Retinal Detachment St. Paul, MN

Retinal Tears and Detachment: What We Can Learn Through Experience

Retinal Detachment St. Paul, MNWhile we rely on proper ocular function for eyesight, very few people become well acquainted with the structures involved in the transportation of light from the front to the back of the eye. In most cases, there is no reason to learn about the intricate nature of the eyeball itself. When a degree of familiarity does come into play is when something goes wrong. Fortunately, if and when that point comes, you can rely on the training and experience of our team of retinal specialists.

Vitreo Retinal Surgery proudly serves patients from areas including Plymouth, St. Paul, Minnesota, Edina, and more. Here, we want to discuss how retinal tears and detachment are related, and when you need to schedule a retinal exam with us.

Important Ocular Structure

The retina sits at the back of the eye and appears as a delicate lining of tissue. A cavity is positioned just in front of the retina and is filled with vitreous, a gel-like substance that contains aqueous fluid, collagen fibrils, and macromolecules. As we age, the semi-stable consistency of the vitreous morphs into a water-like fluid. This transition is believed to occur in all adults at some point. As it does, the risk for separation, referred to as posterior vitreous separation, increases.

About Retinal Tears

The brain naturally wants to connect the dots between cause and effect. Regarding retinal detachment, there is more than one factor to consider. In some cases, we see retinal tears occur after a direct eye injury. However, posterior vitreous separation, as benign as it is on its own, may be the catalyst for a tear in retinal tissue if the pull on this fragile lining becomes too great. Bottom line, trauma does not have to occur to experience a retinal tear.

About Retinal Detachment

Most cases of retinal detachment are preceded by a retinal tear. Therefore, it is ideal to obtain professional care from a retinal specialist if you experience the sudden onset of floaters or flashes, or if your vision becomes darkened in general. Detachment occurs when fluid from the eye seeps through the tear in the lining, creating space between the retina and the wall of the back of the eye. Retinal detachment presents the risk of vision loss and needs to be treated quickly to reduce this risk.

Treating Retinal Tears and Detachment

Treatment for retinal tears and detachment may begin with the evaluation of posterior vitreous separation. Observing the back of the eye, we can determine if a tear has occurred, and how best to treat that condition. Tears are often treated with laser, but may also be treated with cryotherapy. Retinal detachment often requires surgery but may involve an in-office procedure if the extent of separation is not severe.

There is no need for retinal detachment to be a medical emergency. When floaters and flashes are evaluated early, there is a greater chance for conservative treatment.

For assistance with retinal conditions and treatments, call (800) VRS-2500.

Central Retinal Vein Occlusion Minneapolis MN

A Stroke in Your Eye? It Could Happen!

Central Retinal Vein Occlusion Minneapolis MN A stroke is an event that occurs when blood flow somewhere in the body becomes obstructed. We usually think of stroke as something that affects the brain. However, there is such a thing as blood flow blockage in the eye. A block, or occlusion, in the eye may affect the optic nerve, retina, or other vital structure, presenting a risk to vision. Here, we discuss the types of occlusion that may occur and what may be done to correct the blockage.

Central Retinal Artery Occlusion (CRAO)

This type of occlusion presents without pain. What a patient normally experiences is a dramatic and sudden loss of vision in one eye. However, studies do indicate that vision loss “episodes” referred to as amaurosis fugax may precede this major event. There is also evidence that central retinal artery occlusion may occur in conjunction with high blood pressure and carotid artery disease, diabetes, or disease affecting the valves of the heart.

Branch Retinal Artery Occlusion (BRAO)

This type of “eye stroke” affects peripheral vision in most cases; both peripheral vision and central vision on rare occasions. Research suggests that branch retinal artery occlusion is related to the presence of an embolus (small clot) that has traveled to the eye from a valve in the heart or the primary carotid artery in the neck. The risk factors for this retinal occlusion are similar to those for central retinal artery occlusion, including high blood pressure and high cholesterol.

Treatment and Management Strategies for Vision Preservation

The concern with both types of retinal artery occlusion is the permanent loss of vision. The prognosis for central retinal artery occlusion is poor. However, prompt medical attention may be successful in preventing extensive and irreparable damage. In cases of branch retinal artery occlusion, more care options are available, including laser treatment to prevent severe vision loss. In both instances, ophthalmology and general medicine combine to create strategies that lower the risk of recurrence or persistence of these conditions.

If you experience a sudden loss of vision or sudden visual disturbance, even if only temporary, contact your physician right away for a referral to a qualified retinal specialist. For information on the services available in our offices, call (800) VRS-2500.

Macular Hole Surgery Minneapolis, MN

Let’s Look at the Macula

Macular Hole Surgery Minneapolis, MNThe eye could be likened to a camera. At the front of the ocular structure is a lens. This lens takes in light and focuses it onto the retina at the back of the eye so a clear image can be formed. What helps to form the images that we observe is a collection of nerve cells located in the central region of the retina, a structure we call the macula.

A Hole Where It Doesn’t Belong

Black holes in the galaxy are one thing, a hole in the back of the eye is an even more interesting phenomenon. It’s a problem that can affect the quality of life, and one that needs to be evaluated by a qualified retinal specialist. A hole can develop in the macula when the nerve cells that facilitate the focus of light separate out of their colony, causing severe thinning.

There is often no precursor to the development of a macular hole; the thinning out of nerve cells just happens naturally as a result of aging in the eye. Occasionally, this condition coincides with retinal detachment or results from a direct injury to the eye.

Diagnosing the Macular Hole

Symptoms that may occur in the event of a macular hole include changes in vision. Instead of vision being clear, it becomes dense with fogginess, or may also appear wavy. A dark spot may appear in the central field of vision, or it may become difficult to observe fine details when looking straight at an object. Because macular holes occur in only one eye, these symptoms will be unilateral.

The presence of a macular hole can be confirmed by observing the back of the eye with a special instrument. Specific imaging may also be performed to obtain a more detailed, cross-sectional view of the retina and macula.

Does a macular hole need to be treated?

It is not common for a macular hole to heal spontaneously. Most often, the hole continues to expand, causing vision to progressively degrade over time. Treatment with surgery is usually recommended. Fortunately, the procedure used to close a macular hole has a strong history of success.

Vision changes can be concerning. We’ve got you covered. Learn more about the symptoms and treatment of macular holes at (800) VRS-2500. Vitreo Retinal Surgery has locations in Minneapolis, St. Paul, Blaine, Edina, Oakdale, Plymouth, St. Cloud and Duluth.

What Floaters and Flashes have to do with Retinal Health | VitreoRetinal Surgery, PA | Minneapolis MN

What Floaters and Flashes have to do with Retinal Health

What Floaters and Flashes have to do with Retinal Health | VitreoRetinal Surgery, PA | Minneapolis MNAny instances of abnormal apparitions in vision, such as glares and halos around lights, blurred vision, flashes, and floaters can cause alarm. The term “floaters” is often used to describe visions of cobwebs, threads, or specks across the field of vision. Flashes may occur when blinking, or randomly across the visual field. In most cases, floaters and flashes are harmless. However, it is important to know what these visual disturbances could mean, and when floaters and flashes should be evaluated by an ophthalmologist.

What Floaters May Indicate

Floaters occur when a small protein deposit or cluster of cells lodges in the vitreous humor, the egg-like gel that is located at the rear of the eyeball. This soft structure is connected to the retina. A floater is a shadow that is cast onto the retina from the accumulation within the vitreous humor. Because the vitreous humor becomes somewhat stringy as we age, most people notice a higher prevalence of floaters sometime after the age of 60. Sometimes, the frequency of floaters may inhibit reading or other concentrated tasks but, in most cases, that is the end of it.

Noticing the Signs of Trouble

When floaters begin to occur randomly, and with great frequency, there is a reason to contact an ophthalmologist for a comprehensive exam. This is because, under certain circumstances, floaters may indicate a substantial change in the integrity of the retina. If the shrinking vitreous humor tugs enough on the retina, detachment may occur. This event, referred to as a posterior vitreous detachment, may be a threat to vision.

Full retinal detachment occurs in only about one in six cases of posterior vitreous detachment. There is no pain involved in this tearing away, which is why it is important to recognize signs such as:

  • Rapid onset of flashes and floaters
  • Gradual decrease in vision from one side (darkening like closing curtains)
  • Quickly declining central vision

Warning signs of full retinal detachment should be assessed right away. Retinal tears, the onset of detachment, may be repaired with appropriate laser surgery.

Schedule a Consultation

Vitreo Retinal Surgery, PA has several locations in Minnesota to serve you. To learn more about the diagnosis and treatment of retinal detachment or to schedule a consultation, please call (800) VRS-2500.

A Look at the Progression of AMD | VitreoRetinal Surgery, PA | Minneapolis MN

A Look at the Progression of AMD

A Look at the Progression of AMD | VitreoRetinal Surgery, PA | Minneapolis MNAge-related macular degeneration, or AMD, is attributed to thousands of instances of low vision and blindness. This eye disease typically occurs later in life and involves the central part of the retina. It is understandable that any person diagnosed with macular degeneration, wet or dry, would feel a great deal of concern. Part of our role as retinal specialists is to diagnose and manage age-related macular degeneration. Another aspect of personal care, one that is no less important, is our support of patients who are in need of ongoing information. One of the questions that patients may have about this condition is how fast it will progress. We’re going to touch on that here.

Rate of Progression Can Depend on the Type of AMD

Wet macular degeneration is the more severe if the two types. This condition involves blood and fluid leakage from cells that grow beneath the retina. The progression of dry AMD is slower and usually, does not cause as extensive vision loss as does wet AMD. This type of macular degeneration may involve a thinning macula, or the deposit of pigment on this part of the retina, ultimately causing blind spots in central vision.

Progression of AMD Risk Factors

Research suggests that smoking significantly increases the risk of macular degeneration. This is because caustic chemicals in cigarettes can damage blood vessels. Free radicals are also more challenging to fight when the body is also cleansing out toxins from cigarette products. This is a risk factor that one can control. Since hereditary factors are uncontrollable, healthy lifestyle habits such as eating foods rich in antioxidants can help offset them.

Early Diagnosis is Key

Ideally, macular degeneration is a condition that can be diagnosed early. When we can identify the early warning signs of this condition, patients have the best possible opportunity to respond to treatment. There is no cure for AMD, therefore only therapeutic treatment can help preserve eyesight for the greatest length of time. Yearly eye exams become even more important as adults reach the age of 60, but should begin much earlier.

Schedule a Consultation

Vitreo Retinal Surgery has multiple offices in Minnesota, including St. Paul and Minneapolis. Call (800) VRS-2500 for more information on age-related macular degeneration.

Caring for a Child’s Eyes | VitreoRetinal Surgery, PA | St. Paul MN

Caring for a Child’s Eyes

Caring for a Child’s Eyes | VitreoRetinal Surgery, PA | St. Paul MNVitreo Retinal Surgery, PA offices throughout Minnesota are devoted to advanced eye care for retinal diseases. However, we understand that eye care is an important factor in the quality of life of all people. Because August is Children’s Eye Health and Safety Month, we find it a great time to bring up the value of eye exams for children. If you have children in your life, you want to know how to act in their best interest. To do that, you’ve got to know how.

The common school of thought about childhood eye exams is that they revolve around school. It used to be that vision exam were performed on school-aged children at school. We’re not even sure if this is common practice anymore; but if it is, the screenings performed at school are not enough. In fact, they are a bit of a late start.

Ideally, a child will have a formal eye exam between the age of six and 12 months. The closer to six-months, the better. Before this time, an infant observes relatively little. Vision is not yet sharp and clear. But at six months of age, it all comes together. That makes the age an excellent time to evaluate ocular structures, muscles around the eyes, and vision.

It may seem that six months is too early to start testing the eyes, but research suggests that problems such as amblyopia, nearsightedness, farsightedness, and astigmatism can be detected very early in life. Refractive errors can be treated with eyeglasses. Amblyopia, which is known as “lazy eye,” can be treated by covering the strong eye with a patch for a short time.

Eye exams are necessary throughout childhood and are recommended to occur every year once a child starts elementary school. Children are not openly expressive about many subtle health matters. Vision is one of them. A parent or teacher may not realize a child’s vision is poor until they notice a constant frown or squinting. A better approach is to talk with a trusted pediatrician to obtain a recommendation for a pediatric ophthalmologist in your area.

Our staff is here to serve your eye health needs, and to provide information that can benefit those you love. For retinal care services, contact us at (800) 877-2500.

Are your Sunglasses Doing the Job? | VitreoRetinal Surgery, PA | St. Paul MN

Are your Sunglasses Doing the Job?

Are your Sunglasses Doing the Job? | VitreoRetinal Surgery, PA | St. Paul MNWe’re right in the midst of the gorgeous summer months, and that means you may be spending more time outdoors. Whenever you are, it is vital that you protect your eyes. UV rays are harmful enough that they could cause permanent damage. When you wear sunglasses, you do more than diminish the glare of sunlight. You also filter the rays that enter the eye, which eases the stress on internal structures.

UV exposure can be decreased approximately 30% behind absorptive lenses and by topping off sun protection with an appropriate, wide-brimmed hat. This is especially critical when vision is already impaired. Individuals with retinal conditions, diabetic eye disease, or glaucoma benefit significantly from an increase in contrast and a decrease in glare during the daytime hours.

We are now seeing, more than ever, that sunglasses are far more than a fashion accessory. The filtering of sunlight is necessary in order to reduce the risks of cataracts later in life, and also of macular degeneration. In order to gain all of the benefits offered by sunglasses, though, you’ve got to have the right pair.

Choosing the Right Pair

It is possible to filter 99 to 100% of UVA and UVB rays with a good pair of sunglasses. An eye care professional can assist you in identifying your needs, and also in understanding the specifications that your spectacles need to have.

Some simple tips for choosing sunglasses include:

  • Ultraviolet-blocking is a coating applied to a lens. This is less efficient than a protective lens.
  • Dark lenses are not better. It’s the claim of absorbing a high percentage of UVA and UVB light that matters. This should be stated on the product label.
  • Polycarbonate lenses are durable, will not shatter, and they offer UVA and UVB blocking. These lenses are only available from eye care professionals.
  • Individuals with low vision can still benefit from sunglasses. We recommend scheduling a consultation with an experienced ophthalmologist.
  • Polarized lenses reduce glare and are optimal for use near the water. These lenses may also improve comfort for individuals who are photosensitive.

Schedule a Consultation

There are several ways you can take great care of your eyes. When advanced treatments are necessary, we’re here for you. Vitreo Retinal Surgery has eight offices throughout Minnesota to serve you. Contact us at (800) 877-2500.

Why Diabetic Eye Care Must be Proactive | VitreoRetinal Surgery, PA | MN

Why Diabetic Eye Care Must be Proactive

Why Diabetic Eye Care Must be Proactive | VitreoRetinal Surgery, PA | MNOften, we have the tendency to schedule medical care when we think something may be wrong. We have largely gotten out of the habit of seeing our doctor every year for a good old-fashioned checkup. Likewise, this is how a large majority of people manage eye health. Eye care is something we primarily consider for vision correction. However, there is much more to taking good care of your eyes, especially if you have diabetes.

First, there is an alarming estimate that millions of people in our country have diabetes mellitus or Type 2 diabetes, and they do not know it. This goes back to the value of the general physical on an annual basis. Current diagnoses are upwards of 30 million, with more people diagnosed each year. If diabetes is in your family history, it is a good idea to see your doctor for glucose testing. Doing so protects your general health and can also protect your eyes.

Diabetes is not just Common; it is a Leading Cause of Blindness

There are several eye diseases that are associated with diabetes. The concern with them is that symptoms may not become obvious until irreparable damage has occurred. If you frequently have blurry vision, you may be receiving a warning sign that you have diabetes. The earlier that diabetes management can be implemented, the better you and your ophthalmologist can monitor eye health, watching for clues to:

  • Glaucoma, a condition in which pressure builds inside the eye. Increased pressure can damage the optic nerve, sometimes to the extent of vision loss.
  • Diabetic retinopathy involves the restriction of the blood vessels that nourish the retina. 12 percent of new cases of blindness each year are attributed to this condition.
  • Cataracts can severely impede vision, and people with diabetes have a 60% higher risk for clouded lenses than individuals with healthy blood glucose levels. If vision becomes low, cataracts can be removed and the lens replaced with an appropriate IOL.

Do you need care now?

Diabetic eye care is slightly more involved than the norm and requires patients to know when they need to see their ophthalmologist sooner rather than later, and by that we mean within a day or two. Symptoms that require prompt medical attention include:

  • Flashes of light either in your field of vision or when you blink.
  • Sudden changes in vision, including blurriness or double-vision.
  • Eye pain.
  • Black spots in your field of vision.

We care about your eye health. Vitreo Retinal Surgery, PA has offices across Minnesota to serve you. Call (800) VRS-2500.

Diabetes and Protecting your Eye Health

Diabetes and Protecting your Eye Health

Diabetes and Protecting your Eye HealthMost diabetic patients understand that the disease can put their vision at risk. That’s because, over time, high blood sugar can damage retinal blood vessels, causing a variety of diseases and complications. That’s why it’s vitally important for diabetics to have regular eye exams so that treatment to stabilize vision can begin early when there is the best chance of providing long-term help. Call for your appointment today: 800-VRS-2500.

Regular eye exams can help diabetics begin treatments for such problems as:

Macular Edema

A common cause of central vision loss, it causes swelling in the central retina.

Retinal Ischemia

Causes poor blood flow in the eye

When identified by your doctor, diabetic macular edema (DME) can be treated

Laser therapy can be used to decrease retina swelling and reduce the risk of future vision loss. Other treatment options include:

  • Eye injections
  • Steroids
  • Surgical treatment

DME is the main cause of vision loss associated with diabetic retinopathy.

Diabetics should be aware of non-proliferative and proliferative retinopathy

Diabetic retinopathy causes damage to the light-sensitive retina at the back of the eye.

Non-proliferative diabetic retinopathy (NPDR) can cause

  • Retinal hemorrhages
  • “Cotton wool” spots from poor blood flow

Proliferative diabetic retinopathy (PDR) can cause

  • Damage to the retinal blood vessels

This leads to a secretion that causes abnormal blood vessel growth and can threaten vision.

  • Neovascular glaucoma

This occurs when abnormal blood vessels grow and can lead to elevated eye pressure, pain, redness and vision loss.

Non-Proliferative Diabetic Retinopathy can be managed

Managing your diabetes is always the first step toward preserving vision. Regular eye examinations are also crucial because they can detect changes caused by diabetic retinopathy that may not be noticed by patients.

Proliferative diabetic retinopathy can be treated

Laser treatment is one of the most effective procedures for retinopathy and has saved the vision of millions of patients. An alternate treatment is:

  • Injections

These can be beneficial for many patients when it to comes to managing the effects of PDR, particularly for those with problems that put them in the category of high risk for developing the disease.

 

 

Don’t Be Part of A Vision Loss Statistic

eye care MinneapolisYou may not have even noticed, but if you’re around 50 years old, you could be suffering from the most frequent cause of vision loss for those 50 and over: age-related macular degeneration (AMD).

AMD does have symptoms, but you might not see them

Many people who have AMD may not have noticed that their vision is deteriorating. The disease can particularly go unnoticed if it is only affecting one eye.

Another obstacle to noticing AMD

Many people assume their vision loss issues are simply a natural and inevitable part of aging. AMD symptoms are more serious and can be recognized if you know what to look for. Patients with certain types of AMD can benefit from recent developments in treatment if diagnosed early. This is also why it’s important to see your eye doctor annually for vision checks.

Call for an appointment today (800-VRS-2500), especially if you have any of these symptoms:

  • A blurry area near the center of your vision that may be increasing
  • Blank spots in center of your vision
  • Things not appearing as bright as they normally do

AMD’s two classifications: dry and wet

Dry AMD doesn’t usually cause severe vision loss

  • It’s characterized by the accumulation of small yellow deposits underneath the retina.
  • It can cause severe vision loss if central atrophy develops.
  • An eye doctor should closely monitor patients with dry AMD, as it may progress to wet AMD.

Wet AMD accounts for approximately 90% of severe vision loss due to the disease

  • It’s characterized by the presence of abnormal new blood growth underneath the retina.
  • The main symptoms are worsening central vision, blind spots, and distorted vision.

There are ways to manage progression and preserve vision

Presently, there is no strategy for reducing the risk of developing dry AMD and no treatment to reverse the condition. However, the Age-Related Eye Disease Study did show that vitamins might help visual atrophy from progressing from intermediate to severe. And wet AMD has several treatments that can help keep the condition stable over the long term.

Schedule a consultation

If you are interested in age-related macular degeneration, please call 800-VRS-2500 to schedule a consultation at one of our locations in Minneapolis, St. Paul, Blaine, Edina, Oakdale, Plymouth, St. Cloud and Duluth.