About Retinology Institute

INTRODUCING RETINOLOGY INSTITUTE

Delivering world class medical and surgical management of retinal, macular and vitreous diseases.

Retinology Institute was formed to manage macular, retinal and vitreous diseases. At our friendly practice in Glen Iris, Melbourne, we have state-of-the- art equipment to facilitate accurate diagnosis and optimal treatment.

An emphasis is placed on combining clear communication and caring administrative staff to reduce the stress of living with potentially blinding retinal disorders. Patients are generally referred by GPs, optometrists and ophthalmologists, but also attend following recommendations from patients or family.

A/Prof Heriot is internationally recognised for his clinical insight, surgical expertise and clinical research aimed at improving outcomes. He believes that the best of clinical care is never static, as there are always improvements being made in medicine.

A/Prof Heriot also believes that as all patients have unique features, a major part of offering the best clinical care involves the assessment of which of the current treatment options is best suited for each particular patient.

Our current knowledge stands of the shoulders of clinicians and scientists who expanded our knowledge about diseases and new treatments. We have a need, and an obligation, to continue that exploration for current and future patients. This exploration ranges from participation in international treatment trials evaluating new therapies (such as drugs or laser), to laboratory-based projects. At Retinology Institute, blending current and new treatments offers the highest level of care for patients suffering from a wide range of retinal diseases.

Retinal Specialist

What is a retinal specialist and why would you need to see one, instead of a general eye specialist

Although the eye appears small and potentially simple, there are a number of highly specialised areas which have very different disease processes. The miniaturisation of eye structures requires extreme precision in the diagnostic and therapeutic management. Retinal specialists undergo subspecialty training, specifically gaining much greater knowledge of retinal and vitreous disorders. This is completed after their 4 years of general training, which covers the basic sciences and general ophthalmic diseases ranging from eyelid pathology through to understanding the visual system within the brain.

Retinal specialists have a range of diagnostic and therapeutic equipment not available at most general ophthalmic practices and certainly not at an optometrist. This knowledge and equipment is essential to provide much greater precision in diagnosis of retinal diseases and to be able to offer more treatment options. At Retinology Institute, we have the full range of diagnostic equipment. For example, ocular coherence tomography (OCT), which is used to study the different tissue layers. We also have OCT angiography equipment which is a new technology that does not require intravenous drug injection for many macula diseases.

Intravenous dye angiography (study of the blood vessels within the eye), using both fluorescein and indocyanine green dye, provides essential information for diabetic eye disease and other retinal vascular diseases such as retinal vein occlusions which OCT examination cannot reveal. We also have a variety of lasers that are unmatched in Melbourne.

For further information regarding the unique range of specialised equipment available at Retinology Institute please see State of the Art Equipment.

Clinical research – the benefits for patients

“In ophthalmology, clinical research is the interface between blindness and cure.”

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Internationally, A/Prof Heriot is known as a clinician scientist who has been engaged in developing new insights about retinal diseases, developing new treatments, participation in clinical trials and other research for decades.

His ongoing participation in medical research allows him to bring the latest science to the clinical care of his patients – drawing on academic research and global knowledge.

Retinology Institute has a specifically designed clinical office with international certified examination equipment, secure confidential file storage and a monitored drug fridge to ensure RI patients can participate in the evaluation of promising new drugs such as the next generation drugs for macular degeneration, diabetes and retinal vein occlusion.

Participation in such trials offers hope for patients who cannot be helped by current treatments. Blending current techniques and technologies with access to treatments of the future offers the best care to our valued patients.

State-of-the-art equipment

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Our examination and treatment rooms were designed by A/Prof Heriot after decades of experience around the world. The unique setup encourages face-to-face communication between doctor and patient. The large-wall mounted computer monitor provides clear visualisation of the test results and education material to help patients better understand their disease and treatment.

Specialised diagnostic equipment includes the MAIA macula microperimetry to quantify the severity of macular degeneration and, in particular, better defines the cause of reading problems to guide better reading patterns for some AMD patients.

The practice also features a specially developed powerful laser which facilitates retino-choroidal bypass formation to better treat some forms of retinal vein occlusions, a 3ns 532nm laser which provides a gentler treatment of selected macular diseases, and a unique YAG laser for office-based treatment of “floaters” (laser vitreolysis) which is very effective in selected patients with this condition.

Melbourne specialist in retinal disease for the young and the old.

While we at Retinology Institute treat a wide range of retinal diseases, we specialise in the diagnosis and treatment of macular degeneration, central retinal vein occlusion, diabetic retinopathy and vitreoretinal surgical pathologies. This includes childhood retinal pathology. Under the guidance of A/Prof Heriot, our staff expertly perform the diagnostic tests and assist setting up some of the procedures for treatments of these specialised conditions.