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Adjacent to the Constitution Bank and The Peasant Grill on Broad Street


At the Intersection of River Rd (RT 29 & Rt 179) and Bridge Street


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Author: hopewellandlambertville

What You Need to Know About Buying Contact Lenses From Online Vendors: Consumer Beware

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Optometrists care about patient health and safety. When you are interested in purchasing contact lenses, consider first the potential negative impacts of using online contact lenses vendors that may affect your vision health, eyes, and wallets. An educated consumer makes for healthy choices.

In this chaotic and busy world, it can feel convenient to simply go online, check your prescription, and order new contact lenses or eyeglasses and as many online sites would suggest you skip the doctor visit altogether. There are substantial and risky pitfalls when using online vendors to obtain your contact lenses and glasses prescription rather from your trusted optometrist – and they could be a threat to your sight!

Of the many occurrences of price fixing, illegitimate online eye exams, fraudulent consumer information, and breaches of federal regulations by online contact lens vendors that have occurred, the most recent event resulted in legal action when in January The Department of Justice and Federal Trade Commission (FTC) announced that the government would fine Hubble contacts 3.5 million dollars for violating the Contact Lens Rule and illegally substituting contact lenses (Read more about this, here). With all events of this type, there is not just financial burden to the consumer but more importantly, these firms are placing the consumer’s vision and health at severe risk for their profit.

A substantial number of case reports of ophthalmic complications associated with contact lenses obtained through illegal and unregulated sources of supply reveal a number of instances in which an inexperienced user purchases lenses or plano decorative contact lenses over-the-counter without having the proper training on usage and storage, leading to microbial keratitis -a sight threatening disorder. [i] [ii]

Ordering contacts through your eye doctor can be less expensive in many cases! Most importantly, your trusted local eye doctor will be available to help in maintaining your eye and systemic health. In addition, they are able to immediately apply vision plan benefits and offer higher manufacturer rebates giving you, the patient/consumer as great financial savings.[ix] [x]

In summary:

  • Infographic explaining the importance of comprehensive eye exams
  • See an eye care professional to get a prescription for your eyeglasses and/or contact lenses. It is better to purchase contacts only from licensed eye care professionals – being aware that online vendors and other establishments (beauticians, tattoo parlors, cosmetic store …) are not licensed to practice optometry or ophthalmology and do not have the proper training to engage in such activities.
  • Be aware of false claims: Packaging that claims “one size fits all” or “no need to see an eye doctor” is false.
  • Purchase only FDA-approved products.
  • Never share contacts. Sharing contacts can spread germs and bacteria, potentially causing sight threatening eye infections. Contact lenses not fitted properly for your eye can cause vision-threatening damage.
  • Practice good hygiene. It is important to follow directions for cleaning, disinfecting, and wearing contacts. See an your optometrist or ophthalmologist right away if you notice any swelling, redness, pain or discharge from wearing contacts.[xi]

If you have any questions or would like to schedule an appointment: call our office(s)
Hopewell Eye 609-466-0055 Lambertville 609-397-7020 or

request an appointment at:

Encourage Eye Safety for Hobbies and the Workplace

Encourage Eye Safety for Hobbies
Sport and safety eyewear should be discussed at every patient encounter.
Kenneth Daniels, O.D., F.A.A.O., Hopewell, NJ

Consider the patient who experienced an alkaline burn to the cornea, the patient who had a thorn enter her left eye; the patient whose weed whacker belt injury penetrated his cornea; the patient who was hit in the eye by a nerf ball, resulting in a commotio retinae; the patient whose paint ball injury left her aphakic, with a retinal detachment and anridia. Clinical images presented here. In all these cases, the simple use of protective eyewear could have prevented the devastating injuries incurred by these individuals.
Here are simple steps to follow with every patient to help protect your patients’ vision while they are enjoying their hobbies.

Ask Questions – Give Answers

As we delve into the history of each of our patients, it is simple enough to ask in which activities they participate and then address the need based on that activity. For example, I am a cyclist and will bring my experience to the conversation of using a sweep-back frame design to reduce wind shears and dust and a lens switching system that I use and then select the appropriate ones based on the environmental lighting. But, we do not need to be athletes or weekend warriors to understand a patient’s avocation and occupation. The simple art of conversation will elicit the requirements of their activities. We ask questions and ask of the patient to give answers to their needs. Asking questions and having a conversation allows eye care practitioners to define the specific eye care needs of each patient. Asking questions and having a conversation allows eye care practitioners to define the specific eye care needs of each patient.

In our practice, we see a large number of scientists from universities and pharmaceutical firms. We ask about the safety requirements of their labs and refresh them on OSHA regulations, the regulations setforth for sport safety called ANSI standards and the NJ State law requiring protective eyewear for sport safety eyewear.

Educate on Safety Standards

Reinforce to patients that sport/safety eyewear, although readily available at the local hardware or sport shop, is not prescriptive and does not come with the advice of the eyecare practitioner. Educate your patients on the following safety measures that you can provide:
Sports/safety eyewear standards: Educate patients on the American Society for Testing Materials (ASTM) International and American National Standards Institute (ANSI) standards that qualify sport/safety eyewear differently as compared to traditional dress eyewear. Patients should know there are two important U.S. standards for protective eyewear: ASTM F803 and ANSI Z87.1

Protective sports eyewear are eyeglass frames or goggles designed and manufactured to meet or exceed applicable U.S. impact protection standards. All protective sports eyewear must have polycarbonate lenses designed to withstand impact. Benefits to polycarbonate lenses include UV protection and scratch resistance. The material has also been used to create high impact-resistant frames.
Local regulations:

In New Jersey, since 2006, the state mandates the use of protective eyewear in organized sport. “Any child who wears corrective eyeglasses while participating in racquetball, squash, tennis, women’s lacrosse, basketball, women’s field hockey, badminton, paddleball, soccer, volleyball, baseball or softball, sponsored by a school, community or government agency, shall be required to wear protective eyewear that meets the frames standards of the American Society for Testing and Materials (ASTM) F803 and lens standards of the American National Standards Institute (ANSI) Z87.1.”4 Identify whether such laws exist in your area, and inform your patients of it as you are making your recommendations.

For more read an article published by Dr. Daniels at:

FSA (Flexible Spending Accounts) For Eye Health Care

Flexible Spending Accounts and Eyecare

Eye health and Vision care and materials are a Flexible Spending Account (FSA) eligible expense.

Eye exams for your kids and yourself, and the expenses for eyeglasses, contact lenses, contact lens solution, refractive surgery (LASIK), myopia (nearsighted) control, Orthokeratology, dry eye treatments and more are FSA and HRA eligible. Learn more by visiting us at

Hopewell Lambertville LOGO compressed

Did you know that nearly two out of every three Americans wear prescription glasses, and yet it’s surprising there’s so much confusion around the FSA eligibility of eye wear and vision care. What’s even more surprising is why more Americans aren’t using their tax-free funds to pay for the products and services necessary to maintain proper eye health. And we’re not just talking eyeglass repair kits and lens wipes — there are some seriously surprising eye care items on our Eligibility List.

With the end of the year coming soon and as we approach the winter, it time to get ahead of your eye health and well being checks. With the many issues facing us there can be some major issues that can be addressed through a comprehensive eye health exam. We can address the optimization, check the eye health for cataracts, glaucoma, macular degeneration, and more as well relations to the systemic issues such as diabetes, high blood, thyroid disease, cardiovascular concerns, cancer…..

Prevention starts with protection… The Eyes are the Windows to Your Health
No, we’re not talking about high school health class… But the same thinking applies. According to a survey from The Vision Council, 75% of American adults in a survey are concerned about UV eye exposure, but only 31% report wearing sunglasses when going outside.

And cloudy days aren’t much safer than sunny ones; you can still do some damage when it’s overcast, because UV rays break through clouds and can damage unprotected eyes. Prescription sunglasses are FSA-eligible, so what’s stopping you from being smarter than the 69% of people who leave their eyes unprotected?

Are Contact lenses covered by FSA / HRA? Yes!

Let’s be clear: there are plenty of places to buy contact lenses. But how many of them allow you to the comprehensive care you deserve and a choice of options that will best suite your lifestyle needs. And yes, contact lenses entirely covered with your FSA. Maybe we’re a little biased, but we think you’ll enjoy buying your contacts this way. Contacts can be purchased through our office directly, or via several online options.

Refractive and Surgical Options: Orthokeratology; Myopia Control and LASIK

For your kids, we are concerned about the potential of nearsighted or myopic progression that can lead to difficulties in academics, sports, daily activities and long term potential pathology. As such we offer many options in myopia (nearsighted control) including soft and gas permeable lenses, orthokeratology and more.
For the adults seeking a new life without or limited use of eyewear or contacts we offer many refractive surgical options including (laser eye surgery) called LASIK. Which can be completely eligible for FSA and HSA reimbursement. Even though LASIK is expensive, think again. With respect the future lack of needed eyewear and in combination of the tax benefit cost reduction using FSA/ HRA accounts, it makes the procedure very affordable.

Cost is obviously important, but we stress the clinical care and aspects of eye health prior to any decision.
It’s not limited to LASIK, either. Medically necessary treatments and routine eye exams are all part of FSA eligible vision care.

If you have any questions, please visit out website: or feel free to call the office to arrange an appointment. Hopewell 609-466-0055 Lambertville 609-397-7020

Aging Eyes and Driving Safety 

Even if you don’t have any eye or vision problems, the natural process of aging affects your ability to see and react to visual stimuli. It’s important to know the impact the aging can have on your eyes and vision so you can take the necessary precautions to stay safe and protect your eyes.

Driving is one activity that can pose a high risk as safe driving requires not only good vision, but also intact cognition and motor response. As we age, reflexes, reaction time and vision begin to deteriorate, which can impair one’s ability to drive safely, particularly under conditions such as bad weather, twilight glare, or nighttime darkness. Here are some ways that your ability to drive can be impaired as you age and some safety tips to help you to stay safe on the roads.

The Aging Eye

As we age, the eye and vision naturally begin to experience a decline. The pupils in the eye, which allow light to enter, begin to shrink and dilate less, allowing less light to enter the retina. This causes reduced night vision. Additionally, some of our peripheral vision diminishes along with our ability to see moving objects.

Due to deterioration of the cornea and clouding of the lens of the eye, glare becomes more disruptive and contrast sensitivity is reduced, making it harder to perceive images clearly. General imperfections in vision called higher-order aberrations cause a general decline in vision that can’t be corrected with glasses or contact lenses. Additionally, our reaction times slow, adding motor complications to the visual ones. Dry eyes also becomes a bigger problem with age as the lacrimal glands don’t produce as many tears to keep the eyes moist. Many of these symptoms may be present without the individual even noticing a decline and can all contribute to increased risk – for the driver, and others on the road.

If you add in any other vision problems such as cataracts, glaucoma or macular degeneration which are age-related diseases that gradually reduce vision, you can have a serious danger on your hands.

Avoid Distractions

The biggest driving distraction in our day and age is cell phone usage. While many states and provinces have created laws which forbid driving and texting or holding a phone, it is not universal, and this still causes countless accidents and deaths that could be easily avoided. Even hands-free options distract you from the road and put you at risk. If you must use your phone to speak, dial or text, pull over first.

Plan Ahead

If you can avoid driving at night or on hazardous roads with sharp turns, inadequate lighting or that are unfamiliar to you, you will be better off. Plan to make first time trips during the day when you can clearly see street signs and landmarks or take a practice trip with a loved one.

Purchase Night Vision Glasses

There are glasses available that can help to reduce the glare at night and enable better night time vision. Speak to your optometrist about whether this is a good option for you.

Turn Vents Down

Car vents can also cause discomfort, eye irritation and create greater vision hazard, as the air blowing at the eyes can impair vision or cause watering, especially when the eye are already dry.

Maintain Good Eye Health

Make sure that you get your eyes checked on a regular basis and that any eye conditions you have are being treated and monitored. Good nutrition, exercise and overall healthy habits will help to protect and heal your eyes as well. Further, listen to your instincts, if you feel unsafe driving or if your doctor (or family members) tell you it’s time to hand in the keys, think about utilizing other means of transportation to get around.

Many times people are able to pass their vision test at the driver’s license bureau which gives them a false sense of security, but in reality they are not seeing well, especially at night or in bad weather. In many areas there are courses available for senior citizens to test out driving skills with instructors who do an evaluation and give feedback on their real abilities. It’s critical for seniors to speak to their eye doctors about their true vision level and any restrictions that they recommend.

The key to eye health and safety is awareness. You can’t stop your eyes from aging but you can take the necessary precautions to ensure that you are protecting your eyes, yourself and those around you by knowing how your eyes and vision are affected.

Is Your Teen Ready for Contacts?

Many teens who wear glasses are eager to try out contact lenses for convenience, fashion or to just provide another option for vision correction. For teens who feel self-conscious in their glasses, contact lenses can be a way to improve self-esteem. Young athletes and swimmers find that contacts are an excellent option for sports, especially as younger kids are becoming involved in travel sports and club teams outside of school.

While contacts might appear to be the perfect solution for teens that need corrective eyewear, they are a convenience that comes with a lot of responsibility so it’s not a decision to take lightly. Improper use of contact lenses can cause severe discomfort, infections, irritation and, in the worst cases, eye damage or even permanent vision loss.

“With Privilege Comes Responsibility”

Contact lenses are a medical device and should always be treated as such. They should never be obtained without a valid contact lens prescription from an eye doctor, and always purchased from an authorized seller. Among other issues, poor fitting contact lenses bought from illegitimate sources have been known to cause micro-abrasions to the eyes that can increase the risk of eye infection and corneal ulcers in worst case scenarios.

Particularly when it comes to kids and teens, it is best to purchase contact lenses from an eye doctor as they possess the expertise to properly fit contact lenses based on the shape of the eye, the prescription, the lifestyle of the child and other factors that may influence the comfort, health and convenience of contact lens use.

There is some debate over the recommended age for kids to start considering contact lenses. While some experts will say the ideal age is between 11 and 14, there are many responsible children as young as 8 or even younger who have begun to successfully use them. When children are motivated and responsible, and parents are able to ensure follow-up to the daily regimen, earlier contact lens use can be a success. A good measure of whether your child is responsible enough to use contacts is whether they are able to keep their room clean, or maintain basic hygiene like brushing teeth regularly and effectively.

When you think your child might be ready, you should schedule an appointment with your eye doctor for a contact lens exam and fitting. The process will take a few visits to perform the exam, complete a training session on how to insert, remove and care for lenses, then to try out the lenses at home and finally reassess the comfort and fit of the contacts. You may try out a few varieties before you find the best fit.

What Kind of Contact Lens Is Best for My Teen?

The good news is that contact lens use has become easier than ever, with safety, health and convenience being more accessible as technology improves. There are a number of options including the material used to make the lenses (soft or rigid gas permeable), the replacement schedule (if disposable, how often you replace the pair – daily, weekly, biweekly or monthly) and the wear schedule (daily or extended overnight wear).

Single use, daily disposable lenses have become very popular, particularly with younger users, because they are easy to use, requiring no cleaning or storing, and therefore they reduce the risk of infection and misuse. You simply throw out the lenses at night and open a new one in the morning. Your eye doctor will be able to help you and your teen determine the best option.

Tips for Contact Lens Wearers

Following are some basic contact lens safety tips. If your teen is responsible enough to follow these guidelines, he or she may be ready for contact lens use:

  1. Always follow the wearing schedule prescribed by your doctor.
  2. Always wash your hands with soap before applying or removing contact lenses.
  3. Never use any substance other than contact lens rinse or solution to clean contacts (even tap water is a no-no).
  4. Never reuse contact lens solution
  5. Follow the eye doctor’s advice about swimming or showering in your lenses
  6. Always remove your lenses if they are bothering you or causing irritation.
  7. Never sleep in your lenses unless they are extended wear.
  8. Never use any contact lenses that were not acquired with a prescription at an authorized source. Never purchase cosmetic lenses without a prescription!

Contact lens use is an ongoing process. As a child grows, the lens fit may change as well, so it is important to have annual contact lens assessments. Plus, new technology is always being developed to improve comfort and quality of contact lenses.

Contact lenses are a wonderful invention but they must be used with proper care. Before you let your teen take the plunge into contact lens use, make sure you review the dangers and safety guidelines.

Inside a Life With Color Vision Deficiency

What’s it like to be color blind? Contrary to what the name implies, color blindness usually does not actually mean that you don’t see any color, but rather that you have difficulty perceiving or distinguishing between certain colors. This is why many prefer the term color vision deficiency or CVD to describe the condition. CVD affects men more than women, appearing in approximately 8% of men (1 in 12) and .5% of women (1 in 200) worldwide.

Having color vision deficiency means that you perceive color in a more limited way than those with normal color vision. This ranges from mild, in which you may not even be aware that you are experiencing color differently, to severe, which is perhaps the more appropriate from to be called “color blind” and involves the inability to see certain colors.

CVD can be inherited; it is caused by abnormalities in the genes that produce photopigments located in the cone cells in your eyes. The eyes contain different cone cells that fire in response to a specific color, blue, green or red and together allow you to see the depth and range of colors that the normal eye can see. The type of color blindness and therefore the type of color vision that is impaired, is based on which photopigments are abnormal. The most common form of CVD is red-green, followed by blue-yellow. Total color blindness or the complete inability to perceive color is quite rare. About 7% of males have congenital color blindness that they inherit from the mother’s X-chromosome.

Color blindness can also be the result of eye damage, specifically to the optic nerve, or to the area in the brain that processes color. Sometimes an eye disease, such as cataracts, can also impact one’s ability to perceive color. Systemic diseases such as diabetes or multiple sclerosis can also cause acquired CVD.

Living with CVD

Red-green color blindness does not mean only that you can’t tell the difference between red and green, but rather that any color that has some red or green (such as purple, orange, brown, pink, some shades of gray, etc) in it is affected.

You many not realize all of the ways you use even subtle distinctions in color in your daily life. Here are some examples of ways that CVD can impact your life and make seemingly everyday tasks challenging:

  • You may not be able to cook meat to the desired temperature based on color.
  • Most of the colors in a box of crayons will be indistinguishable.
  • You may not be able to distinguish between red and green LED displays on electronic devices that indicate power on and off.
  • You may not be able to tell between a ripe and unripe fruit or vegetable such as bananas (green vs. yellow) or tomatoes (red vs green).
  • Chocolate sauce, barbecue sauce and ketchup may all look the same.
  • Bright green vegetables can look unappealing as they appear greenish, brown or grey.
  • You may not be able to distinguish color coded pie charts or graphs (which can cause difficulty in school or work).
  • Selecting an outfit that matches can be difficult.

Knowing that one is color blind is important for some occupations that require good color discrimination such as the police officers, railway workers, pilots, electricians etc. These are just a few of the ways that CVD can impact one’s daily life. So is there a cure? Not yet.

While there is no cure for CVD, there is research being done into gene therapies and in the meantime there are corrective devices available including color vision glasses (such as the Enchroma brand) and color filtering contacts that for some can help to enhance color for some people. If you think you might have CVD, your optometrist can perform some tests to diagnose it or rule it out. If you have CVD, you can speak to your eye doctor about options that might be able to help you experience your world in full color.

How Contact Lenses Can be a Danger to your Eyes


Most people wouldn’t consider contact lenses dangerous. In fact, they are a great alternative to glasses, offering convenience and great vision for those who wear them. However, when not obtained and used according to an eye doctor’s instructions, the consequences can be devastating.

Contact Lenses Need to Fit

Like shoes, one size of contact lens does not fit all. Even daily disposable contact lenses need a proper lens fitting, as lens materials and curvatures vary from one brand to the next. Often patients that complain of contact lenses that feel dry within a couple hours of applying them are actually wearing contact lenses that are not an ideal fit. Many factors can affect a lens fit, including growth, allergies, medications, hormone changes, and others. Sensitivities to eye drops and cleaning solutions may also affect comfortable contact lens wear.

The Dangers of Contact Lens Use

We all know how uncomfortable it is when there is a foreign object in our eye. The tearing and watering that occurs as the eye’s natural attempt to remove foreign matter displays the eye’s sensitivity compared to other parts of the body. Any time a foreign object comes into contact with the eye (even your finger), there is a risk to the eye – and that risk includes contact lenses. Improper hygiene and useage of contact lenses can scratch the surface or bring bacteria into the eye which can lead to serious infections and permanent damage to the eye and vision.

According to a recent report from the Centers for Disease Control and Prevention, almost 20% of patients that reported infections of the cornea related to contact lenses had a corneal scar, a decrease in visual acuity or needed a corneal transplant as a result of the infection. Further, 25% of infections involved poor contact lens hygiene, which means they likely could have been prevented.

Dangerous Behaviors that Put Contact Lens Users At Risk

Here are some of the most dangerous contact lens habits that should be avoided to eliminate your risk of eye damage or a potentially blinding eye infection.

  • Failing to wash your hands with soap and dry them before applying or removing lenses.
  • Rinsing contacts or your lens case with tap water, sterile water or other substances.
  • Re-using solution or topping off the solution in your lens case rather than emptying it, cleaning it and refilling it.
  • Failing to remove lenses before swimming or entering a hot tub.
  • Leaving in contact lenses too long or sleeping in contacts that are not meant to sleep in.
  • Failing to follow the wearing schedule prescribed by your eye doctor.
  • Using the same lens case for too long (it should be cleaned regularly and replaced around every three months).
  • Wearing lenses that are not obtained with a prescription through an eye doctor or legally authorized contact lens distributor.
  • Ironically, as you can see, water is one of the biggest dangers for contact lens wearers at it can harbor dangerous bacteria under the lens or in a contaminated lens case. These dangers can be easily avoided by following your eye doctor’s instructions in handling and wearing your contact lenses.

Cosmetic/Decorative Contact Lenses

With Halloween on the way it’s important to stress that you should ONLY purchase contact lenses from an eye doctor or legally authorized contact lens seller with a prescription. Even if you are purchasing purely decorative contact lenses with no vision correction, you need a doctor to measure your eye to ensure they fit properly. Contact lenses are a medical device and it is illegal to sell them without proper authorization. Therefore you should never purchase them from a costume or party store – they are unregulated and could cause serious harm to your eyes and vision.

If you notice any unusual redness, discharge, crusting, light sensitivity or pain, immediately remove your contact lenses and go see your eye doctor as soon as possible. Some serious eye infections can cause permanent vision damage or loss even within a day or two.

While you should not approach contact lens use as a dangerous activity, it is important to understand the importance of proper hygiene and use. As long as you obtain contact lenses safely and follow the instructions of your eye doctor, contact lenses are a safe, convenient and effective option for vision correction.

Schedule Your Contact Lens Fitting Today!

Hopewell Office

Adj. to Constitution Bank on Broad St (Rte 518) in the same building as Hunterdon Medical Associates Schedule Online Call for Appointment: 609-300-2393

Lambertville Office:

Located at the intersection of River Rd (Rt 29&179) at Bridge Street
Schedule Online Call for Appointment: 609-300-2461

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