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Boston Eye Physicians & Surgeons has served patients in New England and around the world for nearly 75 years. We have been a destination for patients seeking high quality eye care from a team composed of the area's leading vision professionals. As skilled eye care specialists, we have dedicated our careers to providing rewarding patient care in a safe, comfortable environment using state of the art equipment. We encourage Boston and surrounding area cataract, LASIK, corneal, and retinal conditions patients to contact our office to schedule an appointment. We also offer a full range of general exams, contact lens fittings, and an optical shop.
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Angle Closure Glaucoma
Your eye is red, painful, and the vision is blurred, with haloes around lights, add nausea; then acute angle closure glaucoma is a fairly obvious diagnosis. That eye will be partly blinded by this attack. But one of the most difficult diagnoses in all of eye care is the common related condition - chronic angle closure glaucoma. The condition which may in fact precede an acute attack.
The doctor must place a mirrored contact lens on your ocular surface, while you cooperate as best you can to permit the doctor to study a circle of tissue 50 microns wide (0.050 millimeters!) that is inspected through the mirror. [The Barkan gonio lens was a direct technique for such inspection, eliminating the mirrors, but the patient must lay flat (a position normal to us only during sleep) and the doctor must hold a 15 pound microscope to see the fine details.]
Easy to imagine that subtle trouble with the observations will, and often do, happen. When the drainage angle for fluid closes in part, pressure in the eye will increase slightly. The goal of treatment is to remove the obstructing iris folds which roll up to and over the fine meshwork which percolates fluid through and out of the eye.
The treatment? Create a second opening in the iris other than the pupil, which will allow fluid to pass directly to the drains, and eliminate the pupil - blocking part of the fluid stream.
This was performed by surgery prior to the 1970s but the advent of laser technology improved surgery. Each generation of laser has proved effective at puncturing a hole in the iris, without surgically opening the eye. The surgeon's job is to ascertain who will benefit from this procedure as to eliminate the folds which block fluid exiting the eye.
Patients come in for a routine eye exam, and they may have partly or completely blocked drains. If the eye pressure has - or has not - built up, should a laser treatment be recommended? How risky is it for the laser treatment, verses the risk of having low grade glaucoma, or even an acute attack - as decribed at this blog's outset?
Even second opinion glaucoma patients arrive with the same dilemma - are they "open angle" or "closed angle" patients - and are the treatments correct?
A yearly "gonioscopy" by your eye doctor is an important part of maintenance for every glaucoma patient, and we will perform this exam in any patient with suspicious findings seen during the course of any eye examination.
Featured Services
Crystalens
Crystalens is an accommodating intraocular lens(IOL) that, unlike a standard IOL, can treat both a person's cataracts and presbyopia-loss of near and intermediate vision. Crystalens not only treats your cataracts (a clouding or hardening of your lens), but can also reduce or eliminate your dependence on glasses. It does so by recreating accommodation similar to your eye's natural lens. The unique Crystalens can reduce or eliminate glasses for most activities, including: reading a book, working on the computer, and driving a car.
Laser Vision Correction
LASIK or Laser in-Situ Keratornileusis treats refractive errors by removing corneal tissue beneath the surface of the cornea. This procedure combines the accuracy of the excimer laser with the benefits of Lamellar Keratoplasty (LK). LK has been performed on a limited basis since 1949 to correct higher levels of nearsightedness and moderate amounts of farsightedness.
Glaucoma
The ophthalmologists at Boston Eye Physicians & Surgeons are highly skilled at diagnosing and preventing glaucoma, the second-leading cause of blindness. We use sophisticated imaging programs and tonometers to detect high levels of intraocular pressure (IOP), the main symptom of glaucoma. If glaucoma is detected, our highly skilled glaucoma specialists can slow the progression of the disease by relieving intraocular pressure with surgery or medications.
Additional Services
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