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.
PRK, or photorefractive keratectomy, preceded LASIK and was the first modern LVC operation widely used. Although it is still much less popular than LASIK, PRK is still preferable for many patients, especially those unsuitable for LASIK due to a thin or irregular cornea. During PRK no corneal flap is created. The epithelium, the thin layer of cells on the surface of the cornea, is removed by one of several methods, leaving a well-defined round defect or abrasion, large enough to accommodate the laser treatment.
Once the epithelium is removed, the actual laser treatment is identical to that of LASIK, and the results of the two procedures are essentially the same. The main difference is in healing time. In PRK it takes several days to a week or more for the epithelium to regenerate and cover the ablated or lasered area. During this healing period the patient wears a soft contact lens 24/7 that acts like a Band-Aid to cover the cornea and allow the new tissue to grow back. The contact lens is placed on the cornea by the surgeon at the completion of the laser treatment, and goes a long way in preventing pain and keeping the patient comfortable.
Besides the longer healing time, haze is another potential disadvantage of PRK over LASIK. Haze, an inexplicable cloudiness in the cornea, can develop months or even years after a perfectly performed PRK, and can reduce vision to varying degrees. Haze is thought to be due to substances secreted by regenerating cornea tissue, and anti-inflammatory drops used for a month or more after PRK can usually prevent haze from developing. If haze does develop, these same drops are usually successful in eliminating it. Haze is more common in PRK treatments for prescriptions over –6.00, and for these patients an anti-haze medication, mitomycin C, can be used during PRK to prevent haze.