Precision Eye & Laser - Dr. Steinberg MD

Dr. David Steinberg offers the most modern dropless, no-shot, no-stitch, no-patch cataract surgery and features the Panoptix Trifocal IOL, Vivity Extended vision IOL, Multifocal, and Toric Lens implants. Most patients are able to resume all normal activities the following day. Procedures are conveniently performed at the Central New York Eye Center and Dutchess Ambulatory Surgical Center in Poughkeepsie and Montefiore St. Luke’s Cornwall Hospital. CATARACT EVALUATION A cataract is a cloudy area in the normally clear lens in the front of the eye. It is not a film covering the eye, and it is not caused by “overusing” the eyes. It is caused by a chemical change of unknown origin in the eye. It causes blurred or distorted vision. Risk factors for developing cataracts include: being over 55 years old having eye injuries or disease having a family history of cataracts smoking cigarettes using certain medications. There is no pain associated with the condition, but there are several symptoms that indicate failing vision due to cataracts. These include: Blurred/hazy vision Spots in front of the eye(s) Sensitivity to glare A feeling of “film” over the eye(s) A temporary improvement in near vision Replacement surgery may be recommended for people who are significantly affected by cataracts. MINIMALLY INVASIVE DROPLESS CATARACT SURGERY If cataracts interfere with your ability to read, work, or do the things you enjoy, you’ll want to consider cataract surgery. It is the only proven means of effectively treating cataracts. As the most common surgical procedure in the US, cataract surgery is relatively painless and has a very high success rate—more than 90 percent of patients regain useful vision. During the procedure, the natural lens is removed and replaced with an artificial one, called an intraocular lens (IOL). We perform a minimally invasive, no-stitch cataract surgery called phacoemulsification (“phaco”) surgery. First, the eye is numbed with anesthesia. Then, a tiny incision of only 2.5 millimeters is made in the eye to make room for a small ultrasonic probe. This probe breaks up, or emulsifies, the cloudy lens into tiny pieces and gently removes, or aspirates, those pieces out of the eye. This state-of-the-art surgery is conveniently offered at the Central New York Eye Center in Poughkeepsie and at Montefiore St. Luke’s Cornwall Hospital. Cataracts with Precision CATARACT REMOVAL LENS REPLACEMENT After the cloudy lens has been removed, a new IOL is implanted in its place. With the recent advance in foldable IOLs, these artificial lenses can be implanted through the same small incision from the phaco procedure. Once moved into position inside the eye, the IOL unfolds to its proper shape, restoring clearer vision. Dr. Steinberg has switched to a dropless cataract surgery technique that involves only using medications at the time of surgery instead of requiring the patient to take eye drops before and after surgery. This decreases the financial burden on patients and simplifies postoperative care. Many patients have difficulty putting in the drops or find the instructions confusing. The simple dropless approach is supported by scientific studies that demonstrate the safety of the dropless technique in preventing serious infections and inflammation. LENS REPLACEMENT PANOPTIX TRIFOCAL IOL If you are recommended for cataract surgery, you can take advantage of this advanced-technology lens implant to regain clear vision at long, intermediate, and up-close distances without glasses! Afterward, patients can typically drive, watch TV, read an article, check a price tag, and use the computer without depending on glasses. This ten- to fifteen-minute outpatient procedure uses a no-shot, no-stitch, no-patch technique that has you back to normal activities the very next day. Learn more about Vivity Extended Vision IOL VIVITY EXTENDED VISION IOL If you are recommended for cataract surgery, you can take advantage of one of the newest technologies in lens implantation today! Regain clear vision at long and up-close distances without glasses! The Vivity Extended Vision IOL is the first and only non-diffractive extended depth of focus IOL. The Vivity IOL is a great option for those with mild coexisting ocular conditions or previous laser vision correction or for those concerned with night driving. This ten- to fifteen-minute outpatient procedure uses a no-shot, no-stitch, no-patch technique that has you back to normal activities the very next day. TECNIS EYHANCE™ TECNIS Eyhance™ is the next generation of monofocal lens. What sets it apart from other monofolcal IOLs is the breakthrough design. It’s the first monofocal lens designed to slightly extend the depth of focus. Helps you see objects in the distance like traffic lights, stage performances and sporting events. May increase safety in low visibility situations such as driving at night.

Dr. David Steinberg is now performing LASIK in Poughkeepsie! LASIK (laser-assisted in situ keratomileusis) is a safe, reliable, and painless way to improve vision and reduce or eliminate the need to wear glasses or contact lenses. LASIK changes the way light is bent, or refracted, as it passes through the cornea so that it focuses properly on the retina and so that objects can be seen clearly. Dr. David Steinberg personally performs every step in your LASIK process from the initial consultation, tests, and measurements to the procedure itself and postoperative care. He is certified in performing laser vision correction with the WAVELIGHT®EX500 Excimer Laser and can offer patients the latest in vision correction technology, including the Customvue personalized laser treatment. He personally performs the eye tests and measurements prior to the procedure and carefully analyzes each person to make sure the outcome is as successful as possible. The procedure is performed at the Laser Refractive Surgery Center of New York in Poughkeepsie with the assistance of an experienced staff and the most advanced instruments. As a successful LASIK patient himself, Dr. David Steinberg understands the satisfaction of clear, spectacle-free vision. If you are interested in reducing your dependency on glasses or contacts, please arrange a personal consultation with Dr. David Steinberg to find out if you are eligible. Financing is available. PRK Treatment PRK or photorefractive keratectomy is one of the safest and most time-tested laser vision correction procedures available. The first step in PRK is to remove the epithelium, a thin layer protecting the cornea. Then, the surgeon uses an excimer laser to vaporize a small amount from the top of the cornea. Studies have shown that 90–95 percent of patients with a correction of up to -6.00 diopters achieve vision of 20/40 after PRK, and up to 70 percent achieve 20/20. Patients needing less correction generally achieve better results. The risks of PRK include infection, haze, slow healing, scarring, over- or under-correction of the visual condition, and development of astigmatism. If you are interested in learning more about any of our laser eye surgery procedures, schedule an appointment with our experienced team today!

If you are over fifty and frustrated with bifocals, this vision correction procedure can provide clear vision at both long distance and near focus. The aging lens of your eye is replaced with an advanced-technology multifocal intraocular lens. Patients can typically drive, watch TV, read an article, check a price tag, and read a menu without depending on glasses. This ten- to fifteen-minute outpatient procedure uses a no-shot, no-stitch, no-patch technique that has you back to normal activities the very next day. To find out if this treatment is right for you, please schedule an informative consultation with the doctor or call our office to find out if you are eligible for this exciting procedure. About Refractive Lens Exchange (RLE) Refractive lens exchange (RLE), also known as clear lens extraction (CLE), is a surgical procedure for vision correction that replaces the natural lens of the eye with an intraocular lens (IOL). Using the same surgical techniques as cataract surgery, the clear lens of the eye is removed and replaced with an IOL to change the focusing power of the eye. An alternative to laser vision correction, the RLE procedure avoids the need for a corneal modification that is used during the LASIK procedure and instead uses the same procedures performed in cataract surgery. Patients who choose to undergo RLE have several options when it comes to the type of IOL that will be implanted into the eye. The RLE procedure uses the same IOLs used in cataract surgery and is able to treat all types of visual disorders, including farsightedness, nearsightedness, presbyopia, and astigmatism. Patients are provided with a choice of the most advanced premium IOLs, which will allow them to see clearly at all distances. Candidates for Refractive Lens Exchange Refractive lens exchange is ideal for patients who: Want to reduce or eliminate their dependence on glasses or contact lenses Are between the ages of 50 and 75 years of age Have high myopia, or nearsightedness; high hyperopia, or farsightedness; presbyopia, or astigmatism, with or without cataracts Have early symptoms of cataracts Are poor candidates for LASIK or PRK Have no health issues that affect the eyes Patients with astigmatism can undergo additional correction during their procedure through relaxing incisions in the outer margins of the cornea, known as limbal relaxing incisions. These incisions create a symmetrical cornea and help reduce or even eliminate astigmatism in the eye. There are also IOLs that correct astigmatism to allow these patients to see clearly. Benefits of a Refractive Lens Exchange A refractive lens exchange is an option for those patients with corneas that are too thin for a laser vision correction procedure. Some of the advantages of RLE include the following: Rapid recovery of vision Cornea remains untouched No need for cataract surgery in the future Vision is now stable Correction of near vision at the same time Most patients who have RLE will receive a multifocal IOL Refractive Lens Exchange Procedure The refractive lens exchange procedure is performed on an outpatient basis using the same techniques as those for cataract surgery. A topical or local anesthesia is applied to the eyes to minimize discomfort during the procedure. Through a tiny incision of 3 mm or less, the natural lens of the eye is removed and replaced with an IOL that is inserted through the same opening. Once inserted, the lens is unfolded and moved into its permanent position in the eye. No stitches are needed because the incision will be able to seal on its own. The refractive lens exchange procedure takes just twenty minutes to perform and offers patients significant and immediate results. After the Refractive Lens Exchange Procedure After a refractive lens exchange, patients can return home the same day and can return to work and other regular activities after a day or two. Many report immediate improvements to their vision, and vision will continue to improve as the brain adapts to the new lens. Once vision has stabilized, it will likely stay the same over time, as the lenses correct vision and prevent the patient from developing cataracts in the future. The second eye is usually treated a few weeks after the first procedure. The extent of the results of the RLE will depend upon the patients eye’s, lifestyle, and the IOL selected for the procedure. Many patients are able to eliminate their dependence on glasses or contacts after this procedure, while others may still need glasses for driving or reading. Risks and Complications of a Refractive Lens Exchange All surgeries carry some degree of risk. These concerns should be discussed, in detail, with the surgeon. The risks and complications of an RLE are the same as those of cataract surgery and may include: Retinal detachment Increased pressure in the eye Infection Bleeding Ptosis Sensitivity to light Dry eyes Glaucoma

Patients with diabetes are at an increased risk of developing eye diseases that can lead to vision loss and blindness, such as diabetic retinopathy, cataracts, and glaucoma. In fact, diabetes is the leading cause of blindness in the United States. Diabetic eye conditions often develop without any noticeable vision loss or pain, so significant damage may already be done to the eye by the time the patient notices any symptoms. For this reason, it is important for diabetic patients to have their eyes examined at least once a year. Early detection of eye disease can help prevent permanent damage. Diabetic-related eye problems develop from high blood sugar levels, which can cause damage to blood vessels in the eye. Over 40 percent of diabetic patients will develop some form of eye disease in their life. The risk of developing eye problems can be reduced through regular eye exams and by keeping blood sugar levels under control through a healthy diet and regular exercise. Treatment of Diabetic Eye Conditions Diabetic eye conditions can be detected through a comprehensive eye exam. A comprehensive eye exam involves a visual acuity test to measure vision at various distances and a dilated eye exam to examine the structures of the eye for any signs of disease. During this test, your doctor can examine the retina and optic nerve with a special magnifying lens. Tonometry may also be performed during a comprehensive eye exam to measure the pressure inside the eye with a special instrument. Eye exams should be performed at least once a year or as soon as any potential problems are detected to ensure early detection of any serious conditions. Early detection is the strongest protection against diabetic eye diseases. Sometimes diabetes can be diagnosed just by a careful examination of the eyes. In patients who have already been diagnosed with diabetes, retinal problems can threaten vision loss. Timely laser treatments can help to prevent blindness in diabetics. Dr. David Steinberg is experienced in treating diabetic eye disease and performs laser surgery in the office with his argon green laser. To schedule an examination, please contact our office today!

The Importance Of Regular Eye Exams Regular eye exams are an invaluable tool in maintaining your eye health by detecting and preventing disease. Some diseases develop slowly without causing pain or vision loss. Early detection of any problem can reduce the risk of further harm and allow for a choice of treatment options. We provide routine eye exams and services such as laser vision correction (LASIK). We test your corneal and retinal health thoroughly and perform eye surgery for cataracts, glaucoma, and diabetes. Depending on age, risk of disease, and overall physical condition, patients should be seen by a doctor for a comprehensive eye exam every one to three years. Children should have regular tests to ensure the proper development of their vision and to prevent any interference with their academic achievements. Common Eye Conditions Within our comprehensive practice, we treat vision conditions such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism through visual aids and surgical procedures if desired, as well as conditions that affect the cornea, iris, lens, vitreous, retina, eyelid, and surrounding areas. Some of the most common eye conditions include: Cataracts Glaucoma Diabetic retinopathy Macular degeneration Macular dystrophies Dry eye Blepharitis Flashes & floaters Conjunctivitis Ocular trauma Surgical Treatment Certain advanced eye conditions may require surgery to restore or maintain vision and prevent serious complications. Surgery for many eye conditions, including cataracts, glaucoma, corneal disease, and other serious conditions, is an effective means of correcting these diseases and returning the eyes to a more optimal state of health. Our doctors perform surgery only when needed to reduce invasive treatment and any associated trauma or downtime, and after less invasive treatment methods such as medication, eye drops, and laser procedures have failed. In addition, we perform laser vision correction procedures, including LASIK, that improve vision and eliminate or reduce the dependence on contact lenses and glasses. To learn more about the comprehensive eye care services provided at our practice, please contact us today to schedule an appointment.

Glaucoma is the leading cause of blindness and visual impairment in the United States. A simple, painless eye exam can detect the disease. With early detection and treatment, glaucoma can usually be controlled and blindness prevented. Glaucoma can affect anyone from newborn infants to the elderly. It has been estimated that up to 3 million Americans have glaucoma. At least half of those people do not know they have it because glaucoma usually has no symptoms. People with the following conditions may be at greater risk: At least 45 years old without regular eye exams A family history of glaucoma Abnormally high eye pressure African descent Nearsightedness Previous eye injury Regular, long-term use of cortisone/steroid products To detect glaucoma, your physician will test your visual acuity, visual field, and the pressure in your eye. Regular and complete eye exams help monitor the changes in your eyesight and determine whether you may develop glaucoma. Dr. David Steinberg places great importance on detecting possible glaucoma in every patient he examines. Those who have signs of this sight-stealing disease are tested with nerve fiber layer analysis and computerized visual field testing. Types of Glaucoma There are several types of glaucoma, divided into two main categories: open-angle and angle-closure. Open-Angle Glaucoma Open-angle glaucoma is the most common type of glaucoma where the fluid in the eye drains too slowly through the network of tiny drainage channels, known as the trabecula. The pressure in the eye increases as the fluid in the eye continues to build. Loss of vision occurs gradually, and vision loss is not always noticeable until it becomes irreversible. About 95 percent of glaucoma cases are due to open-angle glaucoma. Angle-Closure Glaucoma Angle-closure glaucoma occurs when the tiny drainage channels, known as the trabecula, become blocked, which then causes a sudden rise in pressure in the eye. This condition is not common, but when it occurs, it requires immediate medical attention. Treatment of Glaucoma Once glaucoma has been diagnosed, treatment should begin as soon as possible to help minimize the risk of permanent vision loss. There is no cure for glaucoma, so treatment focuses on relieving symptoms and preventing further damage. Treatment for each individual case depends on the type and severity of the glaucoma. Some of the treatment methods for glaucoma are: Medication Eye drops or oral medication may be used to either reduce fluid production in the front of the eye or help drain excess fluid. Side effects of the medication may include redness, stinging, irritation, or blurry vision. Though glaucoma often has no symptoms, regular use of the medication is needed to keep the eye pressure under control. Laser Surgery Trabeculoplasty, iridotomy, or cyclophotocoagulation are laser procedures that aim to increase the outflow of fluid from the eye or eliminate fluid blockages. Surgery A trabeculectomy may be performed to create a new channel to drain fluid from the eye and reduce the pressure that causes glaucoma. Surgery is performed only after medication and laser procedures have been unsuccessful. Dr. David Steinberg now offers minimally invasive glaucoma surgery (MIGS) in conjunction with cataract surgery. Prevention of Glaucoma There is no way to prevent glaucoma from developing; however, the following suggestions may prevent glaucoma from progressing: Get regular comprehensive eye examinations Get an annual screening for glaucoma Follow the doctor’s recommended treatment plan Make healthy lifestyle changes Protect eyes from injury After losing some sight or experiencing low vision as a result of glaucoma, there are services and programs available that will help the patient lead a normal, independent life.

Dr. David Steinberg recommends a first eye exam around age three and a half. Sometimes a “lazy eye” problem can be detected at this early age even when the eyes are not crossed. Pediatric ophthalmology and the treatment of eye muscle problems have always been a focus of his practice. As a father, he understands the special needs of children with eye problems and patiently attends to them. About Pediatric Ophthalmology Clear vision and healthy eyes are important to a child’s overall health and well-being, and they can be directly related to their academic performance in school. Though vision screenings given at a child’s school each year may identify children who are at risk for problems with their vision, they do not test the overall health of the child’s eyes. A professional eye examination, performed by a certified eye doctor, tests vision while also evaluating the child’s eyes for more serious conditions and diseases. Common Pediatric Eye Conditions In addition to detecting vision problems, our eye examinations check for common childhood conditions such as: Amblyopia (lazy eye) Strabismus (crossed eyes) Glaucoma Cataracts Astigmatism Amblyopia Myopia (nearsightedness) Hyperopia (farsightedness) These conditions are often present at birth as a result of genetic factors and should be treated early to reduce the risk of complications. Treatment may include glasses to improve focus or eye exercises to correct improper vision habits. Pediatric Eye Examination A comprehensive eye examination is essential in the diagnosis and treatment of vision problems, injury, and disease. Early detection allows for treatment to begin before the child experiences difficulties in school due to poor vision or before any permanent damage occurs. Children’s eye examinations usually include tests for the following: Visual acuity Focusing skills Near vision Distance vision Strabismus Amblyopia Color blindness These vision aspects are assessed through traditional eye charts, including charts that use special symbols instead of letters for young children; retinoscopy, which shines a light into the eye to examine the retina; and random dot stereopsis, which uses dot patterns to detect any differences between the two eyes. Older children may undergo testing similar to those tests used for adults, including: Visual field test Dilation Slit-lamp examination Cover test Retinoscopy Refraction After a Pediatric Eye Examination After the exam and an accurate diagnosis, a treatment plan will be developed that may include: A prescription for eyeglasses Medication Surgery