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.
Refractive Lens Exchange (RLE) is essentially cataract surgery on an eye without a cataract. for the purpose of correcting a refractive error, usually severe myopia or hyperopia. In RLE the clear (rather than cloudy with a cataract) lens of the eye is removed and replaced with a plastic intraocular lens. With severe levels of myopia or hyperopia, the quality of vision and results are often better with RLE than with LASIK, and because an IOL can be ordered in almost any strength, RLE can correct almost any refractive error, no matter how severe. RLE may be one of the few options left for a patient with an extremely high refractive error.
The disadvantage of RLE over LASIK is that it is more “invasive” – it is surgery inside the eye rather than on the surface, as in LASIK. For extremely nearsighted patients, RLE and even normal cataract surgery carry a higher risk of retinal detachment than in patients with lower degrees of myopia. And for patients younger than 40 or 45 who would normally not need reading glasses after LASIK, RLE also weakens focusing, making reading glasses necessary. This may be an acceptable trade-off for a severely nearsighted patient.