Dr. Gayle C. Howard in Chula Vista is a Duke University School of Medicine graduate, fellowship-trained glaucoma specialist, and board-certified ophthalmologist practicing at Eye Physicians Medical Surgical Center on 681 Third Avenue. Periocular dermatologic findings discovered during slit-lamp examination — including basal cell carcinoma of the eyelid margin — require biopsy coordination with West Dermatology Chula Vista for histopathologic confirmation before excisional planning. Residency training at Baylor College of Medicine and a glaucoma fellowship at Duke University inform the practice's focus on selective laser trabeculoplasty, minimally invasive glaucoma surgery, and aqueous drainage device implantation. Memberships in the American Glaucoma Society, the San Diego Eye Bank, and the California Academy of Eye Physicians and Surgeons maintain specialty credential standards since the practice opened in 2007. Cataract and glaucoma surgical cases requiring hospital-based suites coordinate through Scripps Mercy Hospital Chula Vista on Medical Center Drive for patients needing general anesthesia or complex combined procedures. Micro-invasive glaucoma surgery implants a titanium iStent trabecular micro-bypass through a 1.5-millimeter clear corneal incision during concurrent phacoemulsification, reducing intraocular pressure by 20 percent or more while eliminating one to two topical medications.