Volume 25| November 2018
Innovations in Optometry
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This is an exciting time to practice optometry. New technology is completely changing the way we provide eyecare. When I think of how my late father practiced in the 1950s and 1960s, our present office would look like the setting from a science fiction movie to him. Computerized eye charts to measure visual acuity, automated instruments to measure the power of the eye, digital cameras to immediately record an abnormal eye condition, and sophisticated laser instruments that allow us to view various layers of the retina for evidence of glaucoma or macular degeneration are all remarkable technological advances that benefit our patients and want us to drive through red lights every morning to get to the office! Also, new intraocular lens implants (part of cataract surgery) that offer astigmatism and near vision (“bifocal”) correction, new treatments for wet macular degeneration and remarkable glaucoma stents, (which were inspired by cardiology stents) are recent innovations that offer treatment for once debilitating eye conditions. We can’t wait to see how tomorrow’s innovators will ”disrupt” our current standard of care.

Please do us a favor and like us on  Facebook . Thank you again for choosing our office. Our goal is to safeguard your eyes and help you achieve a lifetime of clear and comfortable vision.

David C. Momnie, O.D.
Camille Guzek-Latka, O.D .
Julianne M. Rapalus, O.D.  

Be Afraid of Halloween Contact Lenses
Every year around early October, Halloween contact lenses show up in costume stores and on internet sites. These non FDA approved lenses are usually available without a prescription. It’s no surprise that Prevent Blindness , a non profit organization founded in 1908 and the nation’s leading volunteer organization dedicated to fighting blindness, names October “Contact Lens Safety Awareness Month.” The Centers for Disease Control (CDC) recently reported that 25% of contact lens-related infections are due to improper use and poor hygiene. Halloween or costume lenses tend to be thicker, allowing less oxygen to reach the cornea and many lenses are counterfeit, some containing chlorine or iron as part of the coloring.

So if you’re a contact lens wearer, enjoy Halloween and prevent an emergency visit to Chicopee Eyecare by avoiding dangerous and often illegal costume contact lens. And of course, always avoid tap water to rinse your lenses and wash your hand carefully with soap and water before handling them.
Norman Rockwell and Optometry
We residents of Western MA are fortunate to live about an hour’s drive from the Norman Rockwell Museum in Lenox, MA. Rockwell was a popular American painter and illustrator and his subjects were often about American culture. The painting on the left sold for $1.3 million dollars in 2014 and the buyer noticed the letters “AO” in the lower right corner of the painting. It turns out the painting was one of four appearing as in advertisement in the Saturday Evening Post in the 1920’s for the American Optical company in Southbridge, MA. It was aimed to promote AO’s Tillyer Lens which claimed to offer crisper vision and reduced eyestrain. Karen Roberts of Carl Zeiss Vision, the current owners of AO, remarked “...if Rockwell were painting about the subject today, he would probably depict someone using a tablet or a smartphone.”
A Reason to Avoid Eye Rubbing
Our eyeballs are filled with fluid, the aqueous in the front chamber of the eye and the vitreous in the back chamber. The pressure inside the front chamber is called the intraocular pressure or IOP. The IOP fluctuates constantly depending on the time of day (it’s higher in the morning) and a patient’s body position. An elevated IOP is associated with the disease glaucoma. From an article in Review of Optometry, in a recent experiment at the University of Alabama, researchers instilled antibiotic ointment in the eyes of several monkeys and continually recorded their IOP as the monkeys rubbed their eyes to remove the ointment. There were large increases in the eye pressure and the monkeys that used the back of their hand rather than their fingers or knuckles showed the largest increase in eye pressure

The takeaway from this experiment - patients, especially those with glaucoma, should avoid eye rubbing whenever possible. If you have the urge to rub your eyes because of allergies or dry eyes, we can recommend over the counter products or prescribe eye drops to alleviate the itching or burning.
Home Monitoring for Macular Degeneration:
Groundbreaking Technology
Macular degeneration is one of the leading causes of blindness in the United States. Most people with age-related macular degeneration (AMD) have the “dry” type where vision loss is usually very gradual whereas the “wet” type of macular degeneration can cause severe loss of vision within just a few weeks. ForeseeHome is the first FDA-approved home monitoring device allowing a patient with dry macular degeneration to check his or her vision for any changes that might take place between regularly scheduled visits to the doctor’s office. Like a smoke detector which would alert us before the fire spreads and damages the house, ForeseeHome alerts the user to any disease progression so he or she can immediately call us or their retinal specialist to minimize its effect on vision. The test takes approximately three minutes per eye and is used daily. 

In this photograph Dr. Momnie is helping a patient use the instrument for the first time. Medicare and many insurance companies are now covering the monthly rental cost of the instrument. If you have moderate to severe dry age-related macular degeneration and are using an Amsler grid daily to monitor your AMD, call our office for details on this new device.
Thank You for Google Reviews

Thank you if you’ve given us a nice Google Review. 
If you were happy with your experience at Chicopee Eyecare, your positive review helps us spread the word and market our practice to potentially new patients. Click Here
Case Of The Month - Scleral Lenses
Dr. Momnie and Dr. Latka are among a small group of optometrists in New England who fit scleral lenses, a type of contact lens that vaults the entire cornea and lands on the sclera, the white part of the eye. They were conceptualized by Leonardo de Vinci in the 16th century and the first scleral lenses were made in Germany of blown glass in 1887. The first molded lenses were made in the United States in 1957 by Obrig Laboratories and the lenses pictured here are Obrig lenses fitted (not by us!) to one of our patients in about 1960. 

Nowadays, most patients are fitted with soft contact lenses but scleral lenses have experienced tremendous interest in recent years due to innovations in design and material. We use them mostly for correcting vision in patients with keratoconus, a disease where the cornea becomes abnormally steep and irregular. Again, because so few practitioners fit them, we have had patients drive well over an hour to Chicopee Eyecare for scleral lenses. If you know someone with keratoconus, poor vision following refractive surgery (e.g. Lasik, RK), corneal scarring from an injury or infection or extremely dry eyes that are intolerable to soft contact lenses, have them call our office and ask about scleral lenses.
Optometry Humor
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In Case Of Emergency
Chicopee Eyecare provides
"24/7" coverage for emergency eye care 
for our patients.

We recommend that you do not go to the emergency room for an eye injury or acute eye problem unless it is very serious. Drs. Momnie, Guzek-Latka and Rapalus keep slots open for urgent care visits for new and established patients during normal office hours, and provide around-the clock emergency coverage for our established patients for after-hours and weekends.
Call 592-7777 before calling your PCP or visiting a hospital ER!
Office Hours
We are available when you need us 
Our office and optical department are open during the following hours:
Monday         9:00 am - 5:30 pm
Tuesday        9:00 am - 5:30pm
Wednesday   9:00 am - 5:30pm
Thursday       9:00 am - 6:30pm
Friday            9:00 am - 5:30 pm
Saturday        9:00 am -12:30 pm

One of our doctors is always available for emergencies on nights, weekends and holidays. Call (413) 592-7777 and our answering service will put you in touch with an on-call optometrist.

"The people in this office are committed to providing you with the highest quality of eye care and to treating you with kindness and respect. "  
If you would like to share any feedback or comments please email us at  info@chicopeeeyecare.com

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Chicopee Eyecare · 113 Center Street · Chicopee, MA 01013 · (413) 592-7777 info@chicopeeeyecare.com
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