Advanced Retina Solutions for Blurred or Distorted Vision
Enhance and safeguard your vision with our advanced retina care. Our dedicated team of specialists employs state-of-the-art technology to diagnose and treat a wide range of retinal conditions, providing you with comprehensive eye health solutions. Whether you’re dealing with presbyopia, macular degeneration, diabetic retinopathy, floaters or retinal detachment, you can rely on us for precise and effective treatments to maintain your vision’s clarity and vibrancy.
FAQs
At Dr. Black’s Eye Associates, our commitment to advanced retina care spans four decades. With state-of-the-art technology and a team of specialists, we provide tailored treatments to safeguard your vision with precision and compassion, ensuring you receive the highest standard of care.
Diabetic retinopathy is treated with medical interventions, lifestyle changes, and sometimes surgery, depending on the severity.
In the early stages, no treatment is needed unless macular edema is present. Controlling blood sugar, blood pressure, and cholesterol helps prevent progression.
Proliferative retinopathy is treated with scatter laser surgery, which shrinks abnormal blood vessels with tiny laser burns. This may require multiple sessions and can affect side, color, and night vision but helps save overall sight.
Regular eye exams are crucial for early detection and treatment. If bleeding is severe, a vitrectomy may be needed to remove blood from the eye.
Early detection and timely treatment are key to preserving vision. Regular eye exams and managing diabetes effectively can reduce the risk of vision loss.
Macular degeneration, also known as age-related macular degeneration (AMD), is a progressive eye condition that affects the macula—the part of the retina responsible for sharp, central vision. The macula is located in the center of the retina at the back of the eye and is critical for seeing fine details like reading, driving, or recognizing faces.
There are two main types of macular degeneration:
Dry Macular Degeneration (Dry AMD)
Dry AMD is the most common form, caused by the gradual breakdown of light-sensitive cells in the macula. As the disease progresses, patients may notice:
- Blurred central vision
- Difficulty recognizing faces
- Increased need for bright light while reading
- A central blind spot in one or both eyes
An early sign of dry AMD is the presence of drusen, which are small yellow deposits under the retina.
Wet Macular Degeneration (Wet AMD)
Wet AMD is less common but more severe. It occurs when abnormal blood vessels grow under the retina and leak fluid or blood, causing the macula to swell and become damaged quickly. Symptoms may include:
- Sudden loss of central vision
- Straight lines appearing wavy
- Rapid vision distortion or blurring
Wet AMD is considered advanced AMD and requires immediate treatment to prevent permanent vision loss.
Retinal detachment is a serious eye emergency that needs immediate medical attention. Treatment usually involves surgery to repair the detachment and prevent vision loss. The approach depends on the type and severity of the detachment and the individual's overall eye health.
Small holes and tears can be treated with laser surgery or cryopexy (a freezing treatment), usually done in the doctor's office. Laser surgery creates tiny burns around the hole to "weld" the retina back in place, while cryopexy freezes the area to help reattach the retina.
More severe detachments may require hospital surgery. A scleral buckle, a small synthetic band, might be attached to the outside of the eye to push the wall against the detached retina. In some cases, a vitrectomy is performed, where the vitreous gel inside the eye is removed and replaced with gas to reattach the retina. The gas is gradually replaced by the eye's natural fluids during healing.
Modern treatments successfully repair over 90% of retinal detachments, though sometimes multiple treatments are needed. The final visual outcome can take several months to determine and may not always be predictable. Early treatment, especially before the macula detaches, offers the best chance for good vision recovery.
If you notice sudden changes in vision, like flashes of light, floaters, or a shadow over your vision, seek immediate medical help. Early detection and treatment greatly improve the chances of preserving vision.
Eye floaters are small, semi-transparent specks, strings or cobweb-like shapes that drift across your field of vision. These shadowy figures are especially noticeable when looking at something bright, like a clear blue sky or a white screen.
Floaters are caused by age-related changes in the vitreous humor, the gel-like substance that fills most of your eye. As the vitreous shrinks and becomes stringy over time, it can cast tiny shadows on the retina, which you perceive as floaters.
What Causes Eye Floaters?
Floaters most commonly appear as part of the natural aging process, but can also result from:
- Posterior vitreous detachment (PVD)
- Severe nearsightedness (high myopia)
- Diabetes
- Eye injury or inflammation
- Cataract surgery
- Uveitis (inflammatory eye disease)
Floaters are usually harmless and settle to the bottom of the eye over time, becoming less noticeable. However, sudden onset of floaters—especially when accompanied by light flashes or loss of side vision—can be a warning sign of retinal detachment, which is a medical emergency.
When are eye floaters a concern?
You should seek immediate medical attention if you experience:
- A sudden increase in floaters
- Flashes of light
- Shadow or curtain-like loss of peripheral vision
These may indicate a retinal tear or detachment, which requires urgent treatment to prevent permanent vision loss.
Can Eye Floaters Be Treated?
For most people, floaters are only a minor annoyance and do not require treatment. However, in rare cases where floaters are dense, numerous, and significantly impair vision, a procedure called a vitrectomy may be considered. This surgery removes the vitreous gel and its debris and replaces it with a salt solution.
Vitrectomy carries risks, including:
- Retinal detachment
- Retinal tears
- Cataract development
Because of these risks, it is only recommended when floaters seriously interfere with daily life.
Presbyopia is a common, age-related refractive error that makes it difficult to see objects up close. It typically begins after age 40 to 45 and affects nearly everyone as they get older. The condition occurs when the lens of the eye becomes less flexible, making it harder to focus light accurately on the retina, the light-sensitive layer at the back of the eye.
Many people with presbyopia already have another refractive error, like nearsightedness (myopia) or astigmatism.
Symptoms of Presbyopia
- Difficulty reading small print or seeing nearby objects
- Holding reading materials at arm’s length
- Eye strain or tired eyes during close work
- Headaches while reading or using digital screens
Presbyopia worsens gradually, typically stabilizing after age 65.
What Causes Presbyopia?
With age, the eye’s natural lens hardens and loses elasticity, reducing its ability to bend and focus on near objects. This is different from farsightedness (hyperopia), which is related to the shape of the eyeball, not aging.
Treatment Options for Presbyopia
Early on, you can make small changes like:
- Holding reading materials farther away
- Using brighter light for reading
- Increasing font size on screens or using large-print books
As presbyopia progresses, most people need reading glasses, bifocals, multifocal contacts, or prescription lenses.
For more advanced or permanent correction, options include Lifestyle Lenses:
Toric IOLs: These lenses can correct astigmatism, in addition to nearsightedness or farsightedness.
Extended Depth-of-Focus IOLs: We offer the Tecnis Symfony® IOL, the first lens approved by the FDA that improves vision at all distances. It treats both cataracts and presbyopia (age-related farsightedness) and minimizes the effects of halos and glare around lights.
Multifocal IOLs: A multifocal replacement lens is best suited for patients who place a high value on being free of computer or reading glasses, even if it means slightly reduced distance vision.