Early Vitrectomy for Spontaneous, Fundus-Obscuring Vitreous Hemorrhage.

Melamud A1, Pham H2, Stoumbos Z2.

Abstract

PURPOSE:

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.

DESIGN:

Retrospective comparative case series.

METHODS:

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.

RESULTS:

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.

CONCLUSIONS:

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]

Retinal Vein Occlusion in Young Patients

The management of retinal vein occlusion (RVO) has changed dramatically over the last 3 decades since the results of the Branch Vein Occlusion Study (BVOS) and Central Vein Occlusion Study (CVOS) were published in the 1980s and 1990s.

While most patients who present with RVO are 60 years of age or older, young patients can pose particular diagnostic and treatment challenges.

In this installment of Practical Retina, current RGW retina fellow Dr. Luke Lindsell and Dr. Michael Lai from Washington, D.C., address what should be included in an appropriate diagnostic work-up for younger patients who present with RVO, provide pearls for detecting uncommon underlying systemic etiologies, and review their treatment paradigm.

You can read about it in their article entitled “Current concepts in managing retinal vein occlusion in young patients” for the July/August 2015 issue of the journal Ophthalmic Surgery Lasers & Imaging Retina.

Click here to read more.

Source: Ophthalmic Surgery, Lasers and Imaging Retina July 2015 – Volume 46 · Issue 7: 695-701

Fredricksburg Retina Surgery

Eye emergencies in Fredricksburg

Taking care of your eyes is incredibly important for your overall health, especially if you are at risk for developing any kind of eye disease or condition. No matter what, it helps to know where to go if you need any specialized care, especially when your vision is at stake. We here at The Retina Group of Washington can help when it comes to various diseases or conditions related to the retina, the part of the eye responsible for transmitting images to your brain, and can even provide you with Fredricksburg retina surgery.

Fredricksburg retina surgery

Fredricksburg retina surgery

With routine eye exams and screenings, you can always be on top of your general eye health and visual acuity. With regular testing, your eye doctor can keep more accurate tabs on your overall eye health. This is especially helpful when it comes to looking out for even the smallest and earliest signs of eye diseases and other conditions. Here at The Retina Group of Washington, we can help patients who have diabetes, who have a family medical history of eye diseases related to the retina, or anyone else who may be exhibiting eye issues. Eye conditions or problems relating to the retina are not just genetically transmitted or made more likely because of other underlying medical conditions like diabetes. Sometimes they can arise on their own without any other factors or they can occur as the result of an injury or an accident, such is the case with retinal detachment. Usually, in serious cases retinal surgery is needed in order to ensure that your vision is kept intact. Some conditions that may require Fredricksburg retina surgery include age related macular degeneration, diabetic retinopathy, macular pucker, macular hole, retinal detachment, retinal vein occlusion. Sometimes, other medications and treatments are available, but if the condition is particular serious or has advanced significantly then surgery will be considered.

If you have an eye disease concerning your retina, are at risk for developing such a condition, or have suffered from an injury where retinal detachment is possible, call us here at The Retina Group of Washington as soon as you can. You may need Fredricksburg retina surgery and we here at The Retina Group of Washington can provide you with the comprehensive care that you need.

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
Phone: 540.654.5333

Fredricksburg Ophthalmology Care

Retinal Eye Disease Testing in 22401

Your eye health is incredibly important and should never go overlooked. Eye doctors recommend that patients of all ages and vision needs visit their eye doctor regularly. Not only can they tell you whether you have any latent vision problems or eye diseases, but they can let you know whether you are at risk for any as well. Here at The Retina Group of Washington, our retina eye doctor can let you know whether you are at risk for any eye diseases, especially those relating to the retina. If you are in need of any Fredricksburg ophthalmology care, our adult retina specialist can help provide you with the exams, screenings and treatment that you need.

Fredricksburg Ophthalmology Care

Fredricksburg Ophthalmology Care

An eye exam can be incredibly helpful and informative. If you have diabetes or have any family medical history of eye disease, then our adult retina specialist can tell you what diseases you may be specifically at risk for. Knowing the possibilities helps you better understand the warning signs and symptoms. Sometimes, there is no such thing as early symptoms – in fact, some eye diseases are only spotted during comprehensive eye screenings with a doctor and symptoms may not manifest until vision damage begins to occur. This is why frequent visits here with The Retina Group of Washington are so helpful, especially if you do exhibit any risk factors. There are plenty of things that our adult retina specialist can help diagnose and treat, such as age-related macular degeneration, retinal detachments and tears, diabetic retinopathy and other ocular complications related to diabetes, macular holes, macular puckers, macula edema, complications of eye surgery, any kind of ocular trauma, myopic macular degeneration, sickle cell retinopathy, central serous retinopathy, intraocular infections, retinal vascular occlusive disease, retinitis and chorioretinitis, uveitis, and other hereditary retinal degenerations. With complete Fredricksburg ophthalmology care, you can be sure that we are doing all in our power to preserve your eye health and your vision.

If you are at risk for developing an eye condition or disease, if you believe that you may have an eye disease or eye injury, or if you have any other issues especially those relating to the retina, then please call us here at The Retina Group of Washington as soon as you can. One of our adult retina specialists will meet with you and provide you with the Fredricksburg ophthalmology care that you need and deserve.

The Retina Group of Washington
1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
Phone: 540.654.5333

Dr. Johnson quoted in MEDSCAPE Article on Diabetic Retinopathy at the Point of Primary Care

Below is an excerpt from the article quoting Dr. Johnson as a consulting retinal surgeon. Click on the link below to read the full article:

 

Dr Silva noted, however, that the cost of ultrawide field imaging devices at the present time “is prohibitive,” especially in places with small populations and a limited number of diabetes patients. But prices will come down in time, he added.

Asked to comment, T Mark Johnson, MD, FRCSC, an attending surgeon at the Retina Group of Washington, DC, who was not involved in the study, agreed that the current costs of the cameras used in ultrawide field imaging, are “significant” and could therefore limit their use in screening programs.

And he claims that past studies have suggested that even three-field photography (just taking photos of the posterior pole of the retina) may be as good as ultrawide field imaging for screening for significant diabetic retinopathy. Therefore, more research is needed to justify the added costs of ultrawide field imaging, he pointed out.

See more: http://www.medscape.com/viewarticle/846470

Fredericksburg Macular Specialist

Ophthalmologist in Fredericksburg

Fredericksburg Macular Specialist

Fredericksburg Macular Specialist

It is important that you take the best care of your eyes, but sometimes people may not be aware of just how important routine eye exams with their eye care specialists really are. Such screenings can provide people with the proper insight they need regarding their eye health, especially since many symptoms of eye disease can easily go unnoticed unless detected with the help of an eye exam. Here at The Retina Group of Washington, our Fredericksburg macular specialist can provide patients with problems particular to the macula of the eye with the comprehensive care that they need in order to preserve their eye health and their vision.

There are several conditions that can affect the macula of the eye and our Fredericksburg macular specialist here at The Retina Group of Washington can help when it comes to diagnosis, monitoring and treatment of such conditions. If you have any family history of such diseases, tobacco use, or have experienced prolonged exposure to harmful UV rays, then you are at a much higher risk of developing such diseases. Some of these conditions include macular degeneration, macular pucker and macular hole. Macular degeneration is a common eye condition that causes vision loss in adults at the age of 50 and older. This particular disease causes damage to the macula, which is a small spot near the center of the retina. This part of the eye is responsible for sharp, central vision and for seeing objects that are straight ahead. Usually, macular degeneration is age-related, which is why it is sometimes called age-related macular degeneration. For the most part, this condition is genetic, but smoking or having diabetes may result in the development of this disease at a much younger age. Macular pucker is a condition that occurs when scar tissue forms on the macula, which can then cause distorted and blurry vision. Macular hole has a similar effect as macular pucker, but occurs when there is a break in the macula itself.

All of these conditions are serious and can have a direct impact on your vision and eye health. If you are at risk for developing any of the listed diseases and conditions that can affect the macula or if your doctor has suggested that you see a specialist to help you take care of your condition, our Fredericksburg macular specialist can provide you with all of the care that you need right here at The Retina Group of Washington.

Macular Specialist Fredericksburg

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
Phone: 540.654.5333

Ophthalmologists in Fredericksburg

Retina Group of Washington in Fredericksburg

Welcome to Retina Group of Washington, Fredericksburg location.

At The Retina Group of Washington, we focus on the care of retinal and macular diseases, and we have assembled nationally recognized experts as well as the most advanced diagnostic and treatment technology available to give you and your vision the best results modern medicine can provide. Your vision is your most precious sense, so if it is being threatened by an eye condition, you want to find the most qualified help available to protect it.

Dr. Lee, Fredericksburg Eye Doctor

Dr. Lee, Fredericksburg Eye Doctor

Early diagnosis and treatment of vitreoretinal disease can mean the difference between great vision, good vision, and no vision after treatment. If you are experiencing the symptoms of a vitreal or retinal condition, it’s important to contact a qualified eye doctor in Fredericksburg right away. Our eye surgeons in Fredericksburg have extensive knowledge in retinal and macular diseases.

At Retina Group of Washington, we are one of the largest and most well respected retina groups in the country with 14 offices around Virginia, Maryland, and Washignton DC. We are one of a select number of practices that truly emphasizes the treatment of conditions affecting the retina and macula. Many other ophthalmologists in Virginia and from across the country trust us with cases requiring special care. Our team of retinal specialists is dedicated to patient care, and we have state of the art technology necessary to provide eye surgery for progressive eye diseases.  Our team works concurrently with your doctors to explore options for the most advanced treatment for your eye disease.

Retina Group of Washington – Fredericksburg

1500 Dixon Street, Suite 204
Fredericksburg, VA 22401
Phone: 540.654.5333