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Dr. Dan B.
Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
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Experience:  Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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My daughter has some " blurriness" in her left eye. Opthamologist

Resolved Question:

My daughter has some " blurriness" in her left eye. Opthamologist looked and saw "something" on the retina but was not sure what it is. Tried injecting "ACTIN" into her eyeball with a needle. First treatment showed good improvement within 1 day but then bluriness returned 4 weeks later. 2nd treatment had not much effect. I am planning to seek a 2nd opinion since current Dr does not know what to do next. Any advise?
Submitted: 1 year ago.
Category: Eye
Expert:  Dr. Dan B. replied 1 year ago.

Doctor DanB :

Hello and thanks for your question. Is your daughter near-sighted? Did he say anything about a choroidal nevus or pigmented mass? Does she have any medical problems such as diabetes, high blood pressure or auto-immune diseases like lupus, rheumatoid arthritis, Crohn's disease or ulcerative colitis?

Customer:

Hi Dr DanB, Yes she is near sighted. No mention of choroidal nevus or pigmented mass although they did mention that they did see retinal abnormalities which looked "inflamed" possibly due to some type of "leakage". The drug they used to inject into her eyeball was avastin. I have made an appt with a different opthamologist who is a retinal specialist so we will see what he says.

Customer:

No other medical problems. Perhaps occsaional low blood sugar. Danielle is very fit and health other than this issue with her eye.

Doctor DanB : Given the lack of risk factors for other retinal problems and her age, I suspect that this is something called central serous retinopathy.
Doctor DanB : This is a disorder of the choroid (tissues underlying the retina) where there is a small, pinpoint leakage of fluid that collects under the retina that can cause a discoloration to the vision and/or centralized blurring or blind spot. The etiology of this is unknown; there are no identifiable causes, but it tends to happen in the Type A personality for some reason. This diagnosis can be verified by your ophthalmologist who can do a fluorescein angiogram test (a test where some dye is injected into an IV in your arm and pictures are taken of your retina as the dye flows through the retinal blood vessels, enabling documentation of where there is leaking). Thankfully, CSR is a problem that usually fully resolves on its own over the course of 2-3 months and the resolution can even be hastened with the use of a laser if absolutely essential. There are other much less likely causes, but any of these diagnoses will require you to see your ophthalmologist to get these tests.
Doctor DanB : Does this make sense? Does this information help address your concerns? Do you have any other questions about this? It appears as though you are not in the chat room currently. I am happy to be able to help you today. I will also be happy to answer any other questions until you have the information you need. If you would like to ask further questions or clarification regarding anything I've said, please let me know and I will be happy to address your concerns when I return to see if you've responded. If your concerns have been resolved... Your feedback is important to me and will help me improve my encounter with future customers. Please rate your encounter with me by providing positive feedback (by pressing the smiley face); any positive feedback and/or bonus you may feel prompted to provide would be welcomed and is appreciated. If you feel like your concerns are not resolved or you have a problem or issue with anything I have said or haven’t said, please don’t issue a negative feedback rating—My goal is your satisfaction and I would rather work together to solve your concerns, until you are satisfied, than have you leave our encounter unhappy and unsatisfied. My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!
Customer:

Thanks Dr Dan. I very much appreciate your detailed response. At least we have a possible root cause that actually makes sense. This is more than we have received from the actual Opthamologist and his colleague that have been doing these examinations on my daugther. I don't know if they don't have time to explain or or if they think we are to ignorant to be able to understand or they just know about CSR. In any case, thanks again. We will see what the new Opthamologist has to say and we will then ask about CSR if he does not mention it. You have fully answered my questions. Great job. Regards, Mark

Dr. Dan B., Board Certified Ophthalmologist
Category: Eye
Satisfied Customers: 3177
Experience: Eye surgeon experienced in cataracts, glaucoma, retina & neuro-ophthalmology
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