Procedures undertaken by Mr Patton:
Routine Micro-Incision Cataract Surgery including Femto-second Laser Cataract Surgery, and Complex Cataract Surgery
Surgical Vitrectomy (23G, 25G and 27G)
Retinal assessment for flashing lights and floaters
Surgical Vitrectomy for Floaters
Retinal detachment surgery
Vitrectomy for diabetic eye disease
Vitrectomy for Epiretinal Membrane Peel
Vitrectomy for Macular Hole (without posturing)
Intravitreal injections for wet age-related macular degeneration
Intravitreal injections for diabetic macular oedema (including Ozurdex and Iluvien implants)
Intravitreal injections for Retinal Vein Occlusions (including Ozurdex)
Intravitreal ocriplasmin (Jetrea) injection for VMA and small macular holes
Medical Management of Diabetic retinopathy (including injections and retinal laser treatment)
Explanations of some conditions commonly managed by the vitreoretinal surgeon:
Retinal detachment is often an emergency. It is imperative that if you have any of the symptoms, that you be seen promptly. Either contact your local Accident & Emergency service, or your local Ophthalmic Service. Niall Patton can arrange urgent reviews as a private patient out-of-hours.
Diabetic Eye Disease
Diabetes damages both large and small blood vessels throughout the body. It is the damage to the small blood vessels (microvascular disease) that is of particular relevance to the eye, as all the blood vessels that supply the eye are small. As a result of long-term hyperglycaemia, two changes occur in small blood vessels.
Age-Related Macular Degeneration
As its name suggests, age-related macular degeneration (ARMD) is degeneration of the center part of the retina (called the macula) that occurs as some individuals get older.
Most patients suffering from a macular hole notice a gradual onset of loss of central vision, often associated with distortion (whereby straight lines become wavy). Gradually the central vision deteriorates further and in the majority of patients, if left untreated the central vision continues to deteriorate.
An epiretinal membrane (also known as macular pucker or cellophane maculopathy) distorts and contorts this retinal structure so that the vision becomes reduced and distorted.
Complicated Cataract Surgery
Complications from routine cataract surgery are estimated to occur in less than 2% of cases. In rare cases however, cataracts may be more complicated to remove than the norm.
Floaters are small pieces of debris that ‘float’ in the vitreous humour of the eye. They occur behind the lens, and in front of the retina.