Hemorrhagic necrotizing retinitis is the most aggressive inflammatory condition of the eye that an ophthalmologist will encounter. Several conditions can cause this, though it is most likely due to herpes simplex or varicella zoster, syphilis, Behçet’s disease, or Wegener’s granulomatosis.
Read MoreAnterior uveitis is an inflammatory condition of the anterior structures of the eye. Numerous etiologies are known, most falling into the category of inflammation or infection.
Read MorePreexisting conditions are a common cause for suboptimal recovery of vision following cataract extraction. They are often times unknown or underappreciated prior to surgery.
Read MoreIntravitreal injections are a very common procedure, performed approximately 6 million times a year in America. That number continues to grow as indications for anti-VEGF therapy increase and the population ages.
Read MorePostoperative infection is the most feared complication of ocular surgery. While the frequency has decreased with improved surgical technique, when it occurs the results can be devastating.
Read MoreAll incisional surgery requires inflammation to promote wound healing and recovery. In the eye, these inflammatory messengers cause retinal and optic nerve blood vessels to become leaky.
Read MoreIn the past, the diagnosis of glaucoma meant progressive vision loss, toxic medications, invasive surgery, and the risk for permanent blindness. Modern medical advances have greatly improved the care and visual outcomes for patients with the disease.
Read MoreThe mechanism of action of glaucoma medications are either a lowering of aqueous production or an increase in aqueous drainage.
Read MoreGlaucoma is a disease of progression, as neurons cannot be rejuvenated. Therefor early detection is critical for a successful outcome. Careful monitoring of the patient’s status guides therapy, is the standard of care, and can usually allow prevention of vision loss.
Read MoreCRVO is a frequently encountered retinal disease. Risk factors include age, glaucoma, or vascular diseases including hypertension, hyperlipidemia, and diabetes. Furthermore, smoking and taking oral contraceptives increase the risk in otherwise healthy individuals.
Read MoreBRVO is a disease of retinal circulation which may affect a patient’s vision. Macular ischemia, edema, vitreous hemorrhage, or neovascular glaucoma all may occur. The disease is more common with increasing age and in patients with hypertension, diabetes, or hypercholesterolemia.
Read MoreThe medical expert witness provides several important functions. First and foremost, the expert must be able to interpret and analyze complex clinical scenarios.
Read MoreDuring my career, macular holes have gone from an untreatable disease to one which is almost always repairable. Surgical success has improved over time with advancements in surgical techniques and equipment. In my opinion, peeling the ILM, achievable with the use of intraocular dye, has greatly increased the rate of successful hole closure.
Read MoreEpiretinal membranes are a very common ocular disease, affecting as many as 30 million Americans. The majority of patients experience minimal visual disturbance. In about 20% of patients, the pucker worsens and causes progressive vision loss.
Read MoreIn recent years, anti-VEGF injections have been utilized to treat patients with diabetic macular edema. While treating diabetics for edema with anti-VEGF therapy, an improvement in the diabetic retinopathy is frequently observed.
Read MoreThe treatment for diabetic retinopathy has come a long way in the past forty years. Initially an untreatable, blinding disease, it is now quite responsive to therapy.
Read MoreMacular degeneration is a common disease in America’s aging population. While dry AMD is more common, wet AMD is associated with greater risk for vision loss.
Read MoreRetinal detachments are an ocular emergency. When the retina detaches from the eye wall, it no longer sees normally. Surgical repair is indicated. Vitrectomy, scleral buckle, or pneumatic retinopexy are the treatment modalities most frequently utilized.
Read MoreOne of the most frequent conditions ophthalmologists encounter is posterior vitreous detachment. While the condition is relatively common, complications such as vitreous hemorrhage, retinal tear, or retinal detachment are not.
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