We Specialize In

A torn or detached retina is a serious vision threatening problem; one that no doubt causes alarm and concern to both the patient and their family. Fortunately, with modern surgical techniques, over 90% of retinal detachments can be repaired and blindness will be prevented. Almost all of our patients return to a normal life, self-reliant, active and independent.
Macular hole is a relatively common disorder that can present as a spot of missing or distorted vision in the center of one eye, with a decrease in your ability to read or see clearly. Fortunately, if caught early, we have a very high success rate in repairing these holes. While most surgeons require up to 2 weeks of strict face down positioning following surgery, we require zero face down positioning and have a success rate as good or better than other surgeons. See our website at macularholesurgeons.com for a detailed explanation. Certain patients may also be a candidate for an office-based injection (ocriplasmin, Jetrea) for macular hole repair.
Diabetic retinopathy is a complication of diabetes which affects the small blood vessels in the retina. These changes can cause mild to severe loss of vision. In fact, diabetes is the leading cause of severe visual loss in Americans between the ages of 20 and 64. Nonetheless, with careful diabetic management and timely laser surgery by a retina laser specialist, good vision can usually be maintained.
Macular degeneration (AMD) is a common eye disorder and the leading cause of loss of reading vision in the United States. It is a condition in which damage occurs to the retina, usually from an aging change. While total blindness never occurs from this condition, the ability to read and do close work can be severely affected. VEGF-inhibitor injections have revolutionized our treatment of and prognosis for AMD, and are essentially painless with our numbing techniques.
There are several types of lasers used to treat various disorders in the eye and currently lasers are being used to reduce vision loss from glaucoma, secondary cataracts, diabetes, blocked blood vessels, retinal tears, retinal detachments and macular degeneration.
Vitreous surgery is a type of microsurgery which now enables eye surgeons to treat patients with diseases of the retina and vitreous who, until the advent of this type of surgery, might have been considered hopelessly blind.
Posterior vitreous detachment is a common disorder occurring in about 80% of people in the United States. It frequently causes the symptoms of floaters and flashing lights, but infrequently causes a loss of vision. It should not be confused with a retinal detachment. Rarely posterior vitreous detachment can cause a tear or hole to form in the retina, which may need to be treated with laser to prevent a retinal detachment.

About Us

The physicians at Retina Consultants San Diego are nationally recognized leaders in their field. They participate in most clinical trials assessing new therapies for macular degeneration, diabetic retinopathy, as well as other retinal diseases. In addition to its clinical services, Retina Consultants San Diego provides continuing education and consulting services to the local, national, and international ophthalmic communities and other healthcare industries.

Here at Retina Consultants San Diego, we use state-of-the-art diagnostic and therapeutic technology, including wide-field fluorescein photography and angiography, ICG angiography, autofluorescence, ultrasonography, and spectral-domain optical coherence tomography with enhanced depth imaging.

Each doctor in our group is board certified in ophthalmology and has completed formal subspecialty training in medical and surgical diseases of the retina, vitreous, and macula. Each member is nationally recognized for their participation in research and educational programs primarily aimed at understanding the causes of retinal diseases and developing novel treatments. For each of our esteemed doctors, a brief biographical sketch is provided.

What Makes Us Different?

Patient Education

National Meeting Notes and Summaries

American Society of Retina Specialists, 2012
Macula Society meeting, 2013

Intravitreal injections

Intravitreal drug delivery has become a popular method of treatment of many retinal diseases, commonly including AMD, Diabetic Retinopathy, and Retinal Vein Occlusions. The frequency of intravitreal injections has significantly increased since the introduction of Anti-VEGF medications. This is an important procedure that Retina Specialists use on a daily basis, and it is important to master the techniques of effective injections for patient safety and reduction of complications.

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Diabetic Eye Disease

Diabetic retinopathy, the most common diabetic eye disease, occurs when blood vessels in the retina change. Sometimes these vessels swell and leak fluid or even close off completely. In other cases, abnormal new blood vessels grow on the surface of the retina.

Watch Dr. Tornambe's video on diabetes
Watch KUSI morning news as Dr. London discusses the health impact of diabetes
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Macular Degeneration

Age-related macular degeneration (AMD) is a deterioration or breakdown of the eye's macula. The macula is a small area in the retina — the light-sensitive tissue lining the back of the eye. The macula is the part of the retina that is responsible for your central vision, allowing you to see fine details clearly.

Watch Dr. Tornambe's video on AMD

Click here to view and/or download an annotated lecture on macular degeneration by Dr. London

Retinal Vein Occlusion

Central retinal vein occlusion (CRVO) is a blockage of the main vein in the retina. (Blockage of the small veins in the retina is called branch retinal vein occlusion, or BRVO.) The blockage causes the walls of the vein to leak blood and excess fluid into the retina. When this fluid collects in the macula (the area of the retina responsible for central vision), vision becomes blurry.

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Central Serous Choroidopathy

In central serous retinopathy (sometimes called central serous choroidopathy), fluid builds up under the retina and distorts vision. Fluid leakage is believed to come from a tissue layer with blood vessels under the retina, called the choroid. Another layer of cells called the retinal pigment epithelium (RPE) is responsible for preventing fluid from leaking from the choroid under the retina. When, for unknown reasons, tiny areas of the RPE become defective, fluid builds up and accumulates under the RPE, much as liquid in a blister collects under the skin. As a result, a small detachment forms under the retina, causing vision to become distorted.

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Macular Edema

Macular edema is swelling or thickening of the eye's macula, the part of your eye responsible for detailed, central vision.

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Macular Hole

A macular hole is a small break in the macula, the part of your eye responsible for detailed, central vision.

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Macular Hole Surgeons.com
More About Macular Holes

Macular Pucker

A macular pucker (also called an epiretinal membrane) is a layer of scar tissue that grows on the surface of the retina, particularly the macula, which is the part of your eye responsible for detailed, central vision.

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Retinal Tear or Detachment

As the eye ages the vitreous gel that fills it shrinks. Usually the vitreous moves away from the retina without causing problems. But sometimes the vitreous pulls hard enough to tear the retina in one or more places. Fluid may pass through a retinal tear, lifting the retina off the back of the eye — much as wallpaper can peel off a wall. When the retina is pulled away from the back of the eye like this, it is called a retinal detachment.

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Vitrectomy

Vitrectomy is the surgical removal of the vitreous gel from the middle of the eye.

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Scleral Buckle

This treatment to repair a retinal detachment involves placing a flexible band (scleral buckle) around the eye to counteract the force pulling the retina out of place. The ophthalmologist often drains the fluid under the detached retina, allowing the retina to settle back into its normal position against the back wall of the eye. This procedure is performed in an operating room.

Watch Interview with Dr. Tornambe on Scleral Buckling
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Pneumatic Retinopexy

In this procedure, a gas bubble is injected into the vitreous space inside the eye in combination with laser surgery or cryotherapy. The gas bubble pushes the retinal tear into place against the back wall of the eye. Sometimes this procedure can be done in the ophthalmologist’s office. Your ophthalmologist will ask you to constantly maintain a certain head position for several days. The gas bubble will gradually disappear.

Video on Pneumatic Retinopexy by Dr. Tornambe

Optical Coherence Tomography

Optical coherence tomography (OCT) is a non-invasive imaging test that uses light waves to take cross-section pictures of your retina, the light-sensitive tissue lining the back of the eye.

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Fluorescein Angiography

Fluorescein angiography is an eye test that uses a special dye and camera to look at blood flow in the retina and choroid, the two layers in the back of the eye.

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Indocyanine Green Angiography

Indocyanine green angiography is a diagnostic test that involves taking photographs of the blood vessels in the eye with the help of a contrast dye. Indocyanine is a green dye that works with infrared light and is visualized with a special camera. The images produced by this test help doctors evaluate the retina and diagnose or monitor problems such as macular degeneration, abnormal vessel growth, macular edema, certain types of retinal detachment, and tumors.

Our Doctors

Paul E. Tornambe, MD, FACS

Founder and President
 

Lon S Poliner, MD, FACS

 
 

Nikolas JS London, MD, FACS

Chief of Ophthalmology,
Scripps Memorial Medical Center

Our Clinics

World-Renowned Retina Surgeons

All of our doctors are fellowship trained at outstanding institutions including Washington University in St. Louis, and Wills Eye Hospital in Philadelphia.There is no substitute for training and experience.

Attention to Detail for Treatment & Surgery

Our physicians utilize the most advanced therapies and surgical approaches, combined with an unfailing attention to consistency and detail, to provide the best treatment available.

Cutting-edge Technology and Access to Clinical Trials

All of our offices have the latest diagnostic and therapeutic services. We keep our patients Informed - by providing information on common diseases in print and on our website. We serve as a regional leader for large-scale clinical trials, providing access to next generation therapies.

Concierge-level Care

Our doctors treat their patients like family members and take as much time as needed to explain their disease. We work hard to keep visit durations to a minimum.

Easily Accessible Offices

Our offices are easy to find, with multiple locations. We participate with most insurance plans.

Most Insurances Accepted

We participate with most insurance plans.

Patient Contact Form

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Since 1979

Retina Consultants has been providing world-class treatment for patients for more than 37 years.

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Emergency Calls

For after-hours emergencies, call:

858-451-1911

Office Hours

  • Poway
    Monday - Friday 8:00 am - 5:00 pm
  • La Jolla
    Monday 8:30 am - 5:00 pm
    Tuesday 8:30 am - 1:00 pm
    Wednesday 8:30 am - 5:00 pm
    Thursday 8:30 am - 2:00 pm
  • Coronado
    Wednesday 8:00 am - 1:00 pm

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