Our Services

Full Spectrum Eye Care and Ophthalmology Services

At Miramar Eye Specialists, we blend cutting-edge technology with personalized care to provide the finest ophthalmologic and eye care services in Ventura County.

Cataract Services

LenSx® Cataract Surgery

What Is The LenSx® Laser?

The LenSx® laser is an advanced, precision based technology that operates with unmatched precisions and computer-control, helping surgeons to customize the procedure to your eye. It is a technologically advanced option for cataract patients. When you choose the LenSx® laser, you’ll enjoy a range of vital benefits. A custom tailored solution for your eyes. While all human eyes share the same basic anatomical structure, every eye is just a bit different in terms of size, depth, curvature of the cornea and other key features. Which is why every eye must be carefully measured and mapped prior to cataract surgery. Read the Frequently Asked Questions (FAQ) and our answers to learn more about Cataract surgery.

The LenSx® laser uses a range of highly advanced technologies – including integrated optical coherence tomography (OCT) – to capture incredibly precise, high-resolution images of your eyes.These images – and the measurements and data they provide – are then used to plan and perform a surgery to exacting specifications not attainable with traditional surgery. LenSx allows the surgeon to make all laser incisions. No blades are used. The LenSx® laser performs several of the most critical steps of the surgical process with an image-guided femtosecond laser. Read the testimonials from our patients that had gone through the surgery.

LAL (Light Adjustable Lenses)

Discover the future of vision correction with Light Adjustable Lenses (LAL) at Miramar Eye Specialists, a leading provider of cataract services in Ventura County. Our LAL technology allows for personalized vision adjustments post-surgery, ensuring you achieve the clearest possible outcome. With over thirty years of expertise, we are dedicated to offering advanced solutions like LAL to cater to your unique vision needs. Choose Miramar for a tailored, state-of-the-art cataract treatment experience that sets new standards in eye care.

ORA® Cataract Surgery

ORA guides the use of Advanced Technology Lenses by allowing your cataract surgeon to ensure the lens is perfectly selected and placed which helps give patients a better visual outcome. ORA measures your eye after the cataract has been removed, to aid selecting the lens shape (football or basketball) and power that best fits your eye.

During the procedure your surgeon can take measurements of your eye allowing adjustments to be made to optimize visual outcomes.

Premium Cataract Lens Implants

Basic insurance intraocular lens implants do not attempt to reduce your need for glasses or contact lenses. For an additional investment in your vision for life you may be a candidate for lenses that correct astigmatism and presbyopia thereby reducing your dependence upon corrective eyewear. With age, the lens loses its transparency, becoming cloudy and interfering with various aspects of vision. At this stage it is considered a cataract.

Trust our cataract surgeons to help you select the premium lens implant which will allow you to better read, work on the computer, and/or drive without glasses.

Multifocal Intraocular Lenses

In the past, cataract lenses were only able to correct distance vision, often leaving patients with the need for reading glasses. Multifocal IOLs offer patients freedom from glasses after cataract surgery by improving vision at all distances and at any time of day. These lenses can quickly change focus to accommodate your vision needs. Up to 80 percent of patients do not need to rely on glasses with multifocal IOLs.

Toric Intraocular Lenses

Toric IOLs are specifically designed for patients with astigmatism. In the past, patients with astigmatism would need eyeglasses or contact lenses even after cataract surgery in order to correct the problem. Toric IOLs such as AcrySof Toric corrects cataracts and astigmatism with just one lens, providing a more convenient and affordable solution to your vision needs.

AcrySof ReSTOR® Intraocular Lens

The AcrySof ReSTOR® Intraocular Lens replaces the natural lens after cataract surgery. It has a patented optic design using apodization, diffraction and refraction technologies. The apodized diffractive optic design gives it the ability to focus light correctly on the retina for images at near and far distances without mechanical movement of the lens. The AcrySof ReSTOR® Intraocular Lens has been shown in a clinical study to provide good near and distance vision with increased independence from glasses.

Monofocal Lenses

Monofocal lenses can correct cataracts. Monofocal lenses are satisfactory for cataract patients who don’t mind wearing glasses or contacts for everyday activities after surgery.

LASIK & Refractive Surgery

LASIK

LASIK is a safe, reliable, and painless way to improve vision without the need for glasses or contact lenses. The procedure is effective for many patients with nearsightedness (myopia), farsightedness (hyperopia), and astigmatism.

LASIK is very popular, with about 700,000 procedures performed every year. Current research shows that 99 percent of patients achieve vision that is better than 20/40.

Since LASIK was approved by the U.S. Food and Drug Administration in 1998, it’s undergone many advancements. Today, it is well regarded as an easy and effective way to achieve clear vision.

Contoura

Contoura LASIK is a form of personalized LASIK surgery. While traditional LASIK surgery maps the surface of the cornea, Contoura LASIK takes this to the next level, mapping 22,000 points on the cornea.

This topography-guided laser surgery can result in better outcomes for patients, reducing certain potential side effects of traditional LASIK, such as halos and glare. It can effectively treat nearsightedness (myopia) and astigmatism.

Traditional LASIK maps the surface of the cornea, but Contoura LASIK provides a much higher level mapping process, targeting 22,000 points. As a result, topography-guided laser surgery measures very small corneal imperfections versus simply measuring the overall curvature of the cornea.

With this detailed mapping process, Contoura LASIK is able to correct these minute imperfections, resulting in better overall vision.

Photorefractive Keratectomy (PRK)

Photorefractive keratectomy (PRK) is a unique laser vision correction procedure that uses an excimer laser to burn away a small amount (about 5 to 30 percent) of the top of the cornea in order to correct refractive errors.

Instead of cutting a flap into the cornea with a blade like the LASIK procedure, this method preserves the strength of the cornea and avoids the risk of perforation and other flap errors that are commonly associated with the blade method.

During the PRK procedure, the eyes are numbed with anesthetic eye drops before your doctor uses targeted laser energy to correct the shape of the cornea. The doctor has complete control over the laser throughout the procedure for highly precise, customized results, designed to give each patient the best vision for their individual eyes. The entire procedure takes only a few minutes in your doctor’s office.

Refractive Lens Exchange

Refractive lens exchange, also called clear lens extraction, replaces the natural lens with a multifocal intraocular lens (IOL) in patients wishing to correct high farsightedness, high nearsightedness, or presbyopia without undergoing a corneal modification procedure such as LASIK. Patients can choose from a wide range of IOLs in order to achieve the best possible vision for their individual eyes.

The refractive lens exchange procedure is the same that is used in cataract surgery. The only difference is that refractive lens exchange is performed to achieve refractive correction rather than cataract removal. Refractive lens exchange involves a rapid recovery and offers patients dramatic improvement in vision quality.

EVO ICL

EVO Implantable Collamer Lens (ICL) is a revolutionary solution designed for patients who may not be suitable candidates for LASIK or PRK. This procedure involves placing a biocompatible lens between the iris and the natural lens without removing any corneal tissue.

EVO ICL offers the advantage of being reversible and is ideal for those with high levels of myopia or thin corneas. It provides sharp, clear vision, and unlike traditional contact lenses, is maintenance-free and designed to remain in place indefinitely.

SMILE

Small Incision Lenticule Extraction, or SMILE, is the latest advancement in laser eye surgery, offering a minimally invasive alternative to LASIK. This procedure involves creating a small, precise incision in the cornea to remove a tiny piece of corneal tissue, effectively reshaping the eye and correcting vision.

SMILE is especially beneficial for patients with myopia and astigmatism. It boasts a quick recovery time, minimal discomfort, and a reduced risk of dry eye symptoms post-surgery. Miramar is proud to offer SMILE as a safe, effective, and flapless method for achieving clear vision.

Retina Surgery & Treatment

Macular Degeneration (AMD)

Our clinic is at the forefront of combating Macular Degeneration, providing in-depth diagnostics and personalized management plans. We prioritize early detection and tailored treatment strategies to slow progression and protect your vision, reflecting our commitment to serious, patient-focused care for AMD.

Retina-Vitreous Surgery

Our expert surgeons perform cutting-edge retina-vitreous surgeries to address various retinal disorders. With meticulous care and the latest surgical advancements, we strive to restore and improve your sight, ensuring each patient receives tailored, high-quality care.

Diabetic Retinopathy

At Miramar, we specialize in early detection and management of diabetic retinopathy, employing the latest technologies to safeguard your vision against diabetes-related complications. Our approach is proactive and personalized, focusing on preventing progression and preserving eye health.

Diabetic Evaluation & Treatment

Understanding the importance of holistic diabetic eye health, we provide thorough evaluations and treatments tailored to the needs of individuals with diabetes. Our goal is to minimize risks and manage the ocular effects of diabetes effectively, ensuring our patients maintain the best possible vision.

Oculoplastics

Eye Lid Surgery

Blepharoplasty surgery, also called an eye lift, as excess skin and fat from the eyelids is removed to improve vision and create a more refreshed and youthful appearance. This procedure is also done to remove puffy bags under the eyes. Eyelid surgery, or blepharoplasty, can rejuvenate puffy, sagging or tired-looking eyes by removing excess fat, skin and muscle from the upper and/or lower eyelids. Eyelid surgery may be performed for cosmetic reasons or to improve sight by lifting droopy eyelids out of the patient’s field of vision.

Brow Lifts

A brow lift, also referred to as a forehead lift, raises the forehead and eyebrows through tiny incisions made behind the hairline and is ideal for patients with droopy eyebrows. Often done with eyelid surgery to raise the eyebrows and reduce forehead wrinkles.

BOTOX® Cosmetic

Botox injections are the most commonly performed cosmetic procedure, used to reduce or eliminate the appearance of facial wrinkles through minimally invasive injections. These injections are made from botulinum toxin A, a therapeutic muscle-relaxing agent approved by the FDA for several different uses. When injected into the skin, it can block the nerve muscles that are responsible for the repetitive actions that cause fine lines and wrinkles, smoothing them away for a younger and more refreshed appearance.

After treatment, the appearance of your wrinkles begins to improve within 24 hours, with full results developing gradually over the next five days. Most patients achieve their desired results after just one injection, although additional treatment sessions may be required in the future. The results of Botox injections typically last up to four months, with some patients reporting results lasting up to a full year.

Juvéderm® Injectable Gel

Juvéderm Injectable Gel is a safe, effective gel that restores volume to the skin and smoothes away moderate to severe facial wrinkles and folds. Juvéderm is the first FDA-approved dermal filler proven safe and effective for persons of color. The Juvéderm gel is made of hyaluronic acid with a smooth consistency, allowing for easy injections and instant, natural-looking results. There is no pre-testing needed for this procedure.

Topical or injectable anesthesia may be used during this procedure to numb the treatment area and minimize any potential discomfort. The results of this procedure are available right away and can usually last for up to a year, the longest results available from any hyaluronic acid product.

Glaucoma Services

Glaucoma Consultation & Evaluation

Glaucoma Treatment In Ventura, CA Glaucoma Consultation And Evaluation Several of our Doctors are now Certified for use of the newest technology: iStent: Dr. John Davidson and Dr. William Trotter. Typically implanted during cataract surgery, iStent® device can effectively lower Intra Ocular Pressure (IOP), one of the most important risk factors for glaucoma, and may reduce your reliance on glaucoma medication at the discretion of an eye care professional.

Glaucoma Surgery

When eye drops do not adequately lower eye pressure enough to control a patient’s glaucoma, laser surgery or other glaucoma surgery may be recommended. Patients with a special condition called narrow angles can have angle closure glaucoma attacks, which can be prevented or treated with laser surgery to the iris.

Laser Treatment for Glaucoma

Glaucoma laser surgery is performed to lower intraocular pressure by increasing the drainage of aqueous fluid or reducing the amount produced. The type of laser surgery used depends on the type of glaucoma that the patient has. The length of time that the pressure remains lowered depends upon factors including the type of glaucoma, the type of laser surgery, and the patient’s symptoms.

Cornea Services

Corneal Transplant Surgery

The cornea is the clear covering of the front of the eye which bends, or refracts, light rays as they enter the eye. For clear vision to occur, the cornea must have the correct shape and clarity to focus incoming light rays precisely on the retina at the back of the eye. When the cornea becomes cloudy or misshapen from injury, infection or disease, transplantation may be recommended to replace it.

Corneal transplants are usually performed with local anesthesia so there is no pain. During the procedure, the cornea is replaced with one from a human donor. The new cornea carries little risk of rejection and can last for many years.

Treatment of Corneal Infections

The cornea is a thin, clear, spherical layer of tissue on the surface of the eye that provides a window for light to pass through. In a healthy eye, the cornea bends or refracts light rays so they focus precisely on the retina in the back of the eye.

There are many diseases that can affect the cornea, causing pain or loss of vision. Disease, infection or injury can cause the cornea to swell (called “edema”) or degrade (become cloudy and reduce vision).

Corneal Cross-Linking

Corneal cross-linking is a minimally invasive outpatient procedure that combines the use of Photrexa® Viscous (riboflavin 5’-phosphate in 20% dextran ophthalmic solution), Photrexa® (riboflavin 5’-phosphate ophthalmic solution) and the KXL® system for the treatment of progressive keratoconus.

The safety and effectiveness of corneal cross-linking has not been established in pregnant women, women who are breastfeeding, patients who are less than 14 years of age and patients 65 years of age or older.

Corneal cross-linking stiffens corneas that have been weakened by disease. Photrexa® solutions are the first and only therapeutic products for corneal cross-linking which have been FDA approved to treat progressive keratoconus, and we offer them to patients in our practice.

Pterygium Treatment and Surgery

At Miramar Eye Specialists, we’re experts in treating pterygium, a condition where the conjunctiva grows over the cornea, leading to irritation, dryness, and vision changes. Early detection is key, and our team provides personalized care from your first visit to the choice of treatment tailored just for you.

We offer various treatments, from simple eye drops for mild irritation to advanced surgeries for more serious cases. Our goal is to reduce recurrence and improve your vision with the most compassionate and comprehensive care available.

DSEK Surgery

DSEK is the latest technique in corneal transplantation. Short for Descemet-stripping automated endothelial keratoplasty, DSEK offers clear post-operative vision and short recovery time to patients in need of new corneas.

During the procedure, the surgeon makes a mark in the surface of the patient’s cornea with a trephine (an instrument used to cut circular sections of tissue). This mark serves two purposes: it helps the surgeon determine what size the transplant should be, and also it outlines the area of the patient’s cornea that needs to be removed. Next, the surgeon scores the damaged section of the cornea and removes the membrane away from the eye. Then the donor cornea is folded into a “taco” shape and placed on the eye. A single stitch closes the incision.

Sometimes the new cornea unfolds on its own; other times, the surgeon unfolds it him/herself. When it is unfolded, a second stitch is made to close the wound and anchor the new cornea in place. The surgeon then injects an air bubble underneath the cornea, making sure it is centered on the eye, and dilates the pupil with eye drops.

PKP Surgery

An improperly curved cornea may be corrected surgically for patients whose cornea curvature is too steep or flat to be treated with other methods, or when extensive damage has occurred due to disease, infection or surgery. Corneal transplantation, also known as keratoplasty, may be performed in patients that have the following conditions: Dry eyes, Blepharitis, Corneal ulceration, Corneal dystrophies, Pterygia, Traumatic injury.

Cornea transplant involves replacing the entire thickness of the cornea with a donor graft. The new cornea is sutured into place, and then stitches are usually removed after a year. It may take this long for vision to be restored to satisfactory levels as well requiring many patients to wear glasses or contact lenses after this procedure.

Treatment of Dry Eyes

We understand the discomfort and disruptions that dry eyes can cause in your daily life. Our dedicated team is committed to addressing this common condition, focusing on identifying the underlying causes of your dry eye symptoms. By providing thorough evaluations, we aim to offer effective strategies tailored to your individual needs and lifestyle, ensuring your comfort and improving your eye health.

Our approach to managing dry eyes centers around education and personalized care. We believe in empowering our patients with knowledge about their eye health, including simple lifestyle adjustments and practices that can alleviate symptoms. Join the many individuals who have found relief from dry eyes with our comprehensive care at Miramar Eye Specialists.

Punctal Plugs

At Miramar Eye Specialists, we provide specialized treatment for dry eyes, including the use of Punctal Plugs, a simple yet effective procedure designed to alleviate symptoms. Dry eyes can significantly impact your daily life, causing discomfort such as itching, burning, or the sensation of a foreign body in the eye.

Punctal Plugs help retain moisture on the eye by blocking the tear ducts through which tears usually drain. This treatment is especially beneficial for patients whose dry eye condition does not improve with standard treatments like artificial tears or medications.

Optical Services

Order Contact Lenses

If you are an established patient of Miramar Eye Specialists and would like to re-order contact lenses please fill out our Contact Lenses Order Form.

Pediatric Ophthalmology

Eye Muscle Surgery (Strabismus)

Strabismus, or crossed eyes, can cause visual impairment, loss of binocular vision, and blindness in the weaker eye. Surgery can correct problems before vision is lost or prevent further deterioration from occurring. Strabismus, or crossed eyes, is the term for when a person cannot align both eyes on an object at the same time. The condition occurs in about 5% of children, and many adults suffer from it as well. Strabismus can be congenital (present from birth) or acquired from eye injury, diabetes, stroke and other conditions.

Other Services

Comprehensive Eye Care

Children should have their first eye exam at about age two, although it’s never too early to test a child’s vision and eye health. Comprehensive eye exams are essential in the diagnosis and treatment of vision problems, injury and disease. Early detection allows for treatment to begin before the child experiences difficulty in school due to poor vision, or before any permanent damage has been done to the eye(s). Exams test visual acuity, eye tracking, and focusing skills, and detect problems such as near- and far-sightedness, amblyopia, crossed eyes, dyslexia, and color blindness.

Regular eye exams are an invaluable tool in maintaining your eyes’ health by detecting and preventing disease. Some diseases, such as glaucoma, often develop gradually without causing pain or vision loss. Early detection of any problems can allow for a choice of treatment options and a reduced risk of further harm.