Pneumatic Retinopexy for Retinal Detachment | Retina Specialist, Fairfax, VA

Retinal holes with retinal detachment, Randalll Wong, M.D., Fairfax, Virginia, Retina Specialist

Pneumatic retinopexy is another method to fix a retinal detachment and is an alternative method to a scleral buckle and/or vitrectomy. Pneumatic retinopexy was popularized in the 1980's and has the advantage of being performed in the office.  It is not performed in the operating room as compared to a scleral buckle or vitrectomy - both of which must be performed as … [Read more...]

Fixing a Retinal Detachment | Retina Specialist, Fairfax, Va.

A Scleral Buckle is Placed to Repair a Retinal Detachment

There are several methods to repair a retinal detachment.  None is the best or right method and retina specialists all seem to have their own preferences. In my opinion, the decision on what procedure(s) to employ depends upon the nature of the retinal detachment, skill of the surgeon and time required to perform the procedure. Methods for fixing a retina … [Read more...]

Surgeons vs. Non-Surgeons

Two types of doctors; surgeons vs. non-surgeons. Similar to right brained vs. left brained.

As a retina specialist, I'm a surgeon. There are basically only two types of doctors.  I like to think of us as either "left" brained or "right brained," but perhaps it's more accurate to simply classify doctors as surgeons vs. non-surgeons. The surgeons are more decision makers while the non-surgeons (PCP, family docs, internists, pediatricians, etc.) are the … [Read more...]

When to Call After Your Retinal Surgery

Old Telephone

I want my patients to call me after retinal eye surgery if they develop pain and/or  loss of vision.  These two symptoms can be signs of either infection or retinal detachment, the two most dreaded complications of retinal surgery . Eye Infection Can Blind The most concerning post-operative complication of retinal eye surgery would be infection inside the eye.  Infection … [Read more...]

Emergency, Elective and Cosmetic Surgery


There are different types of surgery; emergency, semi-elective, elective and cosmetic.  The differences lie between the timing (immediate), loss of life or function...or cost.  Emergency surgery must be completed immediately to avoid death, loss of a limb or organ providing a specific function. Emergency Eye Surgery There are two situations where retina surgery is an … [Read more...]

Your First “Post-Operative” Eye Exam After Retinal Surgery

Eye Examination after your retinal surgery, Randall V. Wong, M.D., Retinal Specialist, Fairfax, Virginia

I routinely examine patients the first day after retinal surgery. It's the shortest visit you'll ever have at my office.  Surprisingly, there are very, very few things for me to check the first day after surgery. Whether you have had retinal surgery for removal of an ERM (macular pucker), repair of a macular hole, a vitrectomy for vitreous hemorrhage, floater only … [Read more...]

Loss of Vision in an Old Friend

Finding the right doctor for diabetic retinopathy involves trust and friendship.

I had an old friend visit me this week.  AB and I met when I was a young doctor in Baltimore.  He was referred to me for treatment of his diabetic retinopathy. Eventually, I operated to remove a vitreous hemorrhage resulting from his proliferative diabetic retinopathy. For several years, we saw each other twice a year.  He retired about 8-10 years ago and moved to … [Read more...]

October is the AAO Meeting

We are leaving for Orlando, FL in a few days to attend the American Academy of Ophthalmology meeting.  It is our industry's largest meeting of the year...worldwide. The meeting has become so large that only a certain cities can host the event;  Atlanta, Dallas, Chicago, San Francisco, Las Vegas, New Orleans and Orlando.  Literally tens of thousands of people will … [Read more...]

Anesthesia For Eye Surgery

Retina surgery is painless, you remain awake and is performed on an outpatient basis.  Advances in technology have decreased the length of surgery making outpatient eye surgery possible. There are two basic methods of anesthesia; awake (aka local) and asleep (aka general). Local Anesthesia with Sedation Most of my operations, either vitrectomy or scleral buckle, are … [Read more...]

Blog Improves My Medical Practice

This blog has taught me that doctors need to communicate.  When I started this website, I was going to use this as a teaching tool for retinal diseases.  I'd use social media to help readers locate this site.  There have been some surprises along the way.  For instance, I've discovered patients love doctors who communicate.  It a different form of "medical … [Read more...]

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