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Tuesday, December 6, 2016

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.

DAmbrosio 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.

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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 thats new or unexplained requires urgent medical attention. With so many potentially serious causes for diplopia, its 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.

DAmbrosio 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.

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Vision Training Case

I started working with a young individual in his freshman year in college. His main complaint was that he was having trouble taking in the whole playing field when he was looking at one particular player. Even though the patient suffered from an eye injury two years ago, there was no organic problem with the eye.

I started doing vision training on him. Yesterday, he related that all the action on the football field looked as if it were slower. In other words, his reaction time was a look quicker. Also, he said his receptions (ability to catch the ball) from the quarterback improved markedly. Needless to say, he was very happy.

Vision training has so many applications. These include individuals who have problems keeping their place reading or get headaches while doing near tasks including reading from text, desktops, laptops, or mobile devices. It also includes people who have poor depth perception or poor hand-eye coordination.

For more information you can view our video on YouTube under our YouTube channel, robertrothbardod.

- Dr. Robert Rothbard

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Good Vision Is More Than 20 20

A number of individuals feel they don’t need to have their eyes examined because they see clearly. When examining the eyes, of course we want to the patient to have clear sight. But we also want to know how well their eyes work together, if they have depth perception or even if they’re straining their eyes when working close up, particularly on a monitor. You can have clear sight and still have problems visually.

The other side of the examination deals with how healthy the eyes are. You can have 20/20 and still manifest a sight-threatening or life threatening disease such as glaucoma, cancer of the eye or even a detachment of structures of the eyes and not be aware of them. You can be losing peripheral vision and not even be aware of it. Ive had patients who were diagnosed to have a brain aneurysm or a tumor through examination of the eyes.

For more information, please visit my website, www.ranchoeyedoctor.com.

-Dr. Robert Rothbard

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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 lensesor 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.

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Massachusetts Ophthalmologist Says Aging Eyes Have Better Vision

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

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

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

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

If you or someone you know is concerned about aging eye problems or senior eye problems please feel free to schedule an eye examination at D’Ambrosio Eye Care by calling us at 800-325-3937, visiting D’Ambrosio Eye Care or facebook.com/dambrosioeyecare so that we can help recommend an appropriate treatment plan.

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

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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.

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There’s More To Vision Than Just 20 20

When examining patients for glasses and contact lenses, being able to have those patients see clearly with the prescription is of course very important. I recently prescribed a pair of glasses for a patient whose comment was, “I feel like my jaw is unclenching when I put these on.” This is because the eyes did not work well together and when I prescribed a lens called “prism,” it helped the eyes to work better with each other. In another case, I was doing vision training with a college football player. His comment was “that everything looked as it was unfolding a lot more slowly implying that he was able to react to a situation on the field more quickly.

Making sure the patient receives a pair of glasses that takes care of the task is important. So many patients older than 45 need bifocal lenses so they can see distance and near. If they’re working a desktop computer with the screen at eye level as well at a different distance than their normal reading, could lead to a lot of neck, shoulder or eyestrain. Usually a separate pair of glasses needs to prescribed for this situation. The same thing goes for an electrician who often times has to look at close up detail above his head. In this case, we have to put a bifocal lens both below the center and above the center of straight away vision. Even though these glasses don’t look pretty, for some patients who have this demand, they’re very functional.

Also, many times a child will have 20/20 vision at distance and near but still have a learning problem that’s visually related. Sometimes glasses alone will help remedy the problem and sometimes you also need vision training. This is sometimes overlooked by the practitioner.

These are just a few examples of patients who may have 20/20 either with glasses or without who still may have vision problems.

- Dr. Robert Rothbard

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Prisms to Correct Vision

A patient of mine came in with her friend. She was 20/20 – no need for Prescription. Did a peripheral vision test and notice she could not see anything to the right of her nose while each eye was covered separately. She was not blind, or blurred, she had no vision.

With her left eye covered she could not see anything to the right of her nose. With her right eye covered, she could see nothing on the right of the nose.

No right field of vision…so that tells you it’s the brain. As it turns out she had brain surgery for another condition, and that surgery resulted this condition.

]Maybe the fibers that that lead from her eye to the back of the brain were severed. They performed a brain scan, they determined that there was an aneurysm. We gave her specialized glasses, known as prisms that shifted her world from left To right. It does not correct the vision, but just shifts them.

Her life was restored. She was able to drive, read, and work. Her quality of life improved dramatically.

Facts

1. Vision Loss may involve certain parts of the visual field

2. Loss of ¼ to ½ of vision field are common head injuries or tumors.

3. Prism lenses re-orientate the eyes into seeing ordinary

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Massachusetts Veterans’ Eye Health Vision Problems

D’Ambrosio Eye Care wishes to thank our Veterans for their efforts and actions in protecting America’s safety and our freedom. With Veteran’s Day approaching we want to consider some things regarding eye health and vision for our military veterans. Veterans of the Iraq or Afghanistan wars are more likely than those who served in earlier wars to have vision loss as a result of traumatic brain injury (TBI). Higher rates of TBI in these recent wars can be attributed to two factors: explosive devices have been a major cause of injury, and improved body armor has enabled soldiers to survive more serious injuries.

Veterans of the Vietnam, Korean, or early wars are in or entering life stages when eye disorders like cataracts, glaucoma, age related macular degeneration (AMD) and diabetic retinopathy are more likely to occur. Also, like everyone in mid-life and beyond, Veterans may find their near vision decreasing due to presbyopia or “aging eyes”.

Thus we are hopeful and wish to assist our nation’s guardians and protectors in making sure to preserve and maintain their eye health and vision in order to take the fullest advantage of the freedom they have provided for all of us. Learn more about eye health and vision at D’Ambrosio Eye Care by calling 800-325-3937, or requesting 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.

DAmbrosio 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.

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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.

DAmbrosio 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.

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Vision Training

I started working with a a ten year old boy in vision training. He is a superior performer in baseball but has problems with attention. His father wanted me to examine him stating when a ball was hit directly to him, he was slow to react. The patients eyes were healthy and were able to see clearly without any prescription. There is a very specific problem with the coordination of his eyes. The eyes are straight. This type of problem for those in the optometric field is that his base-in findings to break and recovery are very low. He has problems aiming his eyes beyond the target quickly. This problem , indirectly could lead one to be inattentive at times, also causing reading comprehension problems. Well be working with him over the next several weeks on this issue and see if theres an improvement in performance.

Dr. Robert Rothbard
Rancho Cucamonga Optometric Center

www.real-world-physics-problems.com (picture)

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Vision Is An Interesting Topic

I was at Long Beach Airport heading out for the weekend. I engaged in a conversation with a lady who was picking up her daughter. I told her I was an optometrist. She discussed with me that her daughter had strabismus (eyes are not straight) and she had surgery. She was wondering if there was anything that could be done for her to enhance her vision. I went over some information with her and she seemed most interested. She’s up toward Magic Mountain and possibly will bring her daughter in for a consultation. The second person whom I engaged in conversation was actually sitting next to me on the plane. It turned out she was about 55 wearing contact lenses. She told me that she required reading glasses over the contacts to see up close. She also stated that bifocal contact lenses didn’t work. I told her to put her reading glasses in front of one eye and keep the other eye open. This creates a monovision situation of one eye for reading and one eye for distance. She was able to see far and near. I told her she might be able to wear this type of contact lens system some of the time where she wouldn’t have to wear reading glasses for up close print.

I so enjoy doing this. As applies to myself and any business, “nobody cares what you know until they know that you care.”

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Vision and Sports An Interesting Case

I had a patient referred to me. He had an eye injury a couple of years ago and is noticing that his vision is changing. The patient still sees 20/20 in both eyes. I did note that there was a small piece of peripheral vision missing out of his left eye probably due to the injury. The patient feels that his performance in football isn’t as good as it was. He saw clearly enough but he was unable to take in all the visual information he felt he needed to.

There is more to good vision than 20/20. Having good ability to team the eyes (binocular vision) is paramount. This helps lead to good depth perception and being able to be aware of what’s on the football field (or any sports field or arena).

The first thing I’m requesting from the patient is a follow-up with his specialist to rule out any pathological (disease) problem associated with the original injury that is getting worse. After that, I am hoping we can get the patient started in vision training to help improve his performance on the field. We’ll let you know what happens. This to me is a very interesting case.

-Dr. Robert Rothbard

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Tuesday, December 6, 2016

Shared Vision International

Monday, December 5, 2016

Boston Doctor on Double Vision or Diplopia

Wednesday, November 30, 2016

Vision Training Case

Monday, October 10, 2016

Good Vision Is More Than 20 20

Monday, October 3, 2016

Children’s Vision at D’Ambrosio Eye Care

Sunday, September 25, 2016

Massachusetts Ophthalmologist Says Aging Eyes Have Better Vision

Tuesday, September 20, 2016

Monovision Cataract Surgery Near Vision

Monday, September 19, 2016

There’s More To Vision Than Just 20 20

Thursday, September 15, 2016

Prisms to Correct Vision

Monday, September 5, 2016

Massachusetts Veterans’ Eye Health Vision Problems

Sunday, August 28, 2016

Laser Vision Correction Crossed Eyes

Thursday, August 25, 2016

Vision Training

Friday, August 12, 2016

Vision Is An Interesting Topic

Sunday, August 7, 2016

Vision and Sports An Interesting Case