Total Eye Care

Office Hours

Monday: 8:30 am - 4:30 pm
Tuesday: 8:30 am - 4:30 pm
Wednesday: 8:30 am - 4:30 pm
Thursday: 8:30 am - 4:30 pm
Friday: 9:00 am - 2:00 pm


Services

Comprehensive eye exams

Regular eye exams are an invaluable tool in maintaining healthy eyes by detecting and preventing disease. Some diseases develop slowly without causing pain or vision loss. Early detection of any problems can reduce the risk of further harm and allow for a choice of treatment options. The entire exam process can take an hour depending on the complexity of your problems.  We will have you fill out your medical history and demographics in advance in most cases to facilitate your first visit. A screening evaluation by our technicians will precede your exam by Dr. Peyser. You will be evaluated with a refraction, slit lamp, intraocular pressure and full retinal exam.  Further diagnostic testing such as optic nerve imaging and computerized visual field testing may also be done, if indicated by Dr. Peysers findings.

Cataract Surgery

Symptoms & Signs of Cataracts

  • Vision is blurred or dim
  • Driving is difficult, especially at night
  • Colors seem dim or washed out
  • A "haze" seems to block vision
  • Glasses seem dirty but cleaning them doesn't help
  • Normal activities, such as reading, sewing, watching TV, become difficult
  • Stronger glasses don't improve vision

 

Dr Peyser has had 30 years of surgical experience and has assisted in training ophthalmology residents from the Medical University of South Carolina during that time. He has been on the medical staff of Roper/St. Francis, Trident Hospital and Storm Eye Institute since 1983.

Dr Peyser specializes in cataract surgery and has performed thousands of cases using the latest techniques using emulsification, no needles and  no stitch surgery. He inserts the latest technology implants including multifocal, toric and aspheric implants.  These intraocular lenses allow patients to be less dependent on eyewear postoperatively. The multifocal lens most used by Dr Peyser is the Acrysof ReStor intraocular lens.  This lens implant corrects for distance as well as near vision and in the majority of cases patients can be glasses free.  The Acrysof Toric intraocular lens is  for patients with corneal astigmatism and is suited for patients who desire good unaided far vision but don’t mind wearing near glasses.

Glaucoma diagnosis and treatment

Glaucoma is a disease of the eye associated with slow, progressive loss of peripheral vision. Although there are many types of glaucoma, "open angle glaucoma" is the most common. The most important risk factors include age, race, elevated eye pressure, family history of glaucoma, and other systemic health problems such as diabetes. Other types of glaucoma are less common, such as narrow angle glaucoma, and can be detected by a thorough eye examination. We consider many factors before deciding whether you need treatment for glaucoma, or whether you should be monitored closely as a glaucoma suspect. Our glaucoma evaluation includes measuring your intraocular pressure, the thickness of your cornea, and inspecting the drainage angle of your eye. We also evaluate whether or not there is any optic nerve damage, test the peripheral vision of each eye (visual field testing), and perform computerized imaging. The key to successful management is early detection and regular follow-up examination. Once diagnosed with glaucoma, therapy usually includes drops, but may also involve specialized glaucoma surgery, including laser.

Diabetic retinopathy

Diabetic retinopathy is a disorder of the lining of the back of the eye called the retina. The retina functions like the film of a camera and allows images to be focused and transmitted to the brain.  The vasculature is affected by diabetes and can result in blindness if retinopathy goes undetected.  Two types of retinopathy develop form diabetes, background and proliferative. The background type results in swelling of the very center of the retina and can lead to loss of sight.  Proliferative retinopathy is a more serious condition which may require laser and/or intraocular treatment.

Dr Peyser has treated thousands of patients with glaucoma and diabetic retinopathy over the past 30 years and when indicated performs laser treatments for both disorders.

Optical Department

For those patients needing glasses or contact lenses, Ashley Eye Center offers a complete optical department. Since your prescription can be filled at the same place it was written, you will not only save time and travel, you will also have the security of knowing the doctor who wrote the prescription is available to answer questions. Our office is staffed with experienced opticians who specialize in high fashion eyewear and carry an assortment of designer frames.