Is there a difference in specialization between the retina subspecialty and the optic nerve subspecialty within the same hospital?
My mother has undergone several treatments for wet macular degeneration, including intravitreal injections, at the neuro-ophthalmology department of a medical center.
However, she now requires another injection in a very short interval (4 weeks).
Should I consider transferring her to another physician in the retina department of the same hospital? Thank you for your response.
Xiao Guang
Xiao Guang, 50~59 year old female. Ask Date: 2016/11/07
Dr. Cai Wenyuan reply Ophthalmology
Hello: Every patient has the right to choose their physician, and I believe it is best for you to make your own decision.
Wishing you safety and health.
Sincerely, Dr.
Cai Wenyuan, Director of the Department of Ophthalmology, Taoyuan General Hospital, Ministry of Health and Welfare.
Reply Date: 2016/11/07
More Info
When considering whether to switch your mother to a retina specialist for the treatment of age-related macular degeneration (AMD), particularly wet AMD, there are several factors to consider. Wet AMD is a serious condition that can lead to significant vision loss if not managed properly. It typically requires ongoing treatment, often involving intravitreal injections of anti-VEGF (vascular endothelial growth factor) medications to help reduce fluid leakage and prevent further vision loss.
Given that your mother has undergone multiple injections in a short period (every four weeks), it may be beneficial to consult with a retina specialist. Retina specialists are ophthalmologists who have completed additional training focused specifically on diseases of the retina and vitreous. They often have more experience with complex cases and the latest treatment options available for conditions like wet AMD.
Here are some considerations for making this decision:
1. Frequency of Treatment: If your mother is requiring injections every four weeks, this may indicate that her condition is not responding optimally to the current treatment regimen. A retina specialist may have more advanced techniques or alternative treatment options that could be more effective.
2. Expertise and Experience: Retina specialists are typically more familiar with the nuances of retinal diseases and may have access to the latest clinical trials or therapies that could benefit your mother. They may also have more experience in managing patients who require frequent treatments.
3. Comprehensive Evaluation: A retina specialist can provide a thorough evaluation of your mother’s condition, including imaging studies like optical coherence tomography (OCT) or fluorescein angiography, which can help assess the extent of the disease and guide treatment decisions.
4. Multidisciplinary Approach: If your mother has other health issues or is on multiple medications, a retina specialist can work closely with her primary care physician or other specialists to ensure that her overall health is considered in her treatment plan.
5. Patient-Centered Care: It’s important that your mother feels comfortable with her healthcare provider. If she has concerns about her current treatment or feels that her needs are not being met, switching to a specialist who can provide a fresh perspective may be beneficial.
6. Access to New Treatments: Retina specialists may have access to new therapies that are not widely available or may be involved in clinical trials that could offer additional options for treatment.
In conclusion, switching your mother to a retina specialist could be a prudent decision, especially given the frequency of her treatments and the complexity of wet AMD. It’s essential to ensure that she receives the most effective and up-to-date care possible. Before making the switch, consider discussing your concerns with her current physician to get their perspective on the potential benefits of seeing a specialist. They may also provide a referral or help facilitate the transition to ensure continuity of care.
Similar Q&A
Managing High Myopia, Glaucoma, and Retinal Issues: Which Specialist to See?
Given your high myopia (left eye -1000, right eye -1300), glaucoma, and retinal issues, it is advisable to primarily consult with a retinal specialist. Currently, you are being monitored by Dr. He Zichang at National Taiwan University Hospital, which is a good choice for ongoing ...
Dr. He Jianxian reply Ophthalmology
It is recommended that you consult a retinal specialist for follow-up, as retinal issues are generally more complex than glaucoma. As for whether the techniques at National Taiwan University are superior, I believe it depends on the individual physician's skills; not all mon...[Read More] Managing High Myopia, Glaucoma, and Retinal Issues: Which Specialist to See?
Understanding Retinal Proliferation: Concerns and Treatment Options
Hello Dr. Wang, my mother has been experiencing frequent falls while walking and has always felt that her vision is poor. Last week, she sought medical attention due to redness and swelling in her eyes, and during a vision check, it was found that her corrected vision in the righ...
Dr. Wang Zhangji reply Ophthalmology
Hello: Proliferative retinopathy is more commonly seen in patients with diabetes. Fluorescein angiography is not a surgical procedure; it is a diagnostic test that uses a contrast agent. Although there is a potential for serious side effects, the likelihood is very low. Retinal d...[Read More] Understanding Retinal Proliferation: Concerns and Treatment Options
Seeking Recommendations for Vision Therapy Specialists
Thank you very much for the information provided by the doctor. Could you recommend a suitable doctor for the treatment of amblyopia? I sincerely appreciate it.
Dr. Qiu Hanqing reply Ophthalmology
Thank you for your hard work! I recommend that you first visit a nearby ophthalmology clinic for an initial examination to establish a diagnosis. If a referral to a related specialty is needed, the clinic physician will arrange it for you. Additionally, you can also consult the p...[Read More] Seeking Recommendations for Vision Therapy Specialists
Understanding Flashing White Lights in Vision: When to Seek Help
Hello Doctor: My mother has diabetes, which later led to diabetic retinopathy. Due to persistent bleeding, the doctor recommended surgery. She underwent surgery and laser treatment in April and September of this year. Recently, my mother has been experiencing some issues that mak...
Dr. He Jianxian reply Ophthalmology
In such cases, it is advisable to take appropriate precautions (such as wearing sunglasses) and it should not be necessary to consult a physician.[Read More] Understanding Flashing White Lights in Vision: When to Seek Help
Related FAQ
(Ophthalmology)
Macular Degeneration(Ophthalmology)
Laser Treatment(Ophthalmology)
Post-Retinal Laser Surgery(Ophthalmology)
Alternating Exotropia(Ophthalmology)
Lutein(Ophthalmology)
Contact Lenses(Ophthalmology)
Macular Pucker(Ophthalmology)
Cataract Surgery(Ophthalmology)
Crossed Eyes(Ophthalmology)