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Dr. Nelson Preschel

Serving patients in Pembroke Pines, Dr. Nelson Preschel is a nationally recognized eye doctor and surgeon with offices throughout South Florida. Dedicated to providing each patient with the highest level of medical care, from general ophthalmologic services to the surgical treatment of multiple ocular conditions and eye diseases, Dr. Preschel sets the highest standards for safety, accuracy and precision without compromising the importance of outstanding customer care. Dr. Preschel provides outstanding services to patients in Weston, Doral, Plantation, Pembroke Pines and Aventura.

Client Review

"Thank you, Dr. Preschel and staff, for the excellent service you provided throughout the years. Thanks to you, my cataract surgery was successful, and I no longer require glasses. I'm thrilled. Thank you so much."

TESTIMONIALS

116+ 5-star Reviews

Millie Jimenez
Millie Jimenez
2024-01-26
Excellent service. Had cataract done and no longer required to wear glasses. I'm so excited. Thank you to Dr. Nelson Preschel and staff for excellent service throughout the many years
Carmen Peralta
Carmen Peralta
2024-01-25
Premium Eye Centers have the best customer service. The staff are very professional, nice, and always willing to help. Doctor Preschel has very good bedside manners. My dad was very please with the services received by the office.
Jackeya Charles
Jackeya Charles
2024-01-25
This was an amazing experience. My grandma felt very comfortable with the surgery and customer service.
Millie Ortiz
Millie Ortiz
2024-01-25
Very professional staff and doctor. Very thorough and all my questions were answered. Excellent doctor/patient service.
Elvia Cruz
Elvia Cruz
2024-01-22
Dr P is amazing. Great customer service and even my children loves Dr P.
Roberto Perez
Roberto Perez
2024-01-22
Muy buena atencion y servicio exelente trato al cliente
jadmelys vasquez
jadmelys vasquez
2024-01-22
Excelente atención y profesionalismo.
Eddie Vega
Eddie Vega
2024-01-20
Extremely professional team! Thank you Alejandro and the Silver Lakes team behind the scenes as my moms extremely happy & thankful for the return of her vision! From visiting Memorial Hospital Pines to visiting the doctors office for a check up after the procedure was very smooth! I look foward on being apart of the transformation as well! Thank you for helping my mom DOC!
Joetta Umla
Joetta Umla
2024-01-19
Having made my living in design, my eyes are particularly important to me. Many of my friends & neighbors have had BAD experiences after cataract surgery. When diagnosed w/cataracts, I researched & did everything to exhaust what cld B done non-surgically, including eye supplements, eye washes & anti-cataract eye drops. They only got worse. I saw 5 different ophthalmologists before Dr. Preschel was recommended. He is an exceptional dr--knowledgeable, passionate about what he does, yet very patient. Also, his support staff is great! When there was a problem getting meds pre-surgery, Victoria was a great help. I'm grateful to have found him to do the surgery. As his reputation continues to grow & since there's only one of him, if wait times get longer (as some other reviewers have complained), he's worth it.

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Cataracts

Premium Eye Centers

What is Cataract

cataract is a clouding of the eye’s natural lens and is typically caused by aging. It is a result of protein build up that gradually opacifies the lens and leads to blurry vision, glare sensitivity, dulled colors, poor night vision and often increased nearsightedness (myopia). Cataracts can be removed through minimally invasive cataract surgery, which is a quick, highly precise and safe ambulatory procedure

  • Blurry vision, even with glasses
  • Difficulty driving at night due to glare and/or halos around bright lights
  • Faded colors
  • Frequent need to change eyeglass prescription

During your initial consultation we will determine whether or not your visual impairment is caused by cataracts and we will rule out any other conditions that may need to bead dressed prior to surgery. In order to do this, we will conduct at rough evaluation to determine your current health status and quality of vision. This is followed by a meticulous examination of the complete anatomy of the eye, supported by multiple cutting-edge technologies.

Although technology does not replace good clinical skills and judgement, it is necessary to precisely measure the different dimensions of the eye, which are required to select the ideal intra ocular lens implant (IOL). In addition, other conditions that could affect the surgical results are considered, and in many cases treated before surgery in order to maximize visual outcomes.

Having cataracts does not necessarily mean that surgery is required. In fact, most people have some degree of cataracts as a consequence of aging, but surgery is only required when the cataract noticeably affects daily life activities

 

Cataract Surgery is one of the most successful surgical procedures in medicine.The basic replacement of a cloudy lens with a transparent intra ocular implant has evolved into a highly advanced procedure that not only restores clarity but, in many cases, eliminates the need for glasses. Because it is a quick outpatient procedure that requires minimal anesthesia, it also ensures a fast recovery with most patients being able to enjoy their improved vision a few days after surgery. With that being said, there are different approaches and techniques that can be utilized to meet each individual’s needs.

 
  • Conventional cataract surgery starts with applying an anesthetic drop. Although patients remain awake during surgery, mild sedation is also utilized to put the patient at ease. After making a small incision on the cornea, the cloudy lens is removed through a process  called  phacoemulsification  which liquefies and aspirates the cataract material. After removal of the cataract, an intra-ocular lens implant (IOL) is carefully injected into its permanent position.

     

Laser assisted cataract surgery shifts some of the critical steps of the procedure from the surgeon’s hands to a computer guided Femtosecond laser. The procedure combines high resolution and real time imaging of the anterior segment of the eye to guide the laser in performing incisions and dissolution of the cataract material.

Often times, patients are told that they need laser assisted cataract surgery. Laser assisted cataract surgery is not a necessity, however, it adds an additional level of safety and precision.

Following surgery, you will still feel a mild sedation, however, it will wear off after a few hours. Most cases do not require any stitches, and there will be no need for a patch.  During the first week after surgery, you will need to protect your operated eye while sleeping by placing a plastic shield over it. Throughout this initial period, you should also avoid rubbing your eyes, heavy lifting or allowing dirt or fluids to come in direct contact with the operated eye.

In addition, antibiotic drops will be required during the first week after surgery. Anti-inflammatory drops, however, will be required for several weeks following surgery in order to control normal post-operative inflammation.

Believe it or not, cataracts can form even before we are born. Although rare, congenital cataracts may be present in newborns for different reasons. However, most of the cataracts that we do surgery on are caused by aging. Although symptoms are usually seen after the age of 65, symptomatic cataracts can occur at younger ages. These are usually caused by injuries, certain medications such as corticosteroids, previous intraocular surgery, or diabetes and other diseases.

Additional questions

Should I always get an intra ocular lens implant if I have cataract surgery?

Yes, a lens implant replaces the optical properties of the natural crystalline lens that is removed during surgery. In addition, the IOL maintains the natural separation between the anterior segment of the eye and the vitreous.

What are premium lenses?

First of all, all the IOLs that we use are top quality, latest generation designs. The term “Premium” is used to describe lenses with extra features such as multifocality which allows simultaneous correction of presbyopia , eliminating the need for glasses to see clearly at a distance or from up close. Another important feature to consider is toricity. A toric lens is shaped to compensate astigmatism, a visual defect related to abnormal curvature of the cornea, affecting the whole range of vision.

Why is premium refractive cataract surgery so expensive?

Premium refractive cataract surgery requires more than just a lens. Not only are you paying for a more expensive, cutting-edge lens design, but you are also paying for a variety of technologies and expertise that are required for making the procedure successful.

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