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Advanced Sierra Eyecare

Complex Vision & Ocular Disease Care in Carson City

Most eye problems don’t start with obvious symptoms. They develop slowly, and by the time something feels off, the change has already happened. Your eye exam can help detect subtle changes early. This lets us base care decisions on measurable findings, not only your daily symptoms.

A doctor is talking to a woman while holding a clipboard and smiling at a reception desk in a clinic.

Specialty Scleral Lens Care for Eyes That Need More Than Standard Solutions

Many patients come to us after traditional glasses or contact lenses have failed to provide clear, comfortable vision. Using advanced corneo-scleral profilometry and precision diagnostics, we design custom scleral lenses for complex conditions such as keratoconus, severe dry eye, irregular corneas, and post-surgical vision complications.

A woman with a blue sweater is holding a tube of medicine in her hand and looking at it in a mirror
A doctor examining a patient's eyes using an ophthalmoscope.

Medical Vision Care & Disease Management

Dr. Seljestad has spent over 20 years managing conditions like glaucoma, macular degeneration, and diabetic eye disease. This care model focuses on progress. We track minor changes closely. We adjust treatment when needed.

Advanced imaging helps us see deeper parts of your eye. It includes OCT scans and visual field tests. These tests also help us track changes in your eye health.

Insurance & Payment Options

Eye care isn’t always straightforward when it comes to coverage. Some visits fall under medical insurance, others under vision plans, and the difference isn’t always obvious.

Our team will review your benefits with you.

Precision Diagnostics for Complex Vision Care

Every diagnosis begins with understanding how your eyes function, not just how clearly you see.

Advanced Sierra Eyecare uses technologies including corneo-scleral profilometry, OCT, wavefront aberrometry, retinal imaging, and functional testing to identify problems that may not appear during a routine eye examination.

A woman with blonde hair is getting an eye exam from a doctor who is wearing a white lab coat and a watch.
A man in a white lab coat and glasses is standing behind a woman who is using an eye examination machine with a blue light. The woman is smiling and looking at the machine, while the man is smiling and looking at her. They are standing in front of a white wall.

Long-Term Management for Complex Eye Disease

From glaucoma and diabetic eye disease to macular degeneration, our approach focuses on careful monitoring, early intervention, and treatment decisions based on measurable change over time.

Dr. Seljestad is among the small number of Nevada optometrists credentialed to manage glaucoma, providing ongoing care that extends well beyond screening.

Hear From Our Patients

A smiling woman in glasses is sitting on a couch holding a piece of paper
An adult male doctor in a white lab coat stands in front of a computer in an office

Medical Expertise in Carson City You Can Trust for Complex Eye Conditions 

Dr. Benjamin Seljestad has dedicated more than two decades to diagnosing and managing complex eye diseases, specialty scleral lens care, and advanced vision problems.

Together with Dr. Leyla Mirbaha, our team combines clinical expertise with a patient-centered approach that emphasizes education, precision, and long-term care.

Easy Access When You Need Vision Care

Patients travel from Carson City, Reno, Lake Tahoe, Fallon, Bishop, and surrounding communities because they need answers that routine eye care hasn't provided. Whether you've been referred by another provider or are searching for a second opinion, our goal is to identify the cause of your symptoms and develop a treatment plan built around your individual needs.

Our eye clinic in Carson City offers free parking and a wheelchair-accessible building, including accessible exam equipment. The space is set up to make visits easier for patients who need straightforward access from the moment they arrive.

If you’re dealing with a sudden eye problem, call our office. While this is not a 24-hour emergency facility, Dr. Seljestad can often help with urgent eye needs. After-hours emergencies may be accommodated when possible.

 

monday:
8:30 am - 5:00 pm
tuesday:
8:30 am - 5:00 pm
wednesday:
8:30 am - 5:00 pm
thursday:
8:30 am - 5:00 pm
friday:
8:30 am - 5:00 pm
saturday:
8:30 am - 5:00 pm
sunday:
Closed

Specialty Scleral Lens Care for Complex Eye Conditions

For patients with keratoconus, severe dry eye, irregular corneas, or higher-order aberrations, specialty scleral lenses can provide improved comfort and visual performance.

Every lens is designed using advanced diagnostic measurements and customized to the unique shape of your eye, creating solutions where conventional lenses often fall short.

A woman is seen in the mirror, inserting a contact lens into her eye.