RGW Selects Modernizing Medicine, Inc., for EMA

Modernizing Medicine, Inc., the creator of the Electronic Medical Assistant® (EMA™), a cloud-based, iPad native, specialty-specific electronic medical record (EMR) system, announced today that The Retina Group of Washington has selected EMA Ophthalmology to replace its legacy EMR solution. Use of the highly specialized EMR system will help streamline physician workflows and improve patient care across the entire practice.
With 26 physicians working across 14 offices, The Retina Group of Washington is one of the largest and most highly respected retinal and macular practices in the country. The Retina Group of Washington is well known for its extensive experience and sub-specialty expertise of its leading physicians and surgeons. Deeply committed to the advancement of care, the group is constantly conducting cutting-edge research and administers a Fellowship program to train future ophthalmologists.
“As one of the leading retinal practices in the country, we constantly look for ways to make our physicians’ lives easier and improve care,” said Dr. Michael Rivers, current Board member at The Retina Group of Washington and head of their EMR system selection committee.
For more information click here.

Rare Presentation of Endophthalmitis

Dr. Reilly  published a paper in the journal Ophthalmic Surgery and Lasers reporting an atypical presentation of endophthalmitis in a patient having undergone previous vitrectomy surgery.  Endophthalmitis is a rare but potentially devastating infection that can occur after ocular surgery.  Reporting findings in an atypical case helps other practitioners recognize this condition at an earlier stage allowing for earlier diagnosis and treatment.

Read the Article Here

Surgical Outcomes in Macular Pucker Patients

Dr. Reilly  published a paper in the journal Retina examining the outcomes of vitrectomy surgery in patients with macular pucker and good visual acuity.  They specifically examined the visual outcomes in patients with symptomatic macular pucker with relatively good pre-operative visual acuity ( better than 20/50 ).  At one year follow up they showed a significant improvement in visual acuity in patients undergoing surgery.  This study confirmed previous study observations that progression of cataract is common after vitrectomy.  Cataracts are treatable with outpatient surgery.  The journal Retina is a leading, peer-reviewed journal in ophthalmology and a source for innovative research in the field of vitreo-retinal surgery world-wide.

Read the Full Article Here

Eye Surgeon Rockville

Ophthalmologist 20852

Eye surgeon Rockville

Eye surgeon Rockville

Dealing with an eye disease can certainly be devastating for some people. While certain eye conditions can be treated with medication or generally common surgical procedures, many people with age-related macular degeneration are often not aware of the options available to them and their failing eyesight. Here at The Retina Group of Washington, however, our eye surgeon in the Rockville area can provide you with CentraSight, a revolutionary new implant procedure that can help you see despite your growing eye disease.

As the name would suggest, age-related macular degeneration is something that comes in time. Usually, people tend to be aware of whether they are at risk for this particular disease or not because an immediate family member has or has had this certain condition. Having a family medical history of macular degeneration can mean that you are at risk for developing the condition, but often there is not much you can do but visit your eye doctor and wait for something to happen as you get older. Here at The Retina Group of Washington, however, we can offer you a solution. Our eye surgeon in Rockville can implement the CentraSight treatment program if you are eligible. What this treatment is, is essentially an FDA approved microscopic telescope that is implanted inside your eye to help assist and improve your vision. This medical device is aimed to help those dealing with end-stage age-related macular degeneration by reducing the central blind spot caused by the disease. The device is about the size of a pea and is only implanted into one of your eyes. One eye provides your central vision, which is the eye that the implant will be placed into, and your other eye will assist by providing peripheral vision.

If you want to learn more about CentraSight, call us today and schedule an appointment with our eye surgeon in Rockville. We will set up a time for you to have an evaluation and consultation with our eye surgeon who will then be able to determine whether you are eligible for the procedure and when the surgery may take place.

600 Jefferson Plaza, Suite 320
Rockville, MD 20852
Phone: 301.315.2198

Early Vitrectomy for Spontaneous, Fundus-Obscuring Vitreous Hemorrhage.

Melamud A1, Pham H2, Stoumbos Z2.

Abstract

PURPOSE:

To examine the visual outcomes of early intervention in the setting of fundus-obscuring vitreous hemorrhage (VH) presumed to be due to posterior vitreous detachment.

DESIGN:

Retrospective comparative case series.

METHODS:

All eyes that presented with a fundus-obscuring VH defined as vision of 20/400 or worse, and requiring a B-scan at presentation from 2003 – 2013, were evaluated. Eyes with any history of retinopathy; macular degeneration; recent trauma; presentation greater than two weeks after onset of symptoms; or follow-up of less than two months were excluded. The main outcome measure studied was final best-correct visual acuity (BCVA) as dependent on the time to surgery.

RESULTS:

92 eyes met inclusion criteria with a mean follow-up of 490 days. Initial BCVA was logMAR 2.218 (Snellen equivalent 20/3000-20/4000 range 20/400- light perception); final BCVA was 0.318 (Snellen equivalent of 20/40-20/50 range 20/20 – light perception, p < 0.001). 56 patients (60.8%) had either a retinal tear or a retinal detachment. Patients who underwent surgery within 1 week had no significant improvement over all others, however a significant improvement was found when comparing early versus delayed surgery groups (p<0.05). There was a significantly increased risk of developing a macula-off retinal detachment in patients who did not undergo surgery within one week of presentation.

CONCLUSIONS:

Early surgical intervention results in similar visual outcomes compared to a conservative approach. However, early intervention significantly reduces the incidence of severe vision loss related to macula involving retinal detachment. This study highlights the importance of close follow-up given the high risk of retinal detachment in fundus-obscuring vitreous hemorrhage.
Am J Ophthalmol. 2015 Jul 21. pii: S0002-9394(15)00449-3. doi: 10.1016/j.ajo.2015.07.025. [Epub ahead of print]

Retinal Vein Occlusion in Young Patients

The management of retinal vein occlusion (RVO) has changed dramatically over the last 3 decades since the results of the Branch Vein Occlusion Study (BVOS) and Central Vein Occlusion Study (CVOS) were published in the 1980s and 1990s.

While most patients who present with RVO are 60 years of age or older, young patients can pose particular diagnostic and treatment challenges.

In this installment of Practical Retina, current RGW retina fellow Dr. Luke Lindsell and Dr. Michael Lai from Washington, D.C., address what should be included in an appropriate diagnostic work-up for younger patients who present with RVO, provide pearls for detecting uncommon underlying systemic etiologies, and review their treatment paradigm.

You can read about it in their article entitled “Current concepts in managing retinal vein occlusion in young patients” for the July/August 2015 issue of the journal Ophthalmic Surgery Lasers & Imaging Retina.

Click here to read more.

Source: Ophthalmic Surgery, Lasers and Imaging Retina July 2015 – Volume 46 · Issue 7: 695-701

Retina surgery in Rockville

Rockville Retinal Detachment

Retina surgery in Rockville

Retina surgery in Rockville

If you have been told that you will need to have surgery for retinal detachment, you will want to have surgery by one of the leading ophthalmologists in the area who specializes in retinal detachments. At the Retina Group of Washington we have on staff the leading retinal specialists and surgeons in the areas. If you need retina surgery in Rockville, make an appointment today to visit us at The Retina Group of Washington.

When the retina detaches, this portion of the eye is lifted from its normal position. If not properly and quickly treated, a retinal detachment can cause permanent vision loss, so this condition cannot go untreated or left ignored. If there is an area of the retina that tears or breaks, this too can lead to retinal detachment if left untreated after treatment is deemed necessary. When the retina detaches it separates from the back wall of the eye. At this point the retina will no longer be nourished and the retina will degenerate and lose its ability to function effectively. The center of the retina is the macular which is responsible for fine, detailed vision. An untreated retinal detachment will eventually affect the macula, and this will cause central vision to be lost. Retina surgery should never be delayed, and your retina surgery in Rockville can be performed by one of the fine eye surgeons at The Retina Group of Washington.

Some people are at greater risk for retinal detachment, and will be more likely to need retina surgery in Rockville. These people are: extremely nearsighted; have had retinal detachment in the other eye; have a family history of retinal detachment; have had cataract surgery; have had eye trauma; or have had several other eye diseases. Some symptoms of retinal detachment are a sudden increase of floaters in the eye and /or light flashes in the eye. You may feel that you are looking through cobwebs. At the first sign of any of these symptoms you must see our ophthalmologist immediately, as this can be a serious eye emergency. If you need to see one of our doctors at The Retina Group of Washington, including Dr. Vinay N. Desai in Rockville, contact us now at The Retina Group of Washington.

Retina Group of Washington – Rockville
600 Jefferson Plaza, Suite 320
Rockville, MD 20852
Phone: 301.315.2198

Rockville Adult Retina Specialist

Retinal surgery in Rockville

Rockville adult retina specialist

Rockville adult retina specialist

One of the most common reasons for patients to require retinal surgery or a Rockville adult retina specialist is retinal detachment although a considerable number of other conditions exist which require expert retinal care for children as well as adults. The Retina Group of Washington offers patients a team of exemplary professionals whose wide breadth of experiences, innovations and ground breaking leadership combined with extensive national and global partnerships to provide cutting edge techniques and the latest treatment methods. We draw on a massive history which includes both vast first-hand knowledge and a high level of educational familiarity with numerous phases of eye care with a focus on retinal surgery.

Patients experiencing a retinal detachment or tear should seek treatment at The Retina Group of Washington by our Rockville adult retina specialist in a fairly timely manner. The primary concerns are of course preserving your vision and avoiding any further damage or negative impact to the health of your eye. We will perform an initial physical examination as well as in-depth consultation to ascertain the symptoms you are experiencing and to what degree. Additionally, we want to know if you have any physical health concerns or are currently taking prescription medications which may have an effect on your overall eye health.

The actual recommend course of treatment for your retinal surgery will be thoroughly disclosed by your Rockville adult retina specialist at The Retina Group of Washington. We encourage you to feel free to ask questions. We want our patients to have a full understanding of their treatment and recovery so they may feel at-ease during and post-surgery. The first step in your retina and total eye care is to schedule a convenient office visit with the assistance of our personable and knowledgeable support team. We can also address any concerns you may have as a new patient including disclosure of participating insurance providers and discussing additional eye care services provided by the professionals in our facility. Our primary focus is to provide you with stellar treatment which will allow you to quickly return to your normal activities with restored vision and healthy eyes.

600 Jefferson Plaza, Suite 320
Rockville, MD 20852
Phone: 301.315.2198

Eye Care in Rockville

Rockville Retina Doctor

Our eye care in Rockville is a choice you can feel fully confident in when circumstances dictate that it’s the best option for you. At The Retina Group of Washington, we make every effort to treat eye diseases and conditions with non-surgical methods whenever possible. It just so happens, however, that those methods may not be enough to get the job done. But when you do need retinal surgery, rest assured that you could not be in better hands. We’ve been doing this for over 40 years and counting. Our surgeons, equipment, and techniques all represent the very best in quality and advancements.

Eye Care in Rockville

Eye Care in Rockville

Macular degeneration, a disease that can occur in people over the age of 40, and is the most common reason for blindness in people over 60, may require our eye care in Rockville. Lasers are used to destroy the leaking blood vessels that can be a direct result of wet macular degeneration. This is not commonly done, since there are very specific situations in which it is the appropriate solution. But in those instances, it is known to be effective in stopping or slowing vision loss. Laser surgery is also employed as a way to combat diabetic retinopathy, a disease that is a complication of having type one or type two diabetes. Blood flow to your eyes can become blocked and this leads to loss of vision. But surgery can prevent blood from leaking into your eye and/or shrink blood vessels that have become enlarged from the disease.

Retinal tears and detachments will often require a surgical solution. Both laser photocoagulation (using heat) and cryotherapy (using cold) are safe and effective ways to repair the tear and prevent it from becoming fully detached. These procedures do so by forming a scar that seals and secures the retinal tear. When a retina is detached, though, traditional surgery is typically the way to go. Our eye care in Rockville includes retinopexy, scleral buckle, and vitrectomy. The proper choice will be determined by your unique circumstances. What matters most is that when you need retinal surgery, you know you can count on us as the experts in the field.

The Retina Group of Washington
600 Jefferson Plaza, Suite 320
Rockville, MD 20852
Phone: 301.315.2198

Dr. Johnson quoted in MEDSCAPE Article on Diabetic Retinopathy at the Point of Primary Care

Below is an excerpt from the article quoting Dr. Johnson as a consulting retinal surgeon. Click on the link below to read the full article:

 

Dr Silva noted, however, that the cost of ultrawide field imaging devices at the present time “is prohibitive,” especially in places with small populations and a limited number of diabetes patients. But prices will come down in time, he added.

Asked to comment, T Mark Johnson, MD, FRCSC, an attending surgeon at the Retina Group of Washington, DC, who was not involved in the study, agreed that the current costs of the cameras used in ultrawide field imaging, are “significant” and could therefore limit their use in screening programs.

And he claims that past studies have suggested that even three-field photography (just taking photos of the posterior pole of the retina) may be as good as ultrawide field imaging for screening for significant diabetic retinopathy. Therefore, more research is needed to justify the added costs of ultrawide field imaging, he pointed out.

See more: http://www.medscape.com/viewarticle/846470