Fredericksburg Retinal Ophthalmologist

Retinal Ophthalmologist in 22401

Do you need to see an ophthalmologist for expert eye care? If you have been experiencing vision problems, or have been told that you will need retina surgery, you will definitely want to come see one of our expert doctors at The Retina Group of Washington. Our group has 26 retina specialists who provide the highest level of eye care. When you come to our office to see our Fredericksburg retinal ophthalmologist, you can rest assured that you are being seen by one of the finest retina specialists in the area.


Fredericksburg Retinal Ophthalmologist

At our Fredericksburg office, our two retina specialists are Dr. T. Mark Johnson and Dr. Eric S. Lee. There are many vision problems related to the retina. Two of the most common problems are macular degeneration and diabetic retinopathy. Our Fredericksburg retinal ophthalmologists will be able to definitively diagnose your vision problem and then provide you with the expert care that you need, including retinal surgery, if needed. Age-related macular degeneration is the leading cause of vision loss for people over 60. The macula is located in the central part of the retina. It provides patients with the ability to see details clearly. If the macula is having problems, you will not be able to read, drive, or recognize faces easily. Age-related macular degeneration is one of the eye diseases that can advance so slowly that many patients are not even aware that they have it. In some patients, the disease can proceed much faster and lead to vision loss in both eyes. Depending on the type of macular degeneration that you have, our Fredericksburg retinal ophthalmologist will provide different treatment options. If retina surgery is necessary, you will be able to receive that from our highly experienced eye doctor.

Diabetic retinopathy is the most common eye disease found among diabetic patients. It is also the leading cause of blindness for American adults. Diabetic retinopathy occurs due to changes in the blood vessels of the retina, which are caused by heightened blood sugar levels. The best way to avoid problems with diabetic retinopathy is to make sure that your blood sugar levels stay as well within normal range as possible. Diabetic retinopathy will usually affect both eyes. However with early detection and prompt treatment vision loss can be minimalized. Diabetic retinopathy can cause vision loss by macula edema or by causing abnormal new blood vessels to develop. Treatment options, including retinal surgery, will be determined based on the type of diabetic retinopathy you have, and on how advanced the eye disease is. For an appointment to meet with our Fredericksburg ophthalmologist for retina surgery, and expert retinal care, contact us today.


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]

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

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:

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