Macular Degeneration (AMD) is a disease of the macula, a small area in the retina at the back of the eye. This is where we have our central vision, where we see clearly for reading. Many older people develop macular degeneration as part of the aging process. They develop deposits under the retina called drusen. There are two forms of AMD, the dry form or most common type and the wet form. We treat the wet form with injections and sometimes laser. We have evidence to suggest that certain vitamins will help slow the progress of the disease.

Diabetic Retinopathy usually appears in persons that have had diabetes for at least 10 years. If you have diabetes, your body does not use and store sugar properly and your blood vessels get damaged. The damage to the retinal blood vessels is called diabetic retinopathy. There are two types of diabetic retinopathy: nonproliferative diabetic retinopathy and proliferative diabetic retinopathy. Patients with nonproliferative diabetic retinopathy may have normal vision unless they have been affected by macular edema (swelling of the macula) or macular ischemia (poor circulation in the macula). Patients with proliferative diabetic retinopathy can have abnormal blood vessels that bleed, cause scar tissue and in the more advanced cases can cause retinal detachments. The treatments for diabetic retinopathy usually involve laser, injection or vitrectomy surgery. Most important, patients must control their blood sugars, blood pressure and cholesterol in order to slow the progression of the disease.

Retinal Tears occur when the vitreous gel that fills our eye pulls on the retina hard enough to tear the retina in one or more places. Fluid can pass through the retinal tear, lifting the retina off, much like wallpaper can peel off a wall. If retinal tears are left untreated, they can lead to Retinal Detachments. This occurs when the retina is pulled away from its normal position. A retinal detachment causes loss of vision and can cause blindness if left untreated. Retinal tears are treated with laser. Retinal Detachments can sometimes be treated with an office procedure called pneumatic retinopexy involving gas injection, laser or cryoablation. Other times, retinal detachments require outpatient hospital surgery involving sclera buckling without or with vitrectomy surgery.

What are the warning signs of retinal tears and detachments?

  • Flashing lights
  • New floaters
  • A shadow in the periphery of your field of vision
  • A gray curtain moving across your field of vision

Other conditions evaluated and treated by Dr. Recasens at Macular, Retinal, Vitreal Associates:

  • Macular Puckers
  • Macular Holes
  • Vascular Occlusions
  • Floaters and Flashes
  • High-risk medications
  • Retinal conditions associated with systemic diseases
  • Ocular Trauma affecting the back of the eye
  • Other retinopathies and macular disorders