Safeguarding and improving the quality of your vision.
Comprehensive eye care goes beyond a prescription for glasses or contact lenses. We really get to know you—your eye health history, your job, your hobbies—in order to provide personalized care. Our approach is based on three core pillars of service: Identify, Educate, and Follow up. These conversations are enhanced by our state-of-the-art technology and our commitment to staying on top of the latest developments in ocular medicine.
Identifying Eye Health Issues
We move from front to back, assessing eye health and identifying concerns. In front of the eye, we check for issues with your prescription. At the surface of the eye (the cornea), we look for dry eye or swelling. Next, we examine the lens for abnormalities. Finally, retinal imaging provides a detailed picture of the back of the eye, allowing us to search for early signs of disease.
Many people experience dry eye. Finding the root cause of this common syndrome helps determine the appropriate treatment. We offer a variety of therapies which can help you feel more comfortable and may result in sharper vision—Restasis prescription drops, lifestyle adjustments, and supplements, to name a few. If these approaches aren’t effective, our Lipiflow machine can be a longer-lasting solution. No matter the treatment, we’ll check in with you to make sure you are feeling better.
In today’s rushed world, it’s refreshing to find a practice that takes the time to fully explain the results of your exam. We make sure you completely understand your diagnosis and recommended treatment. Digital images and Rendia educational software help illustrate your condition. And if anything’s unclear, we’re happy to answer your questions.
[Dr. Fish] took care of my grandma who had problems with her eyelashes. He was so gentle and patient with her and always made her feel welcome and that he had time for her even on the days it was obvious the office was heaving with activity. I will never go anywhere else.
After your exam and diagnosis, we carefully explain your plan of care and encourage you to stay with it for as long as prescribed, even if your symptoms have subsided. We follow up after you leave to see if the treatment is helping. If it’s not working, we suggest adjustments. With us, out of sight is not out of mind.
Our state-of-the-art technology is essential in mapping a complete picture of your eye health. What we find during your eye exam may indicate diseases such as macular degeneration, glaucoma, retinal detachment, diabetes, or high blood pressure—any of which might occur without you noticing any change in your sight.
I have had many problems with my eyes since I was very young and have not had any problems in the past almost 25 years with Dr. Fish. He knows about and has the newest scientific data and equipment and yet can explain it all clearly and with an understanding of the patients lifestyle and affordability.
Patient P, a 70-year-old female, came to the office with eye discomfort, saying, “I think I have pink eye and my vision is blurry.” After reviewing the chief complaint, Dr. Fish ran a series of evaluations to gather more information.
InflammaDry, a rapid-result test, detected elevated levels of inflammatory marker MMP-9. LipiScan of meibomian glands showed that all glands were present. Staining of the cornea indicated a Grade 3-4 staining score for the cornea and conjunctiva. Further investigation revealed that the patient’s vision had been slightly reduced after a recent successful cataract surgery.
After considering the history and findings, Dr. Fish determined that this “pink eye” was actually Ocular Surface Disease (or dry eye syndrome). He explained the diagnosis and provided a take-away sheet of home interventions, including hydration, lubrication, lid hygiene, hot compresses, blink therapy, dietary changes, and the addition of Omega-3 fish oil supplement. Dr. Fish and the patient discussed the use of medication if the symptoms persisted and the use of in-office Lipiflow if all else failed to provide increased comfort or clarity.