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

Retina Surgery in Bowie

Retinal disease doctor 20715

Retina surgery in Bowie

Retina surgery in Bowie

If you are having problems with your vision, and need a retina specialist, you can do no better than to visit one of our fine doctors at The Retina Group of Washington. We are a largest retinal practice in the country, with 14 different locations, that allows our patients to enjoy the small office feel. However when you visit one of our retinal specialists, you are actually benefiting from the collective knowledge of all of our doctors and surgeons. If you need retina surgery in Bowie, make an appointment to visit one of our fine doctors at The Retina Group in Washington.

Our doctors perform cutting-edge treatments for patients who need retina surgery. If you need retina surgery in Bowie, you will be in excellent hands when you choose to go to one of our adult retina specialists at The Retina Group in Washington. Our practice has been in existence for more than 30 years, and our patients have always benefited from the collective knowledge of our highly-trained and accomplished doctors in the field of retina surgery, and retinal eye care.

At The Retina Group of Washington, we diagnose and treat a full range of retinal and macular diseases. We also are involved in leading-edge clinical research trials. Our doctors are among the leaders in the retina care field, and are highly-skilled in providing accurate diagnosis and treatment. If one of our patients needs retina surgery in Bowie, they will be able to receive the most up to date, proven surgical treatment from one of the doctors at our practice. Just one of the fine doctors in our practice is Dr. William B. Phillips. Our surgeons have privileges at all of the major area hospitals and ambulatory surgery centers where retinal surgery is performed on a regular basis. This means that you will be most likely able to schedule your surgery at a location that is not only convenient to you, but also covered by your insurance company. Among the in-office treatments we provide for retinal conditions are: laser photocoagulation and photodynamic therapy; cryotherapy; steroid injections; and therapy with Avastin, Lucentis and Macugen. However your retinal condition needs to be treated, either by surgery or in-office treatments, you will be well taken care of by the expert doctors we have at The Retina Group in Washington. Why not make an appointment to visit one of our offices today and see what we can do to help you protect and preserve your eyesight?

16901 Melford Blvd, Suite 111
Bowie, MD 20715
Phone: 301.637.4925

Bowie Eye Doctor

Eye Care in Bowie

While we may be painfully aware of changes in our body as we age, some patients may not think of their eyes and vision as part of the process. However, the leading cause for loss of sight in people over the age of 60 is age-related macular degeneration (AMD). AMD does not cause any discomfort and can slowly advance so the slight change in vision may not be detected without regular professional and thorough eye examinations. The course of AMD typically begins with the gradual destruction of the central vision, which we need to clearly see objects and perform routine tasks. The central part of the retina, known as the macula, is needed for us to recognize faces, drive and read, but can be impacted by AMD. Your Bowie eye doctor retinal care begins at The Retina Group of Washington with a comprehensive eye exam to detect the presence of any macular degeneration including AMD.

Bowie Eye Doctor

Bowie Eye Doctor

The Retina Group of Washington will perform a thorough examination of your eyes and while AMD has a variety of subcategories, most are classified as either “dry” or “wet.” Your Bowie eye doctor will explain which classification your condition falls under as well as more detailed information regarding treatment. As a general guide, “dry” AMD includes a thinning of the macula tissues and will likely develop slowly with mildly decreased vision. This condition may be treated with specifically recommended vitamins. More advanced cases and their care will be discussed during an office visit. Wet AMD is more serious and starts with the growth of abnormal blood vessels under the macula. Fortunately numerous therapies are available to treat this form, but early detection is crucial. If wet AMD is suspected, additional testing with may include the injection of a special dye in your arm that will allow blood vessels in the retina to be observed. Wet AMD is commonly treated with medication injected into the eye.

The best form of any eye treatment begins with regularly scheduled and thorough professional examinations at The Retina Group of Washington by your Bowie eye doctor specialist. Our personable and knowledgeable staff can schedule your convenient appointment as well as address any concerns you may have as a new patient. We look forward to meeting with you soon and providing exceptional professional treatment for your eye care concerns.

The Retina Group of Washington
16901 Melford Blvd, Suite 111
Bowie, MD 20715
301.637.4925

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

Retina Specialist in Bowie

Bowie Ophthalmologist

Retina Specialist in Bowie

Retina Specialist in Bowie

Your retinas are vital to your eyesight and your eye health. At Retina Group of Washington, we’re committed to the well-being of your retinas and macula. There are a variety of diseases that can affect this part of your eye and our retina specialist in Bowie can help you with prompt diagnosis and treatments that are safe and effective. Should your condition warrant it, we also offer a full range of surgical options, all performed by our highly skilled and experienced surgeons.

When you need to address a retinal or macular issue, either medically or surgically, you don’t just want anyone. With our retina specialist in Bowie, you’re getting a leader in the field, with our doctors well into their 5th decade of innovation at the forefront of eye care. We’ve participated in numerous important studies and continue to provide only the most advanced and cutting edge therapies and procedures. With a dedication to ongoing education, you can be fully confident in trusting your eyes to us.

Your retina is located in the back of your eye. It’s the part where light focuses after entering through the cornea. Your macula is the small part in the center of your retina. Just a few of the diseases that our retina specialist in Bowie can work with you to manage and treat are age-related macular degeneration, diabetic retinopathy, ocular trauma, and complications due to cataract, glaucoma, or other types of eye surgery. In addition, we’re experts in handling retinal treatment for your child and have been since our practice began. Once again, you can rest assured that your child is receiving the very best and attentive care care from doctors who have vast experience, including as investigators of landmark pediatric retina studies.

Finally, and significantly, we also offer the most comprehensive ocular oncology treatment in the area, handling all intraocular lesions, both benign and malignant. You can count on us from diagnosis all the way through the successful completion of treatment and beyond. Our retina specialist in Bowie coordinates with your other physicians and specialists to provide you the very best care possible.

Retina Specialist Bowie
16901 Melford Blvd,
Suite 111
Bowie, MD 20715
301.637.4925

Ophthalmologists in Bowie Maryland

Bowie Ophthalmologist

Welcome to Retina Group of Washington, Bowie location. We are dedicated to providing you with the highest quality and most advanced eye care with compassion and respect. We offer a wide range of eye care services using state of the art technology, and our doctors and staff are specialists in the field of ophthalmology. We feel your medical care requires expert technical attention, as well as a relationship of confidence and trust between you and your doctor.

Dr. Weichel, Bowie Eye Surgeon

Dr. Weichel, Bowie Eye Surgeon

In cases when eye surgery is recommended, patients in the area can be sure they are receiving the diagnosis, opinion and surgical skills of an ophthalmologist in Bowie who has performed many successful procedures and whose seasoned approach to eye care provides them with accurate information and remarkable vision correction results. Give us a call today to schedule an appointment.

Ophthalmologist in Bowie
16901 Melford Blvd,
Suite 111
Bowie, MD 20715
301.637.4925