Other Procedures

At Bergstrom Eye & Laser Clinic, we offer a number of services to meet all of your eye care needs. Below are just a few of the other services we provide. If you have any questions, regarding our services, please feel free to contact us!

– Amblyopia (Lazy Eye)
– Automated Visual Field Testing
– A-Scan
– IOL Master
– Auto Refractor
– Contact Tonometry
– Corneal Disease Treatment
– Corneal Topography
– Disability Determination Exams
– Dry Eye
– Eyelid Disorders
– FAA Flight Exams
– Floaters & Flashers Treatment
– Fundus Photography
– General Eye Exam
– Cirrus HD-OCT
– Implantable Contact Lens
– Indirect Opthalmoscopy
– Keratometry
– Neuro-Opthalmic Exam
– Orb-Scan
– Pachymetry
– Pediatric Eye Exams
– PTK-Phototherapeutic Keratectomy
– Ptosis Surgery
– Retinal Laser
– Scrapings, Smears & Cultures
– Strabismus Treatment (Crossed Eye)
– Visual Fields
– Workmen’s Compensation Exams
– YAG Capsulotomy Laser Treatment

 

Pediatric Eye Care

Pediatric and childhood eye services are available at Bergtsrom Eye and Laser Clinic. It is important to have children examined periodically starting at a few months of age.

Pediatric and childhood vision issues include:

  • Strabismus—a misalignment of eyes, also called cross-eyes.
  • Ptosis—a drooping of the upper eyelid for one or both eyes.
  • Amblypia—poor vision in an eye that did not develop normal sight during early childhood.

What is Strabismus?

Strabismus is a common condition among children. It is a visual disorder where the eyes are misaligned and point in different directions. Sometimes, only one eye is affected — turning inward (esotropia), outward (exotrpia) or downward, while the other eye is directed straight ahead. If not treated, can lead to amblyopia and eventually result in permanent visual loss in the affected eye.

What is Ptosis?

Ptosis is a drooping of the upper eyelid. The lid may droop only slightly, or it may cover the pupil entirely. In some cases, ptosis can restrict and even block normal vision. It can be present in children as well as adults and may be treated with surgery. Ptosis can: affect one or both eyes, be inherited, be present at birth or occur later in life. Untreated it can lead to amblyopia.

What is Amblyopia?

When one eye develops good vision while the other does not, the eye with poor vision is called amblyopic. Usually, only one eye is affected by amblyopia, but it is possible for both eyes to be “lazy.” The condition is common, affecting approximately two or three out of every 100 people. The best time to correct amblyopia is during infancy or early childhood. If amblyopia is not treated early in childhood, it persists throughout life and may lead to permanent vision loss.

Dr. Bergstrom can use a variety of tests to help identify early childhood eye disorders.

Macular Degeneration Treatment

Macular degeneration is damage or breakdown of the macula, which is the part of the retina responsible for central vision. When the macula doesn’t function correctly, we experience blurriness or darkness in the center of our vision. Macular degeneration affects both distance and close vision.

Dr. Bergstrom can perform laser surgery, prescribe optical devices or refer you to a low-vision specialist to help fight this disease.

The disease exists in two forms, dry and wet.

Dry macular degeneration is by far the most common (roughly 90% of all cases). However, it is the milder of the two forms, develops gradually, and usually leads to only minor vision loss. Dry macular degeneration tends to occur when yellow fatty particles called drusen accumulate in the retina underneath the macula. This build-up results in thinning and drying-out of the macular cells.

Wet macular degeneration is less common, but the vast majority of severe vision loss cases result from this form. First, abnormal blood vessels form underneath the surface of the retina. Leakage of blood and other fluids from these blood vessels permanently damage the outside cells (which detect incoming light). As these cells are damaged, vision is lost. 

The primary cause of macular degeneration remains unknown. Macular degeneration typically occurs more frequently in the aging population with patients over 60. Research has shown there are many other factors such as family history, smoking, hypertension, obesity, and/or a high cholesterol, high fat diet that may contribute towards the development of macular degeneration.

Macular degeneration symptoms may include:

Shadows, blurriness, or holes in the center of vision
Straight lines appear wavy
Trouble seeing details both up close and at a distance
Difficulty telling colors apart, especially ones close in hue
Vision can be slow to come back after bright light exposure

Treatment for dry macular degeneration:

Unfortunately, there is no treatment for the dry form of macular degeneration. Those at high risk should schedule a checkup with their ophthalmologist at least once every one to two years, to catch the disease in its infancy. Also, it is thought that dietary supplementation of antioxidants and zinc may help to slow its development. 

Early detection is very important because once vision is lost there is no treatment to regain it.

Treatments for wet macular degeneration:
 

Anti-angiogenesis drugs: This treatment has literally revolutionized our treatment of wet macular degeneration in recent years. These inhibit proteins which contribute to abnormal blood vessel growth. They are known as anti-VEGF (anti-vascular endothelial growth factor) drugs. There are a variety of drugs that can be applicable for this purpose, some FDA approved, and some off-label (officially approved for a different application).

Other pharmaceutical treatments: For example, angiostatic treatments, which combat blood vessel growth with steroid injections.

Avastin: Early study results indicate that a potential new age-related macular degeneration (AMD) therapy may improve vision within one week of injection, researchers announced at the Macula Society meeting of international retinal specialists.

Avastin, the drug used in initial studies, works by inhibiting growth of abnormal blood vessels in the back inner part of the eye(retina), a condition that occurs in the “wet” form of AMD.  Researchers at the University of Miami’s Bascom Palmer Eye Institute said Avastin substantially reduced blood vessel leakage contributing to vision loss.  A larger study is needed to determine if benefits of Avastin as a macular degeneration therapy outweigh risks, said Philip J. Rosenfeld, MD, PhD, associate professor of ophthalmology at the Institute.

Both Avastin and Macugen (the first opthalmic anti-VEGF drug approved by the FDA in December 2004) target a specific type of protein thought to cause abnormal blood vessel growth.  Avastin currently has FDA approval for treatment of metastasis colorectal cancer, but not for macular degeneration.  The use of Avastin for macular degeneration is “off label.”  It is not manufactured to the quality standards for an ophthalmic drug and no ocular safety testing has been done.

The FDA has issued a caution that Avastin, when used to treat cancer patients, has been shown to increase risk of stroke and heart attack.  Patients who are receiving blood thinning agents, including aspirin, must be precluded from using Avastin.  Any patient with any history of abnormal blood chemistry and urinalysis must be excluded from using the drug, the researchers cautioned.

“A potential advantage of Avastin over other therapies for wet AMD is that vision improvement can occur within one week of treatment,” said Dr. Rosenfeld, the principal investigator of the Bascom Palmer clinical trial. “In addition to the improved vision, Avastin causes a reduction in leakage from the abnormal blood vessels, and we observed a restoration of normal macular anatomy.” Avastin, also known as bevacizumab, is manufactured by Genentech, Inc.

Patients with neovascular or the wet form of macular degeneration are thought to have elevated levels of vascular endothelial growth factor (VEGF) in their affected eyes. VEGF is a protein that causes abnormal blood vessels to grow, leak, bleed and damage the macula resulting in vision loss.  New anti-VEGF drugs work by blocking this protein and the formation of abnormal blood vessels that grow in the eye.

“We have been injecting anti-VEGF drugs for the past three years with very encouraging results.  Genentech recently released the results from two studies investigating Lucentis for the treatment of wet AMD.  In those press releases, it was announced that Lucentis therapy in large multi-center trials improved vision at one year in patients with wet AMD.  One of the differences between Lucentis and Avastin is that Lucentis is designed for injection into the eye and Avastin is designed for systemic infusion,” said Dr. Rosenfeld.

Dr. Rosenfeld went on to emphasize that Avastin therapy isn’t a cure and it’s not the right treatment for everyone with wet AMD.  Avastin is only for patients in the early stages of the disease and should be used within 6 months to 12 months from the time of onset, said Dr. Rosenfeld.  Some people would rather have an injection in the eye than worry about the risks of a systemic drug.  What this offers us is a new potential option for patients with wet AMD.   It also provides us with additional evidence that VEGF is the mayor factor for blood vessel growth and vision loss in wet AMD.

“We don’t know how many treatments will be needed,” Rosenfeld said.  “In this study patients were treated two or three times over a twelve week period.  As most patients eyes can be treated with a single infusion into the arm. Avastin is now delivered as an intraocular injection. A larger clinical trial is needed to determine if the benefits of Avastin outweigh the risks.”

Diabetic Eye Care

Diabetic eye disease refers to a group of eye problems that people with diabetes may face as a complication of diabetes. All can cause severe vision loss or even blindness.

Diabetic eye disease may include:

  • Diabetic retinopathy—damage to the blood vessels in the retina.
  • Cataract—clouding of the eye’s lens. Cataracts develop at an earlier age in people with diabetes.
  • Glaucoma—increase in fluid pressure inside the eye that leads to optic nerve damage and loss of vision. A person with diabetes is nearly twice as likely to get glaucoma as other adults.

What is diabetic retinopathy?

Diabetes mellitus can damage blood vessels in the retina, causing diabetic retinopathy. Diabetic retinopathy is the most common diabetic eye disease and a leading cause of blindness in American adults. It is caused by changes in the blood vessels of the retina.

How should I take care of my eyes?

Often there are no symptoms in the early stages of the disease, nor is there any pain. Don’t wait for symptoms.The most important thing is to have your eyes checked regularly. Be sure to have a comprehensive dilated eye exam at least once a year. Using an ophthalmoscope, Dr. Bergstrom can diagnose and treat serious retinopathy before you are aware of any vision problems. He can also perform other operations to treat diabetic eye disorders.

Call Bergstrom Eye and Laser Clinic if you:

  • Have blurry vision for more than 2 days
  • Suddenly lose vision in one or both eyes
  • See floaters (black or gray spots, cobwebs or strings that move or drift when you move your eyes)
  • See flashing lights that aren’t really there
  • Have pain or pressure in your eye(s)
  • Or have any other questions about your eyes.

Cosmetic Procedures

Whether you are seeking to have cosmetic eyelid surgery , Restylane, Radiesse or Botox injections, Dr. Bergstrom has the experience necessary to achieve the results that you want – all in the privacy of his clinic. Click here to request more information on the cosmetic procedures that we offer.

Now Offering Non-Surgical Facial Rejuvenation

Time takes a toll on our bodies, as we age our skin does too. Gravity starts to set in and years of smiling and frowning have created their mark with lines and wrinkles, which get deeper by the year.

At Bergstrom Eye & Laser Clinic, we encourage good nutrition, diet and exercise to take care of the inside and we offer several cosmetic treatments to take care of, enhance and rejuvenate your outside.

The variety of customized non-surgical solutions we offer for both men and women are designed to erase, as well as slowdown the early signs of aging. These popular cosmetic procedures can help rejuvenate the skin and reduce the effects of the sun, aging, and some facial skin disorders bringing about smoother, younger, healthier-looking skin. Treatments are safe, effective and convenient.

Eye and Eyelid Surgeries

Blepharoplasty

Blepharoplasty is a common surgical procedure to remove excess eyelid skin that is impairing eyesight. The surgery involves the repositioning or removal of excessive upper eyelid tissue. Blepharoplsty can be performed on both the upper and lower eyelids, depending on the nature and severity of the condition. Generally, the excess upper eyelid skin will hang down over the eyelashes and block your peripheral vision or the outer and upper parts of your field of vision.

Patients that have less severe excess skin under the eyelids may opt to have the procedure performed for cosmetic reasons, especially if they want to remove the look of “bags” under their eyes.

The procedure is performed through external incisions along the fold of the eyelid. The incisions are made at the creases of the upper eyelids below the lashes, or on the inside surface of the lower lids. Swelling and bruising may be present for a week or two following surgery, but will disappear in the next several weeks.

Important NOTE: Many eyelid surgeries may be covered by insurance depending on the situation. The only way to determine if eyelid surgery is truly a medical necessity is to visit our office for a consultation with Dr. Bergstrom.

Helpful Videos

  1. What Is Blepharitis
  2. BlephEx™ Procedure
  3. Dry Eye Decoded by Dr James Rynerson MD

Ptosis

Common eyelid conditions like ptosis, or droopy lids are generally age related. Ptosis can be present at birth or it can develop as a result of aging or injury. The condition can affect the levator muscles that lift the eyelid.

Ptosis is generally treated through surgery. Dr. Bergstrom will tighten your levator muscles to lift the eyelids and improve your vision if your droopy lid was previously blocking your vision.

Dr. Bergstrom performs more Blepharoplasty/Ptosis surgery than any other regional surgeon and has done hundreds over the last 15 years.

If you are interested in learning about the possible treatment options for your eyelids, please contact the staff at Bergstrom Eye & Laser to schedule an appointment.

Trust your Lids to the “Eye Guy”

 

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Facial – In Office Procedures and Treatments:

BOTOX®
Restylane®
JUVÉDERM®
RADIESSE®
LATISSE®
BOTOX® Cosmetic
Disport ®
Xeomin ®

 

You’ve probably heard about BOTOX® Cosmetic. It’s been in the news, in fashion, in beauty magazines, and on TV. We have been offering Botox® in Fargo longer than any other local MD and were 1st to use Botox when being developed at V of M in the late 1980’s.

BOTOX® is a popular non-surgical injection that temporarily smoothes or eliminates frown lines, forehead creases, and crow’s feet near the eyes. This is done with no surgery and no recovery time. The amazing results can be seen within days, and can last up to 4 months (results may vary).

What is BOTOX®?
BOTOX® (Botulinum Toxin) is a protein derived from Clostridium Botulinum toxin.

How does BOTOX® work?
Once injected underneath the skin, the medication blocks the nerve impulses, temporarily holding the muscles that cause wrinkles while giving the skin a smoother, more refreshed appearance.

Why would you get treated with BOTOX® Cosmetic?
For those stubborn frown lines, forehead creases, and crows feet which make you look tired or upset.
Something to assist in maintaining your appearance.

BOTOX® Cosmetic has been ranked as the most popular physician-administered aesthetic procedure in the United States (surgical and non-surgical combined).

Contact us today to schedule your consultation.

Lasik & Laser Star Correction

Dr. Bergstrom uses the VISX S4 laser platform to perform laser eye procedures, the same company that invented laser eye surgery. Approximately 70% of all eye surgeons use the VISX laser to perform laser eye surgeries. In fact, more laser vision surgeries are performed with the VISX laser than any other laser brand combined.

What is LASIK?

Since the late 1970’s incisional refractive surgery (RK) has treated nearsightedness and astigmatism in patients all over the world. Now refractive surgery has experienced the dawn of a new era with the advent of the excimer laser. For nearly 25% of the population, excimer Laser in-Situ Keratomileusis, or LASIK, could represent the first step towards less dependence on corrective lenses for many. LASIK is a surgical procedure used to correct nearsightedness, farsightedness, and astigmatism, reducing or eliminating the dependence on eyeglasses or contact lenses for many patients.

To perform LASIK, Dr. Bergstrom creates a thin surface flap by using a microkeratome on the cornea. This exposes deeper tissue layers, which are then treated with the highly precise, computer guided Excimer laser. Once this process is completed, Dr. Bergstrom carefully replaces the corneal surface flap to protect the eye. How successful is the procedure? The vast majority of people who undergo LASIK are able to pass a drivers’ license test without their glasses or contacts. Since LASIK can be used to treat very high levels of refractive error, it is sometimes necessary to fine-tune the initial procedure with additional refractive procedures to obtain the best final result.

Patients who receive LASIK from Dr. Bergstrom have extraordinary outcomes.
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What is PRK?

Like LASIK, Photorefractive Keratectomy or PRK is a surgical procedure that reshapes the cornea, correcting nearsightedness, farsightedness or astigmatism. Yet, unlike LASIK, during PRK the eye’s epithelium (“skin”) is removed in order to expose underlying tissue. Dr. Bergstrom then treats the eye using the excimer laser. He then places a protective contact lens over the eye, allowing it to begin healing. The recovery period after a PRK procedure is somewhat slower than LASIK, but the results are generally the same and in some case better.

What is CustomVue?

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The new CustomVue procedure takes LASIK to a new, personalized level. Using WaveScan technology, a unique map of your eye is created, like a fingerprint. The custom information is transfered directly from the WaveScan to the VISX Laser and works gently by reshaping the cornea with the cool beam from the laser to remove microscopic amounts of tissue, creating a new curvature of the eye. Using VISX’s 3D ActiveTrak, the laser automatically tracks tiny motions of the eye in all three directions during the procedure. This adds a new level of precision, comfort and safety to the laser procedure.The procedure typically takes seconds and a majority of patients feel no discomfort. Many notice immediate results after CustomVue and vision continues to improve over several days. Routine follow-up visits complete the CustomVue process.

Proven Benefits of CustomVue:

– Improved overally quality of vision

– Improved night vision

– Unique, custom LASIK for the individual

– According to the FDA, 98% of CustomVue treated eyes achieved 20/20 vision or better!

If you are not a candidate for lasik these Visian ICL lenses might be an option.

Select this link for more information about Visian ICL.

 

Glaucoma

Glaucoma is a disease of the optic nerve and is one of the leading causes of blindness in the United States, especially for older people. Dr. Bergstrom has the tools necessary to treat this disease and is experienced in the treatment of all stages of glaucoma.

Bergstrom Eye & Laser Clinic uses the latest, most advanced technology available to detect and diagnose glaucoma, including the regions first HRT and advanced OCT.

Dr. Bergstrom is available for consultation, second opinions, and surgical management.

Cataracts

A Natural Effect of Aging

The eye’s natural crystalline lens helps us focus on people and things at varying distances. Unfortunately, as we grow older this lens hardens, and without its youthful suppleness, loses its ability to focus, creating vision problems. This condition, a natural consequence of aging, is called presbyopia. Some people begin experiencing the early effects of presbyopia (such as gradual loss of near vision) in their mid-40s.

As we age, these changes occurring to the natural crystalline lens will lead to the development of cataracts. By age 65, a large percentage of us will develop a cataract, most often typified by cloudy/fuzzy vision. With a cataract you may have difficulty seeing in extremely bright light or low-light conditions.

Improving Your Vision

Developing a cataract doesn’t mean a permanent loss of vision quality, or having to give up the things you love, because cataract surgery is a safe, effective way to improve your vision. Cataract surgery is the most commonly performed surgery in the United States, with well over 2 million Americans having the procedure every year. Performed almost exclusively on an outpatient basis, cataract surgery is microsurgery, whereby the natural lens is removed and replaced with what is called an intraocular lens (IOL). The procedure is highly successful and most people regain very good distance vision, somewhere between 20/20 and 20/40.

Northern Plains Surgery Center
Northern Plains Surgery Center

Northern Plains Surgery Center

Dr. Bergstrom is proud to use NPSC as his primary surgical facility. Northern Plains Surgery Center is a Medicare certified facility, dedicated to providing world class eye care, close to home. NPSC was established in 1999 by Dr. Bergstrom and other local eye surgeons who felt there was a need to provide world class technology and treatments close to home. To date this facility has performed over 20,000 eye related procedures, including over 15,000 Cataract Surgeries, the leader by far in our region. Eye surgery costs are less than a hospital and the medicare assignment amounts fully cover surgeries. The care you will receive at NPSC is second to none with literally thousands of satisfied patients who are thrilled about their experiences and surgical outcomes.


The American Society of Cataract and Refractive Surgery

The American Society of Cataract and Refractive Surgery is an international, educational society with more than 9,000 members. Its mission is to advance the art and science of ophthalmic surgery and the knowledge and skills of 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.

Since its founding in 1974, ASCRS has led the field through significant advances in technology and clinical science through its educational programs, publications and on-line resources. ASCRS has become the surgeons’ primary source of up-to-date clinical information, published research, and regulatory information affecting the practice of medicine.

Read More

Aesthetics

Bergstrom Eye and Laser Clinic offers expert facial and skincare treatments including:  Microdermabrasions, Rejuvapen, PRP microneedling, Erbium skin resurfacing, skin laser, peels, herbal steams, Casmara facials, airbrush tanning, and waxing.

JILL KOLLMAN has been a make-up artist for 25 years and attended St. Luke’s School of Nursing where she received her RN, graduated from MSUM with a Bachelor’s of Science in Nursing and The Salon Professional Academy for her Aesthetics training.

Jill brings a more holistic and organic approach to skincare and treatments by eliminating toxic chemicals and irritants from the skincare and body products.  Jill will provide a no charge consult to help you have the most beautiful, healthy skin possible.

• Licensed Registered Aesthetician /Skin Therapist
• Skin Laser Specialist
• MUA (Makeup Artist)

Services Offered: (Call For Consultation)

MICRODERMABRASION:

• DermaRadiance® Microdermabrasion • DermaRadiance® Microdermabrasion w/Micro-emulsion treatment • DermaRadiance® Microdermabrasion w/Celluma (included decolletge)

FACIALS:

• Casmara Customized Mask and Facial (75 minutes) • Organic Custom Bohemian Facial w/herbal steam (60 minutes) • Organic Express Facial/Steam Mask (30 minute) • Khus + Khus SEN Facial (60 minutes)

TANNING:

• Bronze Biologic™ Spray Tan (packages available)

Bronze Biologic premier cosmeceutical tanning solutions are proprietary formulas that use only the finest botanical ingredients available to produce a safe, all natural looking tan. All of our solutions are manufactured in the highest quality facility with a unique process that is exclusive to Bronze Biologic, utilizing beet and cane sugar extracts.

PRODUCTS Available:

• CV Skinlabs™ • Suntegrity® Sunscreen  • Laurel Whole Plant Organics Skincare • Skin and Bones Organic skin care • PURE Inventions (Power of your water) • Niko Organics • Dermalogica • Revision• Bohemian Collection Organic Skin/Body care • Peluzzi Organica • Casmara• Bronze BioLOGIC • Latisse • Ammona Botanicals • P.F. Candle Company • Khus Khus Modern Herbal Fusion • Teamine Eye Complex • Powder and Pandemonium • Satin Smooth • Morphe Brush

LASER TREATMENTS:

Harmony® Laser Treatments : Harmony® XL NIR Treatment, Harmony® XL Photo-facial/Photo-rejuvenation, Harmony® XL 360 Treatment, Harmony® XL Hand Rejuvenation

SKIN TREATMENTS:

• Biophotas Celluma Treatments (anti-aging, pain management) Reduces the appearance of fine lines and wrinkles (anti-aging), relieve arthritic pain, muscle pain and stiffness (pain management), treat existing blemishes and minimize future breakouts (acne)
• 30 minute sessions (packages available) • PelleveTM  (packages available). Revolutionary innovation for smoother, tighter skin. FDA cleared to treat facial wrinkles without surgery.  With Pelleve™, you can look and feel refreshed, naturally.
• Rejuvapen – minimizes pore size, reduce fine lines and wrinkles, rejuvenates skin, improves appearance of stretch marks, scars and acne scaring.
• Rejuvapen – with Plately-Rich Plasma – for skin rejuvenation, skin resurfacing, post acne scars and post surgery scars

INJECTABLES AND FILLERS:

• Radiesse® – FDA approved filler that replenishes volume and stimulates collagen production.
• Restylane® Lyft – Filler approved by the FDA to provide lift to cheeks and add volume to correct and smooth smile lines.
• Restylane® Silk – designed to provide precise lip shaping and line contral, resulting in silkier, smoother lips and natural-looking results.
• Sculptra® – helps stimulate skin’s own natural collagen production to help restore its inner structure and increase facial volume that has been lost to aging.
• Xeomin® •  Disport® •  Botox®

EYELASHES BY POWDER & PANDOMONIUM AND EYEBROWS:

• Single Strip (application & lashes)
• Multi Use (application & lashes)

WAXING :

• Half Leg, Full Leg, Eyebrows, Lip, Eyebrow and Lip, Chin, Nose, Full Face, Underarm, Arm

GIFT CERTIFICATES AVAILABLE