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Understanding your
Retinal conditions

A smiling older couple outdoors — understanding your retina and its health

Understanding your
retina and its health

Your retina is a thin, light-sensitive layer at the back of the eye that plays a vital role in clear vision. A variety of retinal conditions can affect its ability to function properly, leading to symptoms such as blurred vision, floaters, distorted sight, or even sudden vision loss. While some conditions develop gradually with age or underlying health issues like diabetes, others require immediate medical attention.

Understanding these conditions is the first step toward protecting your vision and receiving the right treatment. Explore the categories below to learn more about the most common retinal diseases, their symptoms, and the treatment options available.

Conditions we diagnose and treat

Three practice physicians in white coats posed side by side outside the office entrance doors

Expert care for every
retinal condition

Retinal conditions encompass a range of diseases that affect the light-sensitive tissue at the back of the eye, where vision begins.

These conditions vary in cause and severity, from age-related changes and diabetic eye disease to vascular disorders and retinal emergencies, but all benefit from early detection and expert care. By recognizing the signs and understanding the underlying condition, patients can make informed decisions and access treatments that help preserve sight.

Explore the categories above to learn more about the retinal conditions we diagnose and treat.

What Our Patients Say

  • “Dr. Rial treated my diabetic retinopathy and retinal hemorrhage with laser and injection. One month later, my vision has improved significantly. I'm grateful for his expertise and care.”

    Sue Phillips

    Salisbury, Maryland

  • “Love new place the girls were great and the doctor was fast no complaints about the new location a lot better”

    K H

    Salisbury, Maryland

  • “Staff is always friendly. Dr. Schwartz is very professional and informative. I was legally blind in one eye and can see now.”

    Bonnie Hillwig

    Dover, Delaware

  • “Dr. Paul is the BEST. Very professional, understanding, looks outside the box if there is a problem.”

    Cathy Catheu

    Salisbury, Maryland

  • “Very fast and efficient with a great staff. I truly enjoyed my appointment and received excellent care. Highly recommend!”

    Robin Gleason

    Ocean Pines, Maryland

  • “Office staff is very efficient and appointment with Dr. was great. He listened, addressed concerns, very professional. Highly recommend this practice.”

    Elizabeth DiCicco

    Milford, Delaware

  • “Dr. Rial is awesome! I travel 6 hrs for my annual retina evaluation. Eyes thoroughly examined, eyesight better because of Dr. Rial. I trust his evaluation completely.”

    Mary Jo Vasil haines

    Dover, Delaware

  • “Thank you to the entire staff who are professional, kind and caring. A special shout out to Lauren who always makes me feel so comfortable and cared for.”

    Susan de Faria

    Milford, Delaware

  • “I want to say thank you to the Drs and team for getting me in on short notice for an emergency appointment and a shout out to Laura for keeping me updated on my appointment and calling me back in a timely manner thank you all.”

    Sharon Price

    Milford, Delaware

  • “If it weren’t for Dr. Schwartz and his staff, I would’ve lost my most precious gift. Thank you a billion times over for your incredible care!”

    Darrell

    Easton, Maryland

  • “Dr. Paul is passionate about patient care, listens closely, and always puts patients first. I travel to see him; he and his team provide unbelievable service and support!”

    Kathleen Calvert

    Easton, Maryland

  • “Dr. and staff are WONDERFUL! Eye emergency on while on vacation. They saw me right away, thorough exam, sent drops to pharmacy, printed records. So thankful!”

    Chasy Fronheiser

    Milford, Delaware

  • “Everyone professional, took time to explain. Nicole did a great job and was patient helping me understand. I really appreciate the overall experience.”

    Rowland Gaunt

    Milford, Delaware

  • “Dr Rial and his staff are Amazing! Very nice and professional! I will recommend him to everyone!”

    Rina Morgan

    Salisbury, Maryland

  • “Appointment was kept on time and Dr. was attentive to my needs and cared about my health.”

    Tony Dagostino

    Milford, Delaware

  • “Courteous & competent staff. My concerns and questions were answered and easily understood.”

    Susan Grant

    Milford, Delaware

  • “Excellent staff and doctors, professionalism paramount. Treatment detailed, very effective. I chose them for a second opinion and they should have been first.”

    Bernard B

    Salisbury, Maryland

  • “I like everyone at the surgery office. Everyone was attentive and explained in detail. Doctor was experienced and made me aware of everything. Thanks 😊.”

    William Morrow

    Milford, Delaware

  • “All staff members were very pleasant. Dr. Paul is a God sent. I feel very comfortable with him. I trust his judgement of my treatment to my eye.”

    Mildred M

    Salisbury, Maryland

  • “I was scared about my eye injury, but they explained everything and helped me not worry.”

    J M

    Dover, Delaware

  • “My visit at Atlantic Retina was good as usual. Shorter wait time, overall very good.”

    William Wooters

    Dover, Delaware

  • “First cataract eye was cloudy 24 hrs after surgery. Second eye surgery was a completely different experience! Super clear vision! Thank you Dr.!!!”

    Cindi Chaimowitz

    Milford, Delaware

  • “Very nice assistant at the desk. Nurse practitioners were so nice and friendly. Dr. was a very nice doctor too and friendly. Very good Eye Specialists.”

    Priscilla Matthews

    Milford, Delaware

  • “After frequent prescription changes and vision loss, Dr. Rial diagnosed macular pucker and prescribed drops. After 6 weeks, the bulge reduced by half. Excellent care and treatment.”

    Jeffrey Williamson

    Easton, Maryland

  • “Love the Dr.’s patience and clear communication. All staff nice and respectful. Very short wait!”

    Barbara Bigelow

    Dover, Delaware

  • “I thought it was an eye emergency. Bayhealth had no time. These guys took me in right away, squeezed me in, great care when I needed it. Use these guys!”

    Nan Mulligan

    Milford, Delaware

  • “I’ve seen Dr. Rial for 8–9 years. I appreciate his professionalism, respect, and thorough care. I have full confidence in his diagnoses and guidance.”

    James Lavin

    Easton, Maryland

  • “I’ve been a patient for 3+ years. Dr. Rial and his staff are excellent; pleasant, competent, and thorough. His injections are nearly painless, and my sight remains normal thanks to him.”

    Marilyn Mann

    Easton, Maryland

  • “Dr. Lagonigro was patient and understanding. His office staff professional, courteous and very helpful.”

    John Moschitta

    Dover, Delaware

  • “We went to Azar Eye Institute for an emergency due to my husband’s sudden floaters. They were prompt, caring, and fit us in immediately. Grateful for their excellent, attentive care!”

    Kirsten Krogen

    Ocean Pines, Maryland

  • “Very friendly staff, very helpful and very professional. Would highly recommend to family and friends.”

    Lisa Parsons

    Milford, Delaware

  • “Dr. Paul is the best. The office is responsive and the care is the reason for my eyesight being the best it can be.”

    Susan Watkins

    Salisbury, Maryland

  • “Dr. Paul is a busy and compassionate doctor. He knows my husband's history of M. D. Now he has my own M. D. To deal with. As promised, the black dot disappeared by morning. I am very appreciative that Dr. P. Comes to Easton. Thank you.”

    Tom Knight

    Easton, Maryland

  • “Dr James Rial is always very friendly and professional. He spends whatever time it takes to carefully explain his diagnosis. Staff also very friendly and make me feel confident that they are the best.”

    Steve Trowbridge

    Salisbury, Maryland

  • “I had an emergency visit to Atlantic Retina Center before a Europe trip. Dr. Lagonigro and staff were efficient and caring, thoroughly examining my eyes and clearing me for travel.”

    Deborah Reilly

    Easton, Maryland

  • “Professional courteous staff, listens to my feedback. Dr. Paul is thorough, understanding and patient.”

    Howard Winfree

    Easton, Maryland

  • “Nichole H. was patient, nice and thorough. Then Dr. came in, wonderful doctor. One of the best eye exams I have had. Highly recommend the Milford location.”

    Jackie H.

    Milford, Delaware

  • “A long time patient, Always been impressed with Atlantic Retina Center and Dr. Rial’s care. Professional, courteous, and Dr. Rial always addresses any concerns. Grateful to have such wonderful care.”

    Kelley Rouse

    Salisbury, Maryland

  • “I visited Atlantic Retina Center for macular degeneration. Dr. Schwartz and staff were professional and skilled, with excellent equipment and care. Highly recommend their services.”

    Chaz Farkass

    Easton, Maryland

  • “Staff very friendly and professional. Waited 3 minutes. Ikea was nice and thorough. Dr. Paul is wonderful and answered all my questions.”

    Paul S

    Dover, Delaware

  • “Since 2018 I’ve had great experience with Dr. Rial and staff. Started with bleeding retinas, now no problems for almost a year.”

    Jim Burkart

    Dover, Delaware

  • “Everyone is polite and friendly. They make you feel like you’ve known them for years. Really comfortable.”

    anthony scalia

    Dover, Delaware

  • “I’ve been a patient at Atlantic Retina for years, referred by my optometrist after a retinal detachment. Dr. Rial and his team have been exceptional in monitoring and preserving my vision.”

    Mark Schotte

    Salisbury, Maryland

  • “Very helpful reception staff, efficient processing through the appointment, and very professional treatment.”

    John Harrison

    Easton, Maryland

  • “The staff are friendly. Dr. Schwartz is nice and kind.”

    Karen Cassese

    Dover, Delaware

  • “Dr. Schwarz is always thorough and professional, and his technicians provide excellent, skilled support. Highly recommend this practice.”

    Sheega Beemom

    Easton, Maryland

  • “Everyone was so pleasant and organized. And right on time! Dr. Rial took the time to answer my questions and explain what was going on with my eyes.”

    Karin Packard

    Easton, Maryland

  • “All staff very pleasant. Dr. Paul is a God sent. I feel comfortable with him and trust his judgment of my eye treatment.”

    Mildred Myers

    Dover, Delaware

  • “Professional and friendly staff. Clean and very modern equipment. Would definitely recommend!”

    Maren Hudson

    Milford, Delaware

  • “Everyone was professional, pleasant, and competent. Dr. Schwartz was thorough, patient, and answered all questions about my first laser procedure. I appreciate them seeing me and protecting my vision.”

    Nancy White

    Salisbury, Maryland

  • “Visit was calm and enjoyable. Staff professional and friendly. Impressed with high-tech equipment. Wait minimal. Never felt rushed with the doctor.”

    Laura Petranto

    Milford, Delaware

  • “Dr. Paul has been fantastic. A few years back i had an emergency and he was very calm and helped me thru the process. I couldn't ask for a better ophthalmologist!”

    Jon Lipka

    Salisbury, Maryland

  • “Dr Schwartz and his team provide first rate care. I have wet AMD in both eyes and I depend on these folks to protect my eyesight -- and they do!!”

    Len Smith

    Salisbury, Maryland

  • “Love the Dr. He always treated me with respect, was personable, listened to my complaints, never just rushed me through a visit and assured me that the problem would be resolved. Great doctor and bedside manner as it is called, is "5 stars" WORTHY!”

    Virginia Evans

    Milford, Delaware

  • “Very knowledgeable staff and wonderful receptionists. Excellent care and highly recommended office for anyone seeking professional eye services.”

    Natasha Vick

    Ocean Pines, Maryland

  • “Very efficient and courteous staff. Dr. is thorough, helpful, explained clearly, answered questions. Appointment soon as new patient. Will see him annually.”

    Adrian Morris

    Milford, Delaware

  • “Excellent staff and doctors. Treatment plans detailed and effective. I chose this office as second opinion, should have been first choice.”

    Bernard Bogan

    Dover, Delaware

  • “Dr. and office staff were friendly and professional. Love the layout of the building and hi-tech equipment. Highly recommend.”

    Joseph Gordon

    Milford, Delaware

  • “It may have taken a little but worth the wait. Beautiful office, friendly efficient staff. ”

    Linda Foskey

    Milford, Delaware

  • “Dr. Paul Lagonigro is 5 Star! After an hour drive, the eye doctor is worth it. Excellent care at Atlantic Retina.”

    JKC M

    Dover, Delaware

  • “Great practice with nice staff and professional service. Dr. Paul Lagonigro listens to you and helps you understand what is going on. I'd recommend them to anyone”

    Vicky Heeger

    Salisbury, Maryland

  • “Atlantic Retina the entire Dover and Salisbury staff are caring and professional. Dr. Schwartz is superior in his profession.”

    shirley m sands

    Salisbury, Maryland

  • “Highly recommend Dr. Schwartz and team. I called with an eye emergency and was seen within an hour. Anytime I’ve had an emergency, I’m seen same day. He’s professional and very knowledgeable.”

    Livn “Liv” Lyfe

    Salisbury, Maryland

  • “Everyone was very pleasant. I felt at ease and not nervous. Would recommend to family and friends.”

    Janice Cockerille

    Milford, Delaware

  • “Everything went well with new format for signing in. Thrilled to be back with Dr. Thanks.”

    Harry Talley

    Milford, Delaware

  • “A routine eye exam found a problem. My optometrist referred me to ARC, and they scheduled me the next day. Dr. Rial and staff were exemplary; professional, skilled, and caring.”

    Lee Karrh

    Easton, Maryland

  • “Always a comforting experience. Staff professional, kind, courteous and helpful. Dr. Rial is one of the best eye specialists. Highly recommend.”

    Lori Wood

    Dover, Delaware

  • “Great eye care! Professional, thorough, and attentive. I would highly recommend this practice to anyone seeking quality eye care.”

    Matt

    Ocean Pines, Maryland

  • “I’m an orthopedic surgeon—often on the emergency side. This time, Dr. Paul Lagonigro cared for my mother in an eye crisis. His team was professional, the gear was state‑of‑the‑art; thank you!”

    William Doran

    Salisbury, Maryland

  • “The staff were very friendly and professional. Ikea was nice and thorough. Dr. Paul is wonderful and answered my questions.”

    Paul Shultz

    Salisbury, Maryland

  • “The doctors and staff at Atlantic Retina Center are excellent. Dr Rial is thorough and tells you about the real deal in a way you can understand it. I couldn't ask for better treatment.”

    Andrew Schneider

    Easton, Maryland

  • “Dr. is a kind, and patient Dr. Nice to see in younger generation. Back staff girls funny & kind. Reception kind too. Thank you for a good experience!”

    Michele Finn

    Milford, Delaware

  • “I have always had a great experience with Dr. Schwartz. Professional, thorough, and caring; highly recommend for eye care.”

    Beverly Miller

    Easton, Maryland

  • “My 92-year-old mom with dementia needed an eye injection for macular degeneration. The staff and doctor were kind, professional, and made the procedure quick, gentle, and comfortable.”

    Donna Spitz

    Easton, Maryland

  • “Dr. Paul was very attentive to my concerns and questions, providing professional and caring eye care. Highly satisfied with my visit.”

    Charlie Leaver

    Easton, Maryland

  • “Dr. Schwartz and his staff are friendly, professional, and efficient. Highly recommend for excellent eye care.”

    Melanie Dement

    Easton, Maryland

  • “Doctor Paul and the entire staff were absolutely over the top with concern and care. We need more doctors in any branch of medical care to take lessons from the Staff and Doctor Paul!”

    Vernon Spear

    Easton, Maryland

  • “Dr. Paul Lagonigro and staff gave me confidence and kept me informed. Forever grateful to Dr. Joseph Schwartz who performed my surgery and the entire Atlantic Retina Center team for excellent care.”

    J.D

    Salisbury, Maryland

  • “Staff extremely helpful and kind. Dr. was absolutely amazing, invested in my care and went the extra mile. If you want the best care then come here. Thank you!”

    Kenny Snider

    Milford, Delaware

  • “Atlantic Retina, Dover and Salisbury staff caring and professional. Dr. Schwartz is superior in his profession.”

    shirley M S

    Dover, Delaware

  • “Great personal patient attention. Very organized. They handled everything for my cataract surgery and follow-up appointments were informative. Great staff.”

    Lisa Calvert

    Milford, Delaware

  • “Well organized office. Great staff. First visit involved emergency repair of torn retina by Dr. Schwartz for which I was very appreciative. He and the staff continue with follow up care. Many thanks.”

    Diane Malone

    Salisbury, Maryland

  • “Preferred by my eye doctor and never disappointed. Customer service amazing. The Doctor listens and cares. Friendly people, blessed to find them.”

    Shonda Miller

    Dover, Delaware

  • “Dr. Rial is a great Doctor. He takes care of his patients and even though he is very busy he is friendly and takes his time with each of us to help us with our eye problems.”

    Janet Otto

    Easton, Maryland

  • “My first visit, all staff were very polite and informative.”

    Nancy Graves

    Dover, Delaware

  • “Staff is always friendly. Dr Schwartz is very professional and informative. I was legally blind in one eye and can see now.”

    Bonnie H

    Salisbury, Maryland

  • “Dr. was very thorough in explaining my glaucoma condition and treatments. Much more than 2 ophthalmologists I saw in NY for 8 years. He's a 10-star doctor!”

    Maryann Durant

    Milford, Delaware

  • “Dr. Paul is the best. The office is responsive and care is the reason for my eyesight being the best it can be.”

    Susan W

    Dover, Delaware

  • “Dr. Rial and staff were very personable, efficient, and explained each procedure before it was done. I felt very at ease and that I was in professional & capable hands. Thank you for such good care.”

    Patricia Harfeld

    Easton, Maryland

  • “Dr. Paul Lagonigra is very knowledgeable, extremely competent and person centered. Even though he knows I am also a health professional and have been treated for macular degeneration for several years, he always makes sure that I am comfortable with my treatment.”

    Regina Cusson

    Salisbury, Maryland

  • “Everyone is very pleasant. The Dr. gave me good news!”

    Bill Schaefer

    Dover, Delaware

  • “Dr. Paul is the BEST. Very professional, understanding, looks outside the box if there is a problem.”

    Cathy C

    Dover, Delaware

  • “My wife had retinal detachment. Dr. did initial evaluation, Dr. performed surgery, skills impeccable, thorough and considerate. Staff top notch. Grateful!”

    Rich Durbin

    Milford, Delaware

  • “Thank you. We had an exceptional experience and our concerns were addressed with compassion and understanding.”

    Mar Ker

    Dover, Delaware

  • “My husband was diagnosed with wet AMD. Thanks to a quick referral, he began treatment promptly. Dr. Lagonigro was professional, knowledgeable, and concise. We are so grateful. 5⭐️⭐️⭐️⭐️⭐️”

    JKC Maine

    Salisbury, Maryland

  • “Always professional and engaging while getting me in and out quickly. Dr. Rial is the man!”

    John Schmidt

    Dover, Delaware

  • “Love new place, the girls were great and the Dr. was fast. No complaints, a lot better.”

    Karen Harrington

    Dover, Delaware

  • “My experience was awesome! The staff are fantastic, and Dr. Lagonigro is the best. I would highly recommend this office to anyone seeking quality eye care.”

    Janet Moore

    Easton, Maryland

  • “First visit nerves went away because of kind services. Laser part was my concern but there wasn’t any problem. Pleasant experience.”

    Jean Jamison

    Dover, Delaware

  • “Dr. helped my boyfriend so much. On vacation he got an eye infection and Dr. made sure he got what he needed even though they were slammed. Very nice guy.”

    Jenna peters

    Milford, Delaware

  • “I’ve been treated for macular degeneration 7+ years. This was the first painless treatment as assistant used generous numbing drops. I plan to request extra numbing in the future.”

    teri gray

    Dover, Delaware

  • “The staff was courteous and professional and I didn't have a long wait before I was seen. Dr. Rial was thorough with his tests and explained the results clearly.”

    Susan Griffith

    Salisbury, Maryland

  • “I was a little scared about my eye injury, and they explained everything, and helped me to not be as worried.”

    Jomol Mo

    Salisbury, Maryland

  • “Extremely satisfied from check-in to check-out. Nurses were pleasant and thorough. Dr. Rial clearly explained my MRI results and next steps. Very grateful for the excellent care.”

    Wayne Robinson

    Easton, Maryland

  • “Dr. Paul Lagonigro and team gave me confidence. Grateful to Dr. Joseph Schwartz for surgery and Atlantic Retina team for excellent care.”

    Jean Dowding

    Dover, Delaware

  • “Friendly staff. Dr. Schwartz explains things very well. Very clean facility.”

    Ray T

    Dover, Delaware

  • “The staff is always friendly and knowledgeable. My doctor is thorough in her diagnosis, providing professional and attentive eye care. Highly recommend!”

    J 5

    Ocean Pines, Maryland

  • “The staff is very nice at the desk and Dr. was nice, knowledgeable, and punctual!”

    Holley Porter

    Milford, Delaware

  • “So good to know Dr. is back in Milford. Office is beautiful and relaxing. Staff, especially Nicole, is amazing.”

    Bishop Marion L. Hendricks

    Milford, Delaware

  • “Dr. Rial is exceptional! I travel 6 hours for my annual retina evaluation. He thoroughly examines my eyes, compares yearly images, and always addresses my concerns.”

    Mary Jo V.

    Salisbury, Maryland

  • “Long-time patient, impressed with Atlantic Retina Center and Dr. Rial’s professional, courteous care. Grateful for wonderful care.”

    K R

    Dover, Delaware

  • “Everyone was cordial and professional. Dr. Paul Lagonigro was personable and performed an outstanding eye exam with modern equipment. He explained results clearly and outlined future treatment paths.”

    John Elko

    Salisbury, Maryland

  • “Friendly staff Dr.Schwartz explains things very well. Very clean facility”

    Ray Thompson

    Salisbury, Maryland

Convenient retina care across the Delmarva peninsula

Ready to protect your vision