Reaching the Retina: Testing for, Diagnosing, and Treating Retinal Disease
Wednesday, February 24th, 2010The types of retinal disease in existence today vary widely. There are many that are common and can be easily treated or cured, but others are rare, difficult to diagnose, and can require immediate attention in order to prevent lasting complications. Although it is not always possible to completely cure or reverse the effects or retinal diseases, early diagnoses hold more promise for preserving the most vision possible.
Tests Along with a thorough eye exam, there are some tests, discussed here, that doctors can use to determine what, if any, retinal disease is present.
- Amsler Grid Test utilizes a small section of grid, which is placed before the patient who is asked to point out any areas of distortion or fading. The location pointed to can help a doctor determine if, and how severely, retinal damage exists. This is often used for mascular degeneration treatment.
- Optical coherence tomography (OCT) is like ultrasound and is used to create a non-invasive, cross-sectional image of the retina, macula and optic nerve. Any holes, tearing or swelling will thereby be evident to the doctor.
- Fluorescein Angiography is a process by which a dye injected into the arm displays blood flow in the eye clearly under special blue light so that a series of photographs taken over a few minutes can capture any damage or unusual change to the blood vessels. Similarly, Indocyanine Green Angiography makes blood vessels in the back of the eye stand out clearly under infrared light.
- Ultrasound, known in many other applications, is equally effective at displaying clear pictures of the retina to determine its size and whether it is still connected, when other methods are not as successful.
Diagnoses There are a vast number of retinal diseases that affect people today. Some, like those discussed here, can be treated or monitored to prevent worsening or complete loss of vision.
- Retinal Detachment requires surgery to prevent permanent and complete loss of vision. However, distinct warning signs- flashes and floaters in the line of vision- provide doctors the opportunity to quickly diagnose and correct the issue, so that vision cannot be preserved.
- Diabetic Retinopathy is a side effect of several years of suffering with diabetes. Excess glucose causes capillaries in the back of the eye to swell and leak, and may also lead to the formation of new blood vessels in the retina that are susceptible to breaks and bleeds. Without proper care of diabetes related symptoms and regular eye exams, vision can be drastically damaged.
- Epiretinal membrane can form over the macula- near the center of the eye’s retina. The scar tissue-like substance can get progressively worse and cause blurred or distorted vision. When necessary, there are procedures to remove the membrane and re-smooth the macula.
- Age-related Macular Degeneration, as the name applies, affects an older crowd- age 50 years and over- and is a result of the macula beginning to deteriorate. At times, this can cause a sudden onset of symptoms- that range from blurred or distorted vision to a full blind spot in the mid-vision range- whereas other patients may never suffer any symptoms. When abnormal blood vessels form as a result of these complications, the diagnoses moves from one of dry disease to that of wet disease and vision loss will occur more rapidly. Although there is no procedure to reverse the effects of macular degeneration, doctors can help patients slow the process.
About the Author: Mark Masters has authored may pieces on the eye care & surgery industry and enjoys keeping his readers up to date in this field