Board-certified retinal specialist Dr. Ayham R. Skaf practices in Chula Vista at 835 Third Avenue through American Eye Associates, treating complex vitreoretinal conditions including diabetic macular edema and age-related macular degeneration. Diabetic retinopathy cases at this Third Avenue office frequently originate from primary care referrals across the South Bay, including coordinated screening programs with San Ysidro Health Chula Vista for the region's underserved diabetic population. Training includes an MD from Ohio State University College of Medicine, a transitional internship at Ascension Illinois, an ophthalmology residency at Wayne State University's Detroit Medical Center, and fellowship status with the American Academy of Ophthalmology. The practice offers trilingual consultations in Arabic, English, and Spanish, maintaining surgical privileges at Sharp Grossmont Hospital and Sharp Memorial Hospital. Acute retinal detachments and vitreous hemorrhage emergencies presenting after clinical hours route through Sharp Rees-Stealy Chula Vista Urgent Care for initial stabilization before surgical scheduling. Anti-VEGF intravitreal injection protocols for wet macular degeneration deliver 0.05 mL doses of ranibizumab or aflibercept through a 30-gauge needle under topical anesthesia with povidone-iodine antisepsis.