Macular Edema

Please note that every treatment, medication, and examination is decided by the doctors.

Funduscopy, anti-VEGF antibody treatment, and laser treatment is possible at Shinjuku-Higashiguchi Clinic. Take a reservation for Retinal and Vitreous diseases at Shinjuku-Higashiguchi Clinic.

Symptoms



The symptoms of macular edema are blurry or wavy vision near or in the center of your field of vision, and colors might also appear washed out or faded. Macular edema is the build-up of fluid in the macula, an area in the center of the retina. The retina is the light-sensitive tissue at the back of the eye and the macula is the part of the retina responsible for sharp, straight-ahead vision.

Macular edema occurs when there is abnormal leakage and accumulation of fluid in the macula from damaged blood vessels in the nearby retina. It is also caused with other diseases such as diabetic retinopathy, retinal vein occlusion, and uveitis followed by behest’s disease and sarcoidosis.

Examination

Examination such as visual acuity test, dilated eye exam, and optical coherence tomography is needed to diagnose macular edema. A visual acuity test is essential to see how much epimacular membrane has affected the vision. A dilated eye exam is used to more thoroughly examine the membrane on the retina. Optical coherence tomography is a test that uses a special light and a camera to see a tomographic image of the retina. It detects the thickness of the retina and it’s useful in determining the amount of swelling in the macular edema

Treatment of Macular Edema

Macular edema can heal by having a treatment for the diseases mentioned above. If it doesn’t, the retina will keep getting damaged, which will make it difficult to recover. These are some treatments for macular edema.

Steroid Injection

Steroid (adrenocortical hormones) reduces the leakage from the blood vessels and heal the edema on the macular. But at the same time, steroid can increase the risk of diabetes so whole-body administration (both medication and injection) is avoided. Instead, steroid injection will affect intensively to the macular, by inserting the steroid directly to the eye.

It is done in the operating room to prevent infections. We use eyes numbing drops, and a long needle to insert the drugs. The patient doesn’t have to stay at the clinic after the surgery, but will may be asked to come back the next day to check the eye’s condition, and whether there aren’t any side-effects.

Steroid have a risk of increasing the eye pressure, and 5% of the patients need a treatment to lower the pressure, but less than 0.5% of them need a surgery for it. Other than that, risk of developing cataract, and bacterial infections were reported. The effect will last for few months, and steroid injection needs to be done again if macular edema reoccurs.

Vitrectomy

In this surgery, the vitreous and the internal limiting membrane will be detached to release the power that pulls the retina. Also, it will alleviate the edema by removing chemical substances and increase the oxygen partial pressure.

Please note that we do not perform this surgery at our clinic.

Laser Treatment

We observe the fundus to check the leakage of blood vessels and fluid on the macular, by having fluorescent fundus examination, and other examination using the slip lamp microscope. Laser treatment can stabilize vision by sealing off the leakage.

Anti-VEGF Injection

It is found that diabetic macular edema occurs when the amount of VEGF, a substance called vascular endothelial growth factor, increases in the eye. Anti-VEGF injection will prevent that by inserting anti-VEGF drug.

It is done in the operating room to prevent infections. We use eyes numbing drops, and a long needle to insert the drugs. The patient doesn’t have to stay at the clinic after the surgery, but will may be asked to come back the next day to check the eye’s condition, and whether there aren’t any side-effects.

 

Office hours

Weekday,Saturday

11:30-13:45/15:00-19:30

Sunday,Holiday

11:30-18:30(no lunchtime.)

Closed

Our clinic is closed on 12/31, 1/1, 1/2, 1/3.

 

Location

1-5-6,
Higashiikebukuro, Toshima-ku, Tokyo, 170-0013

TEL:03-3981-6363
TEL: +81-3-3981-6363

 

・1-minute walk from Ikebukuro station east exit.

・Our clinic is on the right side of “LABI (Yamada Denki)”.
The clinic is on the fifth floor of the building which “Bank of Mitsubishi UFJ” is on the first floor.

 

・Access to our clinic from JR Ikebukuro station east exit
・Access to our clinic by car
・Airport to Ikebukuro

 

 

Map

Doctor career

Director:Yoshiko Hori

(A board-certified ophthalmologist Ph.D)
English fluent

Memberships

Japanese Ophthalmological Society
Japan Ophtalmologists Association
Japan Cornea Society
Japanese Society of Ophthalmic Surgeons
Japanese Society of Cataract and Refractive Surgery

Career

1986: Graduate-School of Medicine of Iwate Medical University
1990: Post Graduate school of Iwate MedicalUniversity
1991: Iwate prefectural Ofunato hospital
1993: Department of Ophthalmology Iwate Medical University Instructor
1993: Schepens Eye Research Institute of Harvard University
1997: Department of Ophthalmology Tokyo Dental College
1997: Minami-Aoyama Eye Clinic
2008: Ichikawa general hospital Department of Ophthalmology Tokyo Dental College
2010: IkebukuroSunshineStreetEyeClinic(Director since 2010)

Main Research

The three-dimensional organization of collagen fibrils in the human cornea and sclera.(maiden name Komai)

Greeting

It is said that we are gaining 80 percent of the outside information through our eyes. Because we live in the information-intensive society nowadays, we tend to overuse our eyes at any times, and tend to suffer from various kinds of eye troubles.
Therefore, ophthalmological checkup and care has become significant.
If you have any concern about your eye condition, please feel free to consult us.
We will provide careful treatment and will try our best so that you can receive our consultation with full satisfaction.

 

Doctor:Yasuhiro Shinkawa

(A board-certified ophthalmologist)

Memberships

Japan Ophthalmological Society
Japanese Retina and Vitreous Society
Japanese Society of Ophthalmic Surgeons

Career

2001: Graduate-Medical Department of Kumamoto University
2002: Department of Ophthalmology Kyoto University School of medicine
2002: Shimada Municipal Hospital
2008: Japanese Red Cross Society
2010: Kitano Hospital The Tazuke Kofukai Medical Research Institute
2014: Ikebukuro Sunshine Street Eye Clinic

Greeting

The eye clinic is the place where the patients, who have vision problems, can recover their eye function and feel how great ''I CAN SEE THINGS' 'is. When we share something impressive with the patients, we feel the happiest.
We’ll continue seeing the patients sincerely.
Thank you very much.
 
We have 1 full-time service orthoptist, 3 part-time orthoptists, 1 full-time nurse and 1 part-time nurses in our clinic.