Can I Use My Medical Insurance to Visit the Eye Doctor?

 

What are medical insurance and vision insurance plans?

There is much confusion regarding what type of insurance you can use when you go to the eye doctor.  Most people do not understand the difference between medical insurance and vision insurance plans.  Most ophthalmologists practices accept both medical insurance and vision insurance plans.  The Eye Surgery Institute is a medical practice and the majority of our examinations are billed to your medical insurance.  Dr. Stanley Grandon and I are board certified ophthalmologists and we care mostly for medical eye conditions.

An examination is considered a medical eye exam if Dr. Stanley Grandon, Dr. Cindy Wang or I are evaluating and treating a problem, disease or particular complaint.  For example, if you are being treated or evaluated for common eye conditions such as glaucoma, cataracts or age related macular degeneration (ARMD) it is considered as a medical appointment.  Also, if you are requesting the appointment for a complaint such as pain, irritation, itching, headaches or redness it is also considered a medical appointment.

What Do I Use My Vision Plan For?Eye Surgery Institute | Alaina Kronenberg MD

A vision exam is an examination for a prescription for eyeglasses or for contact lenses.  At the Eye Surgery Institute, we will also check the general health of your eye.  We will inform you if any problems or concerns are noted.  If particular concerns are raised Dr. Stanley Grandon, Dr. Cindy Wang or I may request for you to return to the office for a medical appointment.

You can also often use your vision plan to help in purchasing glasses or contact lenses.  It is important that you learn the benefits of your vision plan and the coverage options.   We offer a full service optical department that also accepts most insurance plans.

How Do I Know If My Insurance is Accepted?

Our experienced staff can assist you with your insurance choices when you call for your appointment.  It can be very confusing to determine the difference between medical insurance and vision insurance plans.  When you arrive to our office, we will also verify your insurance plan.  You are responsible for knowing any co-pays or deductibles with your plan.

 

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


Eye Health

Eye Health

Eye health is an important part of your overall health.  It is important to have a comprehensive eye exam to ensure that your eyes are healthy.  Dr. Stanley Grandon, Dr. Cindy Wang and I can ensure you are seeing properly and ensure that no eye diseases are present.

You may assume that your eyes are healthy if you have no difficulty with your vision.  Sometimes, we can determine that a glasses prescription can allow even better vision.  Common eye diseases such as glaucoma, age related macular degeneration (ARMD), diabetic eye disease and early cataracts often have no symptoms at the early or even moderate stages.  Early diagnosis and treatment can be very important.

Our goal at the Eye Surgery Institute is to allow you to keep optimal vision your entire life.  Many diseases require diagnosis and treatment at early stages to help prevent vision loss in the future.

Family Historyeye health  Alaina Kronenberg MD | Eye Surgery Institute

Many eye diseases can run in your family.  It is important to know your family history of eye diseases.  If you have a strong family history of eye problems, it is important to have more frequent eye examinations especially as you age.

Eye Safety

It is important to wear safety eye protection especially when working with tools, machines or chemicals.  This can include safety glasses, eye shields and goggles.  Many are made of polycarbonate because it is much stronger and more protective.   It is especially important to wear eye protection if you only have one eye that sees well.

Lifestyle

It can be helpful to eat a healthy diet with lots of green, leafy vegetables.  This can help prevent certain eye diseases such as macular degeneration.

It is useful to wear sunglasses when outside.  This can help prevent against cataracts and macular degeneration.  It is also helpful to not smoke.  Smoking is bad for your overall health, including your eyes.

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


Midwest Eye Clinic

Midwest Eye Clinic/ Midwest Medical Clinic

The Midwest Eye Clinic in Dearborn, Michigan has now closed.  It served the population of Dearborn and the surrounding communities for eye and other health care needs.  Eye Surgery Institute is accepting new patients.  The Eye Surgery Institute has been serving the Dearborn and surrounding community for over 60 years.  We are happy to welcome patients of the Midwest Clinic who are looking for health care.

Dr. Stanley Grandon, Dr. Alaina Kronenberg and Dr. Cindy Wang would like to welcome you to join our practice.  We perform comprehensive medical and surgical eye care and have a full service optical department also.  Our doctors can serve all of your eye care needs.  We accept most insurance plans.

Eye Surgery Institute/Midwest Eye ClinicMidwest Eye Clinic | Eye Surgery Institute

Dr. Stanley Grandon, Dr. Alaina Kronenberg are comprehensive board certified ophthalmologists who perform medical and surgical care of your eyes.  We strive to provide the highest quality care and pride ourselves on taking much time with each patient to ensure all your questions and concerns are addressed.  We perform a thorough, comprehensive eye examination.

Dr. Cindy Wang is an optometrist who specializes in fitting glasses and contact lenses.  She is excellent at fitting contact lenses in patients who have been difficult to fit with contacts in the past.  Dr. Wang has also been specially trained in fitting patient who have corneal conditions such as keratoconus and prior RK eye surgery.  She also specializes in low vision eye care.  She can help provide special glasses and other low vision aids to allow a better quality of life for patients with low vision.

We Hope You Join Our Practice from Midwest Eye Clinic!

If you were previously a patient at the Midwest Eye Clinic, we hope you will join us at the Eye Surgery Institute for your continued eye care needs!

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


Itchy, Red Eyes

Why Are My Eyes Itchy and Red?

Ocular itching can be very uncomfortable, red and look unsightly.  Others may think you have an eye infection and be concerned that you are contagious.  They may be worried about being around you.  Your eyes may be watery and your vision may be blurry as well.  Eye allergies can be very uncomfortable.

The most common cause of both itching of the eyes and redness is ocular allergies.  Ocular allergies can be either seasonal, year round or associated with particular things you are allergic to such as an animal.

How Do I Treat Allergies In My Eyes?Eye allergies | Alaina Kronenberg MD | Eye Surgery Institute

It is important to have an eye examination to determine if your symptoms are from ocular allergies.  If at all possible, avoiding the allergen will help tremendously.  Most of the time this is not practical as many people are allergic to things wer are exposed to in our environment.

It is very helpful to treat before you are exposed to the allergen.  For example, if you have spring allergies it is advised to initiate allergy drops 2 weeks or so prior to the expected allergy season.

It is typically treated with allergy drops.  Most of the appropriate drops are given by a prescription, although there are a few good over the counter products as well.  Some of the prescription drops are once daily medications and the rest are dosed twice a day.  Cool compresses can be helpful.  Artificial tears can wash out allergies and also offer some relief.

If your symptoms are not improved with these remedies, Dr. Stanley Grandon, Dr. Cindy Wang and I can prescribe a short course of topical steroid eye drops.  This can offer quick relief.  It is important for you to be watched if you are taking steroid eye drops.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 4


How Do I Get Rid of My Glasses?

Need For Glasses

Wearing glasses can sometimes be frustrating.  You may need to wear glasses to allow you to see properly.  They are often needed when the light rays are not focused onto the retina.  Depending on the severity, you may need glasses some of the time or all of the time.  As we get into our 40’s, most of us need glasses for reading and other up close activities.

Contact LensesGlasses | Contacts | Lasik

Contact lenses are an option to reduce your need to wear glasses.  It is a lens that sits on the eye that allows you to see clearly.  Contact lenses need to be fit properly by an optometrist or an ophthalmologist.  At the Eye Surgery Institute, we provide full service optical services.

Dr. Cindy Wang, Dr. Stanley Grandon and I can perform a comprehensive eye examination and a contact lens fitting.  We can spend the proper time needed to teach you how to insert and remove the contacts and how to care for them properly.  Sometimes you may need to try different types and brands of contacts to find the ones that work best for you.

Lasik

Lasik is an elective surgical procedure and the goal is improve vision and reduce or eliminate the need for glasses.  We use a laser to correct nearsightedness, farsightedness, and/or astigmatism.  The purpose of Lasik is to reshape the cornea so that the light rays entering into the eye are focused onto the retina.

Determining if you are a candidate for Lasik requires a comprehensive eye examination.  Dr. Stanley Grandon, Dr. Cindy Wang and I will perform a thorough exam to determine the general health of your eye and if you are a candidate.  Dr. Stanley Grandon and I are board certified ophthalmologists and we will perform your surgery.

Alaina Kronenberg, M.D.
Cataract Specialist
Comprehensive Ophthalmologist
Dearborn, Michigan 4


Should I Have Lasik Surgery?

What is Lasik Surgery?

Lasik is an elective surgical procedure and the goal is improve vision and reduce or eliminate the need for glasses.  We use a laser to correct nearsightedness, farsightedness, and/or astigmatism.  The purpose of Lasik is to reshape the cornea so that the light rays entering into the eye are focused onto the retina.

With Lasik, a flap is created using either a microkeratome blade or a femtosecond  laser.  The flap is folded back and then the surgeon removes some corneal tissue underneath using an excimer laser.  The purpose of the laser is to reshape the cornea so you are less dependent on glasses.

Am I a Candidate for Lasik Surgery?Lasik eye surgery | Alaina Kronenberg MD

Determining if you are a candidate for Lasik requires a comprehensive eye examination.  Dr. Stanley Grandon, Dr. Cindy Wang and I will perform a thorough exam to determine the general health of your eye and if you are a candidate.  Dr. Stanley Grandon and I are board certified ophthalmologists and we will perform your surgery.

We need to make sure your glasses prescription is within certain limits and that your cornea has sufficient thickness.  It is important to have your contact lenses out for several days prior to your surgery.  We also need to check for irregularities of the cornea.  Assuming you are a good candidate, we will discuss your options in detail.

What Can I Expect?

It is best to have someone drive you to your operation.  Your eye will be numbed and you should be comfortable.  Dr. Stanley Grandon or I will lay you back and perform the procedure while we are looking into a microscope.

After the surgery, your eye may feel a foreign body sensation, you may experience burning or itching.  The vision may also be blurry.  You will have drops to use for a few weeks and you will come into our office the next day for a checkup.

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


How Do I Treat Glaucoma?

What is Glaucoma

Glaucoma is an eye disease where damage to the 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 loss of vision.  You will often not notice vision loss from the earlier stages.  There is usually no pain or symptoms associated.

Glaucoma is one of the leading causes of preventable blindness.  The 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.

Risk factors for this blinding disease include family history, age and race.

How is Glaucoma Diagnosed?Glaucoma is a blinding disease | Eye Surgery Institute

Glaucoma is diagnosed with a comprehensive eye examination.  Dr. Stanley Grandon, Dr. Cindy Wang and I may suspect it if your intraocular pressure is elevated and/or if your optic nerve looks as though it 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!  Glaucoma 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 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 if often performed in the office and 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.


Dry Eyes

Do I Have Dry Eyes

You may not realize that your eyes are dry.  The symptoms of dry eyes can vary.  You may have a foreign body sensation in your eyes with a gritty, stinging, burning or scratchy sensation.  In addition, you may have blurry vision especially with concentrated tasks such as reading, on your computer, watching television or driving for a long period of time.  Usually the vision is better when you initially start these tasks but blurs after a period of time.

What is Dry Eyes?Dry eyes | Alaina Kronenberg MD | Eye Surgery Institute

Dry eyes is an often chronic condition where the eyes don’t produce either enough tears or good quality of tears to keep the surface of the eye healthy and comfortable.  Dry eyes can become more common as you age.  It is also often influenced by the amount of screen time.  Often oral medications you may be taking for other conditions can worsen dry eye.

Diagnosis

Dr. Stanley Grandon, Dr. Cindy Wang and I can perform a comprehensive eye examination.  Often dry eyes can be diagnosed after taking a history of your symptoms and looking at the eyelids and ocular surface with a slit lamp.  It is important to look for other eye diseases that can also contribute to discomfort.  We also provide tear osmolarity testing to aid in diagnosis.

Treatment

If you have not already tried over the counter products, we may initially ask you to use artificial tears during the day and somtimes ointment at bedtime.  If you have already tried these products or your condition is more severe, we may start you on prescription products.

It is also important to treat any other eye conditions such as blepharitis and ocular allergies.  Sometimes a plug into the tear duct (punctal plugs) can be useful in managing dry eyes.  It is important to realize there is no cure for dry eyes, but our job is to make your eyes as comfortable as possible.

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


Eye Myths Part 2

Eye Myths

There is a lot of information your friends or family may say about your eyes.  Do you ever wonder if what they say is really true?  Should you follow their advice?  There is a lot of confusion regarding what is really true about your eye health.  Dr. Stanley Grandon, Dr. Cindy Wang and I can discuss your concerns in our office.  Here is some information regarding common eye myths.

Myth: My Children Should Not Sit Too Close to the TVEye myths | Alaina Kronenberg MD

Your children will not suffer any damage to their eyes if they sit too close to the television.  If your child insists on sitting close, you may want to schedule a comprehensive eye examination to ensure that no glasses are needed and that no other eye problems are present.

Myth: If My Eye Doctor Feels I Need a Stronger Glasses Prescription, I Will Become Too Dependent on the Glasses if I Fill the Prescription

It is important to wear glasses with the correct prescription to provide the best vision possible.  Your eyes will not worsen if you wear the correct pair of glasses or contacts.  Children’s glasses prescription can often get stronger in the teenage years. Having the proper prescription in their glasses will allow them to see properly at school, for sports and for when the start to drive.

Myth: It is Dangerous to Wear Someone Else’s Glasses

Wearing another person’s glasses may cause a headache, eye strain and blurry vision.  It will not cause any permanent damage to your eyes.  It is important to have a comprehensive eye examination and be checked for glasses.

If I Use My Eyes Will They Wear Out?

Using your eyes for daily activities will not cause any damage to your eyes.  You cannot damage your eyes by reading too much, being on your computer too much or watching too much television.  Your eyes may feel tired and fatigued from the concentrated tasks though.

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


Running in the Boston Marathon

Running

I have always enjoyed running for exercise in my free time.  It allows me to keep fit and helps to relieve stress.   I have participated in several half marathons and shorter races for many years.  In the past few years I have enjoyed participating in marathons.  I just completed my third Boston marathon.

The marathon is a 26.2 mile running race.  Training for a marathon requires a lot of time and commitment.  The Boston marathon is on Patriots Day the third Monday in April.  It is a hilly race so it requires training for the race in hilly terrain.  It also requires training outside in the cold Michigan winter months!

The miles of running also can take their toll on your body!  It is always a challenge to avoid injuries during the training process.

Boston QualificationAlaina Kronenberg MD| Eye Surgery Institute| Boston Marathon

It is considered a privilege to participate in the Boston marathon.  For most runners it is the most prestigious marathon.  The race has been run since 1897 and it is one of the world’s oldest marathons.  Running in the marathon requires you to run a full marathon at a time that is qualifying.  The required time depends on your age and your sex.  Many runners aspire to qualify for the Boston marathon.  Most other marathons are “Boston qualifiers” where you can run that race with the goal of trying to qualify.

Participating in My Third Boston Marathon

On April 17, 2017 I had the privilege of participating in my third consecutive Boston marathon.  The excitement and enthusiasm at Boston is incredible.  The city of Boston comes alive with thousands of spectators offering incredible support and enthusiasm.  They are cheering you on for all 26.2 miles.  The race starts in Hopkinton and ends on Boylston Street in Boston.   The amazing energy and excitement makes me shiver as I made that last turn onto Boylston street with the finish line in view.  I was incredibly honored to complete my third Boston marathon!

 

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