Below you will find the procedures that Retina Consultants performs. If you would like more information regarding these procedures please consult your eye doctor or contact Retina Consultants at 765-254-1944
Vitrectomy, and Small-Incision Vitrectomy
Vitrectomy is the surgical removal of the vitreous gel from the middle of the eye. It may be done when there is a retinal detachment, because removing the vitreous gel gives your eye doctor better access to the back of the eye. The vitreous gel may also be removed if blood in the vitreous gel (vitreous hemorrhage) does not clear on its own.
During a vitrectomy, the surgeon inserts small instruments into the eye, cuts the vitreous gel, and suctions it out. After removing the vitreous gel, the surgeon may treat the retina with a laser, cut or remove fibrous or scar tissue from the retina, flatten areas where the retina has become detached, or repair tears or holes in the retina or macula.
At the end of the surgery, silicone oil or a gas is injected into the eye to replace the vitreous gel and restore normal pressure in the eye. Vitrectomy is always done by an eye doctor who has special training in treating problems of the retina.
Epiretinal membrane, also known as ‘macular pucker,’ is a condition where a fibrous membrane grows across the macula, similar to scar tissue. In some cases, the growth is mild and produces little or no noticeable symptoms, but in others, it distorts the retina and consequently vision, causing straight lines to appear wavy and crooked. It can also cause other vision problems, such as blurring. Symptoms may get worse over time as the membrane continues to grow.
Possible causes of an epiretinal membrane include:
- Retinal tears
- Retinal Detachment
- Blood vessel abnormalities
- Previous eye surgery
Silicone Oil Placement
Silicone oil is used for recurrent retinal detachments or complicated retinal detachments including PVR (proliferative vitreoretinopathy). It can be a valuable tool to prevent blindness.
Laser surgery is used to treat many retinal conditions. Retinal laser surgery is performed in our office. Eye drops will be given to dilate the pupil and numb the eye. The treatment is performed while you are seated in a chair, similar to the one used for regular eye examinations. You will remain awake and comfortable. Treatment is usually painless, although some patients may require a numbing injection for discomfort or sensitivity to the laser light.
Photodynamic therapy (PDT) is an in-office treatment proven to be beneficial for wet macular degeneration and it has been used successfully to treat other retinal conditions as well. It involves injecting a light-activated drug called Visudyne into the bloodstream that travels to the abnormal vessels causing damage to the vision. The drug is then activated by a painless low-energy laser to close the abnormal vessels while at the same time minimizing damage to healthy retina tissue. After treatment in the office is complete, patients must avoid direct sunlight or bright indoor light for five days to avoid photosensitivity reactions that can occur with Visudyne. Patients who must go outdoors must protect all parts of their skin and eyes by wearing protective clothing, hats, and dark sunglasses. Ultraviolet sunscreens are not effective in protecting against photosensitivity reactions.
Injections into the eye or surrounding tissues can be made for various reasons. Injections can be made into the vitreous of the eye, behind the eye, below the conjuctiva, or under tenon’s capsule.
How Do I Schedule an Appointment?
Call us to schedule an appointment at (765) 254-1944.
What to Expect on Your First Visit
The patient procedure concerning paperwork and insurance is the same as for your normal eye doctor. At Retina Consultants, the patient’s pupil will be dilated and therefore you will need to arrange for a driver. This is true for all patients at all visits.
If you are at high risk for developing wet AMD, you can now take a proactive approach to your eye health. Frequent monitoring with the ForeseeHome™ AMD Monitoring Program provides a safety net for monitoring changes in your vision between office visits, allowing your doctor to detect and diagnose wet AMD at its earliest stage.