LASIK Boston Laser Cataract Surgery D’Ambrosio Eye Care Blog

Sunday, August 28, 2016

Help for Childrens’ Tear Duct Problems

About Childrens’ Tear Duct Problems

Normally, tears drain through tiny opening in corners of the upper and lower eyelids called “puncta,” then enter the nose through the nasolacrimal duct. Sometimes the nasolacrimal duct or tear duct can become blocked or obstructed making it impossible for the tears to drain normally. This can cause the eyes to run water or even produce a discharge. Often, the tears well up on the surface of the eye and overflow onto the eyelashes, eyelids, and down the cheek. This usually occurs within the first days or weeks of life. Sometimes, the eyelids can become red and swollen, even stuck together with yellowish-green discharge since the normal eyelid bacteria are not properly "flushed" down the obstructed system. Probably the most common cause of a tear duct obstruction in kids is a failure of the membrane at the end of the tear duct opening to open fully at the time of birth. Generally we see this happening in some 5-10% of newborn infants where one or both eyes is affected with a tear duct obstruction-BUT some 90% clear without any treatment with the first 12 months after birth.

Treatment of Kids’ Tear Duct Obstruction

As most of the time the obstruction will clear on its own, we don’t always have to treat it. But, if it persists and causes the welling up of tears or the sticking or redness of the eyelids we can suggest a gentle massage as a first step and prescribe antibiotic eye drops if necessary. Sometimes we will need to do a tear duct probing to clear the blockage and in a some more difficult situations we might need to perform a tear duct dilation with a tiny balloon or even insert some microscopic tubes. We perform these types of treatments as a matter of routine and, as a parent I will make sure to thoroughly explain them and answer all of your questions if they become necessary.

If you or someone you know has questions or concerns about childrens tear duct problems or needs a kids eye exam, please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.

Sunday, August 21, 2016

Alyssa Tells us about LASIK


“For me, the worst part of wearing contacts or glasses was dealing with seasonal allergies. I was always rubbing my eyes and folding a contact or had to wear my glasses when usually I only wear them at night. I was a bit nervous before and during my LASIK treatment, but the nurses were very kind and talked me through the whole process. The recovery afterwards was quick - I took a nap and woke up feeling great after surgery, which shocked me! I could see perfectly within a day. Getting LASIK was by far the best decision I have ever made. I have perfect vision and do not have to deal with the fuss of contacts or glasses!


If you or someone you know would like to learn more about LASIK or Schedule a Free LASIK Consultation please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.A

Sunday, August 14, 2016

Contact Lens Eye Problems: Avoid Risky Behaviors

Eye health and vision problems from contacts lenses can be prevented by avoiding known risky behaviors. According to the Centers for Disease Control and Prevention almost all of the 41 million estimated contact lens wearers in the United States may be engaging in at least one behavior known to increase their risk of eye infections. Nearly one-third of contact lens wearers who participated in a national survey reported going to the eye doctor for red or painful eyes related to wearing contact lenses. More than 99 percent of survey respondents reported at least one risky behavior. The majority of wearers reported:
  • Keeping their contact lens cases for longer than recommended (82.3 %)
  • “Topping off” solution in the case by adding new solution to the existing solution instead of emptying the case out fully before adding new solution (55.1%)
  • Wearing their lenses while sleeping (50.2 %)
Each of these behaviors has been reported in previous studies to raise the risk of eye infections by five times or more!

An online survey was administered to a sample of contact lens wearers to determine how often contact lens wearers engaged in behaviors that could put them at risk for an eye infection. CDC collaborated with the Contact Lens Assessment in Youth (CLAY) group, a multi-university group of researchers, to conduct the survey. A separate survey was used to estimate the number of contact lens wearers – about 41 million adults. Taken together, the survey results indicate that millions of Americans could be at risk for serious eye infections because of poor contact lens hygiene behaviors.

We know that contact lenses can be worn safely if wearers are mindful of using good hygiene. To prevent eye infections, contact lens wearers should:
  • Wash hands with soap and water and dry them well before touching contact lenses
  • Take contacts out before sleeping, showering or swimming
  • Rub and rinse contacts in disinfecting solution each time they remove them
  • Rub and rinse the case with contact lens solution, dry with a clean tissue and store it upside down with the caps off after each use
  • Replace contact lens cases at least once every three months
  • Avoid “topping off” solution in lens case (adding fresh solution to old solution)
  • Carry a backup pair of glasses in case contact lenses have to be taken out
If you or someone you know have questions about contact lens care, hygiene, safety and how to avoid eye infections from contact lens wear, or wish to have a contact lens consultation or fitting, please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.

Monday, August 8, 2016

Eye Problems from ADHD Medication

If you, your child or someone you know takes ADHD medication it is important to understand the possible side effects that might impact eyes, cause eye problems and alter vision. The most common prescription medication we see children and even adults taking for treatment of attention deficit hyperactivity disorder (ADHD) is methylphenidate which has a number of trade names such as Ritalin, Concerta, Adderall, Methylin and Daytrana. While the common side effects of loss of appetite, nervousness and difficulty sleeping are easily recognized, researchers reporting in the Journal of the American Association for Pediatric Ophthalmology and Strabismus raised some concern that this treatment may be associated with increased risk of angle closure glaucoma and a disturbance of eye refraction and optical prescriptions. They initiated a study to investigate the effects of methylphenidate treatment on refraction, intraocular pressure (IOP), and the anterior chamber in children with ADHD. This was a pilot study where children diagnosed with ADHD were examined before the start of methylphenidate treatment and again 3 and 9 months after the start of treatment. Their examinations included an eye exam with ordinary as well as cycloplegic refraction-one performed with eye drops and high resolution imaging study of the anterior chamber of the eye where the delicate structures related to glaucoma could be viewed and measured.

ADHD Medication Eye Study Conclusions
The researchers found that methylphenidate does not seem to affect refraction, or optical prescription in most children with ADHD. But, after 9 months of treatment there was a reduction in the eye anterior chamber depth, which has been described as a powerful predictor of angle closure glaucoma. As this was a pilot study more work is needed to really understand any increased risk.

What You Need to Know and Do
If you, your child or someone you know is taking methylphenidate of any type for ADHD, it would be worthwhile scheduling a routine eye examination so that we can measure the refraction, the intraocular pressure (IOP) and anterior chamber angle and depth. We do this regularly during your eye exam. BE SURE TO TELL US YOU ARE TAKING METHYLPHENIDATE. If your eye exam is normal we will most likely ask you to have a repeat exam in a year. BUT, if at any time there s a change in your vision, pain, redness, glare or light sensitivity we want you to call right away and schedule an immediate appointment for that day.

If you or someone you know is being treated for ADHD with methylphenidate medications such as Ritalin, Concerta, Adderall, Methylin and Daytrana, it is important to have a routine eye exam to avoid any risk of eye problems please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.

Sunday, July 31, 2016

NEADs Eyeglass Promotion

NEADs Eyeglass Promotion
We are proud to have continued our NEADs (National Educator for Assistance Dog Services) promotions for another year. 


We are offering special eyeglass lens packages that help sponsor NEADS! 


They are a local non-profit organization in Princeton, MA that provides assistant dog support and training. Along with each eligible purchase you will receive a stuffed toy dog to take home and a portion of the sales proceeds goes directly to NEADS. These lens packages include impact resistant polycarbonate lenses with non-glare. Stop in any of our locations for more information, even if all you want to do is purchase a stuffed toy pup to help support NEADs.

D'Ambrosio Optical Center provides personalized service fitting and selection of eyewear for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.

Thursday, July 28, 2016

Baystate Parent Magazine Votes Us 2016 Best Eye Care Practice

D'Ambrosio Eye Care is pleased to announce that we have been voted by Baystate Parent Magazine as the Best Ophthalmology & Optometry practice. Baystate Parent Magazine asked Massachusetts parents to vote to select the “Best” in over 80 categories of services and facilities throughout Massachusetts. This is very meaningful to us because we know that parents tend to be a key source of information and referral for many types of healthcare services. They are often the most important source of “word of mouth” referral in their communities. We are really thrilled that they have selected us “best” for eyecare and are thankful to be recognized by our patients. “Our eye doctors and staff really work to provide eyecare in a caring, compassionate and competent manner for each and every patient,” shared Francis D’Ambrosio Jr., M.D.


D’Ambrosio Eye Care is a leading central and western Massachusetts practice providing eye exams for adults and children, laser cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses and optical services. D'Ambrosio Eye Care provides complete eye health and vision care services at office locations including 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440. For those patients in need of eye surgery, as a founding member of the Gardner Cataract & Laser Center, D’Ambrosio Eye Care eye surgeons are able to provide eye surgery in a convenient, close to home and cost effective ambulatory surgery center.

To learn more about D’Ambrosio Eye Care you may visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare.

Monday, July 25, 2016

Diabetic Eye Exams: Don’t Delay!

About Diabetic Eye Disease
Diabetic eye problems include an increased risk of cataracts, glaucoma, neurological eye muscle problems and the potential for serious vision loss from diabetic retinopathy a retinal vascular disease. Vision loss from diabetic eye disease is manageable and in many instances preventable but requires early diagnosis and treatment to be effective. This means ALL patients with diabetes must be diligent in having eye exams at intervals recommended by their eye doctors and/or their primary care physicians, internists or endocrinologists.

About Diabetes
According to the U.S. National Center for Health Statistics 21.7 million U.S. adults aged 18 and over (9.2%) have been diagnosed with diabetes and this percentage increases with age. One in five adults aged 65 and over (20.5%, or 8.7 million) has diagnosed diabetes, compared with 11.0% (11.3 million) aged 40–64 and 1.9% (1.7 million) aged 18–39.

About Delay in Seeking Diabetic Eye Exams
There seems to be a trend in that the more recently you are in having your diabetes diagnosed, the longer you delay in seeking and annual diabetic eye exam. This is troubling in preventing vision loss and avoiding diabetic eye problems. Among all adults, the percentage who visited an eye doctor in the past 12 months increased with years since diabetes diagnosis. About half, 50% of those diagnosed with diabetes within the prior 5 years had visited an eye doctor in the past 12 months, compared with 57.3% of those diagnosed 5-10 years ago and 61.2% of those diagnosed 10 or more years ago. Among adults with diagnosed diabetes, the percentage who had visited an eye doctor during the past 12 months increased with age: 38.2% for those aged 18–39, 53.8% for those aged 40–64, and 66.5% for those aged 65 and over. Thus, among adults with diabetes, both age and years since diagnosis may play a role in visiting an eye doctor in the past 12 months.

If you or someone you know has diabetes, please take the time to schedule and eye exam in order to prevent the risk of vision loss from diabetic eye disease and diabetic eye problems-most of which are preventable with early detection, diagnosis and treatment. Please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 865 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453, 413 Main Street, Athol, Massachusetts 01331 and 74 Main Street, Gardner, Massachusetts 01440.