Retina2018-11-22T07:10:33+00:00

Retina and Uvea Services


The retina is like the film of the camera which sends the image to the brain for processing. A damaged retina can lead to significant visual disturbances many of which may become permanent if not treated in time. The retinal diseases are some of the most common causes of a permanent loss of vision in many patients, if not treated on time.

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Problems Associated with Retina

There are four main types of disorders which are related to the retina:

  • Diabetic Retinopathy – It is one of the most common issues associated with people having diabetes. In Diabetic Retinopathy disease, the high blood sugar levels cause damage to the blood vessels of the retina and damage it. In the advanced stages, it can lead to blindness.
  • Retinopathy Of Prematurity – RoP is mainly caused due to the retinal blood vessels developing abnormally and affects prematurely born babies. It can also lead to retinal detachment and blindness.
  • Age-Related Macular Degeneration – The damage of Macula can cause AMD which can lead to a permanent vision loss.
  • Retinal Detachment – It is mainly the detachment of the retina from the layer underneath. If it is not taken care of properly, there is a chance of a permanent vision loss.

Fluorescein Angiography is one of the most common tests that are done to identify the problems which can cause permanent blindness due to the disorders of the Retina.

Based on the results, the patients are either suggested for Anti-VEGF Therapy or Photodynamic Therapy depending upon their condition.

Retina and Uvea

DIABETIC RETINOPATHY

  • It is triggered by complications of diabetes, which can ultimately result in blindness. It is an ocular manifestation of diabetes, a systemic ailment, which affects up to 80 percent of all patients who have had diabetes for 10 years or more. In spite of these intimidating statistics, research specifies that at least 90% of these new cases could be reduced if there was appropriate and watchful treatment and checking of the eyes.
  • The longer an individual has diabetes, the greater his or her probabilities of developing diabetic retinopathy. Diabetic retinopathy often has no initial warning signs. Even macular edema, which might cause vision loss more quickly, might not have any warning signs for some time.

AGE RELATED MACULAR DEGENERATION

  • Age-related macular degeneration starts with characteristic yellow deposits (drusen) in the macula, between the retinal pigment epithelium and the underlying choroid. Maximum individuals with these initial changes (referred to as age-related maculopathy) have good vision.
  • The hazard is higher when the drusen are big and several and associated with disruption in the pigmented cell layer underneath the macula.Age-related macular degeneration is a medical ailment which typically affects older adults and leads to a loss of vision in the center of the visual field (the macula) owing to impairment to the retina.
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RETINAL DETACHMENT

  • Retinal detachment is an ailment of the eye in which the retina crusts away from its underlying layer of support tissue. Initial detachment might be localized, but without speedy treatment, the whole retina might detach, resulting in vision loss and blindness. It is a medical emergency.
  • A retinal detachment is commonly heralded by a posterior vitreous detachment which gives rise to these symptoms: Flashes of light , a sudden dramatic upsurge in the number of floaters, a loop of floaters or hairs just to the temporal side of the central vision, a minor feeling of heaviness in the eye.
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UVEITIS

  • Although Uveitis is generally an isolated illness, myriad conditions can be related with it, including syndromes with major involvement of other body portions, as well as syndromes restrained to the eye. In anterior Uveitis, no related condition or syndrome is found in almost one-half of cases. However, anterior Uveitis is often one of the diseases associated with HLA-B27.
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Retina Surgery at Eyemantra Eye Centre in Delhi

Visit Eyemantra Eye Centre, for Retinal Treatment consultation, where experts work round the clock to ensure the vision of you and your loved ones is protected well. Infants and adults with different types of retina problems are examined here and treated as per the condition. Our eye hospitals have world-class infrastructure and best grade machines to diagnose and treat all kinds of eye conditions.

We also have international patients come from various parts of the world to get their retina surgery done and leave completely satisfied with our treatment.

Solutions for Retinal Diseases

During the initial stages of various retinal diseases, generally, no symptoms are seen apart from the change or blurring in vision. During the later stages of the disorders, vision losses start to occur which may get worse if not treated properly.

In case, if one feels that there is a problem in the eye, they should immediately consult an eye specialist for further examination. If it is a retinal disease, receiving immediate treatment will increase the chances of regaining or retaining your vision, and limit further loss. During the regular eye checkups or consulting with our professionals, we identify various problems of the eye and suggest solutions accordingly. During the initial stages of the retinal difficulties, generally, some precautions and a set of essential medicines and eye drops are recommended for the treatment.

If the diseases are at advanced stages or they are not being cured with the primary treatment, surgery is then recommended after examining the eye condition and understanding the patient’s problems. This is the time when a highly experienced surgeon would step in and identify what type of surgery is needed and what will be the recovery time.

Taking care of all your retina related
eye conditions for healthy vision

Most folks go through life without ever experiencing the problems instigated by retina related diseases but conditions like Diabetic Retinopathy, uveitis etc. can cause permanent blindness if not treated at the right time. Spectra Eye hospital has a team of doctors with an unmatched experience to offer the most complex retina surgeries in a safe way.

Treatment options

Depending upon the diagnosis and severity of disease, following treatment options are used:-

  • Retinal lasers:- Green laser
  • Intravitreal or periocular injection:- Lucentis, Avastin, Eylea, Ozurdex
  • Vitreo-retinal surgery
  • Medical treatment of uveitis

Our Doctors

Dr. Shweta Jain


“Qualification:MBBS, DNB (Opthal)”

Dr. Rajiv Mohan


“Dr. Rajiv Mohan is a renowned ophthalmologist who has been instrumental in providing quality eye care and education in Northern India, both in private and charitable sectors. He received his medical degree from University College of Medical Sciences, Delhi in 1985 and Masters in Ophthalmology from Karnataka University in 1989. In 1990 he did his advanced medical training in the field of vitreo- retina from England and got his FRCS (Glasgow) in 2002. ”

Dr. Sanjiv Mohan


“Qualification: MBBS from SMS medical college Jaipur
MS from Dharwad university, Belgaum.
Trained for higher surgical training in Scotland U.K for 2 years.
FRCS
Experience: Dr. Sanjiv Mohan has an experience of over 18 years as an Ophthalmologist”

Frequently Asked Questions

1. What are the usual symptoms indicating Cataract?
There is a painless, gradual decrease in vision. Early cataract is associated with difficulty in reading in normal light conditions, and extra illumination is required. Excessive glare and reduced sharpness can make night driving difficult. Some experience a rapid change in the number/power of glasses.
In advanced cases there is a complete loss of sight and lens becomes pearly white in colour.
If you experience any of the following issues, schedule an appointment with your eye doctor immediately:

  • Cloudy or blurry vision
  • Double vision (diplopia)
  • Fading of colours
  • Seeing halos around lights
  • An increased sensitivity to glare
  • A distortion of vision that makes objects appear as if you’re looking at them through a veil.

2.What are the problems associated with Cataract?
There is a painless, progressive reduction of vision. Initially, some help is achieved by changing the spectacle number, but in advance cases, the spectacles also prove to be ineffective.

Cataracts are the world’s leading cause of blindness, accounting for approximately 42 percent of all cases of blindness in all the countries, luckily its easily treatable in the present age through a simple surgery.

3. Who is normally affected by Cataract?
Cataract is a long-term problem that usually starts developing around the age of 40 and intensifies by the time an individual attains the age of 50 to 60. It is also caused by eye-trauma, long-term diabetes, corticosteroid medications or radiation treatments.

Some infants are also afflicted by cataract, which is caused as a result of infections during pregnancy. The disorder can also be a symptom of metabolic disease affecting the body’s processing of carbohydrates, amino acids, calcium or copper among infants and young kids. If left untreated, cataracts might also lead to blindness.

4. How long does it take to recover from the surgery?
There is usually no visible scarring, but at times the white of the eye can have a degree of redness.

You may go home with an eye pad and shield, or just a shield. The pad can be removed after the first hour. The shield should be worn at night for the first week.

The eye may feel gritty, and sometimes you may experience some mild headache. These symptoms are common. The discomfort should rapidly improve over the next 24 hours. There should be no worsening of your symptoms. If your discomfort or a headache should deteriorate, you should contact your doctor immediately.

Your vision will normally be much better on Day 2. Sometimes there can be some blurring or misting in the eye, but this should improve over the course of the day. If you feel your vision is becoming more blurred, contact your hospital immediately.

If you take part in a sport that risks a poke in the eye, you should discuss returning to these activities with your surgeon before the operation. You should not go swimming for the first 2 to 4 weeks to minimize the risk of infection. When cycling in the first few weeks following surgery, keep your sunglasses on to reduce the impact of dust.

5. When can I return to work?
Every person recovers differently and has different needs. Surgery normally has a very quick recovery, and the majority of individuals can normally get back to work almost immediately.

Jobs that are more physically demanding and involve exposure to liquids or dust might require a more graduated return to full activities, but are best discussed with your surgeon.

6. Will I need to use glasses after surgery?
The lens which is placed in the eye is of a fixed power. The power of the lens for a particular eye is calculated with the help of an eye ultrasound. After surgery, routine distance activities can be carried out without glasses. For reading, glasses would be required.

You may opt to choose for lenses which provide you vision for distance and near. In such cases, dependency on glasses is reduced.

7. Is there a lens which can give me good clarity for both distance and near vision?
Patent protection is territorial right and therefore it is effective only within the territory of India. However, filing an application in India enables the applicant to file a corresponding application for same invention in convention countries, within or before expiry of twelve months from the filing date in India. Therefore, separate patents should be obtained in each country where the applicant requires protection of his invention in those countries. There is no patent valid worldwide.

8. I have both cylindrical and spherical number. Can both be corrected by cataract surgery?
Cataract surgery has now become a refractive surgery, and the goal is not just to remove the opacified cataractous lens but also to reduce dependency on glasses.

Routine surgery can only correct the spherical component of the eye leaving behind the cylinder power which has to be later corrected by additional prescription glasses.

With advancements in surgical techniques and IOL (artificial lens) designs, today both spherical and cylinder components of the eye can easily be corrected with the highest precision.

The cylinder component in Cataract Surgery can be corrected by three ways

  • LRI or Limbal Relaxing Incisions: In this technique, a Femto Laser is used to give highly precise incisions at the periphery of the cornea to induce cylinder correction. Since these incisions are given by a laser, it can only be coupled with a Femto Cataract Surgery.
  • Toric Lenses with Verion Digital Axis Marking: Toric lenses are special lenses which have both cylinder, and spherical component build in one lens. Since cylinder axis varies in individual eyes, the lens has to be aligned to the specific axis of the individual. In such cases, even a minor deviation from the original axis can cause significant disturbance in final visual outcomes. Now with the introduction of Verion Digital Axis Marking system, these toric lenses can be aligned with outmost precision, up to 1 degree.
  • Toric Lenses with Manual Marking: As discussed above, the final visual outcome in a toric lens depends on how precisely it is aligned to the original cylindrical axis of the eye. Since the manual markings cannot be as precise as digital markings, the manual system may give slightly inferior results compared to the digital system.

9. Can an immature cataract be operated?

It is easier and safer to operate on an immature cataract. As it matures, it tends to become harder requiring more energy to do the same job. Beyond a certain limit, excess energy may cause harm to the eye.

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