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COMPREHENSIVE CONSULTATIVE OPHTHALMOLOGY
The University Ophthalmic Consultant's comprehensive ophthalmologists can diagnose and treat most ocular disorders. When more advanced diagnosis or treatment is indicated, they will refer patients to one of UOC's outstanding subspecialists.
The Consultative Service's board-certified physicians perform a complete range of examinations, with appropriate diagnostic tests. Conditions treated include myopia, infectious and allergic conjunctivitis, and cataracts. The comprehensive physician also screens for diabetic retinopathy. Anterior segment surgery, such as cataract extractions, can also be performed. Referring physicians are sent expedited consult letters so necessary treatments can begin without delay.
Contact Us
For further information, to make a referral, or to schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Bradley Phillips, M.D. - UHB
Michael Ehrenhaus, M.D. - UHB, LICH
CORNEA, EXTERNAL DISEASE, AND REFRACTIVE SURGERY SERVICE
University Ophthalmic Consultants provides subspecialty consultation, treatment and surgery in Cornea, External Disease and Refractive Surgery at both University Hospital of Brooklyn and Long Island College Hospital.
Consultations are offered for patients with conjunctival scarring diseases, including chemical burns and Steven Johnson Syndrome; corneal stromal dystrophies and degenerations; corneal endothelial disorders; herpetic disease (HSV, VZV); corneal ulcers; ocular trauma; and keratoconjunctivitis sicca (KCS)or dry eyes.
Testing
Ancillary corneal testing is available either in conjunction with a consult visit or by specific appointment. Test results are interpreted by the service's director.
Tests offered include computerized video corneal topography; endothelial cell counts; corneal pachymetry; pneumotonometry; and anterior segment photography.
Contact Lens Services
The Cornea, External Disease and Refractive Surgery Service provides contact lens consults and lens fittings for patients with a variety of challenging eye conditions. Special services include keratoconus fittings, post-PK fittings, and post-refractive surgery fittings.
Corneal Surgery
Surgical services offered by division specialists include corneal transplantation and keratoprosthesis, plus full range refractive surgery services including RK, PRK, PTK, and LASIK. No-fee consultations are available to patients wishing to learn if they are promising candidates for refractive surgery.
Contact Us
For further information, or to make a referral, schedule an appointment or request ancillary testing, please call
Long Island College Hospital (718) 780-1530
Downstate University Refractive Surgery Center (718) 797-EYES (3937)
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Michael Ehrenhaus, M.D., Director, Cornea, External Disease and Refractive Surgery - UHB, LICH
Kenneth Horowitz, O.D., Contact Lenses, Low Vision Service - UHB, LICH
Douglas Lazzaro, M.D., Cornea, External Disease and Refractive Surgery- LICH
DRY EYE SERVICE
More than six million Americans suffer from dry eyes, and the number of symptomatic individuals is increasing as our population ages. For the dry eye patient, early evaluation and treatment is important to prevent ocular surface damage before it occurs, as well as to relieve patient discomfort.
Typically, lid function, lacrimal system function and the conjunctival surfaces all play a role in the development of dry eye conditions. Successful treatment depends on complete evaluation of the patient and potential treatment modalities based on the specific etiology identified. Ocular lubricants are the mainstays of therapy, but punctal occlusion, repositioning of the eyelids or, occasionally, conjunctival transplants may be indicated.
Because a patient's work or lifestyle can exacerbate dry eye symptoms, our experts often prescribe a daily regimen specifically tailored to control his or her condition.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Monica Dweck, M.D., Director, of Oculoplastics and Reconstructive Surgery – UHB, LICH
Michael Ehrenhaus, M.D. , Director, Cornea, External Disease and Refractive Surgery - UHB, LICH
GLAUCOMA SERVICE
Several ethnic groups in the Brooklyn community suffer a high incidence of various forms of glaucoma. The UOC Glaucoma service offers state-of-the-art technology to detect glaucoma-related diseases, and its dedicated, culturally sensitive physicians offer a wide range of treatment modalities. Glaucoma management and free community screenings are important aspects of our service.
Extensive patient evaluation is required for the effective treatment and management of glaucoma in its many forms. A full range of highly advanced medical tests are available to patients through UOC's Ocular Imaging Service and Ocular Blood Flow Service (see descriptions, pages 11, 12 and 13, respectively). Precise measurement of ocular blood flow is particularly important to the accurate evaluation of normal tension glaucoma. This test also allows clinicians to gauge the effects of therapy on blood flow to the eye.
Management of high-risk glaucoma is among our service's specialties Potential treatments include filtering surgery with antifibrotics, placement of aqueous drainage shunts, and various combined procedures. Many treatments are performed in collaboration with the UOC Cornea and Retina Service.
The Glaucoma Service also offers a multidisciplinary approach to anterior segment reconstruction. Services are available by appointment, and urgent consultations are always available.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Shobit Rastogi, M.D., Director, Glaucoma Service - UHB
Jeffrey Freedman, M.D.
Wayne March, M.D.
NEURO-OPHTHALMOLOGY SERVICE
SUNY Downstate has a long-standing reputation for expertise in the evaluation and treatment of neuro-ophthalmologic diseases, the ocular manifestations of neurological diseases, and defects in the neurosensory system. Patients who are candidates for evaluation include those with suspected optic neuritis, optic nerve tumors, chiasmal lesions, unexplained visual loss, disorders of perception, and other neurological maladies. UOC Neuro-Ophthalmology evaluations include the use of state-of-the-art imaging to pinpoint the location and characteristic features of suspected lesions.
Diagnosis and treatment is provided by an expert team of neuro-ophthalmologists who are fellowship trained by Arthur H. Wolintz, M.D., Distinguished Teaching Professor of the State University of New York and former Chairman of Ophthalmology at Downstate Medical Center.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Bradley Phillips, M.D. - UHB
Lekha Gopal, M.D. - LICH
OCULOPLASTICS / ORBIT SERVICE
The Oculoplastics/Orbital Service evaluates and treats patients both at University Hospital of Brooklyn and the Long Island College Hospital. Expedited consultations are available when necessary.
The service has particular expertise in thyroid ophthalmopathy and traumatic orbital fractures, and our surgeons also treat a wide range of other conditions. Commonly performed surgeries include lid and orbital oculoplastic procedures for tumors, infections and inflammatory conditions. Following a comprehensive evaluation, required corrective procedures are performed in a timely way. As soon as it is medically appropriate, patients are returned to the care of their referring physician.
Operating facilities of the Oculoplastics/Orbit Service support a broad range of eyelid and orbital surgeries. The majority of lid surgeries are performed under local anesthesia in the minor surgery suite of either University Hospital or Long Island College Hospital. Unless medically indicated, no pre-testing is needed for such procedures. More complex surgery is performed in a standard operating suite under monitored or general anesthesia. Except in rare circumstances, patients are discharged on the day of surgery.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Monica Dweck, M.D., Chief, Oculoplastics
RETINA SERVICE
The UOC Retina Service offers comprehensive medical and surgical management for a large variety of retinal conditions which include diabetic retinopathy, macular degeneration, epiretinal membranes, macular holes, retinal detachment, proliferative vitreoretinopathy, non-diabetic vascular diseases and AIDS related retinopathies.
The service maintains a fully-equipped retina surgical suite. The service maintains an operating room equipped to manage all retinal surgical conditions. All instruments are state of the art and fully up to date with the latest technology.
Diagnostic Testing
The Retina Service is equipped to provide:
— Stereo Fundus photography
— Digital angiography
— ICG angiography
— B-scan ultrasonography
— Heidelberg retinal tomography / flowmeter
— Heidelberg retinal angiography
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Eric Shrier, M.D., Director, Retina-Vitreous Service
PEDIATRIC OPHTHALMOLOGY AND STRABISMUS SERVICE
The Pediatric Ophthalmology and Strabismus service specializes in the medical and surgical treatment of eye muscle misalignment in children and adults. In addition, this service provides comprehensive care for all ocular disorders in children, including the treatment of amblyopia, tear duct obstruction, ocular infections, pediatric cataracts, and eye problems associated with arthritis, genetic disorders, premature birth or neurologic disease.
Service physicians evaluate and treat children with:
— Congenital nystagmus or early-onset nystagmus
— Congenital or genetic ocular abnormalities
— Systemic syndromes, metabolic disorders or chromosomal abnormalities, including
— Juvenile rheumatoid arthritis
— Galactosemia
— Diabetes Mellitus
— Marfan's syndrome
— Down's syndrome
— Retinopathy of prematurity
— Ocular or periocular infection/inflammation
— Congenital ptosis or eyelid hemangiomas
— Poor vision or delayed attainment of vision
— Congenital or childhood cataracts
— Strabismus (eye misalignment)
— Amblyopia
Service physicians also are available for optical or surgical correction of eye misalignment and double vision in adults with a history of childhood strabismus, thyroid eye disease/Grave's disease, myasthenia gravis, nerve palsies, or a history of ocular trauma.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
James Deutsch, M.D.
Janine Smith, M.D., Director, Pediatric Ophthalmology and Strabismus
SPECIALIZED DIAGNOSTIC SERVICES
THE OCULAR BLOOD FLOW SERVICE
Located at Long Island College Hospital, the Ocular Blood Flow Service evaluates blood flow to the optic nerve, retina and choroid utilizing the Heidelberg Retinal Tomography/Flowmeter, and the Heidelberg Fluorescein Angiography/ Indocyanine Green instruments.
The Indiana Technique
Ocular blood flow analysis at UOC is performed in a unique, collaborative effort with Indiana University -- arguably the most sophisticated blood flow analysis laboratory in the world. Our results have been demonstrated to surpass those of commercial laboratories. The Indiana technique uses a customized analysis, pixel by pixel, of the retina capillary and choroidal blood flow. This allows us to identify progressive blood flow abnormalities that cannot be detected by other techniques.
Blood flow analysis may lead to more appropriate medical treatments than might otherwise be administered. Patients who experience optic nerve damage despite "normal" pressures can have their blood flow analyzed before and after medication to determine the most effective treatment for them.
The sensitive instruments used by the UOC Ocular Blood Flow Service are used mostly in research, but it is of increasing value in clinical cases as well. They provide a powerful tool for evaluation of blood flow in people with diabetes, age-related macular edema, glaucoma, and decreased blood supply to the eye.
Contact Us
For further information, or to make a referral or schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Teresa Brevetti, M.D., Director, Ocular Blood Flow Service
THE OCULAR IMAGING SERVICE
The Ocular Imaging Service aids in the diagnosis of a wide range of ocular disorders by providing physicians with comprehensive, highly detailed images of structures within the eye. Sophisticated ocular images typically are used to formulate a more effective treatment plan. Ocular imaging also is used to detect plateau iris syndrome, or a partially dislocated lens.
At the referring physician's request, UOC ocular imaging test reports can include a complete evaluation by an UOC consultant, or images can be submitted to the referring physician without interpretation.
Available Tests
Visual Field Testing - Frequency Doubling Perimetry (FDT) has been shown to be the most sensitive test for detecting the initial defects caused by glaucoma. In addition, both conventional Automated Visual Field testing and blue-on-yellow (SWAP) visual field testing are available. SWAP testing demonstrates visual field loss as many as five years earlier than conventional testing, and it is more sensitive in detecting advancing visual field changes. Screening, full threshold, 24-3, 30-2, and customized testing are available upon request.
Optical Coherence Topography - Measurement of retinal lesions and thicknesses are proficed by this state-of-the-art imaging system
Nerve Fiber Layer Measurement - Measurement of nerve fiber layer thickness is performed with the NFA/GDx scanning laser polarimeter, as well as with the Heidelberg Retinal Tomography (HRT). Testing is completed in seconds and may document changes in nerve fiber layer thickness in very early disease, as well as in advanced optic atrophy with extensive cupping or pallor. This test is useful in glaucoma suspects, as well as in patients with documented glaucoma and other causes of optic neuropathy. Pupil dilation is not necessary. The HRT unit provides a measurement of the nerve fiber layer as well as an analysis of optic nerve topography.
Disc Topography - Heidelberg Retinal Tomography computerizes c:d ratio, rim area, and cup area for comparison to a normative database and future self-comparative analysis. This instrument is currently considered the most reliable available for disc analysis. It also measures nerve fiber layer thickness.
Corneal Pachymetry - Studies have shown that abnormal corneal thickness can lead to a false high or low intraocular pressure reading, as well as independent high risk factor for progressive disease. Using appropriate nomograms, corneal thickness measurements can be used to obtain a closer approximation of the true intraocular pressure.
Ultrasound Biomicroscopy - Ultrasound Biomicroscopy (UBM) to evaluate the chamber angle without medication in a dark versus light room is the methodology of choice for determining if an angle is physiologically occludable. UBM can also be used to determine if an angle is occludable after iridectomy (in plateau iris syndrome).
Biomicroscopy has proven increasingly useful for defining anterior segment pathology in patients with complex disease. Ultrasound biomicroscopy is available for imaging pathologic structure and physiologic abnormalities in the anterior segment with a resolution of 50 microns.
Uses include identification and location of intraocular lens haptics, location of glaucoma drainage tubes, vitreous strands, determining the integrity of scleral wounds, and locating inadvertent filtration blebs and cyclodialysis clefts. Using biomicroscopy to evaluate these and many other abnormalities allows the implementation of more exact treatment modalities.
Corneal Topography - Corneal topography with the Tomey instrument can be highly useful in managing patients with keratoconus and regular and irregular astigmatism, as well as in a host of other corneal conditions.
Specular Biomicroscopy - Specular biomicroscopy is used to evaluate corneal dystrophies and anterior segment dysgenesis. It also is a useful aid in pre-operative evaluation of patients scheduled for cataract and other surgical procedures.
Anterior Segment Photography - This photography permits evaluation of lid position, external conjunctival lesions, and other anterior segment disorders. Gonio-photography is also available.
Fluorescein Angiograpy - Digital fluorescein angiography is performed by a certified ophthalmic photographer. It is useful in the diagnosis and management of a host of iris and retinal disorders. Digital angiography allows instant viewing of the images obtained, as well as the ability to transmit the images instantly via modem and the internet.
Indocyanine Green (ICG) Angiography - ICG angiography is useful in the diagnosis and management of sub-retinal disorders, including choroidal neovascularization, which are poorly imaged with conventional angiography.
Fundus and Disc Photography - Photography of the optic nerve, nerve fiber layer, posterior pole, and retinal periphery is useful in the documentation and follow-up of a variety of ocular disorders.
To Schedule a Test
Tests should be scheduled through University Hospital of Brooklyn or Long Island College Hospital (see contact information below). On the day of the test, referred patients must bring with them a competed request form. Forms are faxed to referring physician offices upon request.
Contact Us
For further information, to make a referral, or to schedule an appointment, please call:
Long Island College Hospital (718) 780-1530
University Hospital of Brooklyn (718) 270-1714
Physician Staff
Michael Ehrenhaus, M.D., Director, Cornea, External Disease and Refractive Surgery
Eric Shrier, M.D., Director, Retina and Vitreous Surgery
FOR EYE EMERGENCIES
URGENT CARE CENTER
Emergency eye care is available 8:00 am to 6:00 pm in the ophthalmology departments of both University Hospital of Brooklyn and Long Island College Hospital.
In addition, emergency eye care is available 24 hours a day through the Department of Ophthalmology's Urgent Care Center also at both, Long Island College Hospital and University Hospital of Brooklyn.
Patients presenting at any of three locations will be seen initially by an ophthalmology resident who is in direct consultation with an on-call ophthalmology attending physician.
Referring Physician Contact
The ophthalmologists of non-referred patients are called by the resident/attending at the time of the patient visit. For referred patients, referring physicians will also be notified of patient results the same evening of the patient's emergency visit, if possible. If not, they will be contacted the following morning.
Contact Information
Patients or their physicians may request urgent eye care at both locations by calling (718) 780-2600, 24 hours a day, 7 days a week, including all holidays,
Urgent Eye Care, University Hospital of Brooklyn
Address: 445 Lenox Road – Box 58, Brooklyn, NY 11203
Telephone: (718) 270-1714
Urgent Eye Care Center at Long Island College Hospital
Address: Othmer Bldg. 4th Floor - 339 Hicks Street, Brooklyn, NY 11201
Telephone: (718) 780-2600
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450 Clarkson Ave / Brooklyn, NY 11203 |
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