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.
For those wishing to have clear vision after cataract surgery, advancements in technology now make that possible! Premiun lens can give a full range of vision in comparison to the tradional lenses used in cataract surgery that only provide vision correction for distance. The use if premium lenses has also been approved by Medicare! There is an out of pocket expense for the premium lenses themselves, but medicare and other insurance carriers will cover the cataract surgery!
ReSTOR Premium IOL
Before the development of the intraocular lens (IOL), cataract sufferers had to wear thick, distorting cataract glasses or contact lenses in order to see and function after cataract surgery. The intraocular lens revolutionized cataract surgery by restoring clear, natural, undistorted vision. But since the standard IOL is “monofocal” and customarily corrects only for distance, reading glasses would still be necessary for close work. To minimize their dependence on reading glasses, patients often would choose monovision, where one eye is corrected for distance and the other for reading.
Now patients can have both eyes see far and near together by opting for a multifocal lens (ReSTOR by Alcon Surgical) or an accommodating IOL (the Crystalens by Bausch & Lomb - accommodation means focusing up close in optical language). These IOL’s, called “premium” lenses by Medicare and most health insurance plans, are not fully covered by insurance but give an almost full spectrum of vision, from far to near. We would be happy to discuss these options with you.
TORIC Premium Lens
Astigmatism (see astigmatism section) is a common refractive error caused by the cornea, the front of the eye, being oval shaped rather than round. Astigmatism can be easily corrected by eyeglasses or by special toric contact lenses.
For patients undergoing cataract surgery who want to be as spectacle-free as possible, astigmatism had to be corrected by the addition of a small corneal incision which changed the shape from oval to round.
A more precise method to correct astigmatism during cataract surgery is now available in a toric IOL made by Alcon Surgical. The toric IOL has more power in one direction than another, and by orienting the IOL along a predetermined and pre-marked axis in the eye, such as 45 degrees, 90 degrees, etc., most if not all astigmatism can be eliminated. The net result is better uncorrected vision and more freedom from eyeglasses. This IOL is also considered “premium” and is not fully covered by health insurance.