William S Goldstein, MD Blog

Blepharitis: The most common diagnosis for itchy eyes

June 3, 2011 — by William Goldstein
Tags: Allergy Eyes Allergies Itching Blepharitis Allergic Conjunctivitis

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

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How does a cataract surgeon in Michigan choose cataract lens implants?

May 31, 2011 — by William Goldstein
Tags: Crystalens Cataract Surgery Crystalens Lens Implant Cataract Surgery Cataract Surgeon In Michigan

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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Dry Eye Syndrome

May 26, 2011 — by William Goldstein
Tags: Restasis Dry Eyes Artificial Tears Dry Eye Syndrome

Dry Eye Syndrome is one of the most common problems in eye care today, and it seems to be increasing in frequency. It is also now recognized as a bigger issue in terms of good vision.Most patients with dry eyes complain of dryness and grittiness. It may surprise some people to know that tearing is also a symptom of dry eyes. Patients with dryness will experience excessive tearing as their eyes try to compensate for the irritation that comes with dry eye. Blurred vision may also occur, either because of the tearing, or because good vision relies on a smooth tear film on the front of the eye.Treatment usually starts with over-the-counter tear products, used up to 6 times daily. Other options include the use of Restasis prescription drops and the use of plugs in the tear outflow system. These treatments may be used in combination.Most patients with dry eyes can have relief, but many require constant care, and are frustrated by constant dryness and burning.

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Dry Eye Syndrome

May 24, 2011 — by William Goldstein
Tags: Dry Eye Syndrome Dry Eyes Artificial Tears Tearing Restasis

Dry eye syndrome is one of the most common problems treated in eye care offices. Symptoms and treatment are addressed in this post

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The best LASIK surgeon in Michigan

May 23, 2011 — by William Goldstein
Tags: Lasik Michigan Lasik Surgeon In Michigan Award Winning Eye Doctor Best Lasik Surgeon

Probably one of the most important issues facing a potential LASIK patient is how to choose their surgeon. How does a person find the best LASIK surgeon in Michigan? It may be the most important element of surgery, since the equipment used by most surgeons is similar in quality and accuracy. It comes down to finding a surgeon who is experienced, but has the time and the desire to take care of each patient individually.
Dr. William Goldstein is exactly that type of surgeon. He has been winning awards since his residency program in 1994. That year, he was Chief Resident, and won the Joseph Wahlers Award for patient care. More recently, he has received the Americas Top Ophthalmologist Award for three consecutive years! As for experience, he was one of the first to perform LASIK in Michigan, was the first to perform Implantable Contact Lens surgery in Michigan, and continues to stay on the cutting edge of his field.
To make an appointment, please call Dr. Goldsteins office

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Health screening for cataracts in Detroit

May 20, 2011 — by William Goldstein
Tags: Glaucoma Detection Crystalens Cataract Surgery Cataracts In Detroit Cataract Detection Cataract Surgery

From time to time, Dr. Goldstein participate in health screening events at the local community centers. These events are very useful for patients, in that they help them to discover issues with their eye health that they may not be aware of. For instance, high pressure in the eye could indicate glaucoma, which is not detectable because it does not cause any symptoms for patients. Cataracts, on the other hand, can cause very mild reductions in vision, and the vision screening may indicate this if the patient has trouble reading the chart.
After the screening, if cataracts or glaucoma are possible, then patients are advised to see an ophthalmologist for a full examination. A complete examination should be performed at that time, including dilation with eyedrops. In this way, early signs of disease can be detected to avoid vision damage. If cataract surgery is needed, Dr. Goldstein prefers to perform crystalens cataract surgery as an outpatient.
Cataracts in Detroit are best de

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What is 20/20 vision?

May 16, 2011 — by William Goldstein
Tags: Relex Surgery Eye Exam Vision 2020 Vision Lasik

20/20 vision has always been considered "perfect vision" by most people. And of course we have all heard nearsighted individuals call themselves blind! But it is hard to know what '20/20 vision' means, and we all know that nearsighted people are not truly blind.
The term '20/20 vision' became known as perfect vision because eye doctors used examining rooms, known as 'lanes' that were 20 feet long! If a patient could see normal sized letters at 20 feet, this was perfect vision. If they needed letters that were twice normal size, they had 20/40 vision, meaning that they were still 20 feet from the letters, but someone with perfect vision could stand 40 feet away and still see the letters.
Blindness is defined as 20/200 vision or worse in both eyes WITH corrective lenses or contact lenses. For this reason, as long as they wear their proper correction, nearsighted patients are not truly blind!
To find out more about 20/20 vision, or about eye surgeries such as LASIK or ReLEx

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Macular Degeneration Treatment

May 15, 2011 — by William Goldstein
Tags: Macular Degeneration Treatment Of Macular Degeneration Vitamins

Vitamins can be a valuable treatment for macular degeneration, if used in the correct doses

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Glaucoma, The Silent Killer

May 5, 2011 — by William Goldstein
Tags: Glaucoma Detection Glaucoma Michigan Glaucoma Glaucoma Detroit Diagnosis Glaucoma

Glaucoma is one of the leading causes of blindness in the United States in the elderly population, but it is a preventable cause! Unfortunately, it does not have any symptoms, so it is sometimes called the Silent Killer of Vision by eye doctors. It can only be discovered by an eye-care professional during a full eye examination. This is the reason that yearly eye exams are required for every patient above the age of 50.
So, how is glaucoma discovered during an eye examination? There are two findings that would raise a doctors suspicion. First, high pressure inside the eye, usually above 20 mm Hg, may be found. Even if the pressure is normal, glaucoma may be detected if the optic nerve inside the eye has an abnormal appearance.
Once an abnormality is found, testing needs to be done to determine if the patient has glaucoma or if they need to be followed for the future development of the disease. Visual field testing and optic nerve mapping with an OCT or HRT instrumen

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Contact Lens Wear in Detroit

May 1, 2011 — by William Goldstein
Tags: Contact Lens Detroit Contact Lens Wear William Goldstein

Contact lens wear can be hazardous. Know the risks and wear your contacts carefully.

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