The eye may have many retinal conditions that are treatable either medically or with a laser. In this case, the above image is of a normal appearing retina, but conditions such as macular degeneration, diabetic retinopathy, and various circulatory or inflammatory conditions can damage the circulation and delicate nerve tissue of the eye.
By use of angiography, we can localize and treat the retina, using lasers or intravitreal injections to help to preserve vision. But the patient can also do many things to improve the health of the retina. If you are diabetic, studies have shown that tight control is beneficial for the eye. If you have macular degeneration, eliminate risk factors such as smoking. And certain antioxidant vitamins may be of benefit. The current AREDS 2 formulation is optimized with lutein and other modifications to help control macular disease.Control of blood pressure is also a critical factor.
The most recent and most exciting development in the treatment of retinal vascular disease involves the use of Anti VEGF injections to stabilize or in some cases improve vision. At St Lucie Eye, we have the availability of Avastin, Lucentis and Eylea. The use of these three medications allows us to optimize the patient results. Laser treatment is still used, often in conjunction with intravitreal injections.