For more than 20 years, patients throughout Yolo, Solano, Colusa, Sacramento, and beyond have trusted the Perlman Center for exceptional eye care. Dr. Perlman has performed over 20,000 eye and eyelid surgeries and specializes in cataract surgery, vision correction, cosmetic and functional eyelid surgery, comprehensive eye exams, and designer eyewear. Our experienced team is dedicated to helping you Look Well, See Well & Feel Well. LOOK, SEE & FEEL WELL Welcome to The Perlman Center for Eye and Eyelid Surgery! Patients throughout Yolo, Solano, Colusa, and Sacramento counties and beyond have trusted Dr. Perlman and his colleagues to provide state-of-the-art eye care in a warm and caring environment for more than two decades. As the Medical Director for the largest vision care plan in the United States, a Clinical Professor in the UC Davis Department of Ophthalmology, and an ophthalmologist who has performed more than 20,000 eye and eyelid surgeries, Dr. Perlman belongs to a uniquely qualified group of eye surgeons dedicated to protecting and caring for your precious gift of sight. Whether you are interested in the latest breakthroughs in cataract surgery and vision correction, cosmetic or functional eyelid surgery, routine eye exams, or designer eyewear and prescription glasses, our family of eye care professionals are here to help you enjoy a lifetime of healthy vision. Allow us to help you "Look Well, See Well, & Feel Well". Aesthetic Services Interested in cosmetic eyelid surgery check out our aesthetic page to learn more about these procedures. Your Eye Exam We offer comprehensive eye exams, and perform treatments for medical eye conditions. Surgical Services Cataract surgery and eyelid surgery are our specialties, helping you look well, see well, and feel well! Optical Shop… The Perlman Center takes pride in offering a wide variety of top styles & name brands. Welcome to The New Patient Center! We understand that your time is precious. In an effort to make you more comfortable when you arrive at our office and to streamline the new patient process, you will be able to complete The New Patient Health Form prior to your first visit. We strive to make sure the time we spend with you during your visit is quality time. Thank you for choosing our office, we look forward to seeing you. DOWNLOAD NEW PATIENT HEALTH FORM (English and Spanish) Download the required form(s). Print out the form(s) and complete the required information. Fax your printed and completed form(s) to our office or bring them with you to your appointment. FAX: (530) 666-0352 Cosmetic Eyelid Evaluation Patients are strongly encouraged to schedule a cosmetic eyelid evaluation. During this visit, you will meet personally with Dr. Perlman, who will carefully evaluate your eyelids to determine whether you are an appropriate candidate for cosmetic eyelid surgery. Dr. Perlman or a member of his specially trained staff will also review the fees associated with your recommended procedure. We take pride in being transparent with our pricing, with no “hidden charges.” Your quoted surgical fee is all-inclusive, covering your preoperative evaluation through the first three months following surgery. Many of our patients choose to finance their eyelid surgery through CareCredit, allowing for affordable monthly payment options. Please feel free to ask our staff for additional information about financing your procedure.

WHAT PEOPLE SAY I recently had blepharoplasty done on both my upper and lower lids and I am impressed with Dr. Perlman and his staff. The entire process was stress free and was completed with perfection. Because of their professional approach to patient care and the excellent results, I have no hesitation in recommending Dr. Perlman and his staff. Excellent service, professional integrity and patient care. — Wayne W. Elk Grove

Comprehensive Eye Exam A comprehensive eye exam will evaluate not only how well you see, but also identify potential eye diseases. Some eye diseases, such as glaucoma and macular degeneration, can result in serious vision loss if not detected and treated early. Often patients with these diseases don't experience any visual symptoms before vision loss occurs. If you are over 35, you should have a comprehensive eye exam every two years. Patients over 65 or with a family history of glaucoma,diabetes or diabetic retinopathy should have a yearly eye exam. Back What to expect at your eye exam: Your doctor will most likely dilate the pupils of your eyes, in order to better see the retina at the back of your eye. You may want to consider making transportation arrangements, as your vision may be blurry for a few hours after dilating. Your exam may include: Visual acuity or refraction test to determine the degree to which you may be nearsighted, farsighted or have astigmatism. Muscle function test to check the movement of your eyes in each direction and at specified angles. This test will identify any muscle weakness or involuntary eye movement. Binocular vision skills assessment to ensure that your eyes work together properly as a team. This is important for proper depth perception, eye muscle coordination and the ability to change focus from near to far objects. Visual field test to measure your peripheral vision, the width of the area you can see when you're looking straight ahead. This test may also detect diseases of the eyes or neurological disorders. Eye pressure test. Your doctor may administer one or more tests to evaluate your intra-ocular pressure. High intra-ocular pressure may be a sign of glaucoma. Color vision screening to see if you perceive colors properly. Eye health assessment is performed with a slit-lamp microscope and an ophthalmoscope. These examination tools allow the doctor to evaluate your pupil responses, optic nerve, retina, cornea and lens. We also have a variety of sophisticated photographic equipment which is often used during examination.

Obagi Skin Care Obagi Nu-Derm® System Clinically proven to help correct and improve signs of skin aging, our #1 skin care system is specially formulated to transform your complexion for beautiful, healthy-looking skin. Obagi for Life® All ages. All skin types. There’s an Obagi for everyone. “Obagi for Life” is our commitment to you and a lifetime of beautiful, healthy-looking skin. Our role as a worldwide leader in skin health is based on a belief that regardless of your age or skin type, there truly is an Obagi for everyone. Obagi Changes Lives Don’t just take our word for it. Click here to see what real people are saying about Obagi. Back

CONTACT US Questions? It is our desire to have a fully informed patient. If you have any questions which have not been fully answered or explained, please feel free to ask them. Hours: Monday–Friday: 8am–5pm Saturday & Sunday: Closed Call or Text at: (530) 666-0333 610 Cottonwood Street, Woodland, CA

Toric Lenses for Astigmatism The Toric Lenses for Cataract Surgery Toric lens implants have been approved by the FDA since 2005 because they are safe, reliable and effective when used on appropriate candidates during cataract surgery. Cataract surgery is performed on patients who have cloudiness in their natural lens. The Toric lens can be implanted into the eye that has a cataract AND pre-existing astigmatism during surgery to allow for the best possible vision without eyeglasses. Astigmatism is a condition which occurs when the cornea is not shaped like a basketball but more like a football. This condition causes people to have blurry vision. In the past, ophthalmologists might make incisions at the edges of the cornea to help create a rounder shape. However, the Toric lens is now being used very effectively for patients who suffer from astigmatism and cataracts. Back Toric IOL Advantages Highly reliable treatment method Better post-op outcomes Reduced residual refractive cylinder More freedom from glasses for distance Better bilateral uncorrected visual acuity More effective and predictable compared to relaxing incisions During the placement of the Toric lens, the surgeon makes a small incision in the eye/ cornea. The haptics, or arms of the lens, will then help the new lens to unfold and correctly maintain its position in a particular direction or axis. The Toric lens is used to correct astigmatism in patients only at the time of cataract surgery. • To Learn More About the Toric Intraocular Lens Click Here. • For Financing Options Ask Us About Care Credit or Click Here.

Radiesse Dermal Filler The best solution for erasing lines and folds is to replace lost structure with immediate volume. RADIESSE® Volumizing Filler works immediately so the results are instantaneous. Once injected, RADIESSE Volumizing Filler adds the volume and lift needed to diminish the signs of aging. What makes RADIESSE truly unique is the ability of the product to act as a scaffold under the skin, providing structure and stimulating your own natural collagen to grow.The production of natural collagen continues for several months, which extends beyond the initial effect of RADIESSE Volumizing Filler. Best of all, the natural results are clinically proven to last a year or more in many patients, which means more value from each treatment and long-lasting results. Click here to see how RADIESSE works! Back

Macular Degeneration What is Macular Degeneration and How Common is it? Age-related macular degeneration (AMD) is a condition in which the central portion of your retina tissue, the macula, deteriorates, causing central vision to be blurry and distorted. There are two major types of macular degeneration called “dry macular degeneration” and “wet macular degeneration.” Both forms can cause vision loss, but the wet type is more rapid and aggressive. Back In dry macular degeneration, tiny mounds of yellowish material accumulate in the retina and can damage the sensitive nerve cells. These mounds are called drusen. In many cases, the drusen only cause minor damage and result in mild vision loss. Nutritional supplements and antioxidant vitamins and minerals may reduce the chance of more damage (AREDS II or Age Related Eye Disease Study part II). These vitamins can be bought in drug stores and supermarkets and are sold as Ocuvite or I-CAPS among other brands. In wet macular degeneration, abnormal blood vessels grow and leak under the retina. These blood vessels usually cause more severe damage to the nerve cells and can sometimes bleed. Over the past few years major advances have occurred for the treatment of wet macular degeneration. New drugs such as Avastin , Lucentis , Eylea and Macugen can stop the growth of these vessels. Early detection is key to the treatment of wet macular degeneration. If you experience any central loss of vision or distortion come see us right away.

Back Specialized lens implants That correct nearsightedness, farsightedness, astigmatism and presbyopia • To Lean More About the Alcon PanOptix Pro Intraocular Lens Click Here • To Learn More About Alcon Vivity Presbyopia-Correcting Extended Vision Click Here • To Learn More About the Toric Intraocular Lens Click Here • For Financing Options Ask Us About Care Credit or Click Here.

Perlman Center Accessibility Statement Perlman Center strives to ensure that its services are accessible to people with disabilities. Perlman Center has invested a significant amount of resources to help ensure that its website is made easier to use and more accessible for people with disabilities, with the strong belief that website accessibility efforts assist all users and that every person has the right to live with dignity, equality, comfort and independence.

Entropion and Ectropion Entropion (IN-turning) is the rolling inward of the lower eyelid and eyelashes toward the eye. In this situation, the eyelid skin and eyelashes rub against the cornea (front part of the eye) and conjunctiva (mucous membrane that protects the eye). This rubbing causes tearing, crusting, mucous discharge, irritation, and ultimately affects the vision. Most cases of entropion are a result of aging, which may lead to the tissues of the eye relaxing. Other cases develop from scarring of the inner surface of the eyelid caused by burns, inflammatory diseases, or allergic reactions. In rare instances, entropion can appear at birth if the eyelids are not formed correctly. Entropion should be repaired surgically before the rubbing causes infection or scarring of the cornea. The surgery to repair entropion is typically performed under local anesthesia as an outpatient procedure. There is typically no patch needed. You will apply an antibiotic ointment for about a week following surgery. The result from surgery should leave your eye feeling comfortable and the risk of corneal damage and vision loss, can be avoided. Back PRE OPERATIVE ENTROPION POST OPERATIVE ENTROPION Ectropion (OUT-turning) is the sagging and outward turning of the lower eyelid and eyelashes. During a normal blink, your eyelids sweep across the exterior of the cornea. This removes debri and also is critical in spreading the normal tears over the eye and cornea, keeping it lubricated. When the lower lid is turned outward with "ectropion", the cornea gathers irritants, and is not correctly cleaned and wiped with each blink. Eventually, the tears that are produced overflow the lid and run down the cheek, causing patients to complain of tearing and irritation. Dr. Perlman explains that the eye is producing the correct amount of tears, but the normal drainage pattern is disturbed, so that the tears are not pumped into the normal drainage canals and into the nose as usual. Thus, the "tearing" occurs in addition to mucous buildup and possible infection. The most common cause of ectropion (similar to entropion) is simply that the tissues around the lids become loose and lax with aging, and this allows the lid to turn in or out. During ectropion surgery, local anesthesia is typically used, and the procedure takes approximately 15–30 minutes. Typically there is no patching and apply an antibiotic ointment is applied for about a week following surgery.

Trichiasis-Misdireced Eyelash Surgery Trichiasis (Ingrown Eyelashes) Trichiasis is an eye condition in which a person’s eyelashes grow the wrong direction on their eyelids. Instead of the eyelashes fanning out away from the eye, the person’s eyelashes grow in towards the eye. Back What are the Symptoms of Trichiasis? People suffering from Trichiasis often experience eye irritation as their eyelashes rub against their eyes. They may feel as though they have something stuck in their eye. People suffering from Trichiasis often have eye pain, irritation and redness. They may experience tearing or scratching of their eye or sensitivity to bright lights. If Trichiasis is left untreated, it may result in a corneal abrasion or a corneal ulcer. What Causes Trichiasis? Trichiasis is a condition that people can be born with and that they can develop later on in life. It is most common in adults, though anyone can have it. People who are born with Trichiasis have the eye disorder Epiblepharon. Those who were not born with Trichiasis can develop it due to a disease such as Herpes zoster eye disease or a condition such as chronic blepharitis. It can also be caused by an infection such as Trachoma or a skin and mucous membrane disorder such as Stevens-Johnson syndrome or cicatricialpemphigold. Eye trauma, including burns, can also cause Trichiasis. How is Trichiasis Treated? People suffering from Trichiasis should see their ophthalmologist for treatment. There are several options available that Dr. Perlman can perform, he can pluck a few offending lashes or surgically remove them permanently. More severe cases can be solved with electrolysis (using electricity to permanently remove lashes) or cryosurgery (removing lashes by freezing). If you suffer from Trichiasis, you should make an appointment today.