Macular edema treatment

Personalised care from diagnosis to recovery

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Have you been diagnosed with macular edema?

Macular edema is a swelling in the central retina (macula) caused by fluid leakage or inflammation. It can lead to blurred or distorted vision and may develop gradually or come on more suddenly. Most cases are linked to other conditions like diabetes or retinal vein occlusion, and while not always urgent, rapid treatment is important when vision changes quickly.

What causes macular edema?

Cystoid macular edema occurs when fluid builds up in cyst-like spaces in the macula. This part of your retina is responsible for sharp, central vision, so swelling here can affect reading, driving, and facial recognition. It often results from:

It is not always sight-threatening, timely macular edema treatment may be needed to protect vision, especially when symptoms progress quickly.

Common symptoms of macular edema

You may notice:

  • Blurred or distorted central vision

  • Difficulty reading or focusing

  • Colours appearing faded or washed out

  • A central shadow or blind spot

You should seek medical advice if symptoms appear suddenly or worsen rapidly.

How we diagnose macular edema

The first step in treating macular edema involves a thorough eye examination and retinal imaging. At our central London clinic, you’ll be seen by Professor Tom Williamson, one of the UK’s leading retinal surgeons. You’ll have time to explain your symptoms, ask questions, and receive a clear plan for next steps.

At your appointment, Professor Williamson will carry out:

  • Optical Coherence Tomography (OCT): A detailed scan showing fluid build-up in the retina
  • Fluorescein angiography: Used in some cases to map blood flow in retinal vessels
  • Clinical eye exam: To assess visual function and rule out other causes

Professor Williamson takes a calm, unhurried approach, explaining everything clearly so you understand what’s going on and what can be done.

Tailored treatment for macular edema

After reviewing your test results and examining your eyes, Professor Williamson will recommend the most effective macular edema treatment for your case.

Intravitreal injections

Anti-VEGF injections block the chemical signals that trigger abnormal blood vessel growth and leakage. By reducing leakage and swelling, they can improve or stabilise vision.

Read more about intravitreal injections.

Anti-inflammatory drops

Particularly for macular edema linked to inflammation or following cataract surgery. These steroid drops reduce swelling and are prescribed for several weeks, with follow-up to monitor recovery. Professor Williamson will guide you through the best option for your specific case.

Ongoing care and monitoring

Macular oedema is often a long-term condition that requires regular management. Under the care of Professor Williamson, you’ll have:

  • Ongoing monitoring with OCT scans
  • Repeat injections or treatments as needed
  • Coordination with your GP or diabetes specialist where appropriate

We provide consistent care throughout. Professor Williamson follows each case closely, adapting your treatment plan as needed and staying available for any concerns.

“Our family has trusted Prof. Williamson’s outstanding eye care for over 20 years”

William L.

Your recovery - what to expect in the days and weeks ahead

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Treatment time

~15–30 minutes

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Hospital Stay

Outpatient (same-day)

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Recovery

Gradual improvement over days to weeks

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Driving

Often possible within 24–48 hours

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Flying

Allowed after 1–2 days

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Work

Light duties next day; varies by case

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Follow-up

Usually within 2–4 weeks

Meet Professor Williamson

Professor Tom Williamson is one of the UK’s foremost retinal surgeons, practising in London. With over 40 years in the field, he has performed more than 20,000 operations and is recognised for both his meticulous technique and consistently successful outcomes. Known for his clear, pragmatic approach, Professor Williamson offers patients highly personalised care with continuity over the long term.

Tom Williamson, retina specialist london

What does macular edema treatment cost?

The cost of injections for self-paying patients is:

  • £1,953 for one eye
  • £3,208 for both eyes
Initial consultation
£350
OCT scan (if needed)
£269 - 349
Visual assessment
£79
Laser retinopathy (per eye)
£1,199
Total
From £1,897

Insurance

We work with major insurance providers, including Bupa, AXA‑PPP, Vitality, WPA, and Aviva. As Professor Williamson is not a fee‑assured consultant, your insurer may not cover the full amount - we’ll confirm any costs with you before treatment.

Trusted by patients for decades

“He is a very skilled surgeon; I am truly grateful to him, and I would recommend him to anyone without a second thought”

Roger S.

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“I felt confident in the diagnosis, treatment, and care I received, so when another issue arose I returned to Professor Williamson, knowing I could rely on him”

Enid R.​​

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“I come for regular checks to meet with the Professor and I feel confident that I am under the care of an expert”

Anthony T.

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Contact us

We’re here to help you understand what’s happening and guide you through your treatment with clarity and care.

Tom Williamson retinal specialist london

Frequently asked questions