Eye Exam in McLean

Eye Exam in McLean

Eye Exam in McLean

Eye Exam in McLean

Has the time for you or a beloved friend or family member to receive a careful and thorough retinal eye exam in McLean? At The Retina Group of Washington, we’re here to help you through what can often be a trying process brought on by worrisome symptoms. Our compassionate and highly-trained doctors can walk you through every step of the way of diagnosing and, if necessary, treating whatever retina issue you might have, so don’t fret; come by our office today and learn what our esteemed staffers can do to ease your ailments.

At The Retina Group of Washington, we’re proud of our status as a pillar of retinal health in the greater McLean area. After all, we weren’t born top-tier optometrists; it took a lot of hard work, dedication, and commitment to optical health for us to get to this position, and we’re proud of the momentous success that we’ve achieved through seemingly simple and straight-forward tenants: the patient’s health, both mental and optical, is our first priority, we maintain only the most advanced technology and use only the most cutting-edge optical techniques, and we go above and beyond to ensure that our practice is a place where our patients, young and old, can feel respected and comfortable with themselves. If you’re looking for a comfortable place to receive a thorough eye exam in McLean, you’ve come to the right place. We will meticulously observe your retina with a trained eye for signs of issues that may be causing problems now or threaten to cause issues later.

To learn more about what The Retina Group of Washington can offer you and your family, peruse our website or call our office today to learn whether you could benefit from an eye exam in McLean. It will be our pleasure to improve your optical health!

Retina Group of Washington – Tysons Corner
8219 Leesburg Pike, Suite 120
Vienna, VA 22182
Phone: 703.564.4300

McLean ophthalmology

McLean Ophthalmology

Diabetes and your eyes in McLean

Your eyes are precious to you, as they should be. You would never knowingly risk their health and your vision, but not everyone is aware of the relationship between diabetes and your eyes. Here at The Retina Group of Washington, we are experts when it comes the effects of this disease on your ocular wellness. Turn to us for screening, diagnosis, evaluation, and treatment.

The most common risk of diabetes when it comes to your eyes is a condition called diabetic retinopathy. It’s important to know that both type 1 and type 2 diabetes create the same threat. The real concern is based on your blood sugar being too high, which can happen with either type of diabetes. Unfortunately, there are no early warning signs of this type of retinopathy. Only when it becomes advanced are indications likely to be noticeable. They include sudden vision loss, blurry vision, spots in your field of vision (floaters), and difficulties seeing up close. Our McLean ophthalmology suggest that you be screened once per year if you are a diagnosed diabetic. If not, you are taking unnecessary chances of vision loss or eye damage that can be permanent. Diabetic retinopathy can threaten your retinal blood vessels. Our McLean ophthalmology features the state-of-the-art when it comes to diagnostic equipment. If diabetic retinopathy is detected, treatment will depend on the severity and whether or not any blood vessel damage has occurred. If so, laser therapy is an effective option. If diagnosis is made prior to any harm, you may only need to make some lifestyle adjustments and take medication or adjust your current dosage in order to keep your blood sugar properly controlled.

Our McLean ophthalmology provides you with specialized retinal care. If you have type 1 or type 2 diabetes, be sure to contact us right away to arrange an appointment.

8219 Leesburg Pike, Suite 120
Vienna, VA 22182
(703) 564-4300

Ophthalmology Office McLean

Diabetic Retinopathy in McLean

Ophthalmology Office McLean

Ophthalmology Office McLean

Diabetic retinopathy is a serious eye disease that afflicts thousands of Americans every year. It is one of the leading causes of blindness in adults. It may come on slowly and without warning. At The Retina Group of Washington, our ophthalmology office McLean can test for diabetic retinopathy and treat it before it becomes too advanced.

Vision loss may be one of the first symptoms. Over time, the condition worsens and causes more vision loss. There are four stages to diabetic retinopathy. The first, mild nonproliferative retinopathy, is the early stage and can produce small hemorrhages within the eye. During this stage the patient may not notice any vision loss. During the moderate stage, more hemorrhages begin to emerge and more damage to the blood vessels inside the retina are discovered. This can cause a reduction of blood flow to retinal tissue, causing severe damage and vision loss. By the time the disease reaches advanced stages, vision loss can be severe and may be permanent if not treated in time at our ophthalmology office McLean. Vision loss is caused by leaking fluid, edema or abnormal new blood vessels that are grown due to the retina being damaged.

Those who have diabetes are at risk for diabetic retinopathy. Diabetics should have an annual exam at least once per year, possibly twice depending on their age and the state of their vision. Over time, the risk for diabetic retinopathy increases. The disease is treatable at our ophthalmology office McLean, however. Having annual exams that feature dilation, controlling diet, exercise and blood sugar and staying on top of health exams can help those at risk lessen their chances of getting diabetic retinopathy. Patients should not wait for symptoms and instead should be proactive about their eye health, coming in for exams at least one time a year.

The Retina Group of Washington
8219 Leesburg Pike, Suite 120
Vienna, VA 22182
(703) 564-4300

Retinal Detachment Tysons Corner

Retinal Detachment in 22182


Retinal Detachment Tysons Corner

Being able to see clearly every single day is important. Whether you were born with perfect vision or whether you have a vision impairment that you need to treat every single day with some form of prescription lenses, it is important that you pay attention to the quality of your eyesight constantly. Any changes in the quality of your eyesight should absolutely be reported to your doctor or to an ophthalmologist as soon as you can. Especially since and changes can often be the signs of vision loss or even something such as a retinal detachment, it is important that you report any sudden changes or differences in the way in which you see as soon as you possibly can. If you need help with retinal detachment in Tysons Corner, then all you have to do is call us here at The Retina Group of Washington.

Vision loss is a very scary in the very real thing, and retinal detachment can certainly lead to vision loss. Sometimes, retinal detachment can result in the aftermath of a serious injury, whether it be to the head or to the entire body, such as in a car accident, but sometimes retinal detachment can occur for other reasons that are completely mysterious to you as well as your doctors. The most important thing you can do however, is to make sure that you bring up any vision changes with your doctor soon as you can and that you are aware of what the signs are so you know when to get help. If you are experiencing retinal detachment, you may notice bright lights, loss of vision, a dark curtain clouding your perishable vision, and any number of anomalies general affections your eyesight. Retinal detachment is considered a medical emergency, so the sooner you see an ophthalmologist or a specialist, the sooner you might be able to preserve your vision. Retinal detachment can often be treated if it is caught is early on as possible, so it is imperative that you see us here at The Retina Group of Washington for treatment of retinal detachment in Tysons corner as soon as possible. If not, you might actually run the risk of becoming blind or suffering from a significant amount of vision loss.

Retinal detachment can be incredibly scary, but the best thing that you can do is to know the signs and to know exactly when you should see a doctor. If you are experiencing any of the symptoms associated with this particular retinal condition, then please do not hesitate to call us here at The Retina Group of Washington and get the treatment that you need for retinal detachment in Tysons Corner.


8219 Leesburg Pike, Suite 120
Vienna, VA 22182
(703) 564-4300

Tysons Corner Eye Doctor

Eye Doctor in 22182


Tysons Corner Eye Doctor

A retinal vein occlusion (or RVO), is an eye disease that generally occurs due to complications of other problems, such as type one or type two diabetes, high blood pressure, glaucoma, and vasculitis, which is an inflammation of the blood vessels. RVOs are typically associated with being older, and it is in fact true that it often occurs in those age 65 and up. However, anyone can get an RVO, regardless of how young or how old you are.  Here at The Retina Group of Washington, our Tysons Corner eye doctor is a specialist who can diagnose, assess, and treat your RVO. It’s not a condition that can be cured, but it can be managed so that you retain your vision. It’s essential, though, that it is detected as early as possible, which is associated with the odds for the best outcomes.

What exactly is a retinal vein occlusion? It occurs when the blood flow to your eyes becomes hindered. These results in bleeding. There are two types of RVO, branch and central. A branch RVO (or BRVO) is defined as when the bleeding is confided to just one part of your retina. A central RVO (or CRVO) is when the bleeding is spread throughout and may also include swelling. Our Tysons Corner eye doctor will diagnose by use of a test called a fluorescein angiogram. A dye is injected into the vein in your arm, and photographs are taken that follow the flow to track it to the exact location of the vein or veins in your eye that are blocked. Swelling, also called a macular edema, is found using optical coherence tomography (OCT), a non-invasive laser that will scan your macular tissue.

With a confirmation that you have an RVO, our Tysons Corner eye doctor will develop a strategy to address it. The goal is to reduce the impact of the RVO by focusing on the underlying diseases, such as lowering your high blood pressure. Other treatment options deal directly with swelling, such as laser photocoagulation or anti-VEGF injections. Fortunately, all our our diagnostic tests and treatments can be performed in our office, on an outpatient basis.


8219 Leesburg Pike, Suite 120
Vienna, VA 22182
(703) 564-4300


New York Times – Ask Well: Floaters in the Eye

What causes floaters in the eye?

Floaters, those small dots or cobweb-shaped patches that move or “float” through the field of vision, can be alarming. Though many are harmless, if you develop a new floater, “you need to be seen pretty quickly” by an eye doctor in order to rule out a retinal tear or detachment, said Dr. Rebecca Taylor, a spokeswoman for the American Academy of Ophthalmology.

Floaters are caused by clumping of the vitreous humor, the gel-like fluid that fills the inside of the eye. Normally, the vitreous gel is anchored to the back of the eye. But as you age, it tends to thin out and may shrink and pull away from the inside surface of the eye, causing clumps or strands of connective tissue to become lodged in the jelly, much as “strands of thread fray when a button comes off on your coat,” Dr. Taylor said. The strands or clumps cast shadows on the retina, appearing as specks, dots, clouds or spider webs in your field of vision.

Such changes may occur at younger ages, too, particularly if you are nearsighted or have had a head injury or eye surgery. There is no treatment for floaters, though they usually fade with time.

But it’s still important to see a doctor if new floaters arise because the detaching vitreous gel can pull on the retina, causing it to tear, which can lead to retinal detachment, a serious condition. The pulling or tugging on the retina may be perceived as lightning-like flashes, “like a strobe light off to the side of your vision,” Dr. Taylor said.

See an eye doctor within 24 to 48 hours if you have a new floater, experience a sudden “storm” of floaters, see a gray curtain or shadow move across your field of vision, or have a sudden decrease in vision.

To learn more please call one of our ophthalmologists in Tysons Corner at (703) 650-0462

Rabin, Roni Caryn. “Ask Well: Floaters in the Eye.” Well Ask Well Floaters in the Eye Comments. New York TImes, 5 Feb. 2016. Web. 11 Feb. 2016.


RGW Selects Modernizing Medicine, Inc., for EMA

Modernizing Medicine, Inc., the creator of the Electronic Medical Assistant® (EMA™), a cloud-based, iPad native, specialty-specific electronic medical record (EMR) system, announced today that The Retina Group of Washington has selected EMA Ophthalmology to replace its legacy EMR solution. Use of the highly specialized EMR system will help streamline physician workflows and improve patient care across the entire practice.
With 26 physicians working across 14 offices, The Retina Group of Washington is one of the largest and most highly respected retinal and macular practices in the country. The Retina Group of Washington is well known for its extensive experience and sub-specialty expertise of its leading physicians and surgeons. Deeply committed to the advancement of care, the group is constantly conducting cutting-edge research and administers a Fellowship program to train future ophthalmologists.
“As one of the leading retinal practices in the country, we constantly look for ways to make our physicians’ lives easier and improve care,” said Dr. Michael Rivers, current Board member at The Retina Group of Washington and head of their EMR system selection committee.
For more information click here.

Early Vitrectomy for Spontaneous, Fundus-Obscuring Vitreous Hemorrhage.

Melamud A1, Pham H2, Stoumbos Z2.



To examine the visual outcomes of early intervention in the setting of fundus-obscuring vitreous hemorrhage (VH) presumed to be due to posterior vitreous detachment.


Retrospective comparative case series.


All eyes that presented with a fundus-obscuring VH defined as vision of 20/400 or worse, and requiring a B-scan at presentation from 2003 – 2013, were evaluated. Eyes with any history of retinopathy; macular degeneration; recent trauma; presentation greater than two weeks after onset of symptoms; or follow-up of less than two months were excluded. The main outcome measure studied was final best-correct visual acuity (BCVA) as dependent on the time to surgery.


92 eyes met inclusion criteria with a mean follow-up of 490 days. Initial BCVA was logMAR 2.218 (Snellen equivalent 20/3000-20/4000 range 20/400- light perception); final BCVA was 0.318 (Snellen equivalent of 20/40-20/50 range 20/20 – light perception, p < 0.001). 56 patients (60.8%) had either a retinal tear or a retinal detachment. Patients who underwent surgery within 1 week had no significant improvement over all others, however a significant improvement was found when comparing early versus delayed surgery groups (p<0.05). There was a significantly increased risk of developing a macula-off retinal detachment in patients who did not undergo surgery within one week of presentation.


Early surgical intervention results in similar visual outcomes compared to a conservative approach. However, early intervention significantly reduces the incidence of severe vision loss related to macula involving retinal detachment. This study highlights the importance of close follow-up given the high risk of retinal detachment in fundus-obscuring vitreous hemorrhage.
Am J Ophthalmol. 2015 Jul 21. pii: S0002-9394(15)00449-3. doi: 10.1016/j.ajo.2015.07.025. [Epub ahead of print]

Retinal Vein Occlusion in Young Patients

The management of retinal vein occlusion (RVO) has changed dramatically over the last 3 decades since the results of the Branch Vein Occlusion Study (BVOS) and Central Vein Occlusion Study (CVOS) were published in the 1980s and 1990s.

While most patients who present with RVO are 60 years of age or older, young patients can pose particular diagnostic and treatment challenges.

In this installment of Practical Retina, current RGW retina fellow Dr. Luke Lindsell and Dr. Michael Lai from Washington, D.C., address what should be included in an appropriate diagnostic work-up for younger patients who present with RVO, provide pearls for detecting uncommon underlying systemic etiologies, and review their treatment paradigm.

You can read about it in their article entitled “Current concepts in managing retinal vein occlusion in young patients” for the July/August 2015 issue of the journal Ophthalmic Surgery Lasers & Imaging Retina.

Click here to read more.

Source: Ophthalmic Surgery, Lasers and Imaging Retina July 2015 – Volume 46 · Issue 7: 695-701

Dr. Johnson quoted in MEDSCAPE Article on Diabetic Retinopathy at the Point of Primary Care

Below is an excerpt from the article quoting Dr. Johnson as a consulting retinal surgeon. Click on the link below to read the full article:


Dr Silva noted, however, that the cost of ultrawide field imaging devices at the present time “is prohibitive,” especially in places with small populations and a limited number of diabetes patients. But prices will come down in time, he added.

Asked to comment, T Mark Johnson, MD, FRCSC, an attending surgeon at the Retina Group of Washington, DC, who was not involved in the study, agreed that the current costs of the cameras used in ultrawide field imaging, are “significant” and could therefore limit their use in screening programs.

And he claims that past studies have suggested that even three-field photography (just taking photos of the posterior pole of the retina) may be as good as ultrawide field imaging for screening for significant diabetic retinopathy. Therefore, more research is needed to justify the added costs of ultrawide field imaging, he pointed out.

See more: http://www.medscape.com/viewarticle/846470