Southeastern Retina Associates physicians are dedicated to research and education. We publish our Fundus articles and newsletters to keep eye care professional abreast of advances in eye health.
R. Keith Shuler, Jr., M.D., began seeing SERA patients in June 2012, when he and his family moved to Knoxville. Dr. Shuler previously practiced for five years at Carolina Eye Associates in Southern Pines, NC. “I met Nick Anderson, who is a current SERA physician, when we worked together at Emory University. I wasn’t looking for a change, but he suggested I consider moving my practice and my family to Knoxville. As my wife and I explored the possibilities, we reasoned that a larger university town would have more to offer our children who are 2, 4, 6, and 8 now. I’m really excited about the opportunity to work at SERA and live in East Tennessee.” Amy Shuler, Keith’s wife, holds a master’s degree in elementary and special education. She was actively involved in their North Carolina schools, serving on school board committees and teaching at Sandhills Community College. Dr. Shuler says, “My goal as a doctor is to treat every patient as family. Keep that in your heart, and I believe you will do the right thing for patients.” Dr. Shuler is originally from Atlanta, GA. In 1994, with highest distinction, he earned the B.S. in Biology, with a minor in Business Administration from the University of North Carolina, Chapel Hill. He graduated from Emory University School of Medicine, Atlanta, in 1998. From there he […]
Cris Larzo, M.D., SERA physician, is the senior author and faculty physician, with five colleagues, who co-wrote an article that appears in the February 2012 issue of The International Journal of Clinical Ophthalmology and Visual Sciences. The article describes diagnosis and treatment of endogenous fungal endophthalmitis, or EFE, a rare complication of disseminated fungal infection, or candida endophthalmitis, that generally has a poor prognosis and can result in blindness. The condition is difficult to diagnose, sometimes mimicking ailments that are more common and thereby engendering delays in treatment. Some studies say misdiagnosis of candida endophthalmitis is close to 50 percent, the article reports. A compromised immune system, serious chronic diseases, malignancies, IV drug use, and intravenous catheters are some of the underlying sources for the infection. Microorganisms then migrate through the blood stream to the retina and choroid. Care is complicated for EFE patients because treatment is toxic antifungal therapy. In the recent article, Dr. Larzo and his co-authors who were ophthalmology and pathology colleagues at West Virginia Eye Institute in Morgantown, report a case in which the infection was successfully treated with intravitreal amphotericin B and systemic fluconazole. They describe the unusual case of EFE in a young man whose troubles likely began with a nail fungus. As an immunocompetent patient, his case was rare and the first of its kind reported in North America. […]