manhattanretinaeye.com
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Submitted URL: http://manhattanretinaeye.com/
Effective URL: https://manhattanretinaeye.com/
Submission Tags: falconsandbox
Submission: On July 12 via api from US — Scanned from NL
Effective URL: https://manhattanretinaeye.com/
Submission Tags: falconsandbox
Submission: On July 12 via api from US — Scanned from NL
Form analysis
2 forms found in the DOMGET https://manhattanretinaeye.com/
<form method="get" id="searchform" action="https://manhattanretinaeye.com/">
<i class="icon_search icon-search-fine"></i>
<a href="#" class="icon_close"><i class="icon-cancel-fine"></i></a>
<input type="text" class="field" name="s" placeholder="Enter your search">
<input type="submit" class="submit" value="" style="display:none;">
</form>
POST
<form enctype="multipart/form-data" method="post" class="arfshowmainform arfpagebreakform " style="" data-form-id="form_sixa88" novalidate="" data-id="49242" data-random-id="106_rLzrii45pM" data-popup-id="">
<div>
<script type="text/javascript" data-cfasync="false">
if (window['jQuery']) {
if (!window['arf_page_fields']) window['arf_page_fields'] = new Array();
window['arf_page_fields']['106'] = {
0: [233, 234, ],
1: [236, 237, 238, 239, 240, 241, 242, 243, 244, 245, 246, 248, 249, 250, 251, 252, 253, 254, ]
};
}
</script>
</div><input type="text" name="arf_filter_input" data-jqvalidate="false" data-random-key="106_rLzrii45pM" value="" style="opacity:0 !important;display:none !important;visibility:hidden !important;"><input type="hidden" id="arf_ajax_url"
value="https://manhattanretinaeye.com/wp-admin/admin-ajax.php"><input type="hidden" data-jqvalidate="false" class="kpress" value=""><input type="hidden" data-jqvalidate="false" class="stime" value="1720798355" name="form_filter_st"><input
type="hidden" data-jqvalidate="false" data-id="nonce_start_time" class="nonce_start_time" value="form_filter_st"><input type="hidden" data-jqvalidate="false" data-id="nonce_keyboard_press" class="nonce_keyboard_press"
value="form_filter_kp"><input type="hidden" data-jqvalidate="false" data-id="arm_nonce_check" name="arm_nonce_check" value="9c8f0805e0"><input type="hidden" data-jqvalidate="false" name="arf_browser_name" data-id="arf_browser_name"
data-version="126.0.0.0" value="Google Chrome"><input type="hidden" data-jqvalidate="false" name="imagename_106_49242" id="imagename_106_49242" value=""><input type="hidden" data-jqvalidate="false" name="upload_field_id_106_49242"
id="upload_field_id_106_49242" value=""><input type="hidden" data-jqvalidate="false" name="arfdecimal_separator" data-id="arfdecimal_separator" value="."><input type="hidden" data-jqvalidate="false" name="arfform_date_formate_106"
data-id="arfform_date_formate_106" value="MMM D, YYYY"><input type="hidden" data-jqvalidate="false" name="form_key_106" data-id="form_key_106" value="sixa88"><input type="hidden" data-jqvalidate="false" name="arf_success_message_show_time_106"
data-id="arf_success_message_show_time_106" value="3"><input type="hidden" data-jqvalidate="false" name="arf_form_hide_after_submit_106" data-id="arf_form_hide_after_submit_106" value=""><input type="hidden" data-jqvalidate="false"
name="is_form_preview_106" data-id="is_form_preview_106" value=""><input type="hidden" data-jqvalidate="false" name="arf_validate_outside_106" data-id="arf_validate_outside_106" data-validate="0" value="0"><input type="hidden"
data-jqvalidate="false" name="arf_is_validate_outside_106" data-id="arf_is_validate_outside_106" data-validate="0" value="0"><input type="hidden" data-jqvalidate="false" name="arf_is_resetform_aftersubmit_106"
data-id="arf_is_resetform_aftersubmit_106" value="1"><input type="hidden" data-jqvalidate="false" name="arf_is_resetform_outside_106" data-id="arf_is_resetform_outside_106" value="0"><input type="hidden" data-jqvalidate="false"
name="arf_form_enable_cookie_106" data-id="arf_form_enable_cookie_106" value=""><input type="hidden" data-jqvalidate="false" name="arf_tooltip_settings_106" data-id="arf_tooltip_settings_106" class="arf_front_tooltip_settings" data-form-id="106"
data-color="#FFFFFF" data-position="" data-width="" data-bg-color="#000000"><input type="hidden" data-jqvalidate="false" name="form_tooltip_error_106" data-id="form_tooltip_error_106" data-color="" data-position="bottom" value="advance"><input
type="text" data-jqvalidate="false" name="fake_text" data-id="fake_text" value="" style="height:0 !important; margin:0 !important; opacity: 0 !important; filter:alpha(opacity=0); padding:0 !important; width:0 !important; float:left;"><input
type="hidden" data-jqvalidate="false" name="arfaction" value="create"><input type="hidden" data-jqvalidate="false" name="form_id" data-id="form_id" value="106"><input type="hidden" data-jqvalidate="false" name="form_data_id"
data-id="form_data_id" value="49242"><input type="hidden" data-jqvalidate="false" name="form_key" data-id="form_key" value="sixa88"><input type="hidden" data-jqvalidate="false" name="is_load_js_and_css_in_all_pages"
data-id="is_load_js_and_css_in_all_pages" value="0"><input type="hidden" data-jqvalidate="false" name="form_display_type" data-id="form_display_type" value="0|https://manhattanretinaeye.com/"><input type="hidden" data-jqvalidate="false"
name="form_submit_type" data-id="form_submit_type" value="1"><input type="hidden" data-jqvalidate="false" name="arf_http_referrer_url" data-id="arf_http_referrer_url" value=""><input type="hidden" data-jqvalidate="false" name="entry_key"
value="">
<div class="allfields">
<div class="arf_fieldset arf_standard_form" id="arf_fieldset_49242">
<link rel="stylesheet" type="text/css" id="arfformscss106-fallback-css" href="https://manhattanretinaeye.com/wp-content/uploads/arforms/maincss/maincss_106.css?ver=3.7.1.99">
<link rel="stylesheet" type="text/css" id="arf_materialize_css_fallback_bbcvzg" href="https://manhattanretinaeye.com/wp-content/plugins/arforms/materialize/materialize.css?ver=3.7.1">
<script id="arf_materialize_script_fallback" src="https://manhattanretinaeye.com/wp-content/plugins/arforms/materialize/materialize.js?ver=3.7.1"></script>
<div class="arftitlecontainer">
<div class="formtitle_style">Request An Appointment</div>
</div>
<div id="arf_wizard_table" class="arf_wizard top">
<div class="arf_wizard_upper_tab">
<div style="width:50.000%;" id="page_nav_1" class="page_break_nav page_nav_selected">Date</div>
<div style="width:50.000%; " id="page_nav_2" class="page_break_nav arf_page_last">Patient & Insurance Info</div>
</div>
<div class="arf_wizard_lower_tab">
<div style="width:50.000%; padding:0;" id="page_nav_arrow_1" class="page_break_nav page_nav_selected">
<div class="arf_current_tab_arrow"></div>
</div>
<div style="width:50.000%;padding:0;" id="page_nav_arrow_2" class="page_break_nav"></div>
</div>
</div>
<div class="arf_wizard_clear" style="clear:both; height:15px;"></div>
<div id="page_0" class="page_break">
<div id="arf_field_233_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_date top_container top_container arfformfield arf_field_233" style="width: 100%" data-field-type="date"><label
for="field_7hb41v_49242" class="arf_main_label arf_main_label_16px">Preferred Appointment Date<span class="arfcheckrequiredfield">*</span></label>
<div class="controls arf_date_main_controls "><input type="text" id="field_7hb41v_49242" class=" arf_required frm_date" data-name="item_meta[233]" data-format="MMM D, YYYY"
data-validation-required-message="This field cannot be blank."><input type="hidden" name="item_meta[233]" id="field_7hb41v_49242_formatted">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_234_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_time top_container top_container arfformfield arf_field_234" style="width: 100%" data-field-type="time"><label
for="field_7unz94_49242" class="arf_main_label arf_main_label_16px">Preferred Appointment Time<span class="arfcheckrequiredfield">*</span></label>
<div class="sltstandard_time controls arf_time_main_controls arf_cal_theme_ "><input type="text" name="item_meta[234]" class="arf_timepciker" id="field_7unz94_49242" value="" data-validation-required-message="This field cannot be blank."
data-value="">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div style="clear:both;height:1px;"> </div>
</div>
<div class="arfsubmitbutton arf_submit_div top_container" id="arf_submit_div_0"><input type="submit" class="next_btn" name="next" value="Next"></div>
<div id="page_1" class="page_break" style="display:none;">
<div style="clear:both;"></div>
<div id="arf_field_236_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_text top_container top_container arfformfield arf_field_236" style="width: 100%" data-field-type="text"><label
for="field_997lzr_49242" class="arf_main_label arf_main_label_16px">Name<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><input type="text" id="field_997lzr_49242" name="item_meta[236]" class=" arf_required" data-validation-required-message="This field cannot be blank.">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_237_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_email top_container top_container arfformfield arf_field_237" style="width: 100%" data-field-type="email"><label
for="field_6bmztp_49242" class="arf_main_label arf_main_label_16px">Email<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><input type="text" id="field_6bmztp_49242" name="item_meta[237]" class=" arf_required" data-validation-required-message="This field cannot be blank."
data-validation-regex-regex="[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]+" data-validation-regex-message="Email is invalid">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_6756855_49242_container" class="arfformfield control-group arfmainformfield confirm_email_container arf_confirm_email_field_237 arf_field_type_confirm_email top_container top_container arfformfield arf_field_6756855"
style="width: 100%" data-field-type="confirm_email"><label for="field_iof205_49242" class="arf_main_label arf_main_label_16px">Confirm Email</label>
<div class="controls"><input type="text" id="field_iof205_49242" name="item_meta[6756855]" data-validation-regex-regex="[A-Za-z0-9._%+-]+@[A-Za-z0-9.-]+\.[A-Za-z]+" data-validation-regex-message="Confirm Email does not match with email"
data-validation-match-match="item_meta[237]" data-cpass="1" data-validation-match-message="Confirm Email does not match with email">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_238_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_date top_container top_container arfformfield arf_field_238" style="width: 100%" data-field-type="date"><label
for="field_xypit6_49242" class="arf_main_label arf_main_label_16px">Date of Birth</label>
<div class="controls arf_date_main_controls "><input type="text" id="field_xypit6_49242" class=" frm_date" data-name="item_meta[238]" data-format="MMM D, YYYY"><input type="hidden" name="item_meta[238]" id="field_xypit6_49242_formatted">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_239_49242_container" class="arfformfield input-field control-group arfmainformfield arf_field_type_select top_container top_container arfformfield arf_field_239" style="width: 100%" data-field-type="select"><label
for="field_z8s3q_49242" class="arf_main_label arf_main_label_16px active ">Sex</label>
<div class=" sltstandard_front controls"><select name="item_meta[239]" id="field_z8s3q_49242" style="width: auto; min-width: 100px; position: absolute; visibility: hidden;" data-size="15" data-default-val="Male">
<option value="Male" selected="selected" data-content="Male">Male</option>
<option value="Female" data-content="Female">Female</option>
</select>
<div class="btn-group bootstrap-select"><button type="button" class="arfbtn dropdown-toggle btn-default" data-toggle="arfdropdown" data-id="field_z8s3q_49242">
<div class="filter-option pull-left">Male</div> <div class="arf_caret"></div>
</button>
<div class="arfdropdown-menu open">
<ul class="arfdropdown-menu inner" role="menu">
<li data-original-index="0"><a tabindex="0" class="" data-normalized-text="Male" href="#">Male<i class="arf-glyphicon arf-glyphicon-ok check-mark"></i></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-normalized-text="Female" href="#">Female<i class="arf-glyphicon arf-glyphicon-ok check-mark"></i></a></li>
</ul>
</div>
</div>
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_240_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_240" style="width: 100%" data-field-type="text"><label
for="field_ff4buw_49242" class="arf_main_label arf_main_label_16px">City</label>
<div class="controls"><input type="text" id="field_ff4buw_49242" name="item_meta[240]">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_241_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_241" style="width: 100%" data-field-type="text"><label
for="field_zhg0ye_49242" class="arf_main_label arf_main_label_16px">State</label>
<div class="controls"><input type="text" id="field_zhg0ye_49242" name="item_meta[241]">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_242_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_number top_container top_container arfformfield arf_field_242" style="width: 100%" data-field-type="number"><label
for="field_slr7go_49242" class="arf_main_label arf_main_label_16px">Zipcode<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><input type="text" class="arf_number_field" id="field_slr7go_49242" dir=" ltr" name="item_meta[242]" max="10000" data-validation-required-message="This field cannot be blank."
data-validation-max-message="Number is out of range" min="0" onkeydown="arfvalidatenumber(this, event);">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_243_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_phone top_container top_container arfformfield arf_field_243" style="width: 100%" data-field-type="phone"><label
for="field_lx67m_49242" class="arf_main_label arf_main_label_16px">Contact Number<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><input type="text" id="field_lx67m_49242" name="item_meta[243]" class=" arf_required" data-validation-required-message="This field cannot be blank." data-validation-number-message="Phone is invalid">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_244_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_text top_container top_container arfformfield arf_field_244" style="width: 100%" data-field-type="text"><label
for="field_c7hyph_49242" class="arf_main_label arf_main_label_16px">Primary Care Physician<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><input data-validation-regex-regex="^[a-zA-Z]*$" data-validation-regex-message="Entered value is invalid" type="text" id="field_c7hyph_49242" name="item_meta[244]" class=" arf_required"
data-validation-required-message="This field cannot be blank.">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_245_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_245" style="width: 100%" data-field-type="text"><label
for="field_l56khj_49242" class="arf_main_label arf_main_label_16px">Referring Doctor</label>
<div class="controls"><input data-validation-regex-regex="^[a-zA-Z]*$" data-validation-regex-message="Entered value is invalid" type="text" id="field_l56khj_49242" name="item_meta[245]">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_246_49242_container" class="arfformfield control-group arfmainformfield arffieldrequired arf_field_type_textarea top_container top_container arfformfield arf_field_246" style="width: 100%" data-field-type="textarea">
<label for="field_zfq6pw_49242" class="arf_main_label arf_main_label_16px">Enter the reason of your visit and additional information<span class="arfcheckrequiredfield">*</span></label>
<div class="controls"><textarea name="item_meta[246]" id="field_zfq6pw_49242" rows="7" class=" arf_required" data-validation-required-message="This field cannot be blank."></textarea>
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="heading_254" class="arf_heading_div">
<h2 style="display:block" ;="" class="arf_sec_heading_field pos_top [collapse_class]" data-field-type="divider">Insurance Info</h2>
<div style="display:block" ;="" class="divider_1">
</div>
<div style="clear:both;"></div>
<div id="arf_field_248_49242_container" class="arfformfield input-field control-group arfmainformfield arf_field_type_select top_container top_container arfformfield arf_field_248" style="width: 100%" data-field-type="select"><label
for="field_6c8vfv_49242" class="arf_main_label arf_main_label_16px active ">Are you covered by insurance?</label>
<div class=" sltstandard_front controls"><select name="item_meta[248]" id="field_6c8vfv_49242" style="width: auto; min-width: 100px; position: absolute; visibility: hidden;" data-size="15" data-default-val="Please Select"
onchange="arf_cl_apply_v3(49242,["249","250","251","252","253"]);">
<option value="Please Select" selected="selected" data-content="Please Select">Please Select</option>
<option value="Yes" data-content="Yes">Yes</option>
<option value="No" data-content="No">No</option>
</select>
<div class="btn-group bootstrap-select"><button type="button" class="arfbtn dropdown-toggle btn-default" data-toggle="arfdropdown" data-id="field_6c8vfv_49242">
<div class="filter-option pull-left">Please Select</div> <div class="arf_caret"></div>
</button>
<div class="arfdropdown-menu open">
<ul class="arfdropdown-menu inner" role="menu">
<li data-original-index="0"><a tabindex="0" class="" data-normalized-text="Please Select" href="#">Please Select<i class="arf-glyphicon arf-glyphicon-ok check-mark"></i></a></li>
<li data-original-index="1"><a tabindex="0" class="" data-normalized-text="Yes" href="#">Yes<i class="arf-glyphicon arf-glyphicon-ok check-mark"></i></a></li>
<li data-original-index="2"><a tabindex="0" class="" data-normalized-text="No" href="#">No<i class="arf-glyphicon arf-glyphicon-ok check-mark"></i></a></li>
</ul>
</div>
</div>
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_249_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_249" style="width: 100%; display: none;" data-field-type="text"><label
for="field_cxvnb0_49242" class="arf_main_label arf_main_label_16px">Who is the primary insurance policy holder?</label>
<div class="controls"><input type="text" id="field_cxvnb0_49242" name="item_meta[249]" aria-invalid="false">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_250_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_250" style="width: 100%; display: none;" data-field-type="text"><label
for="field_a560j6_49242" class="arf_main_label arf_main_label_16px">Insurance Carrier</label>
<div class="controls"><input type="text" id="field_a560j6_49242" name="item_meta[250]" aria-invalid="false">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_251_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_251" style="width: 100%; display: none;" data-field-type="text"><label
for="field_48qh2j_49242" class="arf_main_label arf_main_label_16px">Insurance Id</label>
<div class="controls"><input type="text" id="field_48qh2j_49242" name="item_meta[251]" aria-invalid="false">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_252_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_252" style="width: 100%; display: none;" data-field-type="text"><label
for="field_pwfx7m_49242" class="arf_main_label arf_main_label_16px">Group #</label>
<div class="controls"><input type="text" id="field_pwfx7m_49242" name="item_meta[252]" aria-invalid="false">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div id="arf_field_253_49242_container" class="arfformfield control-group arfmainformfield arf_field_type_text top_container top_container arfformfield arf_field_253" style="width: 100%; display: none;" data-field-type="text"><label
for="field_znf3n3_49242" class="arf_main_label arf_main_label_16px">Provider Insurance Service #</label>
<div class="controls"><input type="text" id="field_znf3n3_49242" name="item_meta[253]" aria-invalid="false">
<div class="help-block"></div>
</div>
</div>
<div style="clear:both;"></div>
<div class="arf_clear"></div>
</div>
<div style="clear:both;height:1px;"> </div>
</div><!-- page_break && page_0-->
<div class="arfsubmitbutton top_container" id="page_last" style="display:none;">
<div class="arf_submit_div top_container"><input type="button" value="Previous" style="display:none;" name="previous" data-id="previous_last" class="previous_btn" onclick="go_previous('0', '106', 'no', 'sixa88', '49242');"><input
type="hidden" data-jqvalidate="false" value="1" name="last_page_id" data-id="last_page_id"><input type="hidden" data-jqvalidate="false" value="1" name="is_submit_form_106" data-id="is_submit_form_106"><input type="hidden"
data-jqvalidate="false" data-last="1" value="1" name="last_show_page_106" data-id="last_show_page_106"><input type="hidden" data-jqvalidate="false" value="1" data-val="1" data-hide="," data-max="1" name="submit_form_106"
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* Home * Research * Our Services * Education * Book an Appointment * Contact Us * Review Us * Education * Book an Appointment * Contact Us * Review Us Isn’t it time you start seeing better? Our staff has the luxury of utilizing the most advanced equipment available, putting us at the forefront of ophthalmic imaging, ophthalmic diagnosis, and treatment. F i n d o u t w h a t w e c a n d o f o r y o u ABOUT DR. ARNOLD D YAGODA Retina Specialist Board Certified by the American Board of Ophthalmology Staff at New York Eye and Ear, Mount Sinai, and Lenox Hill Dr. Yagoda has been in practice as a leading retina specialist since the 1980s. M.D. from Cornell University Retina Fellowship: Montefiore/Albert Einstein College of Medicine. Ophthalmology Training: Lenox Hill Hospital Read More ABOUT DR. RAVI PARIKH MD MPH Retina Specialist Board Certified by the American Board of Ophthalmology Faculty at NYU School of Medicine and on staff at NYU Langone, Mount Sinai Hospital, and New York Eye and Ear Retina Fellowship Training with Harvard Medical School/Massachusetts General Hospital/Massachusetts Eye and Ear Vitreous Retina Macula Consultants of New York (Preceptors K Bailey Freund and Lawrence Yannuzzi MD) General Ophthalmology Training from Yale University/Yale-New Haven Health M.D. Vanderbilt University as a Canby Robinson Scholar (Full-Tuition Merit Scholarship for Leadership and Academic Excellence) M.P.H. Harvard University in Health Policy and Management Read More GROUNDBREAKING RESEARCH Our physicians serve as academic leaders in the field and publish in the leading journals in the field Read More CUTTING-EDGE DIAGNOSTICS Our staff has the luxury of utilizing the most advanced equipment available, putting us at the forefront of ophthalmic imaging. Read More WORLD-RENOWNED Our physicians have been well renowned in the diagnostics and treatment of retinal diseases. Read More IMPROVE YOUR VISION WITH OUR EYE SERVICES EYE EXAMS Read More EYE IMAGING Read More INJECTIONS Read More LASER SURGERY Read More Form is successfully submitted. Thank you! Request An Appointment Date Patient & Insurance Info Preferred Appointment Date* Preferred Appointment Time* Name* Email* Confirm Email Date of Birth Sex MaleFemale Male * Male * Female City State Zipcode* Contact Number* Primary Care Physician* Referring Doctor Enter the reason of your visit and additional information* INSURANCE INFO Are you covered by insurance? Please SelectYesNo Please Select * Please Select * Yes * No Who is the primary insurance policy holder? Insurance Carrier Insurance Id Group # Provider Insurance Service # Submit Powered by ARForms (Unlicensed) Close ZEISS CIRRUS 6000 MAKE EVERY SECOND COUNT WITH HIGH-PERFORMANCE OCT. PERFORMANCE OCT 100,000 scans per second to power your practice CIRRUS® 6000 is the next-generation OCT from ZEISS, delivering high-speed image capture with HD imaging detail and a wider field of view so you can make more informed decisions and spend more time with the patients who need it. Learn how you can maximize patient throughput and practice efficiency with ZEISS CIRRUS 6000. FASTER, WIDER WITH A NEW LEVEL OF DETAIL At 100,000 scans per second, ZEISS CIRRUS 6000 enables clinicians to image a larger field of view up to 12mm in a single scan. It also captures high-defintion (HD) OCT and OCT Angiography (OCTA) scans, revealing the finer microvascular details of the retina and providing more insight into your patient’s condition. MAKING THE REVOLUTIONARY, ROUTINE. ZEISS ANGIOPLEX OCT ANGIOGRAPHY AngioPlex® OCT Angiography from ZEISS ushers in a new era of eye care with non-invasive imaging of retinal microvasculature—taking glaucoma and retinal disease management and treatment planning to the next level. By offering the industry’s most comprehensive tools for assessing and analyzing a range of pathologies, ZEISS provides a complete OCT Angiography (OCTA) solution. PROVEN ANALYTICS CIRRUS-powered treatment decisions As the pioneering OCT technology, the CIRRUS platform offers clinicians extensive, clinically-validated applications—for retina, glaucoma and anterior segment—that allow for precise analysis, faster throughput, and smarter decision-making across a range of clinical conditions and patient types. * Macular change analysis lets you track change between visits with confidence * Glaucoma: Guided progression analysis and comprehensive tools for glaucoma management * Epithelial thickness mapping, widefield HD corneal imaging, and more * AngioPlex Metrix: OCTA quantification tools for retina and glaucoma PATIENT-FIRST DESIGN Unique patient-centric platform designed for the future. With ZEISS CIRRUS, your patient data is never left behind. CIRRUS is the platform that allows seamless transfer of raw, dynamic patient data from previous generations, allowing clinicians to manage their patients with utmost care, across generations. INTRODUCING CALIFORNIA – OUR LATEST ULTRA-WIDEFIELD RETINAL IMAGING DEVICE Designed specifically for ophthalmologists and vitreo-retinal specialists, our California is the latest addition to our ultra-widefield retinal imaging device technology lineup. With new hardware and software, we are helping you see more, discover more and treat more effectively to promote better patient outcomes. WHY CALIFORNIA? We are committed to further strengthening our clinical evidence while demonstrating the importance of imaging the entire retina. California includes a new UWF optomap® imaging modality; Indocyanine Green angiography (icg) while retaining: * -Composite color * -Red-free * -Autofluorescence (af) * -Fluorescein angiography (fa) Images are now presented in ProView which displays optomap in a consistent geometry that accurately represents anatomical features in the retina. Further, ProView enables automatic image registration for disease tracking over time, and inter-modality image comparison. New proprietary optical hardware optimizes and maintains resolution of the optomap images throughout the scan of the retina resulting in more clarity in the far periphery. Image overlay enables comparison between composite color images and red-free, af, fa, or icg images. Additionally, comparisons can be made between different images or different dates by scrolling through all stored images. BENEFITS OF CALIFORNIA In addition to the benefits found with all of the UWF devices from Optos such as 200 degrees or up to 82% of the retina captured in a single image, in multiple modalities, as well as eyecare professionals being able to see 50% more of the retina when compared to other conventional imaging devices, California offers the following benefits: * Compact to reduce space requirements. * New design leads to ease of use and faster image capture. * Non-mydriatic high-resolution imaging through many cataracts and/or 2mm pupils saves time in busy practices. * Browser-based image review enables simple integration and easy access to your data from any connected pc or tablet in a HIPAA compliant environment. * Interweaved angiography enables parallel capture of fa and icg images without manually switching between imaging modalities. Optos would like to invite you to learn more about the California and contact us if you have questions or wish to partner with us to help your practice. Close CONTACT US * 67 E 78th Street (and Park Ave) Unit 1c New York NY 10075 * (212)-744-2513 * (212)-744-4816 * info@manhattanretinaeye.com LOCATION MAP RECENT POSTS * INJECTIONS Injections into the eye sound … * EYE IMAGING Eye Imaging refers to digital … * LASER SURGERY Laser eye surgeries are … © 2019 Manhattan Retina and Eye. All Rights Reserved * * * * * * * * ×