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Dr. Heather Dealy

Dr. Heather Dealy

Board-Certified Ophthalmologist & Glaucoma Specialist

Dr. Dealy is a dedicated and experienced ophthalmic practitioner and surgeon who enjoys taking care of patients and invests particular attention to their surgical care. She began her career in private practice in 2004 in the Wilmington, Delaware community and has been ranked among the Top Physicians in New Castle County in the Delaware Today… Continue reading Dr. Heather Dealy

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Eye Care &
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Comprehensive Services

From routine eye checks to glaucoma treatment to cataract surgery, our team at Eye Consultants provides a full range of eye care services to ensure each and every patient who walks through our doors receives the top-quality care they deserve.

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Comprehensive Eye Services

Comprehensive
Eye Services

Keeping up with your regular eye checkups is important to maintaining healthy eyes and catching any concerns before they turn into issues. Our comprehensive services allow us to monitor your eye health and provide guidance for treatments and maintenance.

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Botox® & Juvéderm®

Cosmetic
Procedures

Our team also offers cosmetic eye procedures, including blepharoplasty, dermal fillers, and Botox, so patients can simultaneously address their aesthetic concerns and their eye health.

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Surgery

If you’ve been diagnosed with cataracts, the only way to have a cataract removed is through surgery. Our surgeons have performed thousands of successful cataract surgeries and will make sure you are fully prepared for your procedure.

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Contact Lenses

Contact Lenses

Properly fitting contact lenses are vital to not only your vision but also your eye health. We’ll help you determine if contact lenses are right for you and ensure your lenses fit so comfortably that you’ll forget they’re there.

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Dry Eye

Dry Eye

Say goodbye to dry eyes with the help of Eye Consultants! We’ll determine the cause of your dry eyes and build a customized treatment plan to help you finally find the relief you deserve.

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Eyewear

Eyewear

Currently at Eye Consultants we offer a full range of refractive services, including determining your glasses prescription. Coming soon in 2025, we will proudly offer optical solutions for our patients who need glasses.

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Frequently Asked Questions

Can a cataract be removed too early?

Cataracts can be removed at any point in their development; there is no wrong time to remove one. However, insurance may only cover cataract surgery once it’s affecting your vision.

At what stage should cataracts be removed?

Cataract removal surgery can happen at any stage. As soon as cataracts affect your vision and your everyday life, it’s typically the perfect time to schedule a complete eye exam with the doctors at Eye Consultants. Cataract surgery may be the best way to restore your vision.

What kind of sedation is used for cataract surgery?

At Eye Consultants, we use mild IV sedation during cataract surgery. This type of anesthesia ensures you’re completely comfortable throughout the procedure. With IV sedation, you are awake but in a drowsy and relaxed state. Our surgeons are also comfortable performing the surgery under only local sedation. In this case, patients can drive themselves to and from the procedure and can avoid having to fast overnight.

What should I avoid after cataract surgery?

There are a few different precautions that you’ll need to take following your cataract surgery. You’ll want to avoid rubbing your eyes, strenuous exercise, and any activities that involve bending over. We also recommend avoiding swimming for 4-6 weeks, wearing makeup, and getting soap and/or shampoo in your eyes.

How long does it take to recover from cataract surgery?

With cataract surgery at Eye Consultants, most patients can return to their normal activities the day after surgery. That said, it can take about four weeks before patients are fully healed from the procedure.

What is the success rate of cataract surgery?

The success rate of cataract surgery is very high. The surgery is successful 97% of the time. At Eye Consultants, Dr. Dealy and her team specialize in cataract surgery and have performed thousands over the years, so you can count on our team to give you the vision you’re looking for.

Can you have cataract surgery in one eye only?

Absolutely. Cataract surgery is done on only one eye all the time. When one eye is healthy, there is no reason to have surgery on that eye.

What is the average age for cataract surgery?

The average age for cataract surgery in the US is around 72. That said, patients can come to us for surgery at any age.

How can I prepare for cataract surgery?

Before cataract surgery, you’ll want to prepare by getting enough rest, eating a healthy diet, and arranging for a friend or family member to drive you to and from surgery. We also recommend that you avoid alcohol and smoking, wear comfortable clothes, and avoid wearing any makeup to your appointment.

Are you awake during cataract surgery?

Yes, most patients are awake during cataract surgery, although there are circumstances when we do put patients to sleep. We use mild IV sedation so you will be awake but in a sleepy and relaxed state.

Are IOLs needed after all cataract surgeries?

Yes, in almost all cases, patients will need IOLs (intraocular lenses) when undergoing a cataract surgery. They restore your vision after the surgery and give you the crystal clear vision you’re looking for.

What are the different types of IOLs?

There are generally four different types of IOLs. They include the monofocal, toric, multifocal, and extended depth-of-focus. Monofocal, multifocial, and extended depth-of-focal lenses correct near or far vision, while toric lenses are for people with astigmatism.

Will I still need glasses if I have IOLs?

For some patients, glasses will still be needed after IOLs. While IOLs can correct some vision issues, they may not correct them all and glasses may continue to be necessary for some tasks.

What are the most popular lens types?

Monofocal lenses are the most popular type of lens and typically appropriate for most patients. They can address nearsightedness or farsightedness. That said, which lens is right for you will depend on your specific concerns. Multifocal lenses are the second most popular type of lenses implanted, as they are able to correct both distance and near vision at the same time and offer more freedom from glasses.

How long does an intraocular lens last?

Intraocular lenses are designed to last a lifetime. The plastic material that IOLs are made out of will not break down over time.

Does insurance cover IOLs?

Generally, monofocal IOLs are covered by insurance, including Medicare. They are considered medically necessary. Advanced or premium IOLs are usually not covered by insurance, but it can depend on your insurance plan.

How do IOLs correct astigmatism?

Toric IOLs are designed to correct astigmatism. They have a unique shape that compensates for the irregular shape of the cornea, allowing light to reflect and focus evenly across the eye and leading to clearer vision.

Can I change the type of intraocular lens that I have?

While it’s not common, yes, you can change the type of intraocular lens you have. That said, it’s typically only done when there is a complication during surgery.

How long does it take to recover after cataract surgery?

You will likely see improved vision within 1-3 days, but it can take 4-6 weeks before you are fully recovered. During the first stages of the recovery process, you will need to wear a protective eye shield for a few days to ensure the eye can heal properly.

How big are intraocular lenses?

An intraocular lens is very small. They range in size from 11mm to 13mm in diameter. How thick they are depends on their refractive power and the type of lens it is.

Are you awake during glaucoma surgery?

Glaucoma surgery is usually performed under a local anesthetic with mild IV sedation.

Will glaucoma surgery improve my vision?

While glaucoma surgery doesn’t cure glaucoma or undo existing vision loss, it can help to protect vision and prevent it from worsening.

Who performs glaucoma surgery in Delaware?

Dr. Heather Dealy is a board-certified, experienced ophthalmic surgeon who is dedicated to providing detail-oriented care for her patients. She is fellowship trained in the surgical management of Glaucoma.

Does insurance cover glaucoma surgery?

Glaucoma surgery is covered by most major medical health insurance plans. To learn more about your coverage, please reach out to your insurance provider today.

How much does glaucoma surgery cost?

The cost of glaucoma surgery may vary depending on multiple factors. To learn more about pricing, please contact Eye Consultants today.

How is glaucoma surgery performed?

There are various glaucoma surgery techniques that may be used to lower eye pressure and prevent or reduce damage to the optic nerve. These options may include selective laser trabeculoplasty (SLT), implantation of Durysta™ implant, minimally invasive glaucoma surgery (MIGS), trabeculectomy, tube shunt surgery, or diode laser cyclophotocoagulation. To learn which treatment is best for you and how it is performed, please get in touch with our practice today to schedule a consutlation with Dr. Dealy.

Is glaucoma surgery safe?

When performed by a board-certified ophthalmologist such as Dr. Dealy, risks are greatly reduced. The benefits often outweigh the risks for most advanced glaucoma cases. To discuss candidacy and if this procedure is right for you, please contact our Delaware office today.

What does glaucoma surgery do?

The goal of glaucoma surgery is to reduce pressure in the eye, prevent vision loss, and protect any remaining vision.

What is the recovery of glaucoma surgery like?

Recovery following glaucoma surgery may vary depending on the type of surgery that is performed. Our team will provide you with thorough aftercare instructions to ensure that you heal properly for ideal results.

How long does glaucoma surgery take?

Glaucoma surgery can take anywhere from 15 minutes to 8 2 hours, depending on the type of procedure and the severity of the glaucoma being treated. Dr. Dealy will discuss the specifics of your procedure with you during your consultation appointment.

How often should glaucoma patients be checked?

Those diagnosed with glaucoma should be seen by their provider at least once a year, however, some may need more frequent follow-up. Regular appointments are crucial for monitoring the progression of your disease and for making any necessary adjustments to your treatment.

What are the guidelines for glaucoma screening?

People at risk for glaucoma should undergo regular screenings in order to catch the disease early. The frequency of glaucoma screenings will change as you enter certain age groups for example, people under the age of 40 will need to be checked every 1-2 years, while people over the age of 65 should be checked every 6-12 months.

How long does a glaucoma evaluation take?

A glaucoma evaluation involves a series of different tests. Some tests can take as little as one minute, while others may take up to 30 minutes. In total, a glaucoma evaluation takes up to two hours to perform.

What should I avoid before a glaucoma screening?

Before a glaucoma test, you will want to avoid drinking alcohol, lots of coffee, and straining your eyes with too much computer work. These can all cause your blood vessels to dilate and can interfere with imaging and test results.

How quickly does glaucoma progress?

The progression of glaucoma can vary from person to person with some patients experiencing rapid progression and others gradual. While glaucoma can progress to total blindness, this can be prevented by routine follow up with your eyecare provider.

What are the screening methods for glaucoma?

Screening methods for glaucoma can include reading your interocular pressure (IOP), evaluating your optic nerve, visual field test, and measuring the thickness of your cornea. Additional tests may be required, but they will be determined during your consultation.

Can you drive after a glaucoma test?

Glaucoma tests commonly include dilation of the eyes. This can cause blurred vision and may make it difficult for you to drive home. While you are permitted to drive following a glaucoma test, some patients arrange for a ride home from the evaluation just to be safe.

What symptoms arise with glaucoma?

Symptoms of glaucoma include eye pain, eye pressure, headaches, rainbow halos around lights, tunnel vision, blurred vision, blind spots, nausea, and redness. Symptoms may vary from person to person and can often occur gradually.

How long does a glaucoma visit take?

A new patient glaucoma visit can take up to 2 hours from start to finish. This includes a series of short exams throughout the visit. Rest assured that these tests are not painful and each test is crucial in the determination of your glaucoma severity.

How long should punctal plugs stay in?

Different types of punctal plugs have different lifespans. Some are designed to stay in temporarily for a few weeks and other plugs can be left in permanently. Temporary plugs are made from collagen or other types of material that dissolve naturally into the body.

What are the disadvantages of punctal plugs?

Punctal plugs are generally safe and have minimal risks, but complications can occur. Punctal plugs can fall out or become displaced, which could cause eye irritation. A scratchy sensation and redness are also possible side effects. If any of these symptoms occur, please schedule an appointment to remove or replace the punctal plug.

What are the advantages of therapeutic contact lenses?

Therapeutic contact lenses protect the cornea while relieving pain and promoting healing after a corneal injury. They deliver drugs directly to the ocular surface and seal wounds.

What determines if contact lenses are medically necessary?

Contacts are considered medically necessary when they provide better vision improvement than glasses. Certain eye conditions like keratoconus, dry eye, and anisometropia or corneal diseases and scarring are common reasons for patients to receive contact lenses.

What are the side effects of BlephEx?

The most common side effect of BlephEX is mild irritation that goes away shortly after the procedure. Less common side effects include redness, swelling, and itchiness but the risk of these potential complications is limited when you receive BlephEX from our expert team.

Is BlephEx treatment worth it?

Almost all patients enjoy the benefits of their BlephEx treatment and find it well worth the time. The procedure takes less than thirty minutes and requires no downtime.

Is meibomian gland damage permanent?

Meibomian gland damage (MGD) can become permanent if left untreated. The glands will continue to shrink and the tear film can become permanently damaged without early treatment.

What worsens meibomian gland dysfunction?

Natural aging, frequent use of contacts for long periods, eye strain from computer use, certain medications, and environmental factors like smoke, pollution, and wind can all contribute to meibomian gland dysfunction.

Who should not receive OptiLIGHT IPL?

Patients with a history of seizures or epilepsy should not receive OptiLIGHT IPL and those with an active eye or eyelid infection should wait to receive treatment. You will also have to schedule your procedure for a later date if you have had eye surgery in the last six months or are scheduled for chemotherapy or radiation therapy.

What are the side effects of OptiLIGHT IPL?

The most common side effects of OptiLIGHT IPL are mild swelling, redness, light sensitivity, and a scratchy feeling. These symptoms typically improve within a few days after treatment but if they do not, please schedule an appointment right away.

What precautions should be taken during Restasis?

When taking Restastis eye drops, you’ll want to avoid touching the tip of the container directly to your eye, remove contact lenses before using Restasis, wash your hands before putting eye drops in, and allow your eyes to become completely clear before driving.

How long does it take for Xiidra to start working?

Xiidra typically takes a few weeks before you start seeing a significant difference in your dry eye symptoms. At that point, you should feel less itching, dryness, and redness.

How long are eyes blurry after Xiidra?

Blurred vision is a common side effect of Xiidra, but it typically disappears within a few seconds. That said, it can take hours for some to clear their vision.

How long does it take for Vevye eye drops to work?

Vevye eye drops can take about four weeks to start working, but some patients have seen their symptoms lessening sooner than that. Most patients see significant improvement in their dry eye symptoms by three months.

Can you use too much Cequa?

As with any drug or treatment, yes, you can use too much Cequa. While it’s unlikely to be dangerous if you use one or two drops extra, it can cause some temporary side effects like discomfort or redness.

Can I keep Cequa in the fridge?

No, Cequa should not be stored in the refrigerator. It should be stored at room temperature (about 68 degrees Fahrenheit).

Should I avoid shaking Tyrvaya?

Yes, because shaking the formula could cause air bubbles to form. This could affect how the medication comes out of the bottle and into your eye.

What are the side effects of Tyrvaya?

Some of the side effects of Tyrvaya include sneezing, nose irritation, coughing, and sore throat. If these side effects don’t go away or are bothersome, don’t hesitate to contact us for alternative treatment options.

How long does it take for serum tears to work?

It typically takes at least two weeks before you notice an improvement with serum tears. That said, some patients have noticed a reduction in symptoms after a week, while others had to wait a few months before seeing a significant improvement.

How much Vitamin D should I take daily for dry eyes?

We typically recommend 5,000-10,000 IU of vitamin D per day to see an improvement in dry eyes. Vitamin D can improve tear production, reduce inflammation, and improve the function of the eyes barrier.

What is a retinal disease?

A retinal disease is any condition that affects the retina, the light-sensitive tissue at the back of the eye responsible for vision. Common retinal diseases include macular degeneration, diabetic retinopathy, and retinal detachment, which can impair vision or lead to blindness if untreated.

Can retinal diseases be cured?

While some retinal diseases can be managed or improved with treatment, not all can be fully cured. Early detection and ongoing care are critical for preserving vision and slowing disease progression.

How are retinal diseases treated?

Treatment for retinal diseases varies depending on the condition and may include medications, laser therapy, injections, or surgery. Regular monitoring by an eye specialist ensures the most effective management plan.

Can a damaged retina heal itself?

The retina cannot heal itself from significant damage, but prompt treatment can often prevent further deterioration and, in some cases, restore partial vision. The extent of recovery depends on the type and severity of the damage.

What happens if retinal disease is left untreated?

Untreated retinal diseases can lead to progressive vision loss and, in severe cases, permanent blindness. Early diagnosis and treatment are crucial to preserving eye health and vision.

How does an optometrist test for retinal damage?

Optometrists and ophthalmologists use various methods to detect retinal damage, such as dilated eye exams, optical coherence tomography (OCT), and retinal photography. These tools help evaluate the retinas condition and detect early signs of disease.

Does insurance cover retinal damage?

Most insurance plans, including Medicare and Medicaid, cover the diagnosis and treatment of retinal diseases. It is advisable to confirm coverage with your insurance provider.

Can vision be restored after retinal damage?

Restoring vision after retinal damage depends on the condition and its severity. While some treatments can improve vision, others aim to prevent further loss rather than restore sight.

What are the most common retinal diseases?

The most common retinal diseases are macular degeneration, diabetic retinopathy, retinal detachment, and retinitis pigmentosa. Each affects vision differently and requires tailored treatment.

What should I avoid doing if I have retinal damage?

If you have retinal damage, avoid activities that strain your eyes, such as prolonged screen time or heavy lifting, which can increase intraocular pressure. Follow your doctors recommendations and prioritize regular check-ups to monitor your condition.

Do seniors have to take a driving test?

No, seniors do not have to take a special driving test to prove they can drive, but they may be asked to submit a medical form proving they are fit to drive. They may also be asked to take an eye exam each time they renew their license.

At what age do most seniors stop driving?

According to the U.S. Census and the Federal Highway Administration, 85 is when most seniors stop driving. That said, it can differ from person to person. Some seniors may need to stop sooner than that.

How do I know when my elderly parent should stop driving?

If you notice they are having a delayed response time while driving, are having trouble seeing, are easily distracted, are getting lost, or their driving habits have changed, it may be time for them to stop driving. More frequent dents and dings on the car can also be a sign that driving is no longer safe for them.

What is the most common vision problem experienced by the elderly?

The most common vision problem is age-related macular degeneration. The condition involves damage to the center of the retina and symptoms can include blurred vision, changes in the way you see color, low vision, and being able to see less in low light.

How do age-related vision changes affect driving?

Age-related vision changes can impact how you see your dashboard and how streetlights look and make it difficult to see at night. This can make it difficult to see lane markings, signs, and pedestrians, increasing the chance of possible accidents.

At what vision are you not allowed to drive?

In general, if your vision is 20/200 or worse in one eye, you are not allowed to drive. The exact vision standards can differ by state, but 20/200 is the standard. If you are blind or have 20/200 vision in one eye, the other eye must be 20/40 or better.

How does old age affect driving ability?

Age can affect your vision, hearing, and reflexes, making it more difficult to see objects and people on the street, hear potential hazards, or react quickly enough to avoid an accident. Strength issues and arthritis can also make it harder to drive and steer.

What changes in vision that occur with aging make night-time driving unsafe for the elderly?

As the cornea ages and the lens becomes less clear, it can be harder to see at night. Any light can scatter in the eye, causing a glare and making vision while driving very difficult at night. Cataracts, macular degeneration, and the natural aging process can all affect how well you see at night.

What is the new rule for senior drivers?

In Delaware, there are now routine vision tests and regular renewals required for senior drivers. This not only ensures they are safe to drive but also decreases the risks of accidents and injuries for senior drivers and other drivers on the road.

What are the best glasses for driving with macular degeneration?

The best glasses for driving with macular degeneration are bioptic telescope glasses. These innovative glasses have a small telescope on each lens, improving distance vision while maintaining peripheral vision.

How soon can I drive after diabetic eye screening?

Blurry vision and increased sensitivity to light can last several hours. Until your vision returns to normal, it is generally recommended that you avoid driving.

How often should diabetics get their eyes checked?

Regular, annual eye exams are essential for detecting early signs of diabetic retinopathy or other diabetes-related vision issues. We may recommend more frequent checkups if you have existing eye conditions.

Is a diabetic eye exam considered preventive?

The diabetic eye screening helps identify early signs of diabetes-related eye diseases, such as diabetic retinopathy, macular edema, or glaucoma, even before symptoms arise.

What is the difference between a diabetic eye exam and a regular eye exam?

A diabetic eye exam focuses on detecting eye conditions related to diabetes; it often involves pupil dilation and specialized retina imaging. A regular eye exam assesses general vision health.

How does diabetic vision differ from normal vision?

Complications of diabetes may cause blurry vision, dark spots, or fluctuating vision quality. Over time, untreated diabetes-related damage can lead to significant vision loss.

What occurs during a diabetic eye exam?

During a diabetic eye exam, we will dilate your pupils with eye drops to get a clear view of your retina. We may use specialized imaging tools to capture detailed pictures of the back of your eye.

How should I prepare for a diabetic eye exam?

To prepare for a diabetic eye exam, bring your medical history, current medications, and details about your diabetes management. If your pupils are dilated, arrange for someone to drive you, and wear sunglasses for comfort afterward.

What should I expect directly after a diabetic eye exam?

Directly after a diabetic eye exam, the dilation drops may blur your vision and make your eyes sensitive to light. These effects can last a few hours, so avoid activities requiring sharp vision until your eyesight fully clears.

What does diabetic eye screening involve?

Diabetic eye screening involves an in-depth examination of the retina to check for damage caused by diabetes. This typically includes pupil dilation and retinal imaging to detect concerns.

What is the advantage of diabetic eye screening?

Timely identification and treatment of conditions like diabetic retinopathy can prevent or slow progression, preserving vision and improving overall eye health for diabetic patients.

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Vital Glaucoma Information for Wilmington, DE Residents 

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Vital Glaucoma Information for Wilmington, DE Residents 

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Your health is our top priority and we look forward to assisting you in your eyecare journey. Please call the office at (302) 998-2333 or fill out our contact form to schedule your appointment.

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This is an excellent facility. I have glaucoma and have been treated by Dr. Dealy for over four years. Mine is not an easy case and Dr. Dealy has been so knowledgeable and thorough in answering all questions. She has always spent the time necessary to put me at ease. The front office staff are kind, welcoming, and genuine.

Professional, but friendly. Staff, including the doctors, are knowledgeable, ensuring patient understands diagnosis and treatment options.

When it comes to my eyes, it’s one less thing I have to worry about because I know Eye Consultants is taking care of all my needs.

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