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Retina San Diego

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United States
Encinitas, CA
Retina San Diego

Retina San Diego specializes in the treatment of all retinal diseases, including macular degenerati

10/02/2025

“Only a life lived for others is a life worthwhile” Einstein.
Blessed to be an instrument in our patients’ path to sight. It is all possible because of the amazing team with have at Retina San Diego and my family. Honored to be recognized by outstanding doctors in our community. 🙏

08/01/2025

Thank you for your beautiful words and feedback. The true blessing is mine to able to take part as an instrument in your journey to better health and vision.

07/16/2025

Happy 10 year anniversary Retina San Diego! As a medical student I dreamt of a place where you could provide Advanced Individualized Medical Care to patients, which is why after residency in Ophthalmology and fellowship in Vitreoretinal Surgery, we created Retina San Diego. A center with the most advanced diagnostic and therapeutic treatments in our field to improve our patients’ outcome in their journey to better retinal health.
It has been a true blessing to care for all the patients in our community. Thank you to our amazing team who makes this journey possible and enjoyable thanks to their dedication to great patient care. Thank you to all the amazing doctors in our community who have trusted their patients with us, it has been an honor to take care of them. I also would like to thank my family and especially my brother without whom this dream would’ve never been successful.

11/01/2023

No greater purpose than to be of service to others. Blessed to have the opportunity to care for an amazing community and be an instrument in their path to better health. Also humbled to be recognized by a community of excellent doctors. It is a moment I owe to my family who sacrificed everything so their sons could live a life of service to others, and my amazing staff who is truly devoted to our patients.

07/27/2022

X-linked Retinoschisis is a genetic retinal disease that can significantly affect vision.

Patients are usually diagnosed in their first decade when having difficulties reading at school. Vision ranges from 20/20 to 20/200 with an average of 20/70 in the second and third decade of life. It is secondary to mutations on the RS1 gene which is located on the X chromosome and encodes the protein complex Retinoschisin which is important for proper retinal structural development especially of photoreceptors and bipolar cells. As an X-linked disease, only males are affected and females are carriers.

Patients develop schisis of the macula as seen in this patient with spokewheel pattern of cystic spaces radiating from fovea. Peripheral retinoschsis can be seen in 50% of patients and is most commonly seen inferotemporally.

Treatment: Topical carbonic anhydrase inhibitors such as dorzolamide should be attempted as it may improve macular cystic spaces and foveal thickness.

Patients should be monitored for risks of severe vision loss such as Retinal Detachment (5-20%) or vitreous hemorrhage.

01/21/2022

This patient presented with a submacular hemorrhage and complaints of loss of central vision and metamorphopsia for 2 months in the setting of age-related macular degeneration.

Prompt treatment is critical to prevent toxicity to photoreceptor and retinal pigment epithelium cells. The subretinal fluid and hemorrhage decrease the passage of nutrients to the overlying retina in addition to the toxicity caused by the blood breakdown (hemosiderin, iron, fibrin) and mechanical damage to photoreceptors by clot shrinkage.

Treatment algorithms depend on time of presentation given visual prognosis. In our group, patients presenting within 2 weeks of symptoms are taken to surgery where we perform Pars Plana Vitrectomy, Internal Limiting Membrane Peel, Subretinal Tissue Plasminogen Activator, Subretinal Air, Gas.

Another treatment option as with this patient who presented with 2 months of symptoms is prompt intravitreal anti-VEGF therapy (aflibercept in this case). Subretinal fluid and hemorrhage completely resolved with 4 intravitreal aflibercept injections, improving his vision from 20/100 to 20/20.

11/09/2021

Humbled and grateful. It is a recognition of the most amazing team one could ask for. Each and everyone coming together with one vision, to save sight by providing the highest level care possible for our patients. So, thank you to our team, you make it all possible.

06/05/2021

This patient presented with 2 days of flashes and floaters to his optometrists and was referred as an emergency to our clinic for a horseshoe retinal tear in the setting of an acute posterior vitreous detachment. He had evidence of subretinal fluid at the edge of the tear and underwent laser retinopexy that same day which successfully created a demarcation line surrounding his retinal tear and edge of retina that had detached.

This case is a prime example of why retinal tears are an emergency as this patient would have rapidly progressed to a large retinal detachment without any treatment. Not only was this patient highly myopic but the location of the tear being superior is also a risk factor in the rate of progression toward a detachment.

The laser starts to create a chorioretinal adhesion within 24 hours however reaches its maximum strength by 14 days.

05/10/2021

This patient presented with severe visual loss that started as a nasal veil associated with flashes and floaters which over 5 days progressed to affect her central vision. She presented with a Macula-OFF Retinal Detachment from a tear in an area of lattice degeneration superotemporally and a baseline vision of 20/150 that day.

Given the superior location of her retinal tear, a Pneumatic Retinopexy with C3F8 was accomplished that same first day and patient was instructed to keep her head up and tilted to the left. Third image shows patient the following day with her retina completely reattached and C3F8 gas superiorly. Laser was applied to surround the retinal tear. Last image shows complete resorption of gas and retina completely attached with final vision of 20/20.

Pneumatic Retinopexy is one of the most successful treatment modalities in the retina specialist’s armamentarium to repair retinal detachments. Patient selection and compliance with positioning are 2 key factors in Pneumatic Retinopexy.

Patient Selection:
- superior tear
- preferably one tear (if multiple tears, they need to be within 1 clock hour)
- size of tear less than 1 clock hour
- no inferior pathology
- no proliferative vitroretinopathy
- patient’s compliance with positioning

Principles of Pneumatic Retinopexy:
The technique has now been perfected since Ohm attempted the first intravitreal air injection in 1911 with now expansile gases such as SF6 and C3F8. Here are the differences between the 2:
- SF6: 0.5 mL is injected, reaches largest size by 36 hours, doubles in size and resolves in 12 days
- C3F8: 0.3 mL is injected, reaches largest size by 3rd day, quadruples in size and resolves in 38 days
The Buoyancy of the gas applies pressure superiorly and its surface tension closes the retinal tear. Once the tear is closed, fluid cannot pass through the tear and the Retinal Pigment Epithelium is now able to completely pump the subretinal fluid allowing the retina to reattach.

04/25/2021

This patient who is also a doctor presented with a history of severe visual loss associated with flashes and floaters that worsened over 3 days. Upon presentation she had a Rhegmatogenous Retinal Detachment with a vision of Counting Fingers.

Rhegmatogenous Retinal Detachment is the most common type of detachment. The term “rhegma” comes from Ancient Greek and means rupture as in this type of detachment, tractional forces from the vitreous gel undergoing liquefaction can create a tear in the retina which allows the passage of liquefied vitreous underneath the retina.

Major Factors that can affect visual prognosis are: 1) macular involvement, 2) duration of detachment, 3) presence of proliferative vitreoretinopathy

Our patient had 3 horseshoe tears superotemporally, one operculated hole superiorly and 2 retinal holes inferotemporally. She underwent Pars Plana Vitrectomy, endolaser and C3F8 within 24 hours of presentation.

Picture number 4 is a postop wide-field image and picture number 5 is an OCT, both showing reattachment of the retina with visual improvement to 20/20.

Address

477 N El Camino Real, Suite C302
Encinitas, CA
92024

Opening Hours

Monday	8am - 5pm
Tuesday	8am - 5pm
Wednesday	8am - 5pm
Thursday	8am - 5pm
Friday	8am - 5pm

Telephone

+17603003270

Website

http://www.retinasd.com/

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