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Q: Diagnosis and repair of detached retina ( Answered,   1 Comment )
Subject: Diagnosis and repair of detached retina
Category: Health > Conditions and Diseases
Asked by: 1416joffa-ga
List Price: $100.00
Posted: 23 Nov 2005 20:21 PST
Expires: 23 Dec 2005 20:21 PST
Question ID: 596970
I am looking for, of course, the best ophthalmologist in the
Austin/Round Rock, Texas area or nearby to fix my posibly detached retina. I
continue employment as a Professional Engineer in construction
management. I am soon to be 68 years old. I am generally in good
health but I am 66-inches tall, 240 lbs overweight, controlled high
blood pressure and cholesterol by medications with arthritis. I
noticed floaters along the right side of my right eye on November 16,
2005. Also, at night in the dark I notice bright flashes of light
around my right eye right peripheral region. My optometrist examined
dilated eyes but found no sign of detached retina. I want to have my
eyes examined by a more specialized physician. My eyes have required
corrective lenses since I was six years old. My present prescription
as of September 27, 2005 is OD +925-075x010 1BU; OS +950-100x180 1BD,
Add +250. I wear very thick lenses for this farsightedness. Can you
assist me? Robert "Bob" P. Ross, 1416 Joffa Court, Round Rock, Texas
78664 (512)989.7176

Clarification of Question by 1416joffa-ga on 24 Nov 2005 05:56 PST
I have benefits through my employer Post, Buckley, Shuh and Jernigan
with major medical with United Heathcare and Vision Care. About any
surgery on my eyes I am open to leaving the residence area and goind
elsewhere to obtain the best possible service to my eyes. Bob Ross
November 24, 2005.
Subject: Re: Diagnosis and repair of detached retina
Answered By: welte-ga on 26 Nov 2005 14:40 PST
Hi Bob, and thanks for your question.  As usual, this is not a
substitute for medical advice or direct evaluation and treatment by a
medical professional.

As one commenter noted, true retinal detachment is a medical emergency
and needs to be evaluated immediately.  Fortunately, you have been
evaluated by at least one medical professional who did not detect a
retinal detachment.  This is not to say that your optometrist could
not have missed this, but it is unlikely.  You could also have a
retinal tear or some other retinal disorder.  Typically,
farsightedness is not associated with detached retina, although severe
nearsightedness can predispose a person to it.

Here are some good resources to learn more about detached retinas:

Information from the NIH:

eMedicine articles (these are somewhat more technical, but provide
more detailed information):



Recommendations for ophthalmologists in the Round Rock / Austin area:

There are several good options, so I'll list the best people I can
find to give you some options.  Many optometrists are focusing on the
more lucrative area of LASIK surgery, and I have only included those
physicians who focus on areas more closely related to your potential

There are two good ophthalmologists at the Scott & White Eye Institute
who work out of Temple, TX.  It's a little further away than Austin,
but I'll list them and you can decide.


Dr. J. Paul Dieckert

Dr. Dieckert received his MD at UT Houston and did fellowship training
at the Massachusetts Eye & Ear Infirmary in Boston, a well known and
respected member of the Harvard Medical School group of hospitals.


Dr. R. Doug Davis

Dr. Davis has been at Scott & White for the past 15 years and has
received several awards.

You can request appointments from this page:

Scott & White is building a center in Round Rock, but I don't think
they are taking patients yet.


There are several good ophthalmologists practicing in Round Rock.  

Part of the Round Rock Medical Center, Eye Associates of Central Texas
(right next to the hospital) has 5 ophthalmologists.  They practice
out of several offices.

Dr. Patricia Dearman

Dr. Dearman has been practicing in Round Rock since 1983.


Dr. Thomas L. Hendrix

Dr. Hendrix has also been practicing in Round Rock since 1983 (Drs.
Dearman and Hendrix are married).


Dr. W. Thomas Kittleman

Dr. Kittleman has been practicing in Round Rock since 1985.


Dr. Joseph L. Meyer

Dr. Meyer has been in Round Rock since 1998.


In Austin, the Austin Diagnostic Clinic has several good
Ophthalmologists to choose from:

Dr. Thomas Chandler
12221 MoPac Expressway North
2nd Floor, North Entrance
Austin, TX 78758

Dr. Chandler did retina fellowship training at UT Houston at the
Hermann Eye Center.  He's currently the Vice-Chairman of the ADC.  He
received a Texas Monthly Super Doctor in 2004.


Although further away, the University of Texas Medical Branch has a
very good Ophthalmology and Visual Sciences program.  Here are some

Dr. Bernard F. Godley

Dr. Godley is the chairman and has a long list of honors and awards. 
He has trained at Harvard, MIT, Brown, University of Iowa, University
of London, and the Retinal Institute of Maryland.


Dr. Garvin Davis

Dr. Davis has not been practicing as long as Dr. Godley above, but
already has an impressive training history, including MIT, Wilmer Eye
Institute, Johns Hopkins, Harvard, Jefferson University, and Baylor. 
She is a retinal specialist.


While you could certainly travel further and perhaps find a more
accomplished ophthalmologist,  I am confident that any of the above
physicians can help with your diagnosis and treatment.  There is also
something to be said for being close enough to your physician that you
can get good followup care.  If you have a surgeon in Boston, will you
be able to fly all the way back for your appointments?  What happens
more commonly in this situation is that people either don't go to
their followup appointments or see someone locally who handles the
followup.  It may be better if the person seeing you for followup is
the same one who performed the procedure, if in fact you actually need

I do recommend contacting someone for a second opinion as soon as
possible.  While your negative evaluation by your optometrist makes a
true retinal detachment less likely, you don't want to risk your

I hope this information was useful.  Please feel free to request any
clarification prior to rating.


Subject: Re: Diagnosis and repair of detached retina
From: eyedoc08-ga on 25 Nov 2005 07:45 PST
Just a quick note:  it's important to find out if you actually have a
retinal detachment, or just aging changes in the back of the eye
(posterior vitreous detachment)  Did the vision completely go out in
your right eye, or did you just have flashes/floaters, and now a large
black spot that floats around?  Did you see your eyecare specialist
right after this "episode?"  If it's actually a retinal detachment,
there is only a limited amount of time within which repair would be
effective.  There is also prophylactic treatment, but again the
duration/onset are important.  This is not a problem that you should
be waiting for's serious enough that you should make some
calls, or even ask your old eye doctor for a referral/second opinion. 
I don't want to be naggy, or act like I have the answer, but this may
quite possibly be a time-sensitive case.  Good luck!

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