Board Certified Ophthalmologist, Dr Melanie Tantisira

Professional Eye Care in Honolulu, Hawaii

Dr. Tantisira is a Hawaii based board-certified ophthalmologist, centrally located in Honolulu at the Medical Arts Building off of S. King Street, near Neal Blaisdell. A hallmark of her Honolulu practice is the generosity of time she spends with patients, and the willingness to listen to what they want given their diagnosis, and to advise them on options. Her goal for each patient is to be well informed, educated about his or her treatment plan, and confident they will receive the highest level of care and professionalism.

Dr. Melanie Tantisira

Dr. Melanie Tantisira

Recognized as one of America’s Top Ophthalmologists since 2007, Dr. Tantisira attended the University of Hawaii, John A. Burns, School of Medicine, graduating second in her class in 1990. She completed internship at the University of Hawaii, followed by residency training in Ophthalmology at the University of Pittsburgh, School of Medicine. Her hospital privileges are with the largest hospital in Hawaii, The Queen’s Medical Center.  Dr. Tantisira is among a  handful of ophthalmologists who are on the clinical faculty of the University of Hawai at Manoa’s,  John A. Burns School of Medicine, Dept of Surgery.

In 1994, Dr. Tantisira was among the first Hawaii surgeons to perform no-shot, no-stitch, no-patch cataract surgery. She established her own practice in 2004, and concentrates on providing premium, patient-centered eye care.

Eye Exams

Because the eye shows signs of other illnesses that may be first discovered during the exam, annual eye exams are important for the overall health of a patient, Dr. Tantisira will give a diagnosis and treat many common issues including glaucoma, macular degeneration, cataracts, and dry eyes.

More than just determining whether a patient needs glasses, or a new prescription, as an ophthalmologist, Dr. Tantisira’s exam is very thorough, and she spends a generous amount of time with each patient.

There are two standard treatments for dry eyes after patients have tried artificial tears 1) Restasis, a prescription drop that helps the eye produce more of its own tears, and 2) punctal/canalicular plugs, which partially block the eye’s drainage system, and allow the eye to hold onto its own tears and supplemental artificial tears longer. (It’s like trying to partially fill a dry empty sink:  either turn the water flow up higher or partially close the drain.) Occasionally, for very dry eyes, both treatments are necessary.

Sometimes patients have associated diseases that cause tear film instability. This may include meibomian gland dysfunction where the oil glands of the eyes become clogged. The oil backs up in the eyelids which get inflamed and cause burning of the eyes. Lack of oil in the tear film allows the tears to dry faster which also causes burning and dryness. Patients are treated with warm compresses to melt the oil, doxycycline to change the composition of the oil, and Azasite drops which is both anti-inflammatory and changes the composition of the oils.

Dry Eyes Therapy

For many people, having dry eyes is a chronic condition that affects their daily lives, including driving, watching television or working on the computer. Anyone who suffers this doesn’t have a protective layer or oil in their tears, prompting them to excessive use of eye drops, which may make the situation worse! Other causes may include age, hormones, use of antihistamines and more.

Symptoms include redness, gritty feeling, dryness, itching, blurry vision, light sensitivity or excessive tearing.  Excessive tearing is a compensatory response to the dryness.