As part of an ongoing effort to bring our patients the best in complete eye care, Hudson Valley Eye Surgeons, PC prides itself on using the most advanced diagnostic and treatment equipment available.
Hudson Valley Eye Surgeons, PC has added the Pentacam HR (high resolution) Imaging System to our array of state-of-the-art equipment. Our staff utilizes the Pentacam HR imaging system for routine evaluations as part of our screening and diagnostic procedures. The Pentacam HR has enabled us to analyze the front "anterior" segment of the eye with a degree of accuracy that was previously unavailable. Using this new tool, our surgeons are able to optimally analyze candidates for LASIK, corneal and complicated cataract procedures, and obtain vital information in many other diagnostic situations.
The WaveScan Wavefront System is cutting edge technology that allows for the most accurate and precise evaluation of a patient's eyesight prior to LASIK and PRK (laser refractive surgery). The Wavescan system works by precisely measuring imperfections in the eye and designs a correction plan which is transferred to a laser and used during refractive surgery. Each pulse of the laser can remove as little as .25 micron (1/4 of 1/1000 millimeter of tissue, which allows the incredible precision achievable by laser vision correction).
The Humphrey Visual Field Machine is of vital importance in properly diagnosing and treating glaucoma as well as other issues affecting the visual field, including strokes, tumors, and other optic nerve diseases. This instrument checks for loss of specific areas of our vision, such as peripheral vision. This allows for rapid diagnosis and treatment.
Optical Coherence Tomography (OCT) is conducted using a machine that takes high resolution microscopic pictures of the eye without ever touching the eye itself. It provides a much higher resolution image than other imaging equipment because it is based on a light, rather than sound or radio frequency and is most commonly used to obtain a high-resolution cross-sectional image of the retina to diagnose and treat such diseases as macular degeneration and diabetic retinopathy.
A Digital Fundus Camera is a camera which takes photos of the interior portion of the eye, including the retina, optic disc, and the macula. This instrument is used to monitor the progression of a disease or as a diagnostic tool.
Fluorescein Angiography (FA) is a method that allows for the examination of the circulation within the retina. A dye is injected through a vein in the arm and photographs are then taken of the retina shortly thereafter. This process can detect the presence of retinal diseases including diabetic retinopathy, macular degeneration, vein and artery occlusions and ocular tumors.
part of an ongoing effort to bring our patients the best in complete
eye care, Hudson Valley Eye Surgeons, PC prides itself on using the
most advanced diagnostic and treatment equipment available.
Valley Eye Surgeons, PC has added the Pentacam HR (high resolution)
Imaging System to our array of state-of-the-art equipment. Our staff
utilizes the Pentacam HR imaging system for routine evaluations as
part of our screening and diagnostic procedures. The Pentacam
HR has enabled us to analyze the front "anterior" segment
of the eye with a degree of accuracy that was previously unavailable.
Using this new tool, our surgeons are able to optimally analyze
candidates for LASIK, corneal and complicated cataract procedures,
and obtain vital information in many other diagnostic situations.
WaveScan Wavefront System is cutting edge technology that allows for
the most accurate and precise evaluation of a patient's eyesight
prior to LASIK and PRK (laser refractive surgery). The Wavescan
system works by precisely measuring imperfections in the eye and
designs a correction plan which is transferred to a laser and used
during refractive surgery. Each pulse of the laser can remove
as little as .25 micron (1/4 of 1/1000 millimeter of tissue, which
allows the incredible precision achievable by laser vision
Humphrey Visual Field Machine is of vital importance in properly
diagnosing and treating glaucoma as well as other issues affecting
the visual field, including strokes, tumors, and other optic nerve
diseases. This instrument checks for loss of specific areas of our
vision, such as peripheral vision. This allows for rapid diagnosis
Coherence Tomography (OCT) is conducted using a machine
that takes high resolution microscopic pictures of the eye without
ever touching the eye itself. It provides a much higher resolution
image than other imaging equipment because it is based on a light,
rather than sound or radio frequency and is most commonly used to
obtain a high-resolution cross-sectional image of the retina to
diagnose and treat such diseases as macular degeneration and diabetic
Digital Fundus Camera is a camera which takes photos of the interior
portion of the eye, including the retina, optic disc, and the macula.
This instrument is used to monitor the progression of a disease
or as a diagnostic tool.
Angiography (FA) is a method that allows for the examination of the
circulation within the retina. A dye is injected through a vein
in the arm and photographs are then taken of the retina shortly
thereafter. This process can detect the presence of retinal diseases
including diabetic retinopathy, macular degeneration,
vein and artery occlusions and ocular tumors.
Laser Vision Correction
The team at Hudson Valley Eye Surgeons is excited to offer you a variety of laser vision correction options. Many patients come to us with questions regarding laser vision correction.
That’s why we’ve compiled a list of some of our most frequently asked questions to help you determine if laser vision correction is right for you. What is Laser Vision Correction?
Laser vision correction is a refractive surgery that corrects myopia (nearsightedness), hyperopia (farsightedness), and astigmatism.
Hudson Valley Eye Surgeons offers both Laser in Situ Keratomileusis (LASIK) and Photorefractive Keratectomy (PRK) for your laser vision correction.Our expert team of surgeons will work closely with you to determine what type of laser vision correction is right for you.
What is the Difference between LASIK and PRK?
The specialists at Hudson Valley Eye Surgeons are experts in LASIK and PRK. Both procedures are performed using a cool ultraviolet light beam that corrects the imperfections on your cornea.
LASIK is performed by first creating a thin, circular flap in the cornea. The flap is folded back and the surgeon applies the laser to reshape the underlying corneal tissue. Once your surgery is done, the flap is then laid back in place, covering the area where the corneal tissue was removed.
During the PRK procedure, no cutting is required so the surgeon does not create a flap; rather, the cornea is gently brushed to remove the top-most, superficial corneal cells. The laser is then applied to the underlying tissue. Over the next week, the cells that were removed heal back into place.
While both LASIK and PRK are bundled under the umbrella of, “laser refractive surgery”, one procedure may be better suited to your medical needs. For this reason, your surgical team will perform a careful evaluation of your eyes and medical history to determine which laser vision correction procedure is best for you.
Am I a Candidate?
People with nearsightedness, farsightedness, and astigmatism can benefit from LASIK and PRK. Complete our brief lifestyle checklist below to determine if the procedure might be right for you.
o You are at least 21 years of age o You currently wear glasses or contact lenses o You lead an active or social lifestyle o You avoid using your current vision correction for any of the following reasons: o Dislike the appearance o Uncomfortable to wear o Too expensive to maintain o Inconvenient to use daily o Generally dissatisfied with current vision correction options o You are looking for long-term solution for clear vision o You seek freedom from glasses and contacts
If you checked two or more boxes, contact Hudson Valley Eye Surgeons to schedule your no-obligation consultation today.
Why Choose Hudson Valley Eye Surgeons?
We understand that finding the right surgeon to perform your laser vision correction procedure can be difficult. The surgical team at Hudson Valley Eye Surgeons is dedicated to providing you with the best experience possible. Instead of following a “one size fits all” philosophy, we customize your procedure to your individual needs.
Our patients enjoy a variety of benefits, including:
Custom treatment plans based on your needs
Highly experienced and trained surgeons
Use of state-of-the-art technology
A variety of treatment options and techniques
As your hometown eye care specialists, Hudson Valley Eye Surgeons is always committed to your satisfaction and health outcomes.
Contact the staff at Hudson Valley Eye Surgeons today if you have any additional questions, or would like to schedule your no-obligation screening!
cataract is used to describe the natural lens of the eye when it becomes
What are the Symptoms of a Cataract?
can cause foggy, cloudy or blurred vision.
Cataracts can also cause glare.
Most people notice glare when trying to drive at night, but glare can be
noticed at times during daytime driving.
Glare can also cause problems with certain indoor lighting situations.
When is the right time to have
is different for different people.
Cataract surgery should be considered if there are symptoms that are
causing limitations in functional ability or quality of live.
surgery always incorporates implantation of an artificial lens. With modern cataract surgery, there are
choices of different lens implant styles depending on the specific
configuration of your eye and your lifestyle. Monofocal Lens
monofocal lens implant has a single focal point.
A focal point is a distance from the eye where
a person can see clearly without glasses.
If you choose the monofocal lens implant, the
focal point is usually set so that you can see well at distance without
the focal point is set for distance, you will need glasses for reading and for
intermediate vision such as viewing a computer screen or reading music.
may choose to have monofocal lens set for reading without glasses, but then you
will need glasses to see far away.
lens cannot correct astigmatism.
If you have
astigmatism, you will need additional correction if you want to see without
three ways to treat astigmatism at the time of surgery.
astigmatism can be corrected with the femtosecond laser at the time of cataract
surgery. The femtosecond laser is the
most precise technique for correcting corneal astigmatism at the time of
cataract surgery. In addition to
correcting astigmatism, the femtosecond laser is used to perform the more
challenging steps of cataract surgery, which makes the overall cataract surgery
more gentle, more precise and more
Limbal Relaxing Incisions
relaxing incisions can also correct astigmatism and minimize the need for
distance glasses after cataract surgery.
Limbal relaxing incisions are manually created partial thickness
incisions on the cornea. These incisions
can correct mild to moderate astigmatism.
Toric Intraocular Lens Implant
intraocular lens implants have astigmatism correction built into the lens
implant. Toric lenses are used to
correct moderate to severe astigmatism.
femtosecond laser astigmatism treatment, limbal relaxing incisions and toric
lenses, glasses will still be required for intermediate and near vision. Multifocal Lens
lens implants have more than one focal point.
you choose a multifocal lens, you will be free from glasses most of the time
for distance, intermediate and reading vision.
for the best results, multifocal lens implants require astigmatism treatment at
the time of the cataract surgery.
you choose a multifocal lens implant, you may notice halos around lights at
night. Most people who report nighttime
halos report that their symptoms do not interfere with their lifestyle.
Valley Eye Surgeons is here to help you with your cataract treatment and
surgery needs. For more information,
please contact our office at 845-896-9280 or at firstname.lastname@example.org
some ophthalmology patients would not expect to see a plastic surgeon
on staff, we at HVES know that some eye abnormalities would benefit
from an Oculoplastic Surgeon's touch.
Oculoplastic Surgeon is an ophthalmologist who has completed rigorous
additional training in plastic and reconstructive surgical techniques
as it relates to the eye and surrounding structures. Therefore,
disorders involving the eyelids, thyroid eye disease, ocular trauma,
malfunctioning tear ducts, the presence of skin cancers around the
eyelid, and the affected adjacent facial structure can all be
addressed and repaired by an Oculoplastic Surgeon who is familiar
with the ocular region.
Blepharoplasty and Ptosis
The two most commonly performed upper eyelid surgeries are
blepharoplasty and ptosis repair.
known as Blepharoplasty, is a surgery which removes excess skin and fat from the
upper eyelids, a condition called dermatochalasis.
Patients with dermatochalasis may complain that their eyelid skin folds make
their eyes look tired or smaller or that it interferes with their vision.
Surgery is performed by making external incisions along the natural skin
lines of the eyelids, such as the creases of the upper lids and below the
lashes of the lower lids, or from the inside surface of the lower eyelid. These
techniques allow for proper repositioning of the eyelids while hiding any
evidence of a surgical procedure.
Blepharoplasty may be
covered by insurance if the skin folds are causing direct obstruction of
central vision. Ptosis
Ptosis repair is a
surgery which corrects drooping of the eyelid itself (ptosis), as opposed to
heaviness of the skin.
Ptosis repair raises
the eyelid by adjusting the connection between the eyelid and the muscle that
lifts it (levator palpebrae superioris, or levator for short).
Patients with ptosis
complain of obstructed or hooded vision, or fatigue in their eyelids. An
incision is made either in the eyelid skin crease or on the undersurface of the
eyelid, depending on the type and degree of ptosis. Through this incision, the
levator muscle is reattached to the eyelid. In most patients, the surgery
simply recreates the same connection that used to exist before gravity and age
Ptosis repair is usually covered by insurance because the eyelids are
directly obstructing vision.
Diabetic Eye Disease
is impossible to overstate the importance of routine eye exams for
those suffering from diabetes.
eye exam with dilation is really the only method of detecting
diabetic eye disease. When caught early, retinopathy can be treated
to prevent further permanent damage. Treatments range from improved
blood sugar control, to laser treatments and sometimes surgery.
retinopathy is often treated with a laser treatment called scatter
laser treatment. This treatment, which is done in the office,
helps shrink abnormal diabetic blood vessels by placing 1,000 to
2,000 laser burns in the periphery of the retina. Two or more
sessions usually are required to complete treatment.
This laser treatment is more effective before the fragile, new diabetic blood vessels have started to bleed. Even if bleeding has commenced, however, scatter laser treatment may still be possible, depending on the amount of bleeding. If the bleeding is severe, you may need a surgical procedure called a vitrectomy. During a vitrectomy, blood is removed from the center of the eye.
is a common eye disease. Glaucoma is damage to the optic nerve
and is usually associated with high eye pressure. If left
without treatment, the optic nerve can deteriorate to the point of
permanent vision loss and blindness.
signs do not usually appear in the early stages of Glaucoma.
Glaucoma occurs when intraocular pressure increases when there is
either too much fluid produced in the eye or when blockage prevents
the drainage of fluid from the eye. It can only be diagnosed by
routine eye examinations and is pinpointed by using several painless
tests to determine the intraocular pressure, the health of the optic
nerve and drainage angle of the eye and analysis of peripheral vision
using a visual field test.
While anyone can get glaucoma, some people are at greater risk. Family history, age and ethnicity are of particular importance. The two main types of glaucoma are open-angle glaucoma, a painless slowly progressing condition, and closed-angle glaucoma, which is painful and happens suddenly. While nerve damage and visual loss from glaucoma is usually irreversible, progression of vision loss can usually be prevented with proper management with eye drops, laser and surgical treatments.
Retinal Disease Surgery
retina is an integral part of the eye; it receives the images we see
and transmits them to the brain. Damage to the retina can
result in severe loss of vision. Disorders related to the
retina include macular degeneration, retinal detachment, flashes and
floaters, diabetic or hypertensive retinopathy and torn retinas.
Laser treatments or surgery may be required to treat these retinal
more information about Retinal Diseases, please see below:
Macular Degeneration Macular degeneration affects the macula which is the central part of the retina. It is unclear what causes macular degeneration, however, in this disease, the macular tissue deteriorates and/or abnormal blood vessels develop in the macula. Eventually, these changes lead to blurred or distorted vision. Although macular degeneration is incurable, the disease can be managed today more successfully than ever before with lasers, injections of medicine into the eye, surgery or low vision aids.
Diabetic Retinopathy Diabetes can severely damage the retina. Bleeding in the retina and swelling of the retina from diabetes can both cause significantly reduced vision by damaging retina tissue.
Symptoms of diabetic retinopathy range from mild, blurred vision to complete vision loss. Effective treatment for diabetic retinopathy depends upon the progression of the disease and ranges from improved blood sugar control to laser treatments and surgery.
Retinal Detachment Retinal Detachment occurs when the retina splits from the back of the eye because of injury, infection, inflammation or other causes. Patients who suffer from symptoms such as sudden flashes of light, floating spots in the vision, or hazy vision, may be having a retinal detachment and must immediately visit an ophthalmologist for treatment to prevent permanent vision loss. The range of treatment options, including laser surgery or insertion of devices to hold the retina in place, is dependent on the degree of detachment suffered.
Comprehensive, Complete, Intensive & Personalized Dry Eye Care For A New Approach to Dry Eye Management Click Below
Hudson Valley Eye Surgeons is proud to offer BlephEx, an amazing technology used to treat Blepharitis, a chronic inflammatory disease of the eyelids. Blepharitis is caused by an overgrowth of normal bacteria that lives along the eyelid margin and is often the precursor to more severe eye lid diseases, such as MGD and Chronic Dry Eye. Blepharitis can affect anyone, regardless of age or gender, but generally becomes more prevalent as a person gets older since tears usually contain less antibodies with age. As this bacteria grows out of control, it begins to produce a biofilm that traps debris along the eyelashes. Bacterial toxins then become trapped and begin to penetrate the eyelid and cause it to swell, leading to possible damage to your tear glands and impacting tear production. Less tears with even less antibodies allow this bacteria to continue to grow, creating a vicious cycle which quickly spirals out of control if not properly treated. The BlephEx tool works by spinning a medical grade micro-sponge along the eyelid surface, eliminating scruff, bacterial debris, and the biofilm that builds up along the lid and base of the eyelashes, removing bacteria and destroying the environment it thrives in. Very similar to how a dentist removes plaque and tartar to prevent gingivitis, your eye doctor can now use BlephEx to remove the lid’s biofilm to prevent and treat blepharitis. With regular treatments, and intermittent at-home maintenance, we finally have the ability to treat a previously unsuccessfully treated disease!
"Hands down the best group ever. I see Dr. Palmiero and he is honestly the best eye doctor I have ever seen. I even told him at my last appointment that I always look forward to seeing him. I'm a type 1 diabetic and when I first saw him and told him that he mentioned to me that he specializes in Glaucoma. Knowing that I won't have to see a different eye doctor if I ever do end up with Glaucoma sure does make me very happy. So far I have no signs of Glaucoma at all. Even do my last appointment was almost 2 hours's because they had to do a regular eye exam, a visual field test, dilate my eye's and wait 15 minutes for eye's to fully dilate, and also take picture's of my optic nerve and what it looked like this year and last year and he told me that it hasn't changed at all. The rest of your staff are also extremely wonderful and very helpful." - Mike S.
"Dr. Palmiero is atrue professional. He is patient, empathetic, and gentle. He has a great chairside manner and, explained everything and addressed all of my questions and concerns before proceeding with my procedures. His assistants, the front office and schedulers are also very pleasant and patient. I am very happy to have found this group of professionals and completely trust that my eye health is managed by the best in their field." - Nancy Phillips M.
"If you are looking for the best team of caring, professional and exceptional care then you simply go to and stay with this group. Your Eyes are too important to not have the very very best. Special thanks to Dr. Nicols and the amazing support staff. It can be really scary but Jen Audd and my Dr's here go above and beyond! ♥" - Jill Slutsky M.
"Dr. Brocks is the best. He's patient and kind, just like his Dad. He will alwways answer your questions and will describe things in the simplest way and with confidence." - Deborah DeVor D.
"I called the office this morning after having some some concerning visual issues last night. I was given an emergency appointment and taken in with very little wait. (Working in the medical field myself I know how busy the Monday after a holiday weekend is and appreciate them seeing me so quickly) Dr. Nichols and his assistant Pam were fantastic. After a thorough eye exam and alot of patience and explanation of my problem I left the office feeling so relieved that I was ok and thankful of the great care they provided." - Jennifer H.
"Dr. Nicols is the best!! He operated on my mom's cataract and she felt so at ease and so well cared for! And the results are astounding! She can't believe how well she can see out of that eye and what she's been missing! The remaining eye will be operated on tomorrow and we are so grateful to have such wonderful, caring people taking care of us! THANK YOU!!!" - Catherine A.
"Thank You Dr. John C. Nichols for not only being a Great Surgeon, An Awesome Doctor but also an Amazing Human! "I Can See"" - Mary P.
"Dr. John Nichols is a wonderful doctor. I would highly recommend him. He has an excellent manner about him and makes you feel very relaxed. I just had cataract surgery and it was completely successful thanks to him. Excellent Eye Surgeon." - Daisy Burke S.
"Could not have chosen a better doctor or facility to have my LASIK surgery! The staff was pleasant and Dr. Eric Brocks provided me with an excellent outcome. Would recommend this practice without hesitation!-John" - Awray
"A really nice up to date facility. I am very happy with the doctors and assistants. I feel like I always get a really good eye exam. Everyone is so friendly starting with the receptionist. They really listen to your concerns. I would highly recommend them. If you need glasses Optical Fashions is right across the hall and they have a wonderful selection of glasses!" - Iperri.
"Dr. Nichols performed cataract surgery with a multi focal lens on me two years ago. It is wonderful to be able to see clear and perfectly. He did a wonderful job and I would recommend him to patients. I wouldn't hesitate to do it again. I have him to thank for my new eyesight. Margie" - Anonymous