Retina Surgery at Bharti Eye Hospital
Retina is the fine film that coats the inside of the eyeball.
It consists of special cells that convert light into electrical impulses. These electrical signals are sent to the brain where they are processed enabling us to ‘see’. The central part of the retina is called the macula. This area is responsible for fine vision and colour perception.
Some common diseases that affect the retina:
1. Dry age related macular degeneration:
This refers to ageing changes in the macula. The symptoms include blurred central vision that can cause problems such as recognising peoples’ faces or reading print. The symptoms usually develop slowly. The peripheral vision is unaffected.
2. Wet age related macular degeneration:
This refers to the development of new blood vessels under the retina along with the features of dry age related macular degeneration.
The new blood vessels leak fluid into the macula and can cause distortion of the central vision.
The symptoms tend to develop rapidly and the condition needs to be treated promptly.
The most effective treatment is Anti-VEGF medicine that is injected into the gel at the back of the eye known as the vitreous. This shrinks the abnormal blood vessels and clears the fluid from the macula. Several injections are often needed to completely treat the condition.
3. Diabetic Retinopathy:
Increased glucose circulating in blood in diabetes has a damaging effect on the retinal blood vessels. This disrupts the fine balance of nutrition of the retina and leads to leakage of fluid and cholesterol from blood into the retina.
In advanced cases of diabetic retinopathy, there occurs formation of new blood vessels within and over the surface of retina which further leak more fluid. These abnormal blood vessels are prone to bursting, leading to vitreous hemorrhage.
Vision can become blurred gradually if this leakage occurs in the macula. New fragile blood vessels can also grow on the surface of the retina which can lead to bleeding within the vitreous cavity and lead to sudden loss of vision.
The Main Treatments For This Condition Include Laser Photocoagulation And Injections Of Anti-VEGF Medicines Into The Vitreous.
4. Retinal Vein Occlusion:
In retinal vein occlusion, there occurs blockage of blood flow in the retinal vein. This leads to impaired outflow of blood. The symptoms of rvo are sudden blurring of vision.
The degree of visual blur depends on the severity of the blockage and the location.
High blood pressure, high cholesterol and diabetes are the main risk factors associated with developing this condition.
Treatment options include laser photocoagulation, implanting a steroid pellet into the vitreous and Anti- VEGF injections into the vitreous.
Optical coherence tomography(OCT) technology allows us to see cross sectional images of the retina. Here there is a small mound within the macula that is formed by a collection of fluid.
5. Central Serous Retinopathy:
In CSCR there occurs accumulation of fluid just beneath the macula. The patient complains of inability to read the fine print and/or seeing a black spot in the centre. It is most commonly seen in young males. An association has been seen with the use of steroid medication, smoking and mental stress.
The condition often resolves on its own but occasionally laser treatment is applied to ‘switch off’ the leakage areas.
6. Myopia And Its Retinal Manifestations:
Myopia or short-sightedness is a very common condition. Myopic eyes are longer than normal eyes and therefore their retina is stretched over the eye wall. Regular retina check up for myopic patient is mandatory.
Retinal diagnostic modalities available:
- Amsler grid
- Fundus camera
- Fundus fluorescein angiography (FFA)
- Optical coherence tomography(OCT)
- B-scan ultrasound
Treatment modalities available:
- Retinal lasers
- Anti-VEGFs:Avastin and lucentis injection
- Intravitreal steroids: triamcinolone and ozurdex injection
- All type of retinal surgeries
- Retinopathy of prematurity(ROP) screening and laser
Best Eye Hospital in India for Retina Treatment
Bharti Eye Hospital is the best eye hospital in India for retina treatment. Retina department at Bharti eye is equipped with the latest equipment of international standards.
All diagnostic tests for retina evaluation are available:
- Fundus photography
- OCT macula
- OCT angiography
- Fundus fluorescein angiography
- ICG angiography
- B scan ultrasonography
- ERG, EOG, VEP
Bharti eye is equipped with the advanced multispot retinal laser.
Our team of retina specialists is well trained in handling the most challenging retinal pathologies and complicated retinal surgeries. All retinal surgical procedures and intravitreal injections, intravitreal bevacizumab (Avastin), ranibizumab (Lucentis, Accentrix) and aflibercept (Eylea) are performed here.
The common retinal pathologies that are treated at bharti eye are mentioned below:
Diabetic Retinopathy – Occurs in eyes of patients with poor control of diabetes.
Retinopathy Of Prematurity – Occurs in premature infants.
Age-Related Macular Degeneration – Occurs in old aged people where macula starts degenerating
Retinal Detachment – Emergency situation where the retina is lifted up from its normal position
Patients with retinal pathologies visit us for world class treatment from all over India as well as from abroad.
Dr. Bhupesh Singh
Senior Consultant Cornea, Cataract and Refractive Surgery Specialist
Dr. Bhupesh Singh is a senior consultant and practicing Ophthalmologist at Bharti Eye Hospital, New Delhi. He is a Cornea, cataract and refractive surgeon. He has done his post graduation from Regional Institute of Ophthalmology, Sitapur. READ MORE
Dr. S. Bharti
Director & Senior Consultant- Cataract & Refractive Surgery, Cornea Specialist
Dr. S. Bharti is founder and managing director of Bharti Eye Hospital, New Delhi. He passed his M.B.B.S. with honours from S. N. Medical College, Agra and did his postgraduate degree from the same institution in 1981. READ MORE
What My Clients Say
Dr. Bharti is amazing! My sister, my dad and I all went to him for LASIK and PRK. He is the BEST, hands down. I recommend Dr. bharti to everyone who is considering LASIK.
The procedure was quick and easy, recovery time was extremely fast and I would recommend getting Cataract from Dr. Bhupesh Singh to everyone! I’m just sorry I didn’t get Cataract sooner.
I love coming here because staff here is extremely knowledgeable. From the front desk, to the techs, to the doctors, everyone does their jobs extremely well and makes an appt go smoothly. I’ve seen Dr. S. Bharti and Dr. Bhupesh Singh and both are great.
I had my Lasik surgery 4 days ago and I’m still amazed that I can see! I had bad eyes for about 18 years and 10 of those years I was almost legally blind. To be able to see crystal clear is such a beautiful feeling it makes me want to cry. Dr. S. Bharti has changed my life.