Ophthalmology Manchester Ophthalmology Manchester

Diseases Treated

Dr. Gold treats all diseases of the retina and vitreous. Below are descriptions of the more common diseases he treats.

Central Serous Chorioretinopathy

Diabetic Retinopathy Treatment | Central Serous Chorioretinopathy Treatment | ManchesterCentral serous chorioretinopathy (CSCR) is a retinal condition that involves an accumulation of fluid under the macula. This condition is most common in men between the ages of 20 and 50 years old, although women can also be affected. 

Patients with CSCR may experience blurred or dimmed vision, blind spots, and distortion. This can greatly interfere with reading, driving and other normal activities, and may affect a patient’s quality of life throughout the duration of the condition. CSCR can be diagnosed on examination. An optical coherence tomogram (OCT) is usually performed to assess for fluid under the macula. Fluorescein angiography may also be performed to determine the source of the leakage responsible for the fluid.

Most cases of CSCR resolve on their own within a few months, but patients should be monitored closely to ensure that the condition improves and no complications develop. If the fluid does not resolve after a few months, laser photocoagulation may be used to speed the healing process.

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Diabetic Retinopathy

Diabetic Retinopathy Treatment | Central Serous Chorioretinopathy Treatment | ManchesterPatients with diabetes are at a higher risk for developing eye conditions because a high blood sugar level can damage blood vessels in the eye. Over 40 percent of patients diagnosed with diabetes develop some form of eye disease as a result. These conditions can cause blood or fluid to leak from the retina or new blood vessels to grow on the surface of the retina, which can lead to significant damage to your vision and overall quality of life.

It is important for patients with diabetes to have dilated eye exams at least once a year to detect any signs of diabetic eye disease as soon as possible. You can also minimize your risk of developing diabetic eye disease by keeping your blood sugar and blood pressure under control, eating a healthy diet and exercising regularly.

Diabetic retinopathy is the most common diabetic eye disease and is the leading cause of blindness in adults.  Diabetic retinopathy develops as a result of changes in blood sugar levels or simply the presence of long-term diabetes. In nonproliferative diabetic retinopathy, blood vessels in the macula leak fluid and the macula may become swollen and form deposits. This is referred to as diabetic macular edema, and is the most common cause of visual loss in individuals with nonproliferative diabetic retinopathy. Diabetic macular edema is treated with laser or injection of medications to reduce macular swelling.

Proliferative diabetic retinopathy is the more advanced stage of diabetic retinopathy and is classified by the growth of new blood vessels on the retina. These blood vessels are abnormal and fragile, and are susceptible to leaking blood into the vitreous, which can cause severe vision loss.

Diabetic Retinopathy Treatment | Central Serous Chorioretinopathy Treatment | ManchesterIf blood leaks onto the vitreous, patients may begin to notice floaters in their vision, which are actually specks of blood that appear in front of your vision. While floaters can sometimes clear up on their own, it is important to call Dr. Gold as soon as you notice them, as they can lead to vision loss.

Patients with proliferative diabetic retinopathy usually require laser surgery to treat their condition. This treatment is known as panretinal photocoagulation and is used to shrink the newly developed abnormal blood vessels. This treatment is usually performed in two or more sessions because of the high number of laser burns necessary. Panretinal photocoagulation is most effective before new blood vessels have started to bleed. Severe bleeding may require a vitrectomy, or removal of the vitreous, to remove blood from the center of the eye.

Proliferative diabetic retinopathy may also lead to traction retinal detachment. If a traction retinal detachment develops, vitrectomy surgery may also be required to restore vision.

Dr. Gold is an expert in the diagnosis and treatment of diabetic retinopathy. The office has state-of-the-art equipment including optical coherence tomography, fluorescein angiography, ultrasonography, and laser to diagnose and treat patients with diabetic retinopathy.

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