Patient Center

Welcome to Downtown Eye Care’s Patient Center, where you’ll find educational resources on various eye conditions. Please see below where our ophthalmologists, Barbara E. Evans, MD and Jeffrianne S. Young, MD, provide a list of common eye conditions;


Comprehensive eye exams assess for the development of cataracts. Cataract surgery is performed when cataracts become visually significant. State-of-the-art intraocular lenses are discussed with each patient, including whether Toric Intraocular Lenses (to correct for astigmatism) or Multifocal Intraocular Lenses (to help correct both distance and near vision) would be appropriate for the individual patient.


Glaucoma services include intraocular pressure and optic nerve exams to assess for the risk of glaucoma. Additional testing is performed as needed, including Visual Fields and OCT™ nerve fiber layer analysis. Patients with glaucoma may receive treatment with glaucoma eyedrop medications, SLT™ laser treatments, and micro-stent surgery (iStent™ implants) when appropriate.

Age-Related Macular Degeneration (AMD):

AMD services include dilated exams to assess the macula, and specialized OCT™ testing and retinal photography as needed. Patients are advised whether AREDS vitamin supplements are necessary and are managed closely with retina specialists when needed.


Comprehensive eye exams are performed to assess for possible diabetic-related complications. Primary care physicians are updated on each eye exam. Patients are managed with retina specialists when necessary.

Dry Eyes:

During the comprehensive eye exam, patients are also evaluated for dry eye conditions which may be the result of tear film issues and/or eyelid issues. Treatments may include artificial tears, medicated eyedrops, and eyelid procedures. Eyelid surgery may be performed to correct eyelid positioning when necessary. Surgeries may include entropion repair and ectropion repair.

Droopy Eyelids:

Comprehensive eye exams also evaluate eyelids for potential loss of peripheral vision. Sometimes, patients do not even notice that they have gradually lost their peripheral vision. Visual Field testing may be used to evaluate the amount of peripheral vision loss. Depending on the cause of the peripheral vision loss, surgery may be performed. Lid surgeries performed include blepharoplasty, ptosis surgery and brow lift surgery.

When it comes to searching the internet for information about your eyes, it is important to use a reputable source. Clicking on the Get Eye Smart link or image will take you to the American Academy of Ophthalmology where you can easily find reliable information.

Our services at Downtown Eye Care are for adults and children. If you have any questions about our services, please contact our Des Moines office at (515) 281-0902.