NJ Eye Surgeon on Lens Implants, Cataracts & Glasses

NJ eye surgeon Joel Confino, M.D. commented on the growing interest in lens implants, cataracts and the possibility of not needing glasses after cataract surgery. “As more and more of our baby boomer population enters the “age of cataracts” we have lots of discussions about cataract surgery and lens implants and the need-or not-for eyeglasses,” remarked Dr. Confino, a Cataract Surgeon & Corneal Specialist at The Eye Care & Surgery Center in Westfield, Warren & Iselin, New Jersey. “What really makes my patient discussions interesting is that over the past 5 years, patient expectations and technology have driven a convergence of the goals cataract surgery and refractive surgery making it more common for patients want to avoid glasses if possible.”

Traditionally, the goal of Cataract Surgery was to remove the cloudy crystalline lens and replace it with an intraocular lens implant (IOL) of equivalent optical power so as to achieve “emmetropia” thus allowing patients to have good distance vision. The goal of Refractive Surgery is to help patients decrease or possibly even eliminate their dependence on eyeglasses or contact lenses. Today, a rapidly growing cataract patient population wants to achieve both the benefits of cataract Surgery and refractive surgery in one combined procedure.

In order to meet patient expectations of being “glasses free” and help patients achieve their personal vision correction and lifestyle goals, it is necessary for us to first carefully select the type and design of lens implant as well as to accurately calculate the IOL power. The types and designs of lens implants that we work with include the following:

Monofocal Lens Implants

Monofocal lens implants are the most basic type of Lens Implant used to correct vision after removal of the crystalline lens. A Monofocal Lens Implant can provide very good vision after cataract surgery-but only at one set distance-usually for seeing things at a distance such as for driving or going to the movies. A Monofocal Lens Implant does not correct intermediate or arm’s length vision for doing things like playing cards and seeing the golf ball on the tee, or even seeing computer screens clearly. Monofocal lens implants do not correct near vision for doing things up close like seeing medicine bottles, reading, or keeping your golf score, as these tasks require the correction of presbyopia.

Toric Lens Implants

Toric lens implants correct astigmatism. For patients who have significant amounts of astigmatism prior to cataract surgery, and who do not wish to wear eyeglasses to see clearly at a distance, choosing a toric lens implant can help them be independent of glasses for tasks such as driving that require clear distance vision. Toric Lens Implants do not correct presbyopia, so that most patients still require reading glasses or bifocals to be able to comfortably perform near vision tasks such as reading and intermediate vision tasks such as computer work.

Near Vision Presbyopia Correcting Lens Implants

Near vision presbyopia correcting lens implants provide vision correction at the full range of distances-far or distance vision, arm’s length or intermediate vision and up close near vision. Depending on the specific vision requirements of the patient, there are several types of presbyopia correcting multifocal and accommodating lens implants that can be used. Each of these works in a different way to help the patient achieve their vision correction goals of being able to see at a variety of distances without being dependent on eyeglasses or reading glasses. Patients choosing to have a presbyopia correcting lens implant will likely find that they can drive, watch television, play golf and keep score, read a menu, play cards or do crafts-without the need for glasses. Patients choosing a multifocal or accommodating lens implant typically experience a greater overall freedom from glasses, allowing them to participate in most everyday activities without the dependence on, or hassle of glasses.

“As cataract and refractive surgeons, we routinely work to realistically shape patient expectations and then constantly strive to provide the medical, surgical and optical care necessary help patients meet or exceed them” commented Dr. Joel Confino.

“When patients ask us, “Do I have to wear glasses after my cataract surgery?”, we make sure to help them understand that we can offer them the possibility of a lifestyle that minimizes or possibly eliminates their need for glasses through careful lens implant counseling” he said. “For many patients, being able to live “glasses free” adds a level of convenience and comfort to their everyday lives.”

If you or someone you know has questions about cataracts, cataract surgery or lens implants (IOL) please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter to schedule an appointment.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Halloween Contact Lenses & Eyes in NJ

“Halloween, decorative contact lenses and your eyes may not be a great combination,” remarked NJ Ophthalmologist & Corneal Specialist Joel Confino, M.D. of The Eye Care & Surgery Center with offices in Westfield, Warren and Iselin, New Jersey. “Halloween can be a really fun time but it’s always wise to be a bit cautious with contact lenses,” Dr. Confino explained. “Many Halloween celebrants like to turn their eyes from blue to some far out appearance or ghoulish look by using over-the-counter, decorative contact lenses that may seem like fun, but can lead to serious vision-threatening problems,” further explained Dr. Confino. According to the Food and Drug Administration, all contact lenses are regulated medical devices that require a prescription and proper fitting by an eye-care professional. Even someone with perfect vision would still require an eye exam and a prescription in order to wear any kind of contacts, including cosmetic lenses.

Some websites advertise decorative contacts as if they were fashion accessories or toys with fanciful, playful packaging in order to attract teens and young adults, especially girls. The problem is not that people use decorative, noncorrosive lenses-sometimes called Plano-or zero-powered lenses, but that they buy the devices without a prescription through unlicensed vendors on the Internet or at flea markets and specialty shops.

The buyer of these over-the-counter contact lenses faces a huge risk including scratched corneas, pink eye and more serious types of blinding infection as a result of a corneal ulcer

In 2005, a federal law was passed that classified all contact lenses as medical devices and restricted their distribution to licensed eye-care professionals. Illegal sale of contacts can result in civil penalties of up to $11,000 per violation.
 

The safe and effective use of contact lenses-whether decorative or not-requires proper fitting and education about their care to prevent the potential for serious eye  problems from becoming a reality. If you or a friend would like to learn more about contact lenses of any type including decorative contacts please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter and schedule an appointment.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

NJ Corneal Specialist on Eye Injury Prevention

NJ Ophthalmologist & Corneal Specialist Joel Confino, M.D. advised patients to raise their awareness of steps to take for eye injury prevention when doing common activities. “Some of the most common things we all do have the potential for causing eye injury. It is worthwhile to take some simple precautions to avoiding eye damage and vision loss,” said Dr. Confino. “Often thinking about protecting our eyes is the last thing we do when going out to mow the lawn, do the basement or garage cleanup or even jump start the car as the weather gets cold-but it should really be the first thing we think of to avoid eye injury,” he emphasized.

The American Academy of Ophthalmology has designated October Eye Injury Prevention Month. This is a good time to consider steps to take to avoid eye injury. Many household chemicals, such as cleaning fluids, detergents and ammonia, are extremely hazardous and can burn the eye's delicate tissues. When using chemicals, always read instructions and labels carefully, work in a well-ventilated area and make sure spray nozzles point away from you and others before spraying. Be sure to wash your hands thoroughly after use.

Before using a lawnmower, power trimmer or edger, check for debris. Stones, twigs and other items can become dangerous projectiles shooting from the blades of a lawnmower, potentially injuring your eyes or those of innocent bystanders. Prevention is the first and most important step in avoiding serious eye injuries, so be sure to protect your eyes with appropriate protective eyewear.

If you have questions or need an appointment for an eye injury please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

NJ Cataract Surgeon on Macular Degeneration

Joel Confino, M.D. a NJ Cataract Surgeon and Corneal Specialist at The Eye Care & Surgery Center reassured patients with age related macular degeneration (AMD) it is possible to benefit from cataract surgery with proper counseling and realistic expectations based on their condition. “What we know is that both cataracts and age related macular degeneration share a common risk factor-age,” said Dr. Confino. “Both cataract formation and age related macular degeneration increase in frequency and incidence as we get older. Thus it is quite common to have one, the other of both as we transcend our 50’s, 60’s and 70’s.”

Many patients ask whether it is beneficial to have cataract surgery if they have pre-existing macular degeneration. And if they do have cataract surgery, will it make the AMD get worse and faster. “The general consensus among cataract surgeons is that with proper preoperative diagnostic testing, examination and consultation patients who have age related macular degeneration (AMD) and who then develop a cataract are able to have cataract surgery after being counseled on what to expect with regard to overall vision improvements and lifestyle benefits,” further commented Dr. Confino. While AMD is not a reason to avoid cataract surgery, realistic expectations must be established by and between you and your cataract surgeon. Further, the most current and widely accepted studies on AMD progression after cataract surgery found that there was no difference in the frequency of the disease among patients who had Cataract Surgery as compared to those who did not.

If you have questions or need an appointment to learn more about cataracts, cataract surgery or age related macular degeneration please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

NJ Pediatric Ophthalmologist on Nearsighted Risk in Children

NJ Pediatric Ophthalmologist Louis Furlan, M.D. commented on nearsighted risk or risk of myopia in children. “Recent research indicates that the risk of nearsightedness or myopia in children may be reduced when they spend increased time in natural light and by viewing distant objects during childhood,” stated Dr. Furlan of The Eye Care & Surgery Center with offices in Westfield, Warren and Iselin, New Jersey.
A review of data of 10,400 participants showed that for each additional hour outdoors per week, the chance of developing myopia dropped by about 2%, according to a presentation at the annual meeting of the 2011 Annual Meeting of the American Academy of Ophthalmology. It was reported that myopic or nearsighted children included in the study tended to spend about 3.7 fewer hours per week outdoors than children with normal vision or hyperopia. Furthermore, increasing outdoor time might reduce the chances of myopia worsening, according to the release.
If you or someone you know have questions about children’s eye health and vision, myopia or nearsighted risk in children or wish to schedule an eye examination for children of any age please feel free to contact The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter.
The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.
With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

Find a Top NJ LASIK Surgeon

“Making the effort to find a top LASIK surgeon is well worth the time,” commented NJ LASIK Surgeon Joel Confino, M.D. But what makes a top LASIK surgeon? For sure, top LASIK surgeons have the skill, expertise and experience to perform LASIK surgery in a safe, effective and predictable manner. But they also have some other characteristics that set them apart from the rest.

Top LASIK Surgeons are easy to trust because they are empathic-they hear and appreciate what you say and they connect with you and your personal goals.

Top LASIK Surgeons take care and time to consider every aspect of your eye health and vision during your evaluation and consultation.

Top LASIK Surgeons say NO! if you are not a good candidate.

Top LASIK Surgeons insist that you return for proper follow-up care even if YOU think you are doing just fine.

Top LASIK Surgeons want to hear your questions-and are happy to answer them in simple understandable language.

Top LASIK Surgeons fully discuss the risks, benefits, possible complications and side effects in a balanced manner.

Top LASIK Surgeons can be counted on to effectively manage your eye surgery when things are going perfectly as well and when things a bit off track.

Choosing a LASIK surgeon is the single most important decision you will make. Do the research and meet the surgeon to be assured of your decision. If it works move ahead. If not, schedule another consultation. At The Eye Care & Surgery Center, our patients regularly tell us that Corneal Specialist & NJ LASIK Surgeon Joel Confino, M.D. is a “Top LASIK Surgeon”. You can find out for yourself by calling 800-504-1083, visiting The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter and scheduling a Free LASIK Evaluation!

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.

NJ Pediatric Ophthalmologist & Children’s Eye Problems

NJ Pediatric Ophthalmologist Louis Furlan, M.D. of The Eye Care & Surgery Center commented on children’s eye health, vision and safety problems. "Aside from vision threatening conditions, eye screenings for children are important because vision changes can occur without you or your child noticing them," said Dr. Furlan. “Problems and conditions we will look for at a pediatric or children’s eye exam include amblyopia or lazy eye, strabismus or crossed eyes, ptosis or drooping of the upper eyelid, color deficiency or color blindness and common refractive errors such as nearsightedness, farsightedness and astigmatism.”

The Eye Care & Surgery Center wishes to announce that Prevent Blindness America has designated September as Children’s Eye Health & Safety Awareness Month. Eye and vision problems affect one in twenty preschoolers and one in four school aged children. Parents should be aware that it is possible for their children to have a serious vision problem without even being aware of it. Infants should be screened for common eye problems during their regular pediatric appointments and vision testing should be conducted for all children starting at around three years of age. If there is a family history of eye problems or if an eye problem is apparent, it is important to bring it to the attention of and eye doctor so that they can advise the parents about when and how often their child’s eyes should be examined.

“You also have to protect your child’s eyes from the danger of eye injuries. Be sure that the toys your child plays with are appropriate for his or her age and maturity level. Avoid toys with sharp, protruding or projectile parts. Participation in any type of sport also could endanger your child’s eyes, so make sure he or she wears appropriate protective eyewear,” said Dr. Furlan.

If you have questions or concerns about children’s eye problems, health & safety and would like to schedule an eye exam please call The Eye Care & Surgery Center at 908-789-8999, visit The Eye Care & Surgery Center or facebook.com/eyecareandsurgerycenter

The Eye Care & Surgery Center is staffed by a team of Board Certified NJ Ophthalmologists who are subspecialty Fellowship trained New Jersey eye surgeons, Opticians, technical and administrative staff who provide eye examinations for adults and children, surgery for cataracts, intraocular lens implants (IOL), laser vision correction such as LASIK, diagnosis and treatment of cornea disease including cornea transplants, diagnosis and treatment of diseases of the retina including diabetes and age related macular degeneration (AMD) and diagnosis and treatment of glaucoma, reconstructive and cosmetic facial surgery including eyelid surgery and facial and skin rejuvenation as well as contact lenses, eyeglasses, eyewear  and optical services.

With locations in Westfield and Warren and Iselin, The Eye Care & Surgery Center is a leading NJ eye care practice serving the central and northern New Jersey including Old Bridge, East Brunswick, Sayreville, Milltown, North Brunswick, Kendall Park, Somerset, Dunellen, Bridgewater, Manville, Bound Brook, Raritan, Edison, Colonia, Woodbridge, Metuchen, Avenel, Carteret, Piscataway, Middlesex, Somerville, South Plainfield, North Plainfield, Roselle Park, Garwood, Clark, Kenilworth, Cranford, Gillette, Berkeley Heights, Stirling, Scotch Plains, Summit, Chatham, Watchung, Pluckemin, Rahway, Plainfield, Mountainside, Springfield, New Providence, Basking Ridge, Bedminster, Bernardsville, Millington, Union, Elizabeth, Linden, Jersey City, Irvington, Orange, West Orange, Livingston, Short Hills, Florham Park, Madison, Bloomfield, Montclair, Clifton, Garfield, Wayne, Parsippany, Troy Hills and Paramus, New Jersey.