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Government Ctr T Stop
100 City Hall Plaza
Boston, MA
(617)367-2020
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Lechmere T Stop
22 McGrath Highway
Somerville, MA
(617)623-7522
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Eye Exams, Contact Lens Fits, Laser Surgery &
Medical Eye exams including Cataract and Glaucoma Exams.
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Dr. James Luccio - Dr. Lorraine Labiento - Dr. Alex Russakovsky
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Comprehensive Eye Examinations
We provide complete eye care for both adults and children. Our comprehensive eye examinations check your eyes inside and out for glaucoma, cataracts and all other eye diseases as well as high blood pressure, diabetes and other systemic diseases. Your visual skills and abilities are carefully evaluated and we pride ourselves on the accuracy of our eyeglass prescriptions.
Contact Lenses
Our contact lens department is well equipped with the latest contact lens technology to fulfill all your needs. We offer a wide selection of contact lenses from daily disposables to conventional lenses, as well as color-changing lenses. In addition, we utilize a wide range of lens designs to accommodate patients with astigmatism, Dry Eyes & presbyopia. Our Doctors will prescribe you the appropriate cleaning/care system that works best with the material you have been fitted for. We also provide instruction on insertion and removal of contact lenses.
Optomap (Non-dilated Digital Retinal Imaging)
This new technology allows us to evaluate your retina indepth without dilating your eyes! The view in most cases is even better than what we see with dilation. Because we use digital scanning technology, we can get a very magnified view of any questionable part of the retina and then save this information to compare to future scans. This helps us to protect and preserve your vision for years to come. We are one of the first few offices to offer such new "cutting-edge" technology. Health insurances have yet to recognize and pay for this tecnology; therefore, the manufacturer has made this instrument available at a nominal fee of $35. We are proud to provide our patients with the most highly advanced technology available in retinal screening today! Our ability to view your internal retinal health is now dramatically improved with the Optomap. Your doctor is concerned about retinal problems such as macular degeneration, glaucoma, retinal holes or detachments and diabetic and hypertensive retinopathy (all of which can lead to partial loss of vision or blindness). Additionally, systemic diseases such as diabetes and high blood pressure can be detected during a retinal exam. EARLY DETECTION OF EYE DISEASE IS CRUCIAL!
Optomap provides:
- An annual eye wellness scan
- An in depth view of the retinal layers (where disease can start).
- The ability to show you your images today during your exam.
- A permanent record for your medical file, which gives your doctor
annual comparisons for tracking and diagnosing potential eye disease.
Optomap features:
- It is fast, easy, and comfortable.
- Will NOT require dilating drops (in most cases), which result in blurred
vision and sensitivity to light.
Visual Field testing
A perimetry test (visual field test) measures all areas of your eyesight, including your side, or peripheral, vision. To do the test, you sit and look inside an instrument called a perimeter. While you stare at the center of the bowl, lights flash. You press a button each time you see a flash. A computer records the spot of each flash and if you pressed the button when the light flashed in that spot. At the end of the test, a printout shows if there are areas of your vision where you did not see the flashes of light. These are areas of vision loss. Loss of peripheral vision is often an early sign of glaucoma.
A perimetry test can help find certain patterns of vision loss. This may mean a certain type of eye disease is present. It is one of the best methods to check for glaucoma. It is very useful in finding early changes in vision caused by nerve damage from glaucoma. Regular perimetry tests can be used to see if treatment for glaucoma is preventing further vision loss.
The amount of peripheral vision loss is linked to the amount of optic nerve damage. A person with open-angle glaucoma may have a certain pattern of vision loss. Vision loss first occurs farthest from the center of the eye, usually on the nose side first. As the disease gets worse, larger areas of vision loss are seen on a perimetry test. The area of the eye that gives you the sharp, central vision (macula) you use for reading is usually damaged later in the disease. This can lead to total blindness. What To Think About A perimetry test is a good test to find vision loss caused by glaucoma. A perimetry test makes a detailed record of your visual fields. Baseline information, descriptions or drawings can be compared with future test results.
Tonometry Test
A tonometry test measures the pressure inside your eye, which is called intraocular pressure (IOP). This test is used to help detect glaucoma, a group of eye diseases that can cause blindness by damaging the nerve in the back of the eye (optic nerve). Damage to the optic nerve may be caused in part by fluid that fails to drain properly out of the eye. Tonometry measures IOP by determining the resistance of your cornea to indentation.
Tonometry may be done: As part of a routine eye examination to screen for increased intraocular pressure (IOP), which increases your risk for glaucoma. To monitor treatment for glaucoma. Tonometry can be used to determine whether medication is keeping your intraocular pressure (IOP) below a set target pressure determined by your doctor. A brief puff of air will be blown at your eye. You will hear the puffing sound and feel a coolness or mild pressure on your eye. The instrument estimates the intraocular pressure (IOP) from the change in the light reflected off the cornea as it is indented by the air puff. The procedure may be done several times for each eye.
A tonometry test measures the pressure inside your eye, which is called intraocular pressure (IOP). This test is used to help detect glaucoma. Normal eye pressure varies for each person and is usually higher just after you wake up. IOP varies more in people who have glaucoma. Women usually have a higher IOP than men, and IOP usually increases with age. Intraocular pressure (IOP) Normal: 10–21 millimeters of mercury (mm Hg) Abnormal: Greater than 21 mm Hg A high intraocular pressure (IOP) may indicate that you have glaucoma or that you are at increased risk for developing glaucoma. People who have intraocular pressures consistently above 27 mm Hg usually develop glaucoma unless the pressure is lowered. Some people have an IOP consistently higher than 21 mm Hg but do not have optic nerve damage. This condition is called ocular hypertension. These people are at risk for developing glaucoma over time.
Factors that may affect the test or the accuracy of the results include: A sore on an eye or an eye infection, which increases the risk of an eye injury. Being extremely nearsighted, having an irregular cornea, or having had extensive eye surgery. Blinking or squeezing your eyes shut during the test. Having had laser refractive surgery (such as LASIK).
It may be necessary to repeat tonometry testing over months or years to diagnose glaucoma. Also, because intraocular pressure (IOP) can vary at different times of the day, tonometry alone is not enough to diagnose glaucoma. The results of other tests must also be abnormal. A high IOP may indicate that a person has a high risk of developing glaucoma. If the IOP is high, further testing (such as ophthalmoscopy, gonioscopy, and visual field testing) may be done. Normal IOP varies from person to person. About 25% to 50% of people who have optic nerve damage caused by glaucoma have normal IOP. One reason for this is that once damage occurs to the optic nerve, it is more sensitive to any rise in pressure. The IOP may need to be closer to the lower range of normal to prevent further damage. Another reason is that there is a rare type of glaucoma in which damage to the nerve occurs even though the eye pressure is never above normal.
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