Crystalens Cataract Surgery in Oakland County

Crystalens cataract surgery in Oakland County has made it so that less and less patients need glasses after cataract surgery. The use of modern technology enables a careful surgeon to reduce or even completely eliminate glasses after surgery. When a patient undergoes an exam for cataract surgery, measurements are performed to calculate the lens implant power on each patient. Then a power of implant is chosen for each eye with a goal of getting rid of glasses. There are 2 types of implants, standard lens implants and advanced technology implants. Only the advanced technology implants, such as the Crystalens, can completely eliminate glasses. The standard implants can only help with the distance portion of vision. If astigmatism is involved, the toric IOL's or additional surgery may be needed.

Video games improve vision in cataract patients

Cataract surgery patients may experience better vision with daily use of video games, a recent Canadian study shows. This finding was in patients 19-31 years of age, who had cataract surgery done when they were children. The researchers had already established that adults who played video games had improvement in their vision, and in their ability to recognize faces and read small print. The study spanned 1 month, and had 6 patients play 40 hours of video games during that month. All patients had improved function, and 5 of 6 had improvement towards 20/20 vision.

Why LASIK in Detroit is so effective

With state of the art technology lasik in Detroit offers unprecedented visual correction and safety. This new technology covers many exciting innovations that have been developed over the past decade. When put together these innovations are known as bladeless LASIK or All Laser LASIK. The first of these innovations is the femto laser than is able to create a thin flap on the surface of the cornea, whichs is the 'front window' of the eye. This is the area that is also reshaped when performing Lasik , in just seconds. When the flap is replaced, the eye is almost back to its preoperative state, and is very comfortable. Another important innovation is the use of new technology that measures the correction your eye needs to see 20/20. Wavefront analysis allows the surgeon to evaluate all aspects of focus in the eye, instead of just relying on the prescription. More than 25 times the information that goes into a simple glass prescription is then fed to the laser that then imparts your own unique correction. This often enables you to see better than you were able to see before with your own glasses or contact lenses. The surgeon at the Laser Eye Care Center is uniquely qualified to perform your laser. Dr. William Goldstein is a Board Certified Ophthalmologists and was one of the first in Michigan to perform this procedure.

Glaucoma in Detroit

Glaucoma in Detroit is a common, and potentially blinding problem. Sometimes called the 'silent killer' of vision, it can only be detected with careful examination by an eye doctor. The pressure check that is performed in all eye doctor's offices is the first step, but since it changes hour to hour and day to day, it is not the most accurate means for detecting glaucoma. Examination of the optic nerve shape, and visual field testing are very important in discovering glaucoma. Early discovery and treatment will almost always prevent blindness.

Crystalens center for excellence, Cataract surgery Detroit

For cataract surgery in Detroit, Dr. Goldstein can be depended on for the most advanced techniques. His office was awarded the Crystalens Center for Excellence award, given to surgeons who use the most advanced intraocular lens implants and the safest cataract surgery technique for their patients. Small incision surgery under topical anesthetic is used for every one of Dr. Goldstein's cataract surgery patients. He is the cataract surgeon in Detroit who will always care for each patient individually.

Diabetic eye disease, sudden vision loss

Sudden vision loss in a diabetic patient is an alarming event, both for the patient, and the eye doctor taking care of them! The causes of this loss vary, and the treatment and outcomes differ too. Sometimes, bleeding inside the eye causes the vision loss. This is like shaking up a snow globe, where the 'snow' is flying around inside, blocking the view. Similar to the snow globe, when the blood settles, the view clears and the patient is able to see again. Then the cause of the bleed can be found and treated. Sometimes, the blood does not clear and surgery is needed. If the diabetes has advanced and caused a retinal detachment, surgery is always needed, but is not always successful. Reattachment of the retina is only part of the problem, since the detachment was usually caused by severe diabetic retinopathy. Once it has gotten to this point, it is difficult to reverse and vision damage or loss is common. Yearly eye examinations are the best means of prevention of damage and vision loss from diabetic eye disease. More info is available at the diabetes eye care page of 2020vision.com.

Dry eye season is coming fast!

Dry eye season is coming fast! Anyone who has dry eye syndrome, or even mild dry eyes, is beginning to notice that irritation is getting worse. Why are things getting worse now? First, let's talk about symptoms of dry eye syndrome. Most patients simply experience dry or gritty sensations in their eyes. These tend to be worse later in the day, as we use our eyes. They are made worse by use of computers, reading, and driving, since we tend to blink less when we are doing these activities. Other symptoms may include tiredness, intermittent blurred vision, and even tearing. So why do these symptoms get worse this time of year? As the air gets colder, the humidity in the air drops, increasing dryness. On top of that, forced air heat, which is in use in most buildings, is very dry. Most office buildings, stores etc do not have humidifiers on their heat, which only makes matters worse. Increase your artificial tear use this Holiday season...and if that does not work, consider going to your eye doctor for tear-drain plugs or Restasis! More info is available at www.2020vision.com or its dry eye page.

Crystalens cataract surgery in Detroit, patient from Kuwait

Our office received this note via email, from a patient who came from Kuwait to see Dr. Goldstein for crystalens cataract surgery in Detroit: "The crystalens lenses that were implanted are working great and my night vision is excellent. In fact, I drove here in Kuwait last night and was completely comfortable with the vision. I really didn't realize how colorful Kuwait was at night. Apparently my cataracts have dimmed the color vision for so long, that I didn't reaize how colorul the lights and other sights are." Thanks Dr. G! I am so glad that I found you to take care of my eyes and implant the crystalens implants in Detroit. It was worth the travel from Kuwait! For more info, visit http://www.2020vision.com

Red eyes, dry eyes and thyroid disease

A patient asked me today if his chronic red eyes really "mean anything". When I asked him what he meant, he said that his eyes feel better due to the dry eye treatment with Restasis, but that the redness had not completely resolved. This lead us to a pretty interesting discussion about red eyes, local diseases of the eye, and what systemic (whole body) problems can lead to red eyes. To put it in simplest form, redness is a sign of irritation. This can be due to dry eyes, allergies, infection, or inflammation, and can range from mild to severe. Many patients do not even feel that there is a problem, but notice redness when they look in the mirror. The first line of treatment is to use soothing lubricant drops, or artificial tears. Visine and other 'get the red out' drops are only to be used occasionally, not long-term, but tears can be used forever if they are working. If tears and other local treatments are not working, then other causes should be considered. Thyroid disease can be linked to dryness, and chronic red eyes. Other more rare causes would include some of the autoimmune diseases such as Lupus or Rheumatoid Disease. Blood tests can help confirm these problems, and sometimes treatment of the entire body is needed, with the red eyes resolving at the same time. It is most likely that if you have red eyes, it is from dry eye, blepharitis or allergies, but if you have concerns, or if eyedrops are failing to help, come see Dr. Goldstein. Call 586-323-2020, or request an appointment online at his website, 2020vision.com

The itchy eyes are back! Allergy season!

It's that season again...itchy eye season. The spring and fall are the times when our eyes are most reactive to airborn allergy elements. Pollen, grass, ragweed, hay fever....all of these can trigger allergic reactions in peoples' eyes. And let's not forget blepharitis, the most common eye problem seen in most eye doctor's offices. Many patient use over-the-counter allergy drops, but most eye doctors don't recommend them. Treatment of allergic conjunctivitis, or 'allergy eyes' is an art. Sometimes, simple application of lubricating eyedrops is all that is needed. Other times more aggressive measures are the answer. Occasionally, patients even need steroid eye drops. In general, the fist step is to apply lubricating drops during the day, and use lid hygeine in the evening. This may be all that is needed to help alleviate symptoms. If this does not work, a visit to the doctor is needed to figure out the next step. Prescription drops for allergies may seem expensive, but since they can act for 24 hours, they may actually be less expensive than the over-the-counter drops, that need to be used 4 times daiiy. The prescription drops are also usually more effective because they work on several areas of allergic reaction. Steroid drops can also be used, but are usually only needed for a short period of time. During this time, an eye doctor should carefully monitor the patient for increases in eye pressure. Careful consideration of all of the different modes of treatment can usually make the most uncomfortable patient very happy and 'itch free'. For an appointment with Dr. Goldstein, call 586-323-2020, or go to his website, www.2020vision.com.

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!