Glaucoma Treatment in The Eye Center
About the clinic
Glaucoma care at The Eye Center in Northern Virginia, USA, includes testing, medication, laser procedures, and surgery. Dr. Darrell Reisner is board-certified and has over 20 years of surgical experience focused on glaucoma. The clinic has Virginia’s first accredited in-office ophthalmic surgery suite.
Glaucoma testing and follow-up
Computerized glaucoma testing combines several checks to assess eye pressure, drainage, optic nerve health, and peripheral vision.
- Comprehensive glaucoma evaluation: Checks eye health and signs of glaucoma.
- Tonometry: Measures eye pressure using non-contact air-puff or applanation methods.
- Gonioscopy: Examines the drainage angle to check whether it is open or narrow.
- Pachymetry: Measures corneal thickness.
- Optical Coherence Tomography (OCT): Scans the optic nerve and nerve fiber layer.
- Dilated optic nerve exam: Includes digital photography of the optic nerve.
- Computerized visual field testing: Maps peripheral vision using perimetry.
Follow-up visits for treated glaucoma are scheduled every 3 to 6 months. Visual field testing is done every 6 to 12 months for patients with glaucoma or elevated risk. The same team provides follow-up care, with five offices across Northern Virginia.
Glaucoma treatment options
- Prescription eye drops: Prostaglandin analogs, beta-blockers, alpha-adrenergic agonists, carbonic anhydrase inhibitors, and rho kinase inhibitors can lower pressure. They are used daily at consistent times.
- Selective Laser Trabeculoplasty (SLT): An in-office laser treatment for open-angle glaucoma. It improves drainage through the trabecular meshwork, and can be repeated if its effect fades.
- Laser Peripheral Iridotomy (LPI): Creates a small opening in the iris to relieve or prevent angle closure. It is used for narrow-angle glaucoma.
- Minimally Invasive Glaucoma Surgery (MIGS): Microscopic instruments improve natural fluid drainage. This outpatient option is used for mild to moderate glaucoma, often with cataract surgery.
- Goniotomy: Uses microscopic instruments to improve drainage, with a lower risk profile and faster recovery.
- Trabeculectomy: Creates a new drainage pathway for advanced glaucoma when drops, laser, and MIGS are not enough. Recovery takes longer than after laser or MIGS.
- Combined MIGS and cataract surgery: Treats mild to moderate glaucoma during cataract removal, with one recovery period.
- Short-term oral medication: Helps lower eye pressure rapidly for a short time.
Patients can request a consultation through Bookimed to discuss glaucoma testing and treatment options.
Highlights
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Treatments prices in the clinic
| treatment | Price | |
|---|---|---|
| Oculoplastics (Oculoplastic surgery) | Price on request | |
| Vitrectomy | Price on request | |
| Retinal detachment surgery | Price on request | |
| Laser eye surgery | Price on request | |
| LASIK eye surgery | Price on request | |
| Cataract surgery with IOL replacement | Price on request | |
| Cataract surgery (one eye) | Price on request | |
| Laser iridotomy | Price on request | |
| Photocoagulation | Price on request | |
| Cataract surgery (both eyes) | Price on request | |
| IntraLase Laser Eye Surgery | Price on request | |
| Photorefractive keratectomy | Price on request | |
| Strabismus treatment | Price on request | |
| Amblyopia treatment | Price on request | |
| Laser trabeculoplasty | Price on request | |
| Glaucoma treatment | Price on request | |
| Phacoemulsification with IOL implantation | Price on request | |
| Femtosecond laser | Price on request | |
| IOLs implantation | Price on request | |
| Low Vision Rehabilitation | Price on request | |
| Femto LASIK (Femtosecond laser LASIK) | Price on request |
Clinic Doctors
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The Eye Center: more details about the clinic
Key Achievements and Medical Leadership
Founder and Medical Director Dr. Ayman Boutros leads a team of 88 doctors. He has personally performed over 40,000 vision-correction procedures. Dr. Boutros was among the first surgeons to offer iDesign 2.0 wavefront technology.
The clinic maintains high standards in refractive surgery. The reported enhancement rate for touch-up procedures is under 1.5%. Dr. Boutros holds the VISX Star Surgeon distinction – a recognition held by fewer than 100 surgeons nationwide. He was also named among the Best Cataract Surgeons in America in 2022.
Ophthalmology and Vision Correction
The refractive department focuses on all-laser, bladeless iLASIK. Surgeons use a two-laser process. First, a femtosecond laser creates the corneal flap in roughly 45 seconds. Then the excimer laser reshapes the tissue in less than 10 minutes.
Clinical outcomes for myopia correction include:
- 97.6% of patients with low myopia achieved 20/20 vision or better.
- 93.2% of patients with moderate myopia achieved 20/20 vision or better.
- 84.2% of patients with high myopia achieved 20/20 vision or better.
For patients who don't qualify for LASIK, the center offers PRK and EVO Visian ICL (implantable lenses).
Retina Care and Oculoplastics
Retina specialists manage conditions such as macular degeneration and diabetic retinopathy. They perform pars plana vitrectomy using instruments smaller than two millimeters. This outpatient procedure removes the vitreous gel to repair the retina. For retinal detachments, the team offers pneumatic retinopexy and scleral buckling.
The oculoplastics department is led by Dr. Tamer Mansour. He completed fellowship training through the American Society of Ophthalmic Plastic and Reconstructive Surgery. Dr. Mansour treats disorders of the eyelids, orbit, and tear-drainage system. Blepharoplasty procedures typically take one to three hours under local anesthesia.
Specialized Pediatric Services
Dr. Christina L. Butera leads the pediatric ophthalmology division. She was the first full-time pediatric specialist in Loudoun County. The department treats newborns through teenagers for conditions including:
- Amblyopia (lazy eye)
- Strabismus (eye misalignment)
- Convergence insufficiency (eye-teaming problems)
Treatment plans for children include patching, atropine drops, and muscle-realignment surgery. Pediatric specialists use targeted lights and scanners to evaluate eye structures in infants.
Advanced Diagnostic and Surgical Technology
The practice operates an accredited in-office surgery suite for cataract procedures. Patients receive surgical care from their regular medical team in a familiar setting. Surgeons use phacoemulsification to remove cataracts and replace them with advanced intraocular lenses.
Diagnostic capabilities across the five locations include:
- Optical Coherence Tomography (OCT) for high-resolution cross-sections of the retina.
- Fluorescein and indocyanine green (ICG) angiography for imaging blood vessels.
- Corneal topography and tomography for keratoconus mapping.
- Computerized visual field testing to monitor glaucoma progression.
Specialists use VISX Iris Registration to keep laser alignment precise during vision correction. These imaging tools let doctors compare eye maps over time to track chronic diseases.
Services for International Patients
The Eye Center manages all appointments through a centralized U.S.-based system. All medical providers and patient coordinators consult in English. Patients receive personalized recovery plans and post-operative instructions through a digital platform. The clinic supports international visitors with follow-up care at any of the five regional offices.
Additional services
Patient reviews
J. Ferdinand Escano
Debbie Luczko
Ron Kecman
Tony Jenkins
Billo Gali
My appointment was scheduled for 1:30 pm and Dr. Hooriya was there punctually to discuss my ophthalmic issues. She is really good n exceptional.
God bless her and her nurse Mekong ( hope I spelt it correctly?) who like the good doctor has a great sense of humor.
Janice Jennings
katie timms
Lois Conklin
Jean Walker-Wiley
Sheila Embrey
1901 N Beauregard St #100, Alexandria, Virginia 22311
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