For payment we accept all major credit cards, cash or personal checks.
For patients without insurance, we also accept Care Credit and can assist you in applying for an account if necessary. If special payment arrangements are needed, please contact our office staff prior to your appointment.
For more details, please see our Insurance and Billing page or call our office. We are happy to help you.
A retina specialist is a medical doctor trained in ophthalmology with sub-specialization to diagnose and medically treat or perform surgery on diseases of the retina and vitreous. The retina is the wallpaper that lines the internal wall of the eye and functions like a 35mm camera film. It receives images in the form of light and converts them into electrical signals that are transmitted to the brain for processing into vision. The vitreous is the gel that fills the middle of the eye.
After completing four years of ophthalmology training (called residency), retina surgeons complete an additional 2-year fellowship in surgery for vitreoretinal diseases. During fellowship, retina physicians receive focused training to diagnose and treat diseases of the retina with medications, laser treatments and surgery.
Some health conditions that lead to vision problems can develop without any noticeable change in your vision. Two of the most common retinal diseases that may develop without symptoms are diabetic retinopathy and macular degeneration.
Diabetic patients should get a dilated eye exam at least yearly because:
- Proliferative retinopathy can develop without symptoms. At this advanced stage, you are at high risk for vision loss.
- Macular edema can develop without symptoms at any of the four stages of diabetic retinopathy.
- You can develop both proliferative retinopathy and macular edema and still see fine. However, you are at high risk for vision loss.
- Dr. Tieu can tell if you have macular edema or any stage of diabetic retinopathy. Whether or not you have symptoms, early detection and timely treatment can prevent vision loss.
- Age-related macular degeneration (AMD) is a disease related to aging that gradually destroys sharp, central vision. AMD affects the macula, the part of the eye that allows you to see fine detail. AMD causes no pain.
- In some cases, AMD advances so slowly that people notice little change in their vision.
- In others, the disease progresses faster and may lead to a loss of vision in both eyes.
- AMD is a leading cause of vision loss in Americans 60 years of age and older.
An Amsler grid looks like a piece of graph paper with a small dot in the center of the grid. It is used to detect and monitor changes in your vision. If you have dry AMD, you can use the grid to monitor the disease and see if there is progression to wet AMD. Wet AMD can be treated with injections, especially if it is detected early.
To use the grid, put on your reading glasses and hold the grid where you can most easily focus on the lines. Cover one eye at a time and check each eye individually. Normally, all the lines will appear straight but with wet AMD the lines may appear wavy or blocked by a white, black or gray area. This is caused by fluid around the retina from leaky blood vessels and can be treated with injections.
If you don’t have a grid, you still may notice symptoms that need prompt evaluation such as:
- Having more trouble reading
- Straight lines look curved (ex. Edge of doors or tables, corner of walls)
- Having trouble seeing or recognizing faces or TV/computer
An ophthalmologist is a medical doctor who has completed four years of medical school, a four-year residency training in ophthalmology and possibly a fellowship (8 years of post-college training at a minimum, 10 years for a retina surgeon). Ophthalmologists are qualified to medically treat all types of eye conditions and diseases as well as perform surgeries when indicated.
An optometrist is a provider with a four-year degree in optometry. Optometrists are qualified to provide basic eye care including prescribing glasses and performing general eye exams.