Retina Specialist at Hampton Roads Eye Associates
Our retina specialists, Dr. Brian M. Keel, M.D. and Dr. Matthew D. Reed, M.D., focus on diagnosing and treating disease of the retina, the light-sensitive tissue lining the back of our eye. Dr. Keel and Dr. Reed specialize in treating a comprehensive list of vitreous and retinal disorders including: Retinal tears and detachment, diabetic retinopathy, macular degeneration, macular holes and pucker, vitreous problems and tumors inside the eye. Our doctors are ophthalmologists with additional fellowship training and years of experience diagnosing and treating medical and surgical diseases of the retina and vitreous.
Our state of the art facility utilizes the most up-to-date technology in the diagnoses and treatment of retinal disease:
- Spectral Domain Optical Coherence Tomography
Produces high resolution cross sectional images of the macular allowing extremely accurate detection of retinal swelling, distortion, traction and holes. This technique is critical in the management of Macular Degeneration, Diabetic Retinopathy, Macular Holes and Pucker and others.
- Digital Fluorescein Angiography/Fundus Photoraphy/Fundus Autofluorescence
Angiography is photographic study using an intravenous dye injection to highlight the retinal vessels helpful in elucidating causes of visual loss resulting from a wide array of retinal diseases particularly that in Macular Degeneration and Diabetice Retinopathy. Photography and FAF allow for detection and documentation of ocular tumors and retinal toxicity from drugs and following disease progression over time.
- Automated Visual Field Testing
Measures peripheral or side vision loss. Defines the severity of disease and progression in conditions such as optic nerve disease, Retinitis Pigmentosa, retinal drug toxicity, stroke and retinal vascular blockage.
Knowing the symptoms of retinal diseases can allow earlier detection and possible treatment:
Macular degeneration occurs as a result of a buildup of metabolic material over time leading to slow loss or wearing away of the macular tissue needed for fine central vision. Symptoms typically present after years of disease.
Symptoms of Dry macular degeneration include:
- Blurry distance and/or reading vision
- Need for bright light to see up close
- Colors seem less vivid or bright
- Hazy vision
- Difficulty seeing when going from bright light to low light
- Trouble or inability to recognize people’s faces
- Blank or blurry spot in your central vision
Treatment of Dry Macular Degeneration:
- Early detection
- Antioxidant Vitamins
- Low vision therapy
- Implantable Minature Telescope
Symptoms of Wet Macular Degeneration include: Generally occurs in those with longstanding dry macular degeneration. This produces an environment whereby abnormal tiny blood vessels grow under the macula causing leakage of fluid and blood ultimately leading to severe and permanant vision loss if untreated.
- Distorted vision – straight lines will appear bent, crooked or irregular
- Dark gray spots or blank spots in your vision
- Loss of central vision
- Size of objects may appear different for each eye
- Colors lose their brightness or do not look the same for each eye
Treatment of Wet Macular Degeneration
- Early detection
- Intraocular Injections
Symptoms of Diabetic Retinopathy: At risk patients are anyone with type 1 or 2 diabetes. Disease severity and risk of vision loss is typically related to duration of disease and its control. Several large studies confirm those with better control of blood sugar, blood pressure, weight, cholesterol and non-smokers have much less visual loss over time. Regular eye exams from the time of diagnosis are critical in prevention of vision loss
- Early problems include blurry or distorted vision, variable or changing vision
- Later symptoms are those of inability to read, blank areas in your central vision, poor color and night vision.
- Advanced symptoms include dark floaters, severe or abrupt vision loss and pain.
Treatment of Diabetic Retinopathy
- Intraocular injections and/or laser to treat macular edema or swelling
- Laser and intraocular surgery(Vitrectomy) to treat more advanced disease
Symptoms of Retinal Tear and/or Detachment
- Sudden onset of new floaters. Floaters may consist of a single grey dot to many. Often times discribed as “hairs, gnats, spiderwebs, cobwebs, globs, blobs”, these symptoms should prompt you to see your eye care giver within 24 hours.
- Later signs of retinal detachment include a progressive dark grey shade or curtain beginning in the far periheral or side vision moving towards the central vision.
Treament of Retinal Tears or Detachment
- Laser to seal tears prevents detachment
- Intraocular surgery(Vitrectomy) and Scleral Buckling to treat detachment produces a high reattachment rate preventing and in many cases restoring vision loss.
Symptoms or Macular Holes and Macular Pucker: Conditions caused by abnormal tractional forces and/or fine cellophane type surface membranes can produce macular holes, thickening or distortion.
Treatment of Macular Holes and Pucker
- Vitrectomy with membrane peeling
- Intraocular gas bubble with face down positioning