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Dr.
Goldstein
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Dr.
William Goldstein
Dr.
William Goldstein began his practice of general ophthalmology in 1994.
He is a board-certified ophthalmologist. He was among the first surgeons
in Michigan to perform LASIK surgery, with his first case in early
1996. Patients and other doctors quickly recognized his high success
rate. He is now considered one of the premiere surgeons in the metro-Detroit
area.
Dr. Goldstein has performed refractive surgery on surgeons, nurses,
and many other health care professionals. He has rapidly established
a reputation as a caring physician, with the ability to manage a wide
variety of eye problems. By providing a unique combination of high
tech surgical management and warm, personal patient care, he has gained
the trust of patients and physicians alike. He is one of a new breed
of ophthalmologists who place individual patient care above all else.
At the Laser Eye Care Center, Dr. Goldstein also continues to provide
the latest in surgical management of cataracts. He is one of only
15% of surgeons in the country to provide the most modern form of
cataract surgery, which combines a topical anesthetic with a "No
stitch" incision. This technique, which is known as the clear
cornea technique, is the fastest, safest method for cataract removal.
Dr. Goldstein has been using this technique since 1995, making him
one of the first to adopt this "needle-free, stitch-free, patch-free,
and pain-free" method.
Call
(800) 263-2078 to schedule an appointment with Dr. William Goldstein
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LASIK
(Laser ASsisted In-situ
Keratomilieusis)
LASIK is the newest
addition to the refractive surgery tools of the modern eye surgeon.
LASIK (Laser ASsisted In-situ
Keratomilieusis) has been the most successful method
of correcting vision in recent history. The technique has been in
use since 1990, and Dr. Goldstein was one of the first in Michigan
to employ it, starting in 1997.
LASIK uses the
VISX Star S4 excimer laser with Active Trak to reshape the cornea
after forming a very thin flap on the front surface of the cornea.
The flap is replaced after completion of the laser treatment, resulting
in a smooth surface, with very little healing needed.
There are very few risks to the procedure. Over correction and under
correction are the most common "complications", and these
occur in less than one percent of patients.
Enhancement surgery can usually be performed to fix these problems.
Less than one percent of patients will have a greater than one line
loss of vision when reading the eye chart. Infection, irregular healing
and problems with the formation of the flap can limit the outcome
or result in varying degrees of vision loss.
To
determine if Laser Vision Correction is right for you
send us an e-mail or call us at 1-800-263-2078
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PRK
(Photorefractive Keratectomy)
PRK uses a cool
beam of laser light to gently reshape the front surface of the eye.
The eye is numbed
using eye drops, and the epithelium (a thin protective layer that
protects the cornea) is removed. The excimer laser removes layers
of the underlying cornea, flattening it. This reshapes the eye to
reduce nearsightedness, astigmatism, and farsightedness. A bandage
contact lens is placed in the eye, and the patient is discharged home.
After PRK, vision
is blurred for three to five days because the epithelium was removed.
This usually leads to some discomfort, as well. The bandage contact
lens minimizes discomfort and aids in healing. Some patients experience
the sensation of sand in the eye and sensitivity to light. Antibiotic
and steroid drops are also used to prevent scarring and infection.
The steroid drops are generally continued for three months.
With the exception
of specific medical indications, Dr. Goldstein does not recommend
PRK for his patients anymore. The superior healing time, recovery
and accuracy of LASIK has rapidly become apparent.
To
determine if Laser Vision Correction is right for you
send us an e-mail or call us at 1-800-263-2078
[top]
Epi-LASIK/LASEK
(Laser
ASsisted SubEpithelial Keratomileusis)
Laser Epithelial
Keratomileusis (LASEK), also known as Epi-LASIK, is a relatively new
refractive surgery procedure that permanently changes the shape of
the cornea. While it is most similar to PRK, LASEK is somewhat intermediate
between LASIK and PRK.
The epithelium (the outermost layer of the cornea) is detached by
using an alcohol solution that weakens the epithelium and allows it
to fold back into a flap. Then the ultraviolet light and high-energy
pulses from the VISX excimer laser reshapes the cornea. After the
cornea is reshaped, the flap is returned back to its original position.
A contact lens is placed on the cornea for about three days to aid
in the healing and the reduction of pain.
LASEK may be useful
in some patients with corneal shape or thickness that make the risk
of LASIK unacceptable.
Advantages of LASEK over PRK
Reduction of postoperative
pain, decreased risk of infection and haze.
Advantages of LASEK over LASIK
Risks associated
with malfunctioning of the microkeratome are eliminated. Flap complications
are avoided. It may be done in some patients whose corneal shape or
thickness does not permit safe performance of LASIK.
Technically, LASEK
is a procedure that falls under the heading of neither LASIK nor PRK
and, therefore, is performed as an "off-label" application.
Up until 2001, LASIK was also considered off-label.
One downfall of
PRK is that healing tends to be more prolonged compared to LASIK because
the tissue removed has to re-heal from the edges in. This occurs because,
with PRK, the surface layer of the eye's epithelium is removed in
order to apply the laser to the surface of the cornea and change its
shape.
In contrast, with
LASIK, a hinged flap of the cornea is created with an instrument called
a microkeratome, allowing the surface to be reapplied immediately
after the laser application, much like closing a door. The only area
that has to heal in order to complete the surface closure is the seam
along the edge of the "door."
LASEK is a new
technique only used by a few surgeons, so the benefits of this procedure
over LASIK and PRK is not well established. However, LASEK reportedly
offers a relatively quick recovery, and has fewer potentially serious
complications. Please note, however, that the overall success rate
of all three procedures is still very high.
To
determine if Laser Vision Correction is right for you
send us an e-mail or call us at 1-800-263-2078
[top]
CK (Conductive
Keratoplasty®)is intended for
people over the age of 40 who need reading glasses (presbyopia) and
people with farsightedness (hyperopia). CK is not intended for people
with nearsightedness (myopia).
Performed using the ViewPoint™ CK System, NearVision CK is a safe,
non-laser vision procedure developed specifically for baby boomers who
struggle with reading glasses and want to improve their near vision.
You are a good candidate for NearVision CK if:
- You are over age 40
- You have had great vision your whole life
- You require reading glasses to compensate for fading near vision
To
determine if CK is right for you, send us an e-mail
or call us at 1-800-263-2078
[top]
ICL
(Implantable Contact Lens)
The Implantable
Contact Lens (ICL) was recently recommended by Ophthalmic Devices
Panel of the FDA for full FDA approval. The recommendation is for
the use of this lense implant to reduce or eliminate nearsightedness,
up to -20.0 diopters.
The goal with
implantation of the ICL is to reduce a patient's dependency on glasses.
Data has also been submitted to the FDA for farsightedness and astigmatism.
The ICL is a small,
foldable, injectable lens that is inserted through a tiny, 3 mm incision
that does not require sutures.
The ICL provides
predictable refractive outcomes and excellent quality of vision due
to its placement inside the eye, in a position where natural focusing
occurs. A recent study showed superior vision quality in ICL patients
when compared with patients who have had LASIK surgery. Unlike laser
refractive surgery, the ICL is removable and does not permanently
alter the shape or structures of the eye. The ICL does not require
any cleaning or maintenance. It cannot be seen with the naked eye,
and the patient does not feel it.
Patients who have
been told that they are not candidates for LASIK because of a high
degree of nearsightedness, or corneas that are too thin may safely
have an ICL inserted.
For
more information on ICL's send us an e-mail
or call us at 1-800-263-2078
[top]
Intacs
(Intracorneal Rings)
Intacs inserts
provide crisp, clear, maintenance-free vision, and are ideal for individuals
with moderate nearsightedness who are particular about the quality of
their vision. What's more, Intacs inserts are a flexible alternative
in that they can be replaced or removed if your vision correction needs
change.
Intacs are clear, thin prescription inserts placed in the periphery
of the cornea by an ophthalmologist during a brief outpatient procedure.
Intacs reshape the curvature of the cornea from within, enhancing the
natural shape of your eye to correct mild nearsightedness. Because no
tissue is removed, natural optics are enhanced and the structural integrity
of the cornea is maintained.
You are a candidate for Intacs inserts if:
- Your prescription for eyeglasses or contacts is between -1.00
and -3.00 diopters, with no more than 1.00 diopter of astigmatism.
- You have healthy eyes, free from disease or injuries.
- You have had stable vision for one year; minor vision fluctuations
may not disqualify you.
- You are at least 21 years of age.
For
more information about INTACS send us an e-mail
or call us at 1-800-263-2078
[top]
William
S. Goldstein, M.D.
47670 Van Dyke
(1/2 mile north of 21 Mile Rd)
Shelby Township, Michigan 48317 |
Hours:
Mon, Tues & Thurs 8:30-5:30
Wed 8:30-6:30
Fri 8:15-3:00 |
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800-263-2078 |
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