Focus.          Precision.          Care.

 

Our Services

 

Our practice provides a wide range of ophthalmic and optometric services for both children and adults.  Our comprehensive children's eye services range from routine eye exams to specialized genetic diagnosis and ophthalmic surgeries. Our board certified and fellowship trained doctors are world class practitioners of ophthalmology. Their expertise is complimented by an inhouse board certified optometrist and a full service optometry department that help fit our patients with glasses and contact lenses.   We also see adults for general consultations and strabismus surgery.   

  • Adult Strabismus

    Strabismus  is a condition in which the eyes are not properly aligned. It can be operated on and repaired by  Dr. Jotterand using the advanced "slip-knot" technique for adults in an outpatient surgery setting. A similar procedure is also available for children and even infants.

     

    Many people are not aware that strabismus can be treated. 

     

    If you have strabismus you are likely a candidate for surgery.

     

     

    Veronique Jotterand M.D. views minimally invasive strabismus surgery as a conscious decision and deliberate effort made by the surgeon to preserve native tissues without compromising the surgical goal.  Dr. Jotterand takes every effort to provide safe and effective outcomes by listening to her patients and taking the time to plan condition specific surgery.  Her technique results in less discomfort, fewer complications, and a quicker recovery. 

     

    Dr. Jotterand prides herself in a lower than average reoperation rate as a result of the adjustable suture technique and a zero percent infection rate in her 25 years of doing strabismus surgery.

     

     

    Does having crossed-eyes or a lazy eye . . .

         • Impair your field of vision

         • Affect your depth perception

         • Disrupt your eye to hand  

            coordination

         • Give you double vision

         • Make you self-conscious

     

    It Is Never Too Late To Treat Strabismus

    Many adults with strabismus have had the condition since childhood. However, strabismus can also begin in adulthood due to medical problems such as:

         • Diabetes

         • Thyroid disease (Graves disease)

         • Myasthenia gravis

         • Brain tumors

         • Head trauma

         • Strokes

    Occasionally, misalignment of the eyes can also occur after a cataract  or retinal surgery, due to damage to the eye muscles during surgery.

     

    This surgery is covered by most insurance plans.

  • Pediatric Ophthalmology

    Dr. Jotterand is a board certified pediatric ophthalmologist.  Her practice is tailored to meet all  the unique vision needs of  young patients.  We provide comprehensive treatment for all of the listed disorders in addition to routine vision check-ups.

    Strabismus

    Any misalignment of the eyes is considered a form of strabismus.  Some are treated medically with glasses and patching, other forms are treated surgically. The goal of strabismus treatment is to improve ocular alignment to allow better binocular vision.  Treatment and/or surgery is available for children of all ages including infants.

     

    Amblyopia

    A decrease in a child’s vision may occur when one or both eyes send a blurry image to the brain. Amblyopia occurs only in children and should be treated early and before adolescence. Patching and glasses are the remedies for amblyopia, however permanent vision loss results if left untreated.

     

    Lacrimal Problems

    Blockage of tear ducts are present in 5% of infants and can cause excessive tearing and discharge in the first few weeks of life. Treatment consists of massaging the tear duct and administering antibiotic drops. Surgery may be necessary in a small percentage of children.

     

    Ptosis

    A droopy eyelid, known as ptosis, can be present at birth or may develop over time. It can involve either one or both eyelids. Surgery may be indicated during preschool years.

     

    Refractive Errors

    An ophthalmologist can detect the need for glasses in a child of any age by dilating the pupils and obtaining an accurate measurement for a prescription. Nearsightedness, farsightedness, and astigmatism may be diagnosed accurately so that a glasses prescription may be given.

     

    Learning Disabilities

    Diagnosis of a learning disabilities is based on a formal evaluation of intellectual and informational processing ability. An ophthalmological consultation should be provided to children who fail a vision screening test in order to rule out visual abnormalities and assesses possible learning disabilities. 

     

    Pediatric Cataracts

    Three children per 10,000 have a cataract that causes cloudiness or opacity of the lens of the eye. Prompt treatment is necessary to prevent permanent vision loss in children. Surgery may be needed to remove a cataract.  Vision is restored after cataract removal with a permanent intraocular lens (IOL), contact lens, or glasses.

     

    Conjunctivitis

    Also known as pink eye, conjunctivitis is a condition where the eyes look pink or red and may have discharge. Conjunctivitis may be caused by bacteria, viruses, chemicals or allergies. Only conjunctivitis caused by bacteria or a virus is contagious. Treatment with antibiotic drops or ointment may be indicated for bacterial or allergic conjunctivitis.

     

     

  • Ophthalmic Genetics

    We diagnose and treat heritable ocular disorders. Ophthalmologists are often on the “front line” in evaluating patients  and families with eye disorders and genetic syndromes. Hereditary ophthalmic disorders may be isolated (affecting only the eye) or part of a syndrome when associated with other physical findings.

    Examples of non-syndromic hereditary eye disorders include

    Anophthalmia

    Microphthalmia

    Strabismus and congenital glaucoma

     

    Syndromes involving eye disease as a component of the condition. 

    Oculocutaneous albinism

    Marfan Syndrome

    Stickler Syndrome

    CHARGE Syndrome

    Sickle Cell Disease

    Neural Tube Defects

    Sturge-Weber Syndrome