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.

Glaucoma Specialist on Tonometry Eye Pressure Test

“The tonometry eye pressure test is one of the tests performed during a comprehensive eye exam,”commented Glaucoma Specialist Bin Wu, M.D. of D’Ambrosio Eye Care with offices in Athol, Acton, Gardner and Lancaster. Tonometry measures the intraocular pressure, or pressure inside the eye.  There are several different ways to perform this test.

Goldman applanation tonometry is the "gold standard."  Your eye doctor will instill a numbing drop in the eye, along with fluorescein, an orange dye.  A blue light is used to enhance visibility of the front surface of the eye.  A sensor is then used to take a pressure reading off the cornea.

Air puff noncontact tonometry is another way to measure the intraocular pressure without the need for numbing drops or dyes.  A puff of air is blown onto the cornea and the internal pressure of the eye is calculated based on the reaction of the cornea to the puff of air.  This method is not as consistent as Goldman applanation tonometry, but it is quick and easy to do.

Intraocular pressure that is too high or too low can cause problems in the eye.  High intraocular pressure is a risk factor for glaucoma.  The optic nerve is sensitive to elevated pressure in the eye and glaucoma can result in optic nerve damage and vision loss. Pressure that is too low can cause also cause optic nerve problems as well as retinal problems.

Regular eye exams are important to make monitor your intraocular pressure.  Intraocular pressure that is elevated usually cannot be felt, and vision loss from glaucoma is permanent.

For information or to schedule an eye exam, contact D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at www.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 eye surgery such as LASIK for vision correction, 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 Surgery Complications

Boston Cataract Surgeon and Corneal Specialist JoAnn C. Chang, M.D. commented on cataract surgery complication. “Although cataract surgery complications are really pretty rare everyone with a cataract who is thinking about having eye surgery always has a concern about what could go wrong,” commented Dr. Chang.  Certainly there are things that could go wrong. “Basically in the hands of an experienced cataract surgeon using modern cataract surgery techniques we do everything possible to reduce the risk of complications, said Boston Cataract Surgeon JoAnn C. Chang, M.D. at D’Ambrosio Eye Care. “When you consider the huge benefit that patients receive in not only in terms of vision but also lifestyle, comfort, convenience and safety the risk of complications is really quite low”, said Dr. Chang. For routine cataract surgery in healthy patients the complication rate is well under 5%. This might increase somewhat if you have diabetic eye disease, glaucoma or other types of health or eye problems.

So what kinds of things can go wrong? First there are a handful of things that can happen during or within the first 24-48 hours after a cataract operation. These include the very unusual things like bleeding inside the eye which is really rare, a little bleeding on the surface of the eye or an inner eye infection which is quite rare. Sometimes, if we need to anesthetize the eye using an injection you may have a little “black and blue” eye or an eyelid bruise. This usually clears up pretty quickly. Sometimes the “capsule” around the crystalline lens that is removed as part of the operation might be broken during the surgery and we might need to do a “vitrectomy” as part of the surgery to get a good result. This too is pretty unusual. More common in very nearsighted patients, some patients who have cataract surgery can have a retinal detachment. Occasionally in patients who have had “no stitch” cataract surgery the actual incision may leak. If this happens it is sometimes necessary for us to put a stitch in place to tightly close the incision. Then there are a few types of complications that can occur over a longer period of time. Very rarely the intraocular lens implant can move off center or the center of the retina can swell. By far the most common complication is a clouding of the lens capsule that has been left in place to support the lens implant. Fortunately, this complication is pretty easily managed with a quick, painless procedure called a YAG Laser Capsulotomy that restores the vision almost immediately after the procedure.

Although it might sound like there are lots of possible complications of cataract surgery, rest assured they are quite unusual. This most common one of capsule opacity is easily treated.  If you need cataract surgery it is important to have a little knowledge so you appreciate the degree of skill and experience required of your cataract surgeon to help you get the best result.

If you or someone you know has cataracts and has questions about cataract surgery and lens implant complications please feel free to call D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at www.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 lens implants (IOL), laser eye surgery 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.

Glare & Night Driving Problems in Boston

“Eyeglass wearers often complain that glare can be a real source of night driving problems, “commented Boston Ophthalmologist Francis D’Ambrosio, Jr., M.D. It is generally accepted that 8-14% of light is lost due to reflection off eyeglasses that creates glare, leading to loss of visual acuity and clarity. A result of decreased light is lower contrast sensitivity which affects the patient’s ability to discriminate different shades of gray or objects against a low contrasting background. Eyeglass wearers driving at night are exposed to distracting glare from oncoming traffic and street lights that cause a reduction in visibility. Patients who are not wearing non-glare lenses and driving at night in the presence of extreme glare can see 2 lines less on the Snellen chart (the chart with the big “E”). This glare decreases reaction time to unexpected situations and the ability to identify people or objects. In a study of the visual reaction time while driving at night, the following findings were observed.


Patient                                         No Non-Glare Lenses     With Non-Glare Lenses
Patient with Myopia (-) Rx             10 seconds                             5 seconds
Patient with Hyperopia (+) Rx          8 seconds                             6 seconds


Because the glare from light is eliminated, the wearer has an improved field of vision by 30% and better contrast to see people or objects better. Because non-glare improves reaction time during unforeseen situations, it makes you a safer driver. 70% of drivers prefer non-glare lenses, 89% of highway patrol officers chose non-glare lenses. Will you choose non-glare lenses with your next purchase?

For more information on non-glare or other types of lenses, please stop by the optical departments at each location of D’Ambrosio Eye Care or call 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.

Reference sources: All About Vision, Health Sight Counseling, The Vision Council, Jobson Research and Essilor

Boston Corneal Specialist on Herpes Eye Infections

Boston Corneal Specialist JoAnn C. Chang, M.D. commented on Herpes Simplex eye infections. “I like to educate patients with cornea infections about the seriousness of Herpes Simplex eye infections as this type of eye infection actually affects many more people each year than one might think,” stated Dr. Chang of D’Ambrosio Eye Care which serves greater Boston and central Massachusetts. “Ocular herpes or herpes of the eye is caused by the herpes simplex virus and is the most common causes of corneal blindness in the United States today. Up to 50% of people who have a single herpes simplex viral infection of the eye will experience a flare up or recurrence. The virus often leads to irreversible scarring of the cornea and possible the need for a corneal transplant.”

Ocular herpes may start as a painful sore on the eyelid or surface of the eye. If left untreated, it may multiply and begin to destroy epithelial cells and progress deeper into the cornea. If the ocular herpes penetrates the deeper layers of the cornea and causes a stromal keratitis it may cause corneal scarring-so prompt diagnosis and treatment of ocular herpes is important.

It is estimated that 400,000 people in the United States have had some type of ocular herpes, with more than 50,000 initial and recurring cases being diagnosed each year. Of these, it is believed that 25% are the more severe form of herpes stromal keratitis. The recurrence of herpes simplex eye infections is significant in that it appears to recur in about 10% of patients with one year, 23% of patients within two years and 63% of patients within 20 years of their initial infection. Sometimes a recurrence can be prompted by sunlight, stress, fevers or an unrelated eye injury. Quick diagnosis and treatment is the key to avoiding corneal scarring, vision loss and the possible need for a corneal transplant.

If you or someone you know is experiencing any signs or symptoms of corneal infection-especially if they have had any trauma to their eyes-please call D’Ambrosio Eye Care at 800-325-3937 and request an immediate appointment with Massachusetts Corneal Specialist JoAnn C. Chang, M.D.

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), refractive laser surgery such as LASIK for vision correction, 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.

How to Use An Amsler Grid

Perhaps your Optometrist or Ophthalmologist has recommended you perform a daily check of your vision with an Amsler grid.  If so, the following are general instructions for how to use the grid:

If you wear reading glasses, they should be worn during the testing with the Amsler grid.  Hold the grid about the same distance as you would any other reading materials.

Covering one of your eyes; direct your focus to the dot in the center.  When viewing the grid, all of the squares should be the same size and the lines straight, forming right angles.
Ask yourself the following questions:

• Do any of the lines look wavy, blurred or distorted?
• Are there any missing areas or dark areas in the grid?
• Can you see all corners and sides of the grid?
• Now, switch eyes and repeat.
• Mark areas of the chart that you're not seeing properly and bring it with you to your eye exam.

If you notice ANY irregularities or differences from a previous test, contact D’Ambrosio Eye Care IMMEDIATELY at 800-325-3937 and explain the changes in your vision.

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 Makeup & Health

Boston Eye Doctor Joann Chang, M.D. commented on eye makeup and eye health. “The proper use and care of eye makeup is important for helping to keep your eyes both healthy and beautiful. There are a number of steps and precautions to think about,” said Dr. Chang a Boston Ophthalmologist and Corneal Specialist.

1. First, throw away eye makeup after three months. Infection-causing bacteria grow easily in creamy or liquid eye makeup. If you develop an eye infection, immediately toss all of your eye makeup. 
2. Second, never share eye makeup, and when sampling makeup in stores use only fresh applicators and samples that have not been contaminated by multiple users. In fact the safest choice is to avoid using store samples at all. 
3. Third, if you tend to be allergic, introduce only one new eye makeup or care product at a time. If there is no reaction, add another new product, and so on. If you notice an allergic reaction, find out what the ingredients are and let your eye doctor know. Avoid products that contain untested or harmful chemicals. 
4. In general, before applying makeup, be sure your face and eyelids are very clean. Always apply makeup outside the lash line, away from the eye, to avoid blocking the oil glands of the upper or lower eyelid. These glands secrete oil that protects the eye’s surface. If you tend to have dry eyes, avoid metallic/glitter, powder or other makeup that flakes. Flakes can get into the tear film and increase your eyes’ irritation. Glitter eye makeup is a common cause of corneal irritation or infection, especially in contact lens users. 
5. Always remove all eye makeup at night before sleeping, especially mascara that can stick to the lashes. Brush a clean cotton swab along the base of the eyelashes to remove all makeup remnants. If you use eye makeup remover, avoid getting it in your eyes and thoroughly rinse remover off your eyelids.

If at any time you have eye surgery, do not wear makeup around the eye until your eye surgeon tells you it is safe to do so, and then use only fresh, new makeup.

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.

If you have any questions on this, or any other eye-related problem, please contact D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Eye Doctor on Amsler Grid

“An Amsler Grid is a tool that eye doctors use to detect vision problems resulting from damage to the macula (the central part of the retina) or the optic nerve,” commented Boston Ophthalmologist Francis D’Ambrosio, Jr., M.D. “The damage may be caused by macular degeneration, glaucoma or other eye diseases, so an Amsler grid is useful in monitoring and detecting problems between appointments,” stated Dr. D’Ambrosio Jr.

If you are at risk for macular degeneration or other eye diseases, you can use this chart at home to monitor your vision. But using the chart doesn't mean you can skip regular visits to the eye doctor, because there may be other signs that only an eye doctor will find.

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.

If you have any questions or problems with your vision, please contact D’Ambrosio Eye Care. Please feel free to call D’Ambrosio Eye Care at 800-325-3937 to schedule an appointment. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Ultraviolet (UV) Eye Protection

D’Ambrosio Eye Care wishes to announce that Prevent Blindness America has designated May as National Ultraviolet Eye Awareness Month. “Most people know the harmful effects that ultraviolet (UV) rays can have on the skin. But many are not aware of the damage that they can cause to the eyes,” said Massachusetts Corneal Specialist JoAnn C. Chang, M.D. of D’Ambrosio Eye Care. “Possibly the most frightening aspect of UV damage is that it is cumulative, meaning the negative effects may not present themselves until years later.”

Today almost everyone is aware of the potential damage that sunlight and ultraviolet (UV) radiation can cause to their skin, most do not know or appreciate that ultraviolet light (UV) can also cause significant damage to eye health and vision.

“Most of us wouldn't dream of staying outside in the sun without putting on sunscreen lotion,” said Dr. Chang. “But we also need to remember to wear both UV-blocking lenses and a brimmed hat to protect our eyes as well.”

Patients are fortunate to have wide range of UV protecting eyeglass lenses available to choose from. Eye protection from UV needs to be complete but doesn't have to be overly expensive. High quality sunglasses should block out 99-100 percent of both UV-A and UV-B radiation. It is also important to have UV protection in everyday eyewear, which is readily available with a number of UV blocking eyeglass lens materials, specialized coatings and photochromic lenses.

“We know that extended exposure to UV has been linked to many eye problems, conditions and in some cases thought to quicken the onset of eye diseases such as cataract, Age Related Macular Degeneration (AMD), certain cancers on the delicate skin around the eye, Pterygia-a growth of white tissue on the surface of the eye-and even photokeratitis, a type of sunburn of the cornea,” said Dr. Chang.

When you visit D'Ambrosio Eye Care please ask us any questions you might have about UV protection, eye disease and the best way to protect your eyes with the proper eyewear and lens choices.

D'Ambrosio Eye Care is staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, cataract surgery and lens implants (IOL), laser eye surgery for 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 also 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.

Please feel free to call D’Ambrosio Eye Care at 800-325-3937 to help answer questions or schedule an appointment. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Doctor on Double Vision or Diplopia

Boston eye doctor Francis A. D’Ambrosio Jr., M.D. comments on double vision. “Double vision, which we also refer to as diplopia, generally results from either a misalignment of your eyes or a structural problem with the part or parts of the eye that let light into it”, noted “There are two types of double vision. The first type is called binocular diplopia. The second type is referred to as monocular diplopia.” Monocular diplopia can be differentiated from binocular diplopia by a simple test. If the double vision stops when you cover one eye, then you are suffering from binocular diplopia.  If the double vision persists even with one eye covered, that means you are experiencing monocular diplopia.

There are many different causes for diplopia. The problem can arise from the eyes themselves, the surrounding orbit, or the central nervous system. Causes of double vision include corneal infections or scars, cataract, eye muscle weakness from thyroid problems, nerve damage from diabetes or multiple sclerosis, autoimmune disease such as myasthenia gravis, brain tumors or aneurysms, strokes, head trauma, orbital trauma, direct eye trauma and even migraine headaches.
Double vision can occur by itself with no other symptoms. However, depending on the cause other symptoms may be present with diplopia that can include:

• Droopy Eyelids
• Pain with Eye Movements
• Headache
• Nausea
• Misalignment of one or both eyes causing a "wandering eye" or "cross-eyed" appearance
• Weakness of the other muscles in your body

“Double vision that's new or unexplained requires urgent medical attention. With so many potentially serious causes for diplopia, it's important to discover the reason without delay”, said Dr. D’Ambrosio, Jr. A thorough history and physical examination are critical to localizing a disease process and guiding further tests and studies to identify and treat the cause.

If you or someone you know experiences double vision, it is important to schedule an appointment for an examination. Please feel free to call D’Ambrosio Eye Care at 800-325-3937 to schedule an appointment.  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 eye surgery for 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 Doctors for Eyelid Lumps & Bumps

Boston Ophthalmologist Francis D’Ambrosio Jr., M.D. commented, “Eyelid lumps, bumps and swelling are common eye problems many of us experience.” The most common cause of acute lid swelling is an infection of the tiny sweat and oil glands emptying into the margin of the eyelids. Patients who experience an infection of an eyelid sweat gland, commonly known as a “stye”, usually exhibits diffuse swelling of the lid with a tiny raised nodule on the lid margin that indicates the actual site of involvement. Inflammation of the meibomian or oil glands in the eyelid will result in what is referred to as an “internal hordeolum” that can also result in diffuse lid swelling. With time an internal hordeolum may result in the formation of a capsule in the tissue of the eye lid. The patient will then have a firm lump that can be felt through the skin surface of the eyelid. This lump, called a “chalazion”, is an eruption of the contents of the meibomian glands into the tissues that results in a granulomatous response with a cystic change. If the initial infection is minimal, a chalazion may develop without any history of a swollen lid. If the lump does not resolve after treatment with warm compresses and possibly antibiotics we may need to remove it with excision or drainage.If you or someone you know experiences eyelid lumps, bumps or swelling please call D’Ambrosio Eye Care at 800-325-3937 so we can help. 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, treatment of cataracts with cataract surgery and intraocular lens implants (IOL), LASIK Laser 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 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.

Non-Glare or “AR Coating” Eyeglass Lenses

Non-Glare or “AR Coating” Eyeglass Lenses are really a high tech way to get the best performance out of your glasses. The foundation of non-glare lenses is a scratch coat layer that can lengthen the life of your lenses and reduce the amount of surface scratches from daily life or cleaning. The lenses are similar to coating found on microscopes or camera lenses. Even the latest equipment used in our practice has non-glare properties. Did you ever wonder why you felt you saw better during your eye examination than with your new glasses? It may be just as simple as the lenses you purchased did not have non-glare coating.

Non-glare lenses consist of several layers of metal oxides applied to the front and back lens surfaces. Because of the layering effect, non-glare lenses sometimes have a hint of green, blue or purple color, depending on the individual manufacturer’s formula. Each layer is scientifically calculated to block reflected light; they also reduce both internal and external reflection on the lenses themselves, creating a nicer cosmetic appearance. Internal reflections appear as rings that make lenses look thick. Eternal reflections mask your eyes from a clear, complete view when someone is looking at you. So with a non-glare lens, reflections are eliminated and lenses look thinner or non-existent and your eyes are more visible so you can make a better eye contact with others. Not all non-glares are the same and the properties that allow more light to reach the eye or the cleanability vary tremendously.

At D’Ambrosio Eye Care our preferred brand is Crizal Avance with Scotchgard™ Protector. These lenses allow 99% of light to reach the eye, improving contrast sensitivity by 20%. The scratch coat layer is applied to both sides of the lens, where others only apply this layer to the front. There is a “hydrophobic” surface layer that prevents water spots (rain, snow and fog) and makes the lens very easy to clean. The “oleophobic” surface layer repels skin oils, smudges, dust, dirt and fingerprints better than leading competitors. These lenses have superior anti-static technology. After 20,000 cleanings this non-glare lens has 98.2% durability, meaning the benefits of the lens do not lessen over the life of the lens, preserving the premium qualities. Other non-glare lenses breakdown over time. Even the value non-glare package at D’Ambrosio Eye Care is 80.1% durable.

For more information or to schedule an eye examination, stop by one of the optical departments at D’Ambrosio Eye Care or call us 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, treatment of cataracts with cataract surgery and intraocular lens implants (IOL), LASIK Laser 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 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: All About Vision, Health Sight Counseling, The Vision Council, Jobson Research and Essilor

Optical Coherence Tomography OCT

Optical Coherence Tomography, or OCT, is one of the most widely used diagnostic tests in medicine. An OCT test is a tissue-imaging technique that has amazing resolution. Older generation technology called time-domain OCT allowed for resolution on the order of 8-10 microns. Newer technology, called spectral-domain OCT, has increased resolution to 5 microns. This is particularly useful for imaging the layers of the retina. It can also measure the optic nerve and the retinal nerve fiber layer thickness, as well as the cornea, the anterior chamber, and the crystalline lens of the eye.

OCT testing has revolutionized the way that eye care providers diagnose retinal conditions. Conditions previously invisible upon examination are easily seen with the OCT. Early macular holes, vitreomacular traction syndrome, and subtle macular edema are all easily diagnosed now with this new technology.

OCT is also used frequently when diagnosing and treating glaucoma patients. The ability to measure any thinning of the retinal nerve fiber layer can help confirm the diagnosis of glaucoma. The repeatability of the OCT also helps monitor for any subtle changes in the status of the glaucoma.

OCT can also be used when imaging the anterior chamber angle, which is where the drain of the eye sits. The anatomy of the anterior chamber angle can influence the risk of developing glaucoma. If it is determined that the angle is narrow by OCT the risk for glaucoma may be greater.

As technology advances and resolution capabilities continue to improve, we may be able to diagnose conditions even earlier than we do now. For more information on OCT testing or to schedule an appointment, contact D'Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Eye and LASIK Care Convenient in Massachusetts

“We strive to make eye and LASIK care convenient for patients coming from central and western Massachusetts towns like Athol, Greenfield and Springfield as well as from the greater Boston area and suburbs,” commented Francis D’Ambrosio, Jr., M.D., Medical Director of D’Ambrosio Eye Care. “Our Lancaster location is really very convenient for eye and LASIK patients from Fitchburg and our Gardner office is great for eye and LASIK patients from Greenfield and Athol. To make it really convenient we have evening and Saturday appointments so patients don’t have to take time away from work if they don’t have that flexibility,” noted Dr. D’Ambrosio Jr. “No matter patients need-regular eye health and vision examinations for glasses and contacts, cataract exams, LASIK evaluations, diabetic eye exams, glaucoma care-we are happy to make it easy for them to come and see us from Athol, Greenfield and Springfield or really anywhere in central or western Massachusetts.”

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 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-You can reach us to schedule an appointment at 800-325-3937.

Lens Implants for Cataracts in Boston

Boston eye care patients with cataracts will find that choosing a lens implant for cataract surgery is an important decision. “The decision on exactly how to correct your vision after cataract surgery used to be a decision that was the sole responsibility of your cataract surgeon,” said Francis A. D'Ambrosio, Jr., M.D., Massachusetts Ophthalmologist and Medical Director of D'Ambrosio Eye Care. “As more advanced types of lens implant technology became available that could do some extra things for patients, we were able to offer our cataract patients some options for their vision correction,” said Dr. D'Ambrosio, Jr.

“While I had been participating in FDA trials of multifocal lens Implants for cataract surgery some years earlier, beginning around 2005 it became necessary for cataract surgeons to discuss lens implant options with patients so together they could choose the most appropriate lens implant for the lifestyle needs of the patient,” said Dr. D'Ambrosio Jr. “ Only after the cataract evaluation can we make a firm recommendation for each patient because the choice of lens implant really depends on several factors including the patient’s prescription, the overall health of their eyes, whether they have any other health problems such as diabetes and most importantly how they use their eyes throughout their daily routine," he further noted.

A type of lens implant called an aspheric lens implant seems to give the sharpest, most crisp vision-but only corrects distance vision and requires you to wear reading glasses or bifocals after cataract surgery. This might be fine for a truck driver who needs cataract surgery, but might not be the best choice for a sales clerk who uses his or her eyes at many distances all day. A type of lens implant called a toric lens implant is often selected for cataract patients who have correction their eyeglasses. If you have a toric lens implant to correct your vision after cataract surgery, you will still need to correct you near vision to see up close with reading glasses of some sort. For those patients who do a number of things throughout the day that require seeing far away, at arm’s length-say for the computer and also to see up close, if you are a good candidate, we can offer you a multifocal lens implant that corrects near vision and presbyopia and so it will help you see at a range of distances without being totally dependent on eyeglasses.

Choosing a lens implant is a joint effort between you and your eye surgeon. It is not your decision alone. It’s not like buying a pair of shoes or a car where you can ask your friends for a good “brand” or you can read a brochure or see a TV commercial and then you can choose. It requires the careful evaluation and recommendation of skilled and experienced cataract surgeon to help you make the best choice.

D'Ambrosio Eye Care is a leading eye 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.

Staffed by a team of Ophthalmologists, Optometrists, Opticians, technical and administrative staff who provide eye examinations for adults and children, treatment of cataracts with 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.

If you or someone you know has cataracts and need help with cataract surgery and lens implants information, please feel free to call D'Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Insurance Copays Coinsurance & Deductibles

“Understanding insurance copays, coinsurance and deductibles is getting even more confusing for Boston patients”, commented Massachusetts Ophthalmologist Francis D'Ambrosio Jr., M.D. of D'Ambrosio Eye Care. Due to the ever-increasing cost of healthcare, many patients find themselves with higher copays, coinsurance and/or deductibles. It can be confusing to understand all of these terms but it is a very important part in understanding your medical bills.

A co-payment (or co-pay) is the flat amount the patient pays each time they see their medical provider. Your insurance establishes these fees up front and many insurance companies print this information on your insurance ID card. Coinsurance and co-payments are not the same thing. A co-payment is a set amount that you pay each time you see your medical provider. On the other hand, coinsurance is typically a certain percentage of the provider’s fee that is owed by the patient. For example, some insurance companies pay 80% and the patient is responsible for the remaining 20%. That 20% is the coinsurance that is due from the patient per the insurance company. The amount the patient owes will vary based on the fee for the service.

A deductible is a fixed amount of money that the patient must pay before the insurance company begins making payment. For example, let’s say a patient has an insurance policy with a $100 deductible. If the insurance considers $300 of the services provided as “covered” services, the patient must pay $100 and the insurance will pay the remaining $200. Deductible amounts are typically calculated yearly so that means that beginning January 1st of each new calendar year, you must meet your deductible before your insurance will issue payment. If you have any questions on your billing from D'Ambrosio Eye Care, please contact us at 800-325-3937 and we will be happy to explain in detail any charges for you

Boston Sports Require Eye Protection

“Adults and children in Boston are ready up for all kinds of outdoor sports this time of year-they need to consider the need for proper eye protection,” commented Massachusetts Ophthalmologist Francis D'Ambrosio, Jr. M.D. of D'Ambrosio Eye Care. Protecting your eyes playing sports is an important way to help preserve your eye health and vision sometimes gets overlooked. 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.

Across all age groups, sports-related eye injuries occur most frequently in baseball, basketball and racquet sports. Further, boxing and full-contact martial arts pose an extremely high risk of serious and even blinding eye injuries and there is really no satisfactory eye protection for boxing, although thumbless gloves may reduce the number of boxing eye injuries. When playing baseball, ice hockey and men’s lacrosse, a helmet with a polycarbonate lightweight shatterproof face mask or wire shield should be worn at all times. In general, hockey face masks be approved by the Hockey Equipment Certification Council or the Canadian Standards Association (CSA). Last protective eyewear with polycarbonate lenses should be worn for sports such as basketball, racquet sports, soccer and field hockey.

If you need additional information, or help regarding how to select the best eyewear to protect you while playing sports, please feel free to phone D'Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Doctor for Fuchs’ Dystrophy

Fuchs’ Dystrophy is a slowly progressive disease of the cornea that is typically bilateral and is slightly more common in women than men. While it is possible to observe Fuchs’ Dystrophy in people in their 30’s and 40’s, it usually does not compromise vision until people are in their 50’s or 60’s. While a precise path of genetic transmission is unclear, a familial predisposition seems to exist among those who are first degree relatives. Early in the course of Fuch's Dystrophy patients typically awaken with blurry vision that gets progressively clearer as the day passes. This phenomenon occurs because the cornea normally swells during sleep. A healthy endothelial pump is necessary in order to restore the cornea to a normal thickness. In Fuchs’ Dystrophy, the endothelium removes fluid from the cornea less efficiently. As the Fuchs’ Dystrophy disease worsens, the vision does not clear. Usually we will attempt to help reduce the corneal swelling each day by prescribing hypertonic eye drops and ointments. However, when these measures fail to provide comfort and clear vision, it may be necessary to have a corneal transplant.

If you or someone you know would like to learn more about Fuchs’ Corneal Dystrophy please schedule an appointment with Massachusetts Corneal Specialist JoAnn C. Chang, M.D. at D’Ambrosio Eye Care by calling us at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.

Boston Doctors for Bulging Eyes

Eye doctors throughout Boston are quite well aware that when patients speak about having bulging eyes they are using the familiar description of the eye conditions known as Exophthalmos or Proptosis. “While patients might think that it is only a matter of being a bit odd looking, bulging eye conditions can also cause a number of problems, such as not being able to completely close your eyes during sleep or even during normal blinking, which can lead to dry eye symptoms, discomfort and ultimately damage the eye’s surface as a result of scarring. Sometimes eye bulging can restrict or interfere with normal eye movements. We need to be able to properly diagnose the difference between eyes that are simply “prominent” as compared to eyes that actually “bulging”. In instances of true bulging eyes we need to carefully determine the cause so that we can offer an appropriate treatment as necessary. Causes of bulging eyes can include Graves Disease that results in hyperthyroidism and too much thyroid hormone, inflammation of the tissue around the eye and inside the bony orbit of the eye called cellulitis, certain tumors behind, inside or around the eye, hemorrhages behind the eye and injury to the eye. If you or someone you know suffers from bulging eyes please feel free to schedule an examination at D’Ambrosio Eye Care at 800-325-3937. You may also request an appointment at facebook.com/dambrosioeyecare.