Medical and surgical retina

If you are suffering from a retinal disorder, and need the services of a compassionate, experienced ophthalmologist, Dr. Dory Neu-Ner is here to help you. He is an ophthalmic surgeon with a special interest in the retina. He has the knowledge and technology to treat a variety of retinal diseases successfully.

Patients who visit Dr. Neu-Ner’s practice can expect professional, quality services and expert advice on retinal eye health and eye care. He treats all his patients in a safe and efficient manner. He offers the most advanced diagnosis and the latest medical treatments for retinal eye conditions.

Medical retina specialist

Dr. Neu-Ner is a medical retina specialist that uses special equipment to examine the retina. The retina is the part of your eye that organises and receives visual information to your brain through your optic nerve. It is a thin layer of cells lining the back part of the inside of the eye.

Dr. Neu-Ner provides patients with practical approaches to managing retinal diseases and disorders. He is able to administer drugs, eye drops, injections and laser treatment. Retinal disorders can include:

  • Age-related macular degeneration
  • Diabetic eye disease
  • Retinal Vascular occlusions
  • Retinal detachment
  • Epiretinal Membrane
  • Macular Hole
  • Hereditary eye problems such as retinitis pigmentosa

Many of the most common medical retina treatments involve administering drugs via an injection into the eye. This needs to happen on a regular basis and Dr. Neu-Ner will discuss the amount of treatments you will need and their intervals.

If you require regular intra-vitreal injections for diseases such as age-related macular degeneration and other conditions, consult Dr. Neu-Ner today. If you have any of the following problems, you may need to consult him urgently:

  • Retinal tear or detachment – A retinal tear is a small break in the retina, the light-sensitive layer at the back of the eye. If fluid from the vitreous gel passes through the tear and collects behind the retina, the retina can lift away from its normal position — this is called a retinal detachment. Warning signs include new spots or floaters in your vision, flashes of light, blurred vision, or a shadow or curtain spreading across your field of view. A retinal detachment is a medical emergency: if you notice any of these symptoms, contact our rooms immediately or go to your nearest emergency department, since prompt treatment gives the best chance of preserving your vision.
  • Wet age-related macular degeneration (AMD) – – this is when abnormal blood vessels grow beneath the retina and leak fluid or blood. This causes swelling of the retina, which can distort your central vision or, if left untreated, lead to permanent vision loss. Wet AMD is generally managed with regular injections into the eye to control the abnormal vessels and reduce swelling.
  • Retinal vein occlusion or (RVO) – this is when a blockage occurs in one of the veins draining blood away from the retina, often causing sudden blurred or reduced vision, typically without pain. Dr Neu-Ner can offer laser treatment or eye injections to reduce swelling and limit further damage to your vision.
  • Macular hole – this is a small break that forms in the macula, the part of the retina responsible for sharp, detailed central vision. It usually develops when the vitreous gel inside the eye shrinks with age and pulls away from the retina. It causes blurred or distorted central vision and a dark or empty patch in the centre of your sight, while side vision is usually unaffected. Macular holes are treated surgically with a vitrectomy, which often requires a period of face-down positioning afterwards to support healing.

Surgical retina

Dr. Neu-Ner is able to treat retinal tears and detachments, diabetic retinopathy, macular holes and others for his patients in Sandton. He achieves the surgical repair of retinal detachments by performing the following as an eye surgeon:

  1. Vitrectomy – surgery to remove the vitreous gel from the eye, often used to treat retinal detachment, macular holes or bleeding inside the eye.
  2. Scleral Buckle – a small silicone band placed around the outside of the eye to relieve traction and help a detached retina reattach. Usually performed as a day case.
  3. Pneumatic Retinopexy – an in-rooms procedure for certain retinal detachments: a small gas bubble is injected into the eye to push the retina back into place, followed by laser or freezing treatment to seal the tear. You’ll need to hold your head in a specific position for a period afterwards to keep the bubble positioned correctly.If you suspect you may have any of the above conditions, consult Dr. Neu-Ner for a comprehensive eye exam to determine the extent of your disease or eye condition. He will talk you through your treatment and or surgical options and suggest the best possible way forward.

If you suspect you may have any of the above conditions, consult Dr. Neu-Ner for a comprehensive eye exam to determine the extent of your disease or eye condition. He will talk you through your treatment and or surgical options and suggest the best possible way forward.

Retinal disorders FAQs

What is a retina specialist?

A retina specialist is a medical doctor with advanced training in ophthalmology and a focus on diseases and surgery related to the vitreous body and retina of the eye. This subspecialty, often referred to as vitreoretinal medicine, involves extensive training and expertise.

How do you treat retina problems?

Retinal diseases may require various treatments, including laser, injections of drugs into the eye, and vitreoretinal surgery.

Why would I be sent to a retina specialist?

You may be referred if you have symptoms such as sudden flashes of light, new or increased floaters, blurred or distorted vision, or a shadow or curtain across part of your sight — or if a routine eye exam has picked up signs of a retinal condition such as diabetic eye disease, age-related macular degeneration, a retinal tear, or a vein occlusion. Your optometrist or GP may also refer you if you have diabetes, high myopia, or a family history of retinal disease, so your retina can be monitored more closely.

How serious is a retina problem?

The retina is responsible for sharp, central vision essential for tasks like reading, driving, and recognizing fine details. Disorders of the retina can impact this critical tissue and potentially impair vision, with some conditions being severe enough to lead to blindness.

How do I know if I have a retinal problem?

Retinal problems don’t always cause obvious symptoms in the early stages, which is why regular eye examinations matter, particularly if you have diabetes, high myopia, or a family history of retinal disease. Warning signs to look out for include sudden flashes of light, new or increasing floaters, blurred or distorted vision, dark spots, or a shadow or curtain spreading across your field of view. If you notice any of these, contact our rooms promptly, as early assessment gives the best chance of protecting your vision.

Can the retina heal itself?

Damaged retinal cells do not heal or regenerate, which is a significant challenge for those who have lost vision due retinal diseases like macular degeneration, retinal detachment or diabetic retinopathy.

What happens if a retinal detachment is not treated early?

If a retinal detachment is not promptly addressed, it can lead to further detachment of the retina, significantly increasing the risk of permanent vision loss or blindness.

How long does it take to recover from retinal detachment surgery?

You will need approximately 4 weeks to recover before resuming your usual activities. Individual recovery times may vary.

How painful is retina surgery?

You will not experience pain during retina surgery. However, you may experience some discomfort during recovery. Your eye might be swollen and red, and if stitches are present, you may feel some scratchiness until they dissolve.

Does your eye look normal after retinal surgery?

The eye will appear red following the surgery, with the redness gradually diminishing over the first 3-4 weeks.