Arusha Gupta MD Powered by ZocDoc
Montgomery Center
8630 Fenton Street, Suite 514
Silver Spring, MD 20910
Jonathan S. Lyons MD

Eye Conditions


Cataract Surgeon, Silver Spring, DC, Rockville, MarylandCataract is clouding of your natural lens which impairs light from reaching the back of the eye. It is a normal aging change but can be accelerated by certain drugs and medical disorders such as diabetes. Cataract surgery removes the cloudy lens in the eye and replaces it with a clear artificial lens called an intraocular lens or IOL. Once removed, the cataract does not reoccur.

Symptoms include: Blurry vision, inability to see signs at a distance, having a “film” in front of the eye, having difficulty appreciating colors, increased glare especially at night, and needing more light to read.

We perform a minimally invasive, small-incision, no-stitch cataract surgery and offer variety of intraocular lenses. Call us today to schedule your consultation.


Glaucoma Surgery In Silver Spring, DC, Rockville, MarylandGlaucoma is a leading cause of blindness in the U.S. It occurs when the the optic nerve becomes damaged and is associated with increased pressure inside the eye. The vision loss is unfortunately permanent and irreversible. The condition often develops over many years without causing pain or other noticeable symptoms!

To detect glaucoma, our physicians will test your visual acuity, visual field as well as the pressure in your eye. We also use the Heidelberg Retinal Tomograph (HRT), which can digitally perceive damage that may indicate the onset of glaucoma, allowing treatment to begin before vision is lost.

Once diagnosed, glaucoma can be controlled. Treatments to lower pressure in the eye include prescription eye drops and medications, laser therapy, and surgery.

Macular Degeneration

Macular Edema TreatmentThe macula is a part of the retina in the back of the eye that ensures that our central vision is clear and sharp. Age-related macular degeneration (AMD) occurs when the arteries that nourish the retina harden. Patients may experience anything from a blurry, gray or distorted area to a blind spot in the center of vision. AMD is the number-one cause of vision loss in the U.S. Possible risk factors include genetics, age, diet, smoking and sunlight exposure. Regular eye exams are highly recommended to detect macular degeneration early and prevent permanent vision loss.

Recent developments in ophthalmology allow doctors to improve vision in many patients with AMD with the help early intervention.

Corneal Disorders

Corneal TransplantCornea is the transparent, front part of the eye. Disease, infection or injury can cause the cornea to swell (called “edema”) or degrade (become cloudy and reduce vision). Common diseases and disorders that affect the cornea include: Allergies, dry eyes, recurrent corneal erosions, Conjunctivitis (“Pink Eye”), corneal dystrophies such as Epithelial Basement Membrane dystrophy & Fuchs’ endothelial dystrophy, Keratoconus, Ocular Herpes, Shingles, and Pterygium.

Treatment for corneal disease can take many forms, depending on the underlying problem as well as the patient’s preferences. Some conditions resolve on their own and many can be treated with medication. If the cornea is severely damaged or if there is a risk of blindness, a corneal transplant may be recommended to preserve vision.

Dry Eye

Dry Eyes Treatment, Silver Spring, MDDry eye occurs when the eyes aren’t sufficiently moisturized, leading to itching, redness and pain. The eyes may become dry and irritated because the tear ducts don’t produce enough tears, or because the tears themselves have a chemical imbalance.

Dry eye is not only painful, it can also damage the eye’s tissues and impair vision. Fortunately, many treatment options are available.

Non-surgical treatments for dry eye include blinking exercises, increasing humidity at home or work, and use of artificial tears or moisturizing ointment. If these methods fail, small punctal plugs may be inserted in the corners of the eyes to limit tear drainage, or the drainage tubes in the eyes may be surgically closed.

Diabetic Eye Care

Cataract Surgeon, Silver Spring, DC, Rockville, MarylandPatients with diabetes are at an increased risk of developing eye diseases that can cause vision loss and blindness, such as diabetic retinopathy, cataracts and glaucoma. These and other serious conditions often develop without vision loss or pain, so significant damage may be done to the eyes by the time the patient notices any symptoms. For this reason it is very important for diabetic patients to have their eyes examined once a year. Diagnosing and treating eye disease early can prevent vision loss. It is also important to maintain a steady blood-sugar level, take prescribed medications, follow a healthy diet, exercise regularly and avoid smoking.

Plaquenil Retinal Toxicity

Plaquenil ToxicityHydroxychloroquine or Plaquenil, which was originally an anti-malaria drug, is now commonly used to reduce inflammation in rheumatoid arthritis and lupus. Patients on long-term treatment can accumulate the drug in their retinas, which can cause loss of vision. Traditionally, patients were followed primarily using visual field tests to detect any changes. But visual field changes may be misleading since they can result from other eye diseases such as glaucoma, cataracts and macular degeneration. Using the Multifocal Electroretinogram (mfERG) we can in most cases determine whether you actually have Plaquenil Toxicity and advise your doctor of potential problems. Dr. Lyons was one of the pioneers in detecting Plaquenil toxicity by using the Multifocal Electroretinogram (mfERG), which is a painless test, performed in our office and is the only objective test of retinal function to detect early toxicity.

Retinal Dystrophies / Undiagnosed Visual Loss

Retinal DystrophyWe also perform full field ERGs, VEPs, and EOG in addition to mfERG in order to diagnose several retinal dystrophies. These include retinitis pigmentosa, autoimmune retinopathy, cancer associated retinopathy, cone dystrophies, and night blindness. These electrophysiological tests are also helpful in localizing and defining the reason for previously undiagnosed visual loss.