Acrysof Toric Intraocular Lens
Astigmatism occurs when the cornea is shaped more like a cylinder (like the shape of a football) than a sphere (like the shape of a basketball). This shape leads to multiple images being cast on the retina and subsequent blurring of an image. While treatments such as LASIK or PRK are available for the treatment of astigmatism, prior to now there has been no lens implant that could be inserted after cataract surgery that would correct a person's astigmatism. Traditional lens implants do not correct for astigmatism and a person might continue to experience blurred or distorted vision after cataract surgery without the use of glasses or contact lenses.
For those patients with astigmatism who would like freedom from eyeglasses for distance vision after cataract surgery there is now a better option. The Acrysof Toric lens is a foldable lens that a surgeon implants after cataract surgery to replace the clouded lens (cataract). The unique design of the Toric lens makes it possible to significantly reduce or eliminate corneal astigmatism and significantly improve uncorrected distance vision.
Our surgeons were amongst the first in Manhattan to be approved to implant these unique lenses and have had excellent results. Ask if the Acrysof Toric lens might be right for you.
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Restor
Multifocal Intraocular Lens
Dr.’s Elahi, Chen and Schwartz are amongst a handful of
surgeons in Manhattan certified to implant the Restor multifocal
intraocular lens after cataract surgery. At birth, the lens of
the eye is not only clear but elastic and as a result the lens
can change shape and power for near tasks such as reading. As
we age this elasticity is lost, a condition called presbyopia,
which usually begins in the fifth decade. Typically after the
cataract is removed a lens implant is placed in the eye which
can correct distance vision and glasses are needed for near tasks
including reading, computer work, make-up application, knitting
and various hobbies.
We now have advanced technology which allows implantation of a
multifocal lens called the Restor which has the ability to restore
not only distance but near vision. In the clinical study, 80%
of patients who had a Restor implanted reported that they never
wore glasses for distance or near activities. Ask one of our doctors
if the Restor lens might be right for you.
www.acrysofrestor.com
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Corneal
Transplant Surgery
The cornea is a transparent tissue, about one half millimeter
thick, that is the window to the eye. It is responsible for two
thirds of the light focusing power of the eye and its clarity
is crucial to your vision. Many conditions can cause the cornea
to become cloudy or misshapen, both of which can prevent good
vision. Sometimes it can become so cloudy and vision can become
so poor that a corneal transplant is necessary. In this procedure
part of a person’s cornea can be removed and tissue from
an organ donor can be surgically attached in the diseased tissue’s
place. This procedure has returned vision in a way previously
impossible for many patients. Much of the pioneering work done
investigating this procedure was done as part of our practice
at Fifth Avenue Eye Associates.
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Glaucoma
Surgery
Glaucoma represents a broad spectrum of diseases
which share damage to the optic nerve as a common endpoint. It
is a disease of the optic nerve which has many risk factors including
but not limited to high eye pressure (though pressure can be normal),
increasing age, race, family history, diabetes and corneal thickness.
The overall prevalence of open angle glaucoma in the United States,
representing 90% of all glaucoma, is estimated to be 1.86%, with
1.57 million white and 398,000 black persons affected. Overall
glaucoma affects 2.22 million US citizens. The number of individuals
with open angle glaucoma in the United States will increase by
50% to 3.6 million in 2020, largely due to the aging population.
Primary Open Angle Glaucoma is the most common
form of the disease in which the drainage of fluid from the eye
is insufficient and the intraocular pressure is elevated. This
pressure elevation over time can lead to damage to the optic nerve
and possibly blindness.
Narrow angle glaucoma or acute angle
closure glaucoma is a disease in which the drainage system
of the eye is blocked by the iris (colored portion of the eye)
thus preventing the egress of fluid and causing a dangerous rise
in intraocular pressure.
Adults should be routinely screened for all types of Glaucoma
as part of their annual eye exams and those with any of the above
mentioned risk factors should be followed closely. Because the
loss of vision caused by glaucoma is undetectable until a very
advanced stage, screening exams are essential.
Peripheral laser iridotomy is performed in some
cases of narrow angle glaucoma and acute angle closure. This is
a painless in-office procedure in which a microscopic hole is
made in the periphery of the iris to allow fluid to flow into
the drainage system of the eye. Argon laser trabeculoplasty
is performed in some cases of open angle glaucoma to facilitate
drainage out of the eye and decrease intraocular pressure. In
some cases a non-laser surgical procedure called a trabeculectomy
is necessary in which a new drainage system is created surgically
in the eye in order to decrease the intraocular pressure.
Advanced retinal and optic nerve imaging and analysis is performed
at the fifth avenue eye associates including nonmydriatic
fundus photography, Humphrey visual field analysis
and Heidelberg Retinal Tomography. Our doctors
have a wealth of experience treating both medical and surgical
glaucoma and preventing its potentially devastating visual consequences.
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Diabetic
Eye Care
Diabetes
has become a health epidemic in the United States. 20.8 million
people or 7 percent of the population in the US have diabetes,
6.2 million of which are undiagnosed. Diabetes is a disease that
hits the small blood vessels of the body. Most notable of these
small blood vessels or end organ circulations are the kidney and
the retina. Annual examination of the retina allows us to promptly
diagnose small vessel disease of the retina. By finding these
changes early, the doctors at fifth avenue eye associates can
not only help prevent the vision threatening complications of
diabetes, but also work with your general medical doctor to fine
tune your diabetes regimen. Any changes made in diabetes care
can be monitored via the human retina and the improvement or stability
of a person’s diabetic retinopathy.
Advanced diabetic retinopathy may require laser eye treatment
called Pan Retinal Photocoagulation or Focal Retinal Photocoagulation.
Fifth Avenue Eye Associates is equipped with a state of the art
Argon Laser used for this purpose and if necessary treatment can
be done in the comfort of our facility.
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Eyelid
Surgery
www.facesfifthavenue.com
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Anterior
Segment Reconstruction
The doctors at Fifth Avenue Eye Associates are highly experienced
in the repair and reconstruction of advanced ocular and orbital
trauma. They are attending surgeons at some of the busiest level
one trauma centers in New York City where their goal is to expertly
and meticulously repair traumatized eyes and to restore vision
in cases where it seems impossible.
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Ocular
Surface Reconstruction
Phototherapeutic
keratectomy is a procedure similar to photorefractive keratectomy,
done for laser vision correction, in which the excimer laser is
used to reshape and revitalize a cornea that has certain types
of corneal dystrophies or recurrent erosions of the ocular surface.
Such conditions can be vision threatening as well as painful and
debilitating. Modern laser treatment has allowed us to restore
sight and quality of life to individuals in whom this was previously
impossible.
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Comprehensive
Eye care in Adults and Children
As
always, we offer the highest quality comprehensive eye care covering
the entire spectrum of ophthalmic diseases and routine screening
measures. These include: cataract evaluation and management; screening
and treatment of glaucoma; contact lens fitting and spectacle
correction with some of the most advanced contact and spectacle
lenses available in the world today; identification and treatment
of dry eye; laser treatment of post cataract surgery lens changes;
macular degeneration evaluation and management; diabetic eye evaluation
and management; strabismus and amblyopia treatment in children
and adults; Evaluation and treatment of near sighted retinal changes;
Evaluation and laser treatment of retinal holes or tears. In addition
we assess general eye health in every patient
we see and screen for silent diseases of the eye and central nervous
system.
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Glasses
and Contact Lens Measurements and Dispensing
As
always, one cornerstone of ophthalmic practice is the fitting
of glasses and contact lenses. While many of our patients are
now utilizing the myriad of options available for spectacle and
contact lens independence, many people remain very happy and satisfied
with contact lenses and glasses. We offer the highest quality
measurement and fitting of both glasses and contact lenses and
offer a distinctive collection of fine eyewear and the most advanced
contact lenses available. Our doctors spend a great deal of time
with patients assuring correct fit and patient satisfaction. We
are also offer proud to be offering a distinctive collection of
eyewear from Montblanc. http://www.montblanc.com/products/16.php
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