Implantable Contact Lens surgeon in Detroit

The implantable contact lens surgeon in Detroit is Dr. William Goldstein. The implantable contact lens, or ICL, has several advantages over LASIK surgery, and is becoming increasingly popular. Formerly viewed only as a replacement for LASIK in patients who were not candidates for LASIK surgery in Detroit, it has become a primary procedure of choice. The ICL has several advantages, in that it is a fully reversible procedure. In other words, if there is a problem, or a change in prescription, the lens can be removed or replaced. In LASIK surgery, the changes to the cornea are permanent. This is for better or for worse, since it means that the good that is done (getting rid of nearsightendness, for instance) is long-lasting. On the other hand, if any problems with glare and halos or night-vision occur, they are permanent. Another advantage to ICL surgery is that it can correct much higher degrees of correction, more than double the limit of LASIK. Most surgeons will not perform LASIK on patients over a -10.0 of nearsightedness. Dr. Goldstein has actually performed ICL surgery on patients with more than -20.0 of nearsightedness! More information is available on Dr. Goldstein's website, www.2020vision.com, or by appointment with him. You can arrange to meet him for a free evaluation by calling 586-323-2020.

The Danger of Diabetes in the Eye

The dangers of Diabetes in the eye are well documented, and I had a reminder of that danger over the Labor Day weekend. I was called into the hospital to see a patient who complained of severe left eye pain. She had been having this problem for about 3 weeks, and her pain was increasing as her vision was decreasing.

When I examined her, I found that the pressure in her left eye was almost 3 times normal. As I looked further, I observed a pattern of lacy blood vessels growing on the iris of her eye. This was a sign that the Diabetes was causing a severe problem known as neovascular glaucoma.

In all likelihood, it is too late to save much if any vision in her eye. The diabetic eye disease has progressed beyond the usual retina issues, and is affecting the front of the eye. Multiple eyedrops to control pressure along with aggressive laser in the retina will be used in an attempt to save her eye, and it will be a long road.

Yearly eye exams for all patients, especially diabetics can prevent these types of problems. Early intervention with laser is especially useful when the disease is confined to the retina.

More information is available on my website www.2020vision.com/diabetes.html or during an appointment with me. Call 586-323-2020 for more info!

Cataract surgery in Detroit

Dr. Goldstein has been performing cataract surgery in Detroit since 1991, and the technique continues to evolve. After 3 generations of cataract surgery tech, the true micro incision has arrived, with incisions close to 1/16th of an inch. But why does a small incision matter?

To understand this, it is necessary to realize that cataract surgery is actually lens replacement surgery. The cataract forms in the lens of the eye, which must be removed and replaced in order to complete the surgery. The replacement lens that is chosen is intended to allow good distance vision without glasses. To accomplish this goal, the eye must retain its natural shape. A large incision can cause irregularity that leads to astigmatism, which may result in glasses for the patient.

Incisions that are in the 2.5 millimeter range tend to cause almost no astigmatism. Dr. Goldstein is currently making a 2.2 mm incision. This equates to around 1/10th of an inch! The incision also seals itself shut without stitches, making the healing faster and more comfortable for patients. The use of crystalens cataract surgery lens implants allows for a full range of focus so that even readers may not be needed!

More info is available at Dr. Goldstein's website, or by calling the office at 586-323-2020.