What is TPA?
TPA (Tissue Plasminogen Activator) is a nonsurgical eye injection that’s often used to treat patients suffering from wet age-related macular degeneration (AMD). It’s also used to treat a common side effect of AMD, submacular hemorrhages. With wet AMD, new abnormal blood vessels grow under the retina (layer of light-sensitive tissue) in the back of the eye. These vessels leak which can decrease a patient’s ability to see and see clearly. As a result of AMD, a submacular hemorrhage can occur where the blood vessels bleed under the retina which further hinders vision. TPA works by dissolving the clot caused by the leaking blood vessels to improve vision and prevent worsening vision. Both Dr. Shawn Agee and Dr. John Sullivan use TPA therapy for Jacksonville, FL area patients diagnosed with macular degeneration. It is one of numerous treatment options available at our retina center.
What to Expect
Prior to this outpatient procedure, the eye will be cleansed to prevent any infections and numbed with a local anesthetic to alleviate any pain or discomfort. Your retinal specialist may extract fluid from your eye, if needed. TPA will be injected into the vitreous in the middle of the eye which is a gel-like fluid. Eye drops can be placed in the eyes immediately after the injection to further prevent infection and any discomfort. A protective eye patch is often placed over the eye. Your retinal specialist will determine how many further treatments you require, along with their timing.
"He is a very caring Doctor, he will not milk your insurance, he will not give you unnecessary surgery if you don't need it. I will never trust anyone else with my vision"- M.H. / Healthgrades / Aug 17, 2016
"Recently I had an ongoing issue and was passed around to several ophthalmologists via referral. Finally I ended up in Dr. Sullivan's hands. I will say several women I work with had strongly recommended him, and advised me (combined with having been to an ophthalmology appointment 3 times already in a one month span) that I would wait. The receptionist who confirmed my appointment also reminded me "you can expect to be at the appointment up to 4 hours" so it seems my expectations were a little different than some others. When I finally did get to see Doctor Sullivan (an hour and a half or so after my appointment time) he made an extremely scary situation so much better. He has amazing bedside manner and his delivery is understanding. I was really emotional and he assured me he was confident in his diagnosis and resolution. I left the appointment feeling 100 times better & completely happy I ended up in Dr. Sullivan's hands!"- W.T. / Yelp / Jul 19, 2018
"The staff is awesome. Friendly and always smiling?"- D.B. / Facebook / Jun 21, 2018
"Dr Sullivan was awesome !! I took my sister and he was on top of it right away!! She has a huge mass behind eye!! I would recommend them highly ????"- S.B. / Facebook / Jun 02, 2018
"Goes above and beyond for patients. Very detail oriented. Works well with other Dr if you have multiple eye issues such as glaucoma. There are long wait times in the office but it is well worth it. Dr. Sullivan is the primary Dr at the office but have had to see Dr Agee and he is great too. Highly recommend this office and doctors."- S.V. / Google / May 27, 2018
With TPA, many patients can expect their hemorrhages to clear up and for blood vessels to stop leaking. This can result in restored vision with improved central vision and visual acuity (sharpness). Some patients have shown dramatic improvements in their vision in as little as a month.
Is TPA Right for Me?
To find out if TPA is right for you, all you have to do is call our office to schedule a consultation with a retinal specialist. We will be more than happy to walk you through the process, answer all of your questions, and address any concerns. Please feel free to give us a call today.