Dr. Isseks is careful, mehodical and competitant, although he doesn't operate. I've had two sucessful operations, one to reduce pressure in my right eye and one for a cataract, by surgeons he recommended. He,s very shy but very friendly when he gets to know you. His staff is competant and friendly, after all, it is small town. My only complaint is that the site of his office is very difficul for me to negotiate with my bad legs.