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”.

Diabetic patients with diabetic retinopathy who undergo weight loss surgery should still be carefully monitored for diabetic eye disease even if their blood glucose is normal after the bariatric surgery. What does weight loss surgery have to do with diabetic retinopathy?

Researchers reporting at the  American Diabetes Association meeting on a small pilot study found weight-loss surgery might accelerate progression of diabetic retinopathy in some cases. In the study 17.5% of the diabetes patients screened about a year before and again after bariatric surgery suffered a progression of their diabetic retinopathy as compared with the 2% to 4% of the overall diabetes patients who develop retinopathy each year. The opposite impact might have been expected. If you have a condition such as diabetic retinopathy that is the result of the diabetes and the diabetes is in remission, it makes intuitive sense that the progression of the condition would be arrested. Although a few patients did appear to have regression of their eye disease most remained unchanged after surgery in the study. The patients who did progress had higher pre-surgical glucose levels and the greatest reduction in glucose levels afterward. A rapid reduction in blood glucose after the weight loss surgery-which is called “normoglycemic re-entry” or a temporary anemic episode after the weight loss surgery may actually be responsible for in the progression of preexisting diabetic retinopathy, but the mechanism is really unclear and requires a great deal of further investigation. One fact for sure-even if after weight loss surgery your blood glucose is normal, people with moderate background diabetic retinopathy prior to weight loss surgery should be monitored closely post-surgery for evidence of progression.

If you or someone you know has diabetes and diabetic retinopathy and weight loss surgery, you need to have regular eye exams even if your blood sugar is normal after the surgery. 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 to schedule an appointment.

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 77550.

Diabetic patients affected by diabetic retinopathy need to be aware that there appears to be a close association between the presence and severity of diabetic retinopathy and future cardiovascular (CV) events such as heart attack or stroke.

Relationship Between Diabetic Retinopathy & Cardiovascular Risk

The relationship between diabetic retinopathy, its 4-year progression, and CV outcomes including CV death or nonfatal myocardial infarction or stroke was analyzed in participants in the Action to Control Cardiovascular Risk in Diabetes (ACCORD) Trial who also participated in the ACCORD Eye Study. The hazard of CV death or nonfatal myocardial infarction or stroke increased by 38% for every category of change in retinopathy severity and steps of progression further raised the hazard. Thus the researchers believe that both the severity of retinopathy and its progression are determinants of predisposition to CV outcomes. The retina may provide an anatomical index of the effect of metabolic and hemodynamic factors on future CV outcomes.

If you or someone you know has diabetes or diabetic retinopathy they should learn more about their cardiovascular risk by calling 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 to schedule an appointment.

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 77550.

Vision loss from the effects of diabetic eye disease including diabetic retinopathy may be preventable or minimized with diligent regular eye exams for those with diabetes. 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. Diabetes is the leading cause of new cases of blindness in adults 20-74 years of age and affects more than 25 million people in the United States-and is increasing! Almost 8 million people ages 40 and older have diabetic retinopathy-and is increasing!

Prevent Blindness America has designated November as National Diabetic Eye Disease Awareness Month. As part of Diabetic Eye Disease Awareness Month, The Eye Clinic of Texas urges 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. 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.

Preventing Vision Loss from Diabetic Eye Problems

In addition to having regular eye examinations and testing at the direction of 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, 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 with regular eye exams by calling 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 to schedule an appointment.

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 77550.

The quality of vision offered by LASIK is superior to that offered by Ortho-K contact lenses and patients need to consider visual performance as they choose a method of vision correction to help them become less dependent on or even independent of eyeglasses for seeing at distance.

About LASIK & Ortho-K Contact Lenses

LASIK is a type of laser eye surgery that provides a method of vision correction to help people with common vision problems such as nearsightedness, farsightedness and astigmatism see clearly at distance without being dependent on glasses or contact lenses. Ortho-K contact lenses or Orthokeratology is a method of contact lens fitting used to temporarily reshape the cornea to allow people to see at distance and be independent of eyeglasses and contacts for periods of time throughout the day.

Recently researchers reporting in Cornea compared the differences in visual performance between Ortho-K contact lenses and LASIK for the treatment of low-to-moderate myopia. The results in this study suggest that LASIK provides better visual quality outcomes than Ortho-K contact lenses for the treatment of low-to-moderate myopia and that for best vision LASIK is the preferred method of vision correction.

If you or a friend would like to learn more about vision quality of LASIK as compared to Ortho-K contact lenses 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 to schedule an appointment.

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 77550.

Halloween Contacts SpiderwebThe Eye Clinic of Texas Ophthalmologists caution Houston patients regarding the use of decorative eye color changing contact lenses for Halloween. The purchase of over-the-counter contact lenses poses a huge risk to patients including scratched corneas, “pink eye” conjunctivitis and even more serious types of blinding infections as the result of a corneal ulcer.

The Food and Drug Administration considers ALL contact lenses regulated medical devices that require a prescription and proper fitting by an eye-care professional. Even someone with perfect vision would still require an eye exam and a prescription in order to safely wear any kind of contacts, including cosmetic lenses. Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, noncorrective lenses but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

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. If you or a friend would like to learn more about contact lenses of any type 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 or facebook.com/ecot.lasik to schedule an appointment.

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.

Fuchs’ Dystrophy is a type of corneal disease that affects the inner most layer of the cornea-the endothelium. Fuchs’ Dystrophy is slowly progressive, is found in both eyes and is slightly more common in women than men. While we can see Fuchs’ Dystrophy in people in their 30’s and 40’s, it usually does not compromise vision until people are in their 50’s or 60’s.

About Fuchs Dystrophy

The endothelial cells are responsible for pumping water out of the cornea and helping to maintain the corneal transparency. While the reason is poorly understood, in Fuchs’ Dystrophy, the endothelial cells die, which make the endothelium less efficient in its pumping activity. This results in the cornea swelling and distorting vision. 

Fuchs Dystrophy Risks & Severity

Researchers reporting in the journal Investigative Ophthalmology and Visual Science studied the effects of smoking, and other risk factors, on the development of advanced Fuchs’ endothelial corneal dystrophy (FECD) and on central corneal thickness (CCT). Being female increased the odds of developing advanced Fuchs’ endothelial corneal dystrophy (FECD) by 34% and smoking increased the odds by 30%. Besides reporting that smoking was associated with an increased risk of developing advanced FECD, diabetes was also associated with increased in corneal thickness-reflecting greater risk of corneal swelling.

If you or someone you know has questions about cataract, cataract surgery, lens implants or hip fracture prevention please feel free to 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 to schedule an appointment.

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.