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Dr. Douglas Liva

Ophthalmology
Paramus, NJ
42 years experience male

Locations

Liva Eye Center

Paramus, NJ

Address

1 W Ridgewood Ave , suite 101, Paramus, NJ
Directions

Practice website

Insurances accepted

Aetna

Office

Paramus, NJ

About

Bio

Dr. Liva graduated from Harvard College with a degree in biochemistry. He obtained his MD from the University of Miami School of Medicine followed by a medical internship in internal medicine at Denver Presbyterian St. Luke's Medical Center. An ophthalmology residency was completed atthe Associated Eye residencies of NJ . Dr Liva has been board certified since 1986 and is the medical director of Liva Eye Center in Paramus NJ. He practice general ophthalmology and performs cataract surgery with premium implants including the Restor, Toric and Crystalens; Lasik and PRK refractive surgery,trabeculectomies for glaucoma , corneal transplantation , and oculoplastic surgery.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Ophthalmology

Languages spoken

English, Polish

Doctor Q&A

109 Answers
33 Agrees
The number of answers this doctor has agreed with.
A 30-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes: Pinguecula have no impact on your ability to have lasik.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes: Unless you are still taking Prednisone acetate which can seep into the mouth through the nasal passages and leave abad taste. The suspension is white... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Depends: Visual field testing doesn't require dilation. Oct can also be performed without dilation although in some patients the signal strength and accuracy o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 67-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes.: Refraction can avoid unnecessary yag capsulotomy. Only when a refraction doesn't improve the vision assuming no other ocular pathology is yag laser c... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 59-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Unclear: Visual loss due to glaucoma is very patient specific. Each individual needs a certain level of control to avoid ongoing damage. In general, the target... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 56-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Dry Eye: Blinking spreads the tear film across the cornea. Some people when they read and concentrate inhibit their normal blink reflex and the tear film break... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Ineffective : I am unfamiliar with the medications that you have referred to. However, there are no eye drops or other medications that treat floaters that are effe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 57-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Retinal detachments: Gas is usually injected into the eye after vitrectomy performed for primary retinal detachments . Different gases have different retention times. Sil... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Extremely unlikely: It is extremely rare to be allergic to the lens material of modern intraocular lenses. Inflammatory precipitates which deposit on the lenses are usual... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes: It usually takes around 5 days for the epithelium to heal and for the discomfort to diminish. Visual recovery takes a little longer. Be patient you sh... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Hemorrhage: Most red spots on the white of the eye represent subconjunctival hemorrhages which usually are of no pathological significance . They frequently are s... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
TypicallyImmediately: After uncomplicated cataract surgery and after the next day postoperative exam it is ok to fly. Usually the only eye surgeries where flying is contrai... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 55-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
No: As long as the surgery was routine and didn't require retinal surgery with the use of intraocular gases due to complications, flying is ok.
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Refractive error: Lasik is indicated in an individual who wishes to reduce his or her dependence on glasses and understands the risks, benefits and alternatives. The ey... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Not recommended: Marfans syndrome involves a disorder of connective tissue and may result in abnormal healing of the cornea and unpredictable results. In addition, o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Usually once: A vitrectomy removes the vitreous gel in the eye and replaces it with saline. Once it is removed it does not reform. Therefore a vitrectomy would ty... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 26-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Wrong assumption.: There is probably nothing wrong with the contact lens itself. There may be a problem with the fit in that eye or perhaps that eye is more dry and beco... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 20-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
No big deal.: The yellow balls probably represent trapped glandular secretion and are benign. If they swell and become palpable or symptomatic they can be removed... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Annual testing: Annual visual field testing, nerve fiber layer imaging and stereo optic nerve photos are recommended to document and monitor the structure and functio... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Goldman tonometer : I have owed 3 different air puff tonometer sand I find them only adequate for screening purposes. The accuracy and precision of the instrument is inad... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Central visual loss: Macular degeneration is usually classified as either wet or dry . Wet involves the development of an abnormal vascular membrane which bleeds and dama... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 53-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
No: Ocuvite is indicated for certain types of macular degeneration to prevent progression. There is no impact upon glaucoma.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Premium IOL: Toric iols correct astigmatism . Multifocal and accommodative iols correct presbyopia. Multifocals provide better reading compared to accommodative ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Laser and surgery: Treatment involves lowering the intraocular pressure either with medications, laser treatment or with surgery. Laser treatments increase flow through... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
80% get 20% lowering: The general rule of thumb is that SLT effectively lowers the IOP 20% in 80% of patients. For patients interested in avoiding the nuisance, expense and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes : Slt can be repeated however subsequent treatments may not be as efficacious . Some glaucoma patients may need to have their pressure reduced greater t... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes: As a multivitamin centrum is formulated for maximum benefit for 50+ but is mostly a marketing mechanism and will still have vitamins which will benef... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Irritation: Nail polish is acetone which can cause a chemical keratoconjunctivitis but would not typically be vision threatening and would usually resolve without... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Possible hysteria: The most common cause of tunnel vision is end stage glaucoma which would be very rare and unusual in a 38 year old. End stage glaucoma is easily diagn... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Usually eye drops : Most glaucoma is diagnosed as primary open angle glaucoma which is usually treated with eye drops. Other first line treatment is laser trabeculoplas... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Narrow angle highiop: Narrow angle glaucoma is a condition where the eye pressure is elevated due to mechanical blockage of the trabecular meshwork by the peripheral iris.
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Sometimes.: In general, slt usually lowers the pressure 20% in 80% of eye. Since drugs have peak and trough effect it is possible the slt may provide a more cons... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Not usually possible: Most eye muscle imbalances need muscle surgery to correct significant deviations, exercises rarely achieve permanent improvement.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Not typical: Corneal abrasion is unusual but can occur and usually heals within a few days. Macular edema is more serious and is treated with nonsteroidal anti- in... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Lifelong treatment: Most patients with glaucoma do not develop visual loss which impairs function if they are diligent with being monitored and compliant with taking medi... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Overwear syndrome: Sounds like you had a keratitis possibly from hypoxia due to overwear of your contact lenses. As long as your eye doctor ruled out a corneal ulcer you... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Elevated IOP: Angle closure glaucoma is an acute elevation of intraocular pressure secondary to mechanical blockage of the trabecular meshwork (the drainage area o... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 25-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Usually: After prk the vision should be pretty good after 2 weeks and usually continues to improve. On occasion it may take longer for the vision to recover so... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Denser material: Floaters usually are caused by the condensation of collagen fibers which make up the matrix of the vitreous gel. The denser the clumps of collagen, th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Medical school: An ophthalmologist first graduates medical then performs an internship for 1 year followed by a 3 year residency in ophthalmology training in the med... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
No: It is unusual to get a cataract at such a young age although not impossible. I would recommend getting a second opinion. The surgery itself is usually... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 66-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Only if controlled: LASIK and PRK is considered safe in mild cases of glaucoma which are well controlled and where significant damage to the optic nerve has not occurred.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 58-year-old female asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Yes: Glaucoma examinations include a detailed dilated examination of both the anterior and posterior segments of the eye. Cataracts are clouding of the hu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Several exist: Unstable refraction, thin cornea, abnormal topography, certain autoimmune diseases, unsuitable refractive error, coexisting ocular disease, dry eye un... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Many but uncommon: Dislocated flap, corneal striae, over correction, under correction , irregular astigmatism, corneal ectasia, diffuse lamellar keratitis, dry eye, infe... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Flapless. "LASIK ": Prk provides laservision correction without flap creation. The epithelium of the cornea. Is removed and the laser treatment applied to the corneal su... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Loss of side vision: Most glaucoma is asymptomatic. Acute angle closure glaucoma is associated with pain, blurred vision, nausea and a red eye. Open angle glaucoma is not ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
None: There is no treatment for end stage glaucoma with severe optic atrophy that has lost all function.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Usually elevated IOP: Glaucoma is an optic neuropathy that is associated with several risk factors including elevated intraocular pressure, a thin cornea, family history, i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Douglas Liva
Ophthalmology 42 years experience
Many reasons: In order to answer your question you would need to be examined. The most common cause of eye fatigue are uncorrected farsighted refractive errors, mus... Read More
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

2
Recommendations
135
Thank you notes
HealthTap member
Mar 30, 2015
Dr. Liva is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Mar 31, 2015
Dr. Liva is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thanks for your quick reply! It does sound like keratitis . Going to a doc on Monday. Should he determine a type of kerat. ? Bacterial etc
HealthTap member
Thank you, your answer or tip was very helpful! I've had RP since I was a child and it has been very slowly progressing. Again, Thank-you!
HealthTap member
Thank you, your answer was very helpful! There going down,now I very nerves am ok,now this never happen,before have a nice day super bowl

Education & Training

Medical/Graduate school

University of Miami Miller School of Medicine
Graduated 1981MD

Residency

University of Medicine and Dentistry of New Jersey University Hospital

Residency

Presbyterian/St. Luke's Medical Center

Awards

castle connolly top doctor
NJ Insider Top Doctor
Top Ophthalmologist , First Place, Hackensack, NJ - Winter
2013

Affiliations

American Academy of Ophthalmology, NJ academy of Ophthalmology
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