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Glaucoma and Treatment Options

July 24, 2017

More than 4 million Americans are affected by glaucoma, an eye disease that gradually leads to loss of vision. There are no major symptoms to warn you of the increase in eye pressure caused by the eye’s drainage canals becoming clogged over time. Since there are few warning signs before damage occurs, it is important to see your eye doctor for regular eye examinations. Once glaucoma is diagnosed there are several treatments to help prevent further damage and vision loss.

Who is at risk for Glaucoma?

There are several factors that affect your risk of having glaucoma including, age (over 60), immediate family members with a history of glaucoma, some ethnicities (African Americans are 6-8 times more likely to have glaucoma than Caucasian populations) and Asians have a higher risk of angle-closure glaucoma, eye injuries and high myopia.

How is Glaucoma treated?

There is no cure for glaucoma and vision loss cannot be regained. However, medications and surgical procedures can help prevent further progression of the disease.  When eye drops alone are no longer effective in reducing the pressure in the eye, laser or surgical procedures may be used. Selective Laser Trabeculoplasty or SLT and Argon Laser Trabeculoplasty (ALT) are in-office laser procedures that help improve the drainage system in the eye. A more invasive surgical filtering procedure called Trabeculectomy is performed when medications and laser are not sufficient to control eye pressure.

How does Minimally Invasive Glaucoma Surgery (MIGS) treat Glaucoma?

MIGS is a procedure added to cataract surgery to lower the pressure in the eye due to glaucoma.  A miniature stent device, only 1mm long, is placed in the primary blockage site to allow fluid to flow through the natural pathway and lower eye pressure. Patients with mild to moderate glaucoma, currently using 1 – 3 drops to control glaucoma, can potentially reduce or eliminate drops following the MIGS procedure.

“Glaucoma is the second leading cause of blindness in the world, behind only cataracts,” says Dr. Julie Chung, a Glaucoma Specialist at Advanced Vision Care. “We are pleased to give patients access to technologies that can help treat this disease.”

Advanced Vision Care Honored as a Top Practice by CRST

July 19, 2017

We are pleased to announce that Advanced Vision Care has been honored as one of the Top Practices by CRST. Since 1977, Advanced Vision Care has been dedicated to providing high quality eye health care in Los Angeles, California. Dr. Samuel Masket, clinical professor of ophthalmology at Jules Stein Eye Institute of UCLA and a founding partner of Advanced Vision Care, discusses its origination and what their hopes and dreams were for the practice from day one.

Now with a team of five doctors, Advanced Vision Care offers an array of services covering cataracts, glaucoma, corneal disease, dry eye, retinal disorders, and ocular injuries. Read the full practice profile on Advanced Vision care here.


Dr. Shamie to be Featured in Restasis Commercials

July 5, 2017


If you’re watching TV tonight, you may see a familiar face. We are honored to announce that Dr. Neda Shamie will be the spokesperson in upcoming Restasis® television commercials.

As someone who previously suffered from dry eye symptoms , Dr. Shamie has been a Restasis user for the past five years. Dr. Shamie believes strongly in using the drops to treat and prevent worsening of the largely ignored problem of dry eyes. During her fellowship training, Dr. Shamie’s center played a pivotal role in evaluating the efficacy and utility of Restasis in treating chronic dry eyes due to lack of tear production and inflammation. As such, Dr. Shamie’s knowledge base in treating dry eyes and her passion for understanding and finding dry eye treatment options has flourished over the past decade.

Through the years, Dr. Shamie’s expertise and knowledge has enabled her to offer great relief to thousands of dry eye patients.

“RESTASIS®, is the prescription medication that is FDA-approved to help increase your eyes’ natural ability to produce tears, which may be reduced by inflammation due to Chronic Dry Eye disease It has truly been a centerpiece in my treatment protocols for my dry eye sufferers.” shared Dr. Shamie.

Through her work with Allergan and Restasis, Dr. Shamie hopes to increase awareness about dry eyes and spread the word nationally about this treatment option.


Fireworks Safety Tips

July 3, 2017

Fireworks are a visual treat for the eyes, but without proper safety precautions, they can also cause severe damage to your vision.

Thousands of people are admitted to the emergency room each year with firework-related eye injuries, many of them children. In severe cases, fireworks can rupture the globe of the eye, cause chemical and thermal burns, corneal abrasions and retinal detachment that can result in permanent vision impairment or loss.

Here are five ways to help you and your family stay safe this Fourth of July:

1. Attend a public fireworks display. Why not take the night off? Public fireworks displays allow you to enjoy professional-level pyrotechnics while maintaining a safe distance. Just make sure you adhere to the event’s safety guidelines and keep at least 500 feet from the display.
2. Wear protective eyewear. If you do decide to shoot off your own fireworks, provide protective eyewear for bystanders—and especially the person lighting the fireworks—to prevent sparks or stray debris from hitting the eye.
3. Don’t touch unexploded fireworks. No one likes a dud, but resist the urge to investigate an unexploded firework and instead contact your local fire or police department for assistance.
4. Keep the children away. They may look like toys, but young children should never play with fireworks of any kind. Even fireworks advertised as kid-friendly, such as sparklers, should not be held by children under the age of 5.
5. If you are injured, keep your hands off. If you do sustain an injury from a firework, seek medical attention immediately and do not rub, rinse or apply pressure to your eyes. Do not try to remove the debris or apply ointments or medications.

The Fourth of July is a time for celebration. With these safety precautions in mind, you can help ensure that you and your family can enjoy the spectacle for years to come.

What is Corneal Cross-Linking?

May 16, 2017

Cross-linking is a procedure where UV light and riboflavin applied to the corneal surface strengthen collagen within the cornea. This helps to stabilize ectasia, a bulging of the eye’s surface, caused from progressive Keratoconus, other corneal disease or in rare complications of LASIK surgery.

What you need to know about corneal cross-linking?

Corneal cross-linking is a minimally invasive, in-office treatment for ectasia. In April of 2016, the U.S. Food and Drug Administration approved the corneal cross-linking as a means of treating patients with Keratoconus and ectasia.

Keratoconus is a progressive thinning and distortion of the cornea, that is vision threatening. It is the most common corneal dystrophy in the US, affecting approximately 170,000 people. Keratoconus changes the corneal curvature, resulting in blurred vision that is difficult to correct with spectacle lenses. This progressive thinning and weakening can result in significant visual loss and may lead to corneal transplants.

How does corneal cross-linking work?

In this procedure, the doctor applies a liquid form of vitamin B2 on the cornea and exposes it to ultraviolet light to strengthen the bonds of the cornea. This minimally invasive procedure works to shorten and thicken the collagen fibers, which stabilizes the thinning of the cornea and improves vision. The procedure does not require any surgical incisions, and corneal cross-linking may produce long-term and permanent results.

Corneal cross-linking:

  • makes new corneal collagen cross-links
  • shortens and thickens collagen fibrils
  • stiffens the cornea

AVC Corneal Cross-Linking
At Advanced Vision Care, our doctors will complete an examination to determine whether you are a candidate for this procedure. With corneal cross-linking, we aim to restore and strengthen the vision of our patients who struggle with ectasia. We are committed to giving you individualized care that provides you with the clearest vision possible.


Dr. Neda Shamie Receives Honor of Presenting at the American Society of Cataract and Refractive (ASCRS) Annual Meeting

May 15, 2017

Dr. Neda Shamie of Advanced Vision Care received the honor of presenting at the American Society of Cataract and Refractive (ASCRS) Annual Meeting last weekend. Dr. Shamie spoke on how the technology can help ophthalmology practices grow clinically, functionally, and financially.

She presented specifically on the Modernizing Medicine's ophthalmology suite and her experience with the electronic health record software. She discussed how the software allows for greater efficiency for the doctors and staff at Advanced Vision Care.

To read more about Dr. Shamie’s presentation, visit

Advanced Vision Care Surgeons Are Featured Speakers at International Conference on The Art and Science of Ophthalmology

May 14, 2017

Advanced Vision Care Logo
Los Angeles, CA – Doctors Samuel Masket, Nicole Fram and Neda Shamie of Advanced Vision Care, will present topics ranging from premium and complex cataract surgery techniques, advanced lens implant technology, artificial iris prosthesis, corneal crosslinking and innovative corneal transplant techniques at the American Society of Cataract and Refractive Surgery (ASCRS) Conference from May 5-8 th in Los Angeles.

The practice has been at the forefront of leading edge technology and clinical trials to advance visual outcomes for patients confronted with eye disease and poor vision.

Dr. Samuel Masket is the founding partner of Advanced Vision Care in Century City, Clinical Professor of Ophthalmology, Stein Eye Institute, David Geffen School of Medicine, UCLA, past-president of ASCRS and co- founder of the Samuel and Barbara Masket Foundation, a non-profit charitable trust to benefit patients in need of vision correcting surgery that they cannot otherwise afford. Dr. Masket is also credited for his pioneering work with the femtosecond laser in 2004 that helped lead to a revolutionary new method for cataract surgery. He will be presenting multiple courses and papers on complex cataract surgery, management of malpositioned IOLs and surgical solutions for Negative Dysphotopsia during the conference, as well as being the featured speaker of the named Richard L. Lindstrom, MD Lecture.

Dr. Nicole Fram is the managing partner at Advanced Vision Care in Century City, a Clinical Instructor of Ophthalmology, at the Stein Eye Institute, UCLA and has expertise in premium cataract surgery, anterior segment reconstruction, laser refractive surgery and cornea and external disease. She will be presenting at Cornea Day on implementing the newly FDA approved technique of Corneal Crosslinking into clinical practice. Corneal Crosslinking is indicated for progressive keratoconus or post-laser vision correction ectasia. This procedure can potentially prevent severe vision loss and eventual need for corneal transplantation in early identified and treated patients. In addition, she will be teaching several courses on subjects ranging from complex cataract surgery, management of malpositioned IOLs, astigmatism management, intraoperative aberrometry and innovative corneal transplantation techniques such as Descemet’s membrane Epithelial Keratoplasty (DMEK).

Dr. Neda Shamie has expertise in cornea and external disease, premium cataract surgery, anterior segment reconstruction and laser refractive surgery. She will be presenting at Cornea Day on endothelial keratoplasty and how to choose between DMEK and DSEK in complex cases. She will also be teaching several courses on topics such as optimizing results with laser cataract surgery, surgical correction of malpositioned IOLs in the setting of corneal disease, management of corneal astigmatism with cataract surgery, and diagnosis and treatment of dry eyes. She is recognized as a national and international expert in advanced corneal transplantation and a highly regarded educator of advanced surgical techniques. As such, she will be the lead instructor in a series of courses on the topic or corneal transplantation, including wet lab demonstrations on laser enabled Deep Anterior Lamellar Keratoplasty (DALK), Descemet’s Stripping Endothelial Keratoplasty (DSEK) and DMEK.

The ASCRS organization shares knowledge and skills with ophthalmic surgeons by providing clinical and practice management education and by working with patients, government, and the medical community to promote the delivery and advancement of high-quality eye care. Advanced Vision Care in Los Angeles, CA recognizes the benefits of sharing their surgeons’ experience with national and international colleagues to promote knowledge and treatments to correct vision disorders.

About Advanced Vision Care

Advanced Vision Care in Los Angeles, CA is dedicated to providing state-of- the-art, individually based, high quality, eye health care. Drs. Samuel Masket, Nicole Fram, Neda Shamie and Juliet Chung are board-certified skilled ophthalmologists that provide a variety of services to help patients attain the clearest vision possible. Their services cover a range of eye problems including cataracts, glaucoma, corneal disease and dry eye, retinal disorders, and ocular injuries. They have the common goal of ascertaining the most appropriate care for any given patient, explaining the purpose of the treatment, and in initiating said therapy in a courteous and compassionate manner irrespective of age, gender, nationality, race, or payment program. For more information on how to contribute to the Samuel and Barbara Masket Foundation, please visit the website by clicking here


February 27, 2017

Do you experience eye dryness, irritation, or burning?
You may be eligible to participate in a research study to evaluate the safety and effectiveness of an investigational eye drop for the signs and symptoms of dry eye. Must be 19 Years or older and able to refrain from using your own eye drops and contact lenses during the study. For information, please contact Orly at 310-220-1220.


March 13, 2015

Advanced Vision Care, a full service eye care center, today announced that it is the first in the local community to introduce a new treatment for patients who suffer from Evaporative Dry Eye disease.  This disease stems from a deficiency in the oily lipid layer of the eye’s natural tear film.  The oily lipids serve as a protective layer so that the aqueous (water) layer of the eye’s tear film does not evaporate.  Advanced Vision Care has introduced a new, advanced in-office treatment, called LipiFlow®, which is intended to treat patients with blocked meibomian glands, called meibomian gland dysfunction, by unblocking the glands and allowing them to resume the secretion of oily lipids needed for a healthy tear film.

Dry eye disease affects more than 100 million people worldwide.  Of those, 65 percent suffer from Evaporative Dry Eye.  Common symptoms of dry eye include dryness, grittiness, soreness, irritation, burning and eye fatigue.  These symptoms can hinder people’s daily activities such as reading, using the computer, wearing contact lenses and being outdoors on windy days.  Many dry eye patients complain those symptoms worsen throughout the day.  “Dry eye disease is one of the most common topics patients discuss when visiting eye care professionals,” said Dr. Nicole Fram.  “We are very pleased to introduce the new LipiFlow treatment to help those patients who are very frustrated with this chronic disease and all of the ways it negatively impacts their lives.  In effect, LipiFlow helps the meibomian glands resume their natural function and many patients note symptom relief.”

Historically, common therapies aimed at dry eye symptom relief included using warm compresses, over- the-counter wetting drops and ointments, and prescription drugs.  Alternatively, the new LipiFlow treatment addresses the root cause of evaporative dry eye by unblocking the meibomian glands that secrete oily lipids.  In controlled clinical studies of patients who received a single LipiFlow treatment, the average meibomian gland score at 4 weeks increased by two to three times over the baseline condition, which reflects improvement in the number of glands secreting and secretion quality.


Premium Laser Cataract Surgery- Press Release

October 1, 2011



Los Angeles based Advanced Vision Care to Be One of Only Fifteen Locations in the US to Offer the Breakthrough Technology

(September 16, 2011) – Los Angeles, CA - Effective Sept 27, 2011 Advanced Vision Care Surgeons will offer a revolutionary new form of Premium Cataract Surgery. Employing the LenSx Femtosecond laser for added precision in key parts of the cataract surgical procedure, the surgeons (Samuel Masket, M.D. and Nicole Fram, M.D.) anticipate the safest and most reliable outcomes for cataract surgery patients. Although present levels of surgery are a virtual miracle of modern medicine, the new premium laser assisted method promises even greater accuracy.


Dr. Masket was the first surgeon to adapt the femtosecond laser technology for the purpose of cataract surgery in experimental work as early as 2004. He and Dr. Fram published this work in the Journal of Cataract and Refractive Surgery in 2010. Now, use of this laser for patients has become a reality. Specialty Surgery Center in Beverly Hills (affiliated with Advanced Vision Care), where the surgery will be performed, is among the first 15 centers in the country to house the laser.


“The femtosecond laser can perform several steps of the cataract operation in an automated and more predictable fashion than is currently practiced. It promises to achieve greater accuracy in optical outcomes and will be available as an option for selected cases,” stated Dr. Masket.


Dr. Fram concurred, “We’re thrilled to offer this new technology and procedure to patients, and look forward to making it available to other surgeons in the community through our surgery center. We truly pride ourselves in staying ahead of the curve in medical technology, and this new Premium Laser Cataract Surgery is very exciting technology.”


Advanced Vision Care will offer Premium Laser Cataract Surgery beginning September 27, 2011. Specialty Surgery Center in Beverly Hills will be the only location in the Los Angeles area, and one of only fifteen locations in the United States to offer this technology and procedure




Advanced Vision Care is dedicated to providing state-of-the-art, individually based, high quality, eye health care. Drs. Samuel Masket, Nicole Fram, Juliet Chung, Neda Shamie, and Jennifer Dang are board certified skilled ophthalmologists that provide a range of services to help patients attain the clearest vision possible. They have the common goal of ascertaining the most appropriate care for any given patient, explaining the purpose of the treatment, and in initiating said therapy in a courteous and compassionate manner.

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