About Bernard Milstein, MD

Bernard Milstein, M.D. provides comprehensive eye care including Cataract Surgery & Lens Implants and LASIK for Houston and Galveston area patients at The Eye Clinic of Texas. Dr. Milstein is a nationally recognized Ophthalmologist, specializing in Laser Eye Surgery for Laser Vision Correction of nearsightedness, farsightedness and astigmatism, Cataracts and diseases of the eye. A pioneer in the field of Laser Vision Correction, Dr. Milstein participated in the initial FDA studies to determine the safety and effectiveness of the excimer laser. These trials proved the safety of the excimer laser in the treatment of myopia, hyperopia, and astigmatism. His involvement and contributions to the study of the excimer laser, facilitated his being the first physician and eye surgeon in Texas and one of the first 16 in the United States to perform Laser Eye Surgery for vision correction using an FDA monitored and approved laser. Dr. Milstein has more than 20 years of experience using the excimer laser for refractive purposes and has performed approximately 15,000 LASIK procedures. Recognized by numerous groups and publications, Dr. Milstein has been included yearly in Texas Monthly magazine’s “Super Doctors” since 2003; “Best Doctors in America” since 1996; and H Magazine’s” “Top Doctors” in 2010. In addition to his experience in treating refractive problems, Dr. Milstein is at the forefront in the surgical treatment of cataracts. He has participated in the development of many types of advanced lens implants through participation in the study of numerous intraocular lens (IOL) designs and was one of the first ophthalmologists to implant the AcrySof® ReSTOR® Multifocal Lens Implant (IOL) for the correction of near vision focusing problems such as presbyopia after Cataract Surgery. Dr. Milstein is a founding member of the American Society of Cataract and Refractive Surgeons (ASCRS), where he serves as chairman of the Comprehensive Ophthalmology Committee, and is a member of several other committees. He participates as a moderator and expert on panels at the national ASCRS meetings. A fellow of the American Academy of Ophthalmology, Dr. Milstein is a past president of the Texas Ophthalmological Association and is a member of the Texas Medical Association and the Galveston County Medical Society. He is a Clinical Professor of Ophthalmology at The University of Texas Medical Branch and for many years instructed residents in advanced cataract and refractive surgical techniques. Dr. Milstein is also a community leader. He has served in the following positions: Chairman of the Board of the Bay Area Houston Economic Partnership; Chairman of the Galveston Wharves Board; Chairman of the Board of Visitors of Texas A&M University at Galveston; Chairman of the Board of the Galveston County Health District; Founder and President of Prevent Blindness Texas in Galveston and Brazoria Counties; President of the Medical Staff at St. Mary’s Hospital; and is or has been a member of the Development Board of The University of Texas Medical Branch; the Development Board of the University of Houston at Clear Lake; the Executive Committee and Board of Directors of Bay Area Houston Economic Partnership, the Advisory Board of Frost Bank; and many other committees and associations. Dr. Milstein was a regular guest on the Saturday morning program at KPRC-TV/Channel 2 for three years, and has appeared numerous times with both Whitney Casey and Debra Duncan on “Great Day Houston”.

Rheumatoid

What does arthritis have to do with your eyes? Rheumatoid arthritis (RA) is an inflammatory disease characterized by swelling and irritation. The inflammation of RA occurs when your body’s defense system (immune system) attacks your own body tissues instead of foreign invaders like viruses or bacteria. Most of these attacks occur in your joints, but RA inflammation can also affect other parts of your body, including your eyes. In fact, your eyes are especially vulnerable. Some of the more common eye complications of rheumatoid arthritis include dry eyes, scleritis-an inflammation of the “white” of your eye-which is uncomfortable and even painful, iritis-an inflammation of the colored part of the eye or the iris, or uveitis, an inflammation of the middle lining inside the eye that supplies blood to other internal structures.

Any of these rheumatoid arthritis complications can requirement treatment to avoid at a minimum discomfort and more seriously vision loss. So, if you have been told you have rheumatoid arthritis and experience dry eyes, redness, pain, or changes in your vision, you should make sure to see us for a diagnosis and treatment if needed.

If you or someone you know wishes to learn more about how rheumatoid arthritis can cause eye problems, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

“I wore glasses since 3rd grade.  I tried contacts when I was older but my eyes were to dry.  I worked in the operating room with Dr .Milstein and knew he did Lasik.  I went to his office for the evaluation for Lasik and he determined I was a great candidate.  I was so happy with him and his office staff, they were so informative.  I had the procedure and I am seeing wonderfully!”

Kathie E.

 

If you or someone you know would like to learn more about Bladeless LASIK or Schedule a Free LASIK Consultation please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

About Vision Loss from Back Surgery

What does having back surgery have to do with vision loss? According to neurosurgeons who perform spine surgery, one of the risks of spine surgery is post operative vision loss (POVL). When operating on the spine, a rare but potentially devastating complication of lumbar spine surgery is indeed POVL, of three types that seems to be increasing in frequency. These include one type called ischemic optic neuropathy (ION) which occurs due to restricted blood flow to the optic nerve, another is called central retinal artery occlusion (CRAO) which is due to a blockage in the main artery that supplies the retina with oxygen and nutrients and third is called cortical blindness (CB) most likely due to some blockage in the visual cortex of the brain that is responsible for “seeing.” These complications are quite rare but the risks can occur when there are very long operation times, in patients who have a difficult time being positioned on the operating table and especially in those that are obese. Neurosurgeons take many preoperative and intraoperative precautions to avoid these complications which, except for an unusual event, are successful in avoiding vision loss.

However, if you or someone you know is having or has had back or spine surgery, please be aware that any change in your vision should immediately be reported to your neurosurgeon and you eye doctor so as to prevent vision loss. If you would like more information or have concerns please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Blueberries

Everyone has heard that carrots are good for your eyes. Many folks are probably even aware that eating green leafy vegetables is helpful for those at risk for age related macular degeneration (AMD). But, have you ever heard that blueberries are good for your night vision? Blueberries are considered “super stars” among health food advocates, who tout the fruit for not only promoting heart health, better memory and digestion, but also for improving night vision. Now, scientists have taken a closer look at this and have found reason to doubt that the popular berry helps most healthy people see better in the dark. Their report appears in ACS’ Journal of Agricultural & Food Chemistry. Blueberries were thought to be possibly be helpful for your night vision because they contain anthocyanins, which are pigment molecules in blueberries and other plants, that promote the regeneration of key molecules in the eye involved in perceiving light. But reviews of the earlier clinical research that tested the effect of blueberries on night vision in human subjects revealed that the studies were poorly controlled. The researchers found that a blueberry-supplemented diet did not improve sight in the dark, but they did help subjects recover normal vision after exposure to a bright light. The enhancement, however, was small and not likely noticeable to most healthy people, the researchers concluded.  So, if you like blueberries feel free to eat and enjoy them, but don’t wait for your night vision to improve.

If you or someone you know has problems with night vision, it is important to have a thorough eye exam to rule out the possibility of cataracts or other eye problem, condition or disease that may affect the retina or optic nerve. Please call please The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Flower Cherry Tree

Help for Itchy, Watery Eye Allergies

Spring is beautiful, except for pollen and itchy eyes! While many people enjoy the spring, millions of others live with hatred of those times when the trees, grass and weeds begin to pollinate. People who are sensitive to these allergens experience seasonal allergic conjunctivitis, the most common type of eye allergy. Allergic conjunctivitis-which causes red, itchy, watery eyes-results in the conjunctiva, the clear membrane like skin that covers the eye, becoming inflamed when triggered by an allergen. It is estimated that in the United States, some 20 percent of the population suffers from eye allergies making them anything but unusual. Further, the incidence appears to be on the rise. Some researchers believe that our increasingly clean, modern society which no longer requires our bodies to fight off multiple childhood infections has caused our immune systems to shift from an infection-fighting stance to more of an allergic stance. When the body’s immune system becomes sensitized and overreacts to substances such as seasonal pollens and pet allergens, an allergic reaction can occur whenever they come in contact with your eyes.

If you or someone you know suffers when pollen season and spring arrives, resulting in red, itchy, watery eyes, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Cataract Surgery Patient Satisfaction

The benefits of cataract surgery in restoring poor vision as well as quality of life are very obvious. As cataract surgeons we are also very pleased to report that cataract surgery has an extremely high level of overall patient satisfaction-in our practice as well as in national surveys collected by the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement. By 2030, 38 million Americans will suffer from cataracts, a number that will increase to 50 million by 2050, according to the National Eye Institute of the National Institutes of Health. According to the study, from the Accreditation Association for Ambulatory Health Care (AAAHC) Institute for Quality Improvement, 99.7% of patients would recommend the procedure to friends or relatives suffering from cataracts. 96% of patients reported that their vision was better post-surgery, and 98 percent said they were comfortable during the procedure and right after their surgery. What’s more, 96% returned to normal activities of daily living within one week of their cataract surgery procedure. This is very typical of what we see at The Eye Clinic of Texas and the data clearly shows that patients find value in cataract surgery and are generally very pleased with the outcomes of the procedure,” said Bernard Milstein, M.D.

If you or someone you know suspects or has been told they have a cataract and would like to learn more about cataract surgery and lens implants, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

BernardAMilsteinMDphoto

Our own Bernard Milstein, M.D. of The Eye Clinic of Texas just returned from the American-European Congress of Ophthalmic Surgery, a yearly meeting for ophthalmologists and representatives of the major ophthalmic corporations involved with cataract and laser eye surgery for vision correction. The meeting, which is by invitation, was attended by 125 ophthalmologists and an equal number of industry representatives. The Chief Executive Officers of Alcon, AMO, Bausch & Lomb, Allergan, and Zeiss, the major ophthalmic companies, attended and made presentations. This is a unique meeting where practicing ophthalmology opinion leaders have an opportunity to meet and interact with the key industry leaders in a free exchange of ideas, with the hope of fostering innovation in eye care.

The American-European Congress of Ophthalmic Surgery started approximately 30 years ago when David Dulaney, M.D., an ophthalmologist from Phoenix, invited a number of his friends who were on the forefront of laser vision correction such as bladeless lasik and cataract surgery to meet and discuss the challenges and opportunities they were encountering. The meeting has grown, but it has retained much of its pioneering quality.

Dr. Milstein shared his thoughts about this interesting meeting. “I have attended this meeting for approximately 10 years and have been invigorated by the constant exposure to new ideas and new concepts. This year was no exception. The discussion was centered on new intraocular lens implants and the exciting changes that were occurring in the laser vision correction arena,” explained Dr. Milstein. “It was comforting to be included by the CEO of Zeiss as one of the 18 major centers that was involved with Zeiss in the development of the SMILE procedure and their VisuMax Laser in the United States. I was quite pleased to be included in the group of 18 physicians who are considered to be the team leaders for refractive surgery,” shared Dr. Milstein.

If you have not had an eye exam with glaucoma testing and are taking these medications, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Alice H. was kind enough to share her thoughts about cataract and cataract surgery:

“The glare in my vision while driving at night was so terrible that I quit going to my Bridge card game because I was too terrified to drive at night and afraid I might hurt myself or someone else.  After surgery I can see so well near and far thanks to Dr. Milstein and his staff!  I have now joined my bridge group again and no longer afraid to drive at night!”

If you or someone you know experiences cloudy, blurry vision and difficulty with night driving and faded colors you might wish to learn more about cataracts, laser cataract surgery and lens implants by scheduling a cataract eye exam at The eye clinic of Texas by calling us at an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

Quality of Life after Cataract Surgery

When we think of the impact that cataracts have on people, it is pretty easy to identify that vision decline or loss comes mainly from the blurry cloudy vision that cataracts cause, but also the night vision problems from the glare and haloes associated with cataracts. What is much more important than the vision loss itself is the negative impact on patient’s quality of life. Recent research published in Acta Ophthalmologica studied the effect of patient quality before and after having cataract surgery. The researchers compared patients with no known cataracts of the same age, health and lifestyle to those who had cataracts before and after cataract surgery.  When compared with the general population, cataract patients had much lower health-related quality of life (HRQoL) than those without cataracts as measured by five dimensions: seeing, moving, hearing, performing their usual activities and general discomfort and symptoms. Then at 12 months after cataract surgery there was significant improvement in the quality of life index (HRQoL) across these same dimensions. While this seems obvious, it is a reminder that cataracts and vision loss affect more than just vision and reason to avoid suffering if you feel that your vision might be impacting your quality of life.

If you or someone you know suspects or has been told they have a cataract and would like to learn more about cataract surgery and lens implants, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+  or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.

“My wife told me for years to go have the procedure but I never did. I always made excuses and let time get in the way. Finally, I had LASIK last year and it is the best money I have ever spent on myself. I can see so clear when I ride my bike and go deer hunting. My vision is better than what it was when I wore my contacts, something I couldn’t fathom! It is such a refreshing feeling to get up in the morning and not have to put contacts in or grab my glasses.”

Richard G.

If you or someone you know would like to learn more about Bladeless LASIK or Schedule a Free LASIK Consultation please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas, Google+ or facebook.com/ecot.lasik.

The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation. We are a leading eye care practice serving the greater Houston, Galveston, League City and Texas City with offices at 1100 Gulf Freeway, Suite 114, League City, Texas 77573, 7111 Medical Center Drive, Suite 110, Texas City, Texas 77590 and 2302 Avenue P, Galveston, Texas.