Welcome to Del Negro & Senft Eye Associates



Glaucoma: The sneak thief of sight.

It is a devastating disease that can slowly destroy the delicate nerve fibers that carry signals from the back of the eye to the brain. Generally, high pressure within the eye is responsible for the damage, but even patients with normal pressure can experience loss of this important nerve function due to glaucoma.

Did you know that annual eye exams are your first line of defense against permanently losing your vision to glaucoma? It’s such a simple thing to schedule, but if you are not proactive about making the time and penciling in this exam, you will regret your decision forever. Sadly, regret can never restore vision lost to glaucoma.


  • No treatment can restore vision already lost to glaucoma.
  • Because it can be inherited, if one family member has glaucoma, other family members should be checked.
  • The goal of treatment is to prevent further vision loss.

Advances in treatment options of this disease are available to those who qualify. So, this year, be thoughtful about your New Year’s resolution . . . make the call to schedule your annual eye exam today. See your best this year and beyond!

Are you truly happy with your vision?

If your answer is one of the following, or something similar, you may want to consider scheduling a cataract evaluation:

  • “I’m managing.”
  • “I’m just not driving at night anymore.”
  • “I’m wearing sunglasses at night to help with the glare.”
  • “I’m just staying off the highway.”

If you have been diagnosed with cataracts or have been experiencing decreased vision, make it your New Year’s resolution to investigate whether you are a candidate for cataract surgery. A cataract evaluation is very thorough, lasting approximately two hours. Drs. Del Negro, Senft, or Glatman will review the testing in real-time and discuss how far along your cataract(s) have progressed and determine the next appropriate step—monitoring progression or scheduling the procedure. Additionally, you would learn whether standard or laser cataract surgery is right for you, as well as your candidacy for advanced technology lenses, including Toric and presbyopia correcting lenses.

The idea behind modern cataract surgery is quite simple: the surgeon removes the clouded natural lens and implants a new, clear lens in its place. Our surgeons remove cataracts on an outpatient basis at Seashore Surgical Institute* both state-of-the-art surgical facilities. No hospital stay is required.

Don’t procrastinate in the New Year! It is a 10-minute procedure that will make you 20/Happy so you can start doing – or continue doing – all the activities you’ve come to know and love. Cheers to a New Year with new vision.

*Drs. Del Negro & Senft have an ownership interest in Seashore Surgical Institute.

Many people use yoga as a form of meditation — to clear the mind. But practicing yoga is also incredibly beneficial for your body as a whole. It calls on your entire frame to work like a well-oiled machine, which allows you to identify both your strengths and your weaknesses. It helps to expose any deficiencies you may have by calling on your whole form to deliver your pose and maintain it, which requires complete control.

Christian Valeriani, owner of EvenFlow Yoga in Red Bank, explains, “In balancing poses on one foot, looking ahead is critical in that it keeps the skull aligned over the sacrum for a plumb line. Any downward energy, such as eyelids descending, which ultimately moves the vision to the floor, creates forward head position (FHP for short). In FHP, the SI joints tend to rotate, which creates imbalance. And, since energy finds the path of least resistance, the ‘stronger’ standing leg gets stronger, and the weaker gets weaker. The idea is to keep strength and flexibility in the front, back, and lateral planes of the body. And the body follows the eyes.”

According to Christian, your eyes hold the critical job of informing the body’s motion and position to create specific poses. If your eyesight is not up to par, you will feel it, and your form may suffer.

Interestingly, we have heard patient experiences that explain this phenomenon in an unexpected way. For example, Julius didn’t even realize the full extent of his balance issue until he underwent blepharoplasty (upper eyelid surgery) with Marina Glatman, MD. Following an in-depth consultation with Dr. Glatman, who addressed the droopiness of his upper eyelids, it was determined that he was a candidate for the procedure. After undergoing the procedure, Julius immediately noticed a positive difference in his balance and stability during his weekly yoga sessions. He didn’t realize until getting back to the gym that the excess tissue on his upper lids made it difficult to maintain balance during his workouts prior to surgery.

Ultimately, we should make more of an effort to recognize how much the deficiencies in our eyesight play a role in impacting our daily activities. If you are having any difficulties, don’t be afraid to investigate your options so you can work toward being a better participant in your life and what you love to do.


Christian Valeriani is a contributor to our Vision & Yoga blogs

Diabetes affects millions of Americans. During the month of November communities put forth great effort to educate regarding the prevention and management of this disease.

We would like to do our part in discussing how Annual eye exams are vital to maintaining your vision and overall health. In honor of #DiabetesAwarenessMonth we feel it is useful to relay how optomap® with its 3D images can assist our team in their quest to preserve your vision. The first time a new patient is seen in our office for an annual eye exam our doctors dilate as normal, establishing a baseline. A welcome benefit to our patients –following their initial dilated exam–is that that a routine exam can be performed without dilation, if there are no additional findings to suggest otherwise. The image produced is unique and provides Drs. Del Negro, Senft, Glatman, Shah, Wiedeman, and Carniglia with a high-resolution 200° image in order to ascertain the health of your retina. This is much wider than a traditional 45° image. It’s an excellent screening tool.

Many eye conditions can develop under your radar. In fact, early on you may not even notice a change in the clarity of your vison. Fortunately, diseases or damage such as macular degeneration, glaucoma, retinal tears or detachments, and other health problems such as diabetes and high blood pressure can be seen with a thorough exam of the retina. Early intervention is critical in helping you maintain your current vision. #eyesareeverything #diabetesawareness2019

Overall health and dexterity can improve daily lifestyle–from navigating your home to exercising and everything in-between.

As we age, we may notice that some tasks become more difficult, especially related to Hand-Eye coordination.

What is Hand-Eye coordination? According to Jim Brown, PhD, it is the ability to perform activities that require simultaneous use of the hands and eyes. With a decline in hand-eye coordination, the brain has trouble communicating efficiently when telling the hands to carry out a movement.

Tasks affected by a decline or loss of Hand-Eye-Coordination:

  • Writing
  • Driving
  • Sewing
  • Inserting a key into a lock
  • Buttoning a shirt or blouse
  • Tying a tie
  • Striking keys on a cellphone
  • Reaching for an object (without knocking over another object in the process)
  • Playing a sport

The good news is that we can work against this decline by participating in activities, such as yoga, that engage and actually look to improve these specific functions. Yoga can play a huge part in developing your personal sense of hand-eye coordination. According to Christian Valeriani, owner of EvenFlow Yoga based in Red Bank, “Yoga has many benefits which include stress management, mindfulness, balance and physical flexibility and strength.” Valeriani goes on to explain, “When a practitioner performs unilateral poses, or poses on one side, and then alternates sides, the hemispheres of the brain become more equanimeous. Many poses also require the activation of the extremities like fingers and toes. In turn, neurotransmission, or brain communication to the body, is refined, which positively affects physical movement and sensory acuity. Additionally, practitioners also enhance proprioception, or the sixth sense, which governs how one ‘holds’ themselves in space. Enhancing proprioception is critical as we age. For example, if one has vision issues, the way the world is perceived is slightly skewed and the ‘language’ between the brain and eyes can be confusing. Consequently, the stronger eye compensates and ultimately bears the load.”

In this respect yoga builds the body up. Have you ever heard the expression, “If you don’t use it, you’ll lose it.” Valeriani aptly puts this concept into perspective, “So yoga, with its various movements and orientations to gravity, stimulate and challenge the senses to delay deterioration. Even simply sitting in a chair and moving the eyeballs in different directions is Yoga! The net effect is maintaining functionality of tasks such as tying knots, driving, writing, etc. Simply activating mindfulness to any movement keeps the brain alive and laser sharp, which can only improve your relationship to yourself and the world around you.”

Christian Valeriani is a contributor to our Vision & Yoga blogs


Yesterday we had the pleasure of participating in Hackensack Meridian Health’s Mitchell-Vassar Vision Awareness Day held at the Grand Marquis in Old Bridge. Dr. Stacy Doumas and keynote speaker Jennifer Rothschild captivated the audience with stories of inspiration and emotional harmony.

Dr. Dumas discussed “Emotional Harmony” citing various techniques to ensure that our emotions are in agreement–to secure emotional stability as we go through our daily lives. She spoke about a simple concept that is often forgotten: We have the power to change how we react to behavior. It is in our hands. Don’t be overwhelmed, know you have the strength to get through the anxiety and difficult times, even if you wind up “sitting” in that difficult, uncomfortable space for longer than you had intended. Know that you can take the time, adapt, develop a resilience, talk to people, keep perspective and, most importantly, keep a positive outlook always. As Dr. Dumas reminded us: “Tough times don’t last, tough people do.”

Jennifer Rothschild, at the young age of 15 was diagnosed with retinitis pigmentosa, a degenerative retina condition which ultimately leads to complete blindness. In Rothschild’s words “light was replaced with darkness.” Through her story we saw that this was indeed a devastating diagnosis, but she chose to change her perspective. She shared that her condition did not define her, but, rather refined her path for the rest of her life. She turned to new outlets, experiences, and challenges to express herself living each day beyond her limits. She took on challenges and fought against doubt. She chose to make blindness her ally. Throughout her engaging discussion Rothschild explained that you can be the boss, your self-imposed disability DOES NOT define you, it actually helps you to grow. The key is trading fear for faith/flight. And, above all else always say, and believe, “I Can!” This positive perspective has allowed Rothschild to enjoy a rich life filled with personal as well as professional accomplishments and has been a great source of inspiration for those who received her very poignant message.

So grateful to The Mitchell-Vassar Bright Future Legacy and all the organizers at Hackensack Meridian Health who made this very special and educational day possible. The event, in loving memory of Janice Mitchell-Vassar, provided a poignant pep-talk for all attendees.

March is Save Your Vision Month! Your vision is important all year round, but it is nice that during March we can celebrate and really spread the importance of a dilated eye exam and being pro-active about your eye health. Hopefully, this will have a trickle-down effect in that your ears will perk up when someone admits, “My vision isn’t what it used to be,” or “My vision has been bothering me lately.” You can then confidently say, “You should schedule an eye exam to eliminate any concern.”

Of course there can be a number of complaints, but it always returns to the sage advice: “Get it checked out.” This applies to yourself, a friend, or a loved one. A dilated eye exam can uncover issues with high cholesterol, diabetes, glaucoma, retina, as well as other conditions, and can ultimately save your sight.

A visit to the ophthalmologist or optometrist will set you on track to maintaining your current vision. Unfortunately, not every vision loss can be reversed. This is why a dilated eye exam is priceless–and should be scheduled every one-to-two years, depending on what your ophthalmologist or optometrist recommends.

There you have it–feel free to spread the word that your eyes are worth a second look. After all, you use them from the moment you wake up until your lids close at night.

Be in the know when it comes to your vision.

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What is AMD?
Age Related Macular Degeneration (AMD) is a deterioration or breakdown of the macula and is one of the most common causes of poor vision in people over age 60.

How do the Retina and Macula relate to AMD?
The inside layer of the back of the eye is called the retina. The retina is like the film of a camera. The central 10% of the retina is called the macula. The macula is responsible for sharp, central vision required for “straight ahead” vision activities, such as driving, reading, recognizing faces, and performing close up work.

What are the Symptoms and Risk Factors of AMD?
The visual symptoms of AMD involve the loss of central vision (reading, recognizing faces, etc.), while peripheral vision is unaffected. While age is the most significant risk factor for developing AMD, heredity, blue eyes, high blood pressure, cardiovascular disease, and smoking have also been identified as risk factors.

Click here to learn more.

If you have concerns about your vision and would like to speak to one of our doctors, call us today to schedule an appointment.

Individuals with diabetes should be aware that they may experience signs of MGD (Meibomian Gland Dysfunction) at a greater rate than the average person, according to a recent article in Ocular Surgery News. As we approach Diabetic Awareness Month, it is important to take note that MGD “was found to be more severe in patients with diabetes, possibly contributing to a greater prevalence of dry eye disease in these patients.”

According to Patricia Nale’s article, Johanna Garzon, PhD, and colleagues in Colombia formulated this conclusion based on a study of 37 patients with type 2 diabetes and 36 healthy controls used to assess the Meibomian glands, ocular surface, and tear function of its participants. The standout finding was that “if the blood glucose is higher, the symptoms [of MGD] are worse.” Diabetes affects so much, including MGD and dry eye, even if this is not one of the more prevalent discussions for those diagnosed with the disease.

“In the group with diabetes,” Garzon explains, “major changes in lids and tear function correlated with meibomian gland inflammation and obstruction.” Furthermore, “in both groups, 71% of participants presented with MGD: 76% in the diabetes group and 67% in the control group.” Even with the best of intentions to keep blood glucose levels in check with daily medication, diet, and exercise, chronic MGD and dry eye still responds best to a tailored regimen to prevent flare-ups.

To keep these frustrating symptoms at bay, feel free to schedule a dry eye evaluation any time. Our eye doctors will customize a program that works for your particular situation, which may include LipiFlow®, an in-office treatment designed to remove blockages from the Meibomian glands, allowing them to properly function and produce the oils that make up the top protective lipid layer of the tear film.

Be proactive, not reactive, and live your best life — free from the irritation and annoyance of this chronic disease.

October is our favorite time of year – we get to enjoy the colorful foliage, football, comfort food, and our annual pumpkin decorating contest. It also presents us with the perfect opportunity to educate our patients and the public on the dangers that exist when purchasing decorative contact lenses. At Halloween time, specifically, people tend to make one big mistake when purchasing the finishing touches to their costume. To save yourself pain, discomfort, and possibly an irreversible issue with your vision, NEVER purchase non-prescription lenses or lenses not regulated by the FDA. In fact, it is illegal to purchase any contacts without a valid prescription.
A recent AAO.org post educates to this point by publishing guidelines that should be followed to safely wear costume contact lenses for Halloween or any time of year:
  • Get an eye exam from a licensed eye care professional, such as an ophthalmologist or optometrist  — an eye medical doctor — who will measure each eye and talk to you about proper contact lens care.
  • Obtain a valid prescription that includes the brand name, lens measurements and expiration date.
  • Purchase the colored contact lenses from a retailer who asks for a prescription.
  • Follow the contact lens care directions for cleaning, disinfecting and wearing the lenses.
  • Never share contact lenses with another person.
  • Get follow-up exams as directed with your eye care provider.
If you notice redness, swelling, excessive discharge, pain or discomfort from wearing contact lenses, remove the lenses and seek immediate medical attention from an ophthalmologist or optometrist. Eye infections can become serious very quickly and sometimes the damage is not reversible.