Technology Matters

Your eyes are an invaluable asset and one of the most delicate organs in your body. Not only do you need to find an excellent surgeon, you need to be sure that surgeon offers you the advantage of the best and latest equipment for your procedure. Dr. Goldberg has a long-standing commitment to providing the latest, superior technology for all his procedures, and that’s a great asset for a potential patient.

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All-Laser LASIK with IntraLase®

Dr. Goldberg helped introduce the use of IntraLase® in New Jersey, knowing it represented an extraordinary advance in refractive surgery. IntraLase® is more precise and safe than a microkeratome, or mechanical blade, in the critical first step of LASIK: creating the corneal flap. Now New Jersey LASIK patients have a safer alternative to the tiny handheld blade used by most to create the flap.

Click on the video to hear from patients who decided to have LASIK only after they knew IntraLase® was available.

With IntraLase®, Dr. Goldberg actually creates the corneal flap from below the surface of the cornea. The beam of laser light is focused to a precise point within the stroma (central layer of the cornea), where a string of tiny 2 to 3–micron bubbles is formed. Thousands of these microscopic bubbles are precisely positioned to define the flap’s dimensions and distinct beveled edge, as well as location of the hinge. Bubbles are then stacked along the edge of the flap up to the corneal surface to complete the flap. The process from start to finish takes approximately 45 seconds. The surgeon then lifts the flap to allow for treatment by the excimer laser. When treatment is complete, the flap is accurately repositioned, thanks to its beveled edge.

Replacing the microkeratome with IntraLase® gives LASIK patients a critical added safety factor. While hundreds of thousands of LASIK procedures have been performed without incident, the creation of the corneal flap remains the most frequent source of complications.

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VISX® Custom Cornea

Customized Laser Vision Correction

VISX WaveScan WaveFront® System

Dr. Goldberg introduced Wavefront LASIK at his Monmouth County, New Jersey practice with the VISX WaveScan WaveFront® System. Wave front technology was originally developed for use in high-powered telescopes to reduce distortions when viewing distant objects in space. Applied to laser vision correction, it allows Dr. Goldberg to measure imperfections in the eye 25 times more precisely than with standard methods and display them as wavefront maps. The powerful WaveScan® software translates the information into a set of digital treatment instructions for the VISX Star 4™ Laser. The new level of precision and accuracy possible with this system has the potential to create 20/20 or better vision.

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VISX Star 4™ Laser

The other key element in providing Wavefront LASIK to our patients is the VISX Star 4™ excimer laser, the most advanced technology platform available to refractive surgeons. Using the Star S4™, Dr. Goldberg can protect your corneas more effectively than with other laser systems.

Some locations on your cornea do not need to be shaped as much as other locations. Guided by the VISX WaveScan WaveFront® System, the VISX Star 4™ precisely adjusts the size and location of the laser beam to accommodate your cornea’s unique needs. Other lasers, including LADARVision®, can’t change size and often remove more of your corneal tissue than is actually necessary. Removing a minimum of corneal tissue is a critical means of protecting patients with thin corneas and large pupils. The Star S4™’s ability to preserve your corneal tissue makes it the preferred choice for most experienced refractive surgeons.

The Star S4™ uses 3-D tracking technology. Unlike the 2-D tracking of LADARVision®, 3-D tracking allows Dr. Goldberg to work with undilated pupils, which is widely believed to improve accuracy because the surgeon does not have to adjust to an abnormally expanded pupil.

After the cornea has been reshaped with VISX®, the cornea is left smoother than with other lasers. This allows for better healing, less risk of complications, and improved vision.

Post-surgical night vision complications are less likely with the VISX Star 4™ because of the ideal optical zone created.

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Verisyse™ Phakic IOL

The Verisyse™ (formerly ARTISAN®) phakic IOL was approved by the FDA in September of 2004 to reduce or eliminate the need for glasses or contact lenses in cases of moderate to high nearsightedness. We recommend the Verisyse™ IOL for our patients who may not qualify for laser vision correction because they have a high refractive correction, thin corneas, or a preference for non-laser vision correction. In contrast to a laser procedure, in which tissue is permanently removed, the Verisyse™ IOL is placed in front of the natural lens to change its focus. If later vision changes necessitate a different procedure, the lens can be removed.

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ReSTOR® IOL

Dr. Goldberg is the first surgeon in New Jersey to have implanted the revolutionary new ReSTOR® lens. ReSTOR® is a breakthrough lens for the millions of Americans relying on bifocals or reading glasses. ReSTOR® is a lens implant that uses a special new technology to give patients a full range of vision - near through distance. It greatly reduces their reliance on reading glasses or bifocals. The AcrySof® ReSTOR® intraocular lens (IOL) is an artificial lens used in cataract surgery for patients with and without presbyopia. The unique patented optic design results in highly-predictable visual acuity - meaning patients can read the font on items such as prescription bottles, magazines, newspapers and computer screens, while also providing the ability to see items at a distance independent of reading glasses or bifocals. It’s a major step forward for the millions of people whose vision isn’t what it used to be.

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Rezoom IOL

Like ReSTOR, the Rezoom IOL lens (made by AMO) is a fixed implant that replaces your lens. Both were developed originally for cataract patients, but are now approved for wider use. For the end user, the impact of ReSTOR and Rezoom is similar. But how they achieve their results is different. Rezoom focuses light through three different zones and can dramatically improve near, arm’s length, and distance vision. ReSTOR has an "aphodized" surface that provides a gradual blending of focusing power throughout the lens surface. Ask Dr. Goldberg which of these powerful lenses if right for you.

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