Seeing Eye To Eye

Written By: | October 19, 2012

The fall season brings us beautiful changing colors and a crisp feel to the air as we savor our first sip of hot chocolate and remember the familiar smells of hayrides and bonfires and that first cool night when you need a nice warm sweater.

Fall is also a reminder that the holiday season is fast approaching, and with that the end of the year!  Hard to believe but a new year is at our doorstep.  After the election and the holidays hit then we’ll find ourselves singing “Auld Lang Syne” before we can shout Happy New Y. . . .!

But before December 31st arrives many of us have two hugely important financial tasks to complete.  Properly executed, these two simple steps can save us thousands of dollars in taxes!  What am I talking about?  ENROLL and UTILIZE!

ENROLL in your company’s Flexible Spending Account (or Health Savings Account) for 2013

UTILIZE the funds you have been saving up during 2012 – December 31st is the deadline!

Over the past decade, Flexible Spending Account (FSA) and Health Savings Account (HSA) plans became the “in vogue” workplace benefit.  Thousands of employers offer these plans and millions of employees nationwide participate.

These plans allow you to set aside pre-tax dollars to pay for a whole host of health care expenses (from major procedures all the way down to aspirin and bandages).  The net effect is that you receive medical goods and services that you would have paid for during the year anyway while in turn reducing your taxable income.

Why doesn’t everyone participate?  One reason why some people are hesitant to ENROLL and UTILIZE this benefit is that your saved-up funds must be used by December 31st of each year.  If not, you can actually lose the money you set aside.  Most plans have a grace period through March of the next year, but it’s wise to consider December 31st as the cutoff.  No one wants to lose that money.  However, as long as you plan accordingly then these tax-savings are easy to obtain and easy to manage!


You need to have a plan because both the ENROLL and UTILIZE steps have deadlines.  We can help whether you are considering enrolling or have funds to utilize.  For instance, we offer a completely free consultation to help you determine if you are a candidate for laser vision correction.  This helps provide peace of mind before you ENROLL in your 2013 plan.

Need to UTILIZE your 2012 funds?  We can provide the full comprehensive pre-surgical exam (Dr. Pepose will personally examine you) and schedule your procedure before the end of the year.

Contact me personally at 636-534-5112.  We can set up the completely FREE consultation to discuss how laser vision correction can change your life.  On a deadline for 2013 enrollment?  We will squeeze you in, give me a call.

Act soon, as the fall/winter seasons are always extremely busy here.  Now is the time!  ENROLL and UTILIZE!


Adrian Beck

Patient Consultant


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LASIK safer than contact lenses
Written By: | December 20, 2011

A review of recent research has led investigators to conclude that LASIK may be the safer option, especially in the long run.

Like any surgery, LASIK has its risks, including fluctuating vision, dryness and halos, particularly during the early healing period. However, the risk of significant loss of vision was calculated at 1 in 10,000 (0.01%).

The risk for developing a serious contact lens infection was calculated to be significantly higher, at approximately 1 in 100 (1.0%) over 30 years of use, with the risk of serious vision loss at 1 in 2,000 (0.05%).

Direct comparison is difficult, as complications due to surgery usually are noted shortly after surgery, whereas the risks associated with contact lens wear – eye sensitivity, chronic allergies, dry eye syndrome, contact lens intolerance – accumulate over years. Unsafe practices, such as wearing contact lenses overnight, using contacts longer than recommended, or using tap water to store contacts can significantly increase the risk of infection and other complications.

For these reasons, contact lens are considered a medical device by the FDA and a yearly examination is required for renewal of contact lens prescriptions.

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Update from Hawaii
Written By: | January 18, 2009

This week, I have been invited to lecture at the Hawaii Ophthalmological Society Annual meeting in Honolulu. I am teaching the local doctors on the mechanism of action of the Crystalens lens implant for patients with cataracts, who desire both near and far vision. In addition, I have brought surgical tapes that demonstrate important points in achieving good success with this lens.

From there, I have been invited to speak at the Royal Hawaiian Eye meeting in Maui. This meeting has over 1000 ophthalmologists from both the US and abroad. Among the 3 lectures that I am giving at this meeting, is a presentation on new accommodating lens implants, to give the audience a snapshot of what may be on the horizon over the next 10 years. Since Pepose Vision Institute is involved in many clinical trials, we are very aware of technology under development. We are excited about participating this year in a clinical trial of a new lens implant that can change power postoperatively by application of a special wavelength of light. This allows the surgeon to fine tune the power of the lens after it has been implanted and wound healing changes have already occurred—similar to going to a tailor to have a suit or dress custom-fit.

In addition, we will be participating in a trial of a new infrared laser system, in the initial studies on a bifocal treatment of the cornea, which will not require creation of a LASIK flap. I will be going to Bogata this spring to meet with engineers, scientists and clinicians to further study this new technology.

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The Gift of Sight
Written By: | December 29, 2008

At this holiday time – and as the New Year approaches – what better gift to give than the gift of sight? We just had a few college students come in during the holiday break, whose parents gave them the present of a lifetime—clear, quality vision through LASIK! Others have given this gift to themselves, their spouses or loved ones.

We recently treated a husband and wife – award-winning authors of books on marriage for a lifetime – who are thrilled to look into each other’s eyes every day. Many patients who are contact lens intolerant now have a new sense of freedom. Active people who previously could not fully enjoy the outdoors, whether skiing, hunting, or snow sledding, are coming back tanned and enthusiastic about their new-found freedoms resulting from LASIK. Others can’t wait for the summer to be able to swim or play golf for the first time without glasses or contacts.

Patients have commented that it is the little things, like being able to find the soap in the shower that amazes them, along with the confidence and safety of knowing that if there were an emergency at home at night or they broke their glasses at the beach, they could instantly function. As resources become more precious, what better thing is there to invest in than you? We encourage you to come in for a free LASIK screening to see if you are a candidate for this life-changing procedure. Financing is available for qualified patients.

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Been Turned Down for LASIK?
Written By: | November 4, 2008

Do you hate wearing thick glasses or have problems with your contact lenses? Have you been turned down for LASIK because your cornea is too thin or your eyes too dry or your eyes are too bad?  Some years ago, I had one despondent patient lament that it was her bad luck to learn that the only part of her body that was “too thin” turned out to be her cornea.

Fortunately, there have been many recent developments in lens implant technology that offer options for many patients who may have been turned down in the past as unsuitable for LASIK surgery. These new lens implants, sometimes referred to as implantable contact lenses (ICL), are approved for the correction of a wide range of nearsightedness (from -3 to -16 Diopters) and for the reduction of nearsightedness up to -20 Diopters. In order to ensure your candidacy for this 20 minute outpatient procedure, we have invested heavily in diagnostic technologies that can preoperatively assess the health of the cells on your cornea (using an instrument called a specular microscope) and measure the shape of the front of your eye to more accurately plan the surgery (through the use of ocular coherence tomography). Pepose Vision Institute is the only eye practice in the bi-state region to have invested in these expensive diagnostic testing instruments.  We have done so because we believe in doing everything possible to maximize success and satisfaction with our vision correction procedures.

So, if you have been turned down in the past for vision correction surgery, please call us to be evaluated for an implantable contact lens. As with all of our procedures, financing is available and this may be the perfect time to consider setting up a 2009 flexible medical spending account to pay for your procedure using pre-tax dollars.  See what you have been missing!

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Invest in Yourself
Written By: | September 18, 2008

We live in uncertain times. Concerns about the economy, threats of terrorism, an upcoming election and wall street on a roller coaster ride. In these uncertain times, what better investment can there be than in yourself?

That is why our patients invest in achieving their best possible vision at Pepose Vision Institute, whether it be by state of the art LASIK surgery, new “bifocal” lens implants for cataract patients, intraocular contact lenses that can be implanted in the eye for high nearsightedness , an assortment of contact lenses or fashionable glasses at our optical boutique.

To learn more about these options, please feel free to contact our office and ask for a free consultation. Our patient educators will be happy to review with you in greater detail the many options we have available. At Pepose Vision Institute, we have the best doctors who share your goals of achieving the best possible vision and making the experience a pleasant one.

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Happy New Year!
Written By: | December 31, 2007

This past week at Pepose Vision has been very busy, as many LASIK patients are taking advantage of their flexible spending accounts this year and next. These patients, who were tired of wearing contacts and glasses, have scheduled laser vision correction surgery to reduce this need. Some of our patients with cataracts, who want to have clearer vision, have scheduled to have cataract surgery. At Pepose Vision, not only do we perform laser vision correction and cataract surgery, but provide general eye care as well. We are able to meet the visual needs of every age and phase of life.

The diverse interests and occupations of LASIK patients always makes the surgery day interesting for me. This week I operated on an accountant, a judge, a marketing director, as well as a college student on break hoping to get into Vet school. Our delighted patients commented on the day after their procedure that my job was a lot like Santa’s, and I guess this is around the right time of year for that!

I would like to wish all of our patients and their families a happy, healthy and joyous New Year from all of us at Pepose Vision Institute. We appreciate your confidence in placing your trust in us.

- Dr. Pepose

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LASIK in Our New Facility!
Written By: | November 30, 2007

Our patients are enjoying LASIK in our new state-of-the-art 40,000 square foot facility, and everyone is commenting on how elegant the new building is. We wanted it to be visually pleasing - so that our patients can rejoice in their new-found vision. Beyond the cosmetics, we have spent a good deal of time and attention to ensure that the building “cooperates” in giving our patients the very best vision outcomes possible. Our specially equipped laser suites have laminar flow HEPA-filtered air, to maximize sterility and humidity and temperature controls to eliminate atmospheric effects on our surgical results.

This week, 2 nurses from Barnes came in for LASIK, one of whom was VERY nervous. I was able to share my confidence in obtaining a good outcome, and gently talked her through every step of the surgery. The next day she was delighted with her vision without glasses or contact lenses, and just could not understand her prior anxiety.

I explained that “fear of the unknown” is very common and remains the greatest obstacle to undergoing LASIK. This is exactly why people choose Pepose Vision—to have the benefit of experienced surgeons, supported by our top team of certified ophthalmic technicians. At Pepose Vision, you have the opportunity to meet your surgeon prior to the procedure, and have ALL of your questions answered by your surgeon - Not an optometrist or other “surgeon extender” who has never performed LASIK.  That is why nurses, doctors and other health professionals – not to mention St. Louis’ top malpractice attorneys – who are in “the know” choose Pepose Vision Institute for LASIK and other vision needs.

Visit our site for more information on LASIK,

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Lots To Be Thankful For!
Written By: | November 22, 2007

It is Thanksgiving today, and the Pepose Vision team is in this morning seeing the patients who had LASIK surgery yesterday. Our building is full of smiling faces, and everyone is commenting that they now have another thing to be thankful for. As always, we have a diverse group of patients – ranging from a St. Louis Cardinal’s player and a cardiac surgeon to a college student. the student is the fourth son in his family to be given LASIK as a college graduation gift. Sight- what could be a better gift for a lifetime!

Each of us is so blessed and we have so much to be thankful for. Let us not take anything for granted. At Pepose Vision Institute we are grateful for all of the patients who have put their trust in us and we wish everyone a happy and blessed Thanksgiving.

- Dr. Pepose

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Variety in the laser suite…
Written By: | September 4, 2007

This week we saw a lot of variety in the laser suite, both in terms of patients of diverse background and types of surgery. I had two patients with extremely thin corneas, who were told elsewhere that there was no good option for them. On one of them, I performed flapless LASIK (sometimes called LASEK), which is a form a surface laser treatment. The other was given a phakic lens implant, similar to implanting a permanent contact lens in the eye, which requires no maintenance or cleaning.

Another patient with a cataract and a lot of astigmatism (where the eye is shaped like a football) had a LASIK flap created some weeks ago followed by cataract removal and implantation of a new FDA-approved “accommodating” lens implant, that produces both near and far vision in the same eye, similar to a bifocal. This week, after allowing adequate time for healing from the cataract surgery, I lifted the previously made flap and corrected the pre-existing astigmatism with laser, thereby fine tuning their vision. And, of course, LASIK was performed on a number of patients from all walks of life, including three doctors on the same day. With a pediatrician radiologist, and general surgeon, we could have probably started our own subspecialty group!

In some cases each eye of the same patient was treated on a separate laser system to optimize outcomes. It is nice to have such a full armamentarium of options to offer patients to truly customize their surgery to each person’s unique characteristics, producing lots of smiles on one day post-op!

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