What is Macular Pucker?

Macular pucker affects approximately 10 percent of people, particularly men and women over the age of 50. Based in the center of your retina, the macula is responsible for the part of your vision that allows you to see straight ahead. As you read the text on this page, you are using your macula. When the retinal surface forms an extra layer of tissue and contracts, distorting the retina, it is known as a macular pucker. They look like a piece of scotch tape and can distort the central vision. If you start to notice this, you should see a doctor for macular pucker as soon as possible.

What is Age-Related Macular Degeneration (AMD)?

Age-Related Macular Degeneration (AMD) is a disease, which causes visual loss in patients over the age of 50. The vision loss is painless, usually gradual and not severe, but can be variable among patients. Macular degeneration is named for the macula, the part of the retina responsible for central vision. Peripheral vision is usually not affected by macular degeneration and often, this illness will go unnoticed until a patient engages in a task such as driving or reading, in which central vision is crucial. As the term “degeneration” implies, the illness becomes more noticeable over time and tends to get worse with or without treatment. Macular degeneration typically affects adults over 65 and the main risk factors for the disease are increasing age and genetics (family history of macular degeneration). Smoking, high cholesterol and hypertension are also risk factors. This disease does not cause total blindness and most macular degeneration patients can see well enough to care for themselves.

What is Retinal Tear and Retinal Detachment?

Retinal detachment is treatable when caught early. Treatment may or may not involve an in or outpatient surgical procedure. In cases that do require surgery, a patient may require immediate attention or the procedure may be postponed for days or even weeks depending on the condition’s severity. Two major retinal detachment surgeries include: Vitrectomy: In this procedure, the surgeon removes the vitreous jelly, which has pulled on the retina and caused retinal detachment. Usually, the doctor then replaces the fluid with a gas bubble, which the eye, in time, will absorb and replace with its natural fluids. Doctors may recommend this surgery in instances where:

What is Diabetic Retinopathy?

Diabetic retinopathy is a condition where high blood sugars damage the blood vessels in the retina (the retina is the layer of cells in the back of the eye that transmit light to the brain to form images). There are two main types of diabetic retinopathy: non-proliferative diabetic retinopathy (NPDR) and proliferative diabetic retinopathy (PDR).

What is Retinal Vein Occlusion (RVO) and Macular Edema?

The retina is the light-sensing layer of cells that lines the inner wall of the back of the eye. The retina converts light into signals that are sent to the brain where they are recognized as images. What is Retinal Vein Occlusion? Your retinas require a rich supply of oxygenated blood. This blood is carried to the retina from the heart through arteries, while veins carry deoxygenated blood from the retina back to the heart via the optic nerves. The arteries that transport oxygen to your retina may stiffen and thicken over the years, especially in people with diabetes, cardiovascular disease, high blood pressure and high cholesterol. The retinal arteries and veins are close to the optic nerve and cross various locations on the retina’s surface. As arteries thicken, they can compress the retinal vein at artery-vein crossing points or in the optic nerve. This compression can be so severe that the veins become constricted and thus blood flow to the heart is reduced. The blood then backs up into the retina not unlike the water in a clogged bathtub. The pressure of blood in the veins causes swelling (called macular edema) and bleeding in the retina.

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EyleaHD Specialist California

EyleaHD is a form of medication that treats diabetic retinopathy and wet AMD. This is a more concentrated form of Eylea, which has been approved for use and effectively utilized for several years. Comparatively, Eylea HD has 8 mg of medication per injection and Eylea contains 2 mg. EyleaHD may be better suited for those with severe diabetic damage or macular degeneration of the eyes, where other medications do not seem to be strong enough. If you have questions about the benefits of EyleaHD, contact the Retina Associates of Orange County. Our California EyleaHD specialist is happy to help. Let us start you on the journey to enhanced eye health by booking a consultation today.

How EyleaHD Works

In cases where medication may not be enough to help treat diabetic or macular degeneration damage, EyleaHD could be a reliable choice. Eylea does not last as long as EyleaHD, so patients would not have to get injections quite as often. Most patients prefer to have a stronger dosage that they receive less frequently. Eylea works by blocking a protein called vascular endothelial growth factor (VEGF). When this protein is at high levels, it can cause abnormal blood vessels to grow within the eye and leak fluid. By blocking VEGF, it decreases the amount of fluid that leaks into the macula, which is a part of the retina responsible for central vision sharpness. If you have questions about EyleaHD, please reach out to our knowledgeable EyleaHD specialist.

Candidates For Treatment

Your doctor will examine, clean, and numb your eye prior to an EyleaHD injection. Inflammation has been reported after the use of this medication. But your doctor will talk to you about these potential side effects, what to expect, and whether this treatment is going to benefit you. Those who have infections around or within the eye, redness, pain, or are known to be allergic to ingredients in Eylea may not be candidates for this treatment. Side effects of receiving Eylea can include redness, pain, vitreous detachment, cataract, moving spots in vision field, vitreous floaters, and increased eye pressure. There may be some temporary vision changes after the injection, so do not drive or operate machinery until your vision has recovered fully.

Retina Associates of Orange County

Our team at the Retina Associates of Orange County, is a group of dedicated ophthalmologists. Our physicians and/or staff are available to speak many languages, such as English, Spanish, Korean, Chinese, Tagalog, Farsi, and Vietnamese. Please do not hesitate to let us know if a specific language is preferred. We understand just how important eyesight is to people and their ability to go about life comfortably. There are medications that can make a positive difference. If you are suffering from a condition that could benefit from EyleadHD, then we encourage you to reserve a consultation at your next convenience. Let us use our eye care insight to enhance your overall eye health. We hope to hear from you!

Patient Reviews

    
 
 
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   James Fan 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Very detailed eye check up, and Dr Goldman explained all the results very clearly.
  
 
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   Roz Cole 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Prompt & efficient.
  
 
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   Andy Shields 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Professional office
  
 
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   PBofLN 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I’ve been seeing Dr. Eifreg for a number of years now since he reattached my almost completely detached retina. He is an excellent doctor and surgeon. He never rushes me through my appointments and answers any questions I have. In addition, he is personable, can be funny, and is just a very nice man. From the front office staff to the assistants who check your eyes before you see Dr, Eifreg, they are all extremely efficient. I am now on yearly maintenance visits and they always contact my insurance for a referral before my appointment. I also always get an appointment reminder text or call. But what’s really amazing - This is a VERY busy practice and I am always seen on time or within maybe 15 mins of my appointment time. I don’t know how they do it, but this office runs like a well-oiled machine. And to top it off, EVERYONE is helpful, cheerful and has a “service” attitude at all times. I know this all sounds too good to be true, but it is honestly the case at Dr. Eifreg’s office. I am so glad my primary doctor sent me to Dr. Eifreg for my retina surgery. Of course the most important thing is that he’s an excellent surgeon, but it’s also wonderful that he runs a great office with an exceptional staff!
  
 
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   Deb Hanna 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Everyone at this office was very friendly.
The office was definitely busy but It was my first visit there and they still made me feel welcome and cared for.
Dr Gupta explained my condition so I could easily understand it and was very pleasant to talk with. I had to leave another Retina group because of an insurance change but think the transition to this new group went smoothly and will be a good fit for me moving forward.
  
 
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   Diane Bridges 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Very efficient and pleasant staff. Excellent doctor. Have been going to him for nine years. I would never change doctors!
  
 
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   PriscillA Schultz 
 1 days ago
 
 
 Trustindex verifies that the original source of the review is Google. everyone is very kind and thorough in the office. The doctor is great and was on time.
  
 
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   Gale Oliver 
 12 days ago
 
 
 Trustindex verifies that the original source of the review is Google. God is using Dr. Maguire in a great way! Thumbs up to his practice!!!
We pray for God's continual blessing in Jesus name Amen
  
 
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   Jim Dingwall 
 12 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Very professional, courteous and will explain any kind of procedures that you might need.
  
 
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   Carlos Marcial 
 12 days ago
 
 
 Trustindex verifies that the original source of the review is Google. A couple of years ago, I developed a serious problem with my left eye. I was very scared because I could see when looking to the right, but my vision became blurry when I looked to the left and even when looking straight ahead. It was affecting my daily life, and I knew I needed help.
I went to see Dr. Charles W.G. Eifrig at Retina Associates of Orange County. He carefully explained the problem with my eye and stressed the importance of treating it as soon as possible. He treated me with eye injections, and after the first injection, I was amazed by the improvement. My vision became clear again, and I felt tremendous relief. After that, I received three or four additional treatments to ensure my eye continued to heal properly and maintain the improvement.
Dr. Eifrig is knowledgeable, caring, and takes the time to explain everything in a way that is easy to understand. His expertise and prompt treatment made a huge difference in my recovery.
I will always be grateful for what Dr. Eifrig did for my left eye. He genuinely changed my life by helping restore my vision. He is simply the best doctor, and I highly recommend him to anyone needing specialized retinal care.
Thank you, Dr. Eifrig!

EyleaHD Specialist California

How EyleaHD Works

Candidates For Treatment

Retina Associates of Orange County

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