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
Lt.eye mac.pucker.Corrected vision 20/40 µpsia.Amsler grid nl.Corrected vision 20/40.Age 69.Could the macuar pucker cause micropsia?Rt. eye20/30.
Micropsia: Yes, it can if the macular pucker is severe enough. Micropsia is a condition in which objects are perceived to be smaller than they actually are. Micropsia can be caused by optical factors (such as wearing glasses), by distortion of images in the eye (such as optically, via swelling of the cornea or from changes in the shape of the retina such as from retinal edema,macular degeneration, and more ...Read more
Detached Retina: It is actually a tractional retinal detachment. When diabetes causes the retinal blood vessels to die, the retina grows new blood vessels that are disorganized and of poor quality. They grow into the gel that fills the eye called the vitreous. This causes the vitreous to contract and pulls the retina off the back to the eye. That is a tractional retinal detachment. It often needs surgery. ...Read moreSee 2 more doctor answers
Vision issues for4yrs;had b/l cataract surgery-no relief-finally diagnosed w/ vertical diplopia.dr ordered MRI w/o contrast due to44GFR.need contrast?
Perhaps: If you have no other symptoms or signs, and the MRI without contrast is normal, this is probably due to a 4th cranial nerve problem (atherosclerosis/hypertension) or decompensation of an old strabismus. If it can be treated with prisms in your glasses, you can just follow it. If you are really unhappy, then get Peds oOhthalmology consult. Get Radiology consult for imaging question. ...Read more
Is it possible to get accurate visual field test with macular pucker decline in visual acuity, lights less bright & white computer screen looking gray?
Usually it is fine: You have defects in the central visual portion of your field of view - an area poorly outlined by most field testing devices. Field tests will define major defects which largely will register from the peripheral areas tested. Have you had a field tested in the past? Is there some condition being sought for with a field.? Your ophthalmologist would not order a field if he doubts the result. ...Read more
Monocular Diplopia, halos, and glare. Ghosting images, blurry far away. 3 eye doctors said eyes healthy, MRI said brain healthy. What could it be?
Monocular Diplopia: Monocular Diplopia is almost always due to something in that eye: cataract (PSC), irregular astigmatism (send us copy of your Pentacam), irregular nerve (send us copy of your nerve photos and HRT and HVF), and/or tear film abnormality (send us copy of your Lipiscan). Consult with us to help solve this issue. ...Read more
Macular pucker.with distortion. Close-up vision great, distance vision not as good. Could macular pucker impair distance vision only and not close up?
Not likely : Macular pucker affects the retina which detects images at any distance. The lens and cornea focus images at various distances onto the retina. So a problem at only one distance usually is a problem other than the retina. However, some people may only notice distortion from a macular pucker at a particular distance. A review of your records/images would help clarify. ...Read more
Normal field vision test. Dilated optic discs small w/slight asymmetry. Suspicious oct scan. Eye pressure 27. Family history. Suspect for glaucoma?
What percentage of patients develop epiretinal membrane or macular pucker after laser retinopexy (pascal) for treating lattice degeneration of retina?
Read smallest line: The snellen chart is a graded series of letters or numbers smaller as you go down. The uncorrected vision is the smallest line easily read with each eye. Your ophthalmologist will present you with lenses to improve the level of the smallest line to hopefully get you to 20/20 - the standard of normal. It is a subjective test requiring your active input. ...Read more
No: No this procedure should not damage the cornea but can cause some short term irritation of the cornea. ...Read more
Vision changes: Intracranial hypertension can cause visual deficits due to swelling of the optic discs at the back of your eyes. ...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
Optic Nerve RNFL OCT shows thinning temporal- both eyes, 20/20 both eyes, IOP 17 both eyes. Retinal exam normal. Is this significant
Response: Since all you provide are some brief findings regarding your retinas, I must conclude these tests were obtained due to some neurological symptoms. These results could be part of Multiple Sclerosis, if other signs and symptoms support the diagnosis. The thinning of the RNFL is notable, and should be followed up. Would a Concierge visit allow more in depth understanding? ...Read more