"I'm assuming that most of you are receiving Lucentis because of diabetic macular edema?
There is another treatment for DME, called Ozurdex. It is a sustained release intraocular steroid and is very effective. It has been FDA approved for about…"
"@MapleSugar @missrobbie @amanda02 As a retina specialist, perhaps I can lend some perspective.
ATE's stands for Arterial Thromboembolic Events. It includes nonfatal stroke and heart attack.
Lucentis and other anti-VEGF drugs carry the same…"
"There can be several reasons why your doctor "won't" sign your papers - one very good reason could be that with therapy and/or glasses, you might see better. Also understand that ratings exams for disability are completely different…"
"Lucentis generally works within just a couple of days, but that really only means the "abnormal vessesl" (the neovascularization) shrink up and can't bleed. You've still got blood in the vitreous which may re-distribute and may…"
PDR can be pretty tough. If the PDR is not controlled, it will likely cause blindness by either causing;
1. A diabetic retinal detachment 2. Neovascular glaucoma
Fortunately, since PRP was "invented" this usually does not occur.…"
I assume you had a vitrectomy for complications of proliferative diabetic retinopathy such as; 1. vitreous hemorrhage, 2. retinal detachment
More often, vitrectomy is performed for non-clearing blood in the vitreous. During the operation,…"
"@Cinderfella - so the question is whether you've had sufficient PRP? The goal would be to ensure you've had enough. Perhaps then, this would be tailored with anti-VEGF injections (Avastin, Lucentis, Eylea). Very subtle differences between…"
"If I may add my "two cents."
Diabetic retinpathy is probably best treated by a retina specialist who treats more than diabetic retinopathy because at some point diabetic retinopathy can be a surgical disease.
Most retina specialists are…"
I'm a little confused. Did you mean to say you had laser surgery due to a tear in your retina? Tears in the retina are usually unassociated with diabetes. In severe cases of diabetic retinopathy, where a retinal detachment has occurred, a…"
"The normally clear tissue which holds the implant almost always gets cloudy with time. A Yag laser (different type of laser used to treat diabetic retinopathy) can open up the cloudy tissue and restore vision.
I wrote this article on Posterior…"
After watching your videochat here on tuD, I requested a fluorescin angiogram simply as a precaution. The results were quite good, and now I have a baseline yardstick for future reference. Thanks very much for the excellent advice!
Thank you SO much for the video chat today! I learned a lot, but even more exciting is learning how you practice/interact with patients! I wish all medical professionals were as accessable/interactive as you :)
hi Dr. Wong, I'm a long time type1 w/ retinopathy (all burned out) and I was shocked today to hear my type2 sister had a Fluorescein Angiography done today. She does not have symptoms of retinopathy, is it common practice these days to do this as a baseline? I think she's been type 2 maybe 5 years. thanks for being here.
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