Welcome to 
Pepose Vision

The St. Louis Cataract 

and LASIK Leaders

Services

Pepose Vision is a patient-centered eye care practice with two locations in the St. Louis area, specializing in LASIK vision correction, cataract surgery, retina services, the Visian ICL, premium intraocular lens implants, (providing near, intermediate and distance vision) dry eye treatment and most any other vision care you may need. We offer the absolute latest technology, an advanced research center and a LASIK and cataract outpatient surgery center in our building. Most importantly, our team of experienced doctors and surgeons consistently achieve the very best possible outcomes for our patients.

CATARACTS

LASIK

EVO ICL

RETINA TREATMENTS

GLAUCOMA

REFRACTIVE LENS EXCHANGE

DRY EYE

KERATOCONUS

Our Providers

Ibrahim Sayed, M.D., M.S.

Mujtaba Qazi, M.D.

James Rieger, O.D.

Karrissa Siegel, O.D.

Amanda Edmiston, O.D.

Vision by Age

Choose your age bracket to see
how age affects your vision
20s - 30s
40s - 50s
60+
In your 20s and 30s, vision is typically at its peak, with most people enjoying sharp eyesight. However, it's not uncommon for issues like digital eye strain to arise due to prolonged screen time, leading to symptoms such as dry eyes, headaches, and blurred vision. Additionally, conditions like myopia (nearsightedness) may stabilize or slightly worsen during this period. Regular eye exams are essential to monitor any changes and to ensure corrective lenses, if needed, are up to date.
Schedule a LASIK appointment
In your 40s and 50s, it's common to experience presbyopia, a natural part of aging where the eyes gradually lose the ability to focus on close objects. This often leads to the need for reading glasses or bifocals. During this period, you might also become more susceptible to conditions like cataracts or glaucoma, although they often progress slowly. Regular eye check-ups become increasingly important to manage these changes and to catch any potential issues early.
Schedule an appointment
By the time you reach your 60s and beyond, your vision may be significantly impacted by age-related changes. Cataracts become more common and might require surgical intervention, while the risk of glaucoma and age-related macular degeneration (AMD) increases. These conditions can lead to a gradual loss of vision if not properly managed. Regular comprehensive eye exams are crucial to detect and treat these issues early, helping to maintain the best possible vision quality.
Schedule a Cataract appointment

Excellence in Partnership Leadership Award 

Certified Dry Eye Center 
of Excellence

Prokera Cliradex

LaserVision Top 50 Practices Achieving 
Excellence in Refractive Surgery

Recognition of Commitment, Dedication, and Generosity

American Diabetes Association

Check Your Symptoms

Dry Eyes
Eye Floaters
Blurry Vision
Eye Strain
Double Vision (Diplopia)
Light Sensitivity (Photophobia)
Night Vision Problems
Dry eye is a condition in which there are insufficient tears to lubricate and nourish the eye. Tears are necessary for maintaining the health of the front surface of the eye and for providing clear vision. People with dry eyes either do not produce enough tears or have a poor quality of tears. Dry eye is a common and often chronic problem, particularly in older adults.
Request an Appointment
While eye floaters are usually harmless and a normal part of aging, a sudden increase in floaters, especially when accompanied by flashes of light, could signal a retinal tear or detachment—a serious condition that requires immediate medical attention. Left untreated, retinal detachment can lead to permanent vision loss. An eye care professional can evaluate the cause of the floaters and determine if treatment is needed to protect your vision.
Request an Appointment
Blurry vision can be more than just a minor inconvenience; it may indicate underlying eye conditions that require attention. Common causes include refractive errors like myopia, hyperopia, or astigmatism, all of which can be corrected with glasses or contact lenses. However, if blurry vision develops suddenly or is accompanied by other symptoms like pain or vision loss, it could be a sign of more serious conditions such as cataracts, glaucoma, or even a stroke. Seeking vision care is crucial to determine the cause and receive appropriate treatment to prevent potential long-term damage.
Request an Appointment
Eye strain, often caused by prolonged activities such as reading, working on a computer, or driving, can lead to headaches, blurred vision, and discomfort. While eye strain typically isn't serious, it can significantly impact daily activities and overall quality of life. Persistent eye strain may also indicate an uncorrected vision problem like presbyopia or astigmatism. Consulting an eye care professional can help diagnose any underlying issues and provide strategies or corrective lenses to reduce strain and enhance visual comfort.
Request an Appointment
Double vision is a concerning symptom that may indicate issues ranging from minor to severe, such as misaligned eyes (strabismus), cataracts, or neurological problems. Persistent double vision can interfere with daily tasks like reading or driving and may indicate a serious underlying condition, such as a problem with the brain or nerves. Seeking prompt vision care is essential to diagnose the cause and initiate appropriate treatment, which might include glasses with special lenses, surgery, or addressing any neurological issues.
Request an Appointment
Light sensitivity, or photophobia, can cause discomfort and pain in bright light and may be a sign of underlying issues such as migraines, eye infections, corneal abrasions, or inflammation inside the eye (uveitis). In some cases, it may also indicate more serious conditions like meningitis. If you experience persistent or severe light sensitivity, it’s important to seek vision care to determine the underlying cause and receive appropriate treatment, which could range from medications to protective eyewear.
Request an Appointment
Difficulty seeing at night, or night blindness, can make it challenging to drive after dark or navigate in low-light conditions, increasing the risk of accidents. Common causes include cataracts, vitamin A deficiency, or progressive conditions like retinitis pigmentosa. Night vision problems can significantly impact daily life and may worsen over time. Seeking vision care is crucial for diagnosing the underlying cause and exploring treatment options, such as surgery for cataracts or dietary changes, to improve night vision and maintain safety.
Request an Appointment

Patient Testimonials

  • I always felt throughout the appointment that I was getting a thorough and complete annual eye exam from all the staff at Dr. Rieger's office.


    -Lawrence

  • 23 years ago I chose Dr. Pepose to perform my lasik surgeries based largely upon the opinions of his peers in the optical world. No regrets here...as both he and Dr. Qazi are clearly among the very best in the world of corneal surgery. 13 years ago I had my first cataract lense replacement surgery utilizing an advanced lense that gave me 20/20 distance vision...but also allowed me natural near vision as well. It still works and works well! My second cataract lense replacement was performed by Dr. Qazi 10 years ago...top notch results again! Both of these guys have performed tens of thousands of lasik and cataract surgeries...which is why I only go to them. They have seen it all...and therefore know exactly how to do it right! The support staff are a reflection of Dr. Qazi's and Dr. Pepose's leadership...top notch!

    -John

  • Their office is very professionally run and my doctor is so good. She explained everything she was doing and was very confident. Dr. Siegel is so easy to talk to. I liked this office so much I asked if there were any job openings. Good experience.

    -Laura

  • Office very well run and professional. Went through the office procedures very quickly. Appears to have all the lastest equipment. Dr Rieger explained everything very well for a lay person to understand.

    -Barbara

  • Highly recommend for LASIK surgery! Dr Pepose was wonderful, extremely kind and informative of the procedure, answering all questions and made me feel comfortable throughout. The procedure itself and recovery has been a breeze - singing their praises to everyone I know!

    -Annie

  • I recommend Dr. Qazi he is compassionate, caring, and very knowledgeable about eye conditions. He has helped me with my eyes a few times. Recently, he helped me to figure out preventative care to help keep my eyes healthy. The staff are all very welcoming and caring!

    -Erin

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