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EXAMS
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Dry Eye
dry-eye Treatments
OptiLight with Intense Pulse Light (IPL)

Since dry eye disease is a multifactorial disease, we need a treatment option that provides a multi-factorial solution. In our practice, OptiLight has become a foundational treatment option to give patients lasting relief, plus it has been FDA approved. It has a long list of clinical studies showing its safety and efficacy.

How Does it Work?

  1. OptiLight breaks the dry eye vicious cycle of inflammation by reducing major sources of inflammation leading to dry eye diseases such as abnormal blood vessels, Demodex mites, and pro-inflammatory agents.

  2. OptiLight restores the function of meibomian glands and improves tear break-up time.

 

What Should I Expect?

The treatment protocol typically consists of 4 sessions, about 2 to 4 weeks apart:

  • During treatment, the doctor will cover the patient's eyes with pads over the eyelids OR corneal shields. After the eyes are protected, a thin layer of coupling gel is applied to the treatment area.

  • During the treatment, light is applied to the skin around the eyes, most patients report minimal or no discomfort.

  • OptiLight is usually followed by meibomian gland expression.

  • Each session takes approximately 10-15 minutes.

  • There is commonly no downtime and patients often resume their daily activities immediately after their treatment session.

  • Patients typically report improvement after 2 to 3 treatments. For optimal results, 4 sessions are advised.

  • Maintenance sessions depend on the duration, severity, and frequency of symptoms but are usually recommended every 3-6 months.

TempSure Envi Radiofrequency (RF)
A laser treatment that treats Meibomian Gland Disease (MBD) by safely and effectively stimulating clogged tear glands and reviving an optimal surface for the eye.

How Does it Work?

  1. TempSure Envi RF increases your skin’s temperature for a defined amount of time. This heat triggers the body’s natural reaction to produce new collagen. These new collagen fibers are tighter and denser. As a result, excess skin in the lower or upper eyelid is reduced.

  2. It works on all skin types. We usually recommend that you schedule a series of treatments and regular maintenance appointments to help your body counteract the loss of collagen that is part of the natural aging process.

 

What Should I Expect?

A pleasant and effective treatment every time:

  • During your treatment, you will experience a gentle warming sensation around the target area(s).

  • Treatments last about 30-60 minutes, depending on the area being treated.

  • After the treatment, there is usually only a slight amount of redness on the skin, which quickly subsides.

  • There is no downtime, allowing you to return to your normal activities immediately.

iLux

A novel treatment for Dry Eye Disease & Meibomian Gland dysfunction that uses localized heat and compression therapy. The treatment is complete once cloudy or inspissated meibum is expressed or clear meibum appears on the lid margin. 

How Does it Work?

  1. With your eye doctor by your side every step of the way, the iLUX MGD Treatment System incorporates the innovative Smart Tip Patient Interface to deliver treatment directly to the blocked meibomian glands. Provide real-time feedback as the doctor administers therapeutic heat and then expresses the oil. Now that the glands are unblocked, it will be easier for the oil to be released naturally. 

  2. Depending on the severity of blockage or damage to the oil glands, the treatment may be repeated multiple times. On average, the treatment is usually repeated 2-4 times per year. 

 

What Should I Expect?

On average, the treatment is usually repeated 2-4 times per year:

  • The treatment is not painful but the patient may feel slight pressure.

  • 85% of patients with signs and symptoms of dry eye disease have oil deficiency; therefore, treatment of the oil glands is advised for maximum relief.

What’s the difference between a medical and routine eye exam?

The primary difference in medical and routine exams is often determined by insurance providers or the physician’s diagnosis. A medical exam includes the diagnosis and treatment of eye disease or malady (like glaucoma, conjunctivitis, or cataracts). A routine eye exam, on the other hand, includes diagnosis and treatment of non-medical complaints, like astigmatism, or farsightedness.
Read More about medical vs vision insurance.
Specialty eye exams
A lot of eye issues have systemic correlation and can lead to significant vision loss. At Montebello Optometry, Dr. Zamora handles and manages a vast majority of complex eye issues. See below. Walk-in emergencies are welcomed too :)

Myopia Treatment

LASIK Surgery Consultation

Digital Eye Strain

Cataract Consultation

Emergency Eye Care

Keratoconos Treatment

During your appointment, Dr. Zamora will make sure all of your eyes' structures are healthy. As a result, please expect to either have your eyes dilated or a photo taken of the retina during your comprehensive eye examination.
What to expect
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What to bring if you are a new patient:
• A copy of your driver's license/ID 
• A copy of your medical insurance card (e.g. Aetna, Anthem, Blue Cross, Medicare)
• Your old glasses or glasses prescription, if available
• Empty contact lens packets or contact lens prescription, if available 
• New Patient Forms (
fill online here)
• List of your medications, including supplements, and allergies 
Medical vs Vision Insurance

 

Understanding your insurance prior to any service can help you avoid confusion and frustration. We would like to AVOID ANY MISCONCEPTIONS, and we hope that the following will help you better understand how your insurance coverage works.

Medical insurance DOES NOT cover vision-related issues such as routine exams, glasses, and contact lenses. Many people with medical insurance have a separate rider policy to cover routine eye exams. Typically, medical insurance policies usually cover only the comprehensive examination, but not the refraction (glasses prescription check). You are responsible for the cost of the refraction if your insurance is medical only.

VISION insurance covers comprehensive eye exams and refractions ONLY for purchasing glasses or fitting and purchasing contact lenses. Most vision plans do not cover ANY medical testing, diagnosis, consultation or treatment. If you have any medical concern that needs further follow-up, we would bill your subsequent appointments to your medical insurance.

MEDICAL concerns (Glaucoma, Dry Eyes, Diabetes, Macular Degeneration, Red Eyes, Floaters, Allergies, Styes, etc.) usually take priority over visual concerns because they can sometimes affect your glasses prescription. If your eye doctor has a suspicion for a disease that requires additional testing, information on your condition and necessary testing will be given to you.  


Do I have to pay for my visit?

 

Regardless of whichever insurance plan you have, most plans do not cover 100% of expenses. Thus, you should expect some out-of-pocket costs for co-pays, deductibles, or co-insurances as required by your insurance policy. All co-pays are due at the time services are rendered. If your deductible has not yet been met, you will have to pay for the service until your deductible is met.

The cost of services rendered cannot be accurately determined until your insurance company has been billed. We will do our best to provide you with an estimate of the cost of the services before or during your appointment. The cost for these services must be paid before materials (glasses or contacts lens) can be ordered.