Advanced Technology

Long Island Advanced Diagnostics and Treatment

In order to provide our patients with the best in ophthalmic care we offer a number of state-of-the-art diagnostic and treatment capabilities at The Ophthalmic Center.

• VISX Star S4 ActiveTrak Excimer Laser System with
  iDESIGN Refractive Studio Technology and Iris Registration
• Pentacam
• IOLMaster Biometry
• Cirrus Optical Coherence Tomography (OCT)
  with Cornea, Glaucoma and Retinal Diagnostics
• Optos Panoramic Retinal Imaging System
• The Humphrey Field Analyzer 3
• OCuSOFT – Advanced Treatment for Blepharitis and Dry Eye
• Selective Laser Trabeculoplasty (SLT)
• Pachymetry Evaluation
• B-Scan and A-Scan Technology
• Argon and Yag Laser
• TOMEY EM 3000 Specular Microscope

Wavefront Technology (Johnson & Johnson)

iDESIGN Refractive Studio

The iDESIGN® Refractive Studio, the next level of treatment planning with a proprietary INSIDE+OUT approach that adds corneal topography measurements to the wavefront-guided procedure.

Map the entire optical pathway inside the eye with wavefront analysis

• Measures both lower and higher aberrations
• ~1,257 data points capture the most minuscule distortions
• 25X more precise than conventional measurements like manifest refraction*
• 5X the resolution with high-definition Hartmann-Shack Wavefront Sensor†

Map the entire surface of the cornea with corneal topography

• Uses a built-in full-gradient topographer to capture ~1,200 x- and y-slopes to interpret minuscule variations in the corneal surface

Topo-integrated wavefront-guided technology

• Individual patient’s topographic data are used to vertex wavefront-guided data from pupil to corneal plane
• Individual patient’s topographic data are used to calculate accurate treatment delivery by taking into account cosine compensation

Pentacam

The OCULUS Pentacam is the gold standard in anterior eye segment tomography. For ophthalmologists, the Pentacam is contact-free, hygienic, and painless for patients, since measurements only take about 2 seconds to complete. It’s a tool that increases efficiency and saves time while giving surgeons the information they need for every procedure.

The Pentacam is capable of displaying targeted information that gives doctors a full, comprehensive picture of the entire cornea.

Along with being a diagnostic tool for pre- and postoperative screening, the Pentacam is also able to plan refractive operations like LASIK and laser cataract surgery. The Pentacam displays the progression of pachymetry and shows an assessment of the eye’s corneal structure. This display makes it easier to plan the surgical approach leading to more precise results.

IOLMaster Biometry

ZEISS IOLMaster System

Because every person’s eyes are unique, like fingerprints, it can be difficult to determine the appropriate specifications of the IOL to be implanted during cataract surgery. The Zeiss IOL Master® now provides physicians with information on key ocular measurements such as axial length, corneal curvature, and anterior chamber depth, making it possible to choose the right IOL for each patient.

Cirrus Optical Coherence Tomography (OCT)
with Cornea, Glaucoma and Retinal Diagnostics

Optical coherence tomography (OCT) is an advanced technology used to produce cross-sectional images of the retina, the light-sensitive lining on the back of the eye where light rays focus to produce vision. These images can help with the detection and treatment of serious eye conditions such as macular holes, macular puckers, and retinal swelling from diabetic retinopathy or macular degeneration. Imaging can be also be performed on the optic nerve to address progression of glaucoma as well as the front of the eye (cornea and anterior chamber) to evaluate various disease states.

OCT uses technology that is similar to CAT scans of internal organs, using a scattering of light to rapidly scan the eye to create an accurate cross-section. Unlike other imaging techniques, OCT uses light to produce high resolution images, rather than radiation, sound, or radiofrequency waves. As a result, there is no risk to the patient or harmful side effects.

Optos Panoramic Retinal Imaging System

The optomap retinal exam produces the most comprehensive image of the retina without pupil dilation. This allows us to perform a more thorough and comfortable exam than was previously possible. The result is that we can detect retinal problems including macular degeneration, glaucoma, retinal holes or detachments, and systemic diseases such as diabetes, stroke, and high blood pressure. Experience with this technology has already led to improved disease detection and has possibly prevented vision loss and blindness in several patients.

The Humphrey® Field Analyzer

This state-of-the-art parameter provides fast, accurate results by combining the accuracy of Goldmann standard stimuli with sophisticated computer technology. Screening and threshold tests include glaucoma, retinal, neurological, macular retina and advanced glaucoma capabilities.

OCuSOFT® – Advanced Treatment for Blepharitis and Dry Eye

Dry, scratchy, irritated eyes? The problem may not be your eyes, but rather your eyelids. OCuSOFT® Lid Scrub® effectively removes excess oil and debris from the eyelids that may lead to eye irritation including blepharitis or dry eyes. Consult your eye care physician to see which OCuSOFT® product is right for you.

Selective Laser Trabeculoplasty (SLT)

Selective Laser Trabeculoplasty (SLT) is an advanced laser system that improves the flow of fluid in the eye, lowering eye pressure for patients with glaucoma.

Using a focused, narrow wavelength, SLT targets specific cells of the eye — those containing melanin, a natural pigment — leaving surrounding cells intact. The procedure is painless and has no side effects, although patients are given anti-inflammatory eye drops before and after treatment. Eye pressure may drop as quickly as a day after the procedure.

Pachymetry Evaluation

According to the latest studies in ocular hypertension, doctors have determined that corneal thickness plays a significant role in its evaluation. It is now suggested that patients who are glaucoma suspects have pachymetry done to help in determining whether treatment should commence.

B-Scan and A-Scan Technology

We provide the technology necessary to gain an unobstructed view of the retina, significant in determining the presence of detachments, hemorrhages, and tumors. Ultrasound evaluation has always been an integral step in the evaluation of a patient’s pre-surgical fitness at the center.

Argon and Yag Laser

Lasers are most commonly used in Ophthalmology in the treatment of diabetic retinopathy, age-related macular degeneration, glaucoma and cataract. Depending on the procedure being performed, different types of lasers may be used. These include Excimer, Argon, Diode and Neodymium. These different laser types operate on different wavelengths and have different tissue effects.

TOMEY EM 3000 Specular Microscope

The Specular Microscope EM-3000 provides corneal endothelium imaging by using the specular optical principle with a visible light source, lenses and a CCD camera. These project a slit of light to the cornea from an oblique direction and capture the reflected image of the corneal endothelium by CCD camera. The EM-3000 newly incorporates an LED light source in place of a halogen lamp and a high-speed CCD camera to capture 15 images in series. It automatically selects and instantly displays the finest image of these images. In addition, a built-in clinical application delineates the endothelial cells automatically and displays statistical data such as cell numbers, average area and cell density on the color LCD.