Dr. Daniel B. Goldberg, a prominent New Jersey ophthalmologist and president of the Ranney School Board of Trustees, has been hailed by Premier Surgeon as one of 250 leading innovative surgeons in North America in the field of premium IOL (Intraocular Lens) implant surgery. He was among a distinguished roster of surgeons that appeared in the publication’s March/April inaugural issue.

An ophthalmologist specializing in comprehensive refractive surgery including LASIK eye surgery and cataract surgery, Dr. Goldberg, a Rumson resident, is principal of Atlantic Eye Physicians with offices in Little Silver, Long Branch and Holmdel. Voted one of the best eye doctors in America by his peers, he was named one of New Jersey’s top doctors by New Jersey Monthly. With 25 years of experience in refractive surgery, Dr. Goldberg is considered a pioneer in laser vision correction in the Garden State. He was a member of the elite team of doctors who performed clinical trials of LASIK in its early stages which led to FDA approval. A frequent lecturer, Dr. Goldberg has also published original research to advance laser treatments. He received his undergraduate degree from the University of California, Berkeley and his M.D. degree from the State University of New York.

Premier Surgeon is a definitive resource for refractive cataract surgeons who wish to provide unparalled patient care and outcomes and who strive to be market leaders in the arena of premium IOLs.

Source: CATARACT & REFRACTIVE SURGERY TODAY – FEBRUARY 2006

FACTORS INFLUENCING MONOVISION’S SUCCESS

Patients’ Expectations

The goal of monovision is to increase patients’ functional vision for daily tasks without the aid of glasses.
This endpoint, however, does not preclude a person’s ability to use glasses for tasks requiring clear binocular distance vision (ie, night driving) or sharp binocular near vision (ie, prolonged reading). Although some patients are satisfied with monovision, they face disadvantages such as less-than-ideal distance vision; the possible need for glasses when driving at night; two eyes, each focusing differently; and the adjustment involved with this form of correction.1-4

Ocular Dominance and Interocular Blur Suppression

Interocular blur suppression is essential to successful monovision. In each person, the input from one eye or the other is usually dominant in influencing binocular cells in the cerebral cortex. Information from an individual’s dominant eye produces a greater response to a given stimulus than input from his nondominant eye. Correcting the dominant eye for distance and the nondominant eye for near is standard, because (1) correcting the dominant eye for the most commonly used viewing distance maximizes blur suppression and (2) the dominant eye maximizes the performance of visual tasks requiring spatial perception.4

Although this approach is the norm in the studies reviewed for this article, Jain et al 4 reported that 43% of 42 study patients were treated with crossed monovision (wherein the dominant eye is corrected for near), and subjects’ satisfaction ranged from 72% to 86%. Although this range was relatively high, it was the lowest rate of patient satisfaction among the studies reviewed herein.