Dr. Randall E. Nacke is a Licensed and Board Certified Ophthalmologist. He has over 15 years of experience working with a full range of comprehensive outpatient, inpatient, and surgical eye care and treatment for adolescent and adult patients. 

At Premiere, Dr. Nacke performs surgery for disease and trauma including Cataract Removal and Lens Implantation including Premium Lens Implantation, Eyelid surgery, and Glaucoma and Diabetic eye care. Areas of expertise and special interest include:

• Cataract Surgery with Lens Implantation
• Expertise with Premium Lens Implantation
• Non surgical management of retinal diseases including macular degeneration                                    

• Treatment of Dry Eyes                    

• Urgent Eye Care
• Glaucoma (Trabeculoplasty)
• Diabetic Eye Care
• Visual Field Testing and Interpretation
• Minor Office Surgeries including lesion removal 
• Ocular Manifestations of Systemic Diseases
• Eye Trauma Management

Dr. Nacke received his Bachelor of Science Degree in Biological Sciences (Honors) from the University of Notre Dame in Notre Dame, IN. His Medical Education was completed at the University of Iowa College of Medicine in Iowa City, IA. 

He completed his ophthalmology residency at St. Louis University in St. Louis, MO, and then completed his fellowship training in cornea and refractive surgery at Baylor College of Medicine in Houston, TX.  Dr. Nacke is a member of the adjunct faculty of Washington University of St. Louis, MO.

Dr. Nacke is a member in good standing of the following Professional Organizations:

• St. Louis Ophthalmologic Society
• American Academy of Ophthalmology
• American Society of Cataract and Refractive Surgery 

Dr. Humeyra Karacal is a Licensed and Board Certified Ophthalmologist. She has over 20 years of experience working with a full range of comprehensive outpatient, inpatient, and surgical eye care and treatment for adolescent and adult patients.

At Premiere, Dr. Karacal performs surgery for disease and trauma including Cataract Removal and Lens Implantation including Premium Lens Implantation, minor office procedures (stye and lesion removal) and Glaucoma and Diabetic eye care. Areas of expertise and special interest include:

• Cataract Surgery with Lens Implantation
• Expertise with Premium Lens Implantation

• Non surgical management of retinal diseases including macular degeneration                  
  

• Treatment of Dry Eyes                    

• Urgent Eye Care
• Glaucoma (Trabeculoplasty and surgical glaucoma management)            
• Diabetic Eye Care
• Visual Field Testing and Interpretation
• Minor Office Surgeries including lesion removal 
• Ocular Manifestations of Systemic Diseases
• Eye Trauma Management
• Well Patient Examinations
• Expertise with diagnosis and management of ocular inflammation (uveitis)

Dr. Karacal graduated with a medical degree (M.D.) from Hacettepe University School of Medicine in Turkey in 1994. After completion of a four-year-ophthalmology residency in Turkey, she came to Washington University in St. Louis to do a two-year clinical and research fellowship in uveitis/medical retina.  She then worked for ORBIS International (a humanitarian, non-profit organization) as a staff ophthalmologist for a year and traveled to 17 countries to help train local ophthalmologists. 

Dr. Karacal came back to St. Louis in 2003 and did her internal medicine internship at St. Mary’s Health Center in St. Louis, MO, and another residency in Ophthalmology at Washington University in St. Louis until 2007. She served as Chief Resident for a year at Washington University in St. Louis. She joined the ophthalmology faculty at Washington University in 2008, where she worked until June 2019.  She joined Premiere Eye Associates in August 2019. 

Dr. Karacal is a member in good standing of the following Professional Organizations:

• St. Louis Ophthalmologic Society (Secretary-Treasurer)
• American Academy of Ophthalmology
• Ophthalmology Liaisons Committee and the Self-Assessment Committee for the Academy of Ophthalmology
  
• American Society of Cataract and Refractive Surgery
  

Dr. Bradford B. Kesler is a Licensed Optometrist. He has over 25 years of experience providing a full range of comprehensive eye care for adolescent and adult patients.

At Premiere, Dr. Kesler performs comprehensive assessment and treatment for vision problems, diagnosis and treatment of ocular disease, and well-patient eye care including preventative services for eye disease. Dr. Kesler also provides non-invasive treatment for Glaucoma, Corneal Pathology, Diabetes, and Pediatric/Binocular Vision problems. Dr. Kesler specializes in providing expert services in fitting contact lenses. Areas of expertise and special interest include: 

• Contact Lenses
• Refractive/Glasses correction
• External Eye Disease
• Eye trauma (minor)
• Foreign Body Removal
• Well Patient Examinations
• Field Testing and Interpretation
• Eye Infections
• Glaucoma
• Diabetic Eye Disease
• Flashes and Floaters
• Tear Duct Probing
• Treatment of Dry Eyes
• Fundus Photography