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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Laguna Hills Eye Doctor: Retinal Tear and Retinal Detachment

Laguna Hills Eye Surgeons Answer your Questions

If you or a loved one has suffered from a retinal detachment or retinal tear, you may be wondering what the implications are and how this condition can be treated. Retinal detachment is a serious condition that often needs to be treated in a timely manner.

What is a Laguna Hills retinal tear?

Occasionally when the vitreous gel separates from the retina, it will pull on the retina, causing a retinal tear. Retinal tears can lead to a retinal detachment if fluid passes under the tear and separates the retina from the wall of the eye. Retinal tears can often be treated in the office with laser or cryotherapy (freezing).

What is Laguna Hills retinal detachment?

A healthy retina is attached to the inside wall of the eye. Detachment occurs when the retina is torn away from this position. The detached portion of the retina cannot see light well, resulting in blurred or even lost vision. Retinal detachments can progress rapidly, causing complete blindness if not fixed in time. Luckily there are multiple ways to repair a detached retina to reduce the risk of further vision loss.

What are the symptoms of a Laguna Hills retinal tear or retinal detachment?

The classic symptoms for a retinal tear are similar to those of the normal vitreous gel separation and include flashes and floaters.

The symptoms of a retinal detachment may only be flashes and/or floaters but usually entails decreased vision or a visual field darkening in the peripheral vision—like a shadow or shade coming across the eye.

Retinal Detachment Treatment From a Laguna Hills Eye Doctor

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:
1. Diabetic retinopathy led to the retinal detachment
2. Hemorrhage or other opaque substances have prevented a clear view into the eye
3. The retinal tears are very far in the back of the eye
4. Evidence of scarring appears on the retina’s surface
5. Other conditions affiliated with retinal detachment
6. Complications of cataract surgery
7. Inflammatory disease

Scleral Buckle: A scleral buckle operation can be performed independently or in addition to a vitrectomy. In this procedure, your doctor places a small silicone implant around part or the entire eye, creating an indent in its wall, counterbalancing the force that caused the retinal tear and retinal detachment. Often, surgeons will drain the fluid under the detached retina, allowing it to settle more quickly into its natural position. Usually, surgeons perform this procedure with general but local anesthesia may be used. Scleral buckle is typically an outpatient surgery.

Contact Our Laguna Hills Eye Doctor Today

To learn more about retinal detachment and its treatment options, contact our office at Retina Associates of Orange County. The sooner you speak to a retinal specialist, the sooner you can save and restore your sight.

Patient Reviews

    
 
 
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   Roz Cole 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Prompt & efficient.
  
 
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   Andy Shields 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Professional office
  
 
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   PBofLN 
 0 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 
 0 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 
 0 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 
 0 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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   rebecca peyrefitte 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. This experience at this Dr office was outstanding. All the staff was very supportive and efficient. I was very pleased with the service I was given.
  
 
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   Deborah Misserville 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. The Best!  Professional and knowledgeable
of current medical technology and techniques.  And equally as important...kind and caring Dr and staff!
  
 
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   Juli White 
 4 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Efficient and considerate of the patient’s time, friendly and most importantly, competent - everything you’d want from a doctor’s appointment!
  
 
     Posted on Google  
   
   Kelvin Kitaoka (Kazu) 
 5 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Great Organization and very methodical with service and procedure. Dr. Chen is the best in Retina eye care.. hands down.