- CryotherapyPneumatic retinopexy is an in-office procedure during which the eye is numbed and then a gas bubble in injected into the vitreous cavity. The patient is asked to position such that the bubble will float up against the retinal tear and hold it closed. If the bubble successfully closes the tear, the fluid under the retina will absorb allowing the retina to reattach. Cryotherapy or laser is also applied to create an adhesion that will keep the retina flat after the bubble disappears.
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- Glaucoma
- OphthalmologyDr. Sund is certified by the American Board of Ophthalmology (ABO). He is a member of the American Society of Retinal Specialists (ASRS), the American Academy of Ophthalmology (AAO), and the Maryland Society of Eye Physicians and Surgeons. Dr. Sund is a member of the medical staff of the Greater Baltimore Medical Center, Timonium Surgery Center, UPMC Pinnacle Memorial Hospital (York), and provides retinal care to patients at various locations throughout Maryland, Pennsylvania and Delaware.
- Macular DegenerationAge Related Macular Degeneration (AMD) is one of the most common causes of poor central vision after age 60 and is caused by both genetic and environmental causes. In recent years, numerous genetic mutations have been identified which predispose to the development of the disease. Increasing age, smoking, high blood pressure, cardiovascular disease, and blue eyes have also been identified as risk factors.
- Laser Eye SurgeryVitreous surgery is performed by retina surgeons to treat a number of disorders including retinal detachment, vitreous hemorrhage, macular hole, macular pucker, intraocular infection (endophthalmitis), trauma, and complications from previous eye surgery. It is an outpatient procedure done in the operating room most often under local (“twilight”) anesthesia, but occasionally under general anesthesia. As part of the procedure, the vitreous is removed, hence it is called a vitrectomy.
- CataractsDuring a vitrectomy, instruments are passed through the white part of the eye (sclera) into the vitreous cavity. The openings are small – about the size of a needle used when you have a blood test. The surgeon inserts a fiber optic light to illuminate the inside of the eye while working. A small cutting instrument is used to remove the vitreous and any blood, cataract fragments, or scar tissue that may be present. Other instruments such as small forceps and laser probes are also used for certain tasks. Sometimes a suture is needed to close the incisions, but recent developments have made it possible for most vitrectomies to be performed through tiny openings that close on their own.
- Cataract SurgeryHeather M. Tamez, M.D. is a Retina Specialist & Vitreoretinal Surgeon at The Retina Care Center with offices in Maryland, Pennsylvania & Delaware. Dr. Tamez specializes in the medical and surgical management of vitreoretinal diseases including Diabetic Retinopathy, Macular Degeneration, Retinal Tears and Detachments, Macular holes and Puckers, and Retinal Vascular Disorders. She also has extensive experience managing ocular trauma and complications following cataract surgery, including placing intraocular lenses when this was not possible during the initial surgery. In addition to managing retinal diseases, Dr. Tamez also has an interest and experience treating uveitis, inflammation that can impact any part of the eye and often requires treatment with immunosuppressive medications. Regardless of the disease process, she strives to educate her patients about their eye disease and make treatment plans with them that will be both manageable and ensure the best long-term eye health and vision possible.
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- Diabetic RetinopathyNon-proliferative diabetic retinopathy ( NPDR ) is a complication of diabetes caused by changes to the blood vessels in the back of the eye. High blood sugars due to diabetes damage the veins, arteries, and capillaries that carry blood throughout the body. This includes the tiny blood vessels in the retina, the light-sensitive nerve layer that lines the back of the eye.
- UltrasoundB-Scan Ultrasonography is a noninvasive test for diagnosing problems and conditions of the posterior portion or back of the eye. Conditions such as retinal detachment, ocular trauma, eye tumors such as choroidal melanoma and retinoblastoma and vitreous degeneration can be accurately evaluated with this testing even when direct visualization of the intraocular structures is difficult or impossible. Situations that prevent normal examination might include lid problems, dense cataracts, corneal scars and vitreous opacities or hemorrhages. In such cases, diagnostic B-scan ultrasound can accurately image intraocular structures and give valuable information on the internal structures of the eye.
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- LesionsLattice degeneration refers to thinning of the peripheral retina and is seen in approximately 10% of the population. It is often, but not always, seen in patients with myopia (nearsightedness). The term “lattice degeneration” comes from the white crisscrossing lines which are the classic appearance of lattice lesions.