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Orange County Eye Surgeon
Are you looking for an eye surgeon in Orange County?
At Retina Associates of Orange County, we are trusted vitreoretinal physicians serving patients in Orange County for over 23 years.
If you have been told you need eye surgery, the type of surgeon you need depends on which part of the eye is affected. Cataract and refractive procedures address the front. Our Orange County, CA eye surgeon treats the retina and the vitreous at the back, a subspecialty that requires fellowship training beyond an ophthalmology residency.
All five of our physicians are board certified and fellowship trained in vitreoretinal surgery. Request an appointment online to have your symptoms examined and imaged.
Eye Surgeon Orange County, CA
Five surgeons in our group cover a service area that runs from the coast to the northern edge of the county. Referrals arrive from optometrists, general ophthalmologists, endocrinologists managing diabetic patients, and emergency departments that identify a detachment after hours. We built the practice around that referral volume, which is why urgent cases can be accommodated without a long wait.
The disease burden here is driven partly by diabetes. Nearly 11 percent of California adults have diagnosed diabetes, according to state diabetes data, and a portion of that group will develop retinal complications requiring injections, laser, or surgery. The remainder of our volume comes from age-related conditions and from the tears and detachments that follow ordinary changes in the vitreous.
Eye Surgery Services We Offer in Orange County
The list below covers both the conditions we operate on and the procedures themselves. Which procedure applies depends on the anatomy of the individual eye, and that determination is made after imaging rather than at the initial phone call.
- Retinal detachment. Separation of the retina from the eye wall causes progressive loss of function in the detached area. Repair is urgent, and the surgical approach varies with the number, size, and position of the breaks involved.
- Retinal tears. A break without accumulated fluid beneath it can often be treated before it progresses. Sealing the edges creates a scar that holds the surrounding retina in place.
- Macular degeneration. Both forms damage the center of the visual field, though at very different speeds. Treatment involves injections rather than an operation in nearly all cases.
- Diabetic retinopathy. Damaged vessels leak fluid, close off, or produce fragile new vessels that bleed into the eye. Surgery becomes necessary when bleeding fails to clear or when scar tissue begins pulling on the retina.
- Vitrectomy. The vitreous gel is removed with a cutting probe, giving access to the retinal surface and clearing anything obscuring the visual axis. Sutures are frequently unnecessary at the incision sites.
- Scleral buckling. A silicone band placed around the outside of the eye indents the wall inward toward the detached retina. This approach suits certain detachment patterns better than internal repair does.
- Pneumatic retinopexy. A gas bubble injected into the eye is positioned against the break to hold the retina flat while a laser or freezing treatment seals it. Selection depends heavily on where the break sits.
- Membrane peeling. Scar tissue on the macular surface is lifted away with fine forceps under high magnification. The retina beneath it flattens gradually in the weeks that follow.
- Intravitreal injections. Medication delivered into the vitreous cavity treats swelling, leakage, and abnormal vessel growth. Most patients on injection therapy continue on a defined interval for an extended period.
- Laser photocoagulation. Focused laser energy seals leaking vessels or treats ischemic retina that is driving abnormal growth. It is performed in the office and requires no incision.
Why Choose Retina Associates of Orange County for Eye Surgery in Orange County, CA?
Academic Training and Faculty Appointment
Dr. John Hwang earned his medical degree at Columbia University College of Physicians and Surgeons and completed his residency at Columbia’s Harkness Eye Institute, followed by a fellowship at the Doheny Eye Institute at USC. He serves as a Clinical Assistant Professor of Ophthalmology and holds an adjunct faculty appointment at the USC Eye Institute. His published work covers the surgical management of proliferative diabetic retinopathy, retinal detachment, and macular hole, and he is certified by the American Board of Ophthalmology.
Clinical Research Conducted In-House
Our practice operates a research institute and clinical trial network, which means patients here can access treatments still under study rather than being referred elsewhere to enroll. Our Orange County practice runs those studies alongside routine surgical care, and participation is always optional. That infrastructure also keeps our surgeons current on protocols before they reach general practice. Patients looking for a retina specialist in Orange County, CA should ask whether a practice conducts research or only follows it.
Understanding Eye Surgery Care
Conditions We Treat and Treatment Options
Patients describe what they notice rather than what is happening anatomically, and the description usually narrows the diagnosis before imaging confirms it. The conditions below are listed by how they typically present in the exam room.
- Macular pucker. Straight lines begin to look bent, which points to a problem on the macular surface rather than deeper in the eye. Scar tissue growing across the macula contracts and wrinkles the retina beneath it, and a macular surgeon removes that layer during vitrectomy.
- Macular hole. The distortion is similar at first, though a gap eventually opens in the center of the visual field. Closure requires membrane peeling and a temporary gas bubble, and results depend heavily on how long the hole has been present.
- Retinal detachment and tears. A shadow moving in from the periphery describes a detachment in progress. This symptom requires examination the same day it appears, since the treatment window is short.
- Vitreous disorders. A sudden cluster of floaters accompanied by flashes usually reflects ordinary separation of the vitreous, and the majority of these episodes prove harmless. The examination exists to identify the minority that involve a retinal break.
- Retinal artery occlusion. Vision in one eye disappears painlessly within seconds. This is treated as a vascular emergency, since the process that blocks a retinal artery can block a cerebral one, and evaluation includes a workup of the carotid arteries and the heart.
- Dry macular degeneration. Central vision dims across years rather than days. The advanced stage now has injectable treatment that slows how quickly the affected area expands.
- Uveitis. Redness, pain, and sensitivity to light distinguish this from the mechanical conditions above. Treatment addresses the inflammation itself before structural damage develops.
Diabetic retinal disease is managed along its own pathway. Sustained high blood glucose has well-documented effects on the retina, and a diabetes retina specialist stages the disease and adjusts treatment intensity as it changes.
What Should You Expect from Eye Surgery?
- Optical coherence tomography at the first visit, which produces a cross-sectional image of the retinal layers in seconds.
- Fluorescein angiography when the question involves circulation, leakage, or the growth of new vessels.
- B-scan ultrasound when blood or dense cataract prevents a direct view of the retina.
- A consent discussion covering the alternatives to surgery, the expected result, and the risks specific to your eye.
- A written report sent back to the optometrist or ophthalmologist who referred you.
What Is the Typical Treatment Timeline?
- Observation ends when imaging shows measurable progression or when symptoms change.
- Injection therapy begins immediately for leakage or swelling and continues on a fixed interval.
- Surgery is scheduled within days for detachments and within weeks for macular conditions that are stable.
- Post-operative visits begin the next morning and are spaced further apart as the retina settles.
- The fellow eye is examined at every visit, because most retinal conditions carry risk on both sides.
Individual timelines depend on the diagnosis and on how the eye responds. Ordinary changes in the aging retina also influence how much vision returns after a successful repair.
What Should You Bring to Your First Visit?
- Photo identification and your current insurance card.
- A list of prescriptions, over-the-counter medications, and supplements.
- Prior retinal imaging or operative reports, if another practice has treated you.
- Transportation home, as dilation affects vision for several hours.
- A written list of questions, since recalling them after dilation is difficult.
Plan for a longer appointment than a standard vision exam. Testing, dilation, and the discussion afterward generally occupy most of a morning or afternoon.
What Are Some Important California Eye Surgery Resources?
The agencies below publish material that patients can use to check credentials and read about a diagnosis before treatment begins.
- Physician license lookup. The Medical Board of California posts license status and any public disciplinary record for physicians practicing in the state.
- Diabetic eye disease. Federal guidance on diabetic eye disease explains why annual dilated exams matter even when vision seems unaffected.
- Condition overviews. A federal summary of retinal disorders describes the major diagnoses in language written for patients rather than clinicians.
- Research participation. Listings such as an NEI retinal study show what federally registered research is currently enrolling.
Published material is useful for background, though it cannot supply a diagnosis. The condition of your retina can only be determined through a dilated examination.
Contact Retina Associates of Orange County
Access is the practical difficulty for most patients with a retinal condition, because these appointments require imaging equipment and a surgeon trained to interpret the results. Contact us to schedule an evaluation with an Orange County eye surgeon at the office nearest you. We coordinate directly with referring providers, so your optometrist or ophthalmologist receives our findings and stays involved in your care. Bring prior imaging if another practice has evaluated you, since a comparison over time often determines whether an operation is warranted. Urgent symptoms are triaged the day they are reported.
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Art SarnoTrustindex verifies that the original source of the review is Google.
Cannot say enough about the level of expertise and competency of Dr Hwang and his staff. He saved my vision by repairing a detached retina in my right eye and has been providing incredible care in treating my macular condition and retaining my vision over the years. He is caring and compassionate with a true love for his practice. I am blessed to be one of his patients!Posted on Google![]()
Daniel JurkovichTrustindex verifies that the original source of the review is Google.
Check up on visual issue went perfectly. Great staff as well.Posted on Google![]()
ken hsuTrustindex verifies that the original source of the review is Google.
Professional and thoughtful doctor, caring patient as a family member.Posted on Google![]()
Matt BanksTrustindex verifies that the original source of the review is Google.
Great service. Very satisfied.Posted on Google![]()
Debra NybergTrustindex verifies that the original source of the review is Google.
I have tremendous anxiety prior to my intraocular injections to manage my wet AMD, but Dr. Hwang makes the process as quick and painless as possible. I wouldn't trust my eye health to anyone else. He's the best.Posted on Google![]()
Carol GreenTrustindex verifies that the original source of the review is Google.
The receptionists are very courteous. Appointments are always on time. Dr. Hwang answers all questions and explains things to you.Posted on Google![]()
Virginia WilliamsTrustindex verifies that the original source of the review is Google.
Always good service. Dr. Gupta is first rate.
