Ophthalmology Manchester Ophthalmology Manchester

Common Procedures

Avastin, Lucentis, and Eylea

Avastin, Lucentis, and Eylea are anti-vascular endothelial growth factor drugs. These drugs have been tremendously helpful in stabilizing and preventing vision loss in patients with wet macular degeneration, diabetic macular edema, and macular edema secondary to retinal vein occlusion. These drugs are not a cure of these diseases but will generally help stabilize and sometimes improve vision in patients with these disorders. Retreatment is often necessary to maintain stable visual acuity.

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Fluorescein Angiography

Avastin and Lucentis Injections | Fluorescein Angiography | Ophthalmic Ultrasound | ManchesterFluorescein Angiography is the practice of taking photographs of blood vessels inside the eye (an angiogram) with the help of a contrast dye (fluorescein dye). These pictures help evaluate the retina and diagnose and track diseases such as diabetic retinopathy, macular degeneration, retinal vein occlusion, and cystoid macular edema. The contrast dye is injected in the patient’s arm. The dye travels through the circulation into the eye within a few seconds and “lights up” the blood vessels in the eye for the camera. Once the dye is in place, multiple photographs are taken. The procedure is performed in the office and takes about 10 minutes.

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Laser Surgery

Dr. Gold performs laser surgery in his office. Laser surgery is used to treat a wide variety of ocular diseases. Some of the common diseases which are treated with laser surgery include diabetic macular edema, macular edema secondary to retinal vein occlusion, proliferative diabetic retinopathy, retinal tears, and small retinal detachments. Laser surgery can also be used to treat selected cases of choroidal neovascularization secondary to macular degeneration, ocular histoplasmosis, and high myopia.

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Ophthalmic Ultrasound

Ophthalmic ultrasonography is used to image the back of the eye. This is particularly helpful when vitreous hemorrhage is present which prevents a view of the retina. In this situation, it is critical to determine if a retinal detachment is present. Ophthalmic ultrasonography is also helpful in diagnosing and following different types of intraocular tumors.

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Optical Coherence Tomography

Optical Coherence Tomography (OCT) is an advanced technology used to produce cross sectional images of the retina, the light sensing lining on the back of the eye where light rays focus to produce vision. These images can help in the detection and response to treatment of eye conditions such as macular degeneration, macular hole, macular pucker, diabetic retinopathy, retinal vein occlusion, and cystoid macular edema.

OCT can be performed in five minutes and uses light to produce high resolution images of the retina. The different layers of the retina can be evaluated using this technique. OCT is helpful in both the diagnosis and the management of retinal diseases.

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Pneumatic Retinopexy

Pneumatic retinopexy is a procedure that can be performed in select cases of retinal detachment. The procedure involves injecting a gas bubble into the eye to seal the tear or tears responsible for the retinal detachment. Retinal cryopexy or laser retinopexy is also performed to seal the retinal tear or tears responsible for the detachment. Over several weeks the gas bubble resorbs on its own without further intervention. In selected cases this is a less invasive procedure to treat retinal detachment with a shorter recovery time.

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Scleral Buckle Procedure

Scleral buckle is a surgical procedure commonly used to repair retinal detachment. The detachment occurs when the retina becomes separated from the outer wall of the eye, causing shadows and vision loss. During this procedure, the scleral buckle, which is a thin strip of silicone, is secured to the sclera with sutures. The sclera is the white of the eye. The scleral buckle is placed behind the eyelids and is not visible from the outside. The scleral buckle is usually left on the eye permanently.

The scleral buckle pushes in, or "buckles", the sclera towards the middle of the eye, relieving the pull on the retina and narrowing the space between the retina and the back wall of the eye. This makes it easier for the retinal tear or tears responsible for the detachment to settle against the wall of the eye. Over 90% of patients who undergo scleral buckle procedure experience successful retina reattachment. The procedure is performed at the hospital and patients usually go home the same day.

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The vitreous is the clear gel-like substance that makes up the center of the eye. Vitrectomy surgery may be recommended to treat various ocular disorders. These disorders include retinal detachment, infection inside the eye, macular pucker, macular hole, dislocated lens, and diabetic retinopathy where there is bleeding and scar tissue within the eye. The surgery is performed in the operating room under the microscope. During the procedure, vitreous opacities and abnormal membranes may be removed to help restore vision. Sometimes the vitreous is replaced with a gas bubble to help flatten a detached retina. The gas bubble resorbs on its own in about one month. Patients undergoing vitrectomy usually go home the same day.

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