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...]

What is Anisometropia?

Image size diffence results from anisometropia, a common cause of double vision following scleral buckle surgery. Randall Wong, M.D.

Anisometropia is an imbalance in the prescription needed between your two eyes.  There are several causes of anisometropia, but the most common for a retinal surgeon is a result of a scleral buckle used to repair a retinal detachment. "Double Vision" When looking at an object, in most people, we see one single object.  In actuality the left eye and right eye each see … [Read more...]

Giant Retinal Tears

Perfluoron liquid can fix giant retinal tears. Randall Wong, M.D., Fairfax, Virginia, Retinal Specialist

I fix giant retinal tears in stages. Giant retinal tears (GRT) are a specific type of retinal detachment.  They are noteworthy for often causing legal blindness or worse.  They are particularly difficult to fix despite using traditional techniques such as scleral buckle, vitrectomy, gas, silicone oil, etc. The following video is a giant retinal tear (GRT) and how I … [Read more...]

Preventing Giant Retinal Tears

Giant Retina Tear, Perfluoron, Randall Wong, MD., Retinal Specialist

Giant retinal tears (GRT) are the worst type of retinal detachment.  These types of retinal detachment have higher surgical complications, are more difficult to fix and often lead to legal blindness or worse. Rhegmatogenous retinal detachments are the more common types of retinal detachments.  A retinal tear or retinal hole may lead to a retinal detachment.  In contrast … [Read more...]

Excercise After PVD is Safe

A Posterior Vitreous Detachment May Cure VMT

I believe exercise after sustaining a posterior vitreous detachment (PVD) to be safe.  Many doctors recommend a "no exercise" period after a PVD to decrease the risk of retinal tear and retinal detachment.  This does not make sense to me. PVD Causes Retinal Tear A retinal tear may occur after a posterior vitreous detachment, but in my opinion, the chance of a tear … [Read more...]

Success of Retinal Detachment Surgery

A retinal tear causes a retinal detachment

My idea of a successful operation to repair a retinal detachment is when I don't have to operate a second or third time.  It's not whether or not your vision improves...that is actually beyond my control!  Vision can only improve if we first reattach the retina.  In other words, visual improvement is a by-product of successful reattachment of the retina. Anatomic … [Read more...]

Why Vision is Poor with Silicone Oil

Why your vision is poor following silicone oil for retinal detachment surgery.

There are many reasons why you may not see well after silicone oil is used for your retinal detachment eye surgery.  Remember, retinal detachments are potentially blinding conditions and silicone oil is often used for repeated detachments. Did Your Macula Detach? One major concern with every retinal detachment is whether or not the macula becomes detached.  The macula is … [Read more...]

When a Retinal Detachment Becomes an Emergency

Retinal Detachments may pose true emergency.

Most retinal detachments do not require emergency surgery.  I operated this Saturday morning, however, to repair a retinal detachment for a patient who should not wait through the weekend for the operation.  In this case it was an "emergency." First Symptom of Retinal Detachment Often, as with my patient (RR), there is a history of flashes and/or floaters preceding … [Read more...]

Regular Examination for Retinal Detachments

Routine Examination for Retinal Detachment Not Necessary. Randall V. Wong, Retina Specialist, Fairfax, Virginia, Washington DC

Routine eye examinations looking for retinal detachments are not necessary.  Unlike diabetic retinopathy where the probability is quite high that every patient with diabetes develops the disease, a detachment does not happen often in the general population and usually is associated with symptoms. Patients are often worried about developing a retinal detachment.  … [Read more...]

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