"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..."
Monofocal- presently the gold standard. Usually calculated so that you can see clearly for distance. You will need to use reading glasses. This is still the most common type of IOL used.
Multifocal - these lenses allow you to see both at…"
I forgot to say that, with regard to the resultant vision, there really is no difference between the hard or "soft" IOLs. Perhaps, due to a larger size, the hard IOL may have a tiny advantage.
At our office, we use the silicone or…"
I'm a little wary of the explanation linking laser and cataract formation, but okay, so you've got cataracts.
The issue with the "soft" or silicone lens is that, in the highly unlikely event, you would need silicone OIL to…"
1. Cataracts occur in everyone. Just like gray hair, some people get it early in life and some later in life.
2. Patients with diabetes, as a whole, get cataracts earlier in life.
3. While laser can theoretically cause cataracts (though it would…"
"Compared to a CVS, Walgreen's, Rite Aid, etc., a compounding pharmacy custom makes (like Steve D says) drugs, ointments, etc not mass produced by manufacturers.
They can also repackage drugs. In the case of Avastin, Avastin is purchased in…"
The difference between Lucentis and Avastin has to do with FDA approval and compounding pharmacies.
Avastin is not FDA approved for the eye. Hence, the manufacturer can not package smaller "eye" doses. Instead, a…"
Avastin is not FDA approved for diabetic macular edema whereas Lucentis is FDA approved. Both drugs are made by Genentech and are remarkably similar. Lucentis blocks more types of VEGF than Avastin.
Avastin, used in chemotherapy, is approved…"
"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!"
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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