Retinal Tear or Detachment
The retina is the light-sensitive tissue lining the back of our eye. The retina converts the light rays into impulses that travel through the optic nerve to our brain, where they are interpreted as the images we see. A healthy, intact retina is key to clear vision. Floaters look like small specks, dots, circles, lines or cobwebs in your field of vision. They originate from a gel like substance that fills the inside of the eyeball behind the lens called vitreous. As we age, our vitreous gel starts to thicken or shrink, forming clumps or strands in it that appear as small, occasional floaters.
A retinal tear or a detached retina is repaired with a surgical procedure.
Risk For Retinal Detachment
- Previous cataract, glaucoma or other eye surgery
- Glaucoma medications that make the pupil small (like pilocarpine)
- Severe eye injury
- Previous retinal detachment in the other eye
- Family history of retinal detachment
- Weak areas in the retina that can be seen by an ophthalmologist during an eye exam
- Learn more here
Torn Retina Surgery
Most retinal tears need to be treated by sealing the retina to the back wall of the eye with laser surgery or cryotherapy (a freezing treatment). Both of these procedures create a scar that helps seal the retina to the back of the eye. This prevents fluid from traveling through the tear and under the retina, which usually prevents the retina from detaching. These treatments cause little or no discomfort and can be performed in the office.
Detached Retina Surgery
Almost all patients with retinal detachments must have surgery to place the retina back in its proper position. Otherwise, the retina will lose the ability to function, possibly permanently, and blindness can result. The method for fixing retinal detachment depends on the characteristics of the detachment.
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Inside our eyes, we have a natural lens. The lens bends (refracts) light rays that come into the eye to help us see.
03.Age-related Macular Degeneration
Age-related macular degeneration (AMD) is a problem with your retina. It happens when the central part of the retina called the macula is damaged.
Diabetic retinopathy is a potential complication in patients with Diabetes.
05.Retina Vein Occlusion (RVO)
Arteries and veins carry blood throughout the eyes. The eye has one main artery and one main vein that each have multiple branches.
06.Floaters & Flashes
You will need a dilated eye exam if you have new onset of or changes in floater size or quantity or if you see flashes of light.
07.Retinal Tear & Detachment
The retina is the light-sensitive tissue lining the back of our eye. The retina converts the light rays into impulses that travel through the optic nerve to our brain, where they are interpreted as the images we see.
Macular hole is when a tear or opening forms in your macula. As the hole forms, things in your central vision will look blurry, wavy or distorted.
Macular pucker (also knows as Epiretinal Membrane or ERM) happens when wrinkles, creases or bulges form on your macula.
Uveitis occurs when the middle layer of the eyeball gets inflamed (red and swollen). This layer, called the uvea, has many blood vessels that nourish the eye.
Glaucoma is a disease that damages your eye’s optic nerve. It usually happens when fluid builds up in the front part of your eye.
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Dr. Malihi is board certified in Ophthalmology and a fellow member of the American Academy of Ophthalmology (AAO), American Society of Retina Specialists (ASRS), Oregon Academy of Ophthalmology (OAO) and the American Academy of Facial Esthetics (AAFE) . He is the founder of NELSI, INC., an eye care center in Portland, Oregon.
"Dr. Malihi is awesome, very professional, compassionate and caring and has the most respect for his patients. He makes everything easy to understand. He was careful to show me the photos of my eyes and what they mean. I really appreciated the time he took to make sure that he provided a thorough exam rather than rushing through a basic exam to get me out the door. I really appreciated his ability to make the exam enjoyable. I highly recommend him :)"
"Excellent doctor and staff. They were kind, on time, and didn't rush through the appointment. Dr. Malihi has a great manner and calming presence. I highly recommend!"
"I visited NELSI for a second opinion and found Dr. Malihi to be very professional, candid, and respectful of his peers. I'd recommend his office to anyone!"
"My wife and I were referred to DR. Malihi by a friend , If you are looking for a best Ophthalmologist in Portland, this is the place. Extremely warm and welcoming environment. DR. Malihi takes his time with you, explains the issues and treatment so you really understand. The best part, his treatments are done with care highly recommended."
"The staff and Doctor are very kind and knowledgeable. My daughter had to have her eyes dilated due to a possible illness. We were both very scared our Doctor made us feel like we had known him for years. He was able to find a problem and explain to us and show us without frightening us what the situation was .I recommend this to anyone that needs their eyes checked."
"I had a very pleasant experience at Northwest Eye Laser & Surgery. Dr Malihi was very professional. His office has more advanced equipment that my last eye doctor's office, that seem to streamline the appointment. I will be happy to return to this office for my next check up."
"Nelsi has been very good to me and always listened to my concerns with care. I recommend this office to everyone needing an eye specialist!"
"Good experience! Receptionist was efficient and considerate. Was able to get in on short notice. Dr Malihi was very professional. Started with questions on history and moved on to exam and diagnosis. Very methodical and thorough! Thank you for your time and efforts!"
"I am very pleased with the way that he fully checked and considered all the aspects and especially his excellent explanation and communicating with me, I appreciate him for his his treatment and recommend him to all."