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Posts tagged vitrectomy
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. When no underlying risk factor is present, a workup searching for a hypercoagulable disorder may be performed.

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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.

Surgery is recommended when the condition interferes with the patient’s activities of daily living such as reading, driving, or watching television.

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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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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. As the symptoms of PVD, retinal tear, and retinal detachment are similar, a complete examination including dilated fundoscopy, and sometimes retinal imaging or ultrasonography, should be performed in a timely manner.

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