Doctor insights on:
Alternative Treatments For Macular Pucker
Not effective: laser was used treat macular degeneration the 1980's , 90's, and early 2000's but is no longer considered an effective treatment. Currently, injectable medications (Avastin, Lucentis, (ranibizumab) Eylea) are the best treatment for wet macular degeneration. The only proven "treatment" for dry macular degeneration is vitamin supplementation (AREDS 2 formula). ...Read more
Very: Ranibizumab is one of four injectable medications currently available for treatment of wet (exudative) macular degeneration. The others are pegaptanib, bevacizumab and aflibercept. Pegaptanib is not used much anymore because it does not work as well. The other three agents work very similarly. In about 40% of eyes vision improves by 2 of more lines, and 90% + have stabilization or improvement. ...Read more
Not useful: Macular degeneration is a condition, mostly in the elderly, in which the central circulation gradually fails and vision is lost. No surgery known can reverse this process. There are supplements which can be useful and in certain types of macular degeneration, injections may also be useful. ...Read more
Not many: There are at least four problems that occur as part of this condition. First as the tissues stretch, there is a 'withering away' of one tissue layer needed for vision (RPE) which cannot be treated. Abnormal new blood vessels grow under the retina in some cases, and these can be treated. Myopic retinoschisis and myopic macular hole can be treated with vitrectomy or other surgery with some success ...Read moreSee 1 more doctor answer
Not yet: While there are several medications as well as stem cell and gene therapies that are currently being investigated, no treatment has been proven to be safe and effective for geographic atrophy, the hallmark of dry amd. High dose anti-oxidant vitamin supplementation has been shown to be helpful in preventing the progression to the wet form of macular degeneration when certain early signs are present. ...Read moreSee 1 more doctor answer
Treat disease: First, it is best to try to identify and treat the underlying disease process, so that the inflammatory impetus to form new vessels is reversed or minimized. If there is a quiet eye, there are a couple possible treatment options. First, laser ablation of the vessels has had some success, especially using a yellow dye laser. Second, a medicine that makes new blood vessels disappear can be injected. ...Read more
It si one on many: There are options for acne scaring you can have medical grade peels performed at a doctors office to slowly remove outer layers and stimulate collagen at the dermis, THese have little downtime You can have a laser resurfacing. you may need several it goes as deep or deeper than the peel but you will have about a week downtime and slightly red for a few more. Speak to a good dermatologist ...Read more
What is a better treatment for age-related macular degeneration, avastin or lucentis (ranibizumab)?
What of these treatments is cheaper?
Equivalent: Currently they seem equivalent although an nih study currently in progress can answer if one is better than the other. Avastin (bevacizumab) is considerably cheaper although the cost may be disguised by insurance coverage. You can trust your retinal surgeon to do the best thing. ...Read moreSee 1 more doctor answer
Depends: There is good relief from modern injectable medications for the wet form of macular degeneration (MD). The dry form of MD can be slowed in its progression with a multivitamin supplement (AREDS). There is no cure yet for this disease but it is a major area of research/ ...Read moreSee 1 more doctor answer
Depends on the cause: Pigmentary retinopathy applies to disorders in which there is a disturbance on the pigmented layer of the retina. The causes are varied and include degeneration, trauma, infection, etc. I would suggest you see a retinal specialist who can diagnose the cause and hopefully treat the problem. ...Read more
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