Corrales Ocular Innovation InstituteTM

Mission statement:

“To advance the art and science of ophthalmology through research and innovation”. We realize that graduating from medical school; specializing in ophthalmology; opening an office for treating and caring for patients was and is a very worthwhile and noble goal. Excellent patient care will always be our primary goal. However, those activities, alone, do not yield new devices and treatments to help patients. Only innovation from research advances medical treatment. This Institute does not perform non-innovative research such as reviews of the literature, reports of a series of operations, descriptions of diseases or cases, or quantification of former concepts. This Institute is, instead, dedicated to giving to patients and the medical profession new devices and treatments that will live beyond our doctors and their active years of practice.

Staff:

Gustavo Corrales, M.D. Founder, Medical Director

At the University of Pittsburg and New York Eye Institute he had advanced training in complex cataracts, corneal transplantation, and pterygium surgery. His research interests include developing pterygium surgery instruments, glaucoma, visual fields, and dry eye disease.

Diana Salazar Vega, M.D. Fellowship Trained Glaucoma Specialist

At the University of California at Los Angeles and at the University of Michigan she did outstanding research in visual field progression, outflow mechanism of glaucoma, and micro-glaucoma surgery.

John Karickhoff, M.D. Director of Research

Through extensive research, he is perhaps the only ophthalmologist to have produced a significant contribution or an innovation for each of the 14 anatomical parts of the eye.

  • Kedrick Ng, Study Coordinator, Emerson Clinical Research Institute
  • Lucia Munoz, Study Coordinator, Emerson Clinical Research Institute
  • Christina Machuca, Certified Ophthalmic Technician
  • Ihssane Moukad, Certified Ophthalmic Technician
  • Jackie Serpas, Ophthalmic Technician
  • Dario Peneda, Licensed Optician, Consultant

Private Practice Website:

Website of our private practice of ophthalmology is: www.NoVaVCS.com

Location and scope:

VCS Building

The Institute is located at:

410 S. Washington Street
Falls Church, VA 22046

Research Equipment

The Institute is in the office and uses the latest equipment of the medical practice of Dr. Corrales. This includes multiple slit lamps, cameras, lasers, surgical suite, OCT laser; computerized visual field machine; ultrasound machines; computerized keratometer, two corneal endothelial cameras, optical biometry, and others.

Ancillary research equipment of the Institute

Half of our research studies originate and are supported from Dr. Corrales’ private medical practice.

The other half of the research studies are done in association with the Emerson Clinical Research Institute. Dr. Corrales office contains the ophthalmic division of the Emerson Clinical Research Institute of Washington, D.C. which does human Clinical Trials on such diverse problems as Covid-19, urinary infections, and glaucoma. These studies are supervised by the United States Food and Drug Administration.

Our Seven Current Research Studies:

Status of the study

1) Corrales Floater Finder/Illustrator/Documenter

Completed; in use.

This Corrales floater documentation method is important because it tells the doctor which floaters are bothering the patient most. That may be different than the most prominent floaters seen by the doctor.

This Corrales method is especially valuable in locating an isolated, tiny floater in a young patient; and is especially revealing if the patient draws the floater much larger than it actually is.

Dr. Corrales has devised, tested, and perfected this method so that now each patient can see their floaters, differentiate solid (drawn green) from cloudy floaters (drawn yellow), locate them, draw them to scale, and signs the drawing. Their drawing is then photographed upside down and placed in their electronic record. When Dr. Corrales views the photograph, he sees the floater in its true position in the eye, not where the patient sees it. (All images are inverted inside the eye before reaching the retina.) The patient drawing is then used as an initial guide for Dr. Corrales’ examination. The patient’s floaters are then photographed; the drawing compared to the photograph; and finally Dr. Corrales makes his drawings for surgery.

Four steps of floater documentation:

Floater Blank Testing Sheet
(1) Blank Testing Sheet
Patient's Drawing
(2) Patient’s Drawing
Drawing Transferred to Electric Record
(3) Photo of drawing transferred to electric record
Photo of the Eye Floater
(4) Photo of the floater

2) Dry Eyes Study

Completed; in use.

Multi-colored Oily Layer Photograph Some patients with Dry Eyes do not have an oily tear film layer to prevent evaporation of the tears. Seeing this oily layer is important in any study of dry eyes. A device developed here allows seeing and photographing this illusive multicolored oily layer.

3) Device that improves visual field testing

Completed; in use world-wide.
Corrales Visual Field Fatigue Diffuser
Corrales Visual Field Fatigue DiffuserTM

Visual field testing is used to diagnose and follow patients with many diseases, especially glaucoma. Throughout the history of visual field testing, an opaque patch has been used to cover the eye not being tested. This results in complete darkness for that eye while there is the full brightness of the visual field machine shining in the tested eye. This sets up a rivalry between the two eyes, so that the vision of the tested eye blacks out intermittently (traditionally called Ganzfeld Blackout) during the test causing the patients to miss targets.

We devised a translucent difusser that blocks the vision of the non-tested eye but lets the full light of the machine to come into that non-tested eye. Ours is the first and only device that blocks the vision by diffusion, not occlusion. Thus, our device eliminates the rivalry and the missing the targets. Our device is called the “Corrales Visual Field Fatigue DiffuserTM.” All of our visual fields are done with this device. The device has been studied extensively in private practice and was found to make any visual field test less fatiguing; more accurate; and faster.

4) Device to aid in pterygium surgery

Design completed. Device being used in surgery
Example Pterygium
Pterygium

In the past the recurrence rate after surgical removal of a pterygium was as high as 70%. But with Dr. Corrale’s specialized training, using the latest techniques such as fibrin glue closure, conjunctival sliding flap, sometimes amnionic tissue and using the instrument he developed, his recurrence rate is less than 5%.

5) Study on treatment of dry eyes

Near submission to the FDA.
Eyedrops into eye

Our double-blind study is to determine which eyedrops are the most effective in treating dry eyes.

6) Study on treatment of presbyopia

Study is in design phase.
Man with glasses reading phone

This study compares using eye drops to wearing glasses for reading.

7) Alternate glaucoma treatments

Completed, then extended

For patients who can’t handle eye drops for glaucoma or have a reaction to them, our study compares two alternative treatments: (a) laser treatment to the outflow channels of the eye, or (b) a medication pellet placed inside the eye.

Laser eye treatment
Laser treatment
Implant with medication pellet inside the eye
Implant with medication pellet inside the eye