Machemer, who is widely considered to be the “father of vitreoretinal surgery.” Vitreoretinal refers to treatment of the retina, macula, and vitreous - the gel and fluid that fill the eye. Many of our senior surgeons trained under Dr. The field of retinal surgery was pioneered at Duke by Robert Machemer, MD, the former chair of our ophthalmology department. We are frequently called upon to help people who have recurrent retinal detachments or other complex problems following previous surgeries elsewhere. Also, out doctors are national leaders in using OCT and interpreting the results.Īs a result of our advanced training and skill in handling complex retinal detachments such as recurrent retinal detachments with proliferative vitreoretinopathy, we receive a high volume of referrals from other doctors. Our researchers and doctors are pioneers in this intraoperative imaging technology. The technology allows us to visualize the layers of the eye with greater detail and identify subtleties and patterns that guide our treatment recommendations. to use optical coherence tomography (OCT) imaging in the operating room. We are one of the few centers in the U.S. The resulting retinal swelling or break and decreased vision require advanced care from our subspecialists, who have additional training in retinal diseases. Our retinal specialists are also experts in treating other common conditions, such as vitreomacular traction, which occurs when the vitreous gel in your eye becomes “stuck” to - and, over time, pulls on - your retina, leading to a macular hole. Our subspecialty trained retinal doctors can quickly determine the severity of your condition and recommend the most appropriate treatment. If you experience these symptoms or are at risk for retinal detachment due to nearsightedness, family history, genetic predisposition, a previous history of retinal detachment, a history of any eye surgery, or a serious eye injury, you need to be seen by an eye specialist immediately. Pernelli will do everything possible to protect your vision.New floaters and flashes may be a sign of a retinal tear or detachment, especially if they suddenly increase in frequency or are accompanied by a dark curtain or any loss of vision. If you experience any sudden symptoms of retinal detachment such as specks, flashes, waviness, dark shadows or vision loss, contact us immediately to have an eye exam. Cryopexy: if there is retinal tear, intense cold can be applied to produce a scar to reattach the retina.Retina laser surgery: if there is a retinal detachment, tiny burns can be used to reconnect it.Scleral buckle: if the vitreous gel is contracting or shrinking, a flexible silicone band can be placed around the eye to relieve pressure.Pneumatic retinopexy: if there is a retinal tear, a gas bubble can be injected into the vitreous gel to reseal the tear.Vitrectomy: if the retina is being pulled, some of the vitreous gel in the eye can be drained and replaced with a gas bubble.Depending on the extent of your condition, you may need: ![]() Through these exams, signs of a retinal tear or full detachment can be identified as quickly as possible so treatment can be administered. Pernelli, MD highly recommends that everyone have regular dilated eye exams to monitor your retinal health. View Video Detached and Torn Retina Treatment in Vinelandĭr. An undiagnosed tear that allows fluid to collect under the retina.The contraction of scar tissue on the retina.The shrinking and contracting of the vitreous gel in the eye can lead to retinal pulling.Conditions can be occurring without your knowledge that can lead to a tear or detachment: However, there is not always a traumatic event that causes this condition. Trauma to the eye can cause a retinal tear or detachment due to fluid collecting under the retina. ![]() If your retina becomes torn or detached from its nourishing cell layer, this is a medical emergency that must be treated immediately in order to save your vision. Any time damage occurs to your retina (the back of your eye), your vision is affected.
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