Close up of a woman's eye with cornea thinning, in need of a transplant or DSAEK partial cornea transplant

How DSAEK Improves Vision Without Full Corneal Transplantation

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If you’re exploring options for a corneal transplant, you may be surprised to learn that full transplantation isn’t always necessary. At Maehara Eye Surgery & Laser in Honolulu, we offer DSAEK, an advanced procedure that restores vision without needing a full corneal transplant. Dr. Dennis Maehara founded the clinic over 30 years ago, and his son, Dr. Jeffrey Maehara, now leads with specialized training in anterior segment and glaucoma surgery. Board-certified and fellowship-trained, Dr. Maehara also brings a preventive approach through his expertise in anti-aging and regenerative medicine. 

With DSAEK, patients can experience clearer vision, a faster recovery, and fewer complications—making it a life-changing solution for many corneal conditions.

What is DSAEK?

DSAEK stands for Descemet’s Stripping Automated Endothelial Keratoplasty. It involves replacing only the innermost, damaged layer of the cornea—called the endothelium—rather than the entire cornea.

In a traditional full corneal transplant, the entire thickness of the cornea is removed and replaced. In contrast, DSAEK involves removing just the unhealthy endothelial layer and inserting a thin donor tissue layer. This makes the procedure less invasive and allows for faster healing.

The DSAEK Procedure

DSAEK is typically performed as an outpatient procedure and takes less than an hour. The surgeon removes the damaged endothelial layer through a small incision and replaces it with a thin layer of healthy donor tissue. An air bubble is used to hold the graft in place. Recovery is generally smooth, with most patients noticing improved vision within a few weeks.

Benefits of DSAEK

Many Honolulu patients choose DSAEK because of its advantages over traditional corneal transplants. Some of the key benefits include:

  • Faster visual recovery compared to full-thickness corneal surgery
  • Smaller surgical entry point, means less trauma and reduced risk of post-op issues
  • Better structural integrity of the eye
  • Lower chance of tissue rejection
  • Improved comfort and cosmetic appearance of the eye

Patients often notice clearer, sharper vision within weeks, rather than the months it may take to recover from a full corneal transplant.

Who is a Candidate for DSAEK?

DSAEK is typically recommended for patients with diseases affecting the corneal endothelium. Common conditions include:

  • Fuchs’ endothelial dystrophy
  • Corneal edema following cataract surgery
  • Certain types of corneal damage from injury or disease

If you are experiencing blurred vision, light sensitivity, or swelling in the cornea, DSAEK may be a treatment worth exploring. Every eye is different, so a consultation with an experienced ophthalmologist is the best way to determine if you’re a candidate.

Exploring Vision Correction Options in Honolulu, HI

If you’re struggling with vision changes and considering corneal transplant options, DSAEK might be the solution you need. The team at Maehara Eye Surgery & Laser has extensive experience helping patients regain clear vision with modern, minimally invasive procedures.

Contact us today at 808-955-3937 to schedule your consultation and learn how DSAEK can improve your sight and confidence without needing a full corneal transplant.

Close up of a man surfing, putting him at a higher risk for Pterygium growth.

Pterygium Surgery: When Is It Necessary and What Are the Risks?

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Pterygium is a common yet misunderstood eye condition affecting many individuals, especially those living in sunny, coastal regions like Honolulu, Hawaii. 

At Maehara Eye Clinic, founded by Dr. Dennis Maehara over 30 years ago, patients receive expert care for conditions like pterygium. His son, Dr. Jeffrey Maehara, board-certified by the American Academy of Ophthalmology and a fellowship-trained Anterior Segment-Glaucoma Specialist, provides advanced, personalized treatments. 

If you’re experiencing redness, irritation, discomfort, or unusual growth on your eye, understanding pterygium and available treatments is crucial.

What is Pterygium?

Pterygium is an eye condition featuring a pink, fleshy tissue growth on the white of the eye, potentially reaching onto the cornea. Common symptoms include redness, irritation, discomfort, and sometimes vision issues, as well as aesthetic concerns. Exposure to sunlight, wind, and sand can increase the risk and severity of pterygium, making local awareness especially important in Honolulu.

When is Pterygium Surgery Necessary?

Surgery becomes an important consideration when the growth:

  • Interferes with vision
  • Causes persistent discomfort
  • Creates significant cosmetic concerns

While non-surgical treatments, such as lubricating eye drops, may temporarily relieve symptoms, they do not prevent the pterygium from growing. Early consultation with an eye specialist can help determine the optimal timing for surgery and prevent the condition from worsening.

What Does Pterygium Surgery Involve?

Understanding the surgery can alleviate many concerns. Pterygium surgery is typically an outpatient procedure performed under local anesthesia. During surgery:

  • The abnormal growth is carefully removed.
  • A small piece of healthy tissue may be grafted onto the affected area to minimize recurrence.

Recovery is relatively swift, with most patients resuming normal activities within a few days and full healing occurring over several weeks. Modern surgical techniques employed by experienced surgeons ensure minimal discomfort and excellent outcomes.

What Are the Risks of Pterygium Surgery?

Common risks include:

  • Recurrence of the growth
  • Minor scarring
  • Temporary discomfort or redness post-surgery

Fortunately, these risks are generally minimal and manageable, especially when the procedure is performed by skilled eye surgeons. Choosing a reputable provider significantly reduces these risks, as experienced surgeons utilize advanced techniques and technology to ensure safety and effectiveness.

Benefits of Pterygium Surgery

The benefits of undergoing pterygium surgery are substantial. Patients commonly experience immediate relief from discomfort, a significant improvement in vision clarity, and an enhanced cosmetic appearance, contributing to greater self-confidence and well-being.

For residents of Honolulu, where environmental factors can exacerbate the condition, addressing pterygium early is especially beneficial. Timely treatment can significantly improve quality of life by reducing symptoms and preventing further complications, such as vision impairment. 

Personalized Pterygium Solutions in Honolulu, HI

If you are experiencing discomfort or concerns related to pterygium, it is important to seek expert advice promptly. Contact us today at 808-955-3937 to schedule a consultation to discuss your condition and discover the best treatment options tailored to your needs. Early intervention can significantly affect your comfort, vision, and overall eye health.

Doctor preparing an intraocular premium lens implant for cataract treatment

What Are Premium Lens Implants, and Are They Right for You?

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If you’re tired of depending on glasses or contacts to see clearly, or you’re preparing for cataract surgery, premium lens implants could be the ideal solution for achieving clearer, more convenient vision. At Maehara Eye Surgery & Laser, we specialize in advanced eye care, offering personalized treatments to help patients in Honolulu, HI, improve their eyesight and quality of life.

Founded over 30 years ago by Dr. Dennis Maehara, our practice continues to deliver exceptional care under the leadership of both Dr. Maehara and his son, Dr. Jeffrey Maehara, a board-certified specialist in advanced cataract and vision correction procedures. By combining state-of-the-art technology with compassionate care, we’re committed to helping you enjoy life with clearer vision through premium lens implants.

What Are Premium Lens Implants?

Premium lens implants are advanced intraocular lenses (IOLs) used during cataract surgery or as a vision correction option. Unlike standard lens implants, which typically restore only basic vision, premium lenses are designed to address a wider range of vision problems, such as astigmatism, nearsightedness, farsightedness, or even presbyopia (age-related difficulty focusing on near objects).

With options like multifocal and toric lenses, premium implants allow many patients to significantly reduce or even eliminate their need for glasses after surgery. They’re particularly beneficial for those who want the convenience of clearer vision at multiple distances.

Who Can Benefit from Premium Lens Implants?

Premium lens implants are a great option for people undergoing cataract surgery who want to address other vision issues. They’re ideal for individuals who:

  • Lead active lifestyles and prefer not to rely on glasses.
  • Have astigmatism or other refractive errors.
  • Desire a solution that addresses near, intermediate, and distance vision.

Your candidacy will depend on factors like your eye health, overall health, and lifestyle. At Maehara Eye Surgery & Laser, we’re committed to finding the perfect solution for you through a detailed assessment and personalized recommendation.

Discover Your Vision’s Full Potential in Honolulu, HI

If you’re considering cataract surgery or want to learn more about premium lens implants, we invite you to schedule a consultation at Maehara Eye Surgery & Laser in Honolulu, HI. Our experienced professionals are here to inform, support, and guide you on your journey to improved vision and confidence.

Take the first step toward clearer vision and greater independence today. Call us at 808-955-3937—we look forward to helping you see the world in a whole new way!

Older woman struggling to see as she suffers from glaucoma, in need of treatment

How Glaucoma Progresses and the Importance of Early Treatment

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Glaucoma, often referred to as the ‘silent thief of sight,’ is a serious eye disease that damages vision gradually. Without early intervention, its effects can become permanent.At Maehara Eye Surgery & Laser in Honolulu, HI, Dr. Dennis Maehara, founder of the clinic over 30 years ago, and his son, Dr. Jeffrey Maehara, a board-certified Anterior Segment-Glaucoma Specialist, provide cutting-edge glaucoma care tailored to each patient.

Using advanced technology and a patient-centered approach, the Maehara team is dedicated to helping preserve vision and improve quality of life. Understanding how glaucoma progresses and the importance of early treatment is crucial to protecting your eyesight for years to come.

What is Glaucoma?

Affecting the optic nerve, glaucoma disrupts the critical pathway that transmits visual information from the eyes to the brain. It’s often caused by increased pressure within the eye, though it can also occur with normal eye pressure. Without treatment, this damage can lead to gradual, irreversible vision loss.

Glaucoma is particularly concerning because symptoms typically appear only after significant damage has occurred. That’s why routine eye exams are critical—early detection is the key to preserving vision.

The Glaucoma Timeline

The progression of glaucoma happens in stages:

  1. Early Stage: During this stage, glaucoma often has no noticeable symptoms. However, the optic nerve may already be experiencing damage. Routine eye exams are crucial, particularly for individuals over 40 or those with a genetic predisposition to glaucoma.
  2. Middle Stage: Vision loss begins to occur, typically starting with peripheral vision. Without treatment, the damage accelerates, potentially impacting daily activities.
  3. Late Stage: Severe vision impairment or blindness occurs if glaucoma remains untreated. At this stage, lost vision cannot be restored.

Each stage underscores the importance of early detection and treatment to prevent further damage.

The Importance of Early Glaucoma Treatment

Fortunately, glaucoma treatment can slow or stop the progression of the disease. Offering a personalized approach, Maehara Eye Surgery & Laser in Honolulu ensures each patient receives the right care. Potential treatments include:

  • Medications: Eye drops or oral medications to reduce eye pressure.
  • Laser Therapy: Minimally invasive procedures to improve fluid drainage.
  • Surgical Treatment: Advanced surgical techniques to control eye pressure.

With early intervention, these treatments can preserve vision and improve quality of life.

Don’t Wait to Protect Your Vision in Honolulu, HI

Protecting your vision starts with a simple step: scheduling a consultation. At Maehara Eye Surgery & Laser, our experienced team is committed to providing cutting-edge glaucoma treatment and compassionate care.

Now is the time to act—glaucoma’s progression doesn’t stop, but expert care can help maintain your vision. Contact us today at 808-955-3937 to schedule your consultation and safeguard your vision for the future.

Woman with cataracts in Honolulu, HI

Understanding the Symptoms of Cataracts

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Cataracts are a common eye condition that can significantly affect your vision and quality of life. If you’re noticing changes in your eyesight, it’s essential to seek care from a trusted and experienced eye specialist. At Dr. Jeffrey Maehara’s practice in Honolulu, patients receive expert care and personalized treatment options for various eye conditions, including cataracts. With a commitment to advanced techniques, including state-of-the-art cataract surgery, Dr. Maehara ensures optimal results tailored to your needs.

Common Symptoms of Cataracts

Cataracts develop gradually, often starting as minor vision changes that may worsen over time. Recognizing the symptoms early can help you take the necessary steps to address the issue effectively. Here are some of the most common signs:

  • Blurry or Cloudy Vision: A common early symptom, cataracts often cause your vision to appear foggy or hazy, making it challenging to see details.
  • Sensitivity to Light: Many people with cataracts experience discomfort or glare when exposed to bright light, such as sunlight or headlights.
  • Difficulty Seeing at Night: Cataracts can make it harder to see clearly in low-light conditions, which may impact activities like driving at night.
  • Fading or Yellowing of Colors: Colors may appear less vibrant or take on a yellowish tint.
  • Frequent Prescription Changes: If you find yourself needing updated glasses or contact lenses more often, it could be a sign of cataracts.
  • Double Vision in One Eye: Some individuals experience double vision or overlapping images in one eye due to cataracts.

If you notice these symptoms, scheduling a comprehensive eye exam with a specialist like Dr. Maehara can provide clarity and a tailored plan for treatment.

Why Early Treatment Matters

Cataracts left untreated can lead to significant vision impairment or even blindness. Advanced cataract surgery not only removes the cloudy lens but also replaces it with a clear, artificial lens, restoring sharpness and clarity to your vision. Dr. Maehara offers innovative surgical techniques to ensure minimal recovery time and optimal outcomes.

Take the First Step Toward Clearer Vision

Don’t let cataracts affect your independence or enjoyment of daily activities. Contact Dr. Jeffrey Maehara at his Honolulu, Hawaii office today to schedule a consultation. Call (808) 955-3937 to discuss how advanced cataract surgery can improve your vision and enhance your quality of life.

Man rubbing his eyes due to glaucoma symptoms, exploring medical marijuana as a potential relief option

Medical Marijuana for Glaucoma: What Patients Should Know

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Medical marijuana for glaucoma is increasingly used as a supplemental treatment for managing eye pressure and alleviating discomfort. As a leading cause of blindness, glaucoma requires careful management, and some studies suggest that compounds like THC in cannabis may offer temporary relief when used alongside traditional treatments.

At Maehara Eye Surgery & Laser in Honolulu, HI, we specialize in advanced glaucoma management using a combination of traditional methods and cutting-edge technology. Our practice, led by Dr. Jeffrey Maehara, a fellowship-trained anterior segment and glaucoma specialist, and Dr. Dennis Maehara, who has over 30 years of experience, is dedicated to preserving vision and enhancing eye health for our patients. 

How Medical Marijuana Helps Lower Eye Pressure in Glaucoma Patients

Research indicates that THC, the psychoactive compound in cannabis, may lower intraocular pressure by up to 25% for a short duration of three to four hours. However, these effects are temporary, requiring frequent doses that may not be practical for long-term glaucoma management. Medical marijuana may also help alleviate associated symptoms like headaches and nausea, providing a complementary option for patients under medical supervision.

Comparing Medical Marijuana with Traditional Glaucoma Treatments

While cannabis treatment is gaining attention, traditional methods like prescription eye drops, laser therapy, or surgical interventions remain the gold standard. Unlike medical marijuana, which offers temporary relief, these treatments provide consistent, long-term control of eye pressure. Combining approaches may benefit some patients, but a thorough consultation is essential to determine the most effective plan.

State Laws for Obtaining a Medical Marijuana License for Glaucoma

For patients in Hawaii, obtaining a medical marijuana license involves meeting specific eligibility criteria. Glaucoma is a recognized condition for which medical marijuana is permitted, but patients must provide documentation from a licensed physician confirming their diagnosis. Applications are processed through the Hawaii Department of Health, which also regulates the use of cannabis. Familiarize yourself with the laws to ensure compliance and safe access.

Discover Expert Glaucoma Care at Maehara Eye Surgery & Laser

Discover innovative approaches to glaucoma management, including medical marijuana options, at Maehara Eye Surgery & Laser in Honolulu, HI. Our experienced team is dedicated to preserving your vision and enhancing your quality of life. Call 808.955.3937 today to learn more.

A woman with glaucoma rubbing her eyes

Is Glaucoma Hereditary?

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Glaucoma encompasses a collection of eye disorders that affect the optic nerve, which is essential for proper vision. This injury is frequently caused by very high pressure in your eye.

Heredity plays a role in the condition, making it important to know your family’s eye health history. Learn more about the genetic aspect of glaucoma below.

Understanding the Genetic Factors of Glaucoma

Research shows that genes are indeed a factor in many types of glaucoma. For example, primary open-angle glaucoma, the most common type, has been linked to several genetic mutations.

If you have a family member with glaucoma, especially a direct relative like a parent or sibling, your risk of developing the condition may be higher. Genetic tests are available to identify some of the genes associated with glaucoma, but they are not yet standard practice for everyone.

How to Manage Your Risk

Knowing that glaucoma can be hereditary, you might feel a need to take action. Start with regular eye check-ups, particularly if your family history suggests a higher risk.

These exams are essential as glaucoma often does not present any symptoms until significant vision loss has occurred. Early detection through routine screenings can make a significant difference in outcomes.

In addition to monitoring your eye health, maintaining a healthy lifestyle can help manage your risk. 

Regular exercise and a balanced diet benefit overall body health, including the eyes. Also, managing other health conditions, such as diabetes and high blood pressure, is important, as these can increase the likelihood of developing glaucoma.

The Importance of Awareness and Regular Check-Ups

Awareness is your first line of defense. Knowing about the hereditary aspects of glaucoma empowers you to take proactive measures. Remember, early detection through regular eye exams plays a critical role in preventing significant vision loss from glaucoma.

If glaucoma is a concern for you, consider starting a conversation with your eye doctor during your next visit. They can help assess your risk and suggest preventive measures. 

By staying informed and vigilant about eye health, you can better manage the risk of glaucoma, whether or not it runs in your family.

Schedule Your Glaucoma Consultation in Waipahu & Honolulu, HI

Concerned about glaucoma and its hereditary aspects? Visit Jeffrey Maehara, MD, for a comprehensive consultation. Our team of experts is here to assess your risk and guide you through the best preventative measures.

Don’t wait until it’s too late — schedule a consultation today and take the first step toward protecting your vision. For more information or to make an appointment, call us at 808-955-3937 (Honolulu) or 808-671-3782 (Waipahu). Let us be your partner in better eye health.

Closeup of person’s eye with circles around it indicating clear vision after bladeless LASIK

The Safety and Effectiveness of Bladeless LASIK

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Bladeless LASIK is a significant advancement in corrective eye surgery. It uses laser technology to enhance precision and minimize discomfort. This method has gained popularity for its ability to correct vision while ensuring a high safety profile. 

If you’re considering vision correction options, understanding how bladeless LASIK works and its benefits can help you make an informed decision.

Safety of Bladeless LASIK

Bladeless LASIK is renowned for its high safety profile. The femtosecond laser allows precise control during the flap creation phase, which is crucial for the surgery’s success. 

Such precision significantly reduces the risks associated with manual methods. Most patients report minimal discomfort, and the procedure’s refined accuracy helps lower the chances of complications.

Extensive clinical studies have demonstrated that bladeless LASIK results in fewer flap-related complications than traditional LASIK. Issues like flap irregularities, which can arise from mechanical cutting devices, are substantially less common. Moreover, the laser technique can be adjusted to the individual’s specific eye structure, enhancing safety for each patient.

Effectiveness of Bladeless LASIK

The effectiveness of Bladeless LASIK is evident in its remarkable accuracy in correcting various vision problems. This method is particularly effective for patients with myopia, hyperopia, and astigmatism. After undergoing bladeless LASIK, many achieve 20/20 vision or better, which means they no longer need glasses or contact lenses for most activities.

Patients often notice an improvement in vision almost immediately after the procedure, although it can take a few weeks to stabilize fully. Long-term studies have shown that bladeless LASIK offers lasting results, with most patients maintaining excellent vision years after surgery.

Bladeless LASIK’s technology not only ensures vision correction but also a smoother recovery. The laser’s ability to fine-tune the procedure to each eye’s unique shape enhances the safety and effectiveness of the treatment, leading to high satisfaction rates among patients.

Schedule Your Bladeless LASIK Consultation in Honolulu, HI

Ready to enhance your vision with bladeless LASIK? Schedule a consultation today with Jeffrey Maehara, MD, at Maehara Eye Surgery & Laser in Honolulu. Explore your options and discuss your vision goals with our experienced team. 

Call us at 808-955-3937 and discover how bladeless LASIK can change your view of the world!

Close up of crow’s feet fine lines around woman’s eye

How Dysport Can Help Smooth Crow’s Feet

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Crow’s feet — those fine lines that form around the corners of your eyes — are often one of the first signs of aging. If you’re looking for a way to smooth out these lines, Dysport is a popular, non-invasive treatment that can help. 

Dr. Jeffrey Maehara and his father, Dr. Dennis Maehara, offer expert eye care and cosmetic injections to patients in Honolulu, Hawaii. With over 30 years of experience in the local community, our team at Maehara Eye Surgery & Laser can freshen up your look with Dysport.

What Causes Crow’s Feet?

Crow’s feet are mainly caused by repeated facial movements like squinting, laughing, and smiling. Over time, the muscles around the eyes contract, and as your skin loses elasticity, these repeated movements can start to form fine lines. Sun exposure and smoking can cause crow’s feet to develop faster than normal. While there’s nothing wrong with having crow’s feet, some people wish to reduce their appearance.

How Dysport Works for Crow’s Feet

Dysport is an FDA-approved injectable treatment that targets the muscles responsible for crow’s feet. When injected, Dysport temporarily relaxes these muscles, preventing them from contracting and deepening the wrinkles. This smooths out the lines to make your eyes look younger.

Results from Dysport usually appear within a few days and can last several months. It’s also a quick, minimally invasive procedure, so you can easily fit into your busy schedule. You can even choose Dysport to reduce other facial lines, such as laugh lines around the mouth, with equally great results.

A Family Legacy of Exceptional Eye and Aesthetic Care

At Maehara Eye Surgery & Laser, you’re in trusted hands. Dr. Jeffrey Maehara, a board-certified ophthalmologist and fellowship-trained specialist, brings extensive knowledge and skill to each procedure. His father, Dr. Dennis Maehara, has built a legacy of high-quality care over the past 30 years, serving the Honolulu community with a focus on eye health and cosmetic treatments.

If you want to address your crow’s feet, contact Maehara Eye Surgery & Laser today. Call 808-955-3937 to schedule your consultation and learn more about how Dysport can help you look your best.

Who is a Candidate for Corneal Transplant Surgery?

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A corneal transplant replaces a damaged or diseased cornea with healthy tissue from a donor. The procedure aims to improve vision, relieve pain, and treat severe infections or damage.

During surgery, your eye surgeon removes and replaces the central part of your cornea with the donor cornea. This surgery may restore clear vision and enhance the quality of life for those with corneal conditions.

Recovery varies, but many patients experience significant improvements in vision over time. Your eye doctor will guide you through the post-surgery care process to ensure the best results.

Medical Conditions Requiring Corneal Transplant

Several conditions may necessitate a corneal transplant—keratoconus, where the cornea thins and bulges into a cone shape, distorts vision. Corneal scarring from injury or infection can cloud vision, making daily activities difficult.

Fuchs’ dystrophy causes swelling and clouding of the cornea, leading to blurred vision and discomfort. Other conditions include corneal ulcers and severe corneal infections.

If you experience severe corneal damage, vision problems, or pain from these conditions, a corneal transplant might be recommended. Symptoms include blurred vision, sensitivity to light, eye pain, and distorted vision, all of which can impact your daily life.

Evaluating Candidacy for Corneal Transplant Surgery

Doctors consider several factors to determine if you are a suitable candidate for a corneal transplant. Overall health is crucial, as conditions like uncontrolled diabetes or infections can affect surgery outcomes.

Eye health, including the condition of other parts of the eye, plays a significant role. Your doctor may suggest other treatments or surgeries before recommending a corneal transplant.

Comprehensive eye exams and a medical history review will help make this decision. If a corneal transplant is advised, your doctor will guide you through the preparation and recovery process to achieve the best possible outcome.

Pre-surgery evaluations include assessing corneal thickness and overall eye health to ensure that a corneal transplant is the best option for you.

Schedule a Corneal Transplant Consultation in Honolulu, HI

Ready to explore if a corneal transplant is right for you? Schedule a consultation with Jeffrey Maehara, MD, at Maehara Eye Surgery & Laser in Honolulu, HI, today. 

Dr. Maehara will provide personalized care to help restore your vision. Call us at 808-955-3937 to book your appointment. Let us guide you towards clearer vision and improved eye health.