Ophthalmologist in Dearborn, Michigan

Ophthalmologist in Dearborn, Michigan

Were you a former patient at the Dearborn office of Kresge Eye Institute?  The office has closed.   Are you looking for a new local ophthalmologist?  The Eye Surgery Institute has been serving the Dearborn community for over 60 years.   We accept most medical and vision insurances and have a full service optical department.  Same day urgent appointments are accepted.  Same week appointments for non urgent issues.

Dr. Alaina Kronenberg, Dr. Stanley Grandon and Dr. Cindy Wang provide the highest quality eye care in the Dearborn community.   We take the time to listen to your concerns and will address all of your eye care needs.  We strive to offer the most modern, up to date care for all of your eye care needs.

Dr. Alaina Kronenberg and Dr. Stanley Grandon are board certified ophthalmologists and Dr. Cindy Wang is a board certified optometrist.   We perform cataract surgery, glaucoma surgery and refractive eye surgery.  Dr. Cindy Wang specializes in glasses and contact lenses.  She performs complex contact lens fittings and offers low vision services.

Diseases of the EyeAre you looking for an ophthalmologist?

We offer the highest quality care for patients with all diseases of the eye.  We care for patients with all eye diseases of the eye including cataracts, glaucoma, macular degeneration, dry eyes, allergies, diabetes and eye pain.  We also can provide all of your needs for glasses and contact lenses.

Make an Appointment!

If you were a patient at Kresge Eye Institute in Dearborn, Michigan and are looking for a new eye care provider, make an appointment at the Eye Surgery Institute!  We are happy to have you as a patient and will offer the highest quality, most up to date eye care.  Our office phone number is 313 582 8856 or you can visit our website www.eyesurgeryinstitute.com and book an appointment online.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


Diabetic Eye Disease

Diabetes

 Diabetes is a disease in which the body’s ability to produce or respond to the hormone insulin is impaired.  This causes in abnormal metabolism of carbohydrates and elevated levels of glucose in both the blood and urine.

More than 100 million U.S. adults are now living with diabetes or prediabetes.  Approximately 9.4% of the United States population have diabetes.  One in four adults with diabetes are not aware that they have this disease.  Your doctor can diagnose it with blood tests.

Risk factors for developing diabetes include being overweight or obese.  A lack of physical activity can contribute also. A family history can also increase your risk.

Diabetes and the EyeAlaina Kronenberg MD | Eye Surgery Institute | Diabetic Eye Disease

Dr. Stanley Grandon, Dr. Cindy Wang and I can diagnose diabetic eye disease with a comprehensive eye examination.  It is recommended that you have a comprehensive eye examination once a year.  Medical insurance will cover the office visit.  If I diagnose diabetic eye disease, I will likely recommend more frequent examinations.  I will also likely recommend we take a picture of your eye in the office to check for swelling in the center of your vision.

Diabetes can cause severe vision loss and possibly blindness.  Diabetic retinopathy is the most common cause of vision loss among people with diabetes and a leading cause of blindness among working-age adults.  The better you control your diabetes the less likely it will affect your eye as well as other organ systems.

Types of Diabetic Eye Disease

Diabetic retinopathy can cause changes to retinal blood vessels that can cause them to either bleed or leak.  I may recommend treatment for your disease if there is swelling in the center of your vision (macular edema) or blood vessels growing that are not expected to be there.  If you require treatment, the earlier it is administered, the better the chances of a good visual outcome.  If you are a diabetic make sure to make your appointment at the Eye Surgery Institute!

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


What is the Difference Between and Ophthalmologist and and Optometrist?

What is the Difference Between and Ophthalmologist and and Optometrist?

This is a question that is asked quite frequently.  You may be confused about the difference between an optometrist and and ophthalmologist (Eye MD). These two professions differ in the amount and type of training.  They also differ in what conditions they are able and comfortable to treat.

Ophthalmologistoptometrist vs ophthalmologist

An ophthalmologist (Eye MD) is a medical doctor who completed an undergraduate degree, four years of medical school and a four year residency.  During the residency, the ophthalmologist is trained to perform surgery on the eye.  One of the most commonly performed surgeries is cataract surgery.  They are also trained to diagnose and treat diseases of the eye.  Ophthalmologists can also prescribe glasses and contact lenses at your appointment.

Some doctors opt to also complete a one or two year fellowship program to sub specialize in certain eye conditions.  The sub-specialty areas include glaucoma, retina, pediatrics, plastic surgery, cornea, neuro ophthalmology and uveitis.  Ophthalmologists who have sub-specialty training may feel comfortable caring for and performing surgery on more complex eye conditions.

Optometrist

An optometrist has completed and undergraduate degree and four years of optometry school.      An optometrist has a doctor of Optometry (OD) degree.  They primarily perform eye exams and vision tests, prescribing and dispensing glasses and contact lenses, detecting certain eye diseases, and prescribing medications for some eye diseases.  Optometrists typically do not perform surgical procedures on the eye.

Eye Examinations

It is important to maintain regular comprehensive eye examinations to not only check for the need for glasses but also to check for diseases of the eye.  Many diseases of the eye become more common with age and are easier to treat if diagnosed at an earlier stage. Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination to check the health of your eyes.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Vision As You Age

The Aging Eye

With the aging eye, you may notice more difficulty driving especially at night and in the rain. There are many diseases of the eyes that can contribute to more difficulty driving. These changes often become more common at age 60 or older. A comprehensive eye examination by Dr. Stanley Grandon, Dr. Cindy Wang and I can help diagnosis and treat eye diseases.

It is recommended at age 60 to have a yearly dilated eye examination. If you have a family history of certain diseases of the eye such as glaucoma or macular degeneration it is important to initiate regular eye examinations at an earlier age.

Normal Changes as You Ageaging and eye health

As you age, it is normal to rely on glasses for near vision tasks. It is also normal to need more light when reading and feel it takes longer to adjust when you move from the light to dark or vice versa. You may notice changes in your contrast sensitivity. A comprehensive eye exam can ensure you are in the best pair of glasses possible.  As you age, you may need glasses that correct for both distance and near tasks.

Eye Diseases

Vision loss is not a normal part of aging. As you age, you become more likely to develop diseases such as cataracts, glaucoma and age related macular degeneration. Many diseases of the eye are easier to treat if diagnosed at an earlier stage. Some eye diseases can lead to blindness if not treated properly. If diagnosed and treated at an earlier stage, you are more likely to maintain adequate vision for the rest of your life.

If you feel you are uncomfortable with your vision especially when driving, you may have a cataract. Cataract surgery may be indicated if it is interfering with you daily tasks.

Alaina Kronenberg MD
Eye Surgery Institute
15212 Michigan Ave
Dearborn, MI 48126


January is Glaucoma Awareness Month

Glaucoma is a blinding disease | Eye Surgery InstituteJanuary is Glaucoma Awareness Month

Glaucoma is one of the leading causes of irreversible blindness.  Your vision loss can often be prevented with early diagnosis and treatment.  There are often no symptoms in the earliest stages.  The vision loss is usually first in the periphery.  Later more advanced stages can cause total blindness.

The American Academy of Ophthalmology advises the public that the best defense against developing glaucoma-related blindness is by having routine, comprehensive eye exams.  Dr. Stanley Grandon, Dr. Cindy Wang and I test for glaucoma at the time of your examination regardless of the reason for the visit.

What is Glaucoma?

Glaucoma is an eye disease where damage to your optic nerve causes vision loss that is not reversible.  It often happens when fluid builds up in your eye and may be related to eye pressure .  This extra fluid can damage your optic nerve and cause you to lose your vision.  You will often not notice vision loss from the earlier stages.  There is usually no pain or symptoms associated.

How is Glaucoma Diagnosed?

Dr. Stanley Grandon, Dr. Cindy Wang and I may suspect it if your intraocular pressure is elevated or if your optic nerve looks that is may have damage.  Up to half of patients with glaucoma do not have an elevated intraocular pressure when examined.  If we have a high suspicion, extra tests such as a peripheral vision test (a visual field), a picture of the optic nerve and checking the thickness of your cornea (pachymetry) may be recommended.  Depending on the level of suspicion, we may decide to observe you or opt to initiate treatment.

If My Doctor Diagnosed Glaucoma Does That Mean I am Going Blind?

No!  It can be treated by various modalities.  It is important to diagnose it at an early stage.  Dr. Stanley Grandon, Dr. Cindy Wang and I will often initially treat your glaucoma with a once daily drop at bedtime.  We are trying to lower your eye pressure.  Depending on your response to the medication and the severity of your disease, we made opt to add additional drops.

We can also treat it with laser.  This laser is often performed in the office.  It can be used in addition to your drops or sometimes instead of your drops, depending on the severity of your disease.

If your disease is not adequately controlled with drops and /or laser, you may require surgery to achieve control.  There are several surgical options that can be performed.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Diabetic Eye Exams

Diabetes

Diabetes is a disease in which your body’s ability to either produce or respond to the hormone insulin is impaired.  This causes abnormal metabolism of carbohydrates and elevated levels of glucose (sugar) in both the blood and urine.

More than 100 million adults in the USA have either diabetes or pre diabetes.  Over 30 million Americans or 9.4% of the population have diabetes.  Many people are not aware that they have diabetes.

Most cases of type 2 diabetes. can be prevented.  Diabetes-related complications can include blindness, non-traumatic amputations, and problems with your kidneys requiring dialysis.  You are more likely to have type 2 diabetes  if you are overweight.

Diabetic Eye ExamsDiabetes | Alaina Kronenberg MD | Eye Surgery Institute

If you are a diabetic you should have a yearly dilated eye examination.  Many people may be reluctant to come to an ophthalmologist because they think their medical insurance will not pay for the examination.  Medical insurance will cover the eye examination.

If we see changes in your eye from diabetes, Dr. Stanley Grandon, Dr. Cindy Wang and I may recommend special photographs of the back of the eye to determine the extent of the changes.  We will also recommend more frequent eye examinations to monitor the diabetic eye changes.  It is important to maintain regular follow up care.

Treatment

If your diabetic eye disease progresses, you may need treatments to help maintain your vision.  Treatment may be indicated if you have swelling in the center of the vision (diabetic macular edema) or if you have blood vessels growing that are not supposed to be there (proliferative diabetic retinopathy).  Treatment options may include injections of medications into the eye and/or laser eye treatments.  The purpose of the treatments are to help you maintain your vision. If your diabetic retinopathy is not adequately treated, you could loose your vision.  Diabetes can cause permanent blindness.

 

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Eyelid Twitching

Eyelid Twitching

Eyelid twitching is a common complaint that from patients.   You are often very concerned about the health of their eye.  The medical term for twitching is called myokymia.  It can occur on either the upper or lower eyelid and it is a repetitive involuntary spasm of the muscle.

If you are experience this, Dr. Stanley Grandon, Dr. Cindy Wang or I can perform a comprehensive eye examination to determine the health of your eye.  We will focus on the surface of the eye to make sure that it looks healthy.

CausesEyelid twitching| Alaina Kronenberg MD| Eye Surgery Insittute

Twitching can be caused by many things.   Some causes include stress, fatigue, dry eyes, blephartis (inflammation of the eyelid), too much caffeine, irritants in the environment and a foreign body touching the eye.  Certain medications can also cause eyelid twitching sometimes.

Treatment Options

It is important that we treat the underlying cause of the twitching.  If signs of dry eyes or blepharitis is detected then we can initiate dry eye or blepharitis treatment.  This may include over the counter drops, prescription eye drops, lid hygeine, warm compresses and ointments.  We will determine what treatment is best for your condition.  If a foreign body is detected, removing it may help also.  It is important for you to minimize irritants in your environment also.

Is It Serious?

Usually twitching is not the sign of a serious underlying problem. If the spasms become chronic, you may have what’s known as benign essential blepharospasm.  This is the name for chronic and uncontrollable blinking.  This can sometimes be treated with injections into the muscle area.  Very rarely, eye twitching may be a sign of certain brain and nervous system disorders.  Most importantly, it is almost always accompanied by other signs and symptoms.   Conditions that can cause this include Bells Palsy, Multiple Sclerosis, Tourettes and Parkinson’s Disease.

In summary, most of the time eyelid twitching is not the sign of a serious medical condition.  Treating the surface of the eye can be helpful.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Ultraviolet Light and the Eyes

What are the Effects of Ultraviolet (UV) Light and the Eyes?

Ultraviolet light has been linked to the progression of several eye conditions.  The most common conditions are the development of macular degeneration and cataracts.  Both of these conditions can affect the quality of your vision.  Ultraviolet light rays can also cause ptergium (fleshy growths on the eye surface that grow onto the cornea) and eye cancers such as melanoma and basal cell carcinoma.

Macular degeneration can potentially lead to irreversible blindness.  Cataract development can affect the quality of your vision and sometimes require surgery to improve the vision.  Although most people develop cataracts as they age, cataracts can develop quicker due to ultraviolet light.

Ultraviolet Light Protection for the EyesUltraviolet light | Alaina Kronenberg MD | Eye Surgery Institute

When you purchase sunglasses, you want to look for ones that eliminate 100% of UV A and UV B rays.  The glasses do not necessarily need to be expensive.  The darkness of the lens is not as important. Most lenses will state the amount of UVA and UVB protection that they provide.

Lenses that wrap around the side of your face provide more protection than regular sunglasses.  Wearing a hat with a large rim can also be helpful.  Although some contact lenses do offer some UV protection, it is important to also wear sunglasses if you are a contact lens wearer to protect your eyes.

Detecting Eye Problems

Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination to detect eye conditions.  If a problem does develop, it is often better to diagnose and offer potential treatments early.  We can perform a dilated eye exam and check for problems.  The Eye Surgery Institute also sells good quality sunglasses that can help to protect your eyes from sun damage.

 

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Eye Allergies

Itchy, Red Eyes

Allergy season is quickly approaching!  Do you suffer from seasonal ocular allergies? Are your eyes usually itching and red?  Are they feeling uncomfortable?  What is the cause of these symptoms and can anything be done?  Itching and redness can be very frustrating and uncomfortable.  You may be suffering from eye allergies.  Sometimes it is nearly impossible to avoid being exposed to the things we are allergic to.

You may have tried over the counter remedies to see if they can improve your symptoms.  If the over the counter treatments are not providing proper relief, it is important to have a comprehensive eye examination to determine the cause of your symptoms.  Your condition may or may not be ocular allergies.  You want to consider when your symptoms occur most.  Are they worse in the morning or evening?  Are they worse during a particular season of the year?

Diagnosis of Ocular Allergiesocular allergies | Alaina Kronenberg MD

Dr. Stanley Grandon, Dr. Cindy Wang and I will take a complete history and perform an eye examination.  It is important to distinguish if your eyeballs feel itchy or your eyelids are bothering you more.

Itchy eyes are often a symptoms of ocular allergies.  You may also complain of watery eyes, stringy mucous discharge, eyelid swelling, and irritation.  Ocular allergies are when the eyes are exposed to allergens.  Different patients can react to different allergens.   Your symptoms are often due to release of histamine and mast cells and symptoms will often vary during different seasons depending on what the allergen is that is causing your symptoms.

If your symptoms are more affecting your eyelids, you may be suffering from blepharitis instead of eye allergies.  Blepharitis is inflammation of the eyelid margin and the eyelids can become itchy, red and irritated.

If you wear contact lenses sometimes your condition can be related to your contact lenses.  You may have developed a sensitivity to your contact lenses or be wearing them too much.

It is important for your doctor to make the proper diagnosis so we can offer the treatments that will improve your symptoms.

Treatment of Eye Allergies

If you suffer from eye allergies, it is important to try to avoid the allergen if possible.  Ocular allergies are often initially treated with eye drops that are antihistamines and mast cell stabilizers.  These medications work more effectively if they are used regularly during your allergy season.  If your symptoms are severe, we may add a short course of a mild steroid eye drop also.  Sometimes chilled artificial tears can also help your symptoms.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 48126


Eye Myths Part 3

Eye Myths Part 3

Do you ever wonder if eye myths told to you by your family and friends are true?

Myth: If you lot a lot of carrots it will improve your vision.

Carrots have beta-carotene and are a good source of vitamin A.  Eating carrots will not improve your eye site regardless how many you eat.  It is always important to maintain a healthy diet with fruits and vegetables.

Myth:  Reading in the dark can damage your eyes.Eye Myths | Eye Surgery Institute | Alaina Kronenberg MD

We have all read in the dark.  The only thing this will cause is eye fatigue.  Your eyes will become tired a bit quicker causing words to seem blurry but this is only temporary and no permanent damage has been done to your vision.

Myth:  Starring at the computer all day will ruin your eyes.

When you stare at anything for an extended period of time you tend to blink less causing dryness and eye strain but will not affect your vision.  This can occur with reading, any kind of screen use, even watching tv or driving for a long time.  It is recommended for you to take regular breaks and frequently glance away from the computer when working for an extended amount of time.  Sometimes an artificial tear drop can help with eyes that feel tired or blurry.  Staring at the computer will not cause permanent damage to your vision.  If your eyes constantly feel dry with prolonged screen time Dr. Cindy Wang, Dr. Stanley Grandon and I can evaluate you and offer treatments to help make your eyes more comfortable.

Myth:  Crossing your eyes will make them stay crossed forever.

When you cross your eyes to be funny it may cause some laughs from your friends but it will not cause permanent damage to your eyes.  Afterwords, your eyes will return to the normal position.  This will not cause any permanent problems to your eyes.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan