WHAT’S HAPPENING NATIONALLY

During my long career in ophthalmology, I’ve been proud to play a leading role in many regional, state-wide, and national organizations dedicated to cutting-edge eye care.

Recently, I attended the American Society of Cataract and Refractive Surgeons’ meeting in San Diego.  ASCRS (pronounced ascris), is a group of some 5,000 ophthalmologists who meet annually to review what is happening in the world of eye surgery.  I served on their founding board and continue to play a role in the organization.

At the April meeting, I had the opportunity to formally review 50 of the best papers presented and then to discuss their importance at a seminar called the Clinical Carryout Session.  I shared this unique opportunity – and honor – with seven other ophthalmologists from around the country.

The essence of the general meeting and the Carryout Session is this:  impressive and imaginative improvements and innovations are being made continually in eyecare.  An amazing amount of money and energy is being spent to research and develop new and improved treatments for people with cataracts as well as for people who do not want to wear glasses or contacts.

The future is bright and clear. This is an exciting time to be an ophthalmologist and to be able to help people see better and continue to see well.

Bernie Milstein

The Voice of Van- I recently attended the  American Society of Cataract and Refractive Surgeon (ASCRS) meetings in San Diego and I am very excited to learn of this new technology available for our glaucoma patients.  I attended a full day of glaucoma lectures.  One new thing about glaucoma treatment is the use of Ex-PRESS shunt in glaucoma surgery. It is a relatively new device that aids ophthalmologist to control eye pressures better for patients who have maximized their eye drop treatment.  It’s inserted in the eye as a surgical procedure.  The fluid inside the eye is shunted through this mini tube and drains to the conjunctival layer of the eye.  The Ex-PRESS gives a more precise control of the fluid level and thus, controls the eye pressure better.  The goal of this device is to reduce or eliminate the use of eye drops and better control the eye pressures.

Dr. Da-Thuy Van, D.O.

WELCOMING DR. STEFAN TROCME

We are happy to have Dr. Stefan Trocme on our team.  Dr. Trocme is a Board Certified ophthalmologist here from Sweeden to head up a research study to help people with dry eye disease.

Dr. Trocme specializes in:

  • treatment of the cornea – dry eye, ocular allergies, ocular inflammation, and eye infections;
  • anterior segment surgery – cataract and pterygium; and
  • refractive surgery – LASIK and PRK.

Dr. Trocme is the former Director of Ocular Surface Services at Case Western

Reserve University Hospital in Cleveland, Ohio, the former Director of Cornea Services at UTMB in Galveston, and he has participated in numerous clinical trials for the treatment of ocular infection, dry eye, and cataracts.

Welcome to First Look, the newest way the doctors at The Eye Clinic of Texas are helping Texans keep their vision strong and healthy.

We’re looking forward to sharing with you the newest advances in eye health and tips on caring for your eyes. Please let us know if there are specific issues you’d like for us to address – we want to answer your questions! And check back often for reports on topics from the latest in LASIK Vision Correction, to when to try “monovision,” to how to keep your eyes from getting sunburned this summer.

Hopefully we’ll be able to provide you with a first look into staying healthy and making the most of your own vision.

LEAGUE CITY, Texas –Dr. Bernard Milstein and Dr. Allan H. Fradkin of The Eye Clinic of Texas, have been recognized as Best Doctors in America. In fact, both ophthalmologists have consecutively achieved this recognition since 1996.

Best Doctors in AmericaThe Super Doctors® list was compiled by Key Professional Media (KPM), which asked more than 50,000 Texas physicians one question: “To whom would you refer a loved one or one of your patients for medical diagnosis and/or treatment?”  After tallying the replies, the research team identified the Texas doctors who earned special recognition from their peers or demonstrated other indications of expertise in their specialties.  The researchers also confirmed that each physician is properly licensed and without a history of disciplinary action. 

Dr. Milstein was one of the first physicians to perform laser vision correction surgery in Texas and since then, The Eye Clinic of Texas has expanded its technology to include the latest advancements in eye surgeries by offering All Laser LASIK with the Intralase laser system and the ReSTOR lens, an Intraocular Lens used to foster a full-range of high-quality vision in patients.

“Receiving the Super Doc award never loses its reward,” said Dr. Milstein. “The Eye Clinic of Texas has always strived to provide the highest level of patient care. I couldn’t have achieved the status of Super Doc if I didn’t have the support of my amazing team.  At The Eye Clinic, we focus on being a team and together we achieve the status.”    

Milstein specializes in LASIK, cataract surgery and refractive lens surgery.  As an investigator in the original Food and Drug Administration studies, he helped prove the safety of the excimer laser for the treatment of myopia, astigmatism and hyperopia.  Milstein was also among the first in the country approved to implant the ReSTOR accommodative lens.  He is a fellow of The American Board of Ophthalmology, a past president of the Texas Ophthalmological Association and a member of The American Academy of Ophthalmology and The American Society of Cataract and Refractive Surgeons. 

In addition, he has been listed in The Best Doctors in America® database since 1996.  Dr. Milstein is also an active member and past chairman of the Bay Area Houston Economic Partnership.

Founded in 1972, The Eye Clinic of Texas offers the latest in cataract and refractive surgery, as well as a full-range of other eye care services at three locations throughout Galveston County: League City, Galveston and Texas City. For more information, call (800) 423-3937 or visit www.ecot.com.

What to ask your doctor before your cataract surgery?

Upon attending your cataract evaluation and consultation with your cataract surgeon, consider the following questions as some of those you might like to have answered at your visit. Make sure you ask all of the questions that are on your mind and that you receive satisfactory answers to those questions.

  • When should I have my cataracts removed?  
  • Are my cataracts the only cause of my poor vision?  
  • How much experience do you have with cataract surgery?  
  • Do I have any other eye problems that might jeopardize the results?  
  • Do I have any other health problems that might cause complications?  
  • Can you use a lens Implant to correct my vision?  
  • What type of cataract surgery procedure will you use?  
  • Is there any overnight stay necessary for cataract surgery?  
  • Is there a risk of worse vision or going blind after cataract surgery?  
  • How well do you think I should be able to see after cataract surgery?  
  • How long will my eye take to heal?  
  • When will I achieve my best overall vision?  
  • Will I need eyeglasses, contact lenses or reading glasses after cataract surgery?  
  • How soon after my surgery can I have my final eyeglass prescription?  
  • When will I see well enough to go back to work, drive and resume my daily activities?

 

Common questions and FAQs about cataracts & cataract surgery

What is a cataract?

A cataract is a clouding of the crystalline lens inside the eye.

Who can get a cataract?

Anyone can get a cataract.  Cataracts occur most often in people over 55 years old, and even more in people over 65+ and cataracts affect some 60% of people over 75. Adults may also develop cataracts as a side effect of certain medications such as steroids used to treat asthma or as a result of systemic diseases such as diabetes. Pediatric cataracts, which are typically congenital, are unusual but may occur for a number of reasons related to the mother’s health during pregnancy.

When should I have my cataract removed?

Once a cataract has formed it can progress at different rates or not at all and remain stable. The position of a cataract in the crystalline lens can also determine how seriously it affects your vision. So, depending on the progression and the position, a cataract can cause varying degrees of vision change for each individual person. The amount of vision change and how much it affects your ability to conduct your everyday activities, as well as your safety, determines when you should have cataract surgery. The decision to have cataract surgery is made by you discussing, if and how much your lifestyle is being hampered, with your cataract surgeon. Together you can decide on the best time for cataract surgery.

Can my cataract be removed with a laser?

At this point in time cataracts are not typically removed with a laser. Modern cataract surgery is performed using a technique called phacoemulsification whereby the cloudy crystalline lens is “chopped up” and suctioned with a microscopic ultrasonic instrument through a tiny incision. Several companies have developed specialized lasers for performing several steps in the cataract surgery procedure so that a procedure called Femtosecond Laser Assisted cataract surgery may emerge in the future as an important technological advance. However, for now, what is called laser cataract surgery refers to the fact that sometimes, the membrane-called the lens capsule-that is left in place to support the placement of the intraocular lens implant (IOL) to correct your vision may become cloudy. In this case a laser is in fact used to create an opening in the membrane so that you can have clear vision. This is called a YAG laser capsulotomy which is a quick painless procedure.

Will I need glasses after cataract surgery?

Vision correction after cataract surgery is achieved through the implantation of a permanent artificial lens implant. By selecting from a number of different types of lens implants, your cataract surgeon can help you achieve your personal goals. If you have astigmatism he or she may select an astigmatism correcting lens implant so that you may be able to reduce or possibly eliminate glasses to see clearly at distance. If you wish to be able to read or see clearly at far as well, he or she may select a presbyopia correcting lens implant. If being free of glasses after cataract surgery is important to you, discuss this with your cataract surgeon. 

When can I do my regular activities after cataract surgery?

In the vast majority of instances, patients having cataract surgery are able to resume their normal everyday activities within a day or a couple of days after their surgery.

How much should I expect the cost of cataract surgery to be?

Most private insurance as well as Medicare cover the cost of cataract surgery including the cataract surgeon’s fee, the fee for the use of the surgery facility-or “facility fee”, the cost of a basic monofocal lens implant and the necessary follow up care that you will need within 3 months or so after your surgery. They do not cover deductibles, co-payments or the cost of many of the advanced technology lens implants used to correct astigmatism or near vision after cataract surgery.

Is cataract surgery risky?

All types of surgery have risks. Fortunately the risk and complication of cataract surgery are extremely low. In addition to being one of the most successful and surgeries performed in the United States today, cataract surgery has also become the most frequently performed surgery in the U.S.  During your cataract surgery consultation, your cataract surgeon and/or their staff will be available to review the possible risks and complications and answer your questions.

By George and Sally Prill

Special to The Daily News

Published December 3, 2010

On Thanksgiving Day in far-off Minnesota, watching the gently falling snow, George and Sally Prill gave thanks for their last 10 years they were lucky enough to spend in Galveston.

Thanks for the friends and associates with whom they worked, laughed and, occasionally, cried. Thanks for Lyda Ann Thomas, Danny Weber and the Galveston City Council that proclaimed April 22, 2010, to be George and Sally Prill Day. An honor not deserved, but appreciated.

Thanks for Adler Circle — what a great neighborhood! Birthplace of Tilman Fertitta. Made greater by the purchase of our house by J.D. and Barbara Roberts; she is about to become the judge in County Court 2. The Roberts are lucky to have founding residents, Bob and Patsy Murray, next door.

The Circle embraces an ex-Mayor, numerous ex-council members, top ophthalmologist Dr. Bernie Milstein, to whom George is forever indebted and to whom he owes his sight. And then there is that unique driving force in so many of Galveston’s arenas, Kris Ann Vogelpohl. Continue reading “Former Islanders have a lot to be thankful for” »

Dr. Bernard Milstein of The Eye Clinic of Texas is named one of Texas Monthly’s Super Doctors® for the sixth straight year

LEAGUE CITY, Texas – Since 2005, Dr. Bernard Milstein, founder of The Eye Clinic of Texas, has been consecutively recognized as one of Texas Monthly’s Super Doctors®.

The Super Doctors® list was compiled by Key Professional Media (KPM), which asked more than 50,000 Texas physicians one question: “To whom would you refer a loved one or one of your patients for medical diagnosis and/or treatment?” After tallying the replies, the research team identified the Texas doctors who earned special recognition from their peers or demonstrated other indications of expertise in their specialties. The researchers also confirmed that each physician is properly licensed and without a history of disciplinary action. Continue reading “Dr. Milstein recognized as one of Texas Monthly’s Super Doctors” »