Blepharitis Treatment | Cataracts Treatment | Kansas City MOBlepharitis is an inflammation of the eyelid margins. This may be due to infection of the eyelid or excess oil production. An accurate diagnosis of the type of blepharitis is necessary to determine the most effective treatment.

Some patients have bacteria (germs) growing on the involved lids. Common findings in this type of “anterior blepharitis” are scaly skin flakes along the eyelid margins and dried crusts sticking to the lashes. Accumulation of this material causes the eyelid margins to redden, stick together and can alter the growth of the eyelashes or cause lashes to fall out. When crusts get into the tear film, a gritty sensation occurs that can lead to rubbing, which worsens the already red, irritated eyes. Sometimes, infection of the lids develops in addition to the “mechanical” irritation caused by the crusting, recognizable by a thick mucoid discharge and “sticky lids” all day.

“Posterior blepharitis” or “meibomitis” is caused by improper function of the oil glands located along the eyelid margins. Many patients with this form of blepharitis have dandruff, acne or other general skin conditions such as seborrhea. Acne Rosacea is a frequent co-existing problem.

Burning, stinging, blurred vision and redness are common, as are roughened eyelids and mucous debris accumulation during sleep. The ducts which carry oil from the gland to the tear film can become blocked from the thick, abnormal oil. Infection, (a stye), or inflammation (a chalazion) can develop after a duct is blocked.

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Cataracts cause progressive, painless loss of vision. The lens clouds naturally as we age, so people over the age of 65 usually see a gradual reduction of vision. No one is exactly sure what causes cataracts. In younger people they can result from an injury, certain medications, or illnesses such as diabetes. Prolonged exposure to ultraviolet light may also play a role in the formation of cataracts. Studies have also shown that people who smoke cigarettes have a higher risk of developing cataracts than non-smokers.

Although cataracts usually develop without apparent pain, some indications that a cataract may be forming are:

  • Blurred or hazy vision
  • Double vision
  • Poor vision in bright light
  • Seeing halos around lights
  • Yellowish tinged vision
  • Night vision difficulty

Multifocal IOLs

Multifocal IOLs feature multiple focal points - allowing you to clearly see objects that are nearby, distant and everything in between. These implants significantly reduce the need for wearing eyeglasses. In fact, nearly 9 out of 10 patients no longer require glasses after receiving surgery with the Tecnis® Multifocal IOL. On the negative side, some patients experience halos, glare or the feeling that vision is slightly fuzzy. Each patient needs to discuss their needs, desires and preferences before choosing which IOL is best for them.

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Fuchs' Corneal Dystrophy

Blepharitis Treatment | Cataracts Treatment | Kansas City MOThe cornea is the clear "window" in the front of the eye that allows light rays to enter the eye. The cornea is composed of three layers - the outer epithelium (or "skin"), a middle area called stroma and a delicate, single celled inner lining called the endothelium. The corneal endothelium functions as a barrier to prevent water inside the eyeball from moving into and swelling the other layers of the cornea.

If the endothelium does not function normally, then water will migrate into the cornea causing swelling. Swelling causes clouding of the cornea, blurring vision; the more corneal swelling or "edema", the more severely the vision is blurred. Eventually, the outer corneal layer (epithelium) also takes on water, resulting in pain and more severe vision impairment.

Epithelial swelling reduces vision by changing the normal corneal curvature and causes a sight-limiting haze to develop. Epithelial swelling may also accumulate and form small "blisters" on the corneal surface. When these "blisters" burst, extreme pain can occur.

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Glaucoma is an optic nerve disease, which is a common cause of visual loss or even total blindness. It has been called "The Sneak Thief of Sight" because in its typical form, it has no symptoms; no pain, no swelling, no redness. People with glaucoma may not know that anything is wrong until after vision has been permanently lost.

Types Of Glaucoma

We can think about glaucoma by creating different categories:

Blepharitis Treatment | Cataracts Treatment | Kansas City MO

Open Angle Glaucoma

Blepharitis Treatment | Cataracts Treatment | Kansas City MO

Narrow Angle Glaucoma

Open Angle- The most prevalent kind of glaucoma which does damage slowly and silently.

Narrow Angle- Which can be silent or can present as an acute attack characterized by extreme eye pain, headache, and possibly vomiting.

Secondary Glaucoma- Which develops after an eye injury, disease, or even after taking some medicines.

Congenital Glaucoma- This rare problem can put infants in danger of blindness even while they are still in the nursery.

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Blepharitis Treatment | Cataracts Treatment | Kansas City MOKeratoconus is a non-inflammatory eye condition in which the shape of the cornea becomes distorted. The cornea is a clear structure that covers the front of the eye and allows light to enter the eye. In a healthy eye, the cornea curves like a dome. In an eye with keratoconus, the center of the cornea slowly thins and bulges, so that it sags and has a cone shape (see illustration).

People with keratoconus may suffer from decreased vision in two ways:

1. From distortion of the cornea: Seeing through a misshapen cornea is like taking pictures with a camera whose lens has an irregular (not smooth) surface. Parts of the picture or field of vision are in focus and parts are out of focus. This visual problem is called irregular astigmatism.

2.From scarring or swelling of the cornea: Seeing through a scarred or swollen cornea is like taking pictures with a camera with a dirty or cloudy lens. The picture or vision is blurred.

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For more information about eye diseases, please visit the Helpful Links section. To schedule an appointment, please call our office at 816-531-9100.