Ophthalmologists

• Glaucoma
  Glaucoma is a disease that affects the optic nerve, the part of the eye which receives images collected by the retina and sends them to the brain. Every eye maintains a certain amount of internal pressure, called intraocular pressure. When this pressure rises to abnormal levels however, it can put extra stress on the optic nerve, causing significant damage. Optic nerve damage results in loss of vision, and ultimately blindness.
• Ophthalmology
  The American Academy of Ophthalmology is the largest national membership association of Eye MDs with over 7,000 members internationally. The website provides an in-depth look at eye care health, while providing access to their membership resources for ongoing learning and support.
• Macular Degeneration
  Macular degeneration affects cells in the macula, which is the part of the retina responsible for central vision. Central vision is essential for most basic tasks like reading, driving, recognizing people, etc. Thus, although macular degeneration leaves peripheral vision un-impaired, it can be quite debilitating in its advanced state.
• Laser Eye Surgery
  A guide to eye care, LASIK laser eye surgery, eyeglasses, contact lenses, low vision, eye exams, computer vision syndrome, glaucoma, cataracts, macular degeneration, and other eye problems and diseases. Contains eye doctor Q&A’s, frequently asked questions, and much more.
• Cataracts
  A cataract is an opacity that clouds the natural lens inside the eye. Normally the path of light to the retina (where the light sensors are) is as clear as possible. When proteins that make up the lens lose their clarity, the resulting cataract blocks some of the light, making vision blurry or hazy.
• Cataract Surgery
  Cataract surgery is a very common procedure, and complications (if any) are rare and treatable. The surgery itself is highly successful in improving the vision of patients about 95% of the time. Cataract surgery is an outpatient procedure usually taking less than 30 minutes to complete.
• Eye Exam
  A thorough eye examination consists of a variety of standard tests designed to measure visual acuity and other vision faculties, as well as observe the health of the eye and check for common eye diseases. There is no pain or discomfort associated with an exam, and they typically approximately an hour.

Internists

• Internal Medicine
  Dr. Karacal came back to St. Louis in 2003 and did her internal medicine internship at St. Mary’s Health Center in St. Louis, MO, and another residency in Ophthalmology at Washington University in St. Louis until 2007. She served as Chief Resident for a year at Washington University in St. Louis. She joined the ophthalmology faculty at Washington University in 2008, where she worked until June 2019. She joined Premiere Eye Associates in August 2019.

Endocrinologist

• Diabetes Care
• Diabetic Retinopathy
  Diabetes (diabetes mellitus) is a common disease in which blood-sugar levels are chronically too high. The disease has many related complications, and several eye diseases among them. The most common eye complication of diabetes is diabetic retinopathy, a leading cause of adult blindness.

Plastic Surgeons

• Eyelid Surgery
  At Premiere, Dr. Nacke performs surgery for disease and trauma including Cataract Removal and Lens Implantation including Premium Lens Implantation, Eyelid surgery, and Glaucoma and Diabetic eye care. Areas of expertise and special interest include...

Dermatologists

• Burns