If you’re diagnosed with a retina disorder, we may prescribe an anti-VEGF medication. Injections are done on a monthly basis for the first few months of treatment and then treatment is re-evaluated. Fully understanding your condition, Dr. Mitchell or Dr. Adatia will tailor your treatment to your specific needs, ensuring you’ll only receive as much medication as is necessary to maintain your vision. Retina surgery is one of the most exciting innovations in modern medicine in the last decade. In fact Lucentis and Avastin injections have prevented many patients world-wide from going blind.
If you’re diagnosed with uveitis or any condition resulting in macular edema, your retinal specialist may recommend steroid injections, which are only recommended when topical drops are unsuccessful.
Vitrectomy, which involves removing a vitreous gel from the eye, is performed as part of an epiretinal membrane peel or to repair retinal detachments or remove floaters. After surgery, patients usually have to maintain a face down position for at least 10 days to ensure the procedure is successful.
Epiretinal Membrane Peel
Also known as a vitrectomy peel, an epiretinal membrane peel is used to remove scar tissue over the central part of the eye’s retina. Epiretinal membranes affect your vision by exerting traction on the macula, distorting it and causing it to swell, which can lead to blurred or distorted vision.
Floaters are a very common ocular complaint caused by opacities in the vitreous gel, which cast shadows on the retina. As the eye ages, these floaters become more prevalent, particularly if the vitreous gel separates completely from the retina. During a floaterectomy, the vitreous gel is removed from the eye and replaced with a clear saline fluid. While floaters can be frustrating, they don’t cause any ongoing damage to the eye and are not covered by Alberta Health Care.
Scleral Buckling Surgery
Scleral buckling is an option for treating retinal detachment. During this procedure, a very small piece of silicone or sponge is placed on the outside of your eye and sutured permanently in place. This pushes the outer wall (sclera) of the eye inwards, closing the retinal break and allowing the retina to reattach. With scleral buckling surgery, the risk of developing a cataract after the surgery is low, however, there is usually more postoperative discomfort compared to vitrectomy. Pain medication will be given for the first week after surgery.
Pneumatic retinopexy is one option for treating retinal detachment. If you have a retinal detachment, we’ll determine if this procedure is right for you.