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”.

Josh F. reported, “I own a fencing business and I am always outside.  I wanted a good pair of sunglasses with polarized lenses that were also were durable.  Randy, the optician recommended I try a pair of Costa del Mar sunglasses. I had no idea how much clearer things would become when having a polarized lens.  These glasses were definitely worth the expense.”

If you or someone you know has questions or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas or .

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.

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Most cars today incorporate the use of both seatbelts and airbags as safety measures to help occupants avoid bodily injury in car accidents. Using airbags along with seat belts is an important safety feature in cars today. But, a recent report in Survey of Ophthalmology suggests that the incidence of eye injury and facial trauma from airbags is increasing. How can this be happening?

Airbags & Eye Injury

Airbags were originally designed as a supplemental safety system to seatbelts, to protect the head from hard surfaces in frontal crashes. It is critical that all passengers wear their seatbelts even if your car has airbags in the front, back and sides of the passenger cabin. Seatbelts accomplish two things. First, they restrict and prevent you from being quickly and forcefully thrown forward and second they stop you from colliding with the rearward inflating and accelerating airbags as they are deployed during a car accident. Airbag deployment and passenger collision with airbags has been reported to cause eye injuries including corneal abrasions, alkali burns and the serious effects of eye compression such as retinal tears, retinal and vitreous hemorrhages, retinal detachment and even cataracts. SO-the message is clear. For eye protection and safety in motor vehicle accidents, all occupants of cars should wear safety belts at all times even if your vehicle has airbags!

If you or someone you know has questions about airbag eye injury and car accidents, or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

Making responsible and healthy lifestyle choices can go a long way to preserving eye health and vision. Here are some basic tips and guidelines to help you make those good choices and decisions.

Have Regular Comprehensive Dilated Eye Exams

Making sure to schedule regular dilated eye health and vision exams-at intervals your eye doctor recommends- is the first step to maintaining eye health and good vision. Early detection, diagnosis and treatment when necessary allows us to find eye diseases, conditions and problems so that we can address them before they are sight threatening. Many eye diseases do not have early warning signs, but signs and symptoms can be identified during a comprehensive dilated eye exam.

Know Your Family History of Eye Problems

Many eye health and vision problems and eye diseases tend to run in families. This suggests that if an eye disease is present in any family member it may put you at greater risk of that eye problem. This is particularly the case for eye diseases such as glaucoma and age related macular degeneration (AMD). Stay abreast of the eye diseases and conditions as they exist in your family, AND BE SURE TO TELL US ABOUT THEM WHEN YOU COME IN FOR AN EYE EXAM. 

Nutrition and Diet Affect Eye Health & Vision

Make sure to pay attention to what you eat and try to include a steady diet of foods high in important nutrients that support good vision, such as the following:

  • Vegetables: collard greens, bell peppers, broccoli, tomatoes and dark, leafy greens, such as kale and spinach
  • Nuts: sunflower seeds, almonds, hazelnuts and peanuts
  • Fruits: strawberries and blueberries
  • Omega-3 Fatty Acids: tuna, halibut and salmon
  • Beans: chickpeas, kidney beans and legumes

Watch Your Weight & Exercise

Being overweight exposes you to a greater risk of diabetes. In fact there is an epidemic of diabetes in the U.S. today. Diabetic eye problems include a greater risk of glaucoma, cataracts and sight threatening diabetic retinopathy. Exercise-even moderate amounts of daily exercise reduce your risk of developing MANY eye diseases and problems.

Wear Protective Eyewear

Eye injury prevention is relatively easy-if you wear the appropriate protective eyewear when taking part in sports or home activities that expose you to risk. It is estimated that some 90% of eye injuries can be prevented by taking a minute to review the need for protective eyeglasses before doing home projects, trimming branches or shrubs, using saws, tool or weed whackers-and on and on. In addition, when spending time outdoors or near the water, wear sunglasses designed to block out 99 to 100 percent of the sun’s UV-A and UV-B rays.

Be smart and be safe.

Stop Smoking

Not only does smoking cause a host of cardiovascular and systemic vascular problems, but smoking is now recognized as increasing the risk of cataracts, macular degeneration and, all of which could lead to vision loss. We also now know that if you do smoke, there is considerable benefit in stopping!

Avoid Computer Eyestrain

CRT or video display terminals used for computers are well known to expose you eye fatigue, headache and more troubling-dry eye problems. When working on the computer or using a smartphone or tablet, practice the 20-20-20 rule to reduce eyestrain-that is, every 20 minutes, look at something 20 feet away for about 20 seconds. If you have any sensation of dryness, grittiness or “something in your eyes”, use an eye surface lubricant or eye drop to replenish your tears.

If you or someone you know has questions or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

What does obesity have to do with age related macular degeneration (AMD) you ask?

It is well known that being overweight is related to a number of overall health problems such as diabetes, high blood pressure, orthopedic problems, heart disease and even cancer. Having extra pounds (particularly around the abdomen) is just bad for your health. A lesser known fact is that obesity can increase one’s risk of vision loss from conditions such as macular degeneration.

Certain controllable factors can contribute to vision loss. These include smoking, high blood pressure and diets high in fat. When these risk factors are combined with obesity, can increase the risk of macular degeneration significantly. In fact, two Israeli ophthalmologists reviewed more than twenty studies involving thousands of patients across the world to determine the connection between weight and eye health. Their study found a consistent link between obesity and the occurrence of eye disease.

Their review and analysis found that:

  • Obese patients were more than twice as likely to lose more vision than those with normal BMI’s.
  • The bigger a person’s waist, the higher their risk of vision loss.
  • Eye diseases such as age-related macular degeneration are more likely to progress more quickly in obese individuals.
  • Exercising at least three times a week cut the risk of AMD getting worse by 25%.

In fact, another study known as the Beaver Dam Eye Study looked at the relationship between exercise and AMD and concluded that increased walking of more than 12 blocks per day decreased the incidence of wet macular degeneration by 30% over 15 years!

If you or someone you know has questions about AMD or age related macular degeneration risk factors, or needs to schedule an eye exam appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

Scott D. comments on his cataract surgery experience……

“Dr. Milstein restored my vision recently.  I had early developed cataracts. My left eye was so severe that I lost most my vision completely. Being able to see again is a feeling that is hard to describe. I just had my second surgery done yesterday and I am already happy with my vision. I do have some haze this morning but it is clearing up. The fact that I can see without glasses to drive has me giddy.  I had the standard monofocal lens implanted in both eyes and they so quickly have adjusted together. I am already noticing a vast improvement. The only side effect of going to the clinic is I have an addiction to the tootsie pops that Dr. Milstein gives you at each visit. This is a great clinic and Dr. Milstein is great doctor for all your eye care needs.”

If you or someone you know has questions about cataracts, cataract surgery or lens implants or needs to schedule an appointment for a cataract evaluation, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

The early onset of menopause is a known risk factor for primary open angle glaucoma (POAG) with the associated hormonal changes seeming to play an important role. This begged the question of whether postmenopausal hormone therapy could actually play a role in reducing the risk of glaucoma and act in a protective fashion.

Research on Glaucoma Risk & Postmenopausal Hormones

According to researchers publishing in JAMA Ophthalmology taking estrogen only postmenopausal hormone (PMH) treatment may help reduce the risk for primary open-angle glaucoma (POAG). By reviewing data from 152,163 women 50 years or older the researchers found that 1.9 percent of enrollees developed POAG. Each additional month of use of PMH containing estrogen only was associated with a 0.4 percent reduced risk for POAG whereas each additional month of use of estrogen + progesterone or estrogen + androgen hormones did not affect risk for POAG. This is interesting information and will require further clinical studies to understand fully but may offer some novel treatments for primary open angle glaucoma (POAG), an insidious sight threatening eye diseases and the most common type of glaucoma.

If you or someone you know has questions about glaucoma, glaucoma risk factors and the role of postmenopausal hormone therapy in glaucoma risk, or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

Having a basic familiarity with the risk factors for age related macular degeneration (AMD) is important for patients-especially seniors-as AMD is a leading cause of severe vision loss among Americans ages 65 and over. The key to preventing vision loss from age related macular degeneration is early detection, diagnosis and treatment as recommended by your eye doctor.

Know the Top AMD Risks

  • Being over the Age of 60
  • Having a Family History of AMD
  • Cigarette Smoking
  • Obesity
  • Hypertension

If you have any two of these risk factors, you should schedule an appointment for a complete eye exam and evaluation. Based on your eye exam and risk factors we may recommend certain preventive measures which can reduce your risk of vision loss from this disorder.

There are some AMD risk factors that can positively impact by making good lifestyle choices. These include not smoking, eating a heart healthy low fat diet rich in green leafy vegetables and limiting alcohol consumption. Some choices may not be possible such as reducing the long term use of aspirin. For patients at high risk for developing late stage AMD, taking a dietary supplement of vitamin C, vitamin E and beta carotene, along with zinc, has been shown to lower the risk of AMD advancing to advanced stages by 25 percent. Other risk factors such as genetic factors cannot be changed. However, knowing your family medical history is one way to learn whether you may be genetically predisposed to a disease.

Know the Symptoms of Wet AMD

With early detection, diagnosis and treatment with Vascular Endothelial Growth Factor (VEGF) Inhibitor injections such as Lucentis® and Eylea® it is possible to avoid or minimize vision loss from Wet AMD. People who are at risk should know the symptoms of Wet AMD, as this type of AMD is the most likely to cause sudden, rapid, serious and even catastrophic vision loss. Symptoms of wet AMD can include sudden, noticeable loss or distortion of vision, such as seeing “wavy” lines, “distortion”, “bending of straight lines and objects”, or even “distortion of facial features”.

If you experience any of these symptoms, please call The Eye Clinic of Texas right away and explain your symptoms and request an immediate appointment. Current treatments for Wet AMD provide an excellent chance of stopping vision loss and may actually restore some vision when macular degeneration develops. Earlier diagnosis of wet AMD gives a better chance of successful treatment.

If you or someone you know has questions or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.

As January 2015 come to an end, The Eye Clinic of Texas wants to remind patients and their families that as Prevent Blindness America has designated January as National Glaucoma Awareness Month. This is a reminder that if you have not already done so, you should remember to schedule a regular eye exam with glaucoma screenings as this is a key to early detection, diagnosis and treatment and goes a long way to maintaining eye health and vision. While we have made enormous progress in reducing glaucoma blindness, the fact remains that some 13%-15% of patients with glaucoma still do go blind. The best way to avoid vision loss from glaucoma is to help us find it early so that we can achieve the best treatment results and outcomes for you should it be necessary.

If you or someone you know has questions about glaucoma, glaucoma eye exams, glaucoma risk factors or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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 was extremely nervous about having LASIK eye surgery. I cannot stand my eyes being touched and I couldn’t even wear contacts because the thought of putting them in my eyes scared me!  After having the surgery, I kicked myself because I should have had LASIK a long time ago.  There truly is nothing to it, I didn’t feel a thing!  Dr. Van and her staff are truly great.”

Taryn P.

If you or someone you know has questions about Zeiss VisuMax All Laser LASIK or would like to 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 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.

The excellent advances in glaucoma diagnosis and treatment still require patients to play an active role in their care by scheduling regular eye exams with the appropriate level of glaucoma testing based on their examination, risk factors and doctor’s recommendations. Glaucoma risk factors that may make additional testing or more frequent exams necessary include diabetes, high blood pressure, vascular disease, an early onset of menopause, sleep apnea, any family history of glaucoma-especially among siblings, excessive alcohol use and smoking, as well as race since if you are of African-American or Hispanic descent, you have greater risk of glaucoma.

Glaucoma Eye Exams–Eye exams for glaucoma should begin by checking your visual acuity with and without your eyeglasses or contact lenses. Then, the tonometry test should be performed. This is a method of measuring your Intraocular Pressure (IOP) and gives us the first piece of important information in determining whether you might have glaucoma. Ophthalmoscopy and high magnification contact lens exams are examination procedures used to detect and diagnose glaucoma by carefully examining the inside of the eye-especially the optic nerve-in order to detect glaucoma.  It is necessary to have some eye drops placed in your eyes in order to dilate your pupils so that the doctors can make a clear and direct observation of the optic nerve.

Glaucoma Testing–If either the Intraocular Pressure (IOP) is elevated or the optic nerve appears unusual, additional tests will be necessary in order to complete the glaucoma examination. These may include Visual Field Perimetry, Gonioscopy, Optic Nerve Computer Imaging and Pachymetry. Should you need any of these tests we explain them fully to you and answer your questions so that you understand how they allow us to diagnose glaucoma.

If you are under 40 years of age and do not have any meaningful risk factors, then having a glaucoma eye examination every two years should be sufficient. If you have any glaucoma risk factors, then an annual exam or as frequently as directed by your eye doctor is necessary to maintain eye health and vision. If you or someone you know has questions about glaucoma, glaucoma eye exams or testing, or needs to schedule an appointment, please call The Eye Clinic of Texas, an affiliate of Houston Eye Associates, at 800-423-3937, visit The Eye Clinic of Texas 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.