Lance Kugler, MD

Why did you choose refractive surgery as a speciality?

“Refractive Surgery is much more than a job to me–it’s a passion. It is a tremendous privilege to spend my days combining skills, expertise, and incredible technology in order to make lives better for people. At Kugler Vision we believe that a life without the barriers of glasses or contact lenses is a better life, and we are dedicated to helping our patients reach their maximum human potential.”

Why Omaha?

As a destination practice for patients all over the U.S., the centralized location is also convenient for patients traveling from outside the area.

“My ancestors have been in Nebraska since the mid 1800’s, and I had the good fortune of growing up in Omaha. Many people may not realize how strong the medical community is in Omaha. We have incredible support, in terms of both economics and expertise, and a diverse economy that benefits from a specialized and customized approach to each patient’s needs. As a destination practice for patients all over the U.S., the centralized location is also convenient for patients traveling from outside the area.

I feel a strong sense of obligation to give back to the state and community that has given me so much. My wife and her family are also deeply involved in the community, so we feel fortunate to have the opportunity to raise our family here as well. These factors combined made Omaha the obvious choice.”

Have you had refractive surgery yourself?

“Yes. I had fairly bad nearsightedness for most of my life. I had LASIK in both eyes and it was an absolutely transformational experience. My wife also had laser surgery and agrees it is one of the best things she has ever done.”

Professional Life

Dr. Kugler serves on several national boards and Kugler Vision is recognized internationally as a center of excellence. One of the original founders of the Refractive Surgery Alliance (www.refractivealliance.com), Dr. Kugler was the first President and continues to serve on the executive board. He also serves as the RSA’s liaison to the American Refractive Surgery Council (americanrefractivesurgerycouncil.org).

Additionally, Dr. Kugler serves as the Director of Refractive Surgery of the University of Nebraska Medical Center, where he is in charge of resident education and research programs to advance the field of refractive surgery.

Personal Interests

Dr. Kugler and his wife have 5 children, which take up the majority of his time. When he does find a free moment he enjoys skiing, tennis, golf, traveling, fine coffee, and craft beer.

Education

Dr. Kugler is an Omaha native and earned his undergraduate degree from DePauw University in Greencastle, Indiana, where he graduated magna cum laude with a degree in Computer Science.

He then went on to earn his MD from Case Western Reserve University School of Medicine in Cleveland, Ohio. After graduation, he returned to Omaha, Nebraska for residency training in ophthalmology at the University of Nebraska Medical Center. Following residency training, Dr. Kugler entered private practice.

After practicing ophthalmology in the Omaha area for four years, Dr. Kugler decided to embrace his passion for refractive surgery and began the process of forming Kugler Vision. Read more about the practice history here.

CURRICULUM VITAE
Lance J. Kugler, MD

CURRENT POSITION
Surgeon: Cornea/Refractive Surgery
KuglerVision, KuglerVision, P.C., Omaha, Nebraska

EMPLOYMENT
Partner: First Eye Associates, PC, Omaha, Nebraska (7/2005 – 7/2009)

EDUCATION
Fellowship: Wang Vision Institute/University of Tennessee, Nashville, Tennessee, (August 2009 – July 2010)
Cornea/Refractive Surgery
Residency: University of Nebraska Medical Center, Omaha, Nebraska, (2002 – 2005)
Ophthalmology
Internship: University of Nebraska Medical Center, Omaha, Nebraska, (2001 – 2002)
PGY-1, Internal Medicine
Medical School: Case Western Reserve University School of Medicine
Cleveland, Ohio, (1997 – 2001)
Doctor of Medicine
Class Representative, Alumni Board of Trustees, (1997 – lifetime)
Class Representative, Committee of Student Representatives, (1999 – 2001)
Crile Summer Research Fellowship, (1998)
Irwin Lepow Student Research Day, (1999)
Undergraduate: DePauw University, Greencastle, Indiana, (1993 – 1997)
B.A., Computer Science
Magna Cum Laude
Phi Beta Kappa, (1997)
Dean’s List all semesters
The Outstanding Senior in Computer Science, (1997)
Mortar Board (1996 – 1997)
Phi Eta Sigma (Academic Honor Society), (1997)
Beta Theta Pi Fraternity (President)

CERTIFICATION
American Board of Ophthalmology, 2006

SKILL CERTIFICATION

B&L Crystalens Trulign Toric IOL, 2013

OptiMedica Catalys Cataract Femtosecond Laser, 2013

Alcon LenSx Cataract Femtosecond Laser, 2013

TearScience LipiFlow system, 2013

Alcon Wavelight Fs200 Femtosecond Laser, 2013

Avedro Corneal Crosslinking System, 2012
Staar Visian Implantable Collamer Lens (ICL), Staar Surgical
Intacs Intrastromal Corneal Ring Segments, Addition Technology
Refocus Presview Scleral Implants/Scleral Spacing Procedure
FDA Clinical Trial Principal Investigator, 2009-present
Study Coordinator, 2009-present
VISX Star S4 Excimer Laser, AMO, 2009
Intralase Femtosecond Laser, AMO, 2009
Alegretto Wavelight Excimer Laser, Alcon, 2008
Refractec Conductive Keratoplasty, Refractec, 2006
Alcon LadarWave Excimer Laser, Alcon, 2006

ACADEMIC APPOINTMENTS
University of Nebraska Medical Center
Director of Refractive Surgery (2010-present)
Clinical Adjunct Professor, Ophthalmology
Omaha Veterans Administration Hospital, Clinical Adjunct Professor, Ophthalmology 2005-2009

MEMBERSHIP IN SOCIETIES

American-European College of Ophthalmic Surgeons (ACOS) Founding Member
Cornea Society
American Academy of Ophthalmology, Fellow
Leadership Development Program, class of 2007-2008
Young Ophthalmologist (YO) subcommittee member, YO Info Board, 2008-2010
Ophthalmic News and Education (ONE) network Young Ophthalmologist Advisory Committee, 2008-present
American Society of Cataract and Refractive Surgery
International Society of Refractive Surgery
Nebraska Academy of Eye Physicians and Surgeons
Executive Committee member, 2006-2009
American Medical Association
Pearls in Ophthalmology
Senior Editor, Cataract/Anterior Segment, 2008-present

MEETINGS ATTENDED

American-European College of Ophthalmic Surgeons
American Society of Cataract and Refractive Surgeons Annual Meeting
American Academy of Ophthalmology Advocacy Day and Midyear Forum,
Washington, DC, 2008
American Academy of Ophthalmology Leadership Development Program (LDP)
San Francisco, CA, 2008
Nebraska Academy of Eye Physicians and Surgeons
American Academy of Ophthalmology Annual Meeting
American Academy of Ophthalmology Refractive Surgery Subspecialty Day
Gifford-Truhlsen Research Day, University of Nebraska Medical Center
Midwest Academic Refractive Surgery Consortium
Wills Eye Hospital Annual Ophthalmology Review Course
Philadelphia, Pennsylvania
Osler Institute Ophthalmology Board Review Course
Association for Research in Vision and Ophthalmology

AWARDS AND HONORS
Best Paper of Session
American Society of Cataract and Refractive Surgeons, Boston, MA, April 11, 2010
Howard Dinsdale Award for Outstanding Resident Presentation
Gifford-Truhlsen Research Day, University of Nebraska Medical Center, Omaha, NE, June 10, 2005

EDITORIAL ACTIVITIES

Journal of Refractive Surgery, Reviewer

Journal of Cataract and Refractive Surgery, Reviewer
The Optical Society, Reviewer, 2010-present
Advances in Optics & Photonics
Applied Optics
Biomedical Optics Express
Journal of the Optical Society of America
Optics Express
Optics Letters
Virtual Journal for Biomedical Optics

 
RESEARCH ACTIVITY
ACOS-KXL-001 Crosslinking Trial in Patients with Keratoconus or Corneal Ectasia
FDA monitored phase III trial
Principal Investigator
2012 – present
PresView Scleral Implants (Scleral Spacing Procedure), ReFocus Group, Ft. Worth, TX
FDA monitored surgical device trial
Principal Investigator
2010-present
Psychometic Validation of the Visual Symptoms Associated with Refractive Correction
(VSARC) Questionnaire, Alcon Research, Ltd.
IRB Approved Clinical Trial
Principal Investigator 2012
PUBLICATIONS / PRESENTATIONS
Bracha P, Kugler LJ, Schlichtemeier W, Morgan L. Photorefractive Keratectomy and Laser in situ keratomileusis following conductive keratoplasty: a case series. ASCRS 2014, submitted
Wang and Kugler. Atlas and Clinical Reference Guide for Corneal Topography. SLACK.  2014

Kugler LJ, Hill S, Sztipanovits D, Boerman H, Swartz TS, Wang MX. Corneal melt of incisions overlying corneal ring segments: case series and literature review. Cornea. 2011 Sep. 30(9):968-971

Jackson K, Kugler L, Wang M. Presbyopia-correcting IOLs in patients with Fuchs Dystrophy: indications and contraindications. Refractive Eyecare 15(7):1,27-28

Kugler LJ, Charters L. Risk of corneal melt reviewed. Ophthalmology Times. October 2010;45
Kugler LJ, Cohen I, Haddad W, Wang MX. Efficacy of LASIK in correcting anterior versus non-anterior corneal astigmatism. J Cataract and Refractive Surgery. 2010 Oct;36(10) 1745-1752

Kugler L, Wang M. Lasers in refractive surgery: history, present, and future. Applied Optics. 2010;49(25) F1-F9

Kugler LJ, Melendez R. Incorporating premium IOLs into your practice, part 1: laying the groundwork. American Academy of Ophthalmology, YO-Info newsletter, June 2010. http://www.aao.org/yo/newsletter/201006/article04.cfm

Kugler LJ, Melendez R. Incorporating premium IOLs into your practice, part 2: laying the groundwork. American Academy of Ophthalmology, YO-Info newsletter, July 2010. http://www.aao.org/yo/newsletter/201007/article03.cfm

Kugler L, Wang M. Scleral spacing procedure for the correction of presbyopia. Gifford-Truhlsen Research Day, University of Nebraska Medical Center, Omaha, NE, June 4, 2010

Baker YL, Chen LS, Lewis JWL, Kugler L, Wang M. Does the posterior corneal elevation provide the first indication of keratoconus? Association for Research in Vision and Ophthalmology, Ft. Lauderdale, Florida, May, 2010 (Poster)

Kugler L, Sztipanovitz D, Hill S, Boerman H, Wang M. Corneal Melt of Incisions Overlying Corneal Ring Segments: Case Series and Literature Review. Presentation to the American Society of Cataract and Refractive Surgeons (ASCRS), Boston, MA, April 10, 2010

K. C. Baker, Y.-L. Chen, L. Shi, J. W. L. Lewis, L. Kugler, and M. Wang, Does the Posterior Corneal Elevation Provide the First Indication of Keratoconus, Invest. Ophthalmol. Vis. Sci. 2010 51: E-Abstract 4963.

Wang M, Kugler L, Boerman H, Hill S, Sztipanovits D. Non-IOL and non-refractive factors contributing to poor performance of presbyopia-correcting intraocular lenses. Presentation to the American Society of Cataract and Refractive Surgeons (ASCRS), Boston, MA, April 11, 2010

Wang M, Kugler L, Boerman H, Sztipanovitz D. Non-IOL and non-refraction factors contributing to poor performance of presbyopia-correcting intraocular lenses. Presentation to 15th Annual Joint Meeting of OSN, SOI, AICCER, Rome, Italy, May 2010

Kugler L, Wang M. Intrastromal Laser Refractive Surgery. Cataract and Refractive Surgery Today, 2010;March;10(3):68-70

Kugler L. Let’s talk about money. Pearls in ophthalmology. 2009;June;4(3):http://www.medrounds.org/ophthalmology-pearls/2009/09/lets-talk-about-money.html

Kugler L. Transitioning from Supervised Cataract Surgery to Independent Cataract Surgeon: 12 Clinical Pearls. American Academy of Ophthalmology, YO-Info Newsletter, April 2009. http://www.aao.org/yo/newsletter/200904/article04.cfm

Kugler L. Marketing Pearls: Is the Market ready for the promotion of presbyopia-correcting IOLs? Pearls in ophthalmology. 2009;June;4(2):http://www.medrounds.org/ophthalmology-pearls/2009/06/marketing-pearls-is-market-ready-for.html

Margalit, E, Kugler LJ, Brumm MV, Meza JL, Kompella UB, Escobar ER, Christensen GR. The safety of intraocular ketorolac in rabbits. Invest Ophthalmol Vis Sci. 2006 May;47(5):2093-9

Kugler L.J, Brumm M.V., Christensen G.R., Meza J.L., Margalit E. Safety of intraocular ketorolac. Gifford-Truhlsen Research Day, University of Nebraska Medical Center, Omaha, Nebraska, June 2005 (Presentation)

Kugler L.J, Brumm M.V., Christensen G.R., Meza J.L., Margalit E. Safety of intraocular ketorolac. Association for Research in Vision and Ophthalmology, Ft. Lauderdale, Florida, May, 2005 (Poster)

Kugler L, Margalit E. Safety of intraocular ketorolac. Gifford-Truhlsen Research Day, University of Nebraska Medical Center, Omaha, Nebraska, June 2004 (Presentation)

Kugler L, Dibernardo C, Margalit E. Identification of visually significant operculum with no macular hole by optical coherence tomography. Can J Ophthalmol. 2006 Feb;41(1):41-3

Foster JA, Perry JD, Cahill KV, Holck DE, Kugler L. Processed human pericardium barrier for gold weight implantation. Ophthal Plast Reconstr Surg. 2004 Mar;20(2):107-9.

Kugler L, Foster JA, Perry JD, Sputh E. Processed human pericardium barrier for gold weight implantation. Association for Research in Vision and Ophthalmology, Ft. Lauderdale, Florida, May, 2001 (Poster)

Kugler L, Eshbaugh C, Krueger R. Diffuse Lamellar Keratitis in association with epithelial defects after LASIK, Cleveland Clinic Research Day, Cleveland, Ohio, July 2000

Kugler L, Foster JA, Bardenstein D, Hofer L, Ambekar A. Computer generated periocular measurements and the Rule of Threes in children. Association for Research in Vision and Ophthalmology, Ft. Lauderdale, Florida, May, 1999 (Poster)

Ambekar A, Riemann C, Kugler L, Castro, Foster JA. Kinetic and static Goldmann perimetry to evaluate similar amounts of ptosis related visual field loss. Association for Research in Vision and Ophthalmology, Ft. Lauderdale, Florida, May 1999 (Poster)

Godfrey M, Kugler L, Cisler J, et. al., . Fibrillin Immunofluorescence in “Rule Out” Marfan Syndrome. Proceedings of the Fourth International Symposium on the Marfan Syndrome, Geneva, Switzerland, 1996 (Abstract)

Godfrey M, Cisler J, DeBie S, Kugler L, Anderson K, DePaepe A. Fibrillin immunofluorescence in “Rule Out” Marfan syndrome. American Journal of Human Genetics 57:1995 A321

Godfrey M, Cisler J, Kugler L, Anderson K, Patil K. Fibrillin Immunofluorescence in “Rule Out” Marfan Syndrome. Proceedings of the Fourth International Symposium on the Marfan Syndrome, International Marfan Symposium, Berlin, Germany, 1994 (Abstract)

COMMUNITY INVOLVEMENT
Nebraska Foundation for Visually Impaired Children (NFVIC)
Executive Board Member, 2005-2009
Wang Foundation for Sight Restoration
Board Member, 2009 – 2010

Get started on your life without barriers! Text or call us at 402.430.6302, and we will answer all your questions. Want to learn more about this life changing procedure? Check out our helpful LASIK links below!