Insights

Notes from the chair, not the textbook.

Forty years of fitting hard-to-fit eyes, written down. Honest pieces from Dr. Patricia Gelner about what actually works when glasses aren’t enough — and when a second opinion is worth your time.

Featured · Specialty Eyes

Keratoconus: What I Tell My Patients in the First Visit

When someone walks into my office with a new keratoconus diagnosis, they have usually spent the previous week searching online and being scared. This is the first-visit conversation, written down.

Dr. Patricia Gelner · May 8, 2026 · 12 min read Read the article →

When Glasses Aren’t Enough

Why Glasses Aren't Getting You to 20/20 (And What Actually Will)

If you've left an eye exam thinking something still isn't right — that the new prescription is closer but not quite — you are not imagining it. Here are the four most common reasons glasses don't get someone to 20/20, and what the actual fix looks like.

May 8, 2026 · 11 min read

Have a question we should write about?

If something on your mind isn’t answered here, call us. Most of the articles on this page started as a patient’s question in the chair.

Call 314-434-2626 Or send us a note