Visual Distortions may Signal a Macular Pucker

The macula is responsible for central vision, which is the sharp, straight-ahead vision we need for reading, driving, and seeing fine detail. As we age, a thin layer of scar tissue may form over the macula, a condition known as a macular pucker.

At the office of Retina Group of Washington – Virginia – Fredericksburg, we are experts in the diagnosis and treatment of a host of retinal conditions including macular pucker, helping to restore or maintain healthy vision and a high quality of life for all our patients.

While aging is the most common cause of macular pucker, other factors can contribute to it including some medical conditions (like diabetes), eye surgery and eye injury. Macular puckers are not a serious condition that affect vision or cause blindness, but they can be troublesome –things can look wavy, or you may have trouble seeing details. You might notice a gray or cloudy area in your central vision, or may even have a blank spot in your central vision.

Macular puckers usually heal with time and do not cause serious problems with vision. Nevertheless, we recommend regular eye examinations so we can monitor your condition to ensure the condition hasn’t gotten worse. If you have mild symptoms, we may change your glasses or contact lens prescription improve your vision. Serious cases of macular pucker often involve medical intervention with an outpatient procedure to remove the scar tissue.

Our commitment is to your healthy vision

The main goals of retinal treatment are to stop or slow disease progression and preserve your vision. At the office of Retina Group of Washington – Virginia – Fredericksburg, we’re dedicated to providing the highest quality of skilled and compassionate eye care. For more information on our office and the many services we provide, give us a call today.

Retina Doctor in Stafford

Retina care in Stafford

Retina doctor in Stafford

Retina doctor in Stafford

The Retina Group of Washington is a world famous and highly respected group of practices in the Washington, D.C. area. If you’re looking for the best retina doctor in Stafford, look no further than the Retina Group of Washington. Our friendly staff, knowledgeable doctors and high-tech facilities can serve you with the best of your retinal needs. Patients who have all types of retinal diseases and disorders come through our doors each day daily. We see hundreds of patients each year with a variety of different retinal diseases and disorders that we treat accordingly.

Those looking for a highly trained retina doctor in Stafford need look no further than The Retina Group of Washington, one of the largest retinal practices in the country. We also have a Fellowship program that helps to train those who seek to become future ophthalmologists. For over 35 years, we have employed a collective of doctors who are highly trained in retinal disorders to help patients across the country. We conduct research trials, diagnose, and treat retinal disorders and conduct innovative research all in a facility that is welcoming to both patients and educators alike. Because we have so many locations, we can treat patients across the D.C. area with personalized care.

The Retina Group of Washington will also be holding the 2018 Washington, D.C. Optometric Retina Symposium. There is a $75 registration fee that includes all meeting materials, breakfast, and lunch. Our retina doctor in Stafford offices are spread throughout the Washington, D.C. and Virginia area and we partner with local hospitals, so patients can have access to surgeries closer to where they live. We have 26 doctors with over 250 years of collective experience. Come see why the Retina Group stands out from all other practices today with a tour of one of our amazing facilities.

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
(540) 654-5333

Retina Exam Fredericksburg

Retinal exams in Fredericksburg

Retina exam Fredericksburg

Retina exam Fredericksburg

Faltering vision have you feeling concerned? If you’re struggling to see, it’s important not to take this reality lightly. Vision naturally worsen as we age. And if we’re not staying on top of these changes, you’ll have a hard time carrying out day-to-day tasks. Waste no more time. Make it a point to reach out to The Retina Group of Washington. And be well on the way to a retina exam Fredericksburg.

Depending on your situation, a retina exam might be necessary. What exactly is it? Step away from the dictionary, we’re going to clear up your confusion. In a nutshell, a retinal examination gives your optometrist access to the back of the eye, including the retina, the optic disk, and the layer of blood vessels that feed the retina—known as the choroid. Of course, before getting started on this evaluation, the pupils must first be dilated by using eye drops which prevent the pupils from shrinking while exposed to light. Once the eye drop phase of this evaluation is over, the next step involves any of the two types of exams. The first is the direct exam. The doctor uses an ophthalmoscope to shine a light through the pupils to see the very back of the eye. The indirect exam, on the other hand, involves the doctor using a condensing lens and bright light (mounted on the forehead). Sound good? Our patients certainly think so. Now all you have to do is contact The Retina Group of Washington. Then get setup with a retina exam Fredericksburg.

Don’t waste any time in getting up to speed with your changing vision. Get started today by phoning or e-mailing The Retina Group of Washington to schedule a retina exam Fredericksburg. And once you’re all set, you’ll be well on the way to an evaluation.

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
(540) 654-5333

Adult Ophthalmology Stafford

Retina surgery in Stafford

Adult ophthalmology Stafford

Adult ophthalmology Stafford

Struggling with a serious eye condition every single can feel like a test of fortitude. Keep fighting the good fight—but change your tactics. All you have to do is reach out to The Retina Group of Washington. Don’t waste any time in seeing our amazing specialist who provides adult ophthalmology Stafford.

And that’s all there is to it. You might already know this, but it’s pivotal to harp on it again: don’t ever gamble your health away by choosing to ignore any problems. Hubris is the enemy of good health. Making the smallest, simplest decisions for preventive care today can go a long way toward preserving your vision. With that said, don’t put yourself through all of that hassle unnecessarily. Especially if you can swerve away from perilous roads. If you’re struggling with macular degeneration, it’s important to get it looked at as soon as possible. Not sure what that is? Let’s cover some of the basics. In a nutshell, macular degeneration is a troublesome condition that has affected over 10 million North Americans. Yep, that’s a lot. In fact, it’s about the combined number of those affected by cataracts and glaucoma. So that’s a lot of people. And if you’re over the age of 45, the chances are far great that you’ll develop this condition. While it sounds scary, it doesn’t have to be. All you have to do is reach out to The Retina Group of Washington. Meet with us soon for adult ophthalmology Stafford.

Get started early and often by reaching out to The Retina Group of Washington. Doing so can be accomplished either via phone or e-mail. Whichever your preference contact our staff who will promptly help you schedule an appointment. And after that? You’ll only be a hop and a skip away from benefiting from adult ophthalmology Stafford.

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
(540) 654-5333

Ophthalmology Office Stafford

Age-related macular degeneration in Stafford

Ophthalmology office Stafford

Ophthalmology office Stafford

Age-related macular degeneration, or AMD for short, results in the gradual and permanent loss of central vision. And because of it, you may lose your independence and your ability to live your life to the fullest. AMD is a retinal disease that most typically occurs after age 60, and is the most common cause of vision loss in those 65 and over. It can strike as early as 40, though. We at The Retina Group of Washington have dedicated ourselves to the management and treatment of AMD, and we are excited to talk about the revolutionary CentraSight, which can restore the central vision that you have lost.

CentraSight is an implanted device put in at our ophthalmology office in Stafford. It is placed into one eye, thereby giving you central vision in that eye, while your other will continue to provide only peripheral (side-to-side) vision. And while it may not be exactly like the way you were able to see at your best, it will be a vast improvement over the way your vision has been due to AMD. The first thing you should be aware of is that there are strict qualifications for being able to use CentraSight. Among them are that both your eyes are in end-stage AMD, the disease is no longer responding to drugs, no past or present corneal disease, and having not undergone cataract surgery in the eye getting the implant. When you come in to our ophthalmology office in Stafford, you will be given a thorough examination by our eye doctor, to determine if you are a good candidate.

CentraSight is a major leap forward in the treatment of AMD. You don’t have to simply live with the effects of the disease. Instead, you can regain more vision than you had ever thought possible. Why not contact our ophthalmology office in Stafford so that we can schedule you an appointment to find out if you can take advantage of CentraSight?

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
(540) 654-5333

Retina Doctor Stafford

Macular Degeneration in Stafford

Retina doctor Stafford

Retina doctor Stafford

Are you on the lookout for a retina doctor Stafford that specializes in the macular area, or just a general eye doctor or eye surgeon? Look no further than The Retina Group of Washington, where we have been proudly serving the retina doctor Stafford community and all of its surrounding areas for years. Come see for yourself why we boast one of the most stalwart reputations as the premier eye doctors in the area. We are confident that after one visit with us, you will not need to search anywhere else for your permanent eye care professionals. Come see for yourself what we are all about!

Many people do not realize that macular degeneration is something that occurs when the center of your retina begins to deteriorate. This leads to loss in the center field of your vision, and in cases of wet macular degeneration, there are times when leaky blood vessels might grow beneath your very own retina. This is why you need a retina doctor Stafford that you can trust, and the team of experts here at The Retina Group of Washington is your one stop shop for all of your retina needs. When it comes to eye surgery of any kind, you can never be too careful about who you choose to take care of your eyes. We are here to tell you that you can confidently place your trust in our eye care professionals.

There are so many reasons why one might or might not need to consult a retina doctor Stafford, but there is truly only one place to go when one does need to be consulted, and that is The Retina Group of Washington. We are the best possible location for meeting all of your macular specialist, general eye care, and complex eye surgery needs.

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
(540) 654-5333

New York Times – Ask Well: Floaters in the Eye

What causes floaters in the eye?

Floaters, those small dots or cobweb-shaped patches that move or “float” through the field of vision, can be alarming. Though many are harmless, if you develop a new floater, “you need to be seen pretty quickly” by an eye doctor in order to rule out a retinal tear or detachment, said Dr. Rebecca Taylor, a spokeswoman for the American Academy of Ophthalmology.

Floaters are caused by clumping of the vitreous humor, the gel-like fluid that fills the inside of the eye. Normally, the vitreous gel is anchored to the back of the eye. But as you age, it tends to thin out and may shrink and pull away from the inside surface of the eye, causing clumps or strands of connective tissue to become lodged in the jelly, much as “strands of thread fray when a button comes off on your coat,” Dr. Taylor said. The strands or clumps cast shadows on the retina, appearing as specks, dots, clouds or spider webs in your field of vision.

Such changes may occur at younger ages, too, particularly if you are nearsighted or have had a head injury or eye surgery. There is no treatment for floaters, though they usually fade with time.

But it’s still important to see a doctor if new floaters arise because the detaching vitreous gel can pull on the retina, causing it to tear, which can lead to retinal detachment, a serious condition. The pulling or tugging on the retina may be perceived as lightning-like flashes, “like a strobe light off to the side of your vision,” Dr. Taylor said.

See an eye doctor within 24 to 48 hours if you have a new floater, experience a sudden “storm” of floaters, see a gray curtain or shadow move across your field of vision, or have a sudden decrease in vision.

To learn more please call one of our ophthalmologists in Fredericksburg at (540) 765-2935

Rabin, Roni Caryn. “Ask Well: Floaters in the Eye.” Well Ask Well Floaters in the Eye Comments. New York TImes, 5 Feb. 2016. Web. 11 Feb. 2016.


RGW Selects Modernizing Medicine, Inc., for EMA

Modernizing Medicine, Inc., the creator of the Electronic Medical Assistant® (EMA™), a cloud-based, iPad native, specialty-specific electronic medical record (EMR) system, announced today that The Retina Group of Washington has selected EMA Ophthalmology to replace its legacy EMR solution. Use of the highly specialized EMR system will help streamline physician workflows and improve patient care across the entire practice.
With 26 physicians working across 14 offices, The Retina Group of Washington is one of the largest and most highly respected retinal and macular practices in the country. The Retina Group of Washington is well known for its extensive experience and sub-specialty expertise of its leading physicians and surgeons. Deeply committed to the advancement of care, the group is constantly conducting cutting-edge research and administers a Fellowship program to train future ophthalmologists.
“As one of the leading retinal practices in the country, we constantly look for ways to make our physicians’ lives easier and improve care,” said Dr. Michael Rivers, current Board member at The Retina Group of Washington and head of their EMR system selection committee.
For more information click here.

Early Vitrectomy for Spontaneous, Fundus-Obscuring Vitreous Hemorrhage.

Melamud A1, Pham H2, Stoumbos Z2.



To examine the visual outcomes of early intervention in the setting of fundus-obscuring vitreous hemorrhage (VH) presumed to be due to posterior vitreous detachment.


Retrospective comparative case series.


All eyes that presented with a fundus-obscuring VH defined as vision of 20/400 or worse, and requiring a B-scan at presentation from 2003 – 2013, were evaluated. Eyes with any history of retinopathy; macular degeneration; recent trauma; presentation greater than two weeks after onset of symptoms; or follow-up of less than two months were excluded. The main outcome measure studied was final best-correct visual acuity (BCVA) as dependent on the time to surgery.


92 eyes met inclusion criteria with a mean follow-up of 490 days. Initial BCVA was logMAR 2.218 (Snellen equivalent 20/3000-20/4000 range 20/400- light perception); final BCVA was 0.318 (Snellen equivalent of 20/40-20/50 range 20/20 – light perception, p < 0.001). 56 patients (60.8%) had either a retinal tear or a retinal detachment. Patients who underwent surgery within 1 week had no significant improvement over all others, however a significant improvement was found when comparing early versus delayed surgery groups (p<0.05). There was a significantly increased risk of developing a macula-off retinal detachment in patients who did not undergo surgery within one week of presentation.


Early surgical intervention results in similar visual outcomes compared to a conservative approach. However, early intervention significantly reduces the incidence of severe vision loss related to macula involving retinal detachment. This study highlights the importance of close follow-up given the high risk of retinal detachment in fundus-obscuring vitreous hemorrhage.
Am J Ophthalmol. 2015 Jul 21. pii: S0002-9394(15)00449-3. doi: 10.1016/j.ajo.2015.07.025. [Epub ahead of print]