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”.
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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. asics france nike tn Using airbags along with seat belts is an important safety feature in cars today. Fjallraven Kanken Rucksack timberland soldes hommes But, a recent report in Survey of Ophthalmology suggests that the incidence of eye injury and facial trauma from airbags is increasing. asics basket 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. bottes timberland 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. bottes ugg pour homme 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. asics gel kinsei 6 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. adidas stan smith asics soldes 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.

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. Fjallraven Kanken Big new balance 574 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. Adidas Superstar new balance homme 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. bottes ugg pas cher ugg australia classic 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. nike soldes ugg grise The Eye Clinic of Texas is an affiliate of Houston Eye Associates, the largest ophthalmology clinic in the nation.

Smoking has been identified as a risk factor in a number of systemic conditions including high blood pressure, heart disease, various types of cancer as well as eye conditions including glaucoma, macular degeneration and even cataracts. https://www.goldufo.com nike air presto We now know that if you stop smoking you can actually reduce your risk of cataracts.

Smoking

Research on Stopping Smoking & Cataract Risk

Researchers reporting in JAMA Ophthalmology studied the risk of cataracts among smokers and found that stopping smoking decreases the risk of cataracts over time. adidas zx 500 The researchers followed a total of 44,371 men, 45 to 79 years old over a 10 year period. Fjällräven Kanken Rucksack The participants filled out questionnaires on their smoking habits and lifestyles and were then matched with the Swedish National Day-Surgery Register and local records of cataract extraction.

Results

The researchers found that smokers of more than 15 cigarettes a day had a 42% increased risk of cataract surgery compared with men who had never smoked. It also found that men who smoked an average of more than 15 cigarettes a day but had stopped smoking more than 20 years earlier had a 21% increased risk. nike air max homme timberland soldes Thus, they found a positive association between cigarette smoking and cataract surgery in men, with a significant increase of cataracts among smokers compared to those who never smoked. Also, stopping smoking was associated with a statistically significant decrease in risk with increasing time from stopping smoking. Even heavy smokers had some benefit from quitting smoking. Further, a previous study reviewed the relationship between smoking cessation and cataract risk in women. adidas ultra boost cheap ffxiv Items In this study, they found that after cessation of smoking, cataract risk in women decreased with time. ugg paillettes bns gold Women who smoked 6 to 10 cigarettes a day but had ceased smoking 10 years earlier, and women who smoked more than 10 cigarettes a day but had ceased smoking 20 years earlier were found to have a relative risk of cataracts not significantly different from women who had never smoked.

Smoking cessation seems to decrease the risk of cataract development and the need for cataract surgery with time, although the risk persists for decades. The higher the intensity of smoking, the longer it takes for the increased risk to decline. These findings emphasize the importance of early smoking cessation and, preferably, the avoidance of smoking altogether.

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, 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.

Jean S. new balance femme chaussures nike femme 2017 told us about her daughter Abby’s experience at the Optical Shop…..

“I was completely impressed with The Eye clinic of Texas Optical Shop and Opticians. nike air max 2016 They had a very extensive selection of childrens glasses and were reasonably priced. adidas hamburg new balance homme The optician, Amanda knew so much about the type of lenses that my daughter needed in her glasses. ugg soldes 2017 adidas chaussures pas cher She recommended a high index lens because my daughter’s prescription is so large and it would help her see more clearly. bottes timberland pas cher nike air max 1

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.

LASIK Surgeons Know About Safety

This past October 21, 2015 marked the 20 year anniversary of FDA approval of the use of the excimer laser for Laser Vision Correction of common eye problems such as nearsightedness or myopia. 20 years is a long time and we have now arrived with technology, techniques, skills and experience to be able to provide patients wanting to eliminate their dependence on glasses and contacts, with a safe, effective and reproducible laser eye surgery treatment-whether LASIK, PRK or other method of correction.

Patient Barriers to LASIK

Still, one of the main barriers to patients who want to have LASIK is there concern about safety. cheap ffxiv Items A recent study was conducted to determine what percent of LASIK & Refractive Surgeons WHO ACTUALLY PERFORMED THE PROCEDURE, have had Laser Vision Correction. Certainly, eye surgeons who perform refractive surgery MUST know the dark dirty secrets of safety issues and would avoid putting themselves at undue risk. After all…EYE SURGEONS NEED EXCELLENT VISION!

Results of the Laser Vision Correction Safety Study

The study, called Prevalence of Laser Vision Correction in Ophthalmologists Who Perform Refractive Surgery was published in the September Journal of Cataract & Refractive Surgery and had some interesting results. nike free run Responses were received from 248 (99.2%) of 250 ophthalmologists who were queried, of which 232 (92.8%) met the criteria of currently working as refractive surgeons. buy bns gold Of the 232 subjects, 161 (69.4%) reported that they had refractive errors potentially amenable to treatment with laser vision correction, not including presbyopia. nike air max 1 Of the 161 ophthalmologists with treatable refractive errors, 54 (33.5%) reported they were not candidates for laser vision correction for a variety of reasons and 107 (66.5%) reported they were candidates for LVC. new balance baskets acheter chaussures nike Of the laser vision correction candidates, 62.6% reported that they had an LVC procedure in their own eyes! Of the overall 232 subjects, more than 90% recommend LVC for adult members of their immediate family!

The message is clear. The data speaks for itself. Fjallraven Kanken Big Two thirds of the eye surgeons who perform LASIK, and are good candidates for LASIK-HAVE LASIK! They are confident of the safety, efficacy and predictability-THAT THEY HAVE IT THEMSELVES!!!! And they recommend it to their family members. bottes ugg pas cher nike chaussure The key here to having a great result is finding out if you are a good LASIK candidate. Kanken Mini We can help!

If you or someone you know would like to learn more about 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.

Decorative contact lenses and Halloween really seem to go together in October as people prepare interesting costumes and “looks’ for various celebrations. asics gel kinsei 6 Decorative or “fashion” contacts let you change your “look” by changing eye color, giving you a “ghoulish” appearance or even creating patterns or logos on your eyes. nike air max femme pas cher nike air presto BUT-contact lens safety is not to be taken for granted when it comes to decorative contact lenses and you need to have a clear understanding of how to use them safely. new balance soldes

Facts & Tips for Halloween Contact Lens Eye Safety

  • Decorative contact lenses are not cosmetics or “over the counter” merchandise. They are medical devices regulated by the Food and Drug Administration (FDA). adidas pas cher Places that advertise them as cosmetics or sell them without a prescription are breaking the law.
  • They are not “one size fits all.” An eye doctor, either an optometrist or an ophthalmologist, must measure each eye to properly fit the lenses and evaluate how your eye responds to contact lens wear. A poor fit can cause serious eye damage, including;
    • a scratched cornea
    • a corneal infection
    • pink eye conjunctivitis
    • decreased vision
    • blindness
    • Places that sell decorative lenses without a prescription may give you few or no instructions on how to clean and care for your lenses. Failure to use the proper solution and care regimen to keep contact lenses clean and moist can lead to infections.
    • Where NOT to Buy Decorative Contact Lenses
      • street vendors
      • salons or beauty supply stores
      • boutiques
      • flea markets
      • novelty stores
      • Halloween stores
      • record or video stores
      • convenience stores
      • beach shops
      • Internet (unless the site requires a prescription)

These are not authorized distributors of contact lenses, which are prescription devices by federal law.

  • How to Buy Decorative Contact Lenses Safely. Get an eye exam from a licensed eye doctor, either an ophthalmologist or optometrist, even if you feel your vision is perfect to make sure your eyes are healthy enough to wear contacts. soldes timberland bottes ugg Get a valid prescription that includes the brand name, lens measurements, and an expiration date. But don’t expect your eye doctor to prescribe anime, or circle, lenses. asics gel pas cher These bigger-than-normal lenses that give the wearer a wide-eyed, doll-like look have not been approved by FDA. basket new balance Buy the lenses from a seller that requires you to provide a prescription, whether you go in person or shop online. Follow directions for cleaning, disinfecting, and wearing the lenses, and visit your eye doctor for follow-up eye exams. new balance homme See your eye doctor right away if you have signs of possible eye infection including:
    • redness
    • eye pain that doesn’t go away after a short time
    • decrease in vision

The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye problems from becoming a reality. Compra Mochilas Kanken If you or someone you know wishes to learn more or be fit with any type of contact lenses-including decorative contacts, 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.

Especially for the parents of children with ADHD/ADD, there is often a desire to uncover any associated reasons or problems that might impact their child’s behavior and to find possible ways to help. Kanken Classic timberland femme There has been some thought that common vision problems may play a role.

 

Research on ADHD/ADD & Vision

Researchers reporting in the journal of the American Association for Pediatric Ophthalmology & Strabismus (AAPOS) discussed the notion that there was an association between ADHD/ADD, uncorrected refractive-errors such as nearsightedness, farsightedness and astigmatism-and visual acuity. ugg pas cher adidas stan smith They performed a case matched controlled study that included ADD/ADHD children diagnosed according to criteria of the Diagnostic and Statistical Manual of Mental Disorders (DSM IV-TR), along with an age matched control group. Fjällräven Deutschlands Asics 2017 They examined both groups including evaluation of their uncorrected visual acuity for distance and near, performed a cycloplegic refraction-an eye test to measure uncorrected refractive error with eye drops, ocular motility or eye movement and binocular function. nike huarache new balance 574 Their results showed that ADD/ADHD children had similar visual acuity at distance and near and refractive errors as normal subjects. https://www.goldufo.com/ffxiv-items new balance homme Eye movement and the ability to use both eyes together as well as focusing ability were also found to be similar in both groups and thus probably did NOT contribute to ADD/ADHD.

If you or someone you know has ADHD and is concerned about any effects of vision problems, refractive errors or decreased visual acuity 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.

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. nike air max flyknit ultra 2.0 adidas tubular shadow 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. new balance avis These include not smoking, eating a heart healthy low fat diet rich in green leafy vegetables and limiting alcohol consumption. asics gel nimbus adidas gazelle pas cher Some choices may not be possible such as reducing the long term use of aspirin. fjallraven kanken rucksack 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. adidas zx flux pas cher 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. air jordan future 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. nike air max 2017 soldes Current treatments for Wet AMD provide an excellent chance of stopping vision loss and may actually restore some vision when macular degeneration develops. adidas femme 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.

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. chaussures adidas 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. ffxiv Items This suggests that if an eye disease is present in any family member it may put you at greater risk of that eye problem. nike pas cher 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. nike soldes In fact there is an epidemic of diabetes in the U.S. today. adidas zx 500 Diabetic eye problems include a greater risk of glaucoma, cataracts and sight threatening diabetic retinopathy. bottes ugg 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. https://www.goldufo.com/ffxiv-gold 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. nike air max soldes 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. Fjällräven Rucksäcke timberland pas cher 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.

Diabetic eye disease and problems from diabetic retinopathy continue to be a significant source vision loss. UGG Maylin adidas ultra boost Here is what we know. ugg australia According to the Centers for Disease Control, diabetes affects more than 26 million people in the United States. asics nimbus basket adidas zx flux The Prevent Blindness America Vision Problems in the U.S. nike internationalist report indicates that almost 8 million people ages 40 and older have diabetic retinopathy with diabetes being the leading cause of new cases of blindness in adults 20-74 years of age. ugg australia bottes Although there is no cure for diabetic eye disease, annual eye exams for diabetes patients are essential to help slow the progression of the disease.

Preventing Vision Loss from Diabetes

Patients can play an important role in preventing diabetic vision loss. new balance 2017 More than 30% of those diagnosed with diabetes do not adhere to vision care guidelines recommending a dilated eye exam every year. As part of Diabetic Eye Disease Awareness Month we are urging people with diabetes to have a dilated eye exam every year. The longer a person has diabetes, the greater his or her risk for developing diabetic retinopathy. asics gel kayano ugg homme However, diabetic retinopathy does not only affect people who have had diabetes for many years, it can also appear within the first year or two after the onset of the disease.

Diet & Lifestyle Choices to Reduce Risk of Diabetic Vision Loss

In addition to having regular eye exams and testing at the level recommended by your eye doctor, patients can help to reduce the risk of developing diabetic eye disease by not smoking, controlling their cholesterol and lipid profile and blood pressure, minimizing alcohol consumptions as well as working to eat a heart-healthy diet rich in fish, fruit and green leafy vegetables and exercising.

If you or someone you know has diabetes or even elevated blood sugar levels they should work to prevent diabetic eye disease and problems by scheduling regular eye exams at 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.