Eastside Eye Associates was started in 1975 by Dr. Julius Shulman. Since then we have evolved into a multispecialty ophthalmology practice with specialists in laser vision correction, cataract surgery, glaucoma, retinal diseases, ophthalmic plastic surgery, contact lenses, general eye care and eyeglass dispensing. Dr. Dalia Nagel recently joined our staff, expanding our services and hours of operation. We take great pride in offering the most technologically advanced developments in ophthalmology, along with individualized and personal attention to our patients.
Dr. Julius Shulman is a board certified highly skilled LASIK surgeon using state of the art equipment including the Intralase bladefree laser, the VISX S4 excimer laser with advanced eye-tracking capabilities and CustomVue wavefront technology with Iris registration. If you are seeking LASIK in NYC please call us for a complimentary screening.The safety of all-laser LASIK using blade-free Intralase and a customized laser profile is unprecedented. All-laser LASIK is now approved by NASA and the United States Air Force.
Modern cataract surgery in the average patient now takes about 20 minutes or less, with the patient resuming normal activity shortly after surgery. The incision to remove the cataract is so small that stitches are usually unnecessary and healing is largely completed in a week or two. With the advent of microsurgery and the intraocular lens implant , cataracts no longer have to "ripen" and can be removed at any stage.
Glaucoma is a disease of the optic nerve, which becomes damaged from a build up of fluid and pressure inside the eye. Although the earliest sign of glaucoma is usually elevated intraocular pressure, many patients do not demonstrate this elevation but sustain optic nerve damage from what is considered a normal pressure. Detection of this and other types of glaucoma rely on detecting a change in the shape of the optic nerve and a loss of parts of your field of vision.
In the center of the retina, similar to the central bulls-eye of a target, is the macula, the most sensitive part of the retina and the part that gives precise vision for reading and driving. Some common disorders of the retina include macular degeneration, "floaters" and retinal detachment. Many patients with macular degeneration can now be treated with vitamins and medication to avert severe vision loss.
Intralase Blade-Free LASIK
Although the complication rate for LASIK is low, 1% or less, most complications are flap-related rather than laser-related. Flaps that are too thin, irregular, incomplete, contain a “button hole,” or contain a large area of loose or abraded epithelium may give suboptimal results or may cause the surgeon to abort the laser step completely. The precision of a flap created by a laser, rather than a microkeratome with a steel blade, may greatly reduce or even eliminate serious flap problems. The IntraLase Corporation of Irvine California received FDA approval for its femtosecond laser about three years ago, and is now the preferred method in our practice for making the flap in LASIK. The laser pulses, each lasting one quadrillionth of a second (femtosecond), are programmed to pass harmlessly through the surface of the cornea and create a flap of predetermined thickness. As with the standard mechanized microkeratome, a small hinge of tissue remains uncut, forming an area where the flap can be folded out of the way so that the excimer laser can reshape the cornea.
The entire IntraLase flap procedure takes less than thirty seconds, and with the use of standard anesthetic drops, is painless. There are several advantages to the IntraLase system. Flap thickness is generally more precise and predictable than with a microkeratome, where flap thickness can vary by 20ì to 30ì or more. Some patients with borderline cornea thickness may become eligible for IntraLase LASIK rather than PRK because the femtosecond laser can be programmed to make a thinner flap, leaving behind more residual corneal tissue.
With IntraLase, the likelihood of epithelial abrasion and incomplete flaps is greatly reduced, though not totally eliminated, because there is less friction on the cornea with IntraLase than with a microkeratome blade. Patients with surface cornea problems, such as basement membrane dystrophy, might become eligible for LASIK if the flap is made with a laser rather than a blade.
Another advantage of the IntraLase procedure is a more uniform flap thickness that may better fit into the cornea following laser ablation like a manhole cover into the street. IntraLase does not eliminate other flap problems, such as stria and folds.
Although there are advantages to the IntraLase, the long-term safety record of a standard micokeratome and its continued success for millions of patients may justify its use by LASIK surgeons.