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No Stitch Pterygium Surgery

A pterygium is a growth of tissue on the cornea, the window of the eye, often from exposure to sunlight, trauma, or eye surface disease.  It is often surprising how advanced pterygia can become before people seek treatment.  This picture is of a young woman with advanced pterygium in both eyes that were scarring the cornea who had surgery in her left eye recently.  If not removed delicately a pterygium can cause permanent vision issues.  Fortunately, even though it was more advanced then her other eye awaiting surgery, we were able to remove her pterygium with a no stitch, 20 minute out patient procedure and restore her vision and appearance.  She is excited to have her other eye done soon.

If you notice any growth on your eyes or changes in your appearance or vision please call and schedule a consultation with Dr. Josephson at 571-349-2191 or find an ophthalmologist specializing in cornea disease in your area.

Ever wonder who does those unique Eye procedures in Fairfax, VA?

Ever wonder who does those unique Eye procedures in Fairfax, VA?


Cornea Keratoconus Collagen Cross Linking

Cornea: Keratoconus Collagen Cross-linking: Recent FDA approval has allowed us to expand the use of this technology to slow or halt the progression of keratoconus.




Cornea Keratoconus Corneal Intacs

Cornea: Keratoconus: Corneal Intacs:The New era of contact lenses have seen an emergence of intacs to aid difficult fittings and lesson need for transplantation.




Cornea Layer Spefific Corneal Transplantation

Cornea: Layer specific Corneal Transplantation:
DMEK surgery to replace ONLY the endothelial layer provides better visual acuities then predecessor DSAEK.
DALK surgery to remove ONLY the anterior damaged tissue reduces rejection and increases stability of the cornea long term.



Refractive Corneal Inlay For Presbyopia

Refractive: Corneal Inlay for Presbyopia: Rain Drop: An option for patients with good distance vision to reduce the need for reading glasses and maintain excellent distance vision.



Refractive Implantable Collamer Lens

Refractive: Implantable Collamer Lens: Provides excellent vision to those seeking reversible refractive surgery and may not be ideal candidate for other options including lasik or PRK.




Ocular Surface Prokera Amniotic Tissue

Ocular Surface: Prokera Amniotic Tissue: In office treatment of surface disease from recurrent erosions to chemical burns. We’ve seen utility in a vast array of surface disease.




Cataract Surgery Symfony Extended Range Lens With Astigmatism Correction


Cataract Surgery: Symfony Extended Range Lens with Astigmatism correction (All in One): A revolutionary advancement in Intraocular lens options allows for excellent distance vision with near range and astigmatism correction. 



Glaucoma Surgery Glaukos Istent


Glaucoma Surgery: Glaukos Istent: At the time of your cataract surgery an Istent may be placed to reduce progression of glaucoma and lesson burden of glaucoma drops.



Cataract Surgery Femtosecond Laser Cataract Removal

Cataract Surgery: Femtosecond Laser Cataract Removal:

Precise laser incisons made by laser can take care of the most challenging portions of surgery in seconds. The laser can make incision, correct astigmatism, and soften the lens for less traumatic removal.



Cataract Surgery Ora Lens Calculator


Cataract Surgery: ORA Lens Calculator: Hitting the target is one of the most important goals in cataract surgery. This instrument allows us in real-time to measure the shape of the eye after cataract removal to ensure accurate lens power. Accurate measurements leads to best visual results!


Eye Specialists & Surgeons of Northern Virginia is dedicated to the latest in eye care. We are constantly adding new advancements to our list of treatment options. If any questions about what we offer, please call us at 571-349-2191 or email at


Ever Wonder Who Does Those Unique Eye Procedures in Fairfax VA – PowerPoint Presentation




DMEK Corneal Surgery

Dr. Josephson is proud to be the first surgeon in the Northern Virginia area to offer DMEK endothelial transplantation.  Partial corneal transplantation, namely DSAEK, has been around for some time but advances have made it possible now to transplant the thinnest layer of the cornea allowing for faster recovery, quicker healing time, and negligible chance for rejection.  Though this surgery is more technically difficult visual results are better then the predecessor DSAEK surgery.  Dr. Josephson has undergone additional training and has already successfully performed hundreds of corneal procedures.

If you have been diagnosed with corneal swelling, FUCHS dystrophy, or are experiencing trouble with glare/haloes, DMEK surgery may be your best chance at visual recovery.

Symfony Lens: Offering the Newest Technology in Cataract Surgery

Dr. John Josephson is proud to be one of a handful of Surgeon’s in the region to already be offering the latest in cataract lens technology.  The FDA approved the Symfony Lens by Technis in July and we are privileged to already have access to this technology.  Dr. Josephson has already implanted many with superb results.  This lens is the first of its kind to offer an extended range of vision rather then the predecessor multifocal options.  This allows for a range of clarity without compromising any particular focus.  It also comes with options to correct astigmatism.

If you are interested in learning more about the latest in advanced cataract surgery please make an appointment with us at 571-349-2191 or

The Gift of New Vision

We are honored to serve along side our Community Partners like the Lamb Center in Fairfax Virginia. Dr. John Josephson was recently mentioned in a publication from the Lamb Center regarding restoration of sight that we are proud and humbled to share with you all.


               The Gift of New Vision

August 12, 2016

As he approached Jericho, a blind man was sitting by the roadside begging.When he heard a crowd going by, he asked what was happening.They told him, “Jesus of Nazareth[a]is passing by.”Then he shouted, “Jesus, Son of David, have mercy on me!” Luke 18: 35-38 NRSV


When this blind man outside of Jericho heard that Jesus was passing by, he shouted to Jesus, the son of David, to have mercy on him. He would not be quieted by the crowd who felt Jesus had no time for a blind beggar, but yelled even louder. This blind beggar had no name since society had already given him a label. Jesus always saw through these labels and knew him as a precious child of God. When Jesus asked what he wanted, the man knew he wanted to see. Vision would transform his life in so many ways. With vison, he would no longer be labeled as “that blind beggar.”


Joshua had always been a hard worker, but working became impossible when he lost his vision. Since he was unable to work and he had no family to turn to, he ended up without housing in suburban Fairfax. Joshua found himself confined to a suburban shopping center in the second wealthiest county in the United States. People in the community were concerned about Joshua and one couple, working as the hands and feet of Jesus, reached out to the Lamb Center for assistance.


When Joshua came to the Lamb Center, we referred him to Dr. Joanna Barnett, who has provided free eye examinations for many of our guests through the “Gift of Sight” program. Dr. Barnett diagnosed Joshua with mature cataracts in both eyes and referred Joshua to Dr. John Josephson of Eye Specialists and Surgeons of Northern Virginia for cataract surgery. Despite the maturity of the cataracts, this surgery was successful. Like the man on the road to Jericho, Joshua “glorified God” for a second chance to see. Like the man on the road to Jericho, Joshua can experience new possibilities in his life as old labels fall to the wayside.



In Christ’s Love,

Dave Larrabee


The Lamb Center

3160 Campbell Dr.

Fairfax VA


P.O. Box 1385

Fairfax VA 22038-1385




Recurrent Erosion Syndrome

20160715_090914We at Eye Specialists thought it would be a good time to discuss Recurrent Erosion Syndrome (RES) since it seems to be coming up more often and being missed on routine eye exams as dry eyes or allergies.  RES has a high prevalence in the USA and has multiple causes.  A typical story is someone complains of pain, discomfort, or foreign body sensation especially in the morning when waking up.  Sometimes it will be in the middle of night feeling like opening the eyes causes a “ripping apart” discomfort.  The feelings are actually right on in that the surface of the eye is essentially being abraded off by the inside of the eyelid pulling it apart.  Most commonly this is due to a prior trauma like a child’s fingernail injury that may have occurred many years ago. There is also a genetic condition that may make someone more prone to this issue.  Diagnosis can be made by history and an exam with a cornea specialist.

Since this can be such a debilitating condition Dr. Josephson has worked hard to offer the most advanced options for this condition.  Usually we start with drops and ointments but if not working we have options to resurface the eye with stem-cell therapies and lasers.  We do not quit until we find the treatment that will work for you.