How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. Rick Your Own Question

Dr. Rick
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8321
Experience:  Ophthalmology since 1994 with Retina sub-specialty interest
48069651
Type Your Eye Question Here...
Dr. Rick is online now
A new question is answered every 9 seconds

I had an eye exam today as I am having a PVD in my left eye.

Resolved Question:

I had an eye exam today as I am having a PVD in my left eye. The opthomologist mentioned peripheral papillary atrophy around the optic nerve in the right eye that has a PVD that is apparently complete as it initiated 5 months ago. I asked if it were progressive and he really did not give me any information other than to say it was not. I asked if peripheral papillary atrophy was and age related problem and he had no comment other than to say another doctor in the practice noted it in 2009. I am myopic and 57 years old. Is this of significance and does it warrant further evaluation?
Submitted: 3 years ago.
Category: Eye
Expert:  Dr. Rick replied 3 years ago.

Dr. Rick :

Hi. I'm online and happy to answer your question today.

Dr. Rick :

Are you available to chat?

Customer :

Yes. Thanks.

Dr. Rick :

Peripapillary atrophy is nothing to be worried about. It is a very common finding, especially in people who are myopic. It is not, in the vast majority of cases, progressive.

Customer :

Does it predispose you to glaucoma, macular degeneration or other retinal disorders? I do have a positive family history of macular degeneration (aunt). Is it common to see in one eye and not the other?

Dr. Rick :

Go to fullsize image
Full Size Image

Dr. Rick :

let me first tell you about the picture...

Dr. Rick :

the lines are the blood vessels in your eye. The pink doughnut is the optic nerve and teh white crescent, between the lines is an area of peripapillary atrophy

Customer :

Are you referring to the area demarcated by the white lines or black lines? I see the lighter circular area of course, but am not sure I see the area of peripapillary atrophy.

Dr. Rick :

It does not predispose you to glaucoma or any other retina/eye problems. It can be more pronounced in one eye then the other and, like your ophthalmologist said, his partner made a note of it over a decade ago....and I'd bet it hasn't changed since then. Retina is what I do all day long and I promise you that you have nothing to worry about when it comes to this finding :o)

Dr. Rick :

the white lines mostly. The black lines are a rim of retina tissue

Customer :

It was noted in 2009 - only a year or so ago.

Dr. Rick :

oops.....math never was my strongest subject

Customer :

So the optic nerve is the central lighter area and the atrophy is the similarly colored area of small dimension on the periphery?

Dr. Rick :

My eyes saw 2009 and my brain thought1999. It must be getting past my bedtime

Customer :

No problem on the date. It must be late for you and I really appreciate your time and expertise.

Dr. Rick :

In the middle, where all the blood vessels are coming out, is the area of the optic nerve called the cup. Think of the nerve as a doughnut...."cup or Hole" in the middle, and pink meat (doughnut) around the edge. Then, in this picture, the meat of the "doughnut" has a crescent of peripapillary atrophy. Does that make sense/

Dr. Rick :

As a retina doc I am positive you have nothing to worry about. Sorry that your ophthalmologist didn't take the time to explain things better to you.

Customer :

Yes. I see it now. Thanks. I'm an orthodontist and type A as I am sure you are, too. I have a new appreciation for retinal problems since the onset of my first PVD and want to do whatever I can to insure the best retinal health possible. Do you recommend any retinal baseline exam now or just continue with my basic opthomology exams?

Dr. Rick :

My entire family are DDS, 2 general and one periodontist....so I understand completely :)

Dr. Rick :

I think you will be OK with a general, baseline, ophthalmology course. No need to come see any of the (highly intelligent, funny) retina doctors in your area.

Dr. Rick :

Can't be a surgeon without being type A....just ask my nurses

Customer :

Thanks. Wish I knew where you were? Can you share this info?

Dr. Rick :

I am in Northern California. How about you?

Dr. Rick :

Oops....I really am tired! I'm in Northern Wisconson. I best get to sleep before I forget my own name

Customer :

The other side of the country. Augusta Georgia - home of the Masters if you are a golfer. Still, as long as nothing acute, it is only a plane hop away.

Customer :

Well, Wisconson is better.

Dr. Rick :

Even closer. Say Hi to Tiger for me.

Dr. Rick :

Never took up golf. Horses and hunting things that fly

Customer :

I don

Customer :

I get to go (can usually get a ticket or two) but I only get to see him on the course. Its a great day. I do have 50 Tennessee Walking Horses - so you own any? Used to raise bird dogs.

Dr. Rick :

Just had to put down my best friend a little bit ago. Tennessee walker stud named Range. About 15.2H, Sorrel. Wonderful horse. For the first time in 50 years I currently am horseless. But, I've taken up snowmobiling and you don't have to feed 'em when you are not riding 'em. I've also owned Icelandics and quarter horses over the years

Dr. Rick :

See. I knew I should have listened to my Dad and went to dental school. Then I could be an orthodontist making enough bucks to feed 50 horses instead of starving as a retina surgeon.

Customer :

I am sorry about Range. They become great friends and I have lost my two initial horses I had when I began field trialing years ago - kidney disease and liver disease. I stand a TWH stud, Seve, at MTSU Horse Science Center in Murfreesboro TN.

Dr. Rick :

sounds like a lot of fun.

Customer :

It is a challenge in the economy feeding and vet - ting all - call me if you need a horse. I have extras! Look under XXXXXXXX in Augusta GA

Dr. Rick :

I will keep that in mind. Time for this old man to get to bed -- surgery tomorrow. Take care and don't forget to press that pretty green button.

Customer :

And I don't make the big bucks - just spend it all on hay and feed.

Customer :

I will and thanks, XXXXX XXXXX

Dr. Rick :

Let me know if I can be of any further help. I'll be here.

Customer :

Goodnight.

Dr. Rick :

I believe that!

Dr. Rick :

night

chrissie-mod40550.8741744213
Dr. Rick, Board Certified MD
Category: Eye
Satisfied Customers: 8321
Experience: Ophthalmology since 1994 with Retina sub-specialty interest
Dr. Rick and other Eye Specialists are ready to help you

JustAnswer in the News:

 
 
 
Ask-a-doc Web sites: If you've got a quick question, you can try to get an answer from sites that say they have various specialists on hand to give quick answers... Justanswer.com.
JustAnswer.com...has seen a spike since October in legal questions from readers about layoffs, unemployment and severance.
Web sites like justanswer.com/legal
...leave nothing to chance.
Traffic on JustAnswer rose 14 percent...and had nearly 400,000 page views in 30 days...inquiries related to stress, high blood pressure, drinking and heart pain jumped 33 percent.
Tory Johnson, GMA Workplace Contributor, discusses work-from-home jobs, such as JustAnswer in which verified Experts answer people’s questions.
I will tell you that...the things you have to go through to be an Expert are quite rigorous.
 
 
 

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
< Last | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me from a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O. USA
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C. Freshfield, Liverpool, UK
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex Los Angeles, CA
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP Hesperia, CA
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin Kernersville, NC
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther Woodstock, NY
  • Thank you so much for taking your time and knowledge to support my concerns. Not only did you answer my questions, you even took it a step further with replying with more pertinent information I needed to know. Robin Elkton, Maryland
 
 
 

Meet The Experts:

 
 
 
  • Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
< Last | Next >
  • http://ww2.justanswer.com/uploads/DoctorDanB/2010-6-7_6228_just_answer_profile_picture_60_pixels.jpg Dr. Dan B.'s Avatar

    Dr. Dan B.

    Board Certified Ophthalmologist

    Satisfied Customers:

    2903
    Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
  • http://ww2.justanswer.com/uploads/anupamadesai/2010-04-13_122313_Dr._A.S.Desai_new_photo.jpg Dr. A.S. Desai's Avatar

    Dr. A.S. Desai

    Ophthalmologist

    Satisfied Customers:

    1903
    MS Ophthalmology with 11 years of surgical expereince
  • http://ww2.justanswer.com/uploads/gsokoye/2009-10-28_181751_Dr._Stan.JPG Dr. Stan's Avatar

    Dr. Stan

    Ophthalmologist

    Satisfied Customers:

    895
    Johns Hopkins Fellowship Trained, Certified and Licensed Medical Physician and Surgeon
  • http://ww2.justanswer.com/uploads/eyemd/2009-04-07_180315_pic.jpg Dr. Stevens's Avatar

    Dr. Stevens

    Ophthalmologist

    Satisfied Customers:

    629
    Board Certified Ophthalmologist
  • http://ww2.justanswer.com/uploads/CO/CorneaDoc/2012-2-18_0390_photo6.64x64.jpg Dr. Susan's Avatar

    Dr. Susan

    Ophthalmologist

    Satisfied Customers:

    217
    Board Certified & Fellowship trained eye surgeon.
  • http://ww2.justanswer.com/uploads/neuph94/2009-10-11_164729_gif_pic.GIF Dr. JP's Avatar

    Dr. JP

    Ophthalmology, Oculoplastic Surgery

    Satisfied Customers:

    28
    Harvard Medical School, Massachussetts Eye and Ear
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjcufyksv/2012-3-13_44825_crop3.64x64.jpg Dr-Trace's Avatar

    Dr-Trace

    Board Certified Ophthalmologist

    Satisfied Customers:

    26
    Board Certified in General Ophthalmology
 
 
 
Chat Now With An Eye Doctor
Dr. Rick
Dr. Rick
Eye Doctor
8321 Satisfied Customers
Ophthalmology since 1994 with Retina sub-specialty interest