Retinal tear and retinal detachment are part of the same spectrum of disease requiring urgent, and frequently emergent, evaluation and treatment. In the young eye, the vitreous gel is in direct contact with the retina, the specialized, multilayered nerve tissue which lines the back of the eye.
These conditions tend to be more common in near-sighted individuals, especially those with higher refractive errors (who need stronger spectacles or contact lenses). Retinal tear and retinal detachment can be recognized during ophthalmoscopy, an examination performed by using a specially designed scope and magnified condensing lens, which allows a clear, three-dimensional, panoramic view of the peripheral retina. Another technique, used during ophthalmoscopy, involves gentle indentation of the eye wall with a blunt instrument to enhance the view of the peripheral retina. If performed in a timely fashion, treatment of a retinal tear can prevent progression to retinal detachment.  This treatment is accomplished by delivering either laser or cryotherapy (freezing technique) and is highly successful.
Retinal detachment management depends on the degree of retinal involvement and symptoms the patient experiences. More extensive retinal detachments will require surgical procedures such as scleral buckle or pars plana vitrectomy, which are performed in the operating room. Complex retinal detachments may require a combination of vitrectomy and scleral buckle. In some chronic cases, scar tissue membrane sheets grow along the retinal surface and must be removed by a technique called membranectomy or membrane peel for the retina to successfully reattach. Please call our office at 301-571-2000 to learn more about retinal detachment or to schedule an appointment. The worrisome thing about glaucoma is that it is hard to detect it on time as there are hardly any symptoms. Eine in den USA durchgefA?hrte erste klinische Studie der Phase 2 zeigte nach 3 Monaten eine dosisabhA¤ngige Visusverbesserung und eine Abnahme der Netzhautdicke im OCT.
Eine langdauernde kontrollierte intravitreale Steroidwirkung stellt eine therapeutische Hoffnung fA?r die Therapie des MakulaA¶dems dar. Macular edema is the main cause for visual decline after branch retinal vein occlusion (BRVO), central retinal vein occlusion (CRVO) or at diabetic retinopathy (DRP). The first clinical trial showed dose dependent improvement of visual acuity and reduction of retinal thickness in OCT after 3 months of treatment.
A prolonged controlled release of intravitreal steroids represents a promising therapeutic option for the treatment of macular edema.
Others are born with a tendency to develop peripheral patches of thinning called lattice degeneration.


This technique can bring all abnormalities, which may require treatment, into view. This latter technique is more commonly and typically performed by the treating retinal surgeon who has been trained specifically to evaluate and manage these disorders.
The application of either of these techniques creates a scar around the retinal defect preventing the extension of fluid which could lead to retinal detachment. A scleral buckle is a strip made of clear hard rubber which can be fastened to the eye wall in various positions to indent the eye permanently.
To enhance your browsing experience, please upgrade to a more current browser such as Firefox, Safari or update to Internet Explorer 9. A minor damage of any sort can cause highly serious problems within no time. However, there are certain eye problems that either come due to the age factor or develop as a result of another disease.
Die derzeitigen Therapieoptionen sind unbefriedigend oder noch nicht ausreichend untersucht.
Allergan) ist ein kleines biologisch abbaubares Polymer-Implantat (0,45 A— 6,5 mm), das mittels Applikator A?ber die Pars plana intravitreal injiziert wird, und A?ber einen Zeitraum von 6 bis 12 Monaten wirksam sein soll (Dexamethason posterior segment drug delivery system, DEX PS DDS). Eine signifikante Wirksamkeit wurde bei MakulaA¶demen nach AVV, ZVV, DRP, Uveitis und nach Kataraktoperation gezeigt. Aus den ersten Ergebnissen kann auf eine sichere und effektive Anwendung geschlossen werden.
A phase 2 randomized multicenterstudy for treatment of macular edema due to different causes including 306 eyes in 3 groups (350 I?g dexamethason, n = 100, 750 I?g dexamethason, n = 101, control group, n = 105) has been finished after 6 months.
A significant potency could be observed at macular edema due to BRVO, CRVO, DRP, uveitis and after cataract surgery. Within these patches of thinning, multiple holes may develop spontaneously allowing fluid to accumulate leading to retinal detachment. Sometimes a magnifying contact lens will be used during ophthalmoscopy to bring other details, not easily seen with indentation, into view. Following this treatment, the patient should be counseled to properly position his head in order to move the bubble over the tear. Steroide sind durch ihre gefA¤AYabdichtenden Eigenschaften geeignet und intravitreale Injektionen (z.


More rarely, the vitreous will remain attached to a part of the retina resulting in the development of one or more tears as the vitreous tries to pull away.
This mechanism, or cause, of retinal detachment can be seen especially in younger patients before the vitreous gel separates. In rarer circumstances, the view of the retina itself may be blocked by the presence of blood in the vitreous called vitreous hemorrhage.
The leaked fluid is found at that part of the eye where the vision is pointed and straight.
If the retinal tear remains unrecognized and untreated, then fluid can rapidly accumulate through a defect (or multiple retinal defects).
The vitreous tends to be more stuck to the retina around patches of lattice degeneration making an individual more vulnerable to developing retinal tear or retinal detachment during or following recent vitreous separation. In this situation, an ultrasound of the eye may be necessary to create an image from sound waves in order to make the diagnosis of retinal tear or detachment.
To add to the setback the cataract problems start earlier in people having diabetes, than people who are not diabetic. As the pressure builds up inside the eyes, it is but natural that it will damage the nerves and the delicate blood vessels inside the eyes.
Triamcinolon) haben sich als erfolgversprechend erwiesen, mA?ssen aber hA¤ufig wiederholt werden.
As the fluid builds up underneath the retina, retinal detachment, a blinding condition, can occur. Wilkins JR, Puliafito CA, Hee MR et al: Characterization of epiretinal membranes using optical coherence tomography.



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