Chapter 01High complexity

Retina and Vitreous

The retina is the layer that turns light into vision. Diseases that affect it often progress silently — which is why detailed imaging and close follow-up are what determine the outcome.

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Color fundus photograph highlighting the retinal vasculature

The approach

The retina and vitreous subspecialty is the backbone of Dr. Carlos Cury Jr.'s career, with dedicated training in Brazil and a fellowship at Philipps University Marburg, in Germany.

Every recommendation begins with an objective assessment: a complete clinical exam, optical coherence tomography and, when indicated, angiography. The treatment decision is discussed with the patient in clear language, laying out the alternatives and the limits of each path.

  • Retinal detachment

    Urgent evaluation and surgical treatment, with the technique chosen according to the type and extent of the detachment.

  • Macular disease

    Epiretinal membrane, macular hole and age-related macular degeneration, monitored with serial OCT.

  • Diabetic retinopathy

    The subject of Dr. Carlos's master's thesis — screening, photocoagulation, intravitreal therapy and surgery in advanced cases.

  • Vascular occlusions

    Mapping of ischemic areas and treatment directed at the affected territory.

The patient journey

How each case is managed

  1. 01

    Detailed evaluation

    An extended consultation with a dilated fundus exam and imaging documentation.

  2. 02

    Individualized plan

    Discussion of the options — clinical, laser, intravitreal or surgical — with realistic expectations.

  3. 03

    Long-term follow-up

    Scheduled reassessments with comparative exams to measure the response to treatment.

Frequently asked questions

When should I see a retina specialist urgently?

Sudden vision loss, a shadow or curtain in the visual field, flashes of light and a sudden increase in floaters all warrant urgent evaluation.

Do people with diabetes need follow-up even without symptoms?

Yes. Diabetic retinopathy can progress without symptoms, and periodic exams allow intervention at the stage when treatment is most effective.