Examination of the macula?
Hello, doctor.
I would like to ask about my father's eye examination today.
The doctor mentioned that there is some degeneration in the macula, which is causing his vision to be somewhat blurry.
However, the doctor spoke very quickly, and I didn't have a chance to ask more questions.
He said that an injection would be administered into the white part of the eye, and that the cost for this medication would be between 20,000 to 25,000 NT dollars if paid out of pocket, but it can be applied for National Health Insurance coverage.
Could you please tell me how effective this injection method is for restoring vision? Will anesthesia be required during the injection? Will he need to be hospitalized? It sounds quite painful.
😱
Gao Da, 70~79 year old female. Ask Date: 2024/01/30
Dr. Gao Pilin reply Ophthalmology
Hello: Regarding the condition of macular degeneration, ophthalmologists typically recommend intravitreal injection therapy to promote retinal health and improve vision.
This treatment primarily targets lesions in the macula, such as macular degeneration.
Administering medication through injection is indeed an effective method that achieves localized treatment effects.
These medications are usually anti-angiogenic and anti-inflammatory, helping to slow disease progression and promote tissue repair.
As for anesthesia and pain concerns, local anesthetic eye drops are generally used to alleviate patient discomfort.
Most patients only experience mild pressure during the procedure rather than significant pain.
Regarding hospitalization, this injection therapy is usually performed in an outpatient setting and does not require hospitalization.
The entire process may take some time, including the physician's assessment, medication injection, and observation, but patients can typically go home the same day.
The effectiveness of the treatment varies from person to person, but many patients report improvements in vision after a series of treatments.
Reply Date: 2024/01/30
More Info
Macular degeneration, particularly age-related macular degeneration (AMD), is a common eye condition that affects the central part of the retina, known as the macula. This condition can lead to blurred or distorted vision and is a leading cause of vision loss in older adults. The treatment for macular degeneration often involves the use of injections, specifically anti-VEGF (vascular endothelial growth factor) medications, which help to reduce the growth of abnormal blood vessels in the retina and slow down the progression of the disease.
Injection Treatment Overview
The injection treatment your father is being advised to undergo involves administering medication directly into the eye. This method allows for a higher concentration of the drug to reach the affected area, which can be more effective than oral medications. The medications used in these injections are designed to inhibit the growth of abnormal blood vessels and reduce leakage, which can help stabilize or even improve vision in some patients.
Effectiveness of the Treatment
The effectiveness of injection therapy can vary from patient to patient. Many individuals experience stabilization of their vision, and some may even see improvements. However, it is important to note that while injections can be beneficial, they may not restore vision to the level it was before the onset of macular degeneration. Regular follow-up appointments are crucial, as the treatment may need to be repeated every month or as determined by the eye care specialist based on the patient's response.
Procedure and Anesthesia
Regarding the procedure itself, local anesthesia is typically used to minimize discomfort during the injection. An anesthetic eye drop is applied to numb the surface of the eye, and most patients report feeling only a slight pressure during the injection rather than significant pain. The procedure is usually performed in an outpatient setting, meaning that your father will not need to stay in the hospital overnight. He can typically go home shortly after the injection.
Recovery and Aftercare
After the injection, patients are usually monitored for a short period to ensure there are no immediate complications, such as increased intraocular pressure or bleeding. Some patients may experience temporary blurred vision or discomfort, but these symptoms generally resolve quickly. It is essential to follow the eye doctor's post-injection care instructions, which may include avoiding strenuous activities and using prescribed eye drops to prevent infection.
Cost and Insurance Coverage
As for the cost, the price range you mentioned (20,000 to 25,000) is consistent with the typical expenses associated with these treatments, especially if they are not fully covered by insurance. However, many insurance plans, including national health insurance, may provide coverage for these injections, so it is advisable to check with the healthcare provider regarding the specifics of coverage and any out-of-pocket expenses.
Conclusion
In summary, injection therapy for macular degeneration can be an effective treatment option that may help stabilize or improve vision. While the thought of an injection in the eye can be daunting, the procedure is generally well-tolerated, and local anesthesia is used to minimize discomfort. It is crucial to maintain open communication with the eye care specialist, ask questions, and express any concerns regarding the treatment process. Regular follow-up appointments will be necessary to monitor your father's condition and adjust treatment as needed. If there are any uncertainties or if you feel that more information is needed, seeking a second opinion from another eye care professional can also be beneficial.
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