Retinal Diseases

Retinal laser (or retinal photocoagulation) is a major treatment in ophthalmology for protecting the retina and preventing certain serious complications, such as retinal detachment or vision loss related to diabetes or retinal vein occlusions. It does not "repair" everything, but it can often stabilize the condition and limit the risk of worsening. Dr Julien Gozlan, ophthalmologist in Paris 16, explains the indications for this treatment, the practical course of the sessions, the expected outcomes, and the precautions to be aware of.

Intravitreal injections are an essential treatment for many retinal diseases. They allow medication to be delivered directly inside the eye, as close as possible to the macula, in order to preserve vision. Dr Julien Gozlan, ophthalmologist in Paris 16, explains the indications, procedure, effectiveness, and follow-up for this now routine and painless treatment.

A retinal tear is a break in the retinal tissue, often caused by traction from the vitreous (the gel that fills the eye). It can remain silent for a long time or present with floaters, flashes of light, or a curtain effect in the visual field. The main risk is progression to a retinal detachment, which constitutes a surgical emergency. Dr Julien Gozlan, ophthalmologist in Paris 16, explains the warning symptoms, diagnosis, laser treatments, and the follow-up that should be implemented.

Choroidal neovascularization in high myopia is one of the most feared ocular complications in highly myopic patients. Dr Julien Gozlan, an ophthalmologist and surgeon specializing in retinal diseases at Cabinet Ophtalmologique Paris – Auteuil, manages this macular condition using state-of-the-art diagnostic equipment including OCT and OCT angiography. This article details the pathophysiological mechanisms of myopic choroidal neovascularization, its symptoms, current diagnostic methods, treatment with intravitreal anti-VEGF injections, and long-term visual prognosis.

Retinal artery occlusion is an ophthalmological emergency characterised by sudden loss of vision, comparable to a stroke of the eye. This rare but serious condition results from the interruption of blood flow in an artery supplying the retina, causing ischaemia that can lead to irreversible damage within hours. Dr Julien Gozlan, retina specialist at Cabinet Ophtalmologique Paris – Auteuil, explains in this article the different forms of retinal artery occlusion, their causes, warning symptoms, diagnostic examinations performed (fundus examination, OCT, OCT angiography), emergency management, visual prognosis and the critical importance of the associated cardiovascular workup.

Central retinal vein occlusion (CRVO) is an ophthalmological emergency that causes more or less sudden vision loss due to impaired blood drainage from the retina. Dr Julien Gozlan explains the causes, symptoms, useful examinations, and current treatments for this ocular condition.

Age-related macular degeneration (AMD) is a disease affecting the central part of the retina, known as the macula. It primarily affects individuals over the age of 55–60 and can lead to a decline in central vision. Dr Julien Gozlan, ophthalmic surgeon in Paris 16, provides a clear explanation of what age-related macular degeneration (AMD) is, its forms, its symptoms, and the available treatments.

Self-monitoring with the Amsler grid is an essential, simple, and effective component of medical follow-up for AMD (Age-Related Macular Degeneration). It enables the earliest possible detection of any change in central vision that may signal a turning point in the disease. Dr Julien Gozlan, ophthalmologist at Paris – Auteuil Ophthalmology Practice, explains how to perform AMD self-monitoring step by step, from the comfort of your home.

Diabetic retinopathy is a complication of diabetes that affects the small blood vessels of the retina. Often silent in the early stages, it can threaten vision if not detected and treated in time.

Branch retinal vein occlusion (BRVO) is a circulatory disorder affecting a branch of the retinal vein. It can cause decreased vision, sometimes sudden, and requires close ophthalmological monitoring. Dr Julien Gozlan, ophthalmic surgeon, explains the causes, symptoms, examinations, and treatments to be implemented.

Diabetic macular edema is a common complication of diabetes that affects the macula, the central portion of the retina responsible for fine vision. It causes blurred and distorted vision. Dr Julien Gozlan, ophthalmologist at Paris – Auteuil Ophthalmology Practice, provides a clear explanation of the causes, diagnosis by macular OCT, and modern treatments for diabetic macular edema.

Age-related macular degeneration (AMD) is a chronic disease of the macula, the central part of the retina responsible for fine vision. The main causes of AMD and certain risk factors promote its onset or accelerate its progression. Dr Julien Gozlan, ophthalmic surgeon in Paris 16, reviews the causes of AMD and simple measures to better protect your vision.

Age-related macular degeneration (AMD) and cataract are two very common eye diseases after the age of 60. Many patients ask the following question: AMD and cataract — is the surgery risky? Can it worsen the macula? Dr Julien Gozlan, ophthalmic surgeon in Paris 16, summarizes what the scientific evidence shows and what you need to know before undergoing surgery.

Posterior vitreous detachment is a very common condition after the age of 50. The transparent gel that fills the eye, the vitreous, gradually separates from the retina. In most cases, the phenomenon is benign, but it can sometimes be accompanied by a retinal tear.

Central serous chorioretinopathy (CSC) is a retinal disease that primarily affects young or middle-aged adults, often those under stress and sometimes taking corticosteroids. It presents as a small serous detachment of the macula, causing blurred and distorted vision. Dr Julien Gozlan, ophthalmic surgeon in Paris 16, explains the symptoms, the role of OCT, and the treatments for CSC.

OCT angiography is a recent imaging technique that allows visualization of retinal blood flow without dye injection. It has become a major tool in the management of age-related macular degeneration (AMD), particularly for detecting and monitoring macular neovascularization. Dr Julien Gozlan, ophthalmologist in Paris 16, explains the principle of OCT angiography, its specific value in AMD, and how it fits into treatment monitoring.

Age-related macular degeneration (AMD) affects central vision — the vision needed to read, recognize faces, and see fine details. Many patients wonder whether they can still drive with AMD, up to what stage, and under which conditions. Dr Julien Gozlan, ophthalmologist in Paris 16, explains how AMD impacts driving, the visual fitness criteria, and the situations where it becomes advisable to limit or stop driving for safety reasons, while preserving independence as much as possible.

PAMM (Paracentral Acute Middle Maculopathy) is a recently identified ischemic retinal condition affecting the intermediate layers of the macular retina. Dr Julien Gozlan, ophthalmic surgeon specializing in retinal diseases and surgery in Paris 16, provides a comprehensive article on this still poorly recognized condition. We will cover the precise definition of PAMM, its pathophysiological mechanisms, identified risk factors, characteristic symptoms, modern diagnostic methods — particularly OCT and OCT angiography — as well as current management and long-term visual prognosis.

Angioid streaks are a rare but potentially serious ocular condition caused by breaks in Bruch's membrane at the back of the eye. Dr Julien Gozlan, ophthalmic surgeon specializing in retinal diseases in Paris 16, regularly sees patients affected by this condition. In this article, we explain in simple terms what angioid streaks are, their causes, the symptoms that should raise concern, the examinations required for diagnosis, and the treatments available today to preserve your vision.

The pachychoroide spectrum encompasses a set of ocular pathologies sharing common abnormalities of the choroid, this vascular nourishing layer located beneath the retina. First described in 2013, this concept has profoundly changed our understanding of many retinal diseases. Dr Julien Gozlan, an ophthalmologist specializing in retinal diseases at Paris – Auteuil Ophthalmology Practice, offers you in this article a clear and accessible explanation of what pachychoroide is, the different pathologies that make up this spectrum, the examinations necessary for diagnosis and the available treatments.