Dark Circles Under Your Eyes: Can We Help?

Help for Dark Circles Under Your Eyes
A very common complaint we hear is the appearance of dark circles under the eyes. Patients often ask us for help with these dark circles, but first we must find the cause for each patient because and we need to address them and treat them differently.

Too Much Eyelid Fat
The space behind the eye, known as the orbit, contains a significant amount of fatty tissue. Orbital fat helps to cushion the eye from impact, however, as we get older, the support structures which keep the fat behind the eye weaken, and the fat moves forward into the eyelids. This results in fullness to the lower eyelids which most people find aesthetically unpleasing. This fullness, commonly referred to as “bags under the eyes,” makes people look older and tired. The best treatment for this type of problem is usually removal of excess fat with a lower eyelid blepharoplasty procedure. Excess skin can be trimmed and tightened at the same time.

Lower Eyelid Hollowness
Dark circles under the eyes can also be caused by a depression or hollowness in the lower eyelids. Patients who have this problem can usually feel the underlying bone when the area of hollowness is touched. Today, we are able to treat the hollowness with injectable volumizing gel fillers whose qualities make them appropriate for the delicate eye area. These non surgical treatments typically last 6-12 months. If the results are not completely satisfactory sometimes it becomes necessary to perform fat grafting or repositioning of fat to reduce hollows under the eyes as well as performing a lid tightening procedure known as canthoplasty to improve the lower eyelid contour.

Hyperpigmentation of Eyelid Skin
Sometimes dark circles under the eyes can be caused by too much pigmentation of the skin, although this is the least common cause. Patients often think that they have hyperpigmentation but what they are seeing is shadows from excess eyelid fat or hollowness at the orbital rim. If after examination and consultation patients do in fact have too much pigmentation of the eyelids we can use prescription bleaching creams that might be helpful.

If you or someone you know would like help for dark circles under their eyes, please call D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

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

Treatment of Lazy Eye or Amblyopia

Treatment of Amblyopia
The best results are always achieved if the treatment of amblyopia is started as early as possible. If necessary, children with refractive errors such as nearsightedness, farsightedness or astigmatism can wear glasses or contact lenses when they are as young as one week old. Children with cataracts or other “amblyogenic” conditions need to be treated promptly in order to minimize the development of amblyopia. One of the most important treatments of amblyopia is correcting the refractive error with consistent use of glasses and/or contact lenses. Other mainstays of amblyopia treatment are to enable as clear an image as possible, for example, by removing a cataract, and forcing the child to use the non dominant eye by patching or blurring the better seeing eye with eye drops. Eye drops are used to “penalize” the good eye and force the use of the weaker or amblyopic eye. We may be able to use eye drops instead of patching when the amblyopia is not very bad or when a child is unable to wear the patch as recommended. For mild to moderate degrees of amblyopia, studies have shown that patching or eye drops may be just about equally effective. Generally, we start to see improvements in vision within weeks of treatment however for optimal results it will be necessary to be patient for many months.

In some cases, treatment for amblyopia isn’t successful and it is difficult to stop treatment but is recommended when there is any real benefit. Children who have amblyopia in one eye and good vision only in their other eye can wear safety glasses and sports goggles to protect the normal eye from injury. As long as the good eye stays healthy, these kids function normally in most aspects of society. If you or someone you know has questions or concerns about the treatment of amblyopia or needs a kids eye exam, please call D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

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

Quality of Life after Cataract Surgery

Quality of Life after Cataract Surgery

When we think of the impact that cataracts have on people, it is pretty easy to identify that vision decline or loss comes mainly from the blurry cloudy vision that cataracts cause, but also the night vision problems from the glare and haloes associated with cataracts. What is much more important than the vision loss itself is the negative impact on patient’s quality of life. Recent research published in Acta Ophthalmologica studied the effect of patient quality before and after having cataract surgery. The researchers compared patients with no known cataracts of the same age, health and lifestyle to those who had cataracts before and after cataract surgery. When compared with the general population, cataract patients had much lower health-related quality of life (HRQoL) than those without cataracts as measured by five dimensions: seeing, moving, hearing, and performing their usual activities, and general discomfort and symptoms. Then at 12 months after cataract surgery there was significant improvement in the quality of life index (HRQoL) across these same dimensions. While this seems obvious, it is a reminder that cataracts and vision loss affect more than just vision and reason to avoid suffering if you feel that your vision might be impacting your quality of life.

If you or someone you know suspects or has been told they have a cataract and would like to learn more about cataract surgery and lens implants, please call us at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

D'Ambrosio Eye Care provides eye care for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331, 74 Main Street, Gardner, Massachusetts 01440 and now at our new location at 565 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453.

Lazy Eye or Amblyopia: What is it?

Lazy Eye Amblyopia: What is it?
Amblyopia or “lazy eye” is a very common vision problem that we see in children. In fact it is responsible for more vision loss in kids than all other reasons combined. Amblyopia is a decrease in the child’s vision that occurs even without any structural problem being present. The decrease in vision results when one or both eyes send a blurry image to the brain. The brain then “learns” to only see blurry with that eye, even when glasses are used. Only children can get amblyopia. If it is not treated, it can cause permanent loss of vision. There are a number of types of amblyopia including strabismic amblyopia which is caused by an eye alignment or eye turning problem, deprivation amblyopia which is caused by cataracts or other condition that “deprives” the eye of a visual image and refractive amblyopia which is due to an uncorrected refractive error such as farsightedness or astigmatism.

Depending on the cause of the amblyopia and whether there is an underlying uncorrected refractive error sometime glasses can help but will not correct the vision to 20/20. With amblyopia, the brain is “used to” seeing a blurry image and it cannot interpret the clear image that the glasses produce. With time, however, the brain may “re-learn” how to see and the vision may increase. Remember, glasses alone do not increase the vision all the way to 20/20, as the brain is used to seeing blurry with that eye. Because of this most of the time the normal eye is treated with patching or eye drops to force the amblyopic eye to be used and make it “stronger.” to make the amblyopic (weak) eye stronger.

If you or someone you know wishes to learn about “lazy eye” or amblyopia or has questions or concerns about amblyopia or needs a kids eye exam, please call D’Ambrosio Eye Care at 800-325-3937, visit D’Ambrosio Eye Care, Google+ or facebook.com/dambrosioeyecare so that we can help.

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

BOGO-Buy One Give One

For every Gucci, Jimmy Choo or Taylor Madison frame purchased at any of our locations one is donated to Shared Vision International (http://www.sharingvision.us) We enjoy being able to give back to other people in need, especially in need of vision. Stop by any of our locations and talk with our licensed Opticians to learn more about Shared Vision and to try on some new frames!

Visit D’Ambrosio Optical Center to learn more about BOGO, or visit us at Visit D’Ambrosio Optical Center to learn more about BOGO, or visit us at D’Ambrosio Optical Center, Google+ or facebook.com/dambrosioeyecare so that we can help select fashionable, comfortable and durable eyeglasses and eyewear for your entire family.

D'Ambrosio Optical Center provides personalized service fitting and selection of eyewear for patients throughout greater Boston, central and western Massachusetts with office locations at 479 Old Union Turnpike, Lancaster, Massachusetts 01523, 100 Powder Mill Road, Acton, Massachusetts 01720, 413 Main Street, Athol, Massachusetts 01331, 74 Main Street, Gardner, Massachusetts 01440 and now at our new location at 565 Merriam Avenue, Suite 119, Leominster, Massachusetts 01453.