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.
LASIK (or laser-assisted in situ keratomilieusis) is the most commonly performed Laser Vision Correction procedure in the world, accounting for more than 90% of all LVC procedures. LASIK works by first creating a flap in the cornea (our practice uses a blade-free femtosecond laser to do this), which is folded out of the way. An excimer laser then corrects your refractive error by removing a microscopic layer of the cornea in a precise pattern customized, whenever possible, to each patient’s eye. The laser will flatten your cornea if you are myopic, steepen it if you are hyperopic, or round it out if you have astigmatism. The flap is then smoothed down over the cornea, aligning back perfectly as in a jigsaw puzzle. The corneal flap sticks back like a “Post-It Note” within a few minutes, and the procedure is over.
What makes LASIK so popular is the rapid improvement of vision when compared to other forms of LVC. No matter how strong your prescription, the average LVC patient can usually pass a driver’s vision test twenty-four hours after surgery, often even after only one hour. This quick, often miraculous recovery is due to the use of the blade -free femtosecond laser. The surgeon uses the femtosecond laser on the cornea after using numbing eye drops and, using a suction device to lock the laser into place, creates a corneal flap. This thin flap of corneal tissue is folded out of the way and the excimer laser removes a thin layer of corneal tissue to correct your visionflattening your cornea if you are myopic, steepening your cornea if you are hyperopic, or rounding it out if you are astigmatic. The surgeon then smoothes down the flap, fitting it back exactly where it came from, like a piece in a jigsaw puzzle, over the ablated area. The corneal flap adheres to the rest of the cornea within minutes and the procedure is over.
Manhattan VISX - In just a short time, patients burdened for years with wearing glasses or contact lenses often achieve vision so clear that the first word out of their mouths is an incredulous, “Wow.” Why does vision recover so quickly? The answer is that the corneal surface in the line of sight (visual axis) remains practically untouched. When the flap of corneal tissue is created, the U-shaped narrow seam is the only area of the cornea’s surface that is disrupted. The surface and center of the cornea, the part through which you see, is untouched. Within a few hours or overnight, the seam, or “gutter,” fills in with new cells that grow very rapidly across the seam. In the average patient, by the following morning the flap has adhered, the seam has healed, and that clock across the room is no longer the blur it was the day before.
The corneal flap also makes it easier to perform enhancements. If you did not achieve the level of vision you wanted, another laser treatment may be performed a few months or even years later. The surgeon carefully breaks the seal on the flap, lifting the flap once again as in the original procedure, and performs an additional laser ablation. Enhancements are usually very successful, but may not be advisable if your original, untreated cornea was thin.
Although the rapidly healing corneal flap is largely responsible for the wow factor, it is also responsible for the majority of complications that can result from LASIK. The flap can be too thin, too thick, too small, irregular, incomplete, or “button-holed.” It can develop wrinkles, folds, and striae-all of which can lead to delayed or poor healing or a poor visual result. Fortunately, flap problems are rare, especially with the femtosecond or Intralase laser, and in most cases can be treated successfully.
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