Retina

Retinal Detachment: Definition, Symptoms, and Treatment

December 1, 2018 by Anne Arundel Eye Center

A retinal detachment refers to a separation of the retina – the light-sensitive membrane in the back of the eye – from its supporting layers. This serious medical condition is typically caused by trauma, diabetes or an inflammatory disorder.

Symptoms of Retinal Detachment

• Flashes of light (Especially in peripheral vision)

• Blurred/blurry vision

• Floaters in the eye. Also referred to as shadows or spots

• Blindness in a portion of the visual field

The sudden and dramatic appearance of these symptoms is a strong indication that the retina is either tearing or detaching. If you feel you may be experiencing any of the above symptoms, schedule an appointment with your eye doctor immediately. Any sudden change in your vision is a serious medical condition that requires prompt medical attention from your optometrist or ophthalmologist.

Treatment of Retinal Detachment

Most cases of retinal detachment require one of the following surgeries.

• Freezing (cryopexy): The application of intense cold to the area with an ice probe to form a scar, which holds the retina in place.

• Laser Surgery (photocoagulation): This is used to seal the tears or holes in the retina.

• Pneumatic Retinopexy: The placing of a gas bubble in the eye to help the retina float back into place. Then a laser is used to fix the retina in place.

More extensive cases require more invasive procedures, including:

• Scleral Buckle: This is done to indent the wall of the eye, relieving the tugging of the vitreous on the retina.

• Vitrectomy: This is done to remove gel or scar tissue that may be pulling on the retina.

If you have any questions about what you have just read or if you would like to learn more about your various treatment options, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010.

Led by Dr. Boles, the Anne Arundel Eye Center offers comprehensive specialized ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Retinal Detachment

Flashers and Floaters in the Eye: What are They and What do They Mean?

November 22, 2018 by Anne Arundel Eye Center

As we age, the eye’s gel-like vitreous begins to dissolve and liquefy, creating a watery center. Occasionally some un-dissolved vitreous particles will float around the now watery center, appearing as spots or what we refer to as floaters.

Floaters in the eye are a fairly common, harmless apparition that will generally fade away in time. Yet, while these floaters are typically common, they can be the first signs of a more serious medical condition, such as retinal detachment.

If you ever see a shower of floaters (spots) accompanied by flashes of light (photopsia), then you should seek immediate medical attention. The sudden and dramatic appearance of these symptoms could indicate that the retina is either tearing or detaching.

Retinal detachments and retinal tears are both emergency conditions that require immediate medical attention. An eye surgeon must reattach or repair the retina to prevent permanent vision loss from occurring.

So if you see floaters in your eye, schedule an appointment with your eye doctor – optometrist or ophthalmologist – at your earliest convenience. Any change in your sight is a serious medical condition that requires prompt attention. If these symptoms appear rapidly and include flashes of light, call your eye doctor right away.

If you have any questions about what you have just read, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010.

For more eye care advice and information, please take a look at our previous blog posts.

Sources:

Eye Floaters, Flashes and Spots

Uveitis: Causes, Symptoms and Treatment

September 16, 2018 by Anne Arundel Eye Center

Uveitis is a inflammatory condition of the middle layer of the eye, the uvea, which provides most of the blood supply to the retina. Similar to arthritis of the joints, Uveitis is not an infection, but rather an inflammation.

While, in most cases, the cause is idiopathic, Uveitis can be associated with autoimmune disorders such as rheumatoid arthritis or ankylosing spondylitis, infection, exposure to toxins, bowel and abdominal inflammation, and even trauma. The whole body is connected and sometimes an injury to a completely unrelated area of your body, like your back, can trigger Uveitis.

Signs and Symptoms

Uveitis symptoms may develop rapidly, affecting one or both eyes, and can include:

• Blurred vision

• Dark, floating spots in the vision

• Eye pain

• Redness of the eye

• Sensitivity to light

Forms of Uveitis

Uveitis is the third-leading cause of blindness in developed countries, behind Cataracts (#1) Glaucoma (#2).

The most common form of Uveitis is Anterior Uveitis, also called Iritis, which involves inflammation in the front part of the eye. The disorder may affect one eye or both eyes and is most common in young and middle-aged people.

Posterior Uveitis, also referred to as Choroiditis, affects the back part of the uvea and primarily involves the chorid, which is a layer of blood vessels under the retina. If the retina is involved, it is called Chorioretinitis.

The final form of Uveitis is Pars Planitis, which is an inflammation affecting the area just behind the iris. This particular type of Uveitis occurs primarily in young men.

Treatment

Treatment for Uveitis involves the use of steroid eye drops, though additional treatments may be helpful, including: wearing dark glasses, using eye drops that dilate and relax the pupil to relieve pain, using oral steroids, and the use of non-steroidal anti-inflammatory drugs (NSAIDs) such as Tylenol, Advil, or Motrin.

With proper treatment, most cases of Uveitis are resolved in a few days or, more commonly, a few weeks. However, relapses are common.

Call your eye doctor immediately if you are suffering from blurry vision or any of the other previously mentioned symptoms. Your doctor may refer you to an eye specialist.

Eye pain and reduced vision are serious symptoms that require prompt medical attention from you optometrist or ophthalmologist.

If you have any questions about what you have just read, please contact Anne Arundel Eye Center by calling 410-224-2010.

Sources:

PubMed Health

Uveitis Mayo Clinic

Cataract Treatment in Annapolis, Maryland

February 13, 2013 by Anne Arundel Eye Center

What is a Cataract?

A cataract is clouding of the eye’s natural lens, which lies behind the iris and the pupil. Board certified ophthalmologist Samuel Boles, M.D. likes to compare cataracts to the clear plastic window on a convertible car.

“Just like the little plastic window in the back of a convertible, the natural lens inside the eye can become cloudy after many years of natural exposure to the sun and through the normal aging process,” said Dr. Boles.

There are three categories of cataracts:

Subcapsular Cataract: Beginning in the back of the lens, subcapsular cataracts are most common among those with diabetes, high farsightedness, retinitis pigmentosa, or those taking high doses of steroids.
Nuclear Cataract: The most common form of cataracts, nuclear cataracts forms in the nucleus, the center of the lens, as a result of natural aging.
Cortical Cataract: Forming in the lens cortex and gradually extending its spokes from the outside in, cortical cataracts are most common in people with diabetes.

What causes Cataracts?

Cataracts are usually caused by age, when the protein in the lens may start to clump together and cloud a small area of the lens. No one knows for sure why this occurs, however, several studies claim that exposure to ultraviolet light could be to blame.

Are Cataracts Common?

Simply put, yes. Nearly 50% of all adults will develop cataracts by the time they turn 65 years old.

What are the Signs and Symptoms of Cataracts?

Common cataract signs and symptoms include:

Blurry sight
Double vision
Halos
Difficulty driving at night
Colors may become faded
Frequent changes in glasses prescriptions

If you feel as if you may be suffering from one or more of these symptoms, you should schedule an eye exam at your earliest convenience. Early detection is the key to slowing or even stopping the spread of cataracts.

What is the Treatment for Cataracts?

If cataract symptoms persist and become bothersome, surgery may be your best option. Cataract surgery is a quick outpatient procedure, taking just about 10 minutes (not including pre and post-op preparation). Cataract surgery involves removing the damaged lens and replacing it with a new synthetic one.

Best of all, cataract surgery has the highest success rate of any surgery practiced today. And recovery is a breeze. Most patients can resume their normal, everyday function in very little time and can even drive a few days after surgery.

Where can I have my Cataracts treated in Maryland?

Specializing in the diagnosis and treatment of glaucoma and cataracts, the Anne Arundel Eye Center offers complete ophthalmic exams as well as diagnostic pre and post-surgical eye care. Whether you’re experiencing symptoms or seeking surgical treatment, our state-of-the-art treatment center can meet all your eye care needs.

To learn more about Cataracts, please contact board certified ophthalmologist Dr. Samuel Boles, consultative optometrists Dr. Nathan Frank and Dr. Corinne Casey, and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010 or click here to visit AnneArundelEyeCenter.com. Staffed by caring and knowledgeable professionals, our state-of-the-art treatment center is dedicated to making the best eye care accessible to everyone.

For more eye care advice and information, please take a look at our previous blog posts.

You can also follow Anne Arundel Eye Center on Facebook, Twitter, Google+, and YouTube as well!

Age-Related Macular Degeneration: Symptoms and Treatment

December 22, 2011 by Anne Arundel Eye Center

Age-related macular degeneration (AMD) is the leading cause of vision loss and blindness in Americans 60 years of age or older. Currently, about 1.75 million U.S. residents have advanced AMD with associated vision loss. That number expected to grow to almost 3 million by 2020.

AMD is an eye disease that affects the part of the retina (the macula) responsible for sharp, central vision. As a result, AMD can make it difficult to perform every day tasks, such as reading and driving.

Symptoms of Age-Related Macular Degeneration

Gradual loss of ability to see objects clearly
Objects appear distorted in shape. Straight lines look wavy or crooked.
Loss of clear color vision
A dark or empty area appears in the center of vision.

If you feel you may be experiencing any of the above symptoms, schedule an appointment with your eye doctor as soon as possible. Any sudden change in your vision is a serious medical condition that requires prompt medical attention from your optometrist or ophthalmologist.

AMD can advance so slowly that individuals initially notice little change in their vision. Other times, AMD progresses more rapidly and may even lead to vision loss in both eyes. This is why regular eye exams are so important. They can help detect the eye disease before it causes significant vision loss.

Age-Related Macular Degeneration Treatment

There are two types of AMD, “dry” macular degeneration and the less common “wet” macular degeneration.

Dry AMD: With this form of AMD, the tissue of the macula gradually becomes thinner and stops functioning properly. There is currently no cure for dry AMD and any vision loss associated with the disease cannot be restored, even with treatment.
Wet AMD: This form of AMD is caused by fluid that leak from newly formed blood vessels under the macula, resulting in blurred central vision. With wet AMD, vision loss can be rapid and severe, but if detected early, this form of AMD can be treated with photocoagulation (laser treatment).
Other potential treatment options include:
Anti-angiogenesis drugs: These medications block the development of new blood vessels and leakage from the abnormal vessels within the eye that cause wet macular degeneration.
Vitamins: A recent study found that vitamins C, E, beta carotene, zinc and copper can decrease the risk of vision loss in patients with intermediate to advanced dry macular degeneration.

Photodynamic laser therapy: A two-step treatment in which a light sensitive drug is used to damage the abnormal blood vessels. A doctor injects the drug into the bloodstream to be absorbed by the abnormal blood vessels in the eye. The doctor then shines a cold laser into the eye to activate the drug, damaging the abnormal blood vessels.

While AMD treatment cannot restore your vision, it can help to slow further vision loss.

If you have any questions about what you have just read or if you would like to learn more about cataracts, please contact board certified ophthalmologist Samuel Boles and the eye care specialists at Anne Arundel Eye Center by calling 410-224-2010 or click here to visit AnneArundelEyeCenter.com today!
Located in Annapolis, Maryland, the Anne Arundel Eye Center offers comprehensive specialized ophthalmic exams as well as diagnostic pre and post-surgical eye care. Specializing in glaucoma and cataracts, Dr. Boles has helped restore and preserve thousands of patients’ vision.

For more eye care advice and information, please take a look at our previous blog posts.

You can also follow Anne Arundel Eye Center on Facebook, Twitterand YouTube as well!

Sources:
Macular Degeneration MedlinePlus
Age-Related Macular Degeneration American Optometric Association