William S Goldstein, MD Blog

The sappy 70's song "Don't it make my brown eyes blue" inevitibly leads us to think about whether brown eyes can be turned blue. Maybe the song was inspired by colored contact lenses! But why are there variations in eye color? Why are there so few blue-eyed people?

An article in the journal Human Genetics from 2008, indicates that blue eyes are the result of a single gene mutation that occurred between 6000 and 10000 years ago. The article was written by a cellular molecular biologist, Hans Eiberg.

"A genetic mutation affecting the OCA2 gene in our chromosomes resulted in the creation of a 'switch,' which literally 'turned off' the ability to produce brown eyes," Eiberg said.
The genetic switch is located in the gene adjacent to OCA2 and rather than completely turning off the gene, the switch limits its action, which reduces the production of melanin in the iris. In effect, the turned-down switch diluted brown eyes to blue.
In some patients, this switch

NBC's 'Nightly News' recently teased one of their stories with the statement that this year may be our worst year for allergies EVER. The story went on to explain that high levels of rain lead to more plant growth, and thus more pollen and other allergens in the air.
My staff and I can certainly lend some credence to the statements made on that TV show! We are seeing a very high frequency of allergic conjunctivitis or 'allergy eyes' in our office this spring.
Allergies cause a pretty classic set of symptoms, of which itching is the most common. Redness of the white of the eye, and eyelids is also pretty typical, along with a white discharge and some tearing. Both eyes are usually equally involved, and there may also be light sensitivity in some patients.
Treatment consists of cool compresses to ease the itching and artificial tears to rinse out the mucous and the pollens and other allergens that may be the cause of the problem. Prescription eyedrops are more effective th

Astigmatism is one of the most mistunderstood terms in eye care. In fact, it almost sounds like a life-threatening disease when some patients talk about it! "How can I have LASIK, Dr. Goldstein? I have....ASTIGMATISM!". And really, it's just another common cause of blurry vision.

In most cases, astigmatism is actually a very benign condition, and one that can be treated very successfully. The first step is to understand what astigmatism really is. Actually, astigmatism is similar to near and farsightedness. It is merely a problem in the way that the eye focuses light. Astigmatism occurs when the eye has unequal curvature, and is shaped like a football instead of round in all directions like a basketball. This difference in curve causes two points of focus in side the eye. Nearsighted, or myopic patients have eyes that are too long, and farsighted, or hyperopic patients have shorter than ideal eyes. The treatment of astigmatism is similar to treating nearsightedness and fars

Should you be afraid of cataract surgery? Many people are, mainly because they feel that they could have damage to their vision from surgery. Others just say "I hate having anything near my eye". But cataract surgery in Detroit is nothing to fear, especially when performed by Dr. William Goldstein! In fact, cataract surgery is the most commonly performed, and most successful surgery in the United States today.

Dr. Goldstein uses the most modern technique for surgery, to make is safer, easier, faster, and painless for his patients. The technique is one used by only 30 % of surgeons in the United States, and includeds topical anesthetic and a no-stitch incision. Topical anesthetic means that only eyedrops and gels are used, so no needles are placed behind the eye. This incrases safety, and also means that the eye can see immediately. No patch is needed after surgery due to this modern technique. The crystalens cataract surgery includes a crystalens implant that can help to el

The diagnosis of glaucoma becomes more common as we age, and about 1 out of every 3 patients over the age of 70 has diagnosis. But some studies show that up to 50% of glaucoma goes undiagnosed. And once diagnosed, treatment may be difficult or expensive for patients, leading to ineffective treatment, and potential loss of vision. The approach to treatment of glaucoma is a great example of an area of medicine which involves employing some of The Art of the Practice of Medicine. Medical therapy can be used, as well as laser treatment, and even surgical intervention.
Eyedrops
o Many different drops available
o Some decrease production of fluid inside the eye
o Others increase drainage of fluid out of the eye
o Very effective
Laser therapy aka ALT (Argon Laser Trabeculoplasty)
o May be used as first-line therapy
o Very effective
o May be repeated later in life if needed
o Often decreases or eliminates the need for eye drops f

Reading glasses are one of the most frustrating additions to our wardrobe that you can think of! They are one of the solutions to the only disease that affects 100% of the human population, "presbyopia". And to add insult to injury, that word means "aging vision"! Everyone eventually realizes that they cannot see well when they bring things close to their eyes, and begin to hold objects and reading material further away to see them clearly. The only problem is that, eventually, our arms are not long enough and the print on the page is too small if we hold things too far away.

Most people have heard of over-the-counter readers, or drug store readers. These actually work very well for most people to bring things back into focus. If a person is already wearing glasses, bifocals can be made with the reading portion in the bottom part of the lenses. Contact lens wearers may choose monovision contacts, where one eye is corrected for near and one for distance, or multifocal lenses,

Presbyopia, or aging vision can be treated with monovision.

Why should you have LASIK surgery in Detroit by Dr. William Goldstein? Here are a few great reasons!!

Experience: is one of the most important aspects of finding a surgeon. Dr. Goldstein was one of the first in Michigan to perform LASIK in 1996. He has thousands of happy patients, including doctors, surgeons, nurses and all of their family members.

Reputation is gained only when a surgeon has satisfied patients and doctors who trust him. Dr. Goldstein has become known as the "Doctor That Doctors Trust". There is good reason for that!

Results are the ultimate measure of a good surgeon. Dr. Goldstein has consistently provided results that were superior to the ones found in the FDA studies.

Personal involvement can be difficult to find in an eye doctor's office. Dr. Goldstein sees every patie

In an eye doctor's office, not a day goes by without a patient complaining of itchy eyes. This is because itching is the most common way in which the eye indicates inflammation, regardless of the cause. Allergic conjunctivitis, blepharitis, and contact lens-related inflammation can all cause itching.
The most common cause of itching is blepharitis, which is inflammation of the eyelids and eyelashes. Patients will often indicate that the eyelids are also slightly swollen and red. They will also have crusting or mattering at the base of the eyelashes. Some patients call this 'crystalized eyelids', and they will often need a warm washrag to clean their eyelids when they wake up in the morning.
Blepharitis may be linked to allergies, normal bacteria that we all have on our eyelids, skin conditions such as excema or rosacea, or may not have an obvious cause.
The first-line therapy for blepharitis is to cleanse the eyelids daily with a dilute solution of baby shampoo. Commerci

Patients frequently ask How do you choose the lens implant that is right for my eye? Are all lens implants the same? They want to know if everyone gets the same power lens, and how do we work to obtain a result that does not require glasses for our patients.
When a patient comes in for their surgical evaluation, Dr. Goldstein has a long discussion regarding an individuals goals for surgery. If they only want distance correction, then a standard lens may be selected. If they prefer to eliminate distance AND reading glasses, then an advanced technology lens must be used, such as the Crystalens implant.
Once the general category of lens is chosen, careful measurements are carried out to determine the shape, length, curvature and power of the eye. Next, a list of possible lens implants and powers is printed out. The cataract surgeon in Michigan selects the proper lens implant based on the patients wishes, the desired outcome, and the experience of the surgeon.
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