7 Things You May Not Know About Botox


Botox is mostly associated with helping cosmetic appearance; but, did you know Botox injections can also ease many eye-related issues? McFarland Eye Care offers both cosmetic and medical Botox injections. Botox has been FDA approved as treatment for more than just erasing fine lines and wrinkles, so here are seven things you may not know about Botox:

1.      Botox is paralyzing your muscles.
Botox works by preventing the treated nerves from telling your muscles to move, paralyzing those muscles temporarily.

2.    Botox is a toxin.
Botox comes from the strain of neurotoxin that causes botulism. However, Botox is safe and has been around and FDA approved for the following treatments for decades.

3.    Botox is FDA approved to treat blepharospasm.
Blepharospasm is involuntary spasms of muscles around your eyes, often causing the eyes to clamp shut and not open without strong effort. Botox can help prevent the muscles around the eyes from spasming due to this condition.

4.    Botox is FDA approved to treat strabismus.
Strabismus is a condition where your eyes don’t track in the same direction, more commonly called crossed eyes. This ailment affects adults and children. Botox can help by injecting the stronger muscle to relax it, allowing for the muscles to pull the eye equally.

5.    Botox is FDA approved to treat chronic migraines.
Although not directly eye related, many who experience chronic migraines experience pain in/near their eyes due to the migraines. Botox has been shown to relieve these headaches in many patients.

6.    Botox is not permanent.
Although very effective for most patients, Botox treatments are not permanent. The amount and frequency of treatments vary depending on the person and severity of their condition, but most patients go three to six months between treatments.

7.    Botox takes a while to kick in.
Patients probably won’t see or feel immediate results to Botox treatments. It may take a few days to kick in possibly up to seven days for the maximum effect.

If you have questions about the cosmetic and medical Botox treatments offered at our clinics, please call us at 501-830-2020 to set up a consultation with Dr. Byron Wilkes, our Board-Certified, Fellowship-Trained Oculofacial Plastic Surgeon. Read more about Botox injections on our website.

Bye-Bye Double Chin, Meet Kybella

Do you look in the mirror and dread seeing that double chin? Is the top button of your shirt that close to fitting comfortably? Sometimes, even after losing weight, the second chin still seems to stay. If you find yourself wondering what can be done, McFarland Eye Care has an answer! In additional to taking care of your eyes, we also offer a full suite of cosmetic surgeries and treatments to meet your needs for a variety of issues or concerns. One of these is Kybella.

What is Kybella?

Kybella is a series of FDA-Approved injections that diminish the double chin by destroying fat cells in this area. A great thing about Kybella is that no anesthesia or surgery is required, only a few, fast treatments. Kybella destroys fat cells and prevents these cells from storing or accumulating more fat, so further treatments aren’t expected once you reach your appearance goal.

McFarland Eye Care Kybella

What Can I Expect?

If you are interested in Kybella, we will set up a consultation between you and Dr. Byron Wilkes, our board-certified, fellowship-trained oculofacial plastic surgeon. You and Dr. Wilkes will define your appearance goals and he will examine the area under and around your chin to determine if Kybella is the right choice for you.

After the initial consultation, Kybella treatments are quick and easy. At each treatment, Dr. Wilkes will give you multiple small injections under your chin. Each treatment only takes 15-20 minutes.  The number of treatments varies for each patient and depends on your appearance goals and your profile. Your Kybella treatment sessions will be given at least one month apart. It’s likely you will experience some swelling, bruising or numbness to the treatment area. Read more about Kybella and what to expect at mykbella.com.

McFarland Eye Care Kybella Treatment

Schedule Your Consultation

Kybella is a great option if you’re looking to improve the appearance of your facial profile. If you are interested in learning more about Kybella to see if it may be a good option for you, contact us. We look forward to scheduling your consultation and discussing this exciting treatment with you!

Are You a Good Candidate for LASIK?


With February being Low Vision Awareness Month, now is the time to think about the benefits of LASIK surgery. If you have been a glasses or contact wearer for a while, can you imagine what it’s like to wake up and be able to see clearly? When considering LASIK or any procedure, it is best to consult your doctor and consider all the factors about the surgery.

LASIK is a type of refractive surgery that is performed using a pair of lasers to reshape the cornea of the eye so that the eye becomes more round or flat, depending upon your vision needs. LASIK is a procedure designed to correct common vision issues. It is a great option if you have an astigmatism or are nearsighted or farsighted. People with mild nearsightedness actually tend to have the most success after surgery.

One benefit of having LASIK surgery is not having to wear glasses or contacts, as well as improving your overall quality of life. Most patients recover quickly and are able to get back to doing the things they love with minimal downtime. Complications are very rare, but some side effects such as dry eyes or seeing halos around lights can occur. However, these usually tend to go away within a few weeks or months post procedure.

You must be 18 years old or older to have the procedure. Because your vision can change, it is best to have LASIK performed when you are older and your vision prescription has stopped changing. If you have other serious eye conditions such as glaucoma, retinal disease or cataracts, you may not be a great candidate. As with any procedure, there are risks, so it is best to consult with your doctor before making any decisions.  

Everyone’s eyes are different, so it is important to have a thorough examination administered by your doctor to assess if you are a good candidate. Knowing if you’re a great candidate for LASIK is the very first step in evaluating whether or not to get LASIK vision correction. You can find out if you’re a candidate for LASIK during a free LASIK evaluation at any of our four locations: Bryant, Hot Springs, Little Rock or Pine Bluff. Call us to schedule a consultation today at (501) 830-2020.

7 Things You Should Know About Macular Degeneration

Did you know that age-related macular degeneration (ARMD) is a leading cause of vision loss in Americans over the age of 50? Over 9 million people have been diagnosed with ARMD and that number is expected to grow to almost 18 million people by 2050. But what, exactly, is macular degeneration? Macular degeneration can be classified as wet, dry or as Stargardt disease. Dry macular degeneration is more common than wet and Stargardt disease is hereditary. Dry macular degeneration occurs when the portion of the eye called the macula breaks down and leaves deposits of the tissue under the retina. Wet macular degeneration is caused when new blood vessels grow where they are not supposed to. The macula is responsible for allowing you to see crisp, clear images with fine details. Once this breaks down, so do your once detailed images. This can make things look progressively blurry or fuzzy until total vision is lost.

Source: https://nei.nih.gov/health/maculardegen

Because macular degeneration is such a widespread cause of vision loss, here are 7 things you should know about macular degeneration:

1. Macular degeneration is incurable
2. There are three different types: wet, dry, and Stargardt disease
3. Smoking doubles your risk
4. Most common in older Caucasians, especially women
5. Exercise can help to reduce your risk
6. Some types are hereditary
7. Only an Optometrist or Ophthalmologist can diagnose and treat ARMD

Even though macular degeneration is incurable, it is preventable. Your family genes and your environment both affect the likelihood of developing macular degeneration. The biggest risk factor is your age, as well as race, both of which cannot be changed. However, there are a few ways you can try to prevent macular degeneration. By not smoking, exercising regularly, maintaining a healthy diet and wearing protective sunglasses, you can reduce your risk of developing macular degeneration. Following these tips can help to prevent or slow progression of the disease. As always, you should also have routine dilated eye exams. The earlier ARMD is discovered, the better your chances are for saving your vision.

Here is a tool from All About Vision that can help you test your eyes.

Who Is At High Risk for Glaucoma?



The eye disease glaucoma is aptly described as the “Silent Thief of Sight.” Since the symptoms of glaucoma are often invisible until it is too late and irreversible once they occur, knowing if you are at a high risk for it can help you prevent any potential vision loss. The best step you can take for your eye health is to have your eyes routinely checked by your eye care professional. Between check ups, here are some things to look (wink wink) for.

Signs of damage

You may not notice the signs of glaucoma at first because it typically develops slowly over time. Before you know it, your range of vision has decreased. However, sometimes it can come on quickly. But, in both cases, there are no early onset warning signs.

If your vision has become increasingly hazy, if you are seeing halos around lights or are losing your peripheral vision, you should see your eye doctor as soon as possible. These signs are not often noticed by an individual until the disease has progressed. Other signs like elevated intraocular pressure, abnormalities with optic nerves, as well as other various symptoms, are only able to be identified by your eye doctor, which is why it’s important to have a routine checkup.

Once the damage is done, there is no correcting your vision. This is yet another reason why it is imperative to have your eyes checked. Catching a glaucoma sooner rather than later can ensure better treatment options. Spotting glaucoma and preventing it is key to maintaining your vision.

Since there are no warning signs, being proactive and watchful (no pun intended) can be helpful in managing and preventing any future damage that may occur if left unchecked. Additionally, knowing if you are at a predisposed high risk for glaucoma can help you to be more aware of this disease and the chances of it happening to you.

So, who is at a high risk for glaucoma?

  • African Americans - females have the highest chance of developing a glaucoma.

  • Hispanics and Latinos

  • Those over the age of 50

  • Steroid users

  • Those with a family history of glaucoma

  • Those with diabetes

  • Those who have had eye injuries

Everyone is at risk for glaucoma, but if you fall into this list, know that your chances of developing glaucoma are higher and be mindful to have regular visits with your eye doctor.

Remember, there are no symptoms of glaucoma at first, the disease will continue to get worse unless treated. Once you lose vision to glaucoma, it cannot be regained, which is why you should have regular eye exams.

Sign up for one of our FREE glaucoma screenings during the month of February at any of our locations.

Bryant - January 15-February 12

Pine Bluff - February 2

Little Rock - February 7

Hot Springs - February 12


FREE Glaucoma Screenings at McFarlands!

Glaucoma - Free Screenings - McFarland Eye Care

January is Glaucoma Awareness Month so we are offering FREE GLAUCOMA SCREENINGS in all four mcfarland clinics! Schedule your appointment today!


Email us to set up your FREE Glaucoma Screening!

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January Is Glaucoma Awareness Month

Glaucoma - McFarland Eye Care

Glaucoma, which affects more than three million Americans and over 25,000 Arkansans, is the second leading cause of blindness in this country and is the leading cause of preventable blindness.

"There are no early warning signs. Once vision problems begin, the damage is irreversible,” says Dr. Evan Newbolt. “Glaucoma is not curable, but it can be managed if caught in time: that’s why early detection is critical.”

Glaucoma damages the optic nerve, leading to progressive loss of vision. It is often referred to as the “sneak thief of sight” because the progression is gradual, and many people do not realize they have Glaucoma until serious symptoms appear.

Glaucoma is often – but not always – a result of increased pressure within the eye. People of African and Asian descent have an elevated risk for Glaucoma, as well as those with a family history of the disease.  While the elderly are at increased risk, nobody – regardless of age – is immune from Glaucoma.

Testing for Glaucoma requires an eye examination that includes an intraocular pressure check, a quick and painless test that monitors the eyes pressure. The Glaucoma Research Foundation recommends the following schedule to be checked for Glaucoma:

  •  before age 40, every two to four years
  •  from age 40 to age  54, every one to three years
  • from age 55 to 64, every one to two years
  • after age 65, every six to 12 months
  • anyone with high risk factors should be tested every year or two after age 35

“We have patients who walk in every day who don’t know their vision is steadily being compromised by glaucoma,” says Dr. James Hoffmann.  “We hope that during Glaucoma Awareness Month people will be reminded to see their eye doctor so we can diagnose and treat glaucoma before it becomes a serious health and lifestyle issue.”

What Is a Cataract?

McFarland Eye Care - Cataract Surgery - What Is A Cataract

In your eye, you have what is called a "lens". The lens allows your brain to see colors and shapes, as well as focus on objects at various distances. While your lens is typically clear, it can become yellowed or opacified due to the aging process, trauma, or congenital manifestation. This yellowing or clouding is called a cataract

Most cataracts develop slowly over time and do not require immediate medical attention. Many patients begin to notice their cataracts when they start to impact their vision. For example, it may become difficult to drive at night, or difficult to see well at a distance. You may also notice that your prescription for glasses changes drastically. These symptoms can decrease mobility and independence, as well as general quality of life. Your eye doctor can help you determine if you have a cataract and when you need to start thinking about cataract surgery. It is always a good idea to see your eye doctor at least once a year.

Here are some common symptoms of cataracts:

  • A gradual deterioration in vision over time
  • Objects may appear yellow, hazy, blurred or distorted
  • Hard to drive at night or see in low light
  • Sensitivity to light and glare
  • The need for brighter light for reading and other activities
  • Difficult to read small print

The American Academy of Ophthalmology has a cataract vision simulator, located here.

What is the Cost of Lasik?

LASIK Cost - McFarland Eye Care

We hear this question a lot.

And it's a great question to ask! Many people have questions about investing in LASIK. If you’ve ever considered LASIK surgery for yourself, you probably have a few questions about cost and payment options.

We encourage our patients not to think about LASIK in terms of what it may "cost" them. Rather, LASIK is an investment. This is money you will invest in your vision, in simplifying your life, having peace of mind and in saving you time. When deciding if LASIK is worth the investment, it might be helpful to consider these top questions:

What does LASIK treatment cover?

At McFarlands, we offer state-of-the-art, custom bladeless LASIK for all our LASIK patients. We do not have tiers of packages for features and ad-ons. We offer every single patient our best - safe and proven LASIK technology coupled with the personalized care of our skilled surgeon, Dr. Evan Newbolt, and his staff. 

All visits prior to your LASIK surgery are completely FREE to you, regardless if you decide to have LASIK! Your LASIK fee covers your LASIK surgery and all postoperative care for a year.

What is the recovery time for LASIK surgery?

One of the great things about bladeless custom LASIK surgery is the fast recovery time. While we recommend that patients take it easy for the next day after their LASIK surgery, many patients are able to resume normal activities the very next day. Most of our patients do not have to take more than two days off of work. Many choose to go back to work the next day after their one day postoperative appointment. Each patient is different. Your doctor will explain your specific recovery time.

When does it makes sense financially?

Depending on the type of contact lenses and glasses you wear, LASIK vision correction may save you money! Just imagine if you never had to buy contacts, glasses and solution again! In addition, the FDA considers LASIK a safe, permanent procedure, which is great news! This means that you can enjoy the benefits of living life free of the inconvenience and expense of glasses and contacts for years!

There are a number of tools available to compare the cost of LASIK to the lifetime costs associated with glasses or contact lenses. BackInFocus.com has an easy to use calculator that can be found here.

Ultimately, you will determine if LASIK is worth the investment. We recommend gathering all possible information from your eye physician and determining what makes sense for you. We are happy to help answer any questions you may have about financing and payment options.

Don't miss out! Our LASIK Holiday Special is back!

November is Diabetic Eye Disease Month!

Diabetic Eye Disease - McFarland Eye Care

Diabetic eye diseases are a group of eye conditions or health risks that can affect those with diabetes. These conditions include diabetic retinopathy and diabetic macular edema, as well as an increased risk of developing cataracts or glaucoma.

When unmonitored or untreated, high blood sugar levels can damage tiny blood vessels in the eye and cause irreparable damage. This condition is called Diabetic Retinopathy.

Another common diabetic eye condition is Diabetic Macular Edema (DME). This condition occurs when fluid builds up on the macula, a region of the retina. This is one of the most common causes of vision loss or blindness in people with diabetic retinopathy. When the macula is affected by DME, straight-ahead vision may be compromised, causing difficulty during activities such as reading, driving, or watching TV.

Fortunately, diabetic eye conditions can be managed very successfully, preventing future vision loss or damage. Early detection and treatment is the key, however, making it very important for people with diabetes to see their eye care physician regularly.

Some information for this article was taken from National Eye Institute research, and can be found here.