Common OCT findings can include epiretinal membranes, macular drusen, lamellar macular holes, and edema.įor a test to be reimbursed by payers, a diagnosis is needed. If I notice any abnormalities of the macula on biometry or in physical examination, I order a traditional OCT ( »Spectralis, Heidelberg Engineering ✼irrus, Carl Zeiss Meditec). Finally, I directly examine the retina and try to identify any obvious macular or peripheral pathology.Īt this point, I review the swept-source optical biometry image, which shows anatomic details of the visual pathway including the ocular surface, lens, and a single-shot OCT image of the macula. Next, I examine the lens to determine the quality of the cataract and identify any other comorbidities that may be present. I also examine the cornea to ensure that no scarring, superficial irregularity (such as anterior basement membrane dystrophy or Salzmann nodules), or endothelial disease is present. My physical examination consists of examining the eye for ocular surface disease issues, such as meibomian gland dysfunction and dry eye disease. The staff completes the initial workup, including performing manifest refraction, glare testing, a pinhole test for near vision (potential acuity test), ocular dominance testing, swept-source optical biometry ( »IOLMaster 700, Carl Zeiss Meditec), corneal topography ( »Pentacam, Oculus Optikgeräte), and IOP measurements. Next, I ask patients to complete a cataract questionnaire that assesses how their vision affects their quality of life. If they respond that they have never had good vision, it is a signal that I should explore other diagnoses. When I evaluate patients for IOL implantation, I first ask them if they had good vision before the development of their cataract. To identify posterior segment pathology at the outset, I have expanded my cataract workup to include imaging of the full eye. My approach begins with the desire to provide patients with an accurate estimate of how well they will see postoperatively, and it guides me in selecting the right IOL technology. Obtaining retinal images preoperatively helps me to educate myself about the patient and, in turn, the patient about proper expectations for surgery. If a patient’s macula appears healthy, chances are that the function of the macula will also be healthy. Just as important in predicting visual outcomes are the health and function of the macula. It is commonly known that a healthy ocular surface maximizes the outcomes of IOL implantation. Patient understanding and education also improve. How Raw Images From a Swept-Source Biometer Help My Surgical Decision-Making World-Class Refractive Cataract Practice Gets Infusion of New BloodĪ Custom Iris Prosthesis Finally Gains FDA ApprovalĬhess and Cataract Surgery: Multiple GamesĬataract and Glaucoma After Penetrating Keratoplasty Under the Microscope: Examining the Role of the Ophthalmic TechnicianĮvaluating the Retina Before Cataract Surgery Reimbursement for CXL: Current Status and Best Practices For this reason, it is important to have regular follow-up exams with a Mann Eye retina specialist.Operating Despite Extreme Positional Difficultyįoldable Lens Trends: Seeking the Greatest Biocompatibilityĭry Eyes and Increasing Myopia After LASIKĮarly Identification of Patients With Keratoconus and Post-LASIK Ectasia In these cases, laser treatment, photodynamic therapy or oral medications may be used.Ībout half of patients who have had central serous chorioretinopathy will deal with it again. Sometimes, there is significant vision loss or the fluid does not go away. During this time, your Mann Eye ophthalmologist will examine your eye to see if the liquid is going away. Most cases of central serous chorioretinopathy clear up in one or two months without the need for any treatment. How is Central Serous Chorioretinopathy Treated? People under a lot of stress may be more likely to develop the condition. Men in their 30s to 50s are more likely to develop central serous chorioretinopathy than women. White objects have a brownish or dull tinge.Objects appearing smaller or further away than they are.Straight lines appearing bent, crooked or irregular in your affected eye.Dim, distorted or blurred central vision.Symptoms of central serous chorioretinopathy can include: Left eye with Central Serous Chorioretinopathy What are the Symptoms of Central Serous Chorioretinopathy?
0 Comments
Leave a Reply. |
AuthorWrite something about yourself. No need to be fancy, just an overview. ArchivesCategories |