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“Thinking out of the Box” with our in office Laser

This patient presented with a large cyst in the colored part of the eye (the iris) and was sent to us for  iris reconstructive surgery.  He was beginning to suffer from glare, pain, and decreased vision.  Typically we have to perform delicate eye surgery to remove cyst and suture the area which can be very difficult and have high risk of complications.  We came up with a plan to use our in- office laser to lyse the cyst and provide healing to our patient without having to go into the operating room.  Procedure took about 3-4 minutes.  Before and after pictures are seen here.  Our patient was overjoyed with the result and the fact he did not have to undergo a risky surgery.

We are honored to do our best to come up with individualized solutions to difficult eye challenges at Eye Specialists and Surgeons of Northern Virginia.  Please call us at 571-349-2191 if we can be of assistance.

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Danger of non-prescribed contact lenses

 As Halloween is approaching, many people will consider colored contacts from on-line sources or salons.  We want to make sure your eyes are always safe.   Many of these sources may sell you contacts that are not regulated and may even contain powders that can permanently damage the cornea.  The picture you see here is a deep white haze in the cornea of a young girl that resulted from toxic chemicals used on a contact lenses.  Please make sure you only use contact lenses that are FDA approved and prescribed by a licensed Eye doctor.  If you have any questions or need an eye exam feel free to reach us at 571-349-2191 or visit us at

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At Eye Specialists and Surgeons of Northern Virginia we are excited to be able to offer the latest in corneal surgery.  For patients suffering from endothelial disease like fuchs dystrophy the only option used to be a full corneal transplant.  Over the last few years we have been excited with techniques to do partial corneal transplants such as DALK (Deep Anterior Lamellar Keratoplasty) for anterior corneal disease and DSEK/DSAEK (Descement Stripping Endothelial Keratoplasy) for posterior corneal disease.  Dr Josephson is excited to be the first in Northern Virginia to offer DMEK (Descement Membrane Endothelial keratoplasty) which allows us to replace the thinnest layer of diseased tissue and replace with the same thin layer.  This technically advanced surgical technique allows us to restore the full potential of a patient’s vision quickly with a virtually zero percent rejection rate.  Dr Josephson has done numerous cases with a very high success rate.  Photographed in the picture is one of our cases.  You can not even see the outline of the transplant since it is so thin but the clue is the small imprinted purple S which tells us the new tissue is attached perfectly.  This is only a few days after surgery and the cornea is already clear.

We are always excited to discuss the newest advances in corneal disease treatment.  If any questions or you think you may have a corneal disease please reach out to us at 571-349-2191 or visit us at

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Beautiful letter from a patient after cataract surgery

We love what we do at Eye specialists and Surgeons of Northern Virginia.  Even better when we receive words of affirmation from our wonderful patients.  With permission we would like to share one patient’s experience after having surgery with Dr Josephson. We are honored, blessed, and humbled to be a part of our patient’s vision restoration.



Dr Josephson and team

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