Loden Vision is now proud to provide retina care in the Nashville area. Dr. Amish Purohit, MD joined our team in March, 2016 and provides care to patients at our Goodlettsville and Smyrna locations.
We are committed to providing the best in retina care. We do this by providing state-of-the-art retina diagnosis and treatment in a compassionate, caring environment. In addition to treating your condition, we will take the time to explain your diagnosis and treatment plan.
Office-Based Retina Procedures
Intravitreal injections are a method of delivering drugs into the eye where they can act upon the retina. The eye is prepped with a local numbing agent and the injection is given into the eye with minimal discomfort to the patient.
Common medications delivered via intravitreal injection include anti-vegF medications (Avastin, Eylea, Lucentis) and steroids (Ozurdex, Triescence). These drugs can be used to treat a variety of ocular diseases including Age Related Macular Degeneration, Diabetic Retinopathy, Vascular Occlusions and Retinal Edema.
Laser photocoagulation is a procedure used to deliver focused laser energy to the back of the eye inducing a heat reaction which leads to a localized controlled burn to the retina.
Laser photocoagulation can be used to treat Diabetic Retinopathy and Vascular Occlusions by sealing leaking blood vessels or regressing abnormal blood vessel growth, which can help reduce the risk of vision loss in those patients.
This treatment can also be used to treat areas of the retina that are thinned or torn thereby reducing the risk of progression to retinal detachment as well as to seal leakage points in conditions like Central Serous Retinopathy.
Laser vitreolysis is an exciting new option for patients with symptomatic floaters. This procedure uses a specialized form of a YAG laser to vaporize floaters and significantly reduce or eliminate their impact on the patient’s vision. The procedure is fast, non invasive and patients can generally return to normal activity within a day.
Pneumatic Retinopexy for Retinal Detachment
Pneumatic retinopexy is a method of repairing retinal detachment without the need for surgery. Retinal detachments occur when the vitreous or gel inside the eye separates away from the retina and creates a tear. The fluid within the eye then passes through the tear and under the retina leading to the detachment.
With a pneumatic retinopexy procedure, cryotherapy or freezing treatment is used to seal the retinal tear and then a small gas bubble is injected into the eye, which pushes the fluid out of the retina and flattens the tear. Over time the gas bubble dissolves from the eye leaving the retina attached.
Pars Plana Vitrectomy
Vitrectomy surgery is utilized to treat a number of different retinal problems including retinal detachments, macular holes, epiretinal membranes/macular puckers, floaters, and bleeding inside the eye.
The procedure is typically performed in an outpatient setting (patients go home the same day) and under a local anesthetic (only the eye is numbed). After the eye has been prepped, three small holes are created in the sclera or white part of the eye each about the size of a needle. Under a surgical microscope using a variety of specialized instrumentation, the surgery is carried out.
The incisions created are generally small enough that sutures are not necessary. The vitreous is usually replaced with a saline solution that is then turned over and replaced by the eye’s natural fluid over time. The eye is patched over night and the office staff removes the patch the next day.
Patients are placed on eye drops for a few weeks to aid in recovery. The total length of the recovery period depends on the underlying condition being treated and can range from days to months.
Scleral buckles are used to perform retinal detachment repair in select cases. They are usually used in younger patients or in conjunction with vitrectomy in more complex surgical cases.
In this procedure a silicone band is placed around the eye and secured in place with sutures. The band creates a mild indentation in the eye itself, which then supports areas of the retina that have torn and helps resolve the retinal detachment.
Our Retina Surgeon, Dr. Purohit
Dr. Purohit is a board-certified Ophthalmologist with advanced fellowship training specializing in disorders and surgery of the retina and vitreous. Dr. Purohit brings a wealth of knowledge to Loden Vision Centers in the areas of retina surgery and retinal management, including advanced skill in the surgical management of retinal detachments, macular holes, and the removal of floaters. He actively contributes to the advancement of retinal care and treatment methods by participating in national studies and lecturing throughout the medical community on various retinal diseases, such as background diabetic retinopathy (BGDR or BDR), age related macular degeneration (ARMD or AMD), retinal detachments (RD), floaters, macular edema, and macular hole. His interest in clinical research and his personal desire to seek out innovative therapies for retinal patients everywhere has enhanced his outstanding reputation throughout the ophthalmic field.
Diabetic Eye Diseases
- Diabetic Retinopathy
- Proliferative Diabetic Retinopathy
- Diabetic Macular Edema
- Vitreous Hemorrhage
- Intraocular Injections
- Retinal Laser Surgery
- Vitrectomy Surgery
- Retinal Detachment Repair
- Scleral Buckle Repair
- Vitreous Hemorrhage
- Retinal Vein Occlusion
- Flashes and Floaters
- Retinal Tears
- Retinal Detachment
- Macular Hole
- Epiretinal Membrane
- Hereditary Eye Diseases
- Central Serous Chorioretinopathy
To learn even more about Dr. Purohit, please click here.