Welcome to my medical practice website and thanks for reading.
It is the start of the Dragon Lunar New Year for Chinese people worldwide and things have been quiet at work as most colleagues and patients have taken the week off to celebrate the New Year.
As a retinal surgeon, I am still busy with my work as I am often referred urgent cases like retinal detachment. The day before the Chinese Lunar New Year started, I was in the operating room operating on a patient who had a retinal detachment in one eye.
The patient had what he called “black spots” in his vision a few days before he saw an eye doctor. These “black spots” are what most people call “floaters”. Floaters sometimes mean there is a retinal hole in the eye.
The hole can cause a retinal detachment and is usually caused by a posterior vitreous detachment (PVD). The vitreous is a transparent jelly in the middle of your eye and it is attached to the retina. As you get older, this vitreous jelly will detach from the retina and this jelly is what is seen as floaters in your eye.
Rarely, a PVD can cause a retinal hole when the vitreous separates from the retina.
When a retina hole forms, there may be symptoms of “flashing lights” seen by the patient together with the floaters. The retinal hole can then progress to a retinal detachment.
My patient then noticed a shadow in his peripheral vision which progressively got worse until his central vision was lost. This meant that the centre of the retina, the macula, was now detached.
My patient is recovering well after surgery and I am confident that he will regain his eye sight.
Have a Happy and Prosperous 2012 to everyone out there!