Services provided at our office include:
	Infantsee		Eye Examinations
	Contact Lenses		Optical Dispensing
	Laser Vision Correction (Lasik)		Surgery Co-Management
	Eye Infections, Eye Injuries, Dry Eyes		Eye Diseases; Cataracts, Glaucoma, Diabetes
	Restasis		Punctal Occlusion

InfantSEE™

InfantSEE™ will be a public health program designed to ensure that optometric eye and vision care becomes an integral part of infant wellness care to improve a child's quality of life. We are developing this program to stress the critical importance of the early detection, management, and treatment of ocular conditions and diseases. Under this program, AOA Member, Dr. David Fisher, Jr., will provide a comprehensive infant eye assessment within the first year of life as a no cost public health service.

An InfantSEE™ eye assessment will be an important new component of the infant health routine that America’s parents perform for their babies. InfantSEE™ will complement the wellness care that a baby receives at the pediatrician’s office by broadening the review of an infant’s vision and eye health status.

We know your vision is important to you – and it’s important to us. When you come for your appointment, we make sure to schedule ample time for your appointment so you will never feel rushed. Our office provides complete eye care for both adults and children. Our comprehensive eye examinations will check your eyes inside and out for any potential eye disorders or diseases. We are prepared to handle whatever your eyecare needs are, and will treat them with the latest in diagnostic equipment and are committed to keeping up with eye care technology.

Comprehensive Eye Examination

A comprehensive eye exam will evaluate not only how well you see, but also identify potential eye diseases. Some eye diseases, such as glaucoma and macular degeneration, can result in serious vision loss if not detected and treated early. Often patients with these diseases don´t experience any visual symptoms before vision loss occurs.

If you are over 35, you should have a comprehensive eye exam every two years. Patients over 65 or with a family history of glaucoma,diabetes or diabetic retinopathy should have a yearly eye exam.

What to expect at your eye exam:

Dr. David Fisher, Jr. will most likely dilate the pupils of your eyes, in order to better see the retina at the back of your eye. You may want to consider making transportation arrangements, as your vision may be blurry for a few hours after dilating.

Your exam may include a:

Visual acuity and refraction test to determine the degree to which you may be nearsighted, farsighted or have astigmatism.

Muscle function test to check the movement of your eyes in each direction and at specified angles. This test will identify any muscle weakness or involuntary eye movement.

Binocular vision skills assessment to ensure that your eyes work together properly as a team. This is important for proper depth perception, eye muscle coordination and the ability to change focus from near to far objects.

Visual field test to measure your peripheral vision, the width of the area you can see when youy´re looking straight ahead. This test may also detect diseases of the eyes or neurological disorders.

Eye pressure test. Your doctor may administer one or more tests to evaluate your intra-ocular pressure. High intra-ocular pressure may be a sign of glaucoma.

Color vision screening to see if you perceive colors properly.

Eye health assessment using an ophthalmoscope. This tool allows the doctor to evaluate your pupil responses, optic nerve, retina, cornea and lens.

Treatment options, if necessary will be presented at the conclusion of your examination.

To schedule a comprehensive eye exam, you can call our office or schedule an exam from this website.

Our professionals can help fit you into a pair of lenses that is just right for you. We are experts in fitting contact lenses and can handle the most specialized needs. Whether rigid or soft lenses, we are experienced in handling the most difficult of prescriptions.

If you have allergies, then you know allergies can be particularly annoying to contact lens wearers. In the past many people had to quit wearing their lenses during the allergy season. However, new lens materials and allergy medications have made it possible for these people to eliminate the burning itchy eyes associated with allergies. Prescription medications such as Patanol and Alocril are amazingly effective and safe even in children as young as three. Let us know when you come in for your appointment if you have special allergy needs and we will be happy to help you.

Our optical laboratory has the latest in equipment to not only fabricate your glasses, but to maintain and repair them should they become broken or damaged. We are able to tint, coat, harden and edge spectacle lenses. We are able to provide you with any frame or lens design available. Our highly qualified optician and staff are able to adjust and fit your glasses to you for extended comfort and vision.

Most people with vision correction issues are wanting to know more about LASIK and whether it is right for them. Here is a brief description of the procedure;

A flap is surgically cut in the cornea and gently folded back. An Excimer Laser is used to reshape the cornea into a flatter shape (this is much like a contact lens corrects vision by forming a new shape on the cornea). The flap is then put back in place, acting like a natural bandage. The healing process is quick and the discomfort level is quite low.

People will often say that they did not feel anything, and could see well the very first day. Most people have improved vision in 24-48 hours. but it must be noted that each person will heal at a different rate. Vision, although greatly improved immediately after surgery, often continues to improve for some weeks, even months.

LASIK is not for everyone. People's eyes are different so even though you may have had a friend who has had LASIK, it may not be the best course of treatment for you. If you are interested in laser vision correction, we will be happy to guide you in picking the right surgeon, procedure and laser appropriate for you.

After the procedure, we take great care to monitor your eyes and adjust your medication for the best possible results.

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Our office provides many of the surgical services such as Cataract surgery, Laser surgery, Refractive surgery and Strabismic surgery. We offer this in conjunction with the hospital and local eye surgeons.

Additionally, we have working arrangements established with other specialized eye care doctors to manage such things are retinal detachments, retinal tears and hemmorhages.

Our office provides emergency services for eye infections and eye injuries. Please call our office at 337-237-2110 during office hours. Our staff will work with you to schedule an appointment as soon as possible. State of the art microscopes allow us to examine the front surface of the eye and facial areas around the eye for infection or injury. After assessing the extent of the injury or infection a treatment plan will be formulated and explained to you. Treatment may include medications and supportive care. Follow-up visits to monitor your recovery will be scheduled as needed.

Dry Eyes: Symptoms include scratchy eyes, burning, mild redness and gritty feeling eyes. Oral medications, reading, computer tasks and dry environments may aggravate marginally dry eyes. Dry eyes can be diagnosed by using dyes to observe tear patterns, evaluation of the amount of tears on the front of the eye and from review of your symptoms. Treatment may include artificial tears; eye drops for treating allergies; and/or punctal plugs inserted in the tear drainage canals.

Cataracts: The natural lens in the eye gradually becomes less clear as we get older. When opacities develop in the lens and the lens gets too hazy, vision will be impaired. Our office can diagnose and manage cataract care. When the cataract affects the vision to the extent that you cannot read or see distant objects comfortably, we will recommend cataract surgery. Our office co-manages with cataract specialists that are proven experts in cataract surgery. Cataract surgery can provide you with a bright new world of vision.

Glaucoma: Glaucoma gradually destroys the optic nerve tissue in the back of the eye. The greatest danger of glaucoma stems from the fact that the disease is painless and without obvious symptoms until significant damage has occurred. The most common cause is from pressure being too high inside the eye, but vascular disease and other diseases can also cause glaucoma. We always monitor for glaucoma during routine eye examinations. Tests include checking the pressure of the eye, screening for peripheral vision defects and analyzing the appearance of the optic nerve. If you are diagnosed with glaucoma, we typically prescribe medications that lower the eye pressure. Most forms of glaucoma are successfully treated with eye drops. Laser treatments and eye surgery are secondary treatments that offer alternative ways to treat more advanced glaucoma.

Diabetes: Diabetic patients should have a dilated retinal examination each year. Laser treatments have proven to slow the progression of retinal eye disease for many patients. Diabetes often stimulates the growth of new blood vessels in the back of the eye, which ultimately leak and damage the retina. If this condition is discovered early, laser treatment can destroy these vessels. We have the latest instruments used to detect changes in the back of the eye. If we discover advancing diabetic eye disease that can be treated or needs further evaluation, we will refer you for consultation and further testing to a board certified retinal specialist.

Restasis for Dry Eye

RESTASIS (cyclosporine ophthalmic emulsion) 0.05%

Restasis is an exciting new treatment for Dry Eye Disease, a painful and irritating condition. Restasis drops help the eyes produce more tears by reducing inflammation, which is often a cause of dry eye. Unlike artificial tears, Restasis is the first drug proven to effectively treat a cause of Dry Eye Disease rather than only temporarily alleviate symptoms.

Restasis is for those:

whose tear production is suppressed due to inflammation caused by dry eye disease

whose doctor has determined that Restasis is the appropriate treatment for their condition

About the treatment:

If Dr. David Fisher, Jr., prescribes Restasis, you'll probably use one drop in each eye every 12 hours. There is presently no cure for Dry Eye Disease; however, you will receive benefits from Restasis for as long as you continue its use. Restasis can be used with artificial tear products, but your need for these will most likely decrease as your eyes improve.

Realistic expectations:

The most common side effect of Restasis is a temporary burning sensation. Patients with an active eye infection or those who have allergies to any of the ingredients should not use Restasis. Keep in mind that Restasis is a treatment, not a cure. There is presently no cure for Dry Eye Disease.

If you and Dr. Fisher decide that Restasis is an option for you, you will be given additional information about the treatment that will allow you to make an informed decision about whether to proceed.

If you would like more information about this treatment you can make an appointment, contact the office or make an appointment from this website.

One way to alleviate dry eye is to help the eyes to make better and longer use of the small amount of lubricating tears they do produce. This is accomplished by closing off the small funnel-like drain hole found in the inner corner of the upper and lower eyelids. These drain holes, called punctums can be closed with tiny plugs called punctal plugs. The plugs can be placed in the two tear ducts, top and bottom, in both eyes or in only the lower ducts. The punctum can also be permanently closed with a heat or laser procedure.

Punctal plugs can be temporary or permanent. Temporary plugs dissolve a few days after insertion. If your dry eye symptoms disappear when the temporary plugs are inserted, your doctor may consider permanent punctal occlusion.

Punctal occlusion is for those:

who have been diagnosed with dry eye

whose doctor has determined that punctal occlusion is the appropriate treatment for their condition

What to expect on procedure day:

Your treatment will be performed in an examination room. It does not require a surgery center. Once you have been checked in and settled comfortably, drops will be used to numb your eye; no injections or needles are used.

Your doctor will pull your eyelid up and ask you to look toward the outside of your head, away from your nose. Using a forceps-like applicator, the plug will be placed into the corner of your eye, then released. An applicator or another tool will then be used to gently push the plug into your natural punctal opening and you'll be asked to blink. Once the plugs get wet, they will expand to completely fill the opening. The entire procedure takes only a few minutes. Many patients report immediate relief from dry eye symptoms and resume normal activities immediately.

Realistic expectations:

Serious complications with punctal occlusion are extremely rare, but like any medical procedure, it does have some risks. If you experience side effects, your doctor can remove the plugs. Going to a specialist experienced in punctal occlusion can significantly minimize risks.

If you and your doctor decide that punctal occlusion is an option for you, you will be given additional information about the procedure that will allow you to make an informed decision about whether to proceed.