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Aprima Eye Consultants - Brad Altman, O.D., FSLS

Medical Services

Ocular disease doesn’t have to mean reduced quality of life. APRIMA is home of Fellowship-Trained Dr. Brad Altman, offering treatment but not limited to:

  • Blepharitis
  • Cataract Evaluation
  • Cornea Scars
  • Diabetic Eye Disease
  • Dry Eye
  • Emergency Eye Care
  • Floaters & Flashes
  • Glaucoma
  • Infections
  • Keratoconus
  • Macular Degeneration
  • Neurotrophic Keratitis
  • Recurrent Corneal Erosions

We invite you to allow Dr. Altman to help manage your condition. For an appointment please call (615) 535-9787.

Excellence in Keratoconus Care

Keratoconus, conventionally thought to be noninflammatory, is a disease of the cornea in which the cornea assumes a conical shape because of thinning and protrusion. The irregular shape of the cornea is what leads to visual disturbances resulting in mild to marked impairment of visual function.

Keratoconus should be suspected in young individuals that cannot achieve 20/20 or requires multiple changes in spectacles.

Visual correction begins with Spectacles followed by Contact lenses. Contact lenses do not prevent progression of the disease.

Cornea cross linking (CXL) to reduce keratoconus progression works best in young people with mild disease, however individuals with mild to moderate keratoconus may benefit from this procedure to help limit progression.

Intrastromal ring segments (ICR) in patients with adequate corneal thickness are helpful in keratoconus to center the cone and improve contact lens tolerance.

Specialty corneal Rigid Gas Permeable lenses (corneal RGPs) specifically tailored for the individual’s visual needs and comfort tolerance can provide sharp and clear vision. The geometry of the lenses Dr. Altman uses is customized for each individual’s cornea.

Moreover, Dr. Altman uses Scleral Devices, considered the mainstay in the management of mild to advanced cases. Scleral Devices are custom made for each eye for all types of irregular corneas. Unlike corneal RGPs, Scleral Devices are designed to land on the sclera and completely vault over the cornea. The vaulted cornea is filled with a fluid reservoir and is what contributes to dramatically improving comfort of the device while masking irregularities offering improved visual function.

Corneal transplantation is a major surgery performed by a corneal surgeon and is a last resort. It might take up to one year to obtain final vision results from this procedure. The type of keratoplasty surgery depends on individual needs and surgeons’ technique preference.

The combination of CXL, intrastromal ring segments and customized contact lens treatment or scleral devices has been a powerful success for many individuals with this condition.

Call our office today at (615) 535-9787 to schedule your consultation keratoconus treatment.

Aprima Eye Consultants - Brad Altman, O.D., FSLS

Vision Services

APRIMA’s team provides primary eye care. Whether a Wellness Exam or Contact Lens Evaluation, we utilize the most up-to-date lens design and technology for management of:

  • Astigmatism
  • Hyperopia
  • Myopia
  • Presbyopia
  • Eye Strain

Most contact lenses are soft and flexible that can easily aid these vision conditions. Call and make an appointment today for eyeglasses or contact lenses.

Aprima Eye Consultants - Brad Altman, O.D., FSLS

Specialty Contact Lenses

Our contact lens service specializes in:

  • Complex situations
  • Scleral Devices:
    • Keratoconus
    • Irregular Astigmatism
    • Post-Surgical Complications from LASIK, PRK, RK
    • Corneal Transplant
    • Ocular Surface Disease
  • Multifocal Lenses
  • Custom Soft Toric Lenses
  • Disfigured Eyes
  • Gas-Permeable Lenses
  • Myopia control and Orthokeratology

Contact us today to schedule your consultation.

Aprima Eye Consultants - Brad Altman, O.D., FSLS

Optical Services

At APRIMA our goal is to provide quality eyeglasses, sunwear, designer eyewear and protective eyewear that gives you comfortable and sharp vision.

  • Designer Frames and Fashion Eyewear
  • Diverse Frame Styles
  • Computer Lenses
  • Quality Optics
  • Safety Eyewear

Whether your eyewear need is functional, or you just want some designer frames to upgrade your style, we will have the perfect look for you. This is the place to purchase eyewear and our staff will consider your vision needs, budget, and lifestyle. Stop by anytime with your current prescription.