Doctor insights on:
Progressive macular pucker 20/30 vision, distortion & glaucoma. Visual fIeld good,nerve damage 30-45%.Would vitrectomy cause glaucoma to progress?
Possible: Vitrectomy and glaucoma may have an association. It is suspected that glaucoma occurs more often in patients who have had vitrectomy and subsequent cataract surgery. An ongoing clinical trial is aimed to answer this question with more clarity. PROVE Study. http://www.aaojournal.org/article/S0161-6420(14)00344-3/references AND https://clinicaltrials.gov/ct2/show/NCT01162356 ...Read more
Is optos ultra-wide field retinal imaging more efficient than indirect ophthalmoscopy to see large details of the retina?
Efficiency-accuracy: Efficiency, speed, ease of use are attributes of optos, but detailed, high magnification ; dynamic indirect ophthalmoscopy by the eye md is better for careful discriminative diagnoses. Sorry, i don't want to be replaced (yet) by a camera! i've never been able to replace my careful examination of the retina with indirect ophthalmoscopy by an image, except by sd-oct which is excellent. ...Read more
Yes: The vitreous jelly that fills the eye and attaches to the back wall of the inside of the eye (the retina) will detach from the retina with age (posterior vitreous detachment). At that time or days/weeks later a retinal tear or detachment may or may not occur as well. The latter conditions require urgent treatment before blindness ensues. A vitreous detachment is not treated. ...Read moreSee 2 more doctor answers
Yes: Most common procedure to repair a retinal detachment resulting from a macular hole is a vitrectomy (remove the fluids from the back of the eyeball), replace it with a gas, and position the patient face down for some period of time (sometimes weeks) to allow the hole to close and the detachment to resolve. Most macular holes do not cause a detached retina, but many require a similar operation. ...Read moreSee 1 more doctor answer
Eye ultrasounds reliable for evaluating vitreous syneresis?No retinal tear, I have thousands floaters n clouds, but no significant pvd found.Possible?
Normal field vision test. Dilated optic discs small w/slight asymmetry. Suspicious oct scan. Eye pressure 27. Family history. Suspect for glaucoma?
Poked in eye, went to ER (corneal abrasion Dx), saw opto(metrist) who performed retinal scan which normal, see floaters, now seeing flashing lights?
Progressive Loss: Signs of rd are those seen by examining eye doctor: subretinal fluid, retinal tear, pigment cells in vitreous, and pvd. The symptoms that a patient experiences are progressive loss or 'greying' of vision which may involve the central vision. This may be proceeded by flashes and floaters. ...Read moreSee 1 more doctor answer
If prior retinal tear, risk at 60 of developing a retinal detachment or a posterior vitreous detachment?
See a retina special: You do have a somewhat increased risk of developing a retinal detachment if you've had a retinal tear (even if it was treated), though you should speak to your retina specialist to gauge your true risk based on your exam. Everyone develops posterior vitreous detachments as we age - that is regardless of having had a tear or not. ...Read moreSee 1 more doctor answer
Low risk procedure: A retinal tear can be surrounded by laser, which helps to prevent retinal detachment. One complication is that the treatment is not adequate, and a detachment happens anyway. There can be some discomfort during the laser procedure, but there is virtually no risk of inflammation, and no risk of infection. It is remotely possible that the laser could be applied to an unintended part of the retina. ...Read moreSee 1 more doctor answer
Why do post-cataract surgery retinal detachments occur? Is there some retinal pulling involved from posterior vitreous detachment (pvd)?
Destabilization: The natural lens and its supports stabilize the front of the eye and vitreous. Removal of the thick natural lens and substitution with a thin artificial lens, increases the chance for the vitreous to move in ways that can destabilize the attachments of the vitreous over the retina. If there are weak places, this can increase the chance of detachment, even in the best of cataract surgeries. ...Read moreSee 1 more doctor answer