Michael Behforouz, MD

Michael A. Behforouz is a comprehensive ophthalmologist and has been in private practice since 2000.  He is certified through the American Board of Ophthalmology and completed his ophthalmology residency at the prestigious Emory Eye Center, in Atlanta, Georgia.  He received his undergraduate and medical degrees from Indiana University.

Michael prides himself in providing eye care in a setting that promotes communication, compassion, and competence.  Dr. Behforouz has received numerous awards during his education and practice and feels that his greatest achievement is the trust of his patients’ care.

Dr. Behforouz lives in Carmel and has two daughters, Kayla and Stella.  He enjoys soccer, basketball, tennis, music, and poetry.


Paul Karpecki, OD

Center for Sight is proud to announce that nationally renowned ocular surface leader, Dr Paul Karpecki, is now the Director of our Advanced Ocular Surface Disease clinic and research.

With over 20 years experience running some of the largest dry eye clinics in the United States, Dr. Karpecki is a leader and pioneer in this dedicated area of optometry. He is a noted  educator and author, having delivered over 1000 lectures and authored over 1000 papers on the subject of Dry Eye Disease – a condition that can negatively affect not only a patient’s vision but also their quality of life.

Dr. Karpecki received his doctor of optometry degree from Indiana University before completing a fellowship in medical cornea and refractive surgery at Pennsylvania College of Optometry. He currently serves as an associate professor at Kentucky College of Optometry. He is the director of advanced ocular surface disease and research at Center for Sight and Kentucky Eye Institute.

In 2002, Dr. Karpecki was named to the National Eye Institute’s Dry Eye Committee to provide insights into the condition and its effects on women, in particular. In 2003, he was appointed to the Delphi International Society at Wilmer-Johns Hopkins, which put him in the company of the top 25 Dry Eye experts in the world.

He currently serves as the Chief Clinical Editor for Review of Optometry, the most read journal in the profession. He is the Director of Clinical Content, as well as Chairman, of the New Technology and Treatment Conferences, and serves on the board for the charitable organization Optometry Giving Sight. Dr. Karpecki has also served as Co-Chair for the optometry profession’s Dry Eye Summit, Director for the CJO Optometric Dry Eye Guidelines for EyeCare, and Committee Member for the DEWS II Diagnostic sub-committee. He was appointed Co-Chair of the Tear Film and Ocular Surface Society Symposium in 2016 in Montpellier, France. Most recently, he was appointed Co-Chair of the Tear Film and Ocular Surface Society Symposium in 2020 in Cernobbio, Italy. Dr. Karpecki is dedicated to making a substantial impact in the quality and consistency of dry eye patient care in the Carmel and Lexington communities.

He lives in Lexington with his wife, Chandria, and their three children.

Austin R. Lifferth, OD

Austin R. Lifferth graduated from Indiana University School of Optometry in 2003 and completed a post-graduate residency in ocular disease at the Huntington, West Virginia Veterans Affairs Medical Center 2003-2004.  Since that time, he has practiced in ophthalmology co-management centers as a consultative optometrist with an emphasis in glaucoma and dry eye management. 

Dr. Lifferth is a fellow of the American Academy of Optometry and a member of the Optometric Glaucoma Society, and is currently serving in various leadership capacities within these organizations.  He enjoys learning and teaching about glaucoma and has presented at the local, state, national, and international levels on this important topic. He is a Diplomate in the Glaucoma Section of the American Academy of Optometry and author of the monthly Glaucoma Column in Optometric Management. In addition, Dr. Lifferth is a key member of our dry eye team focusing on diagnosing and treating ocular surface disease. 

Outside of Center for Sight, Dr Lifferth enjoys running and hiking – and especially doing these and other outdoor activities with his family.

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