Hudson Valley Eye Surgeons PC Logo
 
Hours of Operation:
 
Mon-Fri 8:00 AM - 6:00 PM
Sat 8:00 AM - 12:00 PM

 
 
CALL US TODAY!
200 Westage Business Ctr Dr Suite #110, Fishkill, NY 12524
Patients@hves.com
 
 
 
 
 
 
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.
 
Young woman visiting eye doctor - Eye Surgeons in Hudson Valley, PC
 
 

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.
 

INTRO /TECHNOLOGY:
 
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.
 
Hearing Aid - Eye Surgeons in Hudson Valley, PC
 
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.

 

LASIK/ Laser Vision Correction
 
With the development of the excimer laser, more precise vision correction procedures such as Photorefractive Keratectomy (PRK) and Laser in Situ Keratomileusis (LASIK) were developed. LASIK allows the surgeon to reshape the cornea, the front surface of the eye. This technological breakthrough has changed the way people think about vision correction. The LASIK procedure is performed as an outpatient procedure with only a topical eye drop anesthetic. The vast majority of patients are spectacle or contacts lens-free shortly thereafter!

While both LASIK and PRK (Bladeless Laser Vision Correction) are bundled under the umbrella of "laser refractive surgery," each method has both advantages and disadvantages. It is important to consult with a refractive surgeon to determine which procedure is most appropriate and safest for your eyes. At Hudson Valley Eye Surgeons, PC, we are able to custom design the correct procedure for each patient, rather than a "one size fits all" philosophy.
 
Couple Wearing Eye Glasses - Eye Surgeons in Hudson Valley, PC
 
Surgeons performing LASIK surgery use an instrument called a microkeratome to create a thin, circular flap in the cornea. The surgeon then folds the flap back and applies the laser to reshape the underlying corneal tissue. The excimer laser removes tiny bits of tissue from the cornea and reshapes it with a cool ultraviolet light beam. The flap is then laid back in place, covering the area where the corneal tissue was removed.

PRK is also performed using an excimer laser, a cool ultraviolet light beam that removes tiny bits of tissue with precision from the surface of the cornea. Rather than create a flap in the surface of the cornea, the cornea is gently brushed to remove the very superficial corneal cells. The laser is then applied to the underlying tissue. Over the next week or so the superficial cells that were removed heal back into place.

People with nearsightedness, farsightedness and astigmatism can benefit from LASIK and PRK. With nearsighted people, the goal is to flatten a cornea that is too steep. The opposite is desired for farsighted people--a steeper cornea will provide clearer vision. Excimer lasers can correct astigmatism as well, because it can smooth an irregular cornea into a more regular shape.

Our office uses the VISX STAR S4 ActiveTrak™ Excimer Laser System as well as Wavefront CustomVue. Using ActiveTrak and Wavefront CustomVue technology allows the doctor to center the laser beam most accurately, providing the ability to create the most accurate and precise treatment for each eye.

The VISX ActiveTrak eye-tracking system was developed exclusively for ophthalmic use, and specifically for eye tracking during laser vision correction (LASIK or PRK). The older, first generation LADARVision® tracking was originally developed for military applications, not ophthalmology. It was later adapted for ophthalmology.

ActiveTrak uses the only 3-D eye-tracking system. That means that ActiveTrak follows not only the left and right movements of the eye, it also follows the up and down movements that can happen when you breathe.

VISX STAR™ laser systems, which combine flexibility through variable beam and scanning technology, produce smoother treatments. Additionally, variable beam technology removes less tissue, which results in a faster, safer treatment than flying spot lasers.
 

Cataract Surgery
cataract surgery
 

  • What is a cataract?
The term cataract is used to describe the natural lens of the eye when it becomes cloudy.

  • What are the Symptoms of a Cataract?
Cataracts 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 cataract surgery?
The answer 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.

Cataract 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
  • A 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 glasses.
  • If 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.
  • You may choose to have monofocal lens set for reading without glasses, but then you will need glasses to see far away.

A monofocal lens cannot correct astigmatism.




Astigmatism Correction

If you have astigmatism, you will need additional correction if you want to see without glasses.

There are three ways to treat astigmatism at the time of surgery.

  • 1. Femtosecond Laser
Most 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 accurate.

  • 2. Limbal Relaxing Incisions
Limbal 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.

  • 3. Toric Intraocular Lens Implant
Toric intraocular lens implants have astigmatism correction built into the lens implant. Toric lenses are used to correct moderate to severe astigmatism.

With femtosecond laser astigmatism treatment, limbal relaxing incisions and toric lenses, glasses will still be required for intermediate and near vision.

Multifocal Lens

  • Multifocal lens implants have more than one focal point.
  • If you choose a multifocal lens, you will be free from glasses most of the time for distance, intermediate and reading vision.
  • Sometimes, for the best results, multifocal lens implants require astigmatism treatment at the time of the cataract surgery.
  • If 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.

Hudson 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 patients@hves.com



 

Cosmetic
 
Although 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.

An 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.
 
Female Optician suggesting please
 
 

Blepharoplasty and Ptosis
The two most commonly performed upper eyelid surgeries are blepharoplasty and ptosis repair.

Blepharoplasty

Eyelid surgery, 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 stretched it.

Ptosis repair is usually covered by insurance because the eyelids are directly obstructing vision.


 

Diabetic Eye Disease
diabetic eye surgery
 
It is impossible to overstate the importance of routine eye exams for those suffering from diabetes.

Routine 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.

Diabetic 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.

Click here to learn more from The American Diabetes Association.

Glaucoma
 
Glaucoma 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.

Warning 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.
 
glaucoma
 
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
The 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 disorders.

For 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.


 
 

Dry Eye
 
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.