Blood Thinners Don’t Cause Bleeding

Patients with macular degeneration or diabetic retinopathy commonly have "bleeding" inside the eye.  These same patients may be taking "blood thinners" for other medical problems.  If bleeding occurs in the eye, should we stop the blood thinners?  What if you need surgery? Patients with diabetic retinopathy can have blood spots within the retina.  These small spots are … [Read more...]

“Top Ten” Retinal Eye Emergencies: Part II

5.  Surgical Complications from cataract surgery can be a relative emergency.  On occasion, a portion of the cataract may dislodge during cataract surgery and slip into the vitreous.  Patients usually do not see well and may have trouble with high intraocular pressure. Cause - variations in anatomy, surgical complications Concerns - the biggest medical concern is the … [Read more...]

“Mr. Ozurdex” is Seeing Well

Ozurdex is a new injectable drug delivery system for the eye.  Over the past few months we've talked about new technology and the emergence of several sustained release drug delivery systems. About 2 weeks ago, I injected the left eye of one of my patients with Ozurdex™.  Ozurdex will release a steroid, dexamethasone, for up to 6 months.  The FDA approved Ozurdex for … [Read more...]

The Risks of Eye Injections

The risks and complications of  injections into the eye are low.  The most dreaded complication of intravitreal injections is infection inside the eye (aka endophthalmitis).  The risk of endophthalmitis is reported to be about 0.09%.  Endophthalmitis can cause blindness. As more and more intravitreal injections are delivered for the treatment of diabetic retinopathy and … [Read more...]

Sometimes You Just Need a Vitrectomy

Vitrectomy Surgery to Clear Hemorrhage

A vitrectomy is an eye operation. It is performed by retina specialists for a variety of reasons. In patients with diabetic retinopathy, a vitrectomy may be useful to remove blood in the vitreous, aka a vitreous hemorrhage. There is no reason, to perform a vitrectomy in cases of macular degeneration. In cases of vitreous hemorrhage, bleeding has and blood remains … [Read more...]

Tips On Choosing an “Eye” Doctor: A Retina Specialist?

You suspect you might have macular degeneration or diabetic retinopathy.  How do you choose a doctor? A little while back, I wrote about the differences between eye doctors.  Now that you know the difference between an optometrist and an ophthalmologist, how do you choose which is right for you?  When do you need to see a retinal specialist? Remember that optometrists … [Read more...]

Diabetes and Retinal Detachments

Two types of retinal detachments. One group, called rhegmatogenous retinal detachment, can occur in any one and involves the formation of a tear or hole in the retina.  The second group, called traction retinal detachments, involves tissue forming on the surface of the retina and "pulling" the retina to form a detachment.  This is the case with diabetic related retinal … [Read more...]

Here’s Blood in Your Eye!

Blood in your eye can mean many things to different people.  The most common "blood" is the sudden appearance of fire engine red blood on the outside of the.  It is called a subconjunctival hemorrhage.  It is usually scary, painless, ugly and benign.  As a black and blue bruise, it will clear in about 1-2 weeks. I am talking about blood inside your eye. Vitreous … [Read more...]

American Diabetes Month: Diabetic Eye Disease, What Every Doctor Should Know (so, tell them!)

November, 2009, is American Diabetes Month.  In my effort to support American Diabetes Month, there are a few things that every doctor should know about diabetic eye disease.  The list is short and very direct.  Please share this with others; especially your doctors. I have been in practice since 1993.  As a retina specialist, I take care of patients with diabetic … [Read more...]

Visual Acuity – How We Measure Your Vision

Image via Wikipedia When you go to your eye doctor, we check your "vision," but there are several ways to actually monitor or evaluate your vision.  Basically, almost all vision testing is designed to measure the function of your macula.  Macular vision is your central vision.  It is our most useful vision.  When we are 20/20, we are testing central vision only. "The … [Read more...]

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