Laser Treatments

These include:

  • Selective Laser Trabeculoplasty (SLT) for treatment of some kinds of glaucoma.

  • MicroPulse Selective Laser Trabeculoplasty, a new treatment for some types of glaucoma.

  • MicroPulse retinal laser for treating some types of macular oedema including diabetic macula 

oedema and oedema caused by a retinal vein occlusion.

  • Nd:YAG - laser for treatment of posterior capsule opacification following cataract surgery.

  • Nd:YAG - laser for peripheral iridotomy for treatment of occludable anterior chamber angles.

These treatments are all conducted on site.

Eyelid Surgery

Dr Alex Buller was fortunate to complete his eyelid surgery training at Manchester Eye Hospital, UK, under the tutelage of Mr Brian Leatherbarrow, a world renowned oculoplastic surgeon.

We offer assessment, diagnosis and surgical management of many eyelid disorders including in-turned eyelids (entropion), out-turned eyelids (ectropion), eyelid tumours, and excess upper eyelid skin causing discomfort or difficulties with vision (blepharoplasty).

We also treat in-growing eyelashes with electrolysis to prevent regrowth.

Macular and Retinal Care

Detailed macular and retinal assessment is a core component of a comprehensive ophthalmic examination.  

Clinical examination is enhanced with new technology such as widefield fundal digital photography, Optical Coherence Tomography (OCT), and OCT angiography allowing us to visualise the retina in very high detail. Pathological changes associated with age-related macular degeneration, diabetic macular edema, central serous chorioretinopathy, and retinal edema associated with retinal vein occlusions can be detected and monitored with this form of imaging.

Many of these conditions can be treated with laser therapy or injections into the eye here in the clinic.

For more information on these conditions, we recommend the following links:

Therapeutic Eye Injections

One of the breakthrough classes of medicines developed in recent years has revolutionised how we treat certain sight threatening conditions such as wet age related macular degeneration and other forms of macular disease.

We understand that the thought of having an injection into the eye can cause significant anxiety.  We aim to provide a relaxed comfortable atmosphere to help put you at ease during your appointment.

For more information please see the following link:

Pterygium Surgery

A pterygium develops in areas of the conjunctiva covering the front of the eye exposed to UV light.  They can grow across the cornea causing visual disturbance and often become inflamed and uncomfortable.  Surgical treatment of a pterygium involves removal of the damaged conjunctiva, and placement of a graft of your own undamaged conjunctiva ( taken from inside the eyelid), which is held in place with tissue glue. 

This outpatient procedure is performed under a local anaesthetic.

For more information please see the following link:

Diagnosis and Treatment of Eye Diseases

Dr Alex Buller is a consultant ophthalmologist registered with The Royal Australian and New Zealand College of Ophthalmologists and has trained to assess, diagnose and treat the vast range of eye health concerns.  Ophthalmology is a highly specialised area of medicine and Alex works closely with many colleagues throughout New Zealand to whom he can refer you for further treatment if this is in your best interest.

For more information on the conditions we treat, please see the following link:

Optical Coherence Tomography Angiography (OCTA)

This is a new and exciting technology recently introduced to ophthalmology. OCTA is a non-invasive way to visualise the vascular structures of your retina.Until now the only way to visualise these blood vessels used fluorescein angiography which is a more lengthy procedure requiring injections of contrast dye.  OCTA provides high quality images which are available immediately, without the use of dye injections.

Dry Eye Care

Dry eye conditions can cause significant suffering.  Dr Sophie Buller has a special interest in this area of ophthalmology.  These conditions have been a particular focus in recent years and there are many new treatments available to help alleviate the discomfort and visual disturbances experienced by dry eye sufferers.

More information about dry eyes can be found at:

Copyright The Eye Surgery Hastings 2020