Ocular Disease

We provide diagnosis, treatment and management of diseases which affect the human eye and visual system.

We have the latest OCT retinal scanning technology that marks a major advancement in the diagnosis and management of glaucoma as well as retinal conditions. The fast capturing of the images is non-invasive and non-contact. The scans through the retinal tissue allow us to view underlying structures that were never before observable.


Dry Eye Syndrome

Dry Eye Syndrome occurs when the normal flow of tears over the eyes is interrupted, or the tear film is abnormal. In many cases, dry eye syndrome is a life long problem. You can relieve the symptoms, but not cure the original cause. Artificial tear lubricants, prescription medications, or in some cases blocking the tear ducts will help to increase the tears that are available.



Keratoconus is a disorder that occurs when the cornea, which is typically rounded, becomes cone-shaped. The progression is usually slow and can stop at any stage from mild to severe. This distortion increases as the cornea bulges and thins. The apex of the cornea often scars, reducing the vision. Treatment of keratoconus is most effective with rigid gas permeable contact lenses, designed specifically for the irregular corneal surface. Both Dr. Miller and Dr. Stola specialize in working with contact lenses for those patients with keratoconus. If contact lens treatment is not successful, surgical corneal transplant may be necessary.


Diabetic Retinopathy

Diabetic Retinopathy is a condition that occurs when a diabetic persons blood sugar gets too high. High blood sugar levels start a series of events which end in damaged blood vessel walls. As such, the blood vessels begin to leak fluid or bleed, causing the retina to swell and form deposits know as exudates. Vision can be lost if these spots are not watched and treated. Here, at our office, we carefully examine the back of your eyes to follow and manage this and other important eye diseases.



Cataract is a clouding or opacity of the natural internal lens of the eye. This opacity may be a small spot or may cover the entire lens. When light enters the eye it is scattered, causing images to appear hazy and blurred. There are many different types of cataracts. The one shown here is a cortical cataract. Here the opacity forms first is the periphery of the lens and develops inward, like spokes of a wheel. Ultimately, the best treatment is to remove the cataract lens and replace it with an acrylic man made lens. This is referred to as cataract surgery.


Macular Degeneration

Macular Degeneration is a condition in which the central part of the back of the eye loses blood circulation. It is considered a natural aging process. There is a breakdown of retinal pigment epithelium cells in the macular region. As the disease progresses, central vision diminishes. It is believed that this breakdown may be due to a lack of nutrients being supplied to the region. Additional studies have found a genetic link to this disease. Prevention includes: antioxidant and zinc supplements, eating fish, stop smoking, managing other diseases such as high blood pressure and diabetes, and getting routine eye exams.



Glaucoma is an eye disease that is one of the leading causes of blindness; however, loss of vision is often preventable if glaucoma is detected and treated early. Glaucoma originally was thought to be related to elevated intraocular pressure. We now know that measuring the eye pressure is only one small indicator of potential glaucoma. The optic nerve that carries all of the information we see to the brain is what is damaged with glaucoma. Glaucoma causes death of the nerve fibers that make up the optic nerve. When theses nerve fibers die, they can no longer be regenerated. A loss of vision begins in the peripheral vision and can continue until total blindness occurs. Most people do not notice the loss of their peripheral vision until much optic nerve damage has occurred. That is why early detection and treatment are the keys to preventing permanent optic nerve damage from glaucoma. The only way glaucoma can really be detected is with a thorough eye examination.

Dr. Miller and Dr. Stola are licensed Optometric Glaucoma Specialists. This means that they can legally treat glaucoma and other eye diseases that may require oral medications.