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Focus on Excellence!

Patience is not the ability to wait, but the ability to keep a good attitude while waiting.

-Joyce Meyer

Greetings from Excellence Eye Care

Dr. Sylvester and Sukaina (Kenny) Keshavji are anxiously waiting to help you See and Be Seen. Construction is underway and we are setting our sights on a late fall opening. We’ll be sure to send out another newsletter once we start scheduling appointments!

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It took over four months to get through the building permit process but here we are in the midst of construction. If you have driven by the Millway Plaza you have likely seen our new signs.

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Equipment Spotlight

Topcon Maestro 2

Accurately determining the health of the retina and optic nerve are paramount in eye care. Excellence Eye Care utilizes the Topcon Maestro 2 for detailed imaging of the inside of the eye. Two types of imaging are obtained simultaneously with this amazing piece of equipment. First, a photo of the retina is taken, which allows for a surface view of the back of the eye. While Dr. Sylvester also takes a live look at the back of your eye during your exam, the views can only be momentary since the light used would become uncomfortable. With the retinal photo, a quick flash of light captures an image of the back of the eye that can be more easily studied. The photo can also be used to educate you on your eye health. The photo is stored in your medical record for reference, allowing for easy future comparison.

TopconMaestro2 retinal images
Retinal photo showing a surface view with corresponding OCT section (green horizontal line) allowing a view under the retina.


The second type of imaging captured is called Optical Coherence Tomography, or OCT. An OCT image allows what lies beneath the surface to be seen as well. Sometimes, things may appear normal on the surface of the retina and optic nerve when in fact, they are not. Early macular degeneration, early macular edema from diabetes, early thinning of optic nerve tissue that can lead to glaucoma, and other insidious conditions can all be uncovered in a timely manner. Early detection of eye disease allows for prevention and treatment strategies to be promptly undertaken to preserve vision.

OCT is a non-invasive, non-contact procedure that doesn't require preparation from the patient. There is no exposure to radiation since unlike images obtained by an x-ray, CT scan, or MRI, the machine simply uses light to obtain the images. The patient sits in front of the Maestro 2, a couple of bright flashes like a normal camera flash go off, and the images are available for viewing within a minute.

OCT of macula

The advent of OCT has revolutionized the way we evaluate the retina because we can now detect subtle findings not otherwise easily seen during clinical exams. This makes the OCT one of the most valuable tests we can provide to our patients. Being able to offer retinal photos and OCT at Excellence Eye Care allows Dr. Sylvester to help her patients see as best as they can for as long as they can.