Monday, July 21, 2014

Multifocal Lens Implants: The Patient View

Through the years, my vision was gradually getting worse. Cataracts were beginning to affect my quality of life. I chose to have the multifocal lens implants to treat cataracts in both eyes.

Now, I can see things near, far, and everything in between. I no longer need those reading glasses!  I haven’t seen this well in years. This was the best thing I could have done. I’d recommend this course of treatment to anyone looking to break free from the hassle of glasses. The service that I received at D’Ambrosio Eye Care was exceptional!

Bob G.

D'Ambrosio Eye Care is a leading eye care practice with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440 that serve the greater Boston and central Massachusetts area. 

Monday, July 14, 2014

Dry Eye Common after Cataract Surgery

Developing a dry eye after cataract surgery is actually pretty common. Moreover, the incidence of mild to moderate dry eye in a cataract aged population prior to cataract surgery-and exacerbated by cataract surgery makes dry eye a rather common complaint among this group. Patients of cataract age and having cataract surgery should know a little bit about dry eye as this is a somewhat temporary condition they may encounter. Fortunately, dry eye after cataract surgery are a number of helpful solutions.

Dry Eye Incidence
According to the Prospective Health Assessment of Cataract Patients Ocular Surface (PHACO) Study some 60-75% of a cataract aged population has a meaningful deficiency in their tear film testing. Further, although cataract surgery is quite friendly to the cornea, it does require an incision which has the potential to temporarily interrupt corneal nerves responsible for reflex tearing and tear film integrity as well. This along with some of the solutions used during the cataract procedure can indeed result in a dry eye.

Dry Eye Symptoms
The symptoms one might experience could include fluctuations of vision, dryness, grittiness, tearing, burning and a general tiredness as well as an overall sandy feeling. The good news is that for the vast majority of patients with dry eye there are potentially helpful treatment options that include specialized artificial tear lubricants and solutions, tiny punctal plugs to help you retain tears and prescription medication that stimulates production of your own tears. In addition there are more technological approaches such as lasers and other methods to treating underlying blepharitis, eyelid gland problems or eyelid inflammation that can contribute to dry eye as well.

If you or someone you know is concerned about dry eye after cataract surgery or wishes to learn more about cataracts, cataract surgery and lens implants, they are encouraged to schedule an eye examination at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare so that we can help recommend an appropriate treatment plan.

D'Ambrosio Eye Care is a leading eye and LASIK care practice with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440 that serve the greater Boston and central Massachusetts area. 

Tuesday, July 1, 2014

Laser Cataract Surgery for Massachusetts Patients

Cataract surgeons at D’Ambrosio Eye Care will now be using the CATALYS® Precision Laser System to perform laser cataract surgery and lens implants for patients from throughout central and western Massachusetts. This is the 30th anniversary of our practice and in fact I have been performing cataract surgery for over 30 years. During these years I have been actively involved in the clinical research to develop new advanced lens implants as well as to help refine techniques of modern cataract surgery. 

Incorporating advances in eye surgery into our practice and bringing them to western and central Massachusetts is just part of the DNA of our practice. Even after the years of experience and teaching of cataract surgery techniques, I am amazed at how the laser for cataract surgery gives me the ability to deliver a more precise, reproducible and gentler cataract surgery for my patients. The laser gives me exquisite control over the very complex steps of making a microscopic incision, creating a perfectly centered opening in the crystalline lens to remove the cloudy cataract and even softening  the lens material-all of which makes more consistent and gentler while adding accuracy when I am inserting and positioning the lens implant. This is really helpful for optical performance and vision correction for patients,” explained Dr. D’Ambrosio Jr. Throughout my career in eye surgery I have always tried to exemplify the philosophy of “see one-do one-teach one”, so I am looking forward to teaching other cataract surgeons at our eye surgery center in Gardner and from throughout western and central Massachusetts this technique of laser cataract surge.

Wednesday, June 25, 2014

Genetic Testing for Macular Degeneration (AMD)

Genetic test for age related macular degeneration (AMD) has gotten a great deal of attention in the recent past. While the presence of specific genes may indicate a increased risk for age related macular degeneration (AMD), according to researchers commenting in the Ophthalmology routine genetic testing to predict the development of age related macular degeneration (AMD) does not really predict how a person would respond to Vascular Endothelial Growth Factor (VEGF) Inhibitor injections and thus the genetic testing is not recommended. Further, the downside of routine genetic testing at present is that it can cause unnecessary anxiety, it can leave patients with promises that are not fulfilled and it may impact insurability and employability.

If you or someone you know is concerned about age related macular degeneration (AMD) risk or has any family history of AMD they are encouraged to schedule regular eye examinations at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare so that we can help recommend an appropriate treatment plan.

D'Ambrosio Eye Care is a leading eye and LASIK care practice with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street,Gardner, Massachusetts 01440 that serve the greater Boston and central Massachusetts area.

Tuesday, June 3, 2014

CRP Proteins Indicate Risk of Macular Degeneration

We are always looking for ways to predict the risk that patients have of various eye diseases. We now know that the risk of age related macular degeneration (AMD) is correlated with the findings of the CRP (c-reactive proteins) test in men and women according to researchers from Harvard Medical School and Brigham and Women’s Hospital in Boston who reported in JAMA Ophthalmology.

The findings of this study showed that there was a significantly increased risk of AMD for those patients with high versus low CRP levels and those with high CRP levels also had a significantly increased risk of neovascular or Wet AMD-a potential cause of catastrophic vision loss. The researchers concluded that elevated levels of CRP predict greater future risk of AMD. It is believed that this information might shed light on underlying mechanisms and could be of clinical help in the identification of persons at high risk of AMD who may benefit from increased adherence to lifestyle recommendations, eye examination schedules and therapeutic protocols.

If you or someone you know is concerned about age related macular degeneration (AMD) risk or has any family history of AMD they are encouraged to schedule regular eye examinations at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare so that we can help recommend an appropriate treatment plan.

D'Ambrosio Eye Care is a leading eye and LASIK care practice with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440. 

Monday, May 19, 2014

Cataract Surgery: Best Results when Both Eyes Done

The best results from cataract surgery are generally achieved when both eyes have cataract surgery. It is also important to know that having cataract surgery in one eye is likely to improve vision and visual functioning, however the most significant improvements are found in patients who undergo second eye cataract surgery. Francis D’Ambrosio Jr., M.D. commented, “Having a cataract in one or both eyes often causes blurry, cloudy or dimming of vision but more importantly it can cause a real decrease in overall visual functioning that impacts daily activities and lifestyle-especially mobility and navigating safely.” In general it is well known that the presence of a cataract negatively affects both subjective quality of life and objective performance measures.

Researchers reporting in the journal Ophthalmology studied the impact that cataract and cataract surgery have on clinical measurements of vision, reading speed, objective mobility performance and subjective visual functioning. In this study, 29 participants had cataract surgery on both eyes, 90 participants had cataract surgery in one eye and 1620 participants had no cataract surgery. The results showed that patients who had the cataract surgery in both eyes demonstrated better visual performance, better mobility-based task performance and even scored better on the Activities of Daily Vision Scale (ADVS). Thus, even though patients might find a great improvement after having cataract surgery in only one eye, the data indicate that having cataract surgery on both eyes provides the best visual functioning.

If you or someone you know is concerned cataracts or has questions about cataracts, cataract surgery and lens implants they are encouraged to schedule an eye examination at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare so that we can help recommend an appropriate treatment plan.

D'Ambrosio Eye Care is a leading eye and LASIK care practice with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440 that serve the greater Boston and central Massachusetts area.