William S Goldstein, MD Blog

Implantable Contact Lens surgeon in Detroit

September 19, 2011 — by William Goldstein
Tags: Lasik Eye Surgery Michigan Implantable Contact Lens Implantable Contact Lens Surgeon In Detroit Lasik Detroit Icl Detroit

The implantable contact lens surgeon in Detroit is Dr. William Goldstein. The implantable contact lens, or ICL, has several advantages over LASIK surgery, and is becoming increasingly popular. Formerly viewed only as a replacement for LASIK in patients who were not candidates for LASIK surgery in Detroit, it has become a primary procedure of choice.The ICL has several advantages, in that it is a fully reversible procedure. In other words, if there is a problem, or a change in prescription, the lens can be removed or replaced. In LASIK surgery, the changes to the cornea are permanent. This is for better or for worse, since it means that the good that is done (getting rid of nearsightendness, for instance) is long-lasting. On the other hand, if any problems with glare and halos or night-vision occur, they are permanent.Another advantage to ICL surgery is that it can correct much higher degrees of correction, more than double the limit of LASIK. Most surgeons will not perform LASIK on pat

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The Danger of Diabetes in the Eye

September 7, 2011 — by William Goldstein
Tags: Glaucoma Treatment Diabetic Eye Disease Glaucoma Detroit Diabetic Retinopathty Diagnosis Glaucoma

The dangers of Diabetes in the eye are well documented, and I had a reminder of that danger over the Labor Day weekend. I was called into the hospital to see a patient who complained of severe left eye pain. She had been having this problem for about 3 weeks, and her pain was increasing as her vision was decreasing.

When I examined her, I found that the pressure in her left eye was almost 3 times normal. As I looked further, I observed a pattern of lacy blood vessels growing on the iris of her eye. This was a sign that the Diabetes was causing a severe problem known as neovascular glaucoma.

In all likelihood, it is too late to save much if any vision in her eye. The diabetic eye disease has progressed beyond the usual retina issues, and is affecting the front of the eye. Multiple eyedrops to control pressure along with aggressive laser in the retina will be used in an attempt to save her eye, and it will be a long road.

Yearly eye exams for all patients

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Cataract surgery in Detroit

September 1, 2011 — by William Goldstein
Tags: Cataract Surgery In Detroit Crystalens Cataract Surgery Cataract Surgery Cataract Cataract Surgeon In Detroit

Dr. Goldstein has been performing cataract surgery in Detroit since 1991, and the technique continues to evolve. After 3 generations of cataract surgery tech, the true micro incision has arrived, with incisions close to 1/16th of an inch. But why does a small incision matter?

To understand this, it is necessary to realize that cataract surgery is actually lens replacement surgery. The cataract forms in the lens of the eye, which must be removed and replaced in order to complete the surgery. The replacement lens that is chosen is intended to allow good distance vision without glasses. To accomplish this goal, the eye must retain its natural shape. A large incision can cause irregularity that leads to astigmatism, which may result in glasses for the patient.

Incisions that are in the 2.5 millimeter range tend to cause almost no astigmatism. Dr. Goldstein is currently making a 2.2 mm incision. This equates to around 1/10th of an inch! The incision also seals i

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Crystalens Cataract Surgery in Detroit

August 22, 2011 — by William Goldstein
Tags: Cataract Surgery In Detroit Crystalens Cataract Surgery Cataract Surgery Crystalens

Crystalens cataract surgery in Detroit continues to evolve, with increased use of the lens and better results.

There have been several generations of crystalens implants for cataract surgery, and each one had its own strengths. Thousands of each version have been implanted, and the data is very good, and very complete.

Dr. Goldstein has been involved in the use and data research on all of the different generations of lenses in the United States. Currently, he recommends the Crystalens AO, which is also the most recent addition to the crystalens cataract surgery family. This particular lens functions in the same way that the other lenses did, meaning that it flexes to provide accommodation, or near vision focus. The difference is in the aspheric design, which allows a broader range of vision, with less chance of halos and glare.

Call the office of Dr. Goldstein, which is a crystalens center of excellence at 586-323-2020, or go to the website,

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Eye examinations help with Alzheimer's diagnosis

August 14, 2011 — by William Goldstein
Tags: Cataract Surgery In Detroit Eye Exam Eye Surgeons Eye Examination

Eye surgeons are often caught up in the details of performing advanced technique cataract surgery in Detroit. But it has often been said that "The eyes are the windows to the soul". As an eye doctor, I have increasingly realized that the eyes are the window to the overall health of the body. Diagnosis and treatment of such 'full body' conditions like Diabetes and High Blood pressure are great examples.

A recent report indicates that a simple measurement in the eye is probably highly predictive for the development of Alzheimer's Disease! Yet another reminder of how important the eyes are in the overall health of the body. The small study indicates that measurement of the diameter of the blood vessels on the retina in the back of the eye may indicate high risk for Alzheimer's.

What will we do with this information? For now, further research is needed to determine the usefullness of these findings. Eventually, it may allow earlier treatment to prevent progression

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LASIK surgery in Michigan is safer than Contact Lenses!

July 25, 2011 — by William Goldstein
Tags: Lasik Lasik Detroit Lasik Surgeon In Michigan Lasik Surgery In Michigan Lasik Surgery In Detroit

In general, surgery is considered more dangerous than non-surgical solutions to problems. But is this always true? In the case of eye surgery, the answer may actually be NO! LASIK surgery in Michigan causes vision-threatening problems less often than contact lenses. This may be surprising to some, but any eye doctor will tell you the facts!

Most problems caused by contact lenses are due to overwear. Patients should strive to limit wear time to 12 hours each day, and then switch to glasses. Even lenses that are FDA approved for overnight wear can be dangerous. A British study showed that overnight wear increases the risk of serious infection fourteen times over daily wear!

Contact lenses can cause infection, corneal ulcers, corneal abrasions, punctate keratopathy, and sub-epithelial infiiltrates. Commonly, a specific problem called Giant Papillary Conjunctivitis (GPC) is caused by overwear, and may be difficult to cure.

It is very rare for LASIK to resul

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Cataract detection and prevention in Michigan

July 22, 2011 — by William Goldstein
Tags: Cataract Detection Cataract Prevention Cataract Surgeon In Michigan Cataract Cataract Surgeon

Cataracts can be dectected and prevented early on.

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Cataract Diagnosis and Preventiom

July 18, 2011 — by William Goldstein
Tags: Cataract Detection Cataract Surgery Cataract Prevention Cataract Surgeon In Michigan Cataract

Cataract diagnosis is usually not a very difficult problem, but it can be challenging in areas where access to a doctor isn't easy. This is true in rural areas of the United States, and in lesser developed countries.

CNN reported recently that smartphones may be the answer to this problem! A small device is attached to the phone, and the phone is held up to each eye individually. The software focuses beams of light into the eye, and the patient presses a button when the light appears faded. Next, the software analyzes the information, and provides a virtual map of the cataract in the patient's eye!

This information may be used to guide patients in their need for surgery, or to counsel them to avoid smoking or ultraviolet light. These are two of the biggest promoters of cataracts, and moderation can slow down the progression of cataracts.

Ultimately, cataract surgery is usually need

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Cataract Surgery Safety

July 14, 2011 — by William Goldstein
Tags: Crystalens Cataract Surgery Cataract Surgery Crystalens Cataract Surgery Safety

A recent article in the Journal "Ophthalmology" indicates that cataract surgery is safe, even after the age of 90!

The study actually compared outcomes and complications in 80 year olds and 90 year olds, and found no statistical difference in the safety of surgery in these 2 age groups. Interesting, because many patients believe that, once they get 'too old', they should not have surgery because it won't go well. They are worried that it is too risky.

Cataract surgery is the most commonly performed surgery in the U.S. today, and is also the most successful surgery performed in the U.S. today. As an added benefit, cataract patients are benefitting from new technology that allows more freedom from glasses. With the use of such advanced technology implants as the crystalens implant, most patients are completely free of glasses.

More information is available from Dr. William Goldstein, who performs a dozen or more cataract surgeries each week. You can make

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Macular degeneration treatment

July 7, 2011 — by William Goldstein
Tags: Vitamins Areds Study Macular Degeneration Macular Degeneration Treatment

Macular degeneration is one of the leading causes of blindness in the world, and is the number one cause of blindness in the older population in the Unted States. There is treatment for some of the forms of macular degeneration, and there are a few preventative measures that people can employ as well.

Patients with wet macular degeneration, where bleeding is occuring under the retina, may benefit from medications that are injected into the eye. These medications, known as anti-VEGF's, cause the abnormal bleeding vessels to shrink down and stop bleeding. These medications may not only stop the vision loss, but may actually lead to an improvement in vision in many patients. Injections usually need to be repeated several times to bring about reduction of swelling and bleeding. These injections may take several months to complete, and improvement in vision may take much longer.

Several surgical options have been used in the past, including removal of the leaking bloo

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