Ophthalmology Services

At the Mid-Peninsula Ophthalmology Group, you’ll find all of your eyecare needs addressed through our comprehensive services. Click any of the service types below to learn how we care for your eyes.

General Eye Exams

Even if you’ve never had any eye issues, you should be getting a general eye exam by a board certified ophthalmologist approximately once per year. Let the team at Mid-Peninsula Ophthalmology Medical Group in Menlo Park, CA ensure that your eyes stay healthy and comfortable.

Why do I need general eye exams?
General eye exams are important because many eye problems can present initially without any symptoms. Getting a full, thorough examination once per year is important to determine how well you are currently seeing and assess whether any additional interventions could possibly help you.

What does a general eye exam entail?
A general eye exam usually includes an assessment of visual acuity, a refraction to determine an appropriate glasses or contact lens prescription if necessary, eye muscle motility and visual field evaluation, measurement of the intraocular pressure, and an assessment of all parts of the eye including eyelids, conjunctiva, cornea, anterior chamber, iris, lens, vitreous and retina. A yearly general eye exam should include dilation–instillation of certain eye drops to enlarge the pupil and allow the doctor to examine the retina and the optic nerve.

Can I get these tests done by an optometrist?
Optometrists are great for assessing vision and evaluating glasses and contact lenses. However, when it comes to evaluating the anatomy and physiology of the eye, you should be seen my an ophthalmologist (a medical doctor with a medical degree). The specialists at Mid-Peninsula Ophthalmology take the time to make sure you are seeing your best by assessing your vision, ensuring your current glasses or contact lenses are optimal, and examining all parts of the eye to make sure you continue to see your best.


Glaucoma is a very prevalent eye condition that can potentially become a serious vision threatening problem. The team at Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, offers thorough glaucoma evaluations and treatment strategies.

What is Glaucoma?
Glaucoma refers to several different eye diseases. In these diseases, the fluid pressure within the eye can often be elevated. Over time, this can lead to the partial loss of vision, or even total blindness in some cases. Open-angle glaucoma is the most commonly occurring kind of glaucoma.

What Causes Glaucoma?
Glaucoma happens when the anterior chamber, the area at the forefront of the eye, starts to drain clear fluid too slowly. This slow drainage results in an accumulation of pressure. This, in turn, causes serious damage to the optic nerve. The optic nerve damage may occur with only a minimal increase in pressure for some people, but for others, the increase in pressure must be dramatic before it results in major optic nerve damage.

Who is at Risk For Glaucoma?
Nearly any person can get glaucoma, but certain groups of people may have higher risk levels for developing this type of eye disease. African Americans have an elevated risk for glaucoma, especially at the age of 40 and beyond. People of all races have an elevated risk for glaucoma over the age of 60. Anyone who has glaucoma in the family, especially the immediate family, has a higher risk of developing it themselves.

What Are the Symptoms of Glaucoma?
Initially, open-angle glaucoma does not cause symptoms. When the disease enters its later stages, a person who suffers from glaucoma will start to notice that the peripheral vision is fading. Eventually, the field of vision will narrow even further and total blindness is the result. Angle-closure glaucoma can present with headaches, blurred vision, nausea, or halos.

How is Glaucoma Treated?
The treatment for glaucoma depends on the specific patient and on the progression of the disease. Eye drops, medication, laser surgery, or several of these methods may be used. If people who suffer from glaucoma pursue appropriate medical treatment, they can avoid losing their any portion of their vision.

Macular Degeneration

Macular Degeneration is an often age-related disease that can cause decreased vision over time, but there are ways to treat it effectively. The team at Mid-Peninsula Ophthalmology Medical Group, located in Menlo Park, provides thorough evaluations of the retina as well as treatment strategies to prevent vision loss from macular degeneration.

What is Macular Degeneration?
Macular degeneration is an eye disease that causes the macula (the main area in the retina) to deteriorate. This disease is most often related to aging.

What is Dry Macular Degeneration?
Dry macular degeneration is the most common kind of macular degeneration. This type of macular degeneration makes up around 85 to 90 percent of all cases. In dry macular degeneration, waste products that come from metabolism grow beneath and around the retina. This buildup causes blurry vision or spotty vision. Dry macular degeneration sometimes turns into wet macular degeneration.

What is Wet Macular Degeneration?
Wet macular degeneration is the more severe form of macular degeneration. It is often preceded by dry macular degeneration. This type of macular degeneration develops when the Bruch’s membrane starts to deteriorate. New blood vessels develop in that area, but the blood vessels are highly delicate. This frequently causes the leaking of fluids and blood. This, in turn, causes the macula to scar severely and may result in loss of vision. Wet macular degeneration accounts for a large majority of all cases of legal blindness today.

What Are the Symptoms to Watch For?
Possible symptoms of macular degeneration include an increased need for light while reading, blurry spots in the middle of the field of vision, distortions causing straight lines to look wavy, and distortion of any kind in straight-ahead vision.

How is Macular Degeneration Treated?
The treatment for macular degeneration depends on the specific type of macular degeneration. Dry macular degeneration has no specific treatments, but there may be ways to delay the progression of the disease before it becomes wet macular degeneration. This may include the use of vitamins and antioxidants such as lutein. In wet macular degeneration, laser surgery is a common therapy. Injectable medications may also be able to stop the progression of the disease and help preserve the vision.

Dry Eye

Dry Eye can be not only painful but also very frustrating for many people today. Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, is ready to help patients with treatments that will provide quick relief.

What is Dry Eye?
Dry eye is a condition that causes a lack of lubrication in the eye. The eyes need quality tears to stay healthy and to have clear vision. Many people suffer from dry eye today, especially seniors. This condition occurs in as much as 10 percent of the overall U.S. population today. People who have chronic dry eyes should see an eye doctor as soon as possible. There are highly effective treatments that can make life much more comfortable.

How is Dry Eye Treated?
There are several ways that dry eye can be addressed medically. One method of treatment is the stimulation of new tears. This typically involves topical application of eye drops or ointment. It typically takes a month or more for the eyes to respond to this type of treatment, and it is usually necessary to keep using the topical treatment long term. In some cases, dry eye is treated with antibiotics or with an antibiotic and steroid combination ointment or drops. Less commonly, antibiotics may be taken orally.

The simplest treatment for dry eye is the replacement of tears using eye drops until the eyes resume sufficient tear secretion on their own. This is usually best for people who have only a short term issue with dry eye. As long as dry eye is diagnosed and treated promptly, patients can avoid having serious complications like corneal scarring.

What Are the Risk Factors For Dry Eye?
Long days with insufficient sleep, prolonged use of contact lenses, and exposure to very dry environments such as airplane cabins are all possible risk factors for dry eye. People who work in “clean room” type environments like operating rooms may have an elevated risk of developing dry eye. There may be times that the dry eye can’t be traced to a clear stimulus, as well.

Eyelid Lesions

Eyelid lesions can be unsightly, irritating, vision threatening, or in some cases, pre-cancerous or cancerous. Dr. Jayaram, an Eyelid Lesions Specialist, can explain to you your options for management including observation, excision, or even biopsy. Come in today to find out what you can do about your eyelid lumps and bumps.

Cosmetic Services

The eyes are the focal point of the face, so it is worth it to take the time to hear the options you have to keep your face and eyes looking their best. Let Dr. Jayaram at Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, assess your face and eyelids and discuss with you all of your cosmetic options.

What surgeries can be done to the eyelids?
One of the most effective procedures one can have to make their face appear years younger is an upper eyelid blepharoplasty. Almost all women with age develop some excess skin on their upper eyelids causing a tired and wrinkled appearance. Additionally, lower lid blepharoplasty is a great option for those worried about bags underneath their eyes.

What non-surgical procedures can be done to keep me appearing young?
For those not quite ready for surgery or those who are not a good candidate for anesthesia, a number of facial injectables including botox and other neurotoxins as well as facial fillers can treat the majority of wrinkles and facial volume loss. There are also other options such as facials, skin care products, and fat melting injections.

Blog Post: Can a Dry Eye Patient Get Eyelid Surgery?

Blog Post: Lower Lid Love



Dr. Jayaram is a gem. She is easy to talk to, interested in making sure you are satisfied and follows up very quickly if you have any questions. I highly recommend her!
Erin S.

I went to Dr Jayaram for bags under my eyes. Dr Jayaram spent a great deal of time explaining my options with the pros and cons of each and I am happy with the results of the option I picked .
Joan V.

Very professional and took plenty of time.
Doug P.

Dr. Ann was great! Professional, thorough, great attention to detail, and caring!
Rachelle Y.

Dr. Jayaram was knowledgeable, competent, and most importantly has a great bedside manner. My results are perfect and very natural. I will be making her part of my regular routine.
Maddie N.

Dr Jayaram is very knowledgeable! She knows how to put patients at ease and answer all their questions. Highly recommended!
Sara R.

Cataract Surgery

Cataracts are the result of a natural aging process of the lens of the eye that will eventually affect us all. At Mid-Peninsula Ophthalmology Medical Group, patients in Menlo Park, CA can trust that they will be offered the best options for surgical removal of cataracts and restoration of vision.

What Are Cataracts?
Cataracts are a clouding in the natural lens of the eye, the area immediately in back of the pupil.

Who Gets Cataracts?
Cataracts tend to develop gradually in all people. Most people who have cataracts are 50 or older, and in fact, around 50 percent of all people develop a cataract by the time they reach the age of 65. Virtually everybody who is 75 or older develops cataracts. Although cataracts are extremely rare in children, it is possible for infants to have congenital cataracts.

Should Cataracts Be Removed Immediately?
Not always. There are times that the eye doctor will recommend that the patient waits until the cataract actually starts causing significant trouble with vision, especially when the cataract is still very small. The eye doctor will need to monitor the cataract on a regular basis to determine when it needs to be removed.

Is Cataract Surgery Dangerous?
While all types of surgery do carry some level of risk, cataract surgery is widely considered to be safe. It is the most often performed surgery in the U.S. today, in fact. Selecting an eye doctor with a great deal of experience with this type of surgery is very important. The team at Mid-Peninsula Ophthalmology Medical Group has the experience needed to perform cataract surgery safely and with excellent results.

How Does the Cataract Surgery Work?
In cataract surgery, the surgeon will create a tiny incision, through which surgery is performed to remove the natural lens of the eye. It is usually broken up into fragments for easier removal. To replace the lens, a special prosthetic lens known as an intraocular lens is then put into place. This lens will naturally integrate into the eye and usually won’t require stitches.


LASIK is a popular and highly effective way to achieve better vision. The eye care team at Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, can help patients leave glasses behind them.

What is LASIK?
LASIK is a surgical procedure that can reduce reliance on glasses or contacts. For some people, it can completely eliminate the need for vision correction. LASIK is a laser surgery that allows for precise reshaping of the cornea for the correction of many common vision problems.

What Types of Vision Can LASIK Correct?
LASIK is used in nearsighted patients, farsighted patients, and in patients who have astigmatism. Even people with a serious degree of vision difficulties can benefit from LASIK surgery.

How Does LASIK Work?
In the LASIK surgery, the eye doctor will use a laser to carefully and precisely reshape the cornea by removing corneal tissue incrementally until the cornea is in the proper shape for clear vision.

Who is a Good Candidate For LASIK?
People who opt for LASIK surgery must be at least 18 years old. Eyes must be healthy overall. Anyone who chooses LASIK has to have the same eye prescription for at least one full year prior to the surgery. Some medical conditions may eliminate a person from LASIK eligibility, so it is best to review medical background with the eye doctor to determine whether this type of surgery is a good fit.

Does LASIK Correct to Perfect Vision?
LASIK can dramatically improve vision. Most people who have this surgery are able to read, drive, and watch television without eyeglasses or contact lenses. However, there is no guarantee of 20/20 vision. Most people are amazed at the degree of vision correction that they achieve, even if it’s not technically perfect.

How Long Does LASIK Last?
LASIK vision correction is a long term correction. However, it is important for patients to be aware that the eyes may change over time, especially moving into the senior years. Most people can expect permanent vision improvement with LASIK.

Glasses and Contact Lenses

The majority of us need some assistance from glasses and/or contact lenses to help us continue to see our best. Let Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA be your one stop shop for physician guided vision assessment as well as full-service optical dispensary so you may choose the perfect pair of glasses or contact lenses.

Why should I come to Mid-Peninsula Ophthalmology Medical Group for my glasses or contacts?
Mid-Penisula Ophthalmology Medical Group is one of the very few ophthalmology practices in which the ophthalmologists take the time to refract (obtain a vision prescription) themselves. We believe that the health care provider should be involved in all aspects of the exam, and the process of making sure you get the very best prescription for your eyes is no exception.

After I get my prescription, what do I do next?
As soon as you walk out of the exam room you can peruse our wide array of frames in our full-service optical dispensary. Discuss your needs and preferences with our glasses and contact lens expert, Shanaz, as she helps you choose exactly the right items to fit your needs. If it’s contact lenses that you’re looking for, allow Shanaz to obtain measurements of your eyes using state-of-the-art technology and provide you with contact lenses chosen specifically for your comfort and fit. We have a stock of many trial lenses to ensure you are satisfied with your choice.

What kinds of options do I have?
Choose your own glasses lens material as well as special features such as anti-glare or scratch resistance with our optical manager. In terms of contact lenses, choose between dailies, bi-weeklies, monthlies, gas-permeable contacts, or even colored lenses. The choices at Mid-Peninsula Ophthalmology are endless!

Droopy Eyelid Surgery

Droopy Eyelid can have several different causes, but there are solutions available. The eyelid specialists at Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, can discover why the drooping happened and how to fix it.

What Does Droopy Eyelid Look Like?
Droopy eyelids can be different for everyone, ranging from a small amount of redundant skin on the upper eyelid to a severe lid droop that may cause partially obscured vision. In either case, Dr. Jayaram can help!

Why Does Droopy Eyelid Happen?
It is not unusual for droopy eyelids to develop gradually over time. This is partially due to the fact that the skin starts to lose elasticity over the years. While not common, droopy eyelid can be congenital. Some people develop droopy eyelids after they have cataract surgery or some other kind of corrective eye surgery, due to micro-trauma of the upper eyelid muscle. Some very rare causes of droopy eyelids can include tumors of the eyeball or surrounding area, some neurological disorders, or even some dangerous conditions like diabetes or stroke. It is important to have a specialist determine your exact cause of droop in order to decide how best to correct it.

What Are the Risks of Droopy Eyelids?
Droopy eyelids don’t go away on their own, and in fact, they often tend to get worse over time. The worse that the eyelids droop, the more likely a person is to have obscured vision. Many people struggle with the cosmetic effect of droopy eyelids, as well. Looking in the mirror when the eyelids are drooping down severely can be very discouraging and can have a very negative impact on self-esteem. Fortunately, the treatment for droopy eyelids can resolve both the functional issues and the cosmetic issues caused by droopy eyelids.

How is Droopy Eyelid Treated?
The main treatment, and by far the most effective treatment, for droopy eyelid is a surgical procedure. For minor droop or cosmetic enhancement, Dr. Jayaram performs a procedure called an Upper Lid Blepharoplasty, during which she excises excess skin in the upper eyelids, called an upper lid blepharoplasty, which is performed quickly and easily right in the office under local anesthesia. In the cases of severe droop, Dr. Jayaram can tighten the levator muscles to raise the eyelid or shorten the internal eyelid muscle, both of which provide more of a lift to the eyelids. These procedures can also help improve vision and contrast sensitivity, and can greatly enhance overall facial appearance.

What is the first step?
Call today for your consultation with Dr. Jayaram. Unlike with Botox and Filler consultations, the initial visit for eyelid surgery consultation is usually reimbursed by insurance due to the need to determine whether or not your eyelid droop is visually significant. Once that is determined, Dr. Jayaram will explain to you your surgical plan, allow you to choose a day and time that works for your busy schedule, and go through each step of both the procedure and the post-operative care with you in detail, ensuring your optimal comfort.


Tearing of the eyes may happen for any number of different reasons. No matter what the cause is, the team at Mid-Peninsula Ophthalmology Medical Group, serving patients in Menlo Park, CA, can discover it and create an effective treatment plan.

Why do People Have Teary Eyes?
Eye tearing is a common problem today, and the reason for it may be surprising. The most common reason for eye tearing is a condition called dry eye, however, it can be caused either by overproduction of tears or insufficient tear drainage. When eyes have poor quality tears (the main symptom of dry eye,) they may create excess tears in a reflex action. This reflex is trying to lubricate the eyes properly, but instead of doing that it creates a type of flood. Other reasons for tearing may include the use of a badly fitting contact lens or exposure to an allergen.

How is Tearing Treated?
The treatment for tearing depends upon the cause of the problem. In some cases, it may involve avoiding certain irritants, increasing oil flow in the eyelid glands, or repairing the tear drainage system. When dry eye is the cause of the tearing, treatment is needed. Topical eye drops or eye ointments are a common treatment for dry eye.

The treatment must be applied on a daily basis and will generally take at least a month to alleviate the dry eye. For most people with dry eye and resultant tearing, the treatment will need to be continued, although the frequency of the application could be reduced once the problem is under control. Both antibiotics and steroids are often used in the treatment of dry eye with resultant tearing. These are usually administered via drops directly in the eye, however, oral antibiotics may also be used in some cases. Replacement tears may be used to help with dry eye as well.

While adding more fluid to the eyes may seem counterproductive, it actually helps the proper balance of tears to be restored and may, therefore, cut down on or even eliminate the tearing.

How Can People Avoid Tearing?
It is important for people with tearing to keep close track of their tearing so that a cause can be determined. Avoid very dry environments where possible, don’t wear contact lenses for protracted periods, and get plenty of rest to encourage the eyes to produce quality tears. This all helps avoid tearing.

Contact MPOMG for Help with Your Eyes

Book your next appointment at MPOMG with our simple Contact Form.