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IN SIGHTS We do it all for you! WINTER 2003 • NEWSLETTER Stephen F Sullivan, MD . Kenneth R. Kenyon, MD Kathleen T. Cronin, MD Stephen N. Grimes, MD Cataract Surgery Cornea, Cataract, General Ophthalmology General Ophthalmology Refractive & Glaucoma Glaucoma Cataract Surgery Surgery From routine eye exams to treatment for eye disease, eye surgery and the latest in laser vision correction, We do it all for you. From contact lenses, fashion J. Ronald Rowes, MD Marc P Wladis, MD . Kameran Lashkari, MD Alan S. Geller, MD David J. Townsend, MD Eddie F Kadrmas, MD . Walter M. Platt, Jr., MD Glenn E. Bulan, MD eyewear and our own Vejo General Ophthalmology General Ophthalmology Retina,Vitreous & General Ophthalmology Oculoplastic & Retina,Vitreous & General Ophthalmology Pediatric & private label designer frames, Cataract Surgery Diabetic Eye Disease Lacrimal Surgery Diabetic Eye Disease Adult Strabismus to full audiology services, including hearing aid dispensing and repairs, We do it all for you. When it comes to a lifetime of eye care and eye fashion, for every member of your family, Marc. H. Dodson, OD Arthur M. Goldman, OD Renee B. Reis, OD Donald L. Nahigan, OD Andrea Faustino, OD Steven W. Santos, OD Carlos R. DeFreitas, OD Michael W. Thomas, OD Optometry Optometry Optometry Optometry Optometry Optometry Optometry Optometry We do it all for you. Contact Lenses Contact Lenses Contact Lenses Contact Lenses Contact Lenses Contact Lenses Lisa A. Marques, OD Ronald J. Mastrolia, OD Susan P Prewandowski, OD Steven M. Kreiger, OD . Marguerite M. Quinn, OD John A. Dadah, OD Optometry Optometry Optometry Optometry Optometry Optometry Contact Lenses Contact Lenses Contact Lenses Contact Lenses Contact Lenses Contact Lenses Joseph V. Mega, Jr., OD Lance Ough, Jr., OD Rodney L. Immerman, OD Rena L.J. Griffis, MA, CCC-A Optometry Optometry Optometry, Low Vision Certified Clinical Contact Lenses Contact Lenses Audiologist 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes 1

8 Age Related Macular Degeneration The latest therapeutic breakthroughs to slow the progression of this debili- tating eye disease, which is the leading cause of legal blindness in the elderly. 3 9 Glaucoma & Diabetes Two out of every 100 persons over Cataracts and age 35 have vision threatened by this Implant Surgery disease, which is always preventable, The most frequent surgery among when diagnosed and treated early. people over 50, some 2.2 million cataract surgeries are performed in 10 the US each year. 4 Corneal Transplantation Botox, Droopy Eye Lids and Blocked Tear Ducts State-of-the-art techniques for treating brow wrinkles, crow's feet, droopy Since 1990, hundreds of corneal eye lids and blocked tear ducts are transplantations have been performed available at Eye Health at Eye Health's SurgiCenter. 5 Laser Vision 11 The Hearing Center Eye Health Vision Centers, a name Correction you’ve grown to know and trust over Eye Health has SouthCoast's first its 26+ year history, now has an and only permanent Laser Vision Audiology department dedicated to Correction Center. helping you enhance your quality of life through improved hearing. 6-7 Eyeglasses and Contact Lenses You’ll find all the latest fashions, designs and technology in eyewear at Eye Health Vision Centers. Optical Shop Staff at 51 State Road, N. Dartmouth Front Row: Cheryl Lawlor, Nancy Botelho, Maria Duarte Second Row: Maureen Pacheco, Chris Breakell, Ruth Feliciano, Patti Horan, Olivia Stone, 2 and Michelle Bolarinho 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes

Cataract & Lens Implant Surgery It is not a film over the eye. Overusing the eyes does not cause it. It is not a cancer. It is not spread from one eye to the other. It is not a cause of irreversible blindness. The symptoms of cataracts generally include a gradual blurring of vision, the fading of colors, poor night vision, and increased sensitivity to glare. What causes cataracts? The most common type of cataract is related simply to the aging of the eye. Other causes may Anatomy of the Eye include family history, medical problems such as diabetes, injury to the eye, certain medications (such as steroids), or long-term exposure to sun- Normal Eyesight A cataract may cause hazy or blurred vision. light. Can I have cataracts in both eyes removed at the same time? short and patients are allowed to resume all nor- No. It's best to allow one eye to heal and mal daily activities the same day as their surgery. Are lasers used to remove regain its vision before doing surgery on the sec- Our Ophthalmologists In addition to having been pioneers in this cataracts? ond eye. advanced microsurgical technique, the Eye No. The current technology for surgical removal have become the leading Health Ophthalmologists were also among the very first groups in New England to begin insert- of cataracts is performed with ultrasound frag- mentation. Lasers are used for many other pur- How long does cataract surgery take? experts in this area due ing intraocular lenses (IOLs) in 1978, as this procedure did not become standard in Boston poses in eye care, but not to remove cataracts. Lasers, however, are easily used to remove a The surgery itself usually takes about 30 minutes or less. The entire experience in the to their training, skills until the mid-1980s. "secondary membrane" following cataract surgery as occurs in a minority of cases. SurgiCenter, including preparation time and post-op recovery, is generally around two hours. and experience. Total Eyecare By Total Professionals has always been the goal of Eye Health Vision Centers. How do I know when it's time to Staying in the forefront of eye surgery is our have my cataracts removed? Can a cataract grow back? promise to our patients. Our practice performs No. However, some people develop a film in their This is a decision that is reached by mutual Phacoemulcification and small incision cataract nearly 2,000 cataract surgeries each year, and agreement between the patient and his/her doc- eye called a "secondary membrane". This is eas- surgery (also known as no-stitch or one-stitch our Ophthalmologists have become the leading tor. The decision is based on the extent to which ily removed with a laser. cataract and implant surgery) have been routinely performed since 1988 at the Greater New experts in this area due to their training, skills and the cataract is affecting your quality of life. Some Bedford SurgiCenter, now located at our 51 experience. Some of the most frequently asked people can have pretty serious cataracts that Will I still have to wear glasses after State Road, N. Dartmouth facility. This procedure questions from our patients about this very com- don’t bother them very much. Other people can cataract surgery? allows the eye surgeon to remove a patients mon procedure are as follows: have much less serious cataracts that are caus- There are many variables that determine the cloudy lens (cataract) through a 3 mm incision ing them significant problems with activities of answer to this question and there's no definite and then to insert a new plastic lens into the eye What is a cataract? daily living. It's not generally a good idea to wait answer for any one person. Many people don’t to replace it. The surgery is brief, ambulatory A cataract is the clouding of the normally clear until the cataracts are overly "mature". This need to wear distance glasses at all after and is performed with local anesthesia. Because lens of the eye. It can be compared to a makes the surgery much more complicated and cataract surgery. Most individuals will require of the small incision, the recovery period is very window that is frosted or "fogged" with steam. increases the possibility of complications. reading glasses. The Greater New Bedford SurgiCenter The Greater New Bedford Surgical and Laser then instructed to wear a paper gown, hat and booties Center was opened in 1986 with the express purpose of over their street clothes. The anesthetist administers a rendering high quality, state of the art eye surgery to local anesthetic and the patient walks into the operation patients of all ages, especially those with cataracts, glau- room and lies comfortably on a special chair. The surgery coma, or cornea disease. The Center is designed specifi- takes between 20 minutes and 2 hours, depending on the cally with the needs of the patient in mind. The entire procedure being performed. During this time, the patient process from initial examination to final outcome is con- can talk with the doctors and nurses and relax. ducted in a pleasant comfortable environment. Family members and friends are welcome to wait After a patient decides to have surgery, he or she in the reception area while surgery is taking place. A 20- is assigned his or her own Surgical Counselor who is inch TV monitor allows them to see the surgery as it is available to answer questions and provide assistance. being performed. Refreshments are always available and These individuals are specially trained to assist the staff members are nearby to answer any questions. patient throughout the entire surgical experience, includ- After surgery, the patients sits in a comfortable Surgicenter at Eye Health Vision Center Recovery Room at Greater New Bedford ing follow up care for as long as necessary. Patients are lounge chair and is offered refreshments. After a short 51 State Road, N. Dartmouth, MA SurgCenter, 51 State Road, N. Dartmouth, MA encouraged to contact their counselor for any questions, while the patient is discharged and allowed to go home. no matter how simple or complex. Most daily routines can be resumed immediately. Driving such eye disorders as retinal degeneration, glaucoma and erature and brochures concerning all forms of eye dis- One to two weeks before surgery, a physical exam- a car is usually allowed after the first 24 hours. In some diabetes. The doctors can also perform a procedure ease are available. Arrangements can be made for ination, EKG and lab tests are performed at the Greater patients, vision is restored to almost normal by the very known as "capsulotomy" which is a procedure required in slide/lecture information programs as well as free dia- New Bedford Surgicenter. This allows the patient to visit next day. in other patients, vision improvement occurs some post cataract patients. Laser surgery is quick and betes/glaucoma/cataract screenings for groups of reason- the facility, meet some of the staff members and ask over the course of a few weeks. A patients' eyeglasses are highly effective. able size. questions. Educational materials, including video tapes generally not changed for 4 to 8 weeks after surgery. It is There are always several ophthalmologists on staff The Greater New Bedford Surgicenter is now in its are also provided to ensure that every patient fully only then that the final visual result can be fully appreci- at the Surgicenter at any given time. Schedules are 17th year of operation and has performed understands all aspects of the surgical procedure to be ated. Patients referred for surgery by a local optometrist 3 arranged to assure proper coverage for all possible eye over 24,000 surgical procedures to date performed. Two days before surgery, patients are asked are generally returned to the optometrist for a final emergencies as well as other elective eye surgery. Free lit- to periodically apply an antibiotic ointment to their eyes. refraction exam and follow up care. Patients are asked to arrival approximately one The Greater New Bedford Surgical and Laser hour before they are scheduled for surgery. They are Center also has the facilities to perform laser surgery for 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes

L A S I K the eye actually continues to grow and conse- quently the focus is progressively changing. Once growth has stopped, the vision (or the patient's glasses prescription) stabilizes. Cataracts begin cedure. Dr. Kenyon and Dr. Sullivan, for example, have both had monovision LASIK and have very little need for corrective lenses. QA to form around age 65 in many people and as a Is there any way to correct for result the prescription once again begins to both distance and close up vision & change. It's important in this age range to care- fully evaluate the patient for cataracts. So that through Laser Vision Correction? Is your laser the only one in basically leaves everyone between the ages of 22 Yes, there is a technique called "Mono-Vision" the area? and 65 as potential candidates for laser vision where one eye is treated for distance vision and Yes, that's true. Eye Health Vision Center has the correction. the other eye is treated for near vision. first and the only permanent or "fixed" on-site Prospective Mono-Vision candidates are first laser in SouthCoastal Massachusetts. tested by wearing contact lenses for a period of Is it true that LASIK only corrects time to see if their brain can naturally adapt. Are there different types of lasers? distance vision? Yes, just like computers, there are several brands, This is not true in younger individuals who still What is the primary motivation to What is laser vision correction and some are superior to others. The VISX laser retain their distance to near focusing ability have Laser Vision Correction? (accommodation). However, because laser vision (LVC)? in our N. Dartmouth office is the first excimer laser correction basically makes you "normal", and all Laser Vision Correction is truly an incredible LASIK is the reshaping of the cornea of the eye to be FDA approved for all refractive errors: near- enhancement to the quality of life to become sightedness, farsightedness and astigmatism. "normal" people starting in their mid-40's need (the front window) with laser in order to readjust substantially less dependent upon glasses or The majority of Laser Vision Correction in America reading glasses. This need for glasses in order to the focus so that the patient can see clearly with- contact lenses, and that constitutes about 60% is performed with Visx lasers. read or work up-close starting in the mid 40's out glasses or contact lenses. It basically takes of the population. Most all of the patients who are happens because the eye's natural internal lens, an out of focus eye and currently wearing glasses or contacts are doing which is flexible up until around age 45, and puts it into focus. so because without them they would be essen- Reshaping the cornea is "Simulation of LASIK Procedure" which allows us to "zoom-in" (accommodate) tially nonfunctional. These individuals are truly close to read or work within 18", loses its flexibil- analogous to the grinding handicapped without their glasses. They can't ity and becomes rigid. Once the eye's natural lens of an eyeglass lens, which watch TV, drive, swim or do anything without becomes rigid (and it happens to everyone), we is the usual method for wearing either their glasses or contacts. To sud- loose the ability to focus up close, and we have to correcting vision problems. denly be normal and to be able to do all of these use "reading magnifiers." This is a universal con- Instead, the laser reshapes simple, daily activities without glasses or contact dition. Everyone experiences it. There is a proce- the cornea in order to put lenses is truly incredible. Dr. Kenyon, Dr. Sullivan dure, called “Mono-Vision” in which one eye is the world into proper and dozens of our staff have undergone laser corrected for close up reading and the other eye focus. vision correction. All are pleased with having their is corrected for distance. Mono-vision patients are first tested for a few weeks in contact lenses lives changed by the wonder of laser vision cor- How long have to see if their brain can adapt, in order to evaluate rection and by the freedom to see without glass- you been doing whether they are a good candidate for this pro- es or contacts. laser vision correction? Our principal laser vision correction surgeon, Dr. Corneal Transplants Kenneth R. Kenyon has The cornea is the transparent front portion of the nation of interrupted and continuous nylon sutures that been doing refractive eye that permits light to enter the eye and focus on the are 1/10th the diameter of a human hair. surgery since 1984 and retina. Normally crystal clear, it can become cloudy or The advantage of these techniques is that they was one of the first eye misshapen, causing gravely reduced vision or blind- permit curvature of the cornea to be adjusted by selec- surgeons in New England ness. Fortunately, diseased corneas can now be tively removing individual sutures after surgery in order to be selected to partici- replaced successfully through transplantation (med- to reduce astigmatism, thereby allowing the patient to pate in the FDA trials of the ically termed "keratoplasty"), using human donor see better within a few weeks to months. excimer laser. He has per- corneas. On the day following surgery the patient is exam- formed more cornea and Replacement of a clouded cornea is the only ined in the office and given the appropriate medica- refractive surgery than any means of restoring full vision. If the rest of the eye tions and instructions. The second office return visit will other ophthalmologist in (including the retina and optic nerve) is normal, the be usually 1 to 2 weeks after surgery, with subsequent New England. cornea can be replaced through transplantation. visits depending on the type of surgery and the healing Approximately 40,000 corneal transplants are per- of the patient's eye. All sutures are not removed during Are the procedures done right in Who is the ideal candidate formed each year in the United States. The success rate of the procedure has increased dramatically in the this period, but some may be taken out to control astigmatism. Sutures are removed at the appropriate your Dartmouth Office? for LASIK? past few years because of recent advances in research time for each individual patient. A contact lens or eye- Yes. Surgical vision correction has always been Basically, anyone between the ages of 20 and 65 and surgical techniques. Corneal transplantation is the glass will not be prescribed for the patient until the done here in Dartmouth ever since Eye Health who needs glasses or contact lenses. Only most successful of all organ transplant surgeries. The transplant has begun to heal, usually 3 to 6 months opened the Greater New Bedford SurgiCenter 15 through a careful and thorough evaluation (which success of the procedure depends on the amount and later. years ago. During the first three years following we offer free of charge at Eye Health) can each type of damage the eye has sustained from disease or Kenneth R. Kenyon, M.D. is the cornea specialist excimer laser approval by the FDA in 1996, Eye person’s suitability for LASIK be assessed, taking injury. The success rate can be as high as 95%. at Eye Health Associates. Dr. Kenyon is Board Certified Health Vision Center patients were taken to our into account each individual patient’s unique visu- However it is important to remember that vision can be in Ophthalmology. He was the director of the cornea Boston location for their refractive surgery proce- al and lifestyle needs and eye conditions. restored only to the extent that the other parts of the service at the Massachusetts Eye and Ear Infirmary in dure. Since March of 1999, however, all of our eye are normal. Boston, Massachusetts from 1978 through 1989. On laser vision correction procedures are done right Why is age a limiting factor? Only the central portion of the cornea is involved an international level, Dr. Kenyon is considered one of Because age determines visual stability (glasses in transplantation. The surgeon removes an appropri- the foremost experts on the treatment of cornea dis- at our Route 6 office in Dartmouth. stability) and since laser vision correction is meant ate circular disc, the patient's cornea, and replaces it ease. He has published over 200 papers and has lec- with a similarly sized disc of donor cornea, which is tured extensively on all aspects of eye care relating to to be permanent, the patient's vision should be in then sutured into place on the patient's eye. the cornea. a stable state at the time of surgery. Visual matu- 4 A corneal transplant is an extremely delicate Dr. Kenyon performs corneal transplants at the rity is reached around age 20. Up until that age, microsurgical procedure performed with the aid of an Greater New Bedford SurgiCenter on a regular basis. operating microscope at magnifications of 10 to 25 As a result, patients no longer have to be referred to 1-800-EYE-CARE • www.eyehealthvision.com times. The suturing technique used employs a combi- Boston to have this procedure performed. toll free in 508 and 401 area codes

Enjoy life without relying Actual LASIK on glasses or contacts Testimonials from our Kenneth R. Kenyon, M.D. is one of the LASIK Patients worlds most experienced surgeons in the areas of refractive, cornea, cataract and trauma surgery. He practices, teaches and conducts research in Boston, Europe, the Middle East and the Caribbean. He has trained more than “The first thing I noticed was 150 clinical and research fellows from all over the world and has been named among the Best how well I could see already, Ophthalmologists in America, Best Doctors in just walking out of Eye Health America and Best Doctors of Boston. A graduate of Harvard College and Vision into the parking lot. Not a Johns Hopkins University School of Medicine, day goes by, and its been about 2 Dr. Kenyon also completed residency and chief residency in ophthalmology at the Wilmer years, that I don’t think Thank God Institute at Johns Hopkins and a Cornea I had this done. You can just see Fellowship at Massachusetts Eye and Ear perfectly all the time.” Infirmary. He then assumed a faculty position at Johns Hopkins, and subsequently directed the Cornea Service at the Massachusetts Eye - Fun 107 Radio and Ear infirmary for twelve years. Dr. Kenyon has performed refractive surgery since 1984 Personality “JR” Dr. Kenneth R. Kenyon and has been an investigator in several clinical trials for refractive surgery. He appreciates the benefits of laser vision correction, having undergone LASIK himself in 1999. “The care that I received from all the staff, but particularly Drs. Kenyon and Dodson and Dr. Kenyon is a founder of Cornea Consultants of Boston, Laser Eye Consultants of Sera Lawton was outstanding. I researched this process and procedure extensively before I Boston and the Boston Eye Surgery and Laser Center. He is also Medical Director for Laser Vision of Puerto Rico and is a visiting professor at the University of Munich. He is Associate actually had it done, and my findings kept bringing me back to Eye Health Vision Centers, Clinical Professor at the Harvard Medical School, Senior Surgeon at the Massachusetts Eye specifically because of the reputation of Dr. Kenyon. I experienced all I heard for myself. and Ear Infirmary, and Senior Clinical Scientist at the Schepens Eye Research Institute. Dr. His knowledge, caring, attentiveness and concern during the past six months has been Kenyon has written more than 300 publications, including a definitive text on ocular trauma. remarkable. He never made me feel that I was a problem or taking up his valuable time. He resides in Marion, MA and Munich, Germany. Instead, he was concerned that I was not seeing as well as I could and took the time to explain to me in layman’s terms what he was going to do, to correct the situation. His pas- sion and zeal for his profession is outstanding, and it comes forth in his concern to “make Special LASIK offer from one of the it right” for his patients. Sera could be a poster child for “Patient First”, her concern and caring matched that of Dr. Kenyon. Her telephone calls to me to inquire as to how I was World’s Most Experienced Eye Surgeons progressing, going out of her way when I would arrive for an appointment to make sure all was well are just a few of the very kind gestures she exhibited to me. My check up visits Schedule a Free LASIK Evaluation this month! were usually with Dr. Dodson. Upbeat, personable and caring is how I describe him. Taking the time to ask me about my concerns or questions I had and answering truthfully whatever questions I posed to him. FREE LASIK EVALUATION Because of my experiences with Dr. Kenyon, I recently referred a friend who two weeks ago had the procedure done in your office, and she cannot say enough about his skills. Being a healthcare professional myself, I understand fully what it is like to work in an environment that is not always conducive to what I experienced. My experiences were posi- tive due to your dedicated healthcare professionals Drs. Kenyon, Dodson and Sera Lawton. They are “The Best, Simply the Best”.” Very truly yours, Dr. Kenyon, of Eye Health Vision Centers, offers you a Nadeen LaFleur FREE no-obligation LASIK Evaluation (worth $150) at an Eye Health Vision Center near you so you can find out what your vision can be like after LASIK. “Just a note to thank you for the opportunity to have the surgery on my eyes and to let you know about the wonderful staff you have. I wanted to let you know the staff I had contact with were absolutely professional and caring. Some employers would say “but its their job to be nice”, but that is not always the case. Some people just do their job to put their time TOTAL EYE CARE BY in but then there are others who have a genuine caring attitude and that is Sera. Eye TOTAL PROFESSIONALS surgery was not an easy decision to make, but Sera was always there to answer questions and she was great explaining all the procedures. I wouldn’t want to leave out Dr. Kenyon 1-800-EYE-CARE and Dr. Santos - they also were great! As of last visit, I had 20/25, 20/30 vision compared to 20/400 before surgery. I am thrilled with the results and would recommend this proce- www.eyehealthvision.com dure to anyone.” Nancy Jarvis For your Screening call (508) 994--1400 Now! Call and say you want to schedule a FREE LASIK Evaluation 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes 5

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New hope for patients with Macular Degeneration The first laser, introduced two years ago at Eye Eye Health has recently acquired the revolutionary Health Vision Centers by one of our retina special- Lumenis Opal Laser and is now the only practice in ists, Dr. Eddie F. Kadrmas is Southeastern Massachusetts offer- Transpupillary Thermotherapy ing Photodynamic Therapy (PDT) (TTT). This is a new procedure, Eye Health for the treatment of Macular recently approved by the FDA, that Degeneration. In an effort to offer relies upon a uniquely designed Vision Centers the community the latest, cutting- Dr. Kameran Lashkari infrared laser system to treat abnormal blood vessels beneath offers latest edge developments stemming from macular degeneration research, the retina in the wet variety of macular degeneration while preserving therapeutic Eye Health now offers both of the newest laser therapies for this dev- Vision Centers have been recognized for staying on the forefront of new technological development to the normal retinal tissues. It is these abnormal blood vessels that breakthroughs astating age-related disease of the retina. Dr. Kameran Lashkari, for- best serve its patients. Our arsenal of lasers used to treat a wide variety of eye pathology now bleed and leak fluid under the reti- to treat Macular merly of the Schepens Retina include: na, which ultimately cause scarring Associates in Boston, joined Eye and permanent visual loss in the Degeneration Health in July, 2002 and introduced THE ARGON LASER, for the treatment of glaucoma, majority of patients with the wet this new laser to the practice. Dr. diabetes, other retinal conditions and select forms variety of macular degeneration. Lashkari feels that between the of wet macular degeneration was introduced at Eye TTT has greatly expanded the three retinal laser treatment Health Vision Center in 1980 Dr. Eddie F. Kadrmas number of patients who can now modalities now available at Eye be treated for this type of eye con- Health Centers (Argon, TTT and THE YAG LASER, for the treatment of secondary M acular degeneration is an dition, which usually leads to pro- PDT) that most all retinal condi- cataract was introduced at Eye Health Vision age-related disease of the gressive visual loss. Patients for- tions can be addressed. He does Center in 1985 retina that is presently merly considered untreatable with however stress early detection and the leading cause of legal traditional argon laser photocoag- prevention. The earlier this condi- THE EXCIMER LASER, used for Laser Vision blindness in the elderly ulation can now be treated result- 20/20 Vision tion can be detected and moni- Correction, PRK and LASIK, arrived at Eye Health affecting approximately ing in stabilization or improvement tored, the more chance there is to Vision Center in February of 1999 one in five patients over in visual acuity. stabilize this potentially devastat- the age of 65. Until recent- Dr. Kadrmas and Eye Health Vision ing disease of aging and deteriora- THE TRANSPUPILLARY THERMOTHERAPY ly, theres been little or no hope of retarding this dev- Center are delighted to be able to tion of the retinal circulation. LASER, for the expanded treatment of macular astating eye condition. Fortunately, through recent provide this new treatment to As the largest eyecare/eye- degeneration arrived in February, 2000 technological advances, two new lasers have been patients of Southeastern wear facility in New England and developed that offer help to a large group of these Massachusetts and Aquidneck the largest eye care provider in THE LUMENIS OPAL LASER, for the treatment of patients, previously untreatable by conventional Island, RI at 51 State Road in North Untreated Southeastern Massachusetts and Photodynamic Therapy (PFDT) arrived in the Fall of laser. Dartmouth, Massachusetts. Macular Degeneration Aquidneck Island, RI, Eye Health 2002. Retinal Detachments & Pneumatoretinopexy The retina is a thin layer of nervous tissue that lines the inner wall hospital care. Because of all these problems a new procedure was of the eye and receives light, similar to the function of film in a camera. developed. When holes develop in this retinal layer, fluid from the cavity in the eye This procedure is called "pneumatoretinopexy." This involves (vitreous) can float through the hole leading to a fluid separation of the numbing the eye with local anesthetic and injecting a small amount of retina from the outer wall of the eye. What this does is remove the nutri- gas into the cavity of the eye which, over a period of a few days, ent source to the retina similar to rolling up sod from your lawn and expands to cover the hole in the retina and floats the retina into posi- placing it away from its sources of nutrients. If the retina is separated tion. This "gas bubble" prevents passage of the gas through the retinal from the wall of the eye at the point where the fine detail vision is cen- hole and pushes fluid away from the hole. Several days later, the retina tralized in the back of the eye then the vision may be permanently will reattach itself to the back of the eye. In order to permanently scar affected. this hole and hold it in place, a freezing treatment is applied around the In order to repair this problem, the retinal holes must be closed hole at the time of the initial injection. Because this procedure can be and treated with a procedure which involves scarring the tissue in the performed in the doctor's office, anesthetic risks as well as hospital eye so as to permanently seal the leak. These retinal detachments are costs are eliminated. It is believed that potential visual results may be relatively common eye disorders which are found with increasing fre- better than with the scleral buckling procedure and the problems such quency in patients who are quite near sighted, who have had previous as double vision and eyeglass changes are avoided since the eye is only eye surgery, or have a family history of this problem. For many years this being minimally invaded by the pneumatoretinopexy procedure. At the condition was thought to be an irreversible blinding problem. In the current time this procedure can be used for approximately half of all reti- 1950's a procedure called scleral buckling was developed. This proce- nal detachments. the surgical success rate for selective cases is quite dure involved sewing pieces of hard plastic material onto the white part good. After the pneumatoretinopexy procedure, the patient experiences or sclera of the eye so as to indent the outer coast of the eye and "plug little or no discomfort. The gas bubble is usually absorbed by the eye up" the retinal hole. Then a freezing treatment was applied and the hole within the first several weeks. was sealed. This procedure usually required hospitalization for the Overall, this has been a remarkable advance in eye care and patient. Also, after the operation, the eye was quite irritated for several allows significant improvement in patient comfort while maintaining the weeks and problems such as changes in eyeglass prescription and best possible results in the patient's vision. 8 double vision were found in patients. The patient's expense for this pro- Dr. Eddie F. Kadrmas is the retina specialist at Eye Health Vision cedure was enormous and required high priced operation rooms and Centers who performs pneumatoretinopexy procedure. 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes

glaucoma Glaucoma is an eye disease which is one of abnormal from birth. Since an infant’s eye has more monly referred to as a “visual field” examination. On occasion, a patient will be found to have an eye pressure over the normal range, but no evi- dence of damage from glaucoma. Some people seem to tolerate high eye pressures without ever developing loss of vision. However, in these cases it is Dr. Cronin participated with the ORBIS "team" in China, Bangladesh, India, Myanmar, Philippines and Cuba. Dr. Cronin has been with Eye Health Vision Centers since October of 2001 and is board certified in ophthalmology. Both Doctors Stephen N. Grimes and J. Ronald Rowes serve glaucoma needs of the leading causes of blindness in the United States. elasticity than an adults, when pressure inside the important for the ophthalmologist to consider addi- patients at our Middletown, RI office. Dr. Grimes Glaucoma is fairly common in adults over the age of eye is increased, the easily stretchable eye may tional causes which may add to a person’s risk of has practiced in Middletown, RI for more than 25 34. Two out of every 100 persons in this age group enlarge. The front of the eye may become cloudy developing damage from glaucoma. A history of years and joined Eye Health Vision Centers in have vision threatened by this disease. When diag- like fog on a windshield. The infant may be sensitive glaucoma in a family, or general health problems January of 2001. Dr. Rowes has been a practicing nosed early, blindness from glaucoma is almost to light and tear excessively. This is a rare condi- such as diabetes, hardening of the arteries, or ane- ophthalmologist for over 25 years and joined Eye always preventable. tion. However, such symptoms or other suspicion of mia are examples of risk factors. Afro-American Health Vision Centers in February of 2002. Drs. There are various causes and symptoms of trouble in the eyes of an infant or child should lead patients are also at an increased risk for glaucoma. Cronin, Grimes and Rowes are also proficient glau- glaucoma. In the eye there is a clear transparent liq- to an immediate visit to an ophthalmologist. Glaucoma is usually controlled with eye drops given coma laser surgeons. Glaucoma laser treatment is a uid called the “aqueous humor” which flows Third, a sheet of paper may float near the 2 to 4 times a day or by pills given in various com- remarkable advance, which gives the ophthalmolo- through the inner eye continuously. This inner flow drain, suddenly drop over the opening, close up the binations. These medications act to decrease eye gist the ability to treat their more difficult glaucoma can be compared to a sink with the faucet turned on drainage area, and block all outflow. In the eye, the pressure either by assisting flow of fluid out of the cases with fewer eye drops. Laser is an alternative all the time. If the drainpipe gets clogged, water col- iris may act like the sheet of paper and press up eye or by decreasing the amount of fluid entering to adding multiple eye drops to patients who are lects in the sink. If the drainage system of the eye against the drainage area and close it off. Fluid the eye. To be effective, these medications must be not controlled on a single glaucoma drop. gets similarly blocked, the fluid pressure within the backs up and increases eye pressure rapidly. Such a taken regularly and continuously. Additionally, it is an excellent alternative to eye inner eye is increased and can cause damage to the sudden, complete blockage of fluid flowing out of If medication does not adequately control drops in those patients who either are unable to optic nerve. The optic nerve is vitally important in the eye results in acute angle-closure glaucoma. pressure within the eye, ophthalmic laser surgery apply drops themselves, or who’s eyes are irritated eyesight because it carries the images seen by the Blurred vision, severe pain, rainbow haloes around may be used to improve fluid drainage and lower by (or allergic to) glaucoma drops. eye to the brain. The blockage of these “pipes” can lights, nausea and vomiting should bring the patient the eye’s pressure. The laser is also used in angle If the combination of glaucoma medication occur in four ways. quickly to an eye physician. Unless this condition is closure glaucoma to create a tiny opening in the iris and laser therapy still are not sufficient to control One way is known as chronic open angle glau- relieved promptly, blindness can result in a day or of the eye to allow the fluids to circulate, thereby this chronic and progressive disease, then a surgi- coma. This type of glaucoma develops slowly over two. reducing pressure. cal procedure known as glaucoma filtration is often a period of time. Most commonly, the “drainpipe” The fourth type of glaucoma is called sec- Eye Health Vision Centers’ Glaucoma special- recommended. Doctor Kenneth R. Kenyon, who is can become smaller with age, clogged by deposits ondary glaucoma. Conditions such as injuries, cer- ist at its Dartmouth and Taunton offices is Kathleen Eye Health’s specialized anterior segment surgeon, which build up slowly. This partial blockage causes tain drugs, hemorrhages, tumors and inflammations T. Cronin, M.D. Dr. Cronin graduated from the routinely performs this operation at the Greater a gradual increase of pressure within the eye. Most can sometimes block outflow channels in the eye. University of Massachusetts, Boston and the N.B. SurgiCenter. Dr. Kenyon graduated from adult glaucoma patients have this type of glaucoma. This may increase inner eye pressure. Hahnemann University School of Medicine in Harvard College with high honors and from Johns Chronic open-angle glaucoma can steal vision so Again, it should be emphasized that early Philadelphia, PA. She completed her ophthalmology Hopkins University School of Medicine. He complet- quietly that the patient is unaware of trouble until detection and diagnosis are very important. During residency at the Medical College of Virginia ed residency and chief residency in ophthalmology the optic nerve is badly damaged. Because no this painless examination, the eye physician will Hospitals in Richmond, VA and a Fellowship in at the Wilmer Institute of the Johns Hopkins symptoms occur, the best way to diagnose this determine the pressure of the eye. Using and instru- International Ophthalmology with Project ORBIS Hospital, followed by a cornea fellowship at the form of glaucoma is by a periodic medical eye ment called an ophthalmoscope, the ophthalmolo- International. The ORBIS DC-10 aircraft is a mobile Massachusetts Eye & Ear Infirmary, Harvard examination. gist will also examine the back of the eye to see if ophthalmologic teaching hospital that conducts Medical School and the Eye Research Institute and Second, the “drainpipe” may have been poor- the optic nerve is healthy and that no damage is programs in various developing countries teaching has been named among the “Best Ophthalmologists ly manufactured. This type of defect is seen in con- occurring. Sometimes, side vision will be tested for ophthalmologic surgical and laser procedures. in America”, “Best Doctors in America” and “Best genital glaucoma, where the drainage openings are shrinkage of blind spots. This procedure is com- During the period July of 1999 through July of 2000, Doctors of Boston”. diabetes mal blood vessels begin growing on the surface of sent without symptoms and improve with treat- the retina or the optic nerve. These new blood ves- ment. Therefore, people with diabetes should be sels, called "neovascularization" have weaker walls aware of the risks of developing visual problems and may rupture and bleed into the vitreous, the and should have their eyes examined regularly. clear gel like substance that fills the center of the Periodic eye examinations are also advisable for and the eye eye. This leaking blood can cloud the vitreous and partially block the light passing through the pupil apparently healthy people, because such examinations help detect the presence of diabetes and Fourteen million Americans have diabetes 80% of the people with at least a 15-year history of towards the retina, causing blurred and distorted other diseases. mellitus, but only half of them know they have it. In diabetes have some blood vessel damage to the images. These abnormal blood vessels frequently If diabetic retinopathy is noted, the ophthal- addition to being a major cause of diseases such as retina. grow scar tissue with them which may pull the reti- mologist may obtain color photographs of the reti- renal failure, hypertension and cardiovascular dis- Diabetic retinopathy is particularly likely to na away from its normal position at the back of the na. Sometimes a specialized technique is used ease, diabetes is the leading cause of blindness occur at a younger age in juvenile diabetics who eye (detached retina). Abnormal blood vessels may which provides great detail about retinal blood ves- among working age Americans. have been diagnosed with the condition during also grow around the pupil (on the iris) causing sels and leakage. This technique, called fluorescein Diabetic retinopathy, a complication of dia- their childhood or teenage years. Diabetic retinopa- glaucoma by increasing pressure within the eye. angiography, is often used by opthalmologists to betes, accounts for at least 12% of new cases of thy is the leading cause of new blindness among Proliferative diabetic retinopathy is the most seri- determine if further treatment is necessary. blindness each year in the United States. In short, adults in the United States. However, with improved ous form of diabetic retinal disease. It affects up to The most significant treatment is ophthalmic persons with diabetes are 25 times more at risk for methods of diagnosis and treatment, only a small 20% of diabetics and can cause severe loss of sight, laser surgery which seals the leaking blood vessels blindness than is the general population. percentage of those who develop retinopathy expe- including blindness in the eye. During this procedure, laser light is Diabetes is a condition which impairs the rience serious problems with their vision. The cause of diabetic retinopathy is not com- focused on the damaged retina. Small bursts of the body's ability to use and store sugar. Elevated There are various types of diabetic retinopa- pletely understood; however, it is known that dia- laser's beam seal leaking retinal vessels to reduce blood sugar levels, excessive thirst and urination thy. One is called background retinopathy. This is betes damages small blood vessels in various areas macula edema. The small laser scars reduce abnor- and changes in the body's blood vessels are all an early stage of diabetic retinopathy in which fine of the body. Pregnancy and high blood pressure mal blood vessel growth and help bond the retina to characteristic of the disease. Diabetes may affec- blood vessels within the retina become narrow or may aggravate diabetic retinopathy. the back of the eye. tion the vision by causing cataracts, glaucoma and obstructed while others enlarge to form balloon like Although gradual blurring of vision may occur Laser surgery does not require an incision and most importantly, damage to blood vessels inside sacs. These altered blood vessels leak fluid and if macular edema is present, sight is usually unaf- may be performed in the ophthalmologist's office. If the eyes. blood causing the retina to swell or form deposits fected by background, diabetic retinopathy and diabetic retinopathy is detected early, laser surgery A disease which results in the damage of these called exudes. Sight is usually not seriously effect- changes in the eye can go unnoticed unless detect- slows vision loss. Even in the more advanced stages blood vessels is called diabetic retinopathy. This ed. It can however, lead to more advanced, sight ed by a medical eye examination. When bleeding of the disease, it reduces the chances of severe visu- disease or problem is a complication of diabetes threatening stages and for this reason is considered occurs in proliferative retinopathy, the sight may al impairment. and is caused by changes in the blood vessels of the a warning sign. become hazy, spotty or even disappear altogether. Laser treatments for Diabetes are routinely retina, the light sensing nerve layer in the rear of In some cases, the leaking fluid collects in the While there is no paint, this severe form of diabetic performed in the Greater N.B. SurgiCenter by Eye the eye. These damaged blood vessels may leak macular, or the portion of the retina responsible for retinopathy requires immediate medical attention. Health Vision Center’s two Retinal and Diabetic Eye fluid or blood and develop fragile brush like branch- detailed vision such as reading. This problem is A comprehensive eye examination and Disease specialists, Dr. Eddie F. Kadrmas and Dr. es and scar tissue. The images which the retina called macular edema. Reading and close work may appropriate treatment by an ophthalmologist is Kameran Lashkari. Please refer to the Age Related sends to the brain through the optic nerve become become more difficult because of this condition. 9 the best protection against eye damage due to dia- Macular Degeneration section on blurred, distorted or partially blocked. Another type of diabetic retinopathy is called betic retinopathy. Serious retinopathy can be pre- page 8 for further information. The risk of developing diabetic retinopathy proliferative retinopathy. Proliferative retinopathy increases the longer a person has diabetes. About describes the changes that occur when new, abnor- 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes

TREATMENTS AND CORRECTIVE SURGERY In June of 2002, Eye Health Vision Center’s Oculoplastic, Lid and Lacrimal Specialist, Ophthalmologist Daniel J. Townsend, M.D. began to offer Botox Cosmetic Treatments at the practice’s Route 6, Dartmouth location. Dr. Townsend has extra- ordinary knowledge and experience in the proper treatment of this revolutionary technique to substantially reduce brow wrinkles in the top 1/3 of the face (around and in between the eyes, and the forehead). Having pio- neered Botox treatments since 1984, Dr. Townsend has performed more than 3,000 treatments with the FDA approved drug. He is a Member of the Select Allergan Board of Physician Teachers who are authorized to teach other Doctors how to administer the treatment. As an Oculoplastic Surgical Specialist and an Ophthalmologist, Dr. Townsend’s unique special- ty training and experience renders him one of the most well qualified Physicians in the country to administer Botox. Appointments for treatments with Dr. Townsend, or a FREE Botox Consultation may be arranged by calling his Dartmouth office at 508-994-1400. Daniel J. Townsend, M.D., Oculoplastic, In April of 2002, the FDA approved the use of Allergan Drug Company’s Botox Lid and Lacrimal Specialist, Cosmetic for use in dramatically reducing the effects of brow wrinkles. This simple, Ophthalmologist non-surgical procedure can dramatically reduce even the toughest wrinkles within days. One ten-minute treatment - a few tiny injections - relaxes the muscles between the brows that cause lines to form. The effect lasts four to six months. Botox Cosmetic has been widely tested and FDA approved. Dr. Townsend graduated from St. Olaf College and Mayo Medical School. He completed ophthalmology residency and a fellowship in Oculoplastic/Orbital Diseases and Surgery at Massachusetts Eye and Ear Infirmary, Harvard University, Boston, MA. Dr. Townsend has BEFORE been with Eye Health Vision Centers since 1996 and specializes in oculoplastic, lid and lacrimal surgery. He is on the staff of Massachusetts Eye and Ear Infirmary in Boston, South Shore Hospital in Weymouth and St. Luke's Hospital in New Bedford. Dr. Townsend is a consultant surgeon at Massachusetts General Hospital in Boston, MA and a consultant ophthalmologist at Nantucket Cottage Hospital in Nantucket, MA. He is a member of the American Academy of Ophthalmology, the American Society of Ophthalmic Plastic and Reconstructive Surgery, the Massachusetts Society of Eye Physicians and Surgeons, and the New England Ophthalmologic Society. AFTER Droopy Eyelids and Blepharoplasty Blocked The eyelids are protective Tear Ducts coverings over the eyes. They The tear ducts, which are in the inner allow the eyes to remain moist and corners of the eyelids, provide a drainage act like windshield wipers to clear system for the tears. Four percent of infants any foreign material. The most are born with blocked tear ducts. Most of common abnormality is eyelid these open by themselves, but if they do malposition. Normal Eye Lid Ectropion: Outward Entropion: Inward turning of lower lid turning of lower lid not, surgery should be performed to open Upper eyelids can be too high the tear duct. or too low. If the eyelid is too high, it may to droop; however, the real problem is that the indicate that the person has thyroid disease person has too much extra skin. This may inter- The causes of excess tearing in adults (Graves disease). In some cases, surgery fere with vision or give one a sleepy appearance. include over-production or insufficient needs to be performed to correct this problem. Surgery can be performed to remove the excess drainage of tears. Over-production of tears More commonly, upper eyelids may be too low; skin. This is called blepharoplasty. is usually caused by irritation of the eye. this is called ptosis. Lower lids can also be positioned incorrect- Therapy for this condition is aimed at the If the eyelid position is interfering with ly. The lower lid may sag and turn out. This is cause of the irritation. Insufficient drainage vision, or is cosmetically unacceptable to the called an ectropion. The lower lid may also roll of tears can be caused by either a narrow- patient, surgery can be performed to raise the in, allowing the lashes to run on the cornea ing or complete blockage of the tear duct. 10 1-800-EYE-CARE toll free in 508 and 401 area codes lid. Sometimes, the upper eyelids may appear • www.eyehealthvision.com causing irritation. This is called an entropion. Either of these problems can usually be resolved with surgery. Surgery can be performed to correct this problem if their tearing significantly bothers the person.

I n the summer of 1998, Eye FREE Health Vision Centers estab- lished an Audiology Division (The Hearing Center) to service the hearing needs of its patient population. Since that time, this division of our practice has grown dramatically and now employs two full time HEARING clinical Audiologists, both with Master Degrees in Audiology, and related medical and technical staff. SCREENING 51 State Road, Ms. Rena Griffis, M.A., CCC-A, our Director of Audiology, joined the practice in July of 2002. As Director, Ms. Griffis Left to right sitting: Rose DeCosta, Stephanie Kirby, Lisa Leaver oversees all aspects of The Hearing Center Left to right, standing: Carrie DeAlmeida, M.A., CF, Eye Health Vision Centers is pleased to Bethany Burnett, Esabel Berube, provide the bearer of this coupon a FREE Route 6 at Eye Health. Rena graduated Magna Rosalie Thatcher, Rena Griffis, M.A., CCC-A hearing-screening. Please call our office North Dartmouth Cum Laude with a Bachelor of Science Degree in Communication Disorders and at 1-800-EYE-CARE for an appointment. or call 508-994-1400 received her Masters Degree in Audiology from the University of Massachusetts in Rena and Carrie are both Rena Griffis, M.A., CCC-A, Director of Audiology Carie A. DeAlmeida, M.S., CF., Audiologist Ext. 163 1994. In her most recent professional exceptionally gifted experience with a Fall River based ENT Specialist, Rena provided personalized Audiologists and they provide hearing healthcare for hundreds of patients. A PUBLIC SERVICE ANNOUNCEMENT She has dozens of notes of gratitude from the finest care possible for satisfied persons with hearing loss who Do you or someone you know constantly ask others to repeat themselves? If so, it sought a solution through the use of quality hearing impaired patients. hearing instruments. Ms. Griffis is a mem- could be a sign of hearing difficulty. ber of the American Speech, Language and Exposure to loud or constant noise over a Hearing Association and the American Academy of Audiology. period of time, a middle ear infection, or the Rena joined Ms. Carrie DeAlmeida, M.S., CF, who had joined the practice in natural aging process are but a few of the January of 2002 while still attending Southern Connecticut State University, where she ways hearing can be permanently affected. has now completed her M.S. in Audiology. She received her B.S. in Communication Disorders from Worcester State College, and has completed clinical internships at Yale If this is your first response . . . you’re New Haven Hospital and The Hearing Center at Eye Health. She received the 2001 “what?” not alone. This is how the approxi- Connecticut Speech Hearing Association scholarship for graduate student in Audiology. mately 28 million Americans Ms. Landis has been a member of the NSSHLA for the past five years and treasurer of who experience hearing loss respond the NSSHLA chapter at SCSU for the past year. when asked about their hearing. Rena and Carrie and their Audiology Staff at The Hearing Center provide comprehensive audiometry testing and hearing aid fitting and dispensing. The Hearing Center A hearing test is quick and painless and provides FREE Hearing Screenings to all patients, which include: can be done right in the hearing professional’s office. In a matter of minutes CASE HISTORY -- Does the patient have any medical conditions you’ll know if you can benefit from that might be affecting hearing? today’s most advanced digital hearing technology and begin rediscovering SUBJECTIVE QUESTIONNAIRE -- How much of a problem is hear- what you can do sounds you may have been missing. Today’s hearing instruments come in a ing loss for the patient, and is the patient ready to get help if needed? variety of prices and sizes to match your VIDEO-OTOSCOPY -- Examination of ear canals with a visual picture Having your hearing checked shown on a TV screen. Is there wax blockage or some other med- hearing and lifestyle needs: from the by a hearing professional can ically treatable condition that may be affecting hearing? provide the answer you need. In-the-ear In-the-canal Completely-in-the-canal PURE TONE AUDIOMETRIC SCREENING -- General determination Ask yourself these questions: of degree of hearing loss as compared to normal hearing. The patient s YES s NO Do you or your loved ones suspect you have a takes home a copy for personal records. hearing problem? s YES s NO Do you experience difficulty hearing in crowds? APPROPRIATE REFERRALS FOR FOLLOW-UP -- Does the patient s YES s NO Is it difficult to understanding some voices or TV? need to see a doctor? Does the patient need a complete audiologi- always popular in-the-ear to the almost s YES s NO Do you have trouble hearing on the phone? cal evaluation, with a possible recommendation for hearing aid use? invisible completely-in-the-canal. By help- s YES s NO ing isolate sounds from background noise, Should the patient return for annual rechecks (hearing within normal Is it hard to listen in church or the movies? you may once again hear the playful sound or near-normal range)? s YES s NO Has it been over 12 months since you’ve had a hearing test? of children’s laughter, the subtle babbling of a brook, or the lively conversation of Rena and Carrie are both exceptionally gifted Audiologists If you can answer YES to any of the above questions, hearing friends or loved ones. and they provide the finest care possible in the community for hear- amplification may help you. ing impaired patients. Rena was previously widely known for her skills throughout Greater Fall River while with her previous practice. 11 If you suspect you or someone you know may have a hearing problem, call today for a personal appointment. www.starkey.com 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes

SEMINARS DIABETIC LASIK SEMINARS CATARACT FREE SCREENING Live Demonstration • 8am-12noon State Road, North Dartmouth SEMINARS with Dr. Renee B. Reis MONDAY, JUNE 16 6-7pm THURSDAY, MARCH 13 5:30 • State Rd., N. Dart. State Rd., N. Dartmouth THURSDAY, JUNE 19 THURSDAY, SEPTEMBER 18 SATURDAY, JUNE 21 THURSDAY, MARCH 13 THURSDAY, NOVEMBER 13 10am • White’s of Westport THURSDAY, APRIL 17 MONDAY, SEPTEMBER 15 THURSDAY, JUNE 19 5:30 • State Rd., N. Dart. THURSDAY, SEPTEMBER 18 HEARING SATURDAY, SEPTEMBER 20 51 State Road (Rte. 6) North Dartmouth, MA 02747 THURSDAY, NOVEMBER 13 SEMINARS 10am • White’s of Westport SATURDAY, MAY 24 OPTICAL 508-999-7779 • MEDICAL 508-994-1400 OPTICAL 73 Valley Road, Middletown, RI AUDIOLOGY Located halfway between Bishop Stang High School and Shaw’s Plaza on Route 6 TRUNK SHOW TUESDAY, JUNE 17 OPEN HOUSE State Road, North Dartmouth FRIDAY &/OR SATURDAY FRIDAY & SATURDAY JUNE 20 & 21 TUESDAY, SEPTEMBER 16 JUNE 20 &/OR 21 64 Winthrop St., Taunton State Road, North Dartmouth 64 Winthrop St., Taunton SEMINARS SUBJECT TO CHANGE. PLEASE CALL FOR CONFIRMATION. 1-800-EYE-CARE $ 80- 100 OFF $ COMPARABLE DESIGNER FRAMES 70 Huttleston Avenue, (Rte. 6) Fairhaven, MA 02719 508-994-2020 Located four blocks east of the Fairhaven Bridge across from Slade’s Ferry Bank 73 Valley Road, (Rte. 124) Middletown, RI 02842 OPTICAL 401-841-0966 • MEDICAL 401-845-2020 Located in the same building as the Registry of Motor Vehicles 12 1-800-EYE-CARE • www.eyehealthvision.com toll free in 508 and 401 area codes 64 Winthrop Street, (Rte. 44) Taunton, MA 02780 OPTICAL 508-822-2041 • MEDICAL 508-823-5536 Located at the corner of Rte 44 & Harrison Ave., 3/10 of a mile west of Taunton Green.

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