- Emergency CareDr. Carey has worked as a team physician for the Seattle Seahawks and the University of Washington Department of Athletics for over 30 years evaluating and treating thousands of athletes. He has witnessed and participated in the evolution of concussion understanding and training throughout this time. He has written the concussion protocol for the 4 Snoqualmie Pass Ski Areas. At the Pass, he serves as an Alpine Patroller and Patrol doctor certified by the National Ski Patrol. He is an author and invited editor for the textbook “Outdoor Emergency Care “, 6
- OphthalmologyFellowship in the American Society of Ophthalmic Plastic and Reconstructive Surgery indicates the surgeon has special interest and training in this subspecialty, and that he or she is board certified by the American Board of Ophthalmology or its equivalent. While board certification and fellowship cannot guarantee a perfect surgical result, these credentials do identify the member surgeon as on who has met specific training requirements.
- Eye ExamVisited Dr. Carey for a standard eye exam. It was very easy to make an appointment within about 2 weeks. When I arrived apparently I had my days mixed up and was a day late however the receptionist juggled some other appointments and was very helpful in getting me accommodated that day. I ended up waiting less than 15 minutes to be seen. The entire staff was so friendly and welcoming. Dr. Carey was very professional and took the time to thoroughly answer all my questions and explain everything he was doing in plain English. I felt like Dr. Carey did an excellent job and was quite comprehensive in his exam. I will definitely be back to Dr. Carey next time.
- Behavioral HealthFounded in 1951, The Joint Commission seeks to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations. The Joint Commission evaluates and accredits nearly 15,000 health care organizations and programs in the United States, including more than 8,000 hospitals and home care organizations, and more than 6,800 other health care organizations that provide long term care, assisted living, behavioral health care, laboratory and ambulatory care services. The Joint Commission also accredits health plans, integrated delivery networks, and other managed care entities. In addition, the Joint Commission provides certification of disease-specific care programs, primary stroke centers, and health care staffing services. An independent, not-for profit organization, The Joint Commission is the nation’s oldest and largest standards-setting and accrediting body in health care.
- Thyroid
- Radiation TherapySleeping with the head elevated and using diuretics can reduce swelling. Topical ointments and artificial tears can lubricate the eye and prevent the surface from drying out. At bedtime it is sometimes necessary to tape the eyes closed or use plastic shields if the eyes cannot close during sleep. Tinted glasses with side guards are sometimes necessary. In conjunction with an endocrinologist, steroid pills or medications stronger than steroids such as immunosuppressive agents may be used. Sometimes even radiation therapy is used. This decision is usually made by the endocrinologist in conjunction with the radiation specialist and the oculoplastic surgeon.
- Reconstructive SurgeryDr. Tim Carey has been a member of The American Society of Ophthalmic Plastic and Reconstructive Surgery ( ASOPRS ) since 1991. He was one of the youngest members every admitted to this prestigious society. Byron Smith MD, is considered by many to be the founder of Oculoplastic Surgery ( and ASOPRS ). He returned from the battlefields of Normandy France in 1945 after dealing with the terrible injuries of WWII. In Europe during WWII, no one really knew how to deal with injuries around the eye, eyelid, and the orbital tissues including the bones that surround the eye. Dr. Smith took it upon himself to treat these complex facial injuries involving the eyelid and orbital area. He returned to the United States following the war and trained a few select ophthalmologists that had finished their ophthalmology residencies in the art of oculoplastic surgery thru Oculoplastic fellowships. One of those physicians was Dr. Bob Wilkins from Texas. Dr. Wilkins along with other “Byron Smith” fellows ( or doctors trained under Byron Smith) formed The American Society of Ophthalmic Plastic and reconstructive Surgery ( ASOPRS ). The Society was founded in 1969 to establish a qualified body of surgeons who have training and experience in this specialized field of surgery. Dr. Carey, having been trained by Dr. Wilkins is considered a second generation Byron Smith fellow. So one man, Byron Smith is literally responsible for the training of generations of Oculoplastic surgeons in the United States.
- Eyelid SurgerySometimes eyelid surgery is done in conjunction with lid retraction or the lid being pulled downward in the case of the lower lid or upward as in the case of upper lid. This occurs usually as a result of scarring or nerve damage such as seventh nerve palsy. The scarring can be the result of excessive sun damage, burn, tumor, trauma or previous surgery. Seventh nerve palsy can occur spontaneously as a result of trauma or tumor such as an acoustic neuroma. Patients with VII nerve palsy have trouble closing their eyelids together. This can be treated with a Gold weight implant in the upper eyelid and a horizontal shortening of the lower eyelid because of the lack of innervation and subsequent laxity.
- Plastic SurgeryHis residency training was at the Greater Baltimore and Johns Hopkins Medical Centers where he served as Chief Resident. He did fellowships in Eye Pathology and Eye Plastic Surgery at Johns Hopkins and the University of Texas.
- BlepharoplastyIt is important to recognize that there is a high degree of variation in the anatomy of the upper eyelids of Asians. Thus, not only should ethnicity be a factor in blepharoplasty, but also should each individual’s features. A common misconception is that all Asians are born without an upper eyelid crease. In reality, half the Asian population does have a natural crease. For each person, the shape and height of the crease and the relationship of the crease to the facial configuration is a part of the overall assessment before an eyelid procedure is performed. Eyes without a crease are described in the medical literature as having a “single eyelid,” whereas those with two segments of the lids between the eyebrow and the eyelashes have “double eyelids” as typical of most Caucasians.
- Laser ResurfacingCosmetic Eyelid Surgery to improve the appearance of the eyelids is terms “blepharoplasty.” Blepharoplasty (see figure 1) surgery is usually an outpatient procedure performed under local anesthesia in Dr. Carey’s own state of the art operating room. This procedure on the upper lids can serve to lift the eyelids and reduce frown lines. Lower lid bags can be treated without a skin incision by approaching the fat through the under surface of the eyelid — an approach called transconjunctival. There are many ways to reduce the wrinkles of the lower lid if they exist — a chemical peel, Laser resurfacing, or a direct skin incision. This decision is tailored to the individual patient.
- Skin CancerSkin cancer commonly involves the eyelid or adjacent face. Eyelid skin cancers most commonly involve the lower lid but can occur anywhere around the eyelid. Common areas include eyelid margins, corners of the eye, eyebrow skin, or adjacent areas of the face. The eyelid margin is especially tricky because the tumor can hide within the lashes for many years.
- LesionsEyelid cancers are often called the “Great Masquerader” because they can appear in many different forms or “disguises.” They can appear as painless elevations or nodules sometimes hidden within the lashes. Sometimes the lashes are missing. There can be distortion of the normal skin structure or lid margin. There can be ulcerations, bleeding, and they can be tender to touch. All these lesions need to be evaluated by your eye doctor.
- Chemical Peels
- Sports MedicineDue to the extensive workup involved in the evaluation of TBI (traumatic brain injuries), Dr. Carey requires all TBI patients he sees as a treating doctor be referred through the University of Washington Sports Medicine Department.