Macular Degeneration & Risk of Stroke

Massachusetts Ophthalmologist Francis D’Ambrosio, Jr., M.D., posed an important question-“What does your risk of having a stroke have to do with age related macular degeneration?” Possibly quite a bit as it turns out. Older adults with late-stage, Age-Related Macular Degeneration (AMD) may have a significantly higher risk for hemorrhagic stroke than do individuals without the eye disease, as reported from the Rotterdam Study at the International Stroke Conference. There may be a common underlying process contributing to both Age-Related Macular Degeneration (AMD) and bleeding strokes, but more research will be needed to determine if that’s the case. Researchers found that the risk for any stroke was 56% higher in participants with late-stage AMD than in individuals without AMD after they controlled for the effects of age, sex, diabetes, blood pressure, use of antihypertensive medication, smoking, cholesterol levels, carotid artery plaques, body mass index, alcohol intake, and C-reactive protein levels.

“The single most significant finding in the study was that participants with late-stage AMD-either the wet or dry forms-had six fold higher risk for intracerebral hemorrhage or stroke than did participants without AMD,” noted Dr. D’Ambrosio Jr. D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner. ”This is a critical piece of information and one we need to be responsive to and keep patients and their physicians abreast of.” 

If you or someone you know suffers from or is concerned about age related macular degeneration (AMD), especially if they are concerned about their risk of stroke or have a family history of stroke please feel free 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 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.

Cataract Surgery & Driving Safely in Massachusetts

Massachusetts Cataract Surgeon Francis D’Ambrosio, Jr., M.D. remarked on cataracts and the impact of cataract surgery on driving safely, particularly with regard to differences between men and women. “An interesting study on cataract surgery and driving was reported in Clinical & Experimental Ophthalmology whereby motor vehicle accidents involving men decreased by 15.3% in the 12 months following cataract surgery but the frequency of postoperative crashes didn't change significantly for women,” noted Dr. D’Ambrosio, Jr. D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner. “We know all too well that delaying cataract surgery often results in patients modifying their lifestyles and activities. This is especially the case as people restrict their driving in response to health and vision changes. We need to hear from patients about their driving habits and whether they have had to change them as their cataracts develop-then we can help,” said Dr. D’Ambrosio, Jr.

If you or someone you know has a question about cataract, cataract surgery, lens implants or driving please feel free 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.

Eye Infections & Acne Medication

“What do eye infections and acne medications have to do with each other?” asked Massachusetts Ophthalmologist Rachael Robbins, M.D. of D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner. “Recently, a study on eye infections and acne medication was presented in Archives of Dermatology where researchers collected data on nearly 15,000 teens and young adults taking isotretinoin to treat acne and compared their rates of eye infections to group that had acne but not taking the drugs and to a third group that didn't take the drugs and didn't have acne,” stated Dr. Robbins. Isotretinoin is also sold under the brand names Roaccutane, Amnesteem, Claravis, Myorisan and Sotret. 

Within a year of starting the medication, nearly 14 percent of those in the acne medication group developed an eye infection or dry eyes, compared with almost 10 percent in the group that had acne but did not take the medications and about 7 percent in the group that didn't have acne. Compared to the acne-free group, those taking isotretinoin were at 70 percent increased risk of an eye infection over the course of a year. The mean age of participants was about 16.5 years old.

The most common problem was conjunctivitis, an inflammation or infection of the membrane lining the eye and eyelids. Other problems included hordeolum or stye which is an inflamed oil gland on the edge of the eyelid, chalazion which is a tender, swollen lump in the eyelid due to a blocked oil gland, blepharitis-an inflammation of the eyelash follicles and dry eyes,” further explained Dr. Robbins. Isotretinoin treats acne by reducing oil production from the sebaceous glands, among other effects. But isotretinoin also disrupts function of the meibomian glands, or oil glands inside the eyelids. The meibomian glands help keep the eyes lubricated. Less lubrication may mean the eyes are irritated, itching and burning, prompting people to rub them and introduce bacteria. “The good news is that most side effects of the drugs can be prevented using artificial tears to keep the eyes lubricated,” said Dr. Robbins.



If you or someone you know has a question about acne medication, eye infections or eye problems such as dry eyes, stye, chalazion or blepharitis please feel free 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.



Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services.



D'Ambrosio Eye Care is a leading eye and LASIK care practice in Athol, Lancaster, Gardner and Acton that serves the greater Boston and central Massachusetts area including Acton, Athol, Berlin, Bolton, Boylston, Boxborough, Chelmsford, Clinton, Concord, Fitchburg, Gardner, Greenfield, Groton, Harvard, Hudson, Lancaster, Leominster, Lexington, Littleton, Lowell, Lunenburg, Marlborough, Milford, Shelburne Falls, Shirley, Sterling, Stow, Sudbury, Templeton, Westminster, Westborough, Winchendon and Worcester, Massachusetts.

Massachusetts Fireworks Eye Safety for July 4th

Massachusetts Ophthalmologist Francis D’Ambrosio, Jr., M.D. advised us on fireworks eye safety for the July 4th holiday. “To enjoy the fireworks this July 4th, it’s best to leave their use and display to professionals. Eye safety is pretty critical with fireworks displays as we know that eye injuries are the second most frequent injury we see from emergency room each July 4th weekend,” said Dr. D’Ambrosio, Jr. of D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner.

Around the Fourth of July, fireworks and celebrations often go together. There are precautions everyone can take to prevent eye injuries. The best defense against kids suffering severe eye injuries and burns is to not let kids play with any fireworks. Do not purchase, use or store fireworks of any type. Protect yourself, your family and your friends by avoiding fireworks. Attend only authorized public fireworks displays conducted by licensed operators, but be aware that even professional displays can be dangerous. However, if an eye accident does occur, there are a few things you should know:

• Do not rub the eye. 
• Do not attempt to rinse out the eye. This can be even more damaging than rubbing. 
• Do not apply pressure to the eye itself-but protecting the eye from further contact with any item, including the person’s hand. 
• Do not stop for medicine! Over-the-counter pain relievers will not do much to relieve pain. Aspirin (should never be given to children) and ibuprofen can thin the blood, increasing bleeding. Take the person to the emergency room at once. 
• Do not apply ointments or drops. They may not be sterile and may make the area around the eye slippery and harder for the doctor to examine.

Once you are seen in the emergency room please feel free to have them call D’Ambrosio Eye Care at 800-325-3937 as we always have an eye doctor “on call” to provide consultation and continued care for you.

If you or someone you know has questions about fireworks eye safety and eye injuries please feel free to contact 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.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration (AMD) & diabetic retinopathy and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services.

D'Ambrosio Eye Care is a leading eye and LASIK care practice in Athol, Lancaster, Gardner and Acton that serves the greater Boston and central Massachusetts area including Acton, Athol, Berlin, Bolton, Boylston, Boxborough, Chelmsford, Clinton, Concord, Fitchburg, Gardner, Greenfield, Groton, Harvard, Hudson, Lancaster, Leominster, Lexington, Littleton, Lowell, Lunenburg, Marlborough, Milford, Shelburne Falls, Shirley, Sterling, Stow, Sudbury, Templeton, Westminster, Westborough, Winchendon and Worcester, Massachusetts.

Eye Protection for Sports Athletes in Massachusetts

Massachusetts Ophthalmologist Francis D’Ambrosio, Jr., M.D. shared information about sports eye protection and the risk of eye injuries for athletes. “April is Sports Eye Safety Awareness Month and the American Academy of Ophthalmology asks eye doctors to remind our community that 40,000 people suffer from eye injuries related to sports every year. These eye injuries from sports can be devastating, and the only way to prevent them is by wearing protective eyewear,” said Dr. D’Ambrosio, Jr., M.D. of D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner. 

Many sports create risk for eye injuries which can include abrasions of the cornea and bruises of the lids, retinal detachments and internal bleeding. The most serious risks involve permanent vision loss along with infection. In addition, patients who have sustained eye injuries are at greater risk for developing glaucoma. 

Athletes need to use the eye protection that is available for most sports, including basketball, baseball, hockey, football, lacrosse, fencing, paintball, water polo, golf and others. “I counsel and reassure my patients that wearing properly fitted protective eyewear will not harm your performance, and it may well save your eye health and vision,” said Dr. D’Ambrosio, Jr. Something to be aware of is that most sporting leagues don’t require children to wear eye protection, so parents should take special care to ensure their children wear eye protection.”

Tens of thousands of sports and recreation-related eye injuries occur each year. The good news is that 90 percent of serious eye injuries are preventable through use of appropriate protective eyewear. The risk of eye injury can vary depending on the activity. Make sure the level of eye protection you or others in your family use is appropriate for the type of activity. Regular eyeglasses do not offer proper eye protection. Athletes need to wear appropriate, sport-specific protective eyewear properly fitted by an eye care professional. Lenses made from polycarbonate materials provide the highest level of impact protection as they can withstand a ball or other projectile traveling at 90 miles per hour.

If you or someone you know has questions or would like help in selecting, fitting or choosing sports protective eyeglasses, please feel free 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 appropriate protective eyewear.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear and optical services.

D'Ambrosio Eye Care is a leading eye and LASIK care practice in Athol, Lancaster, Gardner and Acton that serves the greater Boston and central Massachusetts area including Acton, Athol, Berlin, Bolton, Boylston, Boxborough, Chelmsford, Clinton, Concord, Fitchburg, Gardner, Greenfield, Groton, Harvard, Hudson, Lancaster, Leominster, Lexington, Littleton, Lowell, Lunenburg, Marlborough, Milford, Shelburne Falls, Shirley, Sterling, Stow, Sudbury, Templeton, Westminster, Westborough, Winchendon and Worcester, Massachusetts.

Massachusetts Ophthalmologist Says Aging Eyes Have Better Vision

Massachusetts Ophthalmologist Francis D’Ambrosio, Jr. M.D. remarked “Aging eyes have better vision these days-seniors should be very pleased.” There has been a significant decrease is vision loss in older Americans according to a study published in the   journal Ophthalmology-the official publication of the American Academy of Ophthalmology. “The prevalence of activity-limiting visual impairment is decreasing and has been decreasing-and this is really great news for seniors. While the study wasn’t terribly specific, I believe that better cataract surgery and lens implants, better diabetes treatment and control and a sharp decrease in smoking all play a role in why seniors now have better overall chances of preserving their eye health and vision,” said Dr. D’Ambrosio, Jr. of D’Ambrosio Eye Care with offices in Athol, Lancaster, Acton & Gardner.

Modern cataract surgery-with advanced technology lens implants has become routine and complications are pretty rare Years ago, people waited until a cataract was so bad that even a poor surgical result was better than living with a cataract. Today, when the presence of a cataract impairs either the quality of vision or the quality of life, the techniques and procedures allow for safe and effective cataract surgery to be performed.

• Today, only 1 in 5 adults in the U.S. smoke cigarettes as compared to 1 in 3 in the 1980s.
• Smoking is a major risk factor for macular degeneration, which is one of the most common vision impairing eye diseases in seniors. 
• Diabetes is a leading cause of blindness and age and obesity are leading risk factors for diabetes.
• Even though diabetes rates in the U.S. continue to climb, better therapies are now available to prevent and treat diabetes-related eye health vision problems.

To some extent, seniors have helped preserve eye health and vision by taking the step of having regular eye exams which are quite important for everyone as they age, especially people with diabetes and other health conditions that can lead to vision loss.

If you or someone you know is concerned about aging eye problems or senior eye problems please feel free 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.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, care for diseases of the retina including diabetes and age related macular degeneration and diagnosis and treatment of glaucoma as well as contact lenses, eyeglasses, eyewear  and optical services.

D'Ambrosio Eye Care is a leading eye and LASIK care practice in Athol, Lancaster, Gardner and Acton that serves the greater Boston and central Massachusetts area including Acton, Athol, Berlin, Bolton, Boylston, Boxborough, Chelmsford, Clinton, Concord, Fitchburg, Gardner, Greenfield, Groton, Harvard, Hudson, Lancaster, Leominster, Lexington, Littleton, Lowell, Lunenburg, Marlborough, Milford, Shelburne Falls, Shirley, Sterling, Stow, Sudbury, Templeton, Westminster, Westborough, Winchendon and Worcester, Massachusetts.