Carolina Eye Center is proud to offer the services listed below. Click on a service below to read more on each service. Contact us today to schedule an appointment for any of the services listed below.


Helping You to Achieve Improved Vision

Dr. Bogart has performed more than 20,000 successful LASIK procedures! 96% of Dr. Bogart's patients achieve 20/20 vision; 3% achieve 20/40 or better. Dr. Bogart has less than 1% of patients that are not 20/40 or better. Typically this patient was unusually far-sighted or had other difficulties prior to surgery. Each person needs to be screened individually to see whether they are a candidate for this procedure. Any questions or comments can be directed to us for more information! Simply click here.
LASIK or Laser in Situ Keratomileusis is a procedure that offers many advantages over other forms of laser vision correction because it is performed under the corneal layer. As a result, there is less surface area to heal, less post operative discomfort, less risk of corneal haze, and vision returns more rapidly, usually within one day or so.
Surface Ablation (PRK, Epi-K, AST:Advanced Surface Treatment, ASA: Advanced Surface Ablation) has demonstrated over a long period of time that it is a safe, effective and predictable method of Laser Vision Correction.
The Surface Ablation procedure is similar to that of LASIK in the way the laser is applied to the eye. The main difference is that there is no flap created by the surgeon using a microkeratome. Instead, the laser is used to produce your optical correction by reshaping the outermost surface of the cornea, rather than the tissue beneath a flap, as in LASIK. This requires the removal of a thin layer of the corneal epithelium, which may produce varying degrees of temporary discomfort for up to a few days after your treatment. In general Surface Ablation provides a slower visual recovery than LASIK. It typically takes 2-4 weeks for patients to achieve their best vision, sometimes longer.

Dr. Bogart prescribes additional medications and places a thin, soft bandage contact lens over the eye to make you more comfortable during the few days after your treatment while the cornea heals. While Surface Ablation is only occasionally recommended, it has a distinct place for some patients. Surface Ablation is recommended for those patients:
  • whose prescription is too high to have LASIK safely.
  • whose corneas are too thin to have LASIK safely.
  • whose corneas display evidence of scarring from infection or trauma.
  • who have had a LASIK procedure over 5 to 7 years ago.
  • who live an active lifestyle, military personnel, police officers, firefighters, athletes, kick-boxers, martial artists, or those who are in or around dusty environments, chemicals, or smoke on a regular basis.
  • who do not like the idea of having a “flap.”
  • whose primary goal is SAFETY, it is the safest procedure for anyone considering refractive surgery.

Surface Ablation is an ambulatory procedure; you walk into the surgery center, have surgery, and walk out again. In fact, the actual surgery usually takes less than a minute, and you’re awake the whole time. Dr. Bogart will have you take a mild oral sedative beforehand. For the Surface Ablation procedure, no scalpels are used and no incisions are made. Prior to the procedure, Dr. Bogart will put a few anesthetic drops in to numb the eye and prevent pain.
Most people don’t feel pain during the Surface Ablation procedure. Your eyes are first anesthetized with special drops. Dr. Bogart will have you lie down, to make sure your eye is positioned directly under the laser. (One eye is operated on at a time.) A kind of retainer is placed over your eye to keep your eyelids open. Normally, this is not uncomfortable. It has a suction ring that keeps your eye pressurized and immobile. The pressure feels awkward, but does not hurt.
Dr. Bogart prepares the eye by gently removing the eye’s protective first layer of cells, or epithelium (this will naturally regenerate itself in a few days), to reveal the next layer of corneal tissue known as Bowman’s layer. He will then smooth the area and proceed with applying computer-controlled pulses of cool laser light to precisely and delicately reshape the curvature of the eye. Deeper cell layers remain virtually untouched. 
The whole Surface Ablation treatment itself is usually completed in less than 8 minutes per eye and is painless. Since a layer about as slender as a human hair is typically removed, the cornea maintains its original strength.
Post-operatively, Surface Ablation patients are placed on antibiotic drops, along with anti-inflammatory agents to promote comfort and reduce swelling. Patients are also fitted with a bandage contact lens to improve their comfort while their eye is healing. Once the epithelium has healed, usually on the third or fourth post-operative day, Dr. Bogart will remove the contact lens bandage. Sometimes, daily eye examinations are required.
Immediately after your procedure, Dr. Bogart will have you rest for a bit, then you can go home (someone else must drive). At home, you should try to sleep for at least the first 4 hours, or longer. You may be able to go to work the next day, but many doctors advise a couple of days rest instead. They also recommend no strenuous exercise for up to a week, since this can traumatize the eye and affect healing. 
Avoid rubbing your eyes. In addition to anti-inflammatory agents, you will use antibiotic and steroid drops for a week following the surgery. Although Surface Ablation has less dry eye discomfort following surgery, you will still be encouraged to use over-the-counter artificial tears for several weeks.
Most people achieve 20/20 or better vision with Surface Ablation (also true of LASIK). Some may achieve only 20/40 or not quite as good. In fact, 20/40 is fairly good vision. In most states, it is good enough for driving. Some patients may still need glasses or contact lens following laser vision correction, though their prescription level will be much lower than before. 
Postoperative complications can include infection and/or night glare (starbursts or halos that are most noticeable when you’re viewing lights at night, such as while you’re driving). 
Even if you see perfectly after laser eye surgery, you may still need reading glasses or bifocal contact lenses once you hit your 40s. This is because the eye’s lens stiffens as you age, a condition called Presbyopia. Your distance vision will probably remain crisp, but seeing up close will be more difficult unless you are already over the age of 40 and have Mono Vision. 

RLE: Refractive Lens Exchange 
(Lens Replacement Surgery)
Refractive lens exchange, also called lens replacement surgery or clear lens extraction, may be a better option than LASIK, PRK or phakic IOL refractive surgery for people with presbyopia and hyperopia (farsightedness). Refractive lens exchange (RLE) replaces your eye's clear natural lens with a multifocal intraocular lens (TECNIS IOL) to correct your refractive error and achieve sharper focus, reducing your need for reading glasses or bifocals. Refractive lens exchange typically is for people with presbyopia or extreme farsightedness, for whom LASIK, PRK or phakic IOL surgery generally are not suitable. If you have both presbyopia and moderate to severe hyperopia, RLE may be the only viable option for clear vision and minimal reliance on glasses after refractive surgery. Lens replacement surgery also can correct myopia (nearsightedness), but generally it is not recommended when LASIK, PRK or phakic IOLs are available. The procedure for refractive lens exchange is virtually identical to cataract surgery. The difference is that in RLE, the lens being replaced is clear, rather than a cloudy lens due to a cataract.

Refractive Lens Exchange: The Procedure

Lens replacement surgery usually takes about 15 minutes and is performed on an outpatient basis. Each eye is done separately, usually about a week apart. Numbing anesthetic drops are used during RLE, so typically there is no discomfort, and most people report immediate vision improvement after surgery. Initial recovery from refractive lens exchange — when you can resume normal everyday activities — usually takes about a week. Final outcomes of refractive lens exchange can take up to several weeks, and you may notice vision disturbances such as blurry vision, halos and glare, or a "scratchy" sensation as your eyes heal. You should be able to return to work and resume driving within a week of surgery, dependent on your eye surgeon's instructions. Normally, you won't feel an IOL in your eye, in the same way that you don't feel a dental filling for a cavity. Also, since the lens is situated inside your eye and not on the surface like a contact lens, it is not visible to the naked eye. The artificial intraocular lens is a permanent replacement for your natural lens and is designed to last the rest of your life. And, because IOLs are not affected by age-related changes, there is minimal risk of regression (loss of corrective effect or deterioration of vision) over time.

Refractive Lens Exchange for Presbyopia

Presbyopia affects just about everyone and becomes noticeable sometime after age 40 in most cases. Presbyopia is a naturally occurring age-related condition where your eye's natural lens becomes more firm and inflexible, and you lose accommodation (the ability to focus on near objects). 

Non-surgical options for presbyopia include reading glasses, bifocal or progressive eyeglass lenses, and multifocal contact lenses. Another option is wearing contact lenses for monovision. Refractive surgery such as LASIK, PRK and phakic IOLs cannot directly address presbyopia-induced loss of near vision. And, although recent medical advancements such as monovision LASIK and conductive keratoplasty are available, not everyone is a suitable candidate or is within the treatment parameters of these procedures. For people with presbyopia and moderate-to-severe hyperopia, RLE often is the most appropriate surgical option. Multifocal and accommodating IOLs enable you to focus at all distances, to overcome presbyopia as well as poor distance vision.

RLE: A Treatment for Early Cataracts?

People who are middle-aged or older may have the beginnings of cataracts that eventually could worsen and require cataract surgery. If you have early cataracts, you could choose to have lens replacement surgery instead of waiting for the cataracts to progress to the point where they cause vision loss and have to be removed. Intraocular lenses can provide significantly better uncorrected vision at that point, especially if you are reliant on eyeglasses or contact lenses. An added benefit of clear lens extraction is that it eliminates the risk of cataracts, because the eye's natural lens is replaced with an artificial lens implant. Non-surgical options for presbyopia include reading glasses, bifocal or progressive eyeglass lenses, and multifocal contact lenses. Another option is wearing contact lenses for monovision. Refractive surgery such as LASIK, PRK and phakic IOLs cannot directly address presbyopia-induced loss of near vision. And, although recent medical advancements such as monovision LASIK and conductive keratoplasty are available, not everyone is a suitable candidate or is within the treatment parameters of these procedures. 
For people with presbyopia and moderate-to-severe hyperopia, RLE often is the most appropriate surgical option. Multifocal and accommodating IOLs enable you to focus at all distances, to overcome presbyopia as well as poor distance vision. You should discuss these options with your Ophthalmologist. 
WHO is an ideal candidate for the Refractive Lens Exchange Procedure?
  • Someone who is in good health and has healthy eyes, Dr. Bogart will determine this at your exam
  • Someone who is tired of wearing glasses or contact lenses
  • Someone who is not capable of doing monovison
  • Someone who is Farsighted (Hyperopic), or Presbyopic, or Nearsighted (Myopic), or Astigmatic
  • Someone who wants to be less-dependent on glasses/contacts
  • Someone who doesn’t want to feel ‘old’- reading glasses can make some people feel older
  • Someone who is very active, athletic, interested in travel, or other outdoor activities
The ideal candidate for a RLE is someone:
  • Keenly interested in spectacle independence for most distance and near tasks
  • With an easy-going personality and a positive demeanor
  • Willing to accept a small compromise in distance acuity
  • Willing to understand that it is not a procedure with a guaranteed outcome
  • Generally more interested in working with you in something of a partnership
  • Whose near tasks include mostly reading
  • With moderate to high hyperopia without heavy dependence on computer work or moderate to high myopia, although the latter will tend to be relatively less satisfied.
The RLE procedure is NOT suited for someone:
  • Who does not mind wearing glasses
  • Hypercritical with unrealistic expectations and will never be satisfied
  • Where sharpest clearest vision is their main concern
  • With a heavy dependence on intermediate vision, night vision, or specific job requirements; e.g., pilots, public service vehicle, taxi, or truck drivers
  • Low myopes (nearsightedness) in general as they are used to excellent uncorrected reading vision that will be difficult to match or surpass

LASIK Testimonials*

Tara Cooley is one patient who is thrilled with her results. Tara tells us...
  • "I wore contacts for over 15 years! Since I have had the LASIK surgery I am seeing 20/15! The best thing about LASIK is being able to wake up and see the alarm clock. This is the best money I have ever spent!"

Grace Richards is another patient happy with her LASIK results! She is so pleased that her son now wants to have HIS eyes done! Grace tells us that...
  • "Since I was 12 years old I have had to wear glasses. I am now 42 years old and recently had LASIK surgery. My vision is PERFECT. LASIK changed my life! By not wearing glasses, I have even been able to change how I wear my make-up and wear a hairstyle I could never have had before having the procedure! I recommend LASIK and Dr. Bogart to anyone!"

Louise Burgess says...
  • "I have worn contacts since middle school and have always had problems with my vision. LASIK has finally made it possible for me to wake up in the mornings and have one less thing to worry about. The procedure was fast and painless; the results are life changing. I would recommend this surgery to anyone. LASIK surgery is one of the best decisions I have ever made! Now I see 20/20- all thanks to Dr. Bogart and his staff.”

Nick Barfield says ...
  • "I have always had pretty sensitive eyes. I wouldn't say that I am a huge fan of objects in or around my eye area either. I was tired of wearing glasses and unable to wear contacts comfortably. I went in for a consultation with Dr. Bogart just to see what my options were. Before having surgery I couldn't really make out the big "E" on the eye chart. I was very nearsighted with astigmatism. Dr. Bogart decided that the safest option for someone with my prescription would be to have a surface procedure. I had Epi-K surgery performed on both eyes. I knew the healing process would take a little longer and that my vision would not be perfect right away. I also knew that there would be some more discomfort associated with the procedure. I was basically down for a weekend, not feeling like doing a whole lot of anything. At my first follow up visit, my vision was already 20/30. A huge improvement from what I was before surgery. I wore my sunglasses a lot because my eyes were sensitive to light. I hung in there, and at my next follow up appointment my vision was 20/20! Although Epi-K does have it's was well worth it! It is comforting to find a Doctor that you can trust and a staff that truly cares about you. I know that I had the safest procedure possible and if you see me in glasses now...they're SUNGLASSES!”
*Results may vary. Individual results cannot be guaranteed to be equal to these results.


Laser Trabeculoplasty: A Whole New Approach To Managing Patients With Primary Open Angle Glaucoma (POAG)
The results of the Glaucoma Laser Trial (GLT) are encouraging regarding the usefulness of Laser Trabeculoplasty (LT) as an initial treatment for POAG. It appears that LT is at least as good if not better than starting with medications, because in the short term, LT provides good pressure control and has the advantage of postponing and/or reducing the inconvenience, nuisance, and side effects associated with taking medications.

The pressure-lowering effects of laser trabeculoplasty in Glaucoma Laser Trial (GLT) patients with high Intraocular Pressure (IOP) and not controlled by medicines encourages more frequent use of laser trabeculoplasty.
iStent Implant for Glaucoma
The iStent® implant is the smallest, FDA approved medical device often recommended for patients with mild to moderate Open-Angle Glaucoma who are going to have cataract surgery.
Your eyes use an intricate fluid outflow system to keep them balanced and healthy. At the center of this system is a drainage network called the “Trabecular Meshwork,” which is the anatomy through which fluid exits the eye. Most of the fluid in your eye naturally drains through this meshwork and into the bloodstream through a structure called Schlemm’s Canal.
In patients with Open-Angle Glaucoma, a blockage in the trabecular meshwork is the primary cause of keeping the fluid in your eye from draining properly. When this happens, fluid backs up and pressure in your eye rises. High Intraocular Pressure of IOP, can lead to blindness, which is why controlling this pressure in the eye is extremely important.
Most people with Open-Angle Glaucoma take one to three powerful medications to reduce their IOP. While these drugs are effective, they are expensive and often have undesirable side effects. As a result, some patients choose not to use their medications as prescribed, which can lead to permanent vision loss. 
The iStent® is implanted during your cataract surgery, without the need for additional incisions or anesthesia. After the cataract is removed and the Intraocular Lens of your choice is positioned, the iStent is inserted through the trabecular meshwork and into Schlemm’s Canal. This creates a permanent opening that increases the outflow of fluid and safely lowers intraocular pressure. After the procedure, Dr. Bogart may recommend a reduction in the number or the amount of glaucoma medications you are currently using. 
For more information regarding the iStent® implant or to schedule an appointment with our Surgeon, Dr. Walt Bogart, please call our office at: 803-794-0000, ask for Jennifer!

Selective Laser Trabeculoplasty - SLT

Glaucoma is a disease in which increased pressure in the eye causes permanent damage to the Optic nerve. If this process is not treated this will lead to complete blindness.

There are several options for treating Glaucoma: various types of drops, laser treatments, and surgery.

In the past, the only available laser treatment involved burning a hole in the drainage system (trabecular meshwork). Although effective, this procedure causes significant damage to the meshwork.

Now an exciting new technology allows treatment of the meshwork without damage. Using this low powered laser we selectively clear the pigment cells, which clog the meshwork. The intraocular fluid can then drain freely, reducing the pressure in the eye.
The pressure lowering effect of SLT often takes several months to reach its full potential. And because there is no damage to the meshwork, this procedure can be repeated for additional pressure lowering effect when needed.

While some of our patients have been able to discontinue the use of drops, we cannot promise that you will have the same results. However, Dr. Bogart does feel that this new technology offers real help and hope to his Glaucoma patients.

The Selective Trabeculoplasty Advantage

Preclinical studies show that SLT does not cause the coagulative damage to the trabecular meshwork caused by Argon Laser Trabeculoplasty (ALT) as shown in Example A above.

SLT selectively targets pigmented trabecular meshwork cells, conserving surrounding non-pigmented cells.

This procedure is SAFE and is NOT associated with any systemic adverse side effects.


Dr. Walt Bogart of the Carolina Eye Center Offers the Latest Advance in Laser Eye Surgery for Cataracts and Tecnis® Multifocal Lens Implants (Refractive Lens Exchange)
Today, things are changing and it’s a new era in eye care technology. We’re proud to introduce the advanced VICTUS® platform for laser-assisted cataract surgery to our patients. This state-of-the-art technology can increase the precision of certain steps in cataract surgery compared to manual surgery.

Just as you can choose between different types of lenses depending on your daily activities, you can now choose how your cataract procedure is performed. We are proud to offer the VICTUS® platform, a highly advanced, state-of-the-art technology for laser-assisted cataract surgery. This femtosecond technology offers laser precision and is designed with your comfort in mind.*
The VICTUS platform features a sophisticated, curved patient interface with computer-monitored pressure sensors designed to provide the most comfort during the procedure. The VICTUS platform also offers real-time, three-dimensional imaging of the eye to aid Walt Bogart, MD in planning and monitoring the operation. The laser itself has a rapid pulse rate that allows the portion of the cataract procedure performed on the VICTUS to be completed in just a few seconds!

"Everything about the VICTUS platform was designed to give us a greater degree of control and more real-time information during the procedure," said Walt Bogart, MD. " VICTUS enhances our ability to offer the latest, most advanced surgery to our cataract patients and give them the results this community has come to expect from us."  

About Cataract Surgery
A cataract is a clouding of the normally clear lens in the eye. An estimated 20 million aging American baby boomers and seniors have cataracts. Each year, approximately 1.5 million people will have cataract surgery in the United States, making it one of the most common surgical procedures. According to the National Eye Institute, it is also one of the safest and most effective. Worldwide, over 20 million cataract surgeries are performed annually. Cataract surgery is a simple procedure during which the natural lens in the patient's eye is surgically replaced with an intraocular lens (IOL).

About Femtosecond Lasers
Femtosecond lasers emit optical pulses of extremely short duration in the domain of femtoseconds, as short as one-quadrillionth of a second. These ultra-short pulses do not transfer heat or shock to the material being cut and can make surgical incisions with extreme precision. The technology was developed in the early 1990s at the University of Michigan Engineering Center. The first commercial platform was introduced in 2002 and the original approval was for flap creation during LASIK surgery. Recent platform approvals have been expanded to include additional corneal/therapeutic procedures and cataract applications.

About the VICTUS Femtosecond Laser Platform
The VICTUS™ Femtosecond Laser Platform, from Bausch + Lomb, the global eye health company, and Technolas™ Perfect Vision GmbH (TPV), a leading ophthalmology laser company, is the first femtosecond laser designed for both cataract and refractive surgery. The VICTUS platform was cleared by the U.S. Food and Drug Administration (FDA) in July 2012 for creation of a corneal flap in patients undergoing LASIK surgery or other treatment requiring initial lamellar resection of the cornea and anterior capsulotomy during cataract surgery.  

References: 1. Data on file, Bausch & Lomb Incorporated, 2013.
VICTUS is a trademark of Bausch & Lomb Incorporated or its affiliates. TECHNOLAS is a trademark of Technolas Perfect Vision GmbH. All other brand/product names are trademarks of their respective owners

Dr. Walt Bogart of Carolina Eye Center Offers Breakthrough Cataract Treatments!

Count your eyes among many things in life that can seriously improve with age. It's all thanks to a breakthrough new intraocular lens (IOL) called the TECNIS® and TECNIS Symfony® that's implanted in the eye during cataract surgery. Cataracts are a clouding of your eye's natural lens that occurs in 50 percent of patients over the age of 65, and 75 percent of patients over age 75. Cataracts may make sharp objects appear blurry; colors look dull, and cause trouble seeing at night. The TECNIS® and TECNIS Symfony® lens replaces your eye's natural lens.

Most cataract surgery can be done on an outpatient basis, without requiring an overnight hospital stay. Because local anesthesia is used to numb the area around the eye, you will be mildly awake for the entire operation, although you will experience little or no pain. Modern cataract surgery is 95 percent successful in improving vision. Intraocular lenses (IOLS) are about the size of Lincoln’s head on a penny and weigh about the same amount as a kernel of corn. They are polished to the precise curvature needed to bend light rays into focus on the retina at the back of your eye. The lens itself is made of an inert plastic and can provide good vision for the rest of your life. Many lenses even filter out potentially harmful ultraviolet rays, as well as blue light rays. Some studies indicate that blue light can decrease your risk of developing macular degeneration.

Monofocal vs. Multifocal

The TECNIS Symfony® lens is the most sophisticated lens available. It is the FIRST and ONLY Extended Depth of Focus IOL, providing continuous, high-quality vision at any distance. The TECNIS Symfony® lens is available in a TORIC to correct astigmatism as well. 
The TECNIS® Multifocal lens is more advanced than traditional IOLs because it’s multifocal instead of monofocal. Monofocal lenses, as the name implies, can only give you clear distance vision-glasses are still needed to see up close. The TECNIS® lens, on the other hand, can give you clear vision at all distances, from near to far. This is because it corrects both cataracts and the condition known as presbyopia, which causes many people to need reading glasses after their eyes age. The TECNIS® lens is designed to help you regain younger vison and be free of glasses, it can provide you with high-quality vision at all distances and in all lighting conditions-even in dim light. 9 out of 10 patients that have had the TECNIS® lens implanted never have to wear glasses. In a recent clinical study, 94% of patients said they would choose to have the TECNIS® Multifocal Lens implanted again.

The Leading Choice for Cataracts and Astigmatism

Carolina Eye Center offers the most sophisticated Presbyopia-Correcting, Astigmatism-Correcting, FIRST and ONLY Extended Depth of Focus IOL, the TECNIS Symfony® Toric. This premium extended range of vision lens provides continuous, high-quality vision at any distance. 

Carolina Eye Center offers another two-in-one solution. AcrySof® Toric is the first IOL that treats pre-existing astigmatism at the same time it corrects cataracts, so patients don't have to undergo two separate procedures. Patients also enjoy improved quality distance vision over traditional IOLs.

Presbyopic Correcting Intraocular Lenses

Presbyopic Correcting Intraocular Lenses (PC IOLS), such as the TECNIS®, TECNIS Symfony®, the AcrySof® ReSTOR®, the AMO ReZoom™ lens, and the Crystalens® are designed to improve your vision to see near, far, and everything in-between. The goal of these premium lenses is to allow you to read the newspaper, prescription bottles, your mail and to see many other things near and far, lessening your dependence on glasses.

In Office Evaluation of Tear Drainage System

There are many causes for tearing of the eye. One of these causes is the blockage of the tear drain which travels from the lowerlid to the nose (Nasolacrimal Duct obstruction). We can perform in-office evaluation of this system (dilation and irrigation of the punctum) to make sure the drainage system is working properly.

Basic Tear Secretion Testing (Schrimer Test)

Many medical conditions can affect the amount and quality of tear secretion form the lacrimal gland. A simple in-office test can assess if the lacrimal gland is producing enough tear to assure ocular comfort (the Basic Tear Secretion test with Schrimer’s Test strips)


Our doctors use the latest technology to assist in the screening and diagnosis of Macular Degeneration. The Cirrus HD-OCT (Zeiss) is the latest technology to assist in early diagnosis of Macular Degeneration. The doctor at times will order photographs which is performed on our Zeiss Fundus Camera.


Our doctors use the latest technology to assist in the screening and diagnosis of diabetic damage to the retina (Diabetic Retinopathy). The Cirrus HD-OCT (Zeiss) is the latest technology to assist in monitoring progression of diabetic changes. The doctor at times, will order photographs which is performed on our Zeiss Fundus Camera.
Call our office today to schedule an appointment to see if you are a good candidate for these lifestyle lenses! Our number is 803-794-0000 . We offer convenient Monthly Payment Plans through CareCredit to those who qualify!
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