Should I Switch My Mother to a Retina Specialist for AMD Treatment? - Ophthalmology

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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.

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