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Posts in Vitreoretinal Disease
Hemorrhagic Necrotizing Retinitis

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.

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Post Injection Endophthalmitis

Intravitreal 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.

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Central Retinal Vein Occlusion

CRVO 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.

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Branch Retinal Vein Occlusion

BRVO 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.

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Macular Hole

During 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.

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Epiretinal Membrane

Epiretinal 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.

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Paradigm Shift: Anti-VEGF Therapy in the Treatment of Diabetic Eye Disease

In 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.

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Diabetic Retinopathy

The 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. 

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Age-Related Macular Degeneration

Macular 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.

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Retinal Detachment

Retinal 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.

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Posterior Vitreous Detachment & Retinal Tear

One 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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