Lenses and Children How do you know when your child is ready for contact lenses?
We hope you enjoy this issue of In Focus magazine, our publication to help keep you informed and up-to-date on the many great things happening at Gundersen Health SystemÂŽ. Gundersen Health SystemÂŽ consistently delivers the latest in vision care for patients of all ages. We offer a large variety of vision services, including LASIK, cataract surgery, treatment for macular degeneration, glaucoma, and retinal problems, as well as pediatric eye care, full-service optical shops and more. We have 13 clinics located throughout our region and are committed to providing our patients with the best care possible.
www.gundersenhealth.org/vision
12 Vision Through The Ages What changes with your vision over time? Read this article to learn more about your eye health and aging.
14 Eye Healthy Recipe Pan-Seared Salmon with Summer Greens
15 Puzzle Corner
Our Providers & Clinic Locations
Black River Falls Eye Clinic, Wisconsin Justin Atherton, O.D. Suzanne Falkenberry, M.D. Decorah Eye Clinic, Iowa Jennifer Gipp, O.D. Kristie Shappell, M.D. Andrew Sassaman, O.D. Hillsboro Eye Clinic, Wisconsin Steven Whitford, M.D. Allison Burbach, O.D. Onalaska Eye Clinic, Wisconsin Sarah Clements, O.D. Filomena Larson, O.D. John Purdue, O.D. Matthew Runde, M.D. Kent Summerfield, O.D. Todd Verdon, O.D. Prairie du Chien Eye Clinic, Wisconsin Philip Holzer, O.D. Christopher Born, M.D. Brad Collins, O.D. Richland Center Eye Clinic, Wisconsin John Guelig, O.D. Brad Walker, O.D. Steven Whitford, M.D. Sparta Eye Clinic, Wisconsin Jon Williamson, O.D. Steven Whitford, M.D. Tomah Eye Clinic, Wisconsin Amy Atherton, O.D. Matthew Runde, M.D.
Viroqua Eye Clinic, Wisconsin Troy D. McKay, O.D. Andy Nahas, O.D. Paul Kuck, M.D. Waukon Eye Clinic, Iowa Cindy Calderon, M.D. Andrew Sassaman, O.D. Kristen Reierson, O.D. Whitehall Eye Clinic, Wisconsin Ashley Finch, O.D. Steve Whitford, M.D. Winona Eye Clinic, Minnesota Sean Thompson, O.D. Bradlee Wolner, O.D. Daniel Lange, M.D. LaCrosse Eye Institute, Wisconsin Elizabeth Ault Brinker, M.D. Christopher Born, M.D. Cindy Calderon, M.D. Suzanne Falkenberry, M.D. Paul Kuck, M.D. Daniel Lange, M.D. Gary Lenth, M.D. Matthew Runde, M.D. Kristie Shappell, M.D., D.V.M., M.S. Steve Whitford, M.D. Thomas Edwards, O.D. John Larson, O.D. John Sterling, O.D. Todd Verdon, O.D. Adams Friendship-Moundview Greg Hutcheson, O.D.
www.gundersenhealth.org/vision 3
Provider Spotlight
Drs. Amy & Justin Atherton General Optometry How did the two of you meet? We actually lived in the same apartment complex in Memphis, TN. We met on the steps of the apartments and quickly discovered that we were both attending the same optometry school.
Tell us about your professional training and educational background. Justin attended undergraduate college at College of the Ozarks in Southwest Missouri. Amy attended Iowa State University in Ames, Iowa. We both attended Southern College of Optometry in Memphis, Tennessee. Justin was two years ahead of Amy in optometry school. Amy did an ocular disease residency with the VA Hospital in Oklahoma.
Why did you choose to work at Gundersen? We wanted to move closer to our family in Iowa and Wisconsin. Amy was a patient at the Gundersen Eye Clinic in Waukon, IA growing up. Dr. Jim Rixen was actually one of the people that inspired Amy to become an optometrist.
opportunities was participating in a medical mission trip to Guatemala. We were part of a group of doctors who performed eye exams and distributed recycled glasses to people in remote areas that don’t have access to health care.
What do you do in your free time? We enjoy a wide range of hobbies; some of our favorite things are traveling, hiking, riding horses, camping, and biking. We also like to play card games when the weather is too cold to be outside.
Why did you want to be optometrists? We were both attracted to healthcare because we had a strong desire to help others and be challenged daily. The eye is the most interesting organ in the human body.
What is your favorite thing about working for Gundersen? Gundersen is a great company to work for and has a great reputation.
Tell us about your family.
Most interesting experience as eye doctors?
We do not have children. We have two dogs, two cats, and two horses.
We have both enjoyed a wide range of patients over the years. One of the most satisfying
4 In Focus
Understanding
Premium Cataract Lenses Cataract surgery is simple: the eye’s natural, clouded lens is replaced with a small artificial lens, called an intraocular lens (IOL). These lenses restore clarity and your natural ability to see without the cloudiness of cataracts. If you want less dependence on glasses and contacts after cataract surgery, we offer several options that can give you more visual freedom. Our surgeons are qualified to perform a procedure called continuous vision, which corrects one eye for distance and the other for near vision. In addition, our surgeons can also implant a new generation of specialty lenses, which are designed to provide vision at all distances, dramatically reducing or eliminating your need for glasses.
PROCEDURE TYPE
VISION
Conventional IOL • Standard cataract surgery • Will likely need glasses for both near & distance after surgery
Distance
Monovision • Monofocal cataract surgery with aspheric lens • Reduced dependence on reading glasses
Distance and Near
Toric Lenses • Corrects astigmatism • Reduced dependence on distance glasses
Distance
Multifocal/Extended Depth Of Focus Lenses (incl. Toric) • Reduced dependence on reading glasses • Reduced dependence on distance glasses • Corrects astigmatism, if present
Distance and Near
* Surgical outcomes cannot be guaranteed.
Staff Spotlight Roberta Iliff, ABOC
What is your title and how long have you worked at Gundersen? I have been a Dispensing Optician 18 years and have worked for 22 years in the same building.
Tell us about your education and professional background.
Black River Falls High School graduate (1977) with post-secondary technical schools in Killeen, Texas and Ft Benning, Georgia. I worked as a Customer Relations Specialist at AAFES (Army & Airforce Exchange Services & Military Clothing) in Schweinfurt, Germany and Fort Benning, GA. I began my Optical experience in 1996 with the private practice of Drs. Bruce Lahmayer and Jon Williamson. After they joined the Gundersen System, I was motivated to learn the craft of Opticianry, and earned my credentials from the American Board of Opticianry in the fall of 2000 using tools that were available to me through the Eye Department.
What is your favorite part about your job?
Helping people with their visual needs, and the experiences of patients and their families. Making the idea of wearing eyeglasses or contact lenses a pleasant experience for them all. Doing what I can to make a difference in those experiences.
What do you like most about working for Gundersen?
Opportunities to learn and grow from the many experiences afforded me, the people that surround me each day, and of course I love doing all of these things in my own hometown.
What do you like to do outside of work?
I love spending time with family and friends, especially our four grandchildren, hanging with my Yorkie Sam, trap shooting, attending sporting events, volunteering for various charities, serving as Secretary of the American Legion Auxiliary Local Post 200, and reading.
Tell us about your family.
I have been blessed with a wonderful family, including Richard, my husband of 42 years; two daughters, Heather Smoot and Rebecca Richards; one son, Dr Robert W ILiff; and four grandchildren: Ethan Smoot (14), Madalynn Smoot (13), Riley Richards (4), and Ember Richards (6 weeks).
VALUES MISSION
We distinguish ourselves through excellence in patient care, education, research, and through improved health in the communities we serve.
VISION
We will be a Health System of excellence, nationally recognized for improving the health and well-being of our patients and their communities.
6 In Focus
Integrity Perform with honesty, responsibility, and transparency. Excellence Achieve excellence in all aspects of delivering healthcare. Respect Treat patients, families, and coworkers with dignity. Innovation Embrace change and new ideas. Compassion Provide compassionate care to patients and families.
RESTORING SIGHT: PATIENT FEATURE
Cindy’s Story KERATOCONUS: Finding the Right Fit
M
y family has been going to Gundersen Lutheran Hospital in La Crosse, Wisconsin for the last 20 years because we have Gundersen Lutheran medical insurance through my husband Al’s employer.
In about 2003, while attending college, I started to notice I was having blurry vision and light sensitivity. I was extremely nearsighted and had trouble driving at night. I was seeing an optometrist in La Crosse who originally diagnosed me with keratoconus, which results in a progressive thinning of the cornea. [See “What is Keratoconus?” below.] My optometrist was able to correct my vision with glasses but my prescription would change every 5-6 months. He then referred me to Gundersen Lutheran, where I tried scleral lenses and hard contacts without much luck. I was frustrated and losing hope, so I continued to wear glasses, changing my prescription every 5-6 months. I was eventually referred to Dr. Born, an ophthalmologist at Gundersen Lutheran in La Crosse. I had looked into corneal crosslinking, but at that time it was considered experimental and not covered by insurance. When I first saw Dr. Born, he felt that a DALK procedure would work best for me, so I was scheduled for surgery on my right eye. DALK stands for deep anterior lamellar keratoplasty, and the procedure involves a corneal graft using healthy cells. When I arrived for surgery in 2011, I was pretty nervous, but Dr. Born was very reassuring. The surgery went well and I no longer had blurry vision in my right eye, but would continue to need glasses. After my surgery I continued my eye care at the Gundersen Lutheran vision center. The doctors listened to my frustration and were determined to help me. I’m an R.N. at Vernon Memorial Healthcare in Viroqua, WI and I needed to see better to do my job. As a patient of Dr. Collins, I felt very understood and confident he would do everything possible to help improve my vision. One of Dr. Collins’ specialties is treating patients with keratoconus.
Dr. Collins helped me find a pair of scleral lenses that would work for my eyes. These lenses are large and hard, which helps to shape my cornea. After trying them on I was so excited at how well I could see. People don’t realize how much you are missing when you can’t see. It was exciting for me, and Dr. Collins was just as excited that he could make such a difference to help me and my quality of life. I have made several trips to the Prairie Du Chien eye clinic to check my cornea to ensure that they aren’t rubbing on my right eye, but they feel great! I can see 20/20 with my lenses and only need glasses for reading. My keratoconus has plateaued and no further surgery is needed at this time. You can say I’m looking at the world with rose-colored glasses... or should I say rose-colored scleral lenses?
WHAT IS KERATOCONUS? Keratoconus is a progressive eye disease in which the normally round cornea (the transparent layer at the front of the eye) thins and begins to bulge into a cone-like shape. This cone shape deflects light as it enters the eye on its way to the retina, causing blurry and distorted vision.
Normal cornea (left) vs. thinned, cone-shaped cornea with keratoconus (right)
www.gundersenhealth.org/vision 7
Advanced Glaucoma Treatment
Minimally invasive techniques for improved safety and outcomes. by Dr. Suzanne Falkenberry, ophthalmologist, fellowship-trained glaucoma surgeon
G
laucoma is damage to the eye’s optic nerve. This usually happens when fluid begins to build up in the front of the eye, which increases pressure that results in damage to the optic nerve. There are two types of glaucoma: primary open-angle glaucoma—which happens gradually—and angle-closure glaucoma— which comes on as an acute attack. With a gradually increasing glaucoma, there are no obvious symptoms in the early stages. As it progresses, blind spots in the peripheral (side) vision develop. With an acute attack of glaucoma, there are many symptoms, such as decreased
8 In Focus
or blurred vision, seeing rainbows or halos, redness of the eye, and headache. Some people never show symptoms of glaucoma, but have eye pressure that is higher than normal. This is known as ocular hypertension. People with ocular hypertension are known as “glaucoma suspects.” These people should be carefully monitored at each visit. Glaucoma is treated by lowering pressure in the eye. Medication and laser procedures are typically the first line of treatment for glaucoma. Surgery is reserved for cases in which the pressure behind the eye cannot be
controlled accurately or the patient is not tolerating the medications provided for treatment. When the patient reaches this stage, surgery is recommended.
Some mechanisms of MIGS include: »» Trabecular bypass: utilizes the eye’s natural drainage system
Traditional surgeries, such as trabeculectomy, are highly effective, but can cause complications. In a trabeculectomy, a surgeon creates a tiny flap in the white of the eye, providing a new angle for fluid to drain from the eye. The drained fluid is then hopefully absorbed by the tissue around the eye, decreasing pressure. Although this procedure is highly effective, it can still cause side effects such as double vision, swelling, scarring, postoperative infections, and drooping eye lids.
»» Suprachoroidal drainage: creates a drainage pathway through a newly created space between the white of the eye and an inner layer of the eye
Minimally Invasive Glaucoma Surgery (also known as MIGS) refers to a group of newer procedures developed to reduce the risk of complications from most traditional glaucoma surgeries. MIGS procedures use microscopicsized equipment for even smaller incisions. This allows
Some current MIGS surgeries consist of the iStent, Trabectome, and Cypass. The iStent is the smallest implantable device that has been used for the human body. This FDA-approved device is a titanium device implanted from the inside of the eye. The tiny device can be inserted in a less invasive surgery that is often combined with cataract surgery. The Trabectome is a procedure that removes some of the outer “meshwork” of the eye, exposing channels of the eye to decrease iStent size comparison: pressure. This procedure The smallest implantable device is incredibly quick, with used for the human body. a high safety profile. The minimal side effects can include blood in the front of the eye after surgery, which typically clears quickly. The Cypass is one of the more recently approved MIGS surgery procedures. This is an MRI-Safe micro-stent that is also implanted from the inside of the eye. This procedure has a much higher safety rate than traditional trabeculectomy, although there is a risk of eye pressure being too low. However, this low eye pressure is usually only temporary.
“Minimally Invasive Glaucoma Surgery (also known as MIGS) refers to a group of newer procedures developed to reduce the risk of complications from most traditional glaucoma surgeries.” for shorter surgery times since the surgery is less invasive. While these new procedures have reduced the incidence of complications, the degree of effectiveness of the surgery has been traded to increase the safety of patients. MIGS procedures are best for patients that are only on 1 to 2 medications. After MIGS procedures, many patients are able to decrease the amount of drops they are taking, which is helpful for reducing eye irritation and improving compliance with medicine.
»» Subconjunctival drainage: creates a drainage pathway in the subconjunctival space (below the outer lining of the white of the eye) »» Ciliary body ablation: destroys the part of the eye that creates fluid
MIGS procedures have brought increased safety to patients, and generally good outcomes from procedures through minimally invasive techniques.
Are you a candidate? Request an appointment at 800.362.9567, ext. 52191. www.gundersenhealth.org/vision 9
LASIK FAQ: Your Questions Answered Isn’t all laser vision correction the same? No. Surgeon experience, lasers, diagnostic technology and follow-up care all play a part in your LASIK experience. Laser vision correction will affect the way you see for the rest of your life. You should make your decision to have laser vision correction carefully. Our website has an abundance of information about our surgeons, our laser technology, our advanced diagnostic technology, and what you should expect for the money you spend. We provide you with this information on LASIK because we believe the more you know about us, the more confident you will feel about choosing us as your laser vision correction provider. We also offer free consultations to determine if you are a good candidate. Will it hurt? Since anesthetic eye drops numb your eyes, there is no pain during any of the laser vision procedures, although some patients experience mild discomfort or pressure sensation during the procedure. After LASIK, you might experience mild discomfort for a few days. An over-the-counter pain reliever or use of artificial tears will generally alleviate this discomfort. PRK patients experience most discomfort three to five days post-op as the epithelium heals.
Is LASIK and laser vision correction safe? There are possible risks with any surgical procedure, but serious complications with LASIK or PRK are extremely rare. The chance of having a vision-reducing complication from LASIK has been documented in clinical studies to be less than one percent. Many of the risks and complications associated with this procedure can be reduced or eliminated through careful patient selection and thorough pre-operative testing using the latest diagnostic technology. At Gundersen, we take a very conservative approach and screen patients carefully. What is the difference between PRK and traditional LASIK? Since not all of our patients are candidates for LASIK, we perform a related procedure called PRK in order to help those patients achieve the best vision possible. In LASIK, a corneal flap is created to reach the deeper layers of the cornea. The PRK procedure eliminates the need for a flap by removing only the superficial layers of the epithelium, then applying the laser directly to the cornea. We also offer other options for patients seeking surgical vision correction, which your surgical coordinator can discuss in detail.
Ask your doctor about
B L A D E L E SS L AS IK All-laser technology for a completely bladeless LASIK experience!
10 In Focus
Contact Lenses For Your Children: What You Need To Know Contact lenses are a good option for many children with refractive errors. Many children choose contact lenses over glasses to improve their self-image and confidence. Contact lenses are also the preferred method of visual correction for sporting activities because they offer enhanced peripheral vision, will not fog up, and are much easier to wear under a helmet. One common question we get from parents is, “What is a good age for my child to start wearing contact lenses?” That age has come down significantly over the last 30 years, thanks mostly to increased ease in contact lens cleaning regimens, as well as a decrease in the cost of contact lenses themselves. Over the last 5 years, affordable daily disposable contact lenses have become the lens of choice for many children. Because these lenses do not need to be cleaned, and are inexpensive enough that a torn or lost lens is not a financial burden, the typical age to start wearing this type of lens has decreased even more, usually around age 11. With all that in mind, when parents ask if it is okay for their child to start wearing contact lenses, we tell them that three people have to agree that it is in the child’s best interest:
1. The child has to want it. If the child isn’t driving this decision, many don’t end up wearing contact lenses successfully. 2. The doctor has to feel that the eyes are healthy enough, and that the prescription is suitable for contact lens wear. 3. The parent has to feel that the child is hygienic, coordinated, and responsible enough to manage the daily routine of contact lens wear. Of the contact lens options available today, we find that people are most successful wearing a daily disposable contact lens. A single use disposable lens eliminates the need for a chemical disinfecting system and thus avoids the potential for a solution reaction. – Drs. Amy and Justin Atherton, optometrists Our contact lens department has a very experienced and dedicated staff. We fit all types of lenses and treat patients of all ages. Contact lenses can address nearsightedness, farsightedness, astigmatism, and the need for a bifocal. We also fit lenses to address therapeutic indications such as irregular astigmatism, ocular trauma, and keratoconus. If you are interested in trying contact lenses, please schedule an appointment. www.gundersenhealth.org/vision 11
VISION THROUGH THE AGES
How vision develops and how to keep your eyes healthy at every age. INFANTS
• At birth, an infant is sensitive to bright lights. At this time they are adjusting to the lights and learning to focus on large objects and people. Throughout the course of infancy a baby continues to learn how to focus on objects and track them as they move. • Make sure your child’s vision develops properly by watching for signs of problems which can include inward or outward turning of the eyes or significant delays in tracking moving objects. • We typically recommend that your child has their first eye exam at age 1.
CHILDREN • Focus, depth perception, and other aspects of vision continue to develop throughout early and middle childhood. • Convergence, which is the ability of both eyes to focus on an object simultaneously, becomes fully developed by age 7. • The most common refractive errors in children are myopia (nearsightedness), hyperopia (farsightedness), and astigmatism (distorted vision). • An eye exam before each school year can help ensure that your student is set up for success.
YOUNG ADULTS • Vision development generally completes by the early 20s and remains steady throughout the 30s. • Prescriptions generally change only slightly throughout this time. For that reason, LASIK is recommended during this stage of life. • Have a vision check every 3-4 years in your 20s and 30s, or annual exams as needed for contacts/glasses or other eye conditions. • Three-quarters of all eye injuries happen to men aged 18 to 40. Most of these occur around the home during home improvement projects. Injuries can be prevented by using protective eyewear during risky activities like sports and home improvement projects. 12 In Focus
TIPS FOR MAINTAINING HEALTHY EYES IN YOUNG ADULTHOOD: Exercise stimulates oxygen intake and blood circulation, which your eyes desperately need. Avoiding smoking is one of the best investments you can make for long term eye health. Smoking as a young adult can increase your risk of cataracts as an adult. Smoking increases the risk of vision loss and other eye diseases as well. Sleep is another long term habit to maintain healthy eyes throughout young adulthood. Sleep allows eyes to lubricate and flush out irritants from the day before.
WHEN SHOULD ROUTINE VISION SCREENINGS BE DONE? Newborn
40-60 YEARS (MIDDLE AGE) • Many people go through significant changes in their eyes throughout the middle years, which is why it is important to get a baseline exam in your 40th year. • Early signs of age-related eye diseases can begin in early middle age, but may not seriously affect vision until later. These diseases can include cataracts, glaucoma, diabetic retinopathy, and age-related macular degeneration (AMD). • Nearly everyone will experience presbyopia throughout their 40s. The lens behind the pupil becomes less flexible with age, making it hard to read and perform other “near” tasks. This is why many people need reading glasses around this age. • By 65, one in three Americans will have a vision-impairing eye disease.
60 PLUS • As we age, even people who do not have an age-related eye disease can experience visual changes: eyes may take longer to adjust and focus, or may not adjust at all. Adjusting from well-lit to dimly-lit areas may become more difficult. This is why driving can become challenging, especially at night and in the rain. Driving can also become more difficult for people with eye diseases that reduce their peripheral vision.
Between 6 months and first birthday Preschool Entering elementary school Every school year Every 3-4 year in your 20s and 30s Every 2 years in your 40s and 50s Every year after age 60 *As directed by your eye care provider. These recommendations apply to patients with healthy eyes and no eye problems. Some conditions may require more frequent vision exams.
• It is important to have comprehensive eye exams every year after the age of 60. These exams generally check for AMD, glaucoma, cataracts, diabetic retinopathy, and other eye conditions. • It is recommended that women get their eyes checked more often than men, as women are at a higher risk for diseases of the eye and vision loss. • Sleep, exercise, and knowledge of systemic health are important in older age to maintain vision.
www.gundersenhealth.org/vision 13
EYE-HEALTHY RECIPE
Nutritional information from allaboutvision.com/nutrition/supplements.htm
Greens provide folate, a B vitamin which reduces inflammation and the risk of vascular problems affecting the retina, and carotenoids, antioxidants which reduce the risk of macular degeneration and cataracts. Tomatoes are an excellent source of vitamin C, an antioxidant which may reduce the risk of cataracts, and biotin, which reduces inflammation and the risk of vascular problems affecting the retina. Wild-caught salmon is a great source of omega-3 fatty acids, which help prevent dry eye and normalize eye pressure to reduce the risk of glaucoma.
Pan-Seared Salmon with Summer Greens Per serving: 5- to 8-ounce salmon fillet 2 tbsp lime juice 1 tbsp grated or minced ginger 1 tbsp minced garlic Fresh basil leaves to garnish Olive oil Handful of seasonal greens: arugula, red leaf lettuce, romaine, etc. Cherry tomatoes (to taste) 1 tsp balsamic vinegar 1 tsp olive oil
Combine lime juice, ginger, and garlic. Use the mix to marinate salmon fillet(s) in a pan or shallow bowl for at least a half hour. Pre-heat oven to 475°F. Lightly coat a cast-iron or ovensafe pan with olive oil and sear salmon over medium heat until browned, about two minutes on each side. Move salmon to the oven to roast. Check in 10 minutes for preferred doneness and adjust as needed. Toss greens, tomatoes, oil, and vinegar. Garnish salmon with basil or other fresh herbs as desired, and serve with salad mix.
Puzzle Corner cornea
ophthalmology
U I L B Q M M D O P R V F X Y O K G S Y
fovea
optical
O Q E K J A S E N U X A E N R O C H C C
iris
optometry
P T N G I C I K O S H X Y K C E G O L O
lens
vision
T H S L R U T A I A U D A W I K O P E N
macula
myopia
O Y L A D L A R S M Q N K O P I A T R T
retina
presbyopia
M P J U U A M V I S I I O G B S O I A A
sclera
hyperopia
E E G C W X G I V T N X Q C Q A N C D C
contacts
astigmatism
T R I O V Z I Z E X R W I Y O L Z A P T
eyewear
cataracts
R O R M P Q T R A E W E Y E F T Z L O S
focus
glaucoma
Y P I A Q K S F F B A I P O Y M A U I A
LASIK
keratoconus
E I S H R H A L C I X D Y A R K L R F I H A O P H T H A L M O L O G Y Y Q O E I F W G A I P O Y B S E R P Y H D H W S K S C A E V O F K X F O C U S E I J Y S J K U H U W G C A T A R A C T S E Q G E W
5 9 3 6 4
2
3 7 1 4 1 9 6 3 8 2 1 5 1 7 6 1
5 6 3 7
9
2 6 4
2
7 1 3 9 2 6 4 7 8 3 9 2 5 6
3 4 2 3 1 9 7 9 5 2 3 5 3 7
2
www.gundersenhealth.org/vision 15
www.gundersenhealth.org/vision
Whether it's routine eye care or treatment for an eye disease or injury, Gundersen Eye Clinics provide quality eye care close to home for people of the tri-state region. Our professional eye care team provides diagnosis and treatment of eye diseases including: » Cataracts » Corneal disease » Macular degeneration
» Eye muscle conditions » Glaucoma » Low vision
» Pediatric eye conditions » Retinal diseases
Specially-trained eye surgeons also provide services such as: » Surgical treatments for eye diseases and injuries » LASIK and other laser vision correction procedures » Cosmetic eye lid surgery
We also offer a full-service optical department and contact lens services. Call 800.362.9567, ext. 52191 today to schedule your appointment.