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New at The Optical Shoppe: The Latest Technology in Smart Eyewear

Smart Glasses: Wearable Technology Devices

smart gold lenses for Google GlassComputer technology is constantly evolving. Computers are smaller and more powerful than ever. They come in all shapes and sizes are now an integral part of everyday living. It was only a matter of time before you would see some of this technology integrated into your eyewear.

Smart glasses are a wearable technology device that bring data and Internet access from a wearer’s computer or smart phone into their field of view through a transparent heads-up display. One of the first companies to come out with a wearable technology device is Google and their Google Glass.

Yet with all the functionality and usability displayed through the heads-up display (HUD), the need for prescription lenses is critical. Without corrective lenses for these devices, many users cannot fully experience smart glass technology. For those who do need corrective lenses for their Google Glass, The Optical Shoppe is happy to offer Smart Frames and Smart Gold prescription Lenses.

The Smart Frame is a full frame insert that attaches to your Glass. It is available in 8 styles and in a variety of colors.

Smart Gold lenses are designed with an optimized viewing area to provide visual acuity and clarity when looking at the HUD. It is a digitally surfaced lens so the quality and accuracy of the Prescription is uniquely customized to each patient. Due to the innovative design of the Smart Frame, we are able to insert almost any prescription with any style of lens, whether it be a single vision lens, bifocal or progressive lens. We can also prepare prescription sunglasses.

OrCam for the Visually Impaired

orcam for the visually impairedAlso in the genre of Smart Eyewear is the OrCam. For those who are visually impaired, the OrCam is a smart camera mounted on the frames of the user’s eyeglasses, that processes visual input in real time. It identifies printed text and reads it to you instantly. The OrCam can even recognize money notes. Its small, portable design allows patients to read text on a variety of surfaces and recognize pre-entered objects independently, at home and on the go.

With the OrCam, you can read newspapers and books without asking for assistance or searching audio books. It also reads texts on computer and smartphone screens with no need to learn new software and tools.The OrCam benefits patients with a variety of eye diagnoses, including macular degeneration.

Speak to Sam Morgenstern, N.J. Licensed Optician TD-1782, at The Optical Shoppe to learn more about these latest technologies in eyewear by calling any one of our three locations: Princeton 609-683-7994, Somerset 732-565-1440 or Monroe Twp. 609-655-7776.

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Princeton Eye Group Invests in Major Improvements for Patients

Notice anything different when you came for you last visit? The doctors at the Princeton Eye Group have made a few changes. The most visible change has been a major renovation to our reception area, front desk, and patient exam rooms in our Princeton location. In order to improve upon comfort and convenience for our patients, we have undergone some major construction to expand the size and improve the ambiance of our reception area. We’ve also created several new exam lanes to allow patients to be seen in a timely fashion. Additionally, we added complementary internet access to allow patients to continue to use their computers and other smart devices while visiting at our office.

You might also notice that we now have computers in each exam room. We have recently updated and improved our phones, computers and networking equipment in order to integrate electronic medical records into our practice. This exciting technology has many advantages to improve speed and accuracy. For example, the doctors are now able to view your medications directly from your pharmacy, and even prescribe a refill or new medication electronically with just the click of a button. We’ve also implemented a new call center to improve hold times and provide quality service when patients call us over the phone.

Even more exciting, the doctors at Princeton Eye Group are proud to offer patients the most state of the art technology to provide a speedy diagnosis and treatment of various eye conditions. Is there a concern for glaucoma? The most advanced care is available here. Our recently upgraded optical coherence tomography (OCT) can be used to take an objective look at your optic nerve, determine if there is damage consistent with glaucoma, and track changes over time. Combined with our visual field machine and pachymeter (measures the corneal thickness), a customized approach to diagnose and treat glaucoma is now possible in even the earliest stages of disease. We also have two glaucoma lasers right at our fingertips– selective laser trabeculoplasty (SLT) and laser peripheral iridotomy (LPI), so certain types of glaucoma can be managed by simply walking down the hall! On the glaucoma surgical front, the Princeton Eye Group is proud to be one of the first in the area to offer the iStent, a tiny implantable device that can be placed into the drain of the eye during cataract surgery to help lower eye pressure.

But what if you have a problem with your retina? Great news, our retinal OCT is a noninvasive way to image the retina with an accuracy of 10 microns (that’s 1/10000 of a centimeter!) to diagnose various medical conditions that are not always visible at the slit lamp. Patients with macular degeneration, macular edema, macular pucker are just a few of examples of patients who are already benefiting from this technology. We also offer fluorescein angiography right in our office to better determine which patients might benefit from a retinal laser or an intravitreal injection on the spot.

Princeton Eye Group also has two minor surgical suites onsite, including one upstairs for those having LASIK and other types of refractive eye surgery. Our LASIK area also features our Pentacam, which images the front part of the eye in a multidimensional way. With this machine, we can determine whether refractive eye surgery is safe for you, if you have irregularities of the cornea (such as keratoconus), how to align a toric (astigmatism correcting) lens implant, and much more. Our second surgical suite allows us to perform various eyelid procedures, intense pulsed light (IPL) treatments for dry eye and blepharitis, glaucoma lasers, and Nd:Yag laser to clear any haziness that may occur after cataract surgery in a matter of minutes.

While in the past, patients may have needed to travel to an academic institution in New York City or Philadelphia for the latest state of the art care, the multi-specialty doctors at the Princeton Eye Group are now able to manage most patient conditions without all the inconvenient travel. We strive to remain on the cutting-edge of the latest advances in technology and research so that you know when it comes to your eyes, you are getting the best of the best. Here’s looking to the future!

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Third World Cataract Mission Trips

Dr. Michael Wong has been fortunate to have a strong support system both in his associates at the Princeton Eye Group and his family, that allow him time to help those in need.

“I simply see the work I do overseas as an extension of what I do here locally. There are no borders to humanity,” explains Dr. Wong. His many international contacts through organizations such as Surgical Eye Expeditions and Vision Outreach International helps tremendously in the logistical planning. He plans on making annual missions in the future in addition to the significant amount of charity provided locally by the doctors of the Princeton Eye Group.

You coordinated an “eye camp in Oshakati, Namibia. Tell us about it.

Surgical Eye Expeditions connects a host ophthalmologist from a needy country with a willing volunteer such as me. Namibia is fortunate to have a dedicated “Blindness Secretariat” by the name of Helena Ndume. After a brief correspondence, I gathered my son Matthew, age 16 at the time, and hauled surgical supplies along with a caravan of Red Cross volunteers and nurses, to this impoverished area of Namibia near the Angolan border. This area had been ravaged by a civil war and drought. Those in need of eye surgery basically wait, years at a time, until an “eye camp” can be set-up, and only hope that they make it on the list. There was more work than expected, but undaunted, we worked 16 hour days and actually took care of every last person who had come, some from hundreds of miles away, many by foot. The medical situation was challenging, but the people couldn’t have been nicer or more appreciative.

Twice you’ve gone to remote villages in the Andes mountains of Peru under difficult circumstances. You performed 75 cataract surgeries and 25 surgeries for individuals with crossed eyes in Juliaca and repeated that program in Huamachuco. Describe those trips.

It was a compelling story, one to which I had to respond. The indigenous Indians of Juliaca, descendants of the Incans, are amongst the most impoverished in South America, caught between neglect and civil war. At nearly 14,000 feet elevation, the extreme UV light has caused an epidemic of cataracts. Without supplies, the local ophthalmologist was hamstrung. This adventure included my son Scott, and the two of us completed the first cataract surgeries done in that region in decades. Unprepared for the elevation and freezing temperatures, this was the most difficult trip for me from a physical point-of-view. I suffered the worst headaches of my life and developed asthma. Still worth my going, nevertheless.

The Huamachuco trip presented other challenges. Arriving at this site, the entire country of Peru underwent a general strike. The town services shut down, including the nurses at the hospital. So I “deputized” the handful of teenagers who volunteered for the trip, taught them operative technique and transformed them into operating nurses. My daughter Julia, 16 at the time, who came along thinking she would be doing some paperwork and taking pictures, was “first scrub-assistant” for the very first modern-day cataract operation in Huamachuco. I learned how much youthful exuberance and enthusiasm can do when push comes to shove.

You’ve included your family in some of your service trips. Tell us about that.

It’s more fun when you can share and learn, and never better than with your family. All three of my children have been on overseas missions with me, and they did so eagerly and have not been disappointed. My wife, an R.N., switched gears and went from being a cardiac nurse to an ophthalmic nurse so that she can come on these missions with me. It has become a family affair and an enriching one at that. I learn from these trips: about humanity, about other peoples, about myself. What the kids learn is different, as they come from a different perspective, but learning they do. Not sure what, but the experience is so different from the book learning in Princeton. I encourage young people to explore in these directions. Many say it’s life-transforming.

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Dr. Epstein’s Passion for Music Helps Raise $40,000 for the Deaf

Dr. John Epstein, a long time guitarist with a passion for music, wanted to make sure his kids shared this important part of his life. His daughters began playing musical instruments at the age of 5, and now his 11 year old daughter, Isabella, plays piano, harp, cello, keyboards, accordion and flute. His 9 year old daughter, Madeline, plays electric and upright bass, piano, and drums. His wife also plays flute and can sing. So what do you do with all that talent under one roof? Why, of course, you start a band. Thus, ‘PJ Rocker’ was born. Their first major gig was to play at Dr. Epstein’s own 40th birthday party.

In another particularly special moment, Dr. Epstein was invited to be a guest guitarist at a charity concert at the famous Canal Room in New York City to benefit the Clark School For the Deaf. His daughter Madeline joined him on bass. They played in front of over 300 people and helped raise $40,000 for the charity. Truly a night both father and daughter will never forget!

School has caused the Epstein girls to take a rest from ‘touring’ this past winter, but look for ‘PJ Rocker’ in the open-mic scene throughout the area this summer.

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Results are in: doctors who’ve had LASIK give high satisfaction rate

Surgery to correct refractive errors has undergone a tremendous evolution since inception 20 years ago. Every five years or so, the technology has leaped forward, so that each generation is ‘heads and shoulders’ above the generation before. Wills Laser Vision at Princeton is widely credited for having pioneered the latest innovations and has always been first to upgrade technology every step of the way. At this point, LASIK is now established as a mainstream procedure. Several recent surveys startlingly highlight how much so.

In a recent survey of physicians, the Journal of Cataract and Refractive Surgery, reports how beneficial LASIK can be. Over 40% of refractive ophthalmologists have had this procedure performed on themselves and nearly 90% have had a relative have it as well. The satisfaction rate was overwhelming. 96% said they would have it again. The vast majority said that they see better after LASIK than they did with glasses or contacts. None said that they saw worse. None were unhappy.

Another nationwide study conducted by Dr. Francis Price of Indiana compared LASIK patients against contact lens and eyeglasses wearers. All three groups were generally happy, but when LASIK patients were asked to compare themselves against themselves wearing contacts or glasses, they overwhelmingly touted the benefits of LASIK. The majority said they see better after surgery, with less nighttime glare than they had with contacts or glasses. The vast majority said the comfort of their eyes and convenience made a big difference. In the right person, it is clear now that the safety of LASIK supersedes the safety of contact lens use.

This presumes that the highest level of care is taken when having LASIK. This starts with the better diagnostics beforehand that can rule out improper corneas. The Pentacam analysis, available at Wills Laser Vision at Princeton, is considered the world standard for pre-op analysis. For surgery, while the expertise of the surgeon is obviously most relevant, every surgeon must have the best tools. At Wills Laser Vision at Princeton, the recognized ‘best in its class’ lasers are employed. There are two lasers involved, and Wills Laser Vision at Princeton is the only center in Central NJ that has either. The laser that does the sculpting of the cornea is the Allegretto Eye-Q 400. The ‘400’ refers to the fact that the tracking system re-aligns the laser to the center of the tracked pupil of the patient 400 times a second. This assures perfect alignment of the laser to the visual axis of the eye, even if the patient is a bit nervous and moves a little. The ‘400’ also refers to the fact that the sculpting is done with many, many, fine, delicate pulses, as opposed to the coarser ablations at 10 times a second done with competing lasers. No one else in Central NJ has this system. To prepare the eye for sculpting, another laser is used to lift up the skin overlying the cornea. The most advanced tool in the world for this is the Alcon FS200. It measures tissue particles in microns, delivering precise laser pulses finer than the diameter of a human hair. Wills Laser Vision at Princeton was the first in the Mid-Atlantic States to utilize this technology.

A recent article by Nicole Kwan on FoxNews.com reports ‘LASIK eye surgery safe in long-term’. The article cites a retrospective study of LASIK patients by Spanish researchers that determined 10 years after LASIK, patients had healthy corneas and their vision remained accurate. The article also points out there are fewer long-term studies now because of the proven safety and effectiveness of the procedure.

Wills Laser Vision at Princeton has become the flagship LASIK center for the Wills Eye Surgical Hospital and Network. Wills Eye Hospital is commonly acknowledged to be the premier eye institute in the United States. It is not surprising that the best technology is found there. Almost all of the physicians at Princeton Eye Group were trained at Wills Eye Hospital and most are still actively involved in education of residents and other ophthalmologists.

In fact, some of the doctors of the Princeton Eye Group have undergone LASIK on the very same equipment as their patients. Dr. Epstein, Drs. Richard and Michael Wong, and Dr. Jadico, as well as the wives of Dr. Felton, and Drs. Richard and Michael Wong have also had LASIK performed by their beloved doctors of the Princeton Eye Group.

Most patients who’ve been part of the LASIK revolution will say that this procedure was life transforming. ‘A Miracle’, many have written in their post-operative reviews.

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Keratoconus and Cornea Ectasia Participants Welcome. You May Benefit from this Study

Do you suffer from Keratoconus or Corneal Ectasia?

Dr. Anita Miedziak, M.D., is conducting a clinical research trial to study and investigational treatment to stop or slow the progression of keratoconus and corneal ectasia.

You may qualify to participate if you:

  • are 12 years of age or older
  • were diagnosed with keratoconus or were diagnosed with corneal ectasia after you received refractive surgery (e.g., LASIK, PRK)
  • are able to come in for at least 8 office visits over a 12 month period

Please call the Princeton Eye Group at 609-924-9200 and ask to speak with Janet Bergan for more information and to schedule an appointment.

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New Stitchless Advances in Corneal Transplantation Surgery Speed Recovery

Dr. Anita I. Miedziak, Director of Cornea Services at the Princeton Eye Group, performs the most advanced techniques in corneal transplantation with reduced risk of astigmatism and shorter recovery times.

DSEK (Descemet Stripping Endothelial Keratoplasty) is a new option in corneal surgery. DSEK is a partial thickness corneal transplant. It is offered to patients with persistent corneal swelling due to Fuchs dystrophy, failed corneal transplants, swelling induced by prior eye surgery or the aging process of the eye. In those cases DSEK can substitute traditional corneal transplantation and is performed without sutures. The advantages of the DSEK procedure include:

Significantly faster visual recovery since no additional astigmatism is induced (2-3 months vs. over a year with standard corneal transplantation)

Chances of corneal rejection are markedly reduced • Only the diseased layer of tissue is removed instead of the entire cornea –leaving the eye stronger –maintaining its normal resistance to injury

DSEK can be combined with cataract surgery

DSEK is performed on an outpatient basis under local anesthesia and takes approximately 30 minutes. The DSEK procedure removes the unhealthy endothelial cell layer and replaces it with healthy cells from a donor cornea. In order to make the new tissue adhere to the back of the old cornea, an air bubble is used to fill the front part of the eye for an hour after surgery. A follow-up visit is required the day after surgery.

Patients can return to their normal activities within two weeks with the exception of swimming. An antibiotic eye drop is used for two weeks and a steroid drop is used for at least a year to prevent graft rejection. Rejections are rare and treatable.

IEK (IntraLase Enabled Keratoplasty) is a new revolutionary way of performing full thickness corneal transplantation procedure utilizing a laser. The IntraLase laser is used to replace the diseased cornea in a precise fashion thus reducing postoperative astigmatism and corneal surface irregularity speeding up the visual rehabilitation. The IntraLase laser procedure also reduces the need for stitches making recovery both easier and faster.

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Seeing the World Through Rose Colored…Contacts?!

Although not rose colored at all, the new Rose K™ contact lens is a welcomed advance in the treatment of Keratoconus.

Picture viewing the world as if you’re looking through a car windshield in a driving rainstorm – that’s how uncorrected vision looks to people with advanced Keratoconus. Keratoconus is characterized by a gradual thinning of the cornea, which alters its normal round shape to that of a cone. This bulging can severely affect a person’s ability to read, watch TV and see clearly enough to drive.

Keratoconus is generally diagnosed in young people around the age of puberty but can also be first diagnosed in people in their 40s and 50s. It initially presents as slightly blurred, distorted vision with a sensitivity to light and glare. It is a condition that progresses slowly and can, in the beginning stages, be easily corrected with glasses. As the condition advances, gas permeable (GP) contact lenses are often the best method to correct vision.

The complex geometry of the Rose K™ lens allows it to act in concert with the conical shape of the cornea throughout most stages of Keratoconus. As a result, the Rose K™ lens offers better comfort and optimum visual acuity. Its “breathable” material allows oxygen to flow directly through to the cornea proving excellent health to the eye. Rose K™ lenses can be custom fit by our Director of Contact Lens Services, Phyllis Rakow, to suit the varying levels of myopia and astigmatism in each eye.

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The Princeton Eye Group Provides the New Standard of Quality and Safety in LASIK

IntraLase 100% blade-free LASIK is considered to be the new standard of quality and safety in LASIK and the only technology to provide patients with a 100% blade-free experience. It has been clinically proven to be the safest and most accurate LASIK procedure available.

All Laser — No Cutting

For patients who have had reservations about conventional LASIK because it involves the use of a blade, the IntraLase FS laser is truly an option worth considering. IntraLase FS is an all-laser, 100% blade-free LASIK procedure delivering unprecedented safety and better overall vision.

The IntraLase method replaces the hand-held microkeratome blade used in creating LASIK corneal flaps with a computer-guided, ultra-fast femtosecond (fem-to-second) laser. The IntraLase FS laser has been clinically proven to take many patients to 20/20 vision and beyond. The advantages of the 100% blade-free IntraLase method are significant and include:

  • BETTER VISION: Patients achieve statistically better vision with LASIK using the IntraLase method in many cases better than 20/20.
  • IMPROVED SAFETY: Virtually eliminates potential flap complications.
  • THINNER FLAPS: Patients previously not considered to be candidates for LASIK due to thin corneas may now be treatable with the IntraLase method.

Combining 100% Blade-Free LASIK with the Allegretto Perfect Pulse Laser

Unlike other lasers that focus solely on the front center surface of the cornea, the Allegretto Perfect Pulse laser addresses the unique 3-dimensional shape of your cornea. This advanced eye tracking and treatment enables us to minimize distortions that affect glare and night vision.

Your eye movements are tracked and mapped every few milliseconds to allow the internal mirrors of the Allegretto Perfect Pulse laser to align precisely with your cornea’s imperfections. The beams of light sent from the laser are strategically released to your cornea as the position of your eye movements change from millisecond to millisecond delivering 40 times greater frequency of the pulses of light for superior accuracy and unmatched precision.

The advanced technology of the Allegretto Perfect Pulse laser provides us with the capability to produce larger optical zones, which means better results for patients with night vision issues and for patients with large pupils. Your pupil adapts to darkness by growing larger to allow in more light. The expanded optical zone enabled by the Allegretto Perfect Pulse laser compensates for these changes and provides better night vision than ever before.

As trusted physicians, we have embraced this new technology to offer you the very best of care. In addition to the benefits of IntraLase 100% blade-free LASIK, the Allegretto Perfect Pulse laser also provides:

  • ACCURACY: We are able to use the Allegretto’s advanced eye tracking system to measure light as it passes into the eye and then is reflected back. This creates an optical image of the eye, showcasing its flaws, allowing the laser’s 40 times greater frequency of the pulses of light to correct imperfections with superior accuracy and unmatched precision.
  • CUSTOMIZATION: As a result of these exacting measurements, we can now customize the LASIK procedure according to your unique vision correction needs like never before.
  • SATISFACTION: Clinical results report both near- and far-sighted patients noted

improvement to light sensitivity and night driving glare. The vast majority of patients report vision at least as well as, if not better than the vision they had with glasses and contacts before treatment.

IntraLase 100% blade-free technology is clinically proven to be safer and most accurate. With the addition of an ultra-sensitive tracking system and the Allegretto laser you get superior accuracy and unmatched precision. Wills Laser Vision at Princeton is the only center in this area with these advanced capabilities for LASIK.

The time is now. You don’t have to delay your dream of ridding yourself of glasses and contacts. Special payment plans and financing options are readily available through our office.

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