Trivex®: Our Newest Lens Material

We wanted to share some information about Trivex® Lens material for eyeglasses. First, let’s start off by briefly explaining ABBE value. This is an indicator of light dispersion and should be considered when describing the technical affects of materials but the negative effects of light dispersion is rarely a problem in eyewear today. 

Leave that stuff to us! But every once in a while a very sensitive patient may notice the difference when changing from a higher ABBE to a lower ABBE lens, complaining possibly, that they do not feel they see as well or there is blur in their peripheral vision. Trivex® lenses were originally developed for military applications and, due to its high ABBE value, this lens has superior optical qualities and it also rivals polycarbonate for its impact resistance and UV protection. Yes, you can be protected from UV in most premium products even though the lens is clear! In addition to these features, Trivex® has a chemical resistance making it a good lens choice for patients exposed to chemicals often such as hairstylists or engineers. A drawback to this material is because it is so new it has limited availability, but each quarter there are more lens designs released in this material as it is popular among lens specialists like our licensed opticians. 

Please stop by any of the optical departments at D’Ambrosio Eye Care or call us at 800-325-3937 for more information on lens types that are available to best fit your needs and prescription. You may also request an appointment at facebook.com/dambrosioeyecare or visiting D’Ambrosio Eye Care. 

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 center serving Athol, Acton, 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.

Monovision Cataract Surgery & Near Vision

Monovision Cataract Surgery is a technique that is used to help patients increase their range of clear vision after a cataract operation. The technique of monovision has been used for many years by contact lens wearers as well as patients with presbyopia having laser eye surgery for the Laser Vision Correction of nearsightedness, farsightedness and astigmatism. 

The monovision technique is simply adjusting the optical correction in each eye so that the dominant eye is corrected for clear distance vision and the non-dominant eye is corrected for improving near or intermediate range vision. For patients who have been wearing monovision contact lenses successfully, or who have had monovision LASIK and are pleased with the vision, taking the step into monovision cataract surgery is a natural progression. For others, they must consider the possible benefits as compared to those provided by near vision presbyopia correcting multifocal lens implants as some 30% of monovision patients fail to adapt adequately to the “blended” vision. 

Researchers reporting in the May 2011 Journal of Refractive Surgery studied the optimal monovision prescription that should be used in order to get the highest levels of patient acceptance and overall visual acuity and depth perception. They concluded that the prescription range of 1.00 D-2.00 D of monovision correction was the maximum range and that the optimal prescription for monovision cataract surgery was 1.5 D. While this is useful information, patients should understand that a 1.5 D near correction may very well be insufficient for them to perform their daily tasks comfortably without needing readers or bifocals. 

The only reliable way for you or someone you know with a cataract to find out if you are candidates for monovision cataract surgery or near vision presbyopia correcting lens implants after cataract surgery is to schedule a cataract and lens implant evaluation at D’Ambrosio Eye Care by calling 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare. 

If you or someone you know suffers from eyestrain symptoms 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 identify the possible causes and 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 serving 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.

Corneal Pachymetry Thickness Measurement

Corneal pachymetry is the measurement of the thickness of the cornea. It can be performed by your eye doctor using a contact method such as ultrasound. After the eye is numbed with a numbing drop, a probe is touched to the surface of the cornea and measures the thickness of the cornea in microns. Noncontact methods of measuring the cornea exist also, such as optical coherence tomography (OCT).

The thickness of the cornea is important to ensure accuracy of the pressure measurement of the eye. The standard method of measuring the intraocular pressure is Goldmann applanation tonometry. If the cornea is thinner than average, Goldmann tonometry may give a falsely low result and the true pressure in the eye may be higher. Alternately, if the cornea is thicker than average, a high pressure reading suggesting a risk for glaucoma may not represent the true internal pressure of the eye, which may be normal. 

A thin cornea can be an independent risk factor for glaucoma, or can be a sign of keratoconus, a condition which can result in progressive thinning of the cornea. Pachymetry can also be used for patients with corneal dystrophies that can result in edema and thickening of the cornea. Pachymetry is also measured prior to refractive surgeries such as LASIK to ensure enough corneal tissue is present to safely perform the treatment. 

For more information, please contact D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving Athol, Acton, 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.

Boston Surgeons on Cataracts, Lens Implants & Glasses

Boston Cataract Surgeon Francis D’Ambrosio, Jr., M.D., commented on the possibility of not needing glasses after cataract surgery with advanced lens implants. “As more and more patients approach the age of the development of cataracts they are asking many questions about cataract surgery, lens implants and the need-or not-for eyeglasses after cataract surgery. These questions are really pretty relevant as over the past 5 years, patient expectations and technology have driven a convergence of the goals cataract surgery and refractive surgery,” explained Dr. D’Ambrosio Jr. 

Traditionally, the goal of cataract surgery was to remove the cloudy crystalline lens and replace it with an intraocular lens implant (IOL) of equivalent optical power so as to achieve “emmetropia” thus allowing patients to have good distance vision. The goal of refractive surgery is to help patients decrease or possibly even eliminate their dependence on eyeglasses or contact lenses. Today, a rapidly growing cataract patient population wants to achieve both the benefits of cataract surgery and refractive surgery in one combined procedure. 

In order to meet patient expectations of being “glasses free” and help patients achieve their personal vision correction and lifestyle goals, it is necessary for us to first carefully select the type and design of lens implant as well as to accurately calculate the IOL power. The types and designs of lens implants that we work with include the following: 

Monofocal Lens Implants 

Monofocal lens implants are the most basic type of Lens Implant used to correct vision after removal of the crystalline lens. A monofocal lens implant can provide very good vision after cataract surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies. A monofocal lens implant does not correct intermediate or arm’s length vision for doing things like playing cards and seeing the golf ball on the tee, or even seeing computer screens clearly. Monofocal lens implants do not correct near vision for doing things up close like seeing medicine bottles, reading, or keeping your golf score, as these tasks require the correction of presbyopia. 

Toric Lens Implants 

Toric lens implants correct astigmatism. For patients who have significant amounts of astigmatism prior to cataract surgery, and who do not wish to wear eyeglasses to see clearly at a distance, choosing a toric lens implant can help them be independent of glasses for tasks such as driving that require clear distance vision. Toric lens implants do not correct presbyopia, so that most patients still require reading glasses or bifocals to be able to comfortably perform near vision tasks such as reading and intermediate vision tasks such as computer work. 

Near Vision Presbyopia Correcting Lens Implants 

Near vision presbyopia correcting lens implants provide vision correction at the full range of distances-far or distance vision, arm’s length or intermediate vision and up close near vision. Depending on the specific vision requirements of the patient, there are several types of presbyopia correcting multifocal and accommodating lens implants that can be used including the Tecnis™ Multifocal Lens Implant, the Crystalens® Accommodating Lens Implant and the AcrySof®ReSTOR® Multifocal Lens Implant. Each of these works in a different way to help the patient achieve their vision correction goals of being able to see at a variety of distances without being dependent on eyeglasses or reading glasses. Patients choosing to have a presbyopia correcting lens implant will likely find that they can drive, watch television, play golf and keep score, read a menu, play cards or do crafts-without the need for glasses. Patients choosing a multifocal or accommodating lens implant typically experience a greater overall freedom from glasses, allowing them to participate in most everyday activities without the dependence on, or hassle of glasses. 

“As cataract and refractive surgeons, we routinely work to realistically shape patient expectations and then constantly strive to provide the medical, surgical and optical care necessary help patients meet or exceed them” commented cataract and refractive surgeon JoAnn C. Chang, M.D. “When patients ask us, “Do I have to wear glasses after my cataract surgery?”, we make sure to help them understand that we can offer them the possibility of a lifestyle that minimizes or possibly eliminates their need for glasses through careful lens implant counseling”, said Dr. Chang. “For many patients, being able to essentially live “glasses free” adds a level of convenience and comfort to their everyday lives.” 

If you or someone you know has questions about cataracts, cataract surgery or lens implants (IOL) please free to call and schedule an appointment at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving 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.

Shared Vision International

D’Ambrosio Eye Care is very proud to be a participant, along with seventeen (17) other practices throughout the United States, in Shared Vision International. 

This group was formed to provide free eye examinations and optical products to those countries whose residents need it most and have just completed their first trip. Haiti was selected as the first location to visit due to the extreme nature of the poverty within the country. Throughout the trip many individuals (400 to be exact), young to old, were given their first eye exams and eye glasses. The time of the doctors and clinicians, along with the optical products, were donated by the different practices. D’Ambrosio Eye Care donated equipment and lens products to assist in providing vision to many folks for the very first time. 

What a rewarding feeling it was for those folks that were able to provide vision to some people for the first time in their lives. One 68-year old Haitian woman was very far-sighted and they were able to fit her with glasses and she could see clearly for the very first time! A 49-year old tailor was losing his near vision and was able to be fitted for reading glasses, allowing him to continue his trade and be able to provide for his family. The doctors on the trip found a young girl, age 3, to possibly have a tumor in her eye Thanks to Shared Vision International covering her expenses, she will be able to see a specialist in the area. Hopefully, her diagnosis and subsequent treatment have a positive outcome. 

Sharing this gift of sight is what Shared Vision International is all about and why it was formed: to help those less fortunate receive the gift of vision. 

If you or someone you know would like to learn more about Shared Vision International please feel free to call D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving 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.

LASIK Discount for Military, Police & Firefighters

D’Ambrosio Eye Care is pleased to offer military personnel, police and firefighters from throughout greater Boston and central Massachusetts a LASIK discount. Military personnel, police and firefighters in and around Boston and central Massachusetts should know that we recognize the value and importance of LASIK for these professions and thus offer a LASIK discount and benefit for these first responders and patriots. Military personnel are often involved in activities that are simply unsuitable for wearing eyeglasses or contact lenses. Trying to wear eyeglasses with night vision goggles or use eyewear with gas masks, aiming devices and other systems can be a real safety concern as well as a hindrance in the performance of duties. Further, consider a police officer involved in a pursuit, investigation or search or even a physical altercation and the hassle eyeglasses and contact lenses can potentially expose a police or law enforcement officer to. With firefighters one can only imagine trying to wear eyeglasses with SCUBA breathing devices or wearing contact lenses in the heat and dusty environment of a fire. 

We are hopeful that by providing the opportunity to have LASIK at a discount, military personnel, police and firefighters will perform better and feel safer if they don't have to worry about breaking eyeglasses, losing contact lenses or glasses, or thinking about lenses fogging up or being uncomfortable at crucial moments. 

D’Ambrosio Eye Care offers a Free LASIK Consultation as well as the military, police and firefighter LASIK discount by calling 800-325-3937. Our $500 per eye LASIK discount allows first responders and active and retired military personnel to have LASIK at D’Ambrosio Eye Care -regularly $2295 per eye for $1795 per eye. 

If you or someone you know has a question about LASIK or wish to schedule a Free LASIK consultation please feel free to call D’Ambrosio Eye Care at 800-325-3937or visit facebook.com/dambrosioeyecare. 

D'Ambrosio Eye Care is a leading eye and LASIK care practice serving 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.

Lens Implants for Cataracts in Massachusetts

Massachusetts eye surgeon Francis D’Ambrosio, Jr., M.D. advises us about lens implants being the best choice for vision correction after cataract surgery. “As the “baby boomer” population surges in size, each day it seems as if more and more patients seem to want to know about cataracts”, commented Francis A. D’Ambrosio, Jr., M.D., Medical Director of D’Ambrosio Eye Care. “Pretty much everyone knows someone who has a cataract or had cataract surgery but today patients with cataracts all want to know if they will have to wear glasses after their cataract removal. They do not necessarily know or realize the options and positive results we achieve with lens implants for vision correction after cataract surgery today.”

Cataracts are the leading cause of blindness worldwide. About 20.5 million Americans age 40 and older have cataracts and more than half of all Americans develop cataracts by age 80. A cataract is a clouding of the crystalline lens of the eye preventing light rays from passing through it easily. This results in a clouding and blurring of vision. For many patients cataracts start out slowly and have little effect on vision at first. But, as the cataract becomes denser, so does the impact on vision. The most common symptoms that bother patients with cataracts include blurry or cloudy vision, sensitivity to light and glare, double vision in one eye, poor night vision, sometimes with haloes around lights, fading or yellowing of colors and often a need for frequent changes in glasses or contact lens prescriptions. 

“The baby boomers of today who now have cataracts are accustomed to an active and mobile lifestyle. When a cataract begins to impact their ability to maintain that lifestyle by limiting activities or even limiting safe and comfortable mobility, then we tell them that it is time to consider cataract surgery and lens implants. We use advanced technology intraocular lens implants (IOL) to provide sharper vision even in dim lighting conditions, toric lens implants to correct astigmatism and even lens implants that correct near vision, arm’s length vision as well as distance vision without requiring bifocals or reading glasses for the vast majority of patients”, said Dr. D’Ambrosio Jr. 

If you or someone you know is bothered by the symptoms of cataracts or have questions or concerns about having a cataract or cataract surgery symptoms 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 identify the possible causes and 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 serving 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.

Find a Top Massachusetts LASIK Surgeon

“Making the effort to find a top LASIK surgeon is well worth the time”, commented Massachusetts LASIK Surgeon JoAnn C. Chang, M.D. But what makes a top LASIK surgeon? Certainly, top LASIK surgeons have the skill, expertise and experience to perform LASIK surgery in a safe, effective and predictable manner. But they also have some other characteristics that set them apart from the rest. 

Top LASIK Surgeons are easy to trust because they are empathic-they hear and appreciate what you say and they connect with you and your personal goals. 

Top LASIK Surgeons take care and time to consider every aspect of your eye health and vision during your evaluation and consultation. 

Top LASIK Surgeons say NO! if you are not a good candidate. 

Top LASIK Surgeons insist that you return for proper follow-up care even if YOU think you are doing just fine. 

Top LASIK Surgeons want to hear your questions-and are happy to answer them in simple understandable language. 

Top LASIK Surgeons fully discuss the risks, benefits, possible complications and side effects in a balanced manner. 

Top LASIK Surgeons can be counted on to effectively manage your eye surgery when things are going perfectly as well and when things a bit off track. 

Choosing a LASIK surgeon is the single most important decision you will make. Do the research. Meet the surgeon. If it works; move ahead. If not, schedule another consultation. At D’Ambrosio Eye Care, our patients regularly tell us that Corneal Specialist and LASIK Surgeon JoAnn C. Chang, M.D. is a “Top LASIK Surgeon”. You can find out for yourself by calling 

D’Ambrosio Eye Care at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving 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.

Contact Lens Care

Contact lens care is an important part of comfortable and successful contact lens wear. Properly fit contact lenses can provide clear, comfortable vision. Maintaining good vision requires that patients properly care for their lenses. Proper cleaning, disinfection, and regular replacement of lenses are required to maintain healthy vision. 

Although many contact lens solutions were approved as “No-Rub” solutions, many studies have shown that rubbing the lenses prior to soaking them at night is more effective at cleaning lenses than skipping the rubbing step. Although some care systems have separate cleaners and disinfectants, most solutions today are multi-purpose solutions that can be used for both cleaning and disinfecting. 

“When cleaning your lenses, make sure your hands are clean and you use a lint-free towel to dry your hands. Several drops of solution are placed in the palm of your hand and using the index finger of your other hand, rub the contact lens for several seconds. The lens is then rinsed with the solution. Soaking the lenses for 4 to 6 hours is usually required to disinfect the lenses. Water should not be used to rinse or soak your lenses as there may be impurities or microorganisms present”, states Michael Fu, O.D., Optometrist at D’Ambrosio Eye Care. Proper replacement of lenses is also important to maintain healthy eyes. There are many types of disposable contact lenses with different replacement schedules. Disposable contact lenses can be single-use lenses that are thrown away at the end of each day so cleaning and disinfecting is not necessary. Other disposable lenses are replaced every 2 weeks, monthly, and quarterly. 

Conventional lenses can last up to 6 or 12 months. When lenses are kept this long, deposits may form on the lenses that can decrease comfort and clarity. A separate weekly enzyme treatment may be necessary to remove these deposits. Ask your eye doctor which type of lens is best for you. 

For more information or to schedule a contact lens appointment at D’Ambrosio Eye Care call us at 800-325-3937, visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving Athol, Acton, 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.

Eyes, UV & Sun Damage

Many people enjoying the outdoors in greater Boston and throughout Massachusetts don’t realize the many ways and the degree to which the sun can damage your eyes and the surrounding tissue. Too much UV light can affect the surface of the cornea and actually cause an “eye sunburn” or “photokeratitis” which is uncomfortable and may temporarily impact vision. Inside the eye UV light can injure the crystalline lens turning it yellow and actually hasten the formation of cataracts. If too much sunlight reaches the retina, UV light can also cause varying types of “solar retinitis” and increase the risk of macular degeneration both of which can be sight threatening. 

All of us are susceptible to eye and eyelid cancers and other types of eye damage from the sun. Even though the eyelid is designed to protect the eye itself from the sun, eyelid skin is very thin and fragile and can be easily damaged by the sun. The number and types of eyelid cancers are many and a cause for concern among everyone. 

Thus, we should ALL take simple but effective precautions to protect our eyes and the structures inside and around our eyes: 

Wear a Brimmed Hat 

Use Sunscreen 

Wear Proper UV Protecting Sunglasses 

Using some common sense precautions goes a long way to protecting your eye health and vision. If you or someone you know has questions about eyes and sunlight or proper UV and sun protection for eyes, please feel free to call D’Ambrosio Eye Care at 800-325-3937 and schedule an eye examination or visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving 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.

Contact Lenses Complications

Contact lens complications are infrequent but can be troubling. Advances in contact lens materials have allowed for improved comfort and corneal health for contact lens wearers. However, despite improvements in lens design and materials, complications with contact lens wear still exist.

Corneal infections or ulcers are among the worst complications associated with contact lens wear. Over-wearing or sleeping in contact lenses can increase the chance of infections. Corneal ulcers can potentially leave a scar which may permanently reduce a person's vision. 

Giant papillary conjunctivitis is a reaction of the conjunctiva, the membrane lining the inner surface of the eyelids, which can cause bumps to form, resulting in discomfort and fluctuating vision with contact lens wear. This is thought to be caused by an allergic reaction to contact lens solutions or the deposits that form on contact lenses over time. 

Dry eye syndrome is one of the most common reasons that people drop out of contact lens wear. People who normally have marginal dry eye syndrome can have a significant increase in dryness symptoms with contact lens wear. 

A properly fitted contact lens, along with the proper care regimen, can help avoid most or all of these potential complications. For more information on contact lenses or to schedule an eye examination for contact lenses, call us at 800-325-3937, visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare. 

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 serving 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.

Boston Eye Doctor on Cataract & Ovarian Cancer Risk

Boston eye doctor Francis D’Ambrosio Jr., M.D. commented on interesting research regarding cataracts and ovarian cancer risk. “As an ophthalmologist, any association between eye diseases, problems or conditions and other health problems is of great interest to me,” stated Dr. D’Ambrosio Jr. “There may be a relationship whereby women who develop cataracts are less prone to developing ovarian cancer, according to researchers."

It is widely recognized that the major health benefit of exposure to Ultraviolet (UV) Radiation from the sun is the production of Vitamin D, which is helpful in protection against several human cancers, including ovarian carcinoma. On the other hand, Ultraviolet (UV) Radiation from the sun is a recognized risk factor for cataract development. Researchers reporting in the November 2011 publication Cancer Epidemiology, Biomarkers & Prevention studied 709 women with primary invasive ovarian carcinoma and 1101 controls to examine the association of ovarian carcinoma risk with a history of cataract.

Some interesting findings were that older age, a history of Type 2 Diabetes and skin cancer were significant risk factors for developing a cataract. Further, a history of cataract was reported by 14% of cases and 17% of controls and was significantly associated with a reduced ovarian carcinoma risk. These findings add indirect evidence to the hypothesis that lifetime Vitamin D exposure may be inversely associated with risk of ovarian carcinoma. Additional studies are needed to further investigate the potential behavioral and biological factors that might influence association of cataract with ovarian cancer.

If you have any questions about cataract surgery or cataract risk, 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.

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 serving 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.

Mobile Web Site from D’Ambrosio Eye Care

D’Ambrosio Eye Care is pleased to announce the launch of its new mobile web site. 

Massachusetts Ophthalmologist Francis D’Ambrosio, Jr., M.D. commented, “Our eye doctors at D’Ambrosio Eye Care have embraced the use of digital technology to facilitate patient education, referrals for specialized eye care services within our practice and sharing important eye health and vision information within our electronic medical records system-now we have applied mobile web technology to make it even easier for patients to come to our practice.” 

“Our patients who use an iPhone or Android-really any mobile smartphone or computer tablets like an iPad and need to schedule eye exams, LASIK evaluations, those looking for eyeglasses and eyewear and even cataract and lens implant patients-will be able to easily find and contact us on their mobile devices today,” stated Cindy Ogilvie, Practice Administrator. “It’s really very easy to reach us on your smartphone-just search D’Ambrosio Eye Care on your smartphone you can click right through to see it!” 

If you are at a desktop computer and want to use a regular phone to schedule an appointment reach us at 800-325-3937 or for greater detail and more in depth information visit D’Ambrosio Eye Care or to just be social come see us at facebook.com/dambrosioeyecare

What is Macular Degeneration?

Age related macular degeneration (ARMD) is a leading cause of vision loss in people age 60 and older. It affects the macula, the central part of the retina, responsible for central vision and seeing fine details. The retina is the light-sensitive layer at the back of the eye that captures the picture that we see. ARMD destroys central vision, what we use for daily tasks, like reading and driving. In ARMD vision loss can be mild or severe, and it can worsen gradually or suddenly.

There are 2 forms of the disease: Dry ARMD and Wet ARMD. In Dry ARMD the deterioration tends to be slow and gradual. In Wet ARMD abnormal blood vessels grow beneath the retina, destroying the retina, and causing sudden and severe vision loss.

High-dose antioxidant vitamins have been shown to reduce the risk of advanced ARMD and vision loss. Adequate levels of these vitamins and minerals are difficult to obtain just by diet. They are not a cure for AMD but may delay the onset of advanced disease. Wet ARMD can be treated with injections of medicines into the eye.

All patients should have a dilated eye exam to look for Macular Degeneration. To schedule a dilated eye exam or if you have questions, please call D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

If you or someone you know suffers from eyestrain symptoms 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 identify the possible causes and 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 serving 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.

Boston Cataract Surgeon on Surgery & Diabetes

Boston Cataract Surgeon Francis D’Ambrosio, Jr. M.D. shared information and facts about cataract surgery and diabetes. “With the proper detailed preoperative evaluation, examination and surgical care, cataract surgery can be successfully performed for patients with diabetes,” stated Dr. D’Ambrosio, Jr. “This is fortunate as diabetes is a well known risk factor for developing cataracts. Diabetic patients are also at risk for developing diabetic retinopathy, a serious threat to vision and a leading cause of new blindness. In fact, it is not uncommon for diabetic patients to need cataract surgery often at an earlier age than others who are not diabetic due to their increased risk factors,” he further explained.

Even though diabetes is known to predispose patients to slower and more difficult wound healing, the type of small-incision cataract surgery we use on a routine basis poses no additional risk to diabetic patients than non-diabetic patients. Often, it is important that diabetics considering cataract surgery have a careful evaluation of the retina-especially the macula-using ocular coherence tomography (OCT) to identify the presence of diabetic macular edema (DME), a known finding in diabetic retinopathy that can cause less then optimal results after cataract surgery. In addition, in certain situations cataract surgeons may take an added precaution of placing an injection of VEGF inhibitor such as Avastin™ or Lucentis™ into the vitreous of the eye to prevent new blood vessel growth. Other than these considerations diabetic cataract surgery can offer patients good results. Early diagnosis and treatment is the key to preserving eye health and vision with diabetes. See your eye doctor regularly as he or she requests.

If you or someone you know has questions about diabetes and cataract surgery, please feel free to call D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care or facebook.com/dambrosioeyecare to schedule an appointment.

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 serving 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.

Eyeglass Lens Materials: Comfort & Cosmetics

Ever wonder why your eyeglasses look thicker than other peoples? Or why you have red marks on your nose at the end of the day? Yes, it depends greatly on your personal Rx, but even with a more difficult Rx you can still choose the right frame and lenses to obtain greater comfort and cosmetics. Farsighted (+ Rx) patients have lenses with thicker centers. The stronger the prescription, the more the center of the lens bulges forward from the frame. These lenses give the wearer’s eye an unnaturally magnified “bug-eyed” look. While nearsighted (- Rx) patients have lenses with thicker edges. The stronger your prescription, the more edge thickness. This makes the lens highly visible in the frame. These lenses make the wearer’s eye look smaller, and have a “beady-eyed” appearance. Even your frame choice is important to the cosmetics of your lenses. 

Most of today’s frames are made of plastic or metal with rims thinner than the lens itself. Also, popular rimless mountings mean that the lens edges are completely exposed. In either case, the lens edges are highly visible, and thicker edges can detract from the appearance of your eyewear.

For those patients with a prescription over a 3.00 (+ or -) we recommend a high-index material. Some stores will inform you their lens is high-index but a lot of the time they are selling you polycarbonate. High-Index to us here at D’Ambrosio Eye Care is an aspheric design and this design adds to the ability to bend light more efficiently so it can be designed to be thinner, which requires less material which then also reduces the overall weight of the lens. Generally, the higher the index the more cost to the patient so we are careful to recommend the most suitable index.

High-Index 1.67 is the lens choice for rimless and semi-rimless frames because it drills with more success and is thinner for the higher prescriptions. In any frame we would recommend this lens if your Rx was over 3.00 to 5.00 because it will be up to 55% thinner and lighter than plastic.

Hi-Index 1.70 is recommended for single vision wearers with an Rx over 3.00, and will be up to 60% thinner and lighter than plastic. Hi-Index 1.74 is the highest lens on the current market and is up to 65% thinner and lighter than plastic and we recommend this lens when the Rx is over 5.00. All High-Index lenses should be paired with Crizal™ Avance with Scotchgard ™ Protector non-glare, most manufactures require non-glare as it improves the clarity of vision by reducing any reflections off the lens and also makes the lenses appear thinner, improving appearance.

For more information on lenses and materials, please stop by any optical department at D’Ambrosio Eye Care or 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 identify the possible causes and 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 serving 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.
Reference sources: Eyecare Business, Wikipedia, All About Vision, Essilor, Eyetopics, American Academy of Ophthalmology

Massachusetts Fireworks Eye Safety

“Now is the time to be aware of the importance of fireworks eye safety and precautions to prevent July 4th eye injuries,” noted Massachusetts Ophthalmologist Francis D’Ambrosio, Jr., M.D. “We remind patients that no matter what they believe, there is no safe way for nonprofessionals to use fireworks. It is only safe to enjoy the excitement of fireworks at a professional display”, commented Dr. D’Ambrosio Jr., M.D., Medical Director of D’Ambrosio Eye Care. According to the U.S. Consumer Product Safety Commission, fireworks are involved in approximately 10,000 injuries per year that are treated in U.S. hospital emergency rooms. Of those, 2/3 occurred during the one month period surrounding the July 4th holiday.

It is important to note that:
· Eyes were the Second Most Commonly Injured Part of the Body!
· Males were injured 3x more than females.
· Approximately 25% of injuries are to children under 15.
Fireworks and celebrations go together, especially during the Fourth of July. But there are precautions parents can take to prevent these injuries. The best defense against kids suffering severe eye injuries and burns is to not let them 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.

If an eye accident does occur, what should you 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. Protect the eye from further contact with any item, including the child'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 child 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 would like to learn more about eye safety, fireworks injury and prevention you can reach us 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.

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 serving 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.

Boston Eyewear Choices

Making eyewear choices in Boston requires some thought to look your best. Eyewear should repeat your best personal feature, contrasting with your face shape, size and coloring. For instance if you have a round face, with curved lines with the width and length of your face being the same proportion with no hard angles, you would be best fit into an angular narrow frame to lengthen the face and widen the eyes. Or even a diamond shaped face, one where you are narrow at the eye line and jaw line. You would also have broad cheekbones that may be high and dramatic. This is the rarest face shape and frames that best suit this shape are rimless or oval shapes. Those are just two examples.

For color tones, your skin, eyes and hair fall into either a cool tone or a warm tone. For example cool tones have blue or pink undertones and warm has peach or yellow. Olive skin is considered cool because it is a mixture of blue and yellow. Brown eyes can vary from light amber, a warm tone to medium brown-black, a cool tone. For skin tone, 60% of our population is considered cool toned.
Some examples of frame colors best suited for these tones are below:

Cool Tones: black, rose-brown, blue-gray, plum, magenta, pink, jade, blue and dark tortoise.
Warm Tones: camel, khaki, gold, copper, peach, orange, coral, off-white, fire red, warm blue and blond tortoise.

To figure out which frame fits and suits you best and will not only look good but will also be comfortable, you should work with a licensed optician because finding the right frame among displays of frames can be overwhelming. Opticians at D’Ambrosio Eye Care understand that and are here to assist you with determining the best frame style for your personal needs and style.
Stop by any of our optical departments or call 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 you see and look your best.

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 serving 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.

Boston Corneal Specialist on Eye Health, Contacts & Swimming

Boston Corneal Specialist JoAnn C. Chang, M.D. of D’Ambrosio Eye Care commented on eye health, contact lenses and swimming. “Understanding how swimming can affect your eyes, eye health and vision is worth learning a little about as summer typically means lots of water activities for all of us,” said Dr. Chang. ”In general, unless you are wearing goggles, it is best not to swim with your eyes open under water and whenever possible, to avoid splashes of water into your eyes. This is because the various types of pool chemicals that are used for keeping the water clean and free of contamination may actually be irritating at a minimum and in some instances damaging to the surface of the eye,” she further explained. Maintaining the proper pH levels in swimming pools takes considerable monitoring and effort and as the pH varies so does the possibility of eye irritation. Your natural tears have a pH of 7.0, if the pH of the pool water is below or above that level that level, it will certainly cause your eyes to burn or sting. The proper pH level for swimming pools is in the range of 7.2 to 7.8. If the pH is maintained within this range, burning eyes shouldn't be a problem for swimmers.

If you plan on spending any lengthy period of time in the water you should protect your eyes by wearing goggles. Swimming with contact lenses is very risky. The eye health risk of swimming with contacts depends on the body of water you are in. When swimming on lakes and in rivers there is a considerable risk of the microorganism, Acanthamoeba, adhering to your contacts. Acanthamoeba keratitis is a severe and potentially blinding infection and inflammation of the cornea. This same risk is present when wearing contacts in hot tubs or spas. While the risk of sight-threatening infection is lesser in properly chlorinated swimming pools and the ocean, other problems may be encountered. In a swimming pool eye irritation is possible when chlorine sticks on the surface of your lenses. In the ocean, your contact lenses can be dislodged when you encounter large waves. You need to carefully consider whether to wear contact lenses while swimming. Keeping your head out of the water and wearing goggles will help to greatly reduce risk.
If you worry about not being able to see clearly without glasses or contacts and want to see clearly while in the pool or ocean, you may wish to consider LASIK as a vision correction method so as not to be dependent on eyeglasses or contacts for swimming.
If you or someone you know has questions about swimming, swimming pools, eye health, vision and contact lenses 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.
 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 serving 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.

Visual Field Testing

A visual field test, also called Perimetry, measures the sensitivity of a person's central and peripheral vision. There are several types of visual field testing including the Tangent Screen, Goldmann visual fields and automated visual fields. The standard type of visual field test is called automated static Perimetry. In this test, a patient is shown light stimuli of varying intensities in the central and peripheral vision. A person can have perfect 20/20 vision centrally but have peripheral vision loss without even being aware of it. Some causes of peripheral vision loss are glaucoma, retinal disease, and optic neuritis. Some brain tumors can also cause peripheral vision loss. If the visual field test shows vision loss in a characteristic pattern, it can help the eye doctor diagnose the cause of the problem.

Michael Fu, O.D., Optometrist at D’Ambrosio Eye Care tells us “This test can take 5 to 10 minutes per eye and the results are not always consistent. Taking the test more than once is usually necessary to establish a consistent baseline. Periodic testing is usually performed to monitor for any subtle changes over time. Visual field testing can catch vision changes early in the process before significant vision loss occurs and is considered one of the main tests to monitor the visual status in glaucoma patients.”

If you are having problems with your vision, or would like more information on visual field testing, contact D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

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 serving 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.

Boston Doctor on Eyestrain Problems

Boston Ophthalmologist Francis D’Ambrosio, Jr., M.D. commented on eyestrain problems and tired eyes. “Today, particularly with the amount of time patients spend on computers or devices with digital displays, it is quite common to have them tell us they have eyestrain or tired eyes.  What eyestrain really is, is the term that describes the eye and vision problem called “asthenopia,” stated Dr. D’Ambrosio Jr. “Eyestrain, or asthenopia, is the eye condition that results when the eyes get tired from excessive or intense use. In general although eyestrain or tired eyes can be pretty annoying, the symptoms disappear when we stop using our eyes for a while and rest. Typically, eyestrain is not a serious condition, but could indicate some underlying problem that needs to be addressed especially if it is related to headaches, double vision, difficulty concentrating and fatigue,” he further explained.

People who report eyestrain often do so by complaining about symptoms of fatigue, dull eye pain or discomfort, blurry vision, double vision, headaches, dry eyes, light sensitivity and sometimes even a stiff or sore neck. Eyestrain is very common among people who use or work on computers or play video games for prolonged periods of time. The use of computer screens of any sort along with uncorrected common refractive errors such as nearsightedness, farsightedness, astigmatism and the age related near vision focusing problem presbyopia is a frequent cause of eyestrain. Along with even slight eye muscle imbalances, these focusing problems can really result in annoying eye fatigue and strain.

If you or someone you know suffers from eyestrain symptoms 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 identify the possible causes and 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 serving 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.

Children’s Vision at D’Ambrosio Eye Care

As your child ages they will be fine-tuning the vision they have already developed. Watch for warning signs of visual problems, such as holding a book close to the face, sitting too close to the TV, squinting, head tilting, eye rubbing or sensitivity to light.  Even if your child exhibits no symptoms of a visual problem, they should have some form of an eye screening by three years of age. This allows enough time to catch any problems while the visual system is still flexible and can be improved. The Massachusetts Governor mandates that all preschoolers have a vision screening 12 months prior to entry into kindergarten.

A comprehensive eye exam, performed at D’Ambrosio Eye Care, measures a number of visual skills that are critical to a child’s healthy vision, such as using both eyes as a team, the ability of the eyes to focus properly when reading a book, or viewing a computer.  Help us to help you keep your child’s vision healthy by calling us if you have any questions about your child’s eyes and keeping all scheduled appointments.

The Optical Departments at D’Ambrosio Eye Care offer a Parents Painless Growth Program.  Throughout your child’s life their vision is growing and changing much like the size of their clothes or shoes.  Some children will need to have prescription eyeglasses as their eyes grow. For many children, their prescription can change more than once each year until their eyes are fully developed.  In cases like this, we realize that purchasing a new pair of lenses with each change could become costly to parents and so we offer this program. This program offers your child free lens changes for these premature changes that happen earlier than routine eye examinations (up to age 18).  All you need to do is be sure that one of our doctors continues to care for your child’s eyes.  If we decide that your child’s eyes are outgrowing their lenses we will change them for free!!  We also offer a $15 instant rebate on Transitions® 6 lenses or Scotchgard™ Non-Glare lenses.
Stop by anytime and speak with our opticians who are specially-trained to fit eyeglasses for children.  If you have any questions, please call D’Ambrosio Eye Care at 800-325-3937.

Cataract Surgery & Lens Implant Cost

Boston Cataract Surgeon, Francis D’Ambrosio Jr., M.D. explained, “The cost of cataract surgery and lens implants can get a little confusing. Almost all insurances and Medicare cover the bulk of the cost of cataract surgery and basic lens implants. HOWEVER, deductibles, co-pays and the extent to which certain services are or are not covered can affect the actual amount you might need to pay out of pocket.” 

Here is some helpful information that will help patients better understand cataract surgery and lens implant cost.

Preoperative Testing and Consultation
With the exception of co-pays and deductibles specific to your insurance plan the eye examination, consultation and measurements necessary for cataract surgery and basic Intraocular Lens (IOL) implantation are covered services. If there are specialized tests that might be required such as more precise types of testing for multifocal lens implants or toric lens implants, you may need to pay for these tests out of pocket as your insurance and Medicare may only cover the basic testing. If this is the case, these extra tests may range in cost up to a few or several hundred dollars depending on the scope of the necessary testing.

Surgery Center Facility Fee
The surgery center facility fee is generally covered by insurances and Medicare although there may be a small co-pay or deductible with certain plans. This fee will cover the use of the facility including the operating room, the nursing staff, the instrumentation and equipment and all related operating room supplies. Depending on the types of anesthesia used it is possible that there will be an additional fee-mostly covered by your insurance or Medicare-for the administration of anesthesia and the staff.

Cataract Surgeon’s Fee
The cataract surgeon’s fee is generally covered by insurances and Medicare although there may be a small co-pay or deductible with certain plans.

Lens Implant Fee
The cost of a basic Monofocal lens implant lens implant is generally covered by insurances and Medicare within the facility fee. However, should you and your cataract surgeon elect to use an astigmatism correcting toric lens implant or multifocal lens implant there will be an out of pocket fee as most insurances and Medicare do not cover these more advanced types of lens implants.

If you or someone you know has questions about the cost of Cataract Surgery and Lens Implant please feel free to call D’Ambrosio Eye Care at 800-325-3937.  You may also request anappointment at facebook.com/dambrosioeyecare.

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 serving 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.

Laser Vision Correction & Crossed Eyes

Boston Ophthalmologist Francis A. D’Ambrosio, Jr., M.D. comments on Laser Vision Correction, Crossed Eyes and farsightedness. “We have some new treatment methods that may help children with “crossed eyes. Some children with crossed eyes have this condition because they also have a condition called hyperopia or farsightedness.” Hyperopia is a condition where the eyes have to focus an extra amount just to see clearly. However, when the eyes are focusing this extra amount, they also tend to pull inward-this is called a convergent strabismus or crossed eyes. Dr. D’Ambrosio continues, “Traditionally, to correct this condition, children are fitted with thick eyeglasses with an uneven shape to the lenses, which we call a prism. This allows the child to be able to have their eyes straight and to see clearly without the extra focusing power that causes the convergence and, therefore, the crossed eyes.”

A recent study published in the British Journal of Ophthalmology reported that Laser Vision Correction can be used to treat this condition of convergent strabismus. As in adults who have Laser Vision Correction, also known as LASIK, to correction their vision for nearsightedness, farsightedness and astigmatism, using this option for selected children can be used to treat the farsightedness or hyperopia. Children will then not need the thick glasses to decrease the need for the extra focusing power. Therefore, when the children don’t have to focus as hard, their eyes do not turn inward. The results of the study show an 80% decrease in the amount of eye turning after the Laser Vision Correction procedure.

“This is a very exciting study and shows that we may have even better treatment for children who have this condition,” continued Dr. D’Ambrosio, Jr. “By treating these children early and decreasing their crossed eyes, they will have better visual function. As studies have proven, when the visual function is better, children do better in all activities, including school, sports and social interactions,” stated Dr. D’Ambrosio, Jr.

Should you notice that your child has “crossed eyes” or hyperopia, please contact D’Ambrosio Eye Care at 800-325-3937 to schedule an appointment. D’Ambrosio Eye Care has a pediatric ophthalmologist available to see your child. You may also request an appointment at facebook.com/dambrosioeyecare.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, diagnosis and treatment of cataracts with cataract surgery and advanced technology intraocular lens implants (IOL), laser vision correction such as LASIK Eye Surgery, 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 center for eye and LASIK care practice serving 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.

UV Eye Protection in Boston

As we enter the summer months in Boston, protecting your eyes from UV should be an important part of your daily routine in order to maintain your eye health and vision. A number of scientific studies indicate that spending long hours in the sun without eye protection can damage your eyes by contributing to cataracts and growths on the eye, including cancer. Based on these studies, D’Ambrosio Eye Care recommends that you wear 99 percent and higher UV (ultraviolet radiation)-absorbent sunglasses and a brimmed hat whenever you're in the sun for long periods of time.

Proper sunglasses are critical to protecting your eyes from sun-related damage, and they should be worn anytime you are outdoors, particularly during the summer when the level of ultraviolet radiation (UVA and UVB) is at least three time higher than during the winter, when you are at the beach or in the water, when you are participating in winter sports, especially at high altitudes where the UV is particularly strong and if you use medications that can cause sensitivity to light.

The best sunglasses offer 100 percent UV absorption, are of the best optical quality and are impact resistant. If you wear contact lenses, they may not protect your eyes from UV light. There are contact lenses available with UV protection. If you do not have contact lenses that absorb UV light, you need to protect your eyes with sunglasses.

But keep in mind that sunglasses cannot protect your eyes from certain intense light sources such as arc welding, tanning beds/lights, snowfields or gazing directly at the sun, especially during a solar eclipse. These intense lights can severely damage your eyes. Looking at any of these light sources without adequate protection can cause a painful corneal condition called photokeratitis or even damage to the retina, causing a permanent loss of central vision. D’Ambrosio Eye Care is happy to recommend the appropriate measures to take to protect your eyes in special situations.

If you have questions, or need an appointment to learn more about protecting your eyes from UV, please call D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract care including 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 diabetic retinopathy 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 serving 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.