Doctors

Premiere Eye Associates - Serving St. Louis (Kirkwood), Festus/Crystal City, & Ste. Genevieve


 
              Dr. Randall E. Nacke           Dr. Humeyra Karacal        Dr. Bradford B. Kesler        Dr. Mark H. Spurrier


 


 

Dr. Randall E. Nacke is a Licensed and Board Certified Ophthalmologist. He has over 10 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 LASIK and 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
  • Refractive Surgery including Bladeless LASIK and PRK  
  • 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
  • Well Patient Examinations

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 extensive 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 20 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
 
Dr. Kesler earned his Bachelor of Arts Degree in Biological Sciences from Southern Illinois University, Carbondale, IL. His Medical Education in Optometry was completed at the University of Missouri – St. Louis, where he was awarded the Outstanding Pediatric/Binocular Vision Award and the Outstanding Student Clinician Award. 

Dr. Kesler is a member in good standing of the following professional organizations:
  • American Optometric Association
  • Beta Sigma Kappa Honor Society
  • Missouri Optometric Association
 

 


 


Dr. Mark H. Spurrier is a Licensed and Board Certified Ophthalmologist. He has over 30 years of experience in working with a full range of comprehensive outpatient eye care and treatment for adolescent and adult patients.  DR. SPURRIER IS AVAILABLE TO SEE PATIENTS IN OUR KIRKWOOD AND SAINTE GENEVIEVE OFFICES CURRENTLY.  

At Premiere, Dr. Spurrier performs exams for management for disease and trauma including Cataracts, Eyelid abnormalities, Glaucoma management, and diabetic eye care. Areas of expertise and special interest include:

  • Cataract examination                                 
  • Treatment of Dry Eyes
  • Urgent Eye Care
  • Glaucoma management
  • Examination for eyelid Abnormalities
  • 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

Dr. Spurrier received his Bachelor of Arts Degree in Chemistry (Honors) from Kansas State University in Manhattan, K. His Medical Education was completed at Washington University School of Medicine in St. Louis, MO. He was appointed to the Clinical Faculty of Washington University Department of Ophthalmology in 1986. Dr. Spurrier has been a Diplomat on the American Board of Ophthalmology since 1988.

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

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


   

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