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.
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.
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.
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
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.



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