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Retina · Glaucoma | Gangnam Central Eye Clinic

We diagnose and treat
conditions that can threaten vision
Because retinal care is complex and critical,
it requires specialized clinicians and advanced equipment.
GANGNAM CENTRAL EYE CLINIC
What is the retina?
The retina is the neural tissue lining the innermost part of the eye, serving a role similar to a camera’s film.
Because the retina is neural tissue, damage to it is irreversible. The three major eye diseases that can cause blindness are
macular degeneration, diabetic retinopathy, and glaucoma. Therefore, it is important to detect problems early through regular eye examinations.
GANGNAM CENTRAL EYE CLINIC
Characteristics of the Retina
Because the retina lies deep inside the eye, abnormalities are difficult to detect with routine external examinations alone.
Therefore, specialized equipment and expert care are often required for the testing and treatment of retinal disease.
Retina magnifiedCross-section of the eye
GANGNAM CENTRAL EYE CLINIC
Examinations and Diagnosis
  • Fundus Examination and Photography

    Using a slit-lamp microscope after dilation,
    a fundus examination checks the central retina (macula)
    and the peripheral retina,
    to diagnose conditions such as diabetic retinopathy, macular degeneration, and vascular occlusion.
  • Optical Coherence Tomography (OCT)

    Optical coherence tomography (OCT) uses the
    interference of light to capture cross-sectional images of the retina and
    choroid,
    allowing assessment of overall retinal abnormalities.
  • Fluorescein Angiography (FA)

    A fluorescent dye is injected intravenously
    and the fundus is imaged to identify neovascularization, non-perfusion areas,
    and macular leakage.
    Through this test, diseases of the retina and
    choroid can be diagnosed.
  • Indocyanine Green (ICG) Angiography

    ICG angiography is specialized for the choroid,
    and it is very helpful for determining the location and extent of choroidal neovascularization in macular degeneration,
    as well as evaluating treatment effects.
  • Ultrasound (B-scan)

    Ultrasound can assess for retinal abnormalities even when media opacity is severe due to cataract
    or vitreous hemorrhage,
    and similar conditions.
  • Visual Field Test

    The visual field test is useful for diagnosing glaucoma,
    and it is also helpful when diagnosing retinal and optic nerve disorders.

FAQ

Retinal Disease FAQs

If the retina is damaged, can it recover?

Because the retina is neural tissue, damage to it is irreversible. That is why regular eye examinations are important for catching problems early.

If I see floaters, is it a disease?

Floaters are a symptom, not a disease in themselves. However, they can be a sign of conditions that cause retinal detachment, retinal tears, or retinal hemorrhage; if the symptoms recur, you should have them checked.

I have diabetes but my eyes seem fine.

Even when diabetic retinopathy has progressed considerably inside the eye, normal vision may be maintained if the macula is unaffected. However, progression does not stop, so you should have a retinal exam once a year even without symptoms.

What tests are used to check for retinal disease?

Depending on the symptoms, we select from fundus examination and photography, optical coherence tomography, fluorescein angiography, ICG angiography, ultrasound, and visual field testing.

It looks like a curtain has come down.

Retinal detachment is an emergency. If part of your visual field is increasingly obscured or your vision drops suddenly, do not delay and contact us.

Straight lines appear wavy.

This can occur with an epiretinal membrane, which forms a thin sheet over the macula and tugs on the nerve layers, or with macular degeneration. You can check simply with an Amsler grid; if the grid lines look distorted, we recommend a detailed examination.

I see flashes in front of my eyes even without light.

This is called photopsia. It occurs when the vitreous separates from the retina and tugs on it, and it may appear together with floaters. Because it can signal a retinal tear or retinal detachment, if the symptoms recur you should have it checked.

How is macular degeneration classified?

It is divided into dry and wet types. Dry refers to early-stage changes such as drusen or retinal pigment epithelium atrophy, with gradual vision loss, while wet involves exudation that distorts the macular structure and most often progresses acutely. There may be no subjective symptoms in the early stage, so it is often found during routine exams.

I was told there was an abnormal finding in the retina on a health screening—what should I do?

If macular degeneration, epiretinal membrane, or diabetic retinopathy is suspected, we confirm whether the finding is present with a detailed fundus exam and optical coherence tomography (OCT). Follow-up is then performed every 6 months according to the confirmed findings.

From what age should I have retinal examinations?

We recommend routine eye examinations after age 40 even if you have no particular symptoms. If you have high myopia, diabetes, or hypertension, or if you notice changes in vision or visual field, we recommend getting checked regardless of age.

Will my eyes be sensitive to light after a retinal exam?

To view the fundus, we dilate the pupils with drops, so after the exam your eyes may be sensitive to light and near vision may be blurry for a while. If you plan to drive that day, please let us know when you book.

If I have macular degeneration, can I get a multifocal lens with cataract surgery?

If you have retinal diseases such as macular degeneration or epiretinal membrane, we do not recommend multifocal intraocular lenses. We first assess the retina and then choose the intraocular lens.

I heard it’s a ‘stroke of the eye’—what condition is that?

This is sometimes used to describe retinal vascular occlusion, in which the retinal artery or vein becomes blocked. Vision may suddenly decrease or feel clouded like a dark haze, and it is related to hypertension, diabetes, and cardiovascular disease.

I heard that stress can make a shadow appear in the eye—what condition is that?

This can be a symptom of central serous chorioretinopathy. Exudate from the choroid collects in the macula, causing a coin-shaped shadow or making objects appear smaller and farther away. Recurrence is common, and stress is considered a major contributing factor.

The center of letters looks empty, or a black spot blocks it.

This can occur with a macular hole, in which tissue in the macula thins and a round opening forms. If left untreated it can lead to retinal detachment, so if the symptoms recur we recommend a detailed examination.

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