Dr. Muller specializes in the following services and procedures:
A cataract is a clouding of the eye's naturally clear lens. The lens focuses light rays on the retina - the layer of light-sensing cells lining the back of the eye - to produce a sharp image of what we see. When the lens becomes cloudy, light rays cannot pass through it easily, and vision is blurred.
Dr. Muller utilizes the latest technique when performing cataract surgery, known as "phacoemulsification". It involves only a micro incision on the surface of the eye and the use of ultrasound energy to break up the cloudy lens, which can then be removed. An artificial replacement lens is inserted through the same incision. In most cases only an eye drop is needed to numb the eye for the procedure, therefore patients do not need to wear an eye patch. Since the incision is very small, no stitches are needed and the wound will heal on its own.
If you notice the following symptoms, Dr. Muller will evaluate you to see if cataracts are affecting your vision:
- Blurred vision
- Increased glare
- Halos around street lights
- Difficulty reading fine print
There are many options when choosing a lens implant for cataract surgery. Dr. Muller will help you decide if you would benefit from a lens implant designed to decrease visual "aberrations" such as glare and halos. There are also "presbyopia correcting" lens implants available that can decrease your need for near and distance glasses following cataract surgery.
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 Dry eye or dysfunctional tear syndrome is one of the most common problems treated by eye physicians. The term "dry eye" is not completely accurate as the syndrome is usually caused by a problem with the quality of the tear film that lubricates the eyes. Sometimes the poor quality tears do not stay on the surface of the eye and can run down the face.
The proper treatment of dry eye depends on its cause. Artificial tear replacements can be helpful as well as changing environmental factors, and maintaining good eyelid hygiene. In some cases prescription medications such as Restasis or Doxycycline can help.
Closing the opening of the tear drain in the eyelid with inserts called punctal plugs is another option. This works like closing a sink drain with a stopper. These special plugs trap the tears on the eye, preventing them from draining into the nose. This may be done on a temporary basis with a dissolvable collagen plug, or permanently with a silicone plug or surgically.
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 The cornea is normally a clear layer of tissue covering the front of the eye, similar to the glass window in your watch. Its purpose is to bend and transmit light rays as they enter the eye, allowing them to focus on the retina. In cases where the cornea has become clouded as a result of disease, swelling, scarring, infection, or chemical burns, a corneal transplant (also called keratoplasty) is sometimes necessary to restore functional vision. For this procedure, the surgeon carefully removes the central corneal tissue and replaces it with a precisely shaped replica of donor tissue.
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All people with diabetes--both type 1 and type 2--are at risk of developing Diabetic Retinopathy. Retinopathy is the medical term for damage to the tiny blood vessels (capillaries) that nourish the retina, the tissue at the back of your eye that captures light and relays information to your brain. These blood vessels are often affected by the high blood sugar levels associated with diabetes.
It is recommended that everyone with diabetes get a comprehensive dilated eye exam at least once a year. Between 40 to 45 percent of Americans diagnosed with diabetes have some stage of diabetic retinopathy. Diabetic retinopathy is the leading cause of blindness in working-age people in the United States.
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Eye injury is one of the leading causes of blindness. Dr. Muller is available to treat a wide range of eye injuries, including:
- Blunt trauma
- Corneal abrasion
- Chemical eye injuries
- Eyelid lacerations
- Foreign bodies
- Penetrating injuries
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Blepharoplasty is a surgical procedure to remove excess skin, muscle and fat from the upper and lower eyelids. With age and occasionally for hereditary reasons, the muscles and ligaments around the eyes weaken and the skin becomes increasingly loose and puffy, producing an older and tired appearance. This excess tissue can also interfere with peripheral vision.
Before Blepharoplasty |
After Blepharoplasty |
Before Blepharoplasty |
After Blepharoplasty |
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Glaucoma, once thought of as a single disease, is actually a broad term for a certain pattern of damage to the optic nerve (the bundle of nerve fibers that carries information from the eye to the brain). This pattern usually occurs in the presence of high intraocular pressure, but contrary to popular belief, glaucoma can occur with normal or even below-normal eye pressure.
Certain people are at greater risk of developing glaucoma than others. Risk factors include age, family history, race, diabetes, hypertension, and previous use of certain medications.
About half of those affected by glaucoma may not know they have it because symptoms may not occur during the early stages of the disease. By the time the patient notices something is wrong, the disease has already caused considerable damage. The best way to manage and treat glaucoma is through early diagnosis.
Dr. Muller utilizes the latest medications, laser procedures and surgery to treat glaucoma.
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A "YAG" is a procedure used to treat posterior capsular opacification (sometimes known as a secondary cataract). This is a clouding of the remaining capsular tissue that develops postoperatively in as many as half of cataract removal operations. Symptoms of posterior capsular opacification are similar to those of a cataract, including blurred vision and increased glare. The procedure takes seconds, and once performed will never need to be done again.
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