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Dr. Daniel Robert Lefebvre, MD

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Specializes in: Ophthalmology (Eye Disease)

SUNY Upstate Medical University

Professional interests include: eye problems, blepharoplasty, tear duct problems (lacrimal apparatus), and more.

800 Huntington Avenue
Boston, MA 02115

(617) 936-6160

Dr. Daniel Robert Lefebvre, MD is an ophthalmologist in Boston, MA specializing in ophthalmology (eye disease). He graduated from SUNY Upstate Medical University. Dr. Daniel Robert Lefebvre, MD is affiliated with Steward Health Care Network, Massachusetts General Hospital, LEXINGTON EYE ASSOCIATES - BID and LEXINGTON EYE ASSOCIATES, INC.

Office Locations

Address:

243 Charles Street
Boston, MA 02114

Address:

800 Huntington Avenue
Boston, MA 02115

Address:

980 Washington Street Suite 120
Dedham, MA 02026

Some issues Dr. Daniel Robert Lefebvre, MD can help you with:

Blepharoplasty

Blepharoplasty is a surgical procedure to remove excess tissue around the eyelids. With aging, skin loses elasticity. In some people, skin can pool around the eyes causing wrinkles, puffiness, under-eye bags, and drooping.

During a blepharoplasty, tiny incisions are made under local anesthesia, and any excess skin or underlying tissue is removed from the eyelids. The procedure takes between one and three hours, and patients may have bruising and swelling around their eyes for a few days afterwards. Icing the area may help.

The surgery is sometimes done along with other facial surgery as part of a facelift. Typically, a blepharoplasty is considered cosmetic. In severe cases, however, upper eyelids may droop so significantly that they make it hard to see. In these cases, blepharoplasty may be considered a necessary treatment.

Eye Problems

Millions of people every year have problems with their eyes. Some of the most common eye problems are refractive disorders, glaucoma, diabetic retinopathy, macular degeneration, and cataracts.

Refractive disorders happen when the shape of the eye doesn't let allow someone focus very precisely. They might be myopic (nearsighted), hyperopic (farsighted), or have an astigmatism, which is a focus problem caused by the cornea. Refractive disorders can be corrected by glasses or contacts.

Glaucoma is the leading cause of blindness in the United States. It happens when fluid pressure builds up within the eye and damages the optic nerve. It is treated with medications and surgery.

Diabetic retinopathy is a common complication of diabetes. The retina is tissue at the back of the eye that is filled with numerous, tiny blood vessels. When diabetes damages these delicate blood vessels, they burst or leak, leading to blind spots and blurred vision. Diabetic retinopathy can be treated with laser therapy and surgery, but often vision cannot be restored.

Macular degeneration is common in older adults. The macula is the central part of the retina and is responsible for crisp center vision. Over time, the cells in the macula begin to die, making central vision blurry. An early symptom of macular degeneration is that straight lines appear wavy.

Cataracts happen when the clear lens in the front of the eye becomes cloudy, making things look blurry or faded. They are extremely common in older people. By age 80, more than half of all Americans will have had a cataract. In early stages, prescription glasses and magnifying lenses can help. As the cataracts get worse, surgery to replace the lens may be the best option.

More than just one of the five senses, the eyes are heavily relied upon to communicate, work, and get around every day. It's important to have regular eye exams for vision stays in good shape for years to come.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

doctor visit	63
excision	29
eye procedures	235
lacrimal (tearing system) procedures	33
plastic surgery procedures	23
removal of lesion (e.g. growth)	29

**Gender**
Male	81
Female	100

**Ethnicity**
Non-Hispanic White	150
Black	12
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	79
From 75 to 84	52
85 and over	25
Less than 65	25

Hypertension	68
High Cholesterol	55
Stroke	0
Ischemic Heart Disease	34
Depression	25
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	22
Chronic Obstructive Pulmonary Disease	8
Diabetes	30
Dementia	10
Cancer	7

doctor visit	93
excision	37
eye procedures	372
lacrimal (tearing system) procedures	30
plastic surgery procedures	30
removal of lesion (e.g. growth)	37

**Gender**
Male	107
Female	164

**Ethnicity**
Non-Hispanic White	211
Black	22
Hispanic	21
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	77
85 and over	40
Less than 65	39

Hypertension	69
High Cholesterol	54
Stroke	4
Ischemic Heart Disease	32
Depression	25
Chronic Kidney Disease	20
Asthma	12
Osteoperosis	9
Atrial Fibrilation	13
Heart Failure	15
Chronic Obstructive Pulmonary Disease	10
Diabetes	27
Dementia	8
Cancer	11

doctor visit	210
excision	40
eye procedures	268
lacrimal (tearing system) procedures	31
plastic surgery procedures	8
removal of lesion (e.g. growth)	40

**Gender**
Male	180
Female	348

**Ethnicity**
Non-Hispanic White	392
Black	44
Hispanic	52
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	242
From 75 to 84	154
85 and over	66
Less than 65	66

Hypertension	64
High Cholesterol	44
Stroke	0
Ischemic Heart Disease	23
Depression	23
Chronic Kidney Disease	17
Asthma	12
Osteoperosis	9
Atrial Fibrilation	8
Heart Failure	10
Chronic Obstructive Pulmonary Disease	6
Diabetes	26
Dementia	8
Cancer	11

doctor visit	267
excision	20
eye procedures	307
lacrimal (tearing system) procedures	12
plastic surgery procedures	30
removal of lesion (e.g. growth)	20

**Gender**
Male	129
Female	201

**Ethnicity**
Non-Hispanic White	258
Black	29
Hispanic	28
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	136
From 75 to 84	113
85 and over	38
Less than 65	43

Hypertension	65
High Cholesterol	46
Stroke	4
Ischemic Heart Disease	32
Depression	21
Chronic Kidney Disease	25
Asthma	14
Osteoperosis	10
Atrial Fibrilation	11
Heart Failure	13
Chronic Obstructive Pulmonary Disease	8
Diabetes	25
Dementia	10
Cancer	11

doctor visit	225
excision	38
eye procedures	403
lacrimal (tearing system) procedures	14
plastic surgery procedures	43
removal of lesion (e.g. growth)	38

**Gender**
Male	144
Female	205

**Ethnicity**
Non-Hispanic White	290
Black	20
Hispanic	26
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	142
From 75 to 84	117
85 and over	44
Less than 65	46

Hypertension	67
High Cholesterol	40
Stroke	6
Ischemic Heart Disease	34
Depression	26
Chronic Kidney Disease	28
Asthma	9
Osteoperosis	10
Atrial Fibrilation	14
Heart Failure	15
Chronic Obstructive Pulmonary Disease	12
Diabetes	28
Dementia	9
Cancer	12

doctor visit	243
excision	29
eye procedures	428
plastic surgery procedures	76
removal of lesion (e.g. growth)	29

**Gender**
Male	126
Female	263

**Ethnicity**
Non-Hispanic White	322
Black	19
Hispanic	27
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	163
From 75 to 84	140
85 and over	56
Less than 65	30

Hypertension	63
High Cholesterol	53
Stroke	5
Ischemic Heart Disease	31
Depression	28
Chronic Kidney Disease	26
Asthma	8
Osteoperosis	12
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	14
Diabetes	28
Dementia	12
Cancer	10

doctor visit	216
excision	23
eye procedures	212
plastic surgery procedures	36
removal of lesion (e.g. growth)	23

**Gender**
Male	95
Female	186

**Ethnicity**
Non-Hispanic White	242
Black	11
Hispanic	17
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	115
From 75 to 84	105
85 and over	34
Less than 65	27

Hypertension	63
High Cholesterol	56
Stroke	0
Ischemic Heart Disease	28
Depression	27
Chronic Kidney Disease	25
Asthma	9
Osteoperosis	13
Atrial Fibrilation	9
Heart Failure	14
Chronic Obstructive Pulmonary Disease	10
Diabetes	24
Dementia	13
Cancer	10

doctor visit	58
eye procedures	43

**Gender**
Male	27
Female	69

**Age**
From 65 to 74	48
From 75 to 84	33
85 and over	0
Less than 65	0

doctor visit	315
eye procedures	52
plastic surgery procedures	13

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Daniel Robert Lefebvre, MD for Medicare patients.

The highest averages for the top procedures that Dr. Daniel Robert Lefebvre, MD treated as an ophthalmologist in Boston, MA were eye procedures, plastic surgery procedures, removal of lesion (e.g. growth) and excision.

doctor visit	188
excision	30
eye procedures	260
lacrimal (tearing system) procedures	25
plastic surgery procedures	33
removal of lesion (e.g. growth)	30

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Daniel Robert Lefebvre, MD.

**Gender**
Male	88
Female	153

**Ethnicity**
Black / African American	15
Asian / Pacific Islander	0
Non-Hispanic White	186
Native American / Alaskan Native	0
Hispanic	17
Other	0

**Age**
75 to 84	79
85 and over	30
Less than 65	27
65 to 74	104

Average of Total of Conditions of Medicare patients treated by Dr. Daniel Robert Lefebvre, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Daniel Robert Lefebvre, MD treated were hypertension, high cholesterol, ischemic heart disease and diabetes.

Hypertension	51
High Cholesterol	39
Stroke	1
Ischemic Heart Disease	23
Depression	19
Chronic Kidney Disease	18
Asthma	7
Osteoporosis	8
Heart Failure	11
Chronic Obstructive Pulmonary Disease	6
Diabetes	20
Atrial Fibrillation	7
Cancer	7
Dementia	7

Education & Training

Dr. Daniel Robert Lefebvre, MD graduated from SUNY Upstate Medical University. He is certified by the Ophthalmology, American Board of Ophthalmology and has a state license in Massachusetts.

Medical School: SUNY Upstate Medical University

Board Certification: Ophthalmology, American Board of Ophthalmology

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Daniel Robert Lefebvre, MD is associated with these hospitals and organizations:

Steward Health Care Network

Massachusetts General Hospital

LEXINGTON EYE ASSOCIATES - BID

LEXINGTON EYE ASSOCIATES, INC

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General Payments

These charts describe general payments received by Dr. Daniel Robert Lefebvre, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Horizon Therapeutics plc	$172 TEPEZZA $172
Galderma Laboratories, L.P.	$47 $47

**Types of Payments**
Food and Beverage	$219

Biography

Dr. Daniel Lefebvre's specialty is ophthalmology (eye disease). His clinical interests include thyroid problems, blepharoplasty, and tear duct problems (lacrimal apparatus). Dr. Lefebvre is affiliated with Steward Health Care Network and Massachusetts General Hospital. Before completing his residency at Nassau University Medical Center, Dr. Lefebvre attended medical school at SUNY Upstate Medical University.