expert type icon EXPERT

Dr. Wesley K. Herman

Ophthalmologist

Dr. Wesley Herman is an ophthalmologist practicing in Dallas, Texas. Dr. Herman specializes in eye and vision care. As an ophthalmologist, Dr. Herman can practice medicine as well as surgery. Opthalmologists can perform surgeries because they have their medical degrees along with at least eight years of additional training. Dr. Herman can diagnose and treat diseases, perform eye operations and prescribe eye glasses and contacts. Ophthalmologists can also specialize even further in a specific area of eye care.
Dr. Wesley K. Herman
  • Dallas, Texas
  • University of North Dakota School of Medicine
  • Accepting new patients

How to manage diplopia?

Cataracts CAN cause double vision.Diplopia is really a muscle issue. That should be easy to differentiate. You should likely see a comprehensive cataract surgeon and perhaps a READ MORE
Cataracts CAN cause double vision.Diplopia is really a muscle issue. That should be easy to differentiate. You should likely see a comprehensive cataract surgeon and perhaps a retinal specialist to rule out retinal versus cataract induced refractive reasons for “blurry” vision instead of diplopia of cranial nerve origin. Very few of the latter are non progressive over a decade!

Respectfully,

Wesley K. Herman, MDf

second eye cataract removal

It depends on the “difference” between your eyes and the degree of “lens” dysfunction. It is always better to make your vision the same or similar in both eyes than to allow conflict. You READ MORE
It depends on the “difference” between your eyes and the degree of “lens” dysfunction. It is always better to make your vision the same or similar in both eyes than to allow conflict.
You can hurt your “new” eye by making it try to work with its partner which needs to focus to see when your operated eye needs to rest to heal. Each situation is unique and you should ask about the best strategy to integrate your new eye with its partner.

What do you recommend for an allergic reaction with the eyes?

Seasonal allergies can affect the eyes often because the eyes are moist. Antigens like pollens can "stick" there. It is always a good idea to rinse ones eyes with saline. Individual READ MORE
Seasonal allergies can affect the eyes often because the eyes are moist. Antigens like pollens can "stick" there. It is always a good idea to rinse ones eyes with saline. Individual contact lens saline ampules are OK, however, multi-use bottles of non-preserved saline are not. Sterile ampules used in respiratory therapy are great, but usually require a prescription. Rinsing eyes with saline is like taking a bath or washing ones hands. If your hand "itched" would you take a "pill" to make it stop? Likely you would wash it. Allergy pills or sprays and even most drops do not treat the allergy directly. Most remedies merely "stop" your body's or eye's natural response to "wash" the allergen away, causing your eyes and sinuses to be more sticky like "fly paper." This results in a build-up of antigen "load" on mucosal linings making the eventual immune response even more vigorous. For this reason, it should be our goal to minimize antigen load! We can do this with protective sunglasses, masks or nose filters, indoor clean air attention, and eye and nose rinses with sterile saline after exposure. While many people do need intervention relief symptomatically, it is usually best to start with hygiene and proceed to targeted treatments with longer duration of action as recommended by your physician. Drops usually contain preservatives and are less irritating when applied less often. Most "pills" act on ALL MUCOUS MEMBRANES and are NOT selective to EYES or SINUSES only.

Also, remember that most treatments DRY UP the MUCOUS MEMBRANES, making infections caused by resident germs even more opportunistic because they can only grow easily in low oxygen environments. Normal SALINE is 99.1% WATER, and water is 80% oxygen! Oxygen-rich wetting agents are therefore better than sticky or oily ones for most purposes.
Your eye physician should guide you to specific treatments after a careful exam, as many "red, itchy eyes" are not just allergies.

Respectfully,

Wesley K. Herman, MD

My eye looks different because of my astigmatism. Anything I can do?

Astigmatism, if of a great amount and different from your other eye, can cause the iris (the colored part creating the pupil) to look "different". A very commonly available measurement READ MORE
Astigmatism, if of a great amount and different from your other eye, can cause the iris (the colored part creating the pupil) to look "different". A very commonly available measurement from
an Ophthalmologist or Optometrist can give you a quick answer.