"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…"
Glad to be so some help.
Get the cataract removed, let your retina specialist better examine and treat you and move forward!
Randall V. Wong, M.D. Retina Specialist
Fairfax, VA 22031
"Should not have to ask for IOL. I would dare to say it's standard of care. There are a few exceptions, such as, if you are extremely, extremely near-sighted and have a prescription of about -20. In this situation, vision is actually better…"
It is standard.
The part about the laser/glue/soft lens......have him/her explain better.
I think they were attempting to advise you about the "in the event of developing a retinal detachment requiring oil..."
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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