Koby Karp Doctors Eye Institute

Cataract Surgery Testimonials

2011-11-28T12:27:00.001-08:00

Here's a comment fromBetsy Jacks of Louisville after having cataract surgery at Koby Karp Doctors Eye Institute:

"The people at Doctors Eye Institute are thekindest, most gentle people.

I'm so sorry I wasted time worrying about having thesurgery beforehand because I had no idea it would be that easy. I don't have towear my glasses and now I can see better than I ever have. I am thrilled."

And there are more:

It was the most amazing thing. I went in and had thecataract surgery and it hardly took anytime at all. I didn't feel anything andbefore I knew it the procedure was over. And in no time I could see much betterthan I have seen in years...maybe even better than I have seen in my life. It's much betterthan I ever dreamed it would be.. seeing this well without wearing glasses. Ican't believe how beautiful the colors look.

MAJ - Shively

Well it's great not having to wear glasses after allthese years. I joke that there are a few disadvantages because now I can seedust in my house that I never could see before. And my grandkids can't get useto seeing me without my glasses on. But I look better and I don't keep blinking to tryto clear my eyes.

G.W - Louisville

Sorry I kept putting off having cataract surgery. Karp.Dr. Karp said that I would tell him when it was time. Finally, my eyesight wasjust too cloudy and I went ahead with it. Had I known how much it would improvemy eyesight and how simple the procedure was, I would have done it much, muchsooner. I never thought everything would be so clear and with no glasses!

BWR - Jeffersonville

What is Neuro Ophthalmology?

2011-10-27T14:03:00.000-07:00

Are there any Neuro Ophthalmologists in Louisville?

Doctor Albert Smolyar is currently the only fellowship trained neuro ophthalmologist in Louisville and in Kentucky. He completed neuro ophthalmology fellowship training in Michigan in 1999. Doctor Smolyar joined Doctors Eye Institute in 2006 and has been providing Neuro Ophthalmology care to patients of Kentucky and Southern Indiana since. He is also involved in teaching residents at University of Louisville serving as an Assistant Clinical Professor of University of Louisville Department of Ophthalmology and Visual Sciences.

Working with neurologists, neurosurgeons and neuro radiologists

Following initial evaluation of neuro ophthalmology patients, Doctor Smolyar works in accord with primary care physicians, neurologists, neurosurgeons and neuro radiologists in order to diagnose and treat neuro ophthalmic problems of his patients.For more info click here.

Cataracts: How Long does it take?

2011-10-27T13:52:00.000-07:00

When it comes to Cataracts, we understand that patients are anxious to get results quickly and painlessly so we'll answer their "how long" questions here.

How long does it take for cataracts to develop?

The rate of development can vary among individuals and may also be different between the two eyes. Most age-related cataracts can progress gradually over a period of years. It is not possible to predict exactly how fast cataracts will develop in any given person. Some cataracts, especially in younger people and people with diabetes, may progress rapidly over a short time. A comprehensive eye examination can reveal early signs of cataract development.

How long does cataract removal take? or How long does cataract surgery take?

Removing cataracts is regarded as outpatient surgery and generally takes between 15 and 30 minutes to perform depending on the severity of the cataracts. You should not feel any pain during the procedure as local anesthesia is given. Afterwards, little if any pain is experienced.

It is wise to plan to be at the surgery center for approximately 2-3 hours, however, to accommodate the pre-op preparation and post-op recovery period. You will need to arrange to have someone drive you home after the procedure.

How long does cataract surgery recovery take?

The good news is that smaller incisions for cataract surgery means shorter healing time and more rapid vision recovery for most patients. 2.2 mm micro-incisions with new ultrasound equipment for cataract surgery may also reduce the chance of rare but serious infections.

In some cases patients see well the day after cataract surgery. Other patients see well a few days after surgery, and still others may need a full month or several weeks before reaching maximum vision improvement.

The new Multi-focal lens implants, the most advanced intraocular lenses (IOL's), allow patients who are good candidates, the opportunity to enjoy good distance and reading vision with minimal or no need for glasses following the cataract procedure. For more info click here.

Best Cosmetic Eye Surgery in Louisville

2011-10-20T13:35:00.000-07:00

People often search the web for the best Cosmetic Eye Surgery in Louisville. Often they wish to have Botox for droopy eyelids and sagging under the eyes.

Products such as Botox and Juvederm are not specifically designed to fix these problems.

Some solutions are:

· Blepharoplasty (surgery on sagging upper or lower eyelids to remove redundant eyelid skin and/or bulging fat pockets)

· Eyelid Ptosis Surgery (the procedure for elevating a droopy eyelid)

· Brow Lift to raise a droopy brow that is causing upper eyelid skin descent.

An Ophthalmologist can perform a field test to determine the severity of your problem and whether or not insurance will cover it.

You are welcome to set up an appointment for a free cosmetic eye evaluation to see what your options are and whether or not your particular situation will require a visual field test to determine your condition by calling (502) 897-1604.For more nfo click here.

Who's the best?

2011-10-20T13:03:00.000-07:00

People search the internet all the time for the "best" in anything or anyone they want.

They might search for, "the best ophthalmologist in Louisville", "the best LASIK in Louisville" or "the best Cataract surgery in Louisville".

The question is: can any ophthalmologist, LASIK surgeon or cataract surgeon rightfully claim to be the best? Not really a good idea because fortunately the Louisville area is blessed to have several outstanding eye care practices featuring some of America's most outstanding Doctors of Ophthalmology.

So where does Koby Karp Doctors Eye Institute rank in the standings?

We have been pioneers in eye care in the Louisville area for over 40 years. As one of the first to offer refractive surgery and the first to insert intraocular lenses following cataract surgery we continue to be in the forefront of Ophthalmic technology. Our doctors offer our exceptional expertise in comprehensive eye care, the treatment of eye diseases and outpatient eye procedures.

It's not a matter of us being the best it is a matter of you getting the best eye care for your eyes. And that is precisely what we continue to deliver.

At Koby Karp Doctors Eye Institute our goal is to help you see the best you can possibly see. To learn more about us click here.

Louisville Neuro Ophthalmology

2011-10-03T10:22:00.000-07:00

Neuro ophthalmology service provides a highly specialized care to patients with eye diseases which are related to various neurologic problems. Typical neuro ophthalmology problems include unexplained vision loss, loss of peripheral vision, double vision, abnormal eye movements and disorders of the eye pupil. These abnormalities could be a result of brain tumor, stroke, diabetes, arterial hypertension, multiple sclerosis or other neurologic conditions.

Doctor Albert Smolyar is currently the only fellowship trained neuro ophthalmologist in the Greater Louisville area. He completed neuro ophthalmology fellowship training in Michigan in 1999. Doctor Smolyar joined Koby Karp Doctors Eye Institute in 2006 and has been providing Neuro Ophthalmology care to patients of Kentucky and Southern Indiana since. He is also involved in teaching residents at University of Louisville serving as an Assistant Clinical Professor of University of Louisville Department of Ophthalmology and Visual Sciences.

Following initial evaluation of neuro ophthalmology patients, Doctor Smolyar works in accord with primary care physicians, neurologists, neurosurgeons and neuro radiologists in order to diagnose and treat neuro ophthalmic problems of his patients.
Below are some of the profiles of neuro-ophthalmology patients who were diagnosed and treated by doctor Smolyar:

• A 72 year old man with an unexplained progressive vision loss - His exam demonstrated a swollen optic nerve and an MRI of optic nerve revealed a small tumor of the nerve. He was treated by radiation which halted the progression of vision loss.
• A 52 year old man with a gradual loss of peripheral vision - This was found to be due to a brain tumor which was successfully treated by a combination of surgery and radiation treatment.
• A 32 year old women with recent severe headaches and intermittent visual obscurations - She had a history of a recent significant weight gain. The patient was found to have an increased pressure of cerebrospinal fluid and was effectively treated with a combination exercise/weight loss program and diuretic treatment.
• An 85 year old man with a recent history of new onset headaches and visual obscurations and occasional double vision - He was diagnosed with inflammatory disease of the arteries altering blood flow to the head. He was treated with oral steroids resulting in resolution of the symptoms.

To schedule a consultation with Doctor Smolyar, please call Koby Karp Doctors Eye Institute at (502) 897-1604. Please have with you all relevant medical records, visual field test results, MRI or CT scan results and films when available.

PATIENT RESOURCES:
• National Multiple Sclerosis Society http://www.nationalmssociety.org/
• Optic Neuritis http://www.medicinenet.com/optic_neuritis/article.htm
• Myasthenia Gravis Foundation of America http://myasthenia.org/
• Pseudotumor Cerebri (Idiopathic Intracranial Hypertension) http://en.wikipedia.org/wiki/Pseudotumor_cerebri
• Temporal Arteritis (Giant Cell Arteritis) http://www.nlm.nih.gov/medlineplus/ency/article/000448.htm)
• Visual Disability/ Low Vision:
♦ Kentucky School For The Blind http://www.ksb.k12.ky.us/
♦ Low Vision Centers Of Kentucky http://www.macular.org/lowvis/low_ky.html
♦ Kentucky Vision Services http://www.visionaware.org/ky

Social Media Connections

2011-07-28T17:45:00.000-07:00

Now you can follow us on Facebook or catch us tweeting on Twitter. YouTube. Become a fan by clicking right here. Go to our YouTube page by clicking here.

And you soon you'll be able to download our new app on your smart phone!

Or just type Koby Karp into your Facebook search box and click on the first entry. Become a fan and keep up with us, get news about valuable offers and coupons, too.

And you can go to our website www.doctorseyeinstitute.net and click on the logos for Facebook, Twitter and YouTube.

New LASIK Financing Plan

2011-06-23T16:50:00.000-07:00

CareCredit® 24-month, no-Interest LASIK Financing Plan. Right now and for a limited time only, we are offering this special financing plan to our LASIK patients. You pay no interest for 24 months if the total amount is paid in full within the term.

Please note that while this plan cannot be used with our online 20% discount coupon or our Corporate discount, we do offer a 15% discount on LASIK procedure to those using this special no-interest plan. Call or visit our financial office for complete details and for information about other special financing plans.

Flex Spending Account for LASIK

2010-11-29T14:47:00.000-08:00

Now is the time to be sure you use the money in your Flexible Health Spending Account especially if your plan specifies that you forfeit what you don't spend by the end of the year. So, if you have been considering LASIK, this could be the perfect time to call Koby Karp at (502)897-1604 to make an appointment for a free LASIK evaluation.

New restrictions on Flexible Health Spending Accounts will take effect Jan. 1

If you don't have a Flexible Health Spending Account and you have considered having LASIK, now would be a good time to check with your employer or your bank about setting an account for next year.

Flexible Health Spending Accounts allow you to use pretax dollars to pay for dental and medical expenses that aren't covered by insurance. They're funded by deductions from your paycheck, and you must decide when you enroll in your plan how much you want to contribute during the year.

Remember, you can use money from your Flex Account to pay for co-payments, co-insurance and deductibles, along with a long list of other expenses, including elective surgery such as LASIK.

Maui Jim in Louisville

2010-11-11T12:39:00.000-08:00

Yes you can buy Maui Jim sunglasses in Louisville! You've heard about them and now we have them available in our Optical Department at Koby Karp in both prescription and non-prescription lenses.

Slip on a pair of Maui Jims and the difference is striking. Instantly, your surroundings are more vibrant. Saturated with brilliance. Patented and color-infused, the PolarizedPlus®2 lens technology gives you a window on a world of color you didn’t know existed.

With Maui Jim®, you’re wearing the best — and we’ll help keep them that way. Maui Jim offers free replacement on temples, screws and nose pads for the life of your sunglasses, as long as the parts are available. Other repairs are available for a low cost, and all with a speedy turnaround of about a week (not including shipping time).

We want you to be happy with your new Maui Jims, so if they don’t fit just right, bring them back to us within 30 days of purchase for a full refund. And we offer free shipping and returns on orders of $100 or more!

Stop by our Optical Department and see the Maui Jim difference for yourself.

Vision Insurance FAQ's

2010-11-04T09:30:00.000-07:00

Here are the answers to the most frequently asked questions about vision insurance.

1. What medical plans do you accept?

We are providers for Medicare, Anthem Blue Cross Blue Shield, Humana, Aetna Cigna, Tricare Encore, Multi Plans, Private Health Care Systems, Preferred Health, Kentucky Medicaid, GreatWest, Coventry/First Health, Bluegrass Family, PPO Next, CHA, KY Access, Prime Health, Med Advant, Direct America and Provider Net.

2. Can I use my medical insurance for an eye exam?

If you have a medical diagnosis such as cataracts or glaucoma, etc, we can file a medical claim.

3. What vision plans do you accept?

We are providers for VSP, VCP, Avesis, Alcon Davis, GE Davis Out-of-Network, SVS with referral, Adenta Discount, most EyeMed Plans and Coast to Coast Discount.

4. How do I know if I have Vision Coverage?

First, check your health card to see if vision is listed on your card. You can also call your insurance company and ask if you have vision coverage. If you have coverage, you need to know if your vision plan is administered by your medical insurance or if you have a vision rider. If you have a vision rider, we will need to know the plan name.

5. What if I think I have a medical problem?

We file insurance according to your chief complaint. If you are having a problem with your eyes, make sure you mention this during your exam.

Please feel free to contact our Insurance Department for if you have other questions (502) 896-2064

Louisville Eyewear

2010-10-04T14:05:00.000-07:00

We have recently renamed our newly redesigned optical department the "Optical Education Center" because we want it to be a place where you can learn about exciting innovations in eyewear that can greatly improve your visual experience.
New advances in lens technology now allow patients who used to wear thicker lenses to enjoy the lightest, thinnest lenses in the world. These new, recently developed, ultra high index lenses are even more flattering and more comfortable than ever before.
Discover the newest lens coatings that are the absolute best for reducing glare, resisting scratching, eliminating indirect reflection from water or snow and protecting from ultraviolet light.
You will also discover that the recent improvements in no-line, multifocal lenses provide the nearest to natural vision by creating a sense of constant clarity at all viewing distances.
Come in and let us explain all of the new options you now have for maximizing your eyewear so you will see the best you can see.

What's the deal with Dry Eyes?

2010-08-20T09:25:00.000-07:00

Problematic dry eyes are one of the most common problems reported to eye doctors. Dry eyes result from either a decrease in the amount of tear production, or the quality or composition of the tears produced. common causes may include advancing age, allergies, poor diet, heating/colling environmental circumstances, hormonal changes, health status such as diabetes, arthritis, lupus, thyroid dysfunction, chemotherapy or radiation treatments and acne, rosacea, contact lens use, computer use, and patients that have a history of LASIK surgery.

In addition certain medications can contribute to dry eye symptoms such as antidepressants, antihistamines, decongestants, acne treatments, diuretics and some blood pressure medications.

Common symptoms of dry eyes may include blurred or variable vision, sensitivity to light, dryness, burning, stinging, gritty or foreign body sensations. Occasionally, the dry eye patient may experience a paradoxical excess or "reflex" tearing caused by the underlying eye surface irritation.

Treatment of this condition may include artificial tears, gels and/or lubricating ointments at bedtime, daily eyelid hygiene scrub procedures, a prescribed medication regimen, omega-3 nutritional supplements (fish and flaxseed oil), and punctal (tear drainage) occlusion of the eyelid to retain moisture.

As you can see the causes and possible treatments are complex. Your eye doctor can formulate and individual treatment plan for you based on severity and known causes. Here are some helpful tips:

Wear sunglasses outside to reduce aggravating glare and block the drying wind effect
Stay hydrated by drinking plenty of water and fluids
Bedroom - add a humidifier, turn off fans!
Aim vents in cars away from your face
Take frequent "blink breaks" when using a computer
If taking hormone replacement therapy be sure your doctor knows about your tear problem

Use over-the-counter lubricants such as SYSTANE ULTRA Lubricant Eye drops as needed for extra relief

Supplements such as flaxseed oil and omega-3 could provide extra benefits
Avoid excessive caffeine
Smoking aggravates this problem
Environmental factors can add to your discomfort (smoke, fumes, dust)
Airline travel can increase symptoms
Taking antihistamines for allergy can increase symptoms

How Our Electronic Medical Records Help You

2010-08-04T10:30:00.000-07:00

Although the advantages to using electronic medical records (EMR) are numerous to our doctors staff, there are also many positive benefits for you, our patient, as well.

Since our receptionists have your medical records at their fingertips when you call, we get an instant view of your insurance information, which one of the doctors you see, when you were last seen in our office and much more. This also eliminates filling out registration forms and personal medical history. We have a complete list of your medications, surgeries, referring physician and other pertinent information needed to provide you excellent patient care.

During the course of your examination, the doctor and his assistant are able to document every level of the exam in order to expedite a clean and prompt insurance claim. He is able to review and compare diagnostic tests and give the results to you immediately. We can instantly send a glasses prescription to our Optical department so that our opticians can help you with frame and lens selection. We are now able to send prescriptions for medications directly to the pharmacy so that your order will be ready for you when you arrive.

A letter to your primary or secondary care physician is ready to be sent sometimes before you leave the office, allowing for up to date and consistent communications between all your health care providers.

All of us are very pleased with our EMR system, and as the administrator of Doctors Eye Institute, I am very impressed with our staff’s ease and enthusiasm in implementing and using the system from day one – even the doctors. I’m certain that we will continue to upgrade and change (Medicare is requiring EMR and Electronic prescribing in all medical offices by 2012). Our goal is to care for you in the most effective and satisfying manner and we feel that our efforts to computerize our office will help us achieve this goal.

- Dorothy Jett, Practice Administrator, COE

Things You May Not Know About Eye Exams

2010-08-04T09:00:00.000-07:00

During routine eye exams we sometimes find some surprises in patients who have indicated no symptoms. The most common surprise is the detection of glaucoma. Since it can cause vision loss if not detected and treated early, we make sure to look for this during each exam.

Since the eye is the only place in the body where we can literally see blood vessels, we can usually tell if someone has had high blood pressure for long periods of time. Occasionally the patient will report no blood pressure problems. We advise them to double check with their primary care doctor, just to make sure.

As much as most people dislike being dilated, it truly does give doctor the best view available of your peripheral retina. While some practices take a photograph instead of dilating, I would rather see the retina with my own eyes rather than interpret a picture. A careful peripheral dilated exam, can reveal retinal holes, tears, and hemorrhaging. All of these problems are referred to a retinal specialist and often require minor surgery. When problems are caught early they can be stopped before there is a need for major surgery.

Furthermore, when the eye is dilated it is easy to see small hemorrhages associated with diabetes even though the patient has no symptoms.

Eye exams have even detected things like thyroid problems, Multiple Sclerosis and Myasthenia Gravis, a chronic autoimmune neuromuscular disease leading to fluctuating degrees of muscle weakness and fatiguability.

A comprehensive eye exam is important to securing your best vision health. If it's been a while, give us a call and set up an appointment today.

Christopher Stroud, O.D.

Why you Should Choose Premium IOL's

2010-06-28T07:30:00.000-07:00

Cataract Surgery is the most common of all surgeries performed around the world. It consists of the removal of the human natural eye lens which has become cloudy (cataract). The surgeon then places an artificial lens in the eye (intraocular implant) which corrects the optical system following the cataract removal. The cataract develops in the eye of every person with the normal aging process.

In the past, implant choices for cataract patients were very limited and only so-called "regular" or monofocal implants were available. These types of implants, while significantly improving quality of vision after cataract surgery, would not eliminate the dependence on glasses. So, the majority of patients following cataract surgery with regular implants would need glasses for near visual tasks, such as reading and computer use.

One of the most exciting technical developments in eye surgery in recent years was an introduction of "premium" or multifocal lens implants. These implants allow patients to become independent from glasses. In fact, patients who have undergone cataract surgery with placement of premium lens implants report being independent of glasses more than 90 percent of the time.

While with normal aging all of us will need to wear glasses to help our near vision, distance vision or both, there is now a unique opportunity to be independent of glassses following implantation of the premium intraocular lens. It is important to note, however, that not all patients are good candidates for a premium implant. Therefore, I recommend that patients who have cataracts discuss with their eye surgeon in advance of surgery the possibility of using a premium intraocular implant. Submitted by Dr. Albert Smolyar, M.D.

Dr. Hoffman on Diabetes

2010-06-24T14:15:00.000-07:00

Diabetes Mellitus is the medical condition characterized by abnormal metabolism of blood glucose, a form of sugar in the bloodstream. Long term high levels of blood glucose will damage blood vessels and nerves throughout the body. The eye can be affected in various ways by Diabetes. In the course of Diabetes, people may notice fluctuations in their vision. The crystalline lens in the eye can swell with sugars causing temporary changes in eyeglass measurements. Recurring swelling of the lens can lead to opacity of this lens, called cataract, leading to blurred vision and glare. Certain kinds of glaucoma and corneal disorders can also be associated with Diabetes. Refraction measurement for glasses, intraocular pressure and microscopic exam by your physician during your comprehensive examination can uncover these things. We do sometimes discover Diabetes during eye exams in patients who don't know they have it.

Over a period of years, blood vessels in the retina can be damaged by high blood glucose. This is called Diabetic Retinopathy. The retina is the critical nerve tissue along the rear inside wall of the eye. It functions like film in a camera, converting a focused image into nerve signals for the brain to understand. It is a very important structure for vision and it receives a massive amount of blood flow, considering its very small size. Not surprisingly, damage to these retina surface blood vessels can have devastating consequences vision. With Diabetes, blood vessel walls become weakened and leaky. This leads to swelling of the retina, scattered areas of bleeding where vessels burst and overall reduced blood flow. New blood vessels which are even leakier tend to break easily grow throughout and can do severe damage to eye structures. Untreated this can lead to loss of useful vision or blindness.

Fortunately, early treatment can be quite successful at slowing or stopping these processes. At Doctors Eye Institute, we recommend yearly comprehensive examinations with dilated retina examination in all patients with Diabetes. Laser procedures and medicine injections, retina surgery, cataract procedures and glaucoma treatments can all be employed to help patients with Diabetes. Early intervention is important, often before there are any noticeable symptoms, for patients with Diabetic Retinopathy. We work with your primary doctor, Diabetes specialists, educators and ocular sub specialists to obtain the most current management options. In Louisville, the first step is to schedule your appointment for a comprehensive eye exam at Doctors Eye Institute.

Relief for Dry Eye Syndrome

2010-05-28T12:22:00.000-07:00

Dr. Koby Says....
Dry Eye Syndrome is a common disorder that often occurs when the output of tear glands and lipid producing glands decline, negatively affecting tearfilm quality. The surface of the eye then develops areas of dryness which leads to symptoms such as discomfort, eye burning and intermittent blurry vision between eye blinks.

The surface of the eye is normally coated by a layer of tearfilm, which is composed of a mixture of tears, lipids and mucus. This tearfilm layer provides lubrication to the eye and ensures both comfort as well as visual stability. this is why disruption of tearfilm production lease to eye discomfort and decreased vision.

Dry Eye Syndrome is more common in women than in men and increases in incidence with age. It can be particularly bothersome in patients with autoimmune disorders - for example rheumatoid arthritis or lupus. It is also common in people with inflammation of eyelids known as blepharitis.

A ophthalmologists, we can look at the properties and the amount of tearfilm, detect eyelid inflammation and evaluate fro signs of eye surface dryness using special stains. We successfully treat Dry Eye Syndrome using a number of advanced medical approaches and procedures.

As is the case in many medical conditions, Dry Eye Syndrome is easier to manage when treatment is started early in the course of the disorder.

Call Koby Karp Doctors Eye Institute if you are experiencing the symptoms of Dry Eye Syndrome and we will be glad to help you. Our phone number is 502.897.1604.

Why you should send us your email address

2010-05-24T11:44:00.000-07:00

As a service to our patients, if you'll send us your email address, we'll email you regarding:

Date and time of your next appointment
When your glasses or contact lenses are ready to pick up
When it's time for you to schedule your next appointment
News about new products and procedures
Answers to frequently asked questions about eye care

LASIK Louisville Loves

2010-05-21T09:00:00.000-07:00

Koby Karp delivers outstanding LASIK plus the extra follow up needed to assure you the most positive outcome in one package. Koby Karp is the LASIK leader in Louisville because we poineered LASIK from its earliest beginnings in the Kentuckiana. And today we continue to deliver the LASIK Louisville loves.

LASIK is innovative. LASIK means freedom. The LASIK experience at Koby Karp Doctors Eye Institute is designed to make you comfortable and perfectly at ease through our stress-free procedure.

Simply put, the Louisville LASIK leader is Koby Karp Doctors Eye Institute.

Please visit our website for more LASIK info http://www.doctorseyeinstitute.net/

Pat says...multi-focal lenses are money well spent!

2010-04-22T12:13:00.000-07:00

Meet Pat...she's been a patient at Koby Karp for over 30 years. When it came time for her to have cataract surgery, she chose mulit-focal lenses rather than traditional intraocular lenses. Unlike traditional lenses, the new multi-focal lenses allow Pat to see near, far and everthing in between eliminating her need for glasses. In her own words:

"It was just the natural thing for me to do to say I wanted the multi-focal lenses. I wanted to get away from glasses. The recovery process was extremely simple. I would recommend it because I don't think anybody really enjoys wearing glasses. To me it was worth it. I'm not an extravagant person to begin with, so it was a big treat to myself. I don't know where the money would have gone if I hadn't gone to the multi-focal lenses but now I do know where the money is...it's in my eyes...and I get the benefit of it 24 hours a day."

If you have cataracts, call us for more information about multi-focal lenses at (502)897-1604 orr visit our website www.doctorseyeinstitute.net and click on "eye condiditons" and "cataracts".

Eye Exam Update

2010-01-25T13:20:00.000-08:00

Most Americans have grown up knowing the importance of regular visits to the family doctor for routine check-ups to protect and maintain our physical well being. But when it comes to regular eye exams, our thought is that if we don't have a problem, we don't need to see and "eye doctor". Even though most people may have good vision, the American Academy of Ophthalmology recommends an eye disease screening at age 40, and that adults 65 years and older have an eye exam every one or two years.

The only sure way to know if you have any eye disease such as glaucoma, macular degeneration or cataracts, is with a complete eye examination. Some eye diseases have no noticeable symptoms until damage has already occurred. Early diagnosis and treatment are the keys to preventing loss of vision, particularly in glaucoma, where the pressure in the eye builds up and, if left untreated, damages the optic nerve. Your ophthalmologist can determine if you have any eye disease after performing a comprehensive evaluation, including dilation and perhaps other diagnostic tests.

Patients with a family history of any eye disease are strongly urged to see an eye doctor to discuss this and have a baseline exam with regular follow-up exams. Eye diseases that can be hereditary include glaucoma, macular degeneration, retinitis pigmentosis and a diabetic retinopathy.

Fortunately, many schools systems require a vision screening for children beginning kindergarten and again when entering middle school. These screenings provide the opportunity for the ophthalmologist to find a possible eye muscle imbalance that can result in amblyopia or an undetected refractive error. Children who may have a refractive problem will not always realize that their vision is blurred because this is the way they world has always been to them. Poor vision is often a factor in poor performance in the school setting. Once a child has been diagnosed with an eye condition, it is necessary for them to be seen on a yearly basis for re-evaluation since refractive errors change frequently as the child grows.

80% of outside stimuli is through the visual system - see what you've been missing. If it has been a while since you last saw your eye doctor, why not make an appointment today?

Floaters

2010-01-25T13:04:00.001-08:00

What are Floaters?
Floaters are debris that is in the Vitreous Humor of the eye that seem to float around when you move your eye. They can look like little black or gray specks, cobwebs, small dark shapes that look like spots, thread-like strands, or squiggly lines in various shapes and densities. Often they may seem to dart away when you try to look at them directly. They are not on the surface of your eyes, but in the Vitreous Humor inside the eye. They can follow your eye movements precisely and may continue to drift when your eyes stop moving.

Many floaters are caused by age-related changes that occur to the Vitreous Humor or jelly-like substance inside your eye. Microscopic fibers within the vitreous tend to clump together. These clumps of debris float around within the vitreous cavity and they can cast tiny shadows on your retina, which you may see as floaters. Most of the time you don't actually see the debris, but see a shadow cause by the light reflected of the floater. Floaters can become apparent when looking at a bright background such as a plain white wall or a blue sky.

To learn more about floaters, their causes, risk, frequently asked questions and possibility of treatment, visit our website www.doctorseyeinstitute.net and click on Eye Conditions.

New Lenses for Cataract Patients

2009-11-12T14:43:00.000-08:00

Premium Intra-Ocular Lenses from Koby Karp Doctors Eye Institute, now offer the multi-focal option. That means that now when you have cataract surgery, you have the option of choosing these innovative lenses that allow you to see near, far and in between. In fact, you may not ever have to wear glasses again! Watch this testimoninal from one of our patients who has these new multi-focal lenses. Click below to view.

Dr. Smolyar says...

2009-11-02T09:35:00.000-08:00

Dry Eye Syndrome is a common disorder that often occurs when the output of tear glands and lipid producing glands decline, negatively affecting tearfilm quality. The surface of the eye then develops areas of dryness which leads to symptoms such as discomfort, eye burning and intermittent blurry vision between eye blinks.

The surface of the eye is normally coated by a layer of tearfilm, which is composed of a mixture of tears , lipids and mucus. This tearfilm layer provides lubrication to the eye and ensures both comfort as well as visual stability. This is why disruption of tearfilm production leads to eye discomfort and decreased vision.

Dry Eye Syndrome is more common in women than in men and increases in incidence with age. It can be particularly bothersome in patients with autoimmune disorders - for example rheumatoid arthritis or lupus. It is also common in people with inflammation of eyelids known as blepharitis.

As ophthalmologists, we can look at the properties and the amount of tearfilm, detect eyelid inflammation and evaluate for signs of eye surface dryness using special stains. We successfully treat Dry Eye Syndrome using number of advanced medical approaches and procedures.

As is the case in many medical conditions, Dry Eye Syndrome is easier to manage when treatment is started early in the course of the disorder.

Call Koby Karp Doctors Eye Institute if you are experiencing the symptoms of Dry Eye Syndrome and we will be glad to help you. Our phone number is (502) 897-1604.

Dr.Hoffman says

2009-10-22T16:19:00.000-07:00

November is Diabetes Awareness Month. This is a good opportunity to emphasize some important points about Diabetes Mellitus and eye health. In our country, diabetes is the leading cause of visual impairment in working-age individuals. Many of you may already know this. Moreover, 60 percent of adults also realize that diabetes may be detectable through a comprehensive eye exam.

Among people who don’t wear optical corrections, like contact lenses or glasses, only about one-third of adults get regular comprehensive eye exams. A third of the 21 million Americans with Diabetes don’t know it, as they have not had regular medical exams with their primary doctors. Often during our comprehensive eye examination we uncover some suspicious symptoms or physical findings that lead to the initial diagnosis of diabetes. Certain symptoms such as intermittent focus difficulties which vary throughout the day, glare at night, distorted or blurred vision and sudden floaters can all point to diabetes.

We recommend annual eye exams, even with healthy eyes, in all patients over 60 years, all patients with diabetes, patients who use contact lenses and anyone with a significant family history of glaucoma. It is not unusual to discover diabetes during these examinations. It is particularly important to check yearly with pupil dilation for those patients who do have a diagnosis of diabetes. Diabetic Retinopathy can develop in the eyes very gradually and without any noticeable symptoms. Untreated this can lead to visual impairment or blindness, and it is much more successful with earlier treatment.

If you have diabetes, or haven’t had an eye exam in a while, consider calling your ophthalmologist today to schedule an appointment. The doctors of the Koby Karp Doctors Eye Institute are available to see new patients. We specialize in comprehensive eye care. Call the Doctors Eye Institute at (502) 897-1604.

New Gift Certificates

2009-09-29T07:19:00.000-07:00

DOCTORS OPTICAL

2009-09-15T14:13:00.000-07:00

DR. KARP SAYS: "We provide optical services right here in our offices because as long as you are in our care, we want to be certain that you see the best you can possibly see!

Our expert opticians will fill your prescription using the finest state-of-the-art lenses and coatings available as well as the latest fashion frames.

You can be sure that you will love your new eyewear from Doctors Optical because we guarantee your complete satisfaction."

LENSES Most people start with the frames but let me offer you a different perspective. Start by asking our optician to look at your prescription and recommend the lenses that will best accommodate your prescription. The lenses must fit your eyes as well as the frames fit your face.

COATINGS An anti-reflective coating can actually help you see better! It’s as simple as this: anti-reflective treatments allow more light to pass through lens material providing for better vision for you. More light...better vision.

Anti-reflective coatings are not a luxury, in fact, they are a necessity if you want to see the best you can see.

FRAMES Choose the size and shape of the frame that is most flattering to your facial features while taking into consideration the lenses that we recommend. Fashion and fit are the combination you’re looking for.

A SECOND PAIR Often a second pair of glasses can help you see better than your regular glasses in special circumstances – like seeing a computer screen, playing sports or engaging in hobbies requiring close up or even top-of–frame close up vision. So, a second pair can be your new best friend.

LASIK Video Testimonials

2009-07-16T12:30:00.000-07:00

Considering LASIK surgery? See what our patients have to say about their personal LASIK experiences at Koby Karp Doctors Eye Institute.

Click below to view individual testimonials...

Angie Chris Jill Jon Shawn

Ophthalmologist Louisville

2009-07-15T17:43:00.000-07:00

Ophthalmologist Louisville is one of the most commonly used Google terms along with Ophthalmology Louisville. Those are the keywords lots of folks are typing in to find the best eye care information on the internet. At Koby Karp Doctors Eye Institute we are happy to respond with a wealth of information on our website www.doctorseyeinstitute.net. Click on it and see for yourself.

We have filled our new website with in-depth information, animated procedures and video links to make your Google search easy. And you can easily schedule an appointment or requst that we mail you even more information if you'll give us a call at 502-897-1604 or 1-800-777-4393.

Bladefree LASIK from Koby Karp

2009-07-14T11:10:00.000-07:00

We know the decision to have LASIK surgery is a big one, so we take great care to determine what’s best for you as our patient. That’s why we offer bladefree LASIK treatment using the IntraLase method. With the IntraLase method, pulses of laser light create your corneal flap, which is then lifted so the next step of LASIK—the reshaping of your cornea—can be performed.

When your LASIK treatment is over, the flap is securely repositioned into place. This bladeless, computer-guided technology is 100% more accurate than most of the mechanical microkeratomes (hand-held devices with a thin metal blade) that surgeons may also use to create a corneal flap.

The IntraLase method has been used successfully on hundreds of thousands of eyes and we trust this advanced technology to deliver exceptional results. Our commitment is to provide you with the ultimate in comfort, safety, and outstanding vision.

LASIK with IntraLase can help you achieve all of this—while it delivers the added assurance of knowing you’re being treated with the most advanced technology there is.

Because of the superior accuracy of the IntraLase method, certain patients who were ineligible for LASIK may now be able to have treatment. Ask your doctor today if you are a candidate.

Dr. Smolyar named partner

2009-07-13T16:49:00.000-07:00

Dr. Melvyn M. Koby, Dr. David W. Karp and Dr. R. Scott Hoffman are pleased to announce that Dr. Albert E. Smolyar, M.D. is now a full partner in the practice of Koby Karp Doctors Eye Institute.

“Dr. Koby, Dr. Hoffman and I are pleased to have such a distinguished physician as a partner, colleague and associate in our practice. Dr. Smolyar brings a great deal of knowledge and expertise especially in the areas of cosmetic eye surgery and neuro-ophthalmology,” said Dr. Karp recently. “We are privileged to be associated with yet another outstanding eye surgeon.”

Dr. Smolyar joined Doctors Eye Institute in July 2006 having completed his residency in Ophthalmology at University of Louisville Hospital. In addition to general ophthalmology his experience includes most advance techniques cataract surgery, laser vision correction and surgery of eyelids. He is fellowship trained in Neuro- Ophthalmology.

Dr. Smolyar is a member of the American Academy of Ophthalmology, the American Society of Cataract and Refractive Surgery as well as the Kentucky Medical Association and the Jefferson County Medical Association.

LASIK Eye Surgery

2009-07-09T11:32:00.000-07:00

Laser Eye Surgery, also know as LASIK, is now better than ever thanks to new, even more precise methods and highly effeicient blade-free surgical equipment available to our eye surgeons.

Click here to go our website for a lot of great information about LASIK and the excellent outcomes that are a result of the new blade-free LASIK technology.

Eye Institute

2009-04-17T09:07:00.000-07:00

People often use the search term "eye institute" when surfing the internet. Sometimes it's because they are searching for our website www.doctorseyeinstitue.net

What they may not know is that there is a very good reason that those words "eye institute" were selected to be a part of our name. You see, Koby Karp Doctors Eye Institute is more than an Ophthalmology practice alone. It is also a center for ophthalmology research.

Our doctors have participated in clinical research for more than 30 years. They have helped develop many of the glaucoma medications currently prescribed for the treatment of glaucoma. Our involvement in clinical trials enables our doctors to provide patients with the newest and most predictable forms of treatment even before FDA approval. We have, for instance, been able to reduce the number of drips required to control intraocular pressures from as many as four to only one, by testing combination therapies and longer lasting medications.

Being a part of the research and development of better, more efficient ways to improve your vision is a most rewarding facet of Koby Karp Doctors Eye Institute.

Doctors Eye Institute

2009-04-17T09:02:00.000-07:00

Doctors Eye Institute is an often used search term that currently being used on the internet. We believe that Koby Karp Doctors Eye Institute should be at the top of the list because we are one of the foremost Ophthalmology practices in the Louisville/Southern Indiana area specializing in LASIK and other refractive surgeries.

Furthermore, we were the first to radial keratotomy some consider to be the grandfather of today’s LASIK procedure. So, we have the experience and expertise to provide the LASIK at its best. Go to our website to learn more:

http://www.doctorseyeinstitute.net

Dry Eye Products

2009-04-16T12:50:00.000-07:00

These are some of he latest prescription medicines for treating Dry Eye condition. Product website links are available at the bottom of this blog page or by clicking on the appropriate product picture or company logo.

RESTASIS® Ophthalmic Emulsion helps increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye. RESTASIS® did not increase tear production in patients using topical steroid drops or tear duct plugs.

Bausch & Lomb Advanced Eye Relief™ Dry Eye Environmental Lubricant Eye Drops
Advanced Eye Relief Dry Eye Environmental Lubricant Eye Drops provide instant moisture for dry and irritated eyes. The fast-acting cooling and soothing effect eliminates eye discomfort. Dry Eye Environmental Drops provide relief from exposure to the wind or sun outdoors, air conditioning or low humidity indoors, or prolonged computer use can irritate eyes.

How Thera Tears can help
An 18-year research program, sponsored by the National Eye Institute, and directed by an eye physician focused on one goal: to develop a profound understanding of dry eye, and effective treatment. The result: a collection of treatment breakthroughs now available under the TheraTears brand .

Which Thera Tears is right for you?TheraTears brand provides a comprehensive, science-based solution to your dry eye problem.TheraTears brand includes a range of topical drops for dry eye, an omega-3 nutritional supplement for eye comfort, and a gentle & effective eyelid cleanser.

SYSTANE® ULTRA Lubricant Eye Drops offers high performance dry eye therapy with extended protection and immediate comfort.

SYSTANE® Preservative Free Lubricant Eye Drops, in convenient single-use vials, is recommended for dry eye patients with sensitive eyes.

SYSTANE® Lubricant Eye Drops helps protect your eyes from dry eye and keeps them lubricated throughout the day.

SYSTANE® NIGHTTIME Lubricant Eye Ointment offers overnight relief from the symptoms of dry eye, providing protection and comfort while you rest.

Cataract Surgery Louisville

2009-04-07T09:32:00.000-07:00

New breakthroughs in lens technology allow patients who have cataract surgery to choose a multi-focal lens instead of a single focus lens that often requires some patients to continue to wear glasses. The new multi-focal lenses, however, can often virtually eliminate the need for glasses.

Still other patients with multi-focal lenses will only need glasses when reading or doing close-up work.

This new multi-focal technology replaces the single-focus IOL’s (intraocular lenses) allowing for all ranges of vision: near, mid-range and distance.Drs. Melvyn Koby, David Karp, Scott Hoffman and Albert Smolyar are now making the multi-focal intraocular lenses available to their patients having cataract surgery.

Further good news is that the Centers for Medicare and Medicaid Services has announced that they will now allow Medicare beneficiaries to choose these more expensive lenses as long as they pay for the extra cost themselves. Doctors and Medicare patients will have the freedom to select technology to treat cataracts that is consistent with the patient’s lifestyle.

Previously, the government paid most of the price of treatment, including surgery, insertion of a traditional intraocular lens, and one pair of eye glasses or contact lenses. Doctors were not allowed to exceed Medicare’s established price for the procedure or to ask patients to make up the difference for the multifocal lens. Medicare patients couldn’t pay extra for a better lens even if they wanted to. Now the rules have changed.
Cataract surgery is generally performed on an outpatient basis using local or topical anesthesia. It is done when the patient’s daily visual needs require it.

During the procedure, the cloudy lens is removed from the eye. One method of cataract removal uses high frequency sound waves to gently break the cataract into tiny pieces. These pieces are then removed by delicate suction. Then the focusing power of the natural lens is restored by replacing it with a permanent intraocular lens implant.

There is more information plus video testimonials you cn find on our website by clicking
http://www.louisvillelaser.com/cataract.htm

Medicare Patients

2009-04-07T09:30:00.000-07:00

Further good news is that the Centers for Medicare and Medicaid Services announced that they will now allow Medicare beneficiaries to choose these more expensive lenses as long as they pay for the extra cost themselves. Doctors and Medicare patients will have the freedom to select technology to treat cataracts that is consistent with the patient’s lifestyle. Previously, the government paid most of the price of treatment, including surgery, insertion of a traditional intraocular lens, and one pair of eye glasses or contact lenses.

Doctors were not allowed to exceed Medicare’s established price for the procedure or to ask patients to make up the difference for the multifocal lens. Medicare patients couldn’t pay extra for a better lens even if they wanted to. Now the rules have changed.

You can read more about multifocal lenses on our website:
http://www.louisvillelaser.com/index.html

Points to remember regarding Laser Vision Correction

2009-03-30T11:12:00.000-07:00

If you wear contact lenses, it will be necessary for you to stop wearing them prior to surgery so that your doctor can determine the correct amount of correction needed. Soft lens wearers must leave lenses out for 2 weeks prior to the first pre-op assessment. Rigid lens wearers must stop wearing lenses for 3 weeks prior to this first assessment.

The doctor needs 2 consistent assessments before determining the desired correction. We will look at the stability of your cornea by performing keratometry readings and corneal topography. We will also measure your refractive error with and without dilation.

These assessments are very important in the outcome of your laser procedure. Wearing glasses instead of contact lenses during this time can be inconvenient and uncomfortable for some patients but the results after laser surgery will make up for this short time.

If you are unwilling or unable to adhere to our guidelines for pre-op assessment, please feel free to discuss this with your doctor. We all want the best result for you.

If you have glasses, please bring them to the office with you. This may be helpful in determining refractive stability.

You will be given a copy of the informed consent for refractive surgery to read while you are waiting to see the doctor. Please discuss any questions or concerns with our staff or the doctor after you have read them.

We will also discuss the cost and payment options with you on the day of your evaluation.

We are excited about the wonderful results that we have seen after laser vision correction and look forward to providing you with the freedom of not wearing glasses or contact lenses.