Disease Info

Fluorescein Angiogram showing damaged capillaries from high blood sugar.

This is a limited posting of basic information of the common diseases we treat. There are many more that we take care of that are not posted here so please call and tell us of your eye problem. Please do not take this as specific advice about your diagnosis or treatment, you need to see a physician and get specific diagnosis and treatment customized to you particular issues. This is background information only and may not pertain to you specifically.

Age Related Macular Degeneration: As we age, the eye can show wear and tear of the structures of the eye. These changes can either quit working as it once did or the body can try to repair it by bleeding, leaking and scarring. There are treatments for these issues but the faster the symptoms of blurring, distortion or flashing lights come on, the faster you should be seen.

Diabetic Retinopathy: Blood sugar and blood pressure can be out of normal ranges and can cause permanent vision problems. This can cause leaking, swelling, bleeding or retinal detachments that need therapy. It is best if the A1c (3 month blood sugar average, blood test you physician does) is in the 5 – 7 range with 6 being ideal but talk to your Medical Doctor about this. Blood pressure should be normal. Stopping soda drinking can lower the blood pressure some and stopping smoking really makes a difference in the outcomes.

Retinal Detachments: There are retinal detachments that are related to trauma, past surgery, being nearsighted, or just unlucky can bring on a sudden loss of vision. Typically a sharp increase in floaters and flashes needs evaluation. Retinal detachments that have not affected the central vision are most urgent to try and stop them before the central vision is affected (reading vision). Once it is affected then it is urgent but not emergency to get them evaluated and treated.

Vitreous Hemorrhage: This is bleeding on the inside of the eye and is seen like dark shadows in the vision swirling about. It is not usually related to blood on the white part of the eye that you can see when you look at yourself in the mirror. It can be related to diabetes and retinal detachment or high blood pressure. This is more urgent as this is usually a sign of a bigger problem.

Dislocated Lens: If there has been blunt trauma to the eye or there was a cataract removed in the past, the lens of the eye can become dislocated and can hurt other structures inside the eye. Urgent evaluation is needed. Surgery can be done if needed to retrieve the lens and either replace it or sew one in permanently. Knowing the power of the old implant done at the time of past cataract surgery is most helpful and usually is on the card that was given to the patient at the time of surgery.

Rubeotic Glaucoma: This becomes more of an emergency the higher the eye pressure goes up. This is usually caused by diabetes or broken veins in the back of the eye where the blood flow is severely damaged. Injections of drugs, laser and surgery to implant a shunt can stop this terrible process. This indicates that the eye is severely hurt by the underlying medical process needs extensive therapy.

Post Op surgical infection: This is an emergency where time is of the essence to stop the infection. White cells or fibrin on the implant with declining vision needs to be evaluated  promptly as a healthy suspicion will get better results referred early. A recent history of cataract surgery or injection of drugs 2-7 days prior to seeing the pt may indicate an infection. Call immediately!

(Many more problems are taken care of by the clinic but do not have a web page here just yet for all the diagnotic problems we treat, Call 252-758-2402).

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