RETINA CLINIC

Retinal Disorders

Retinal disorders often represent the most serious and challenging eye problems to correctly diagnose and control. We at Hi-Tech Eye Care & Laser Center are dedicated to allowing our patients the most complicated and comprehensive diagnostic evaluations and the most current recommended treatment for all retinal disorders.

What Is Diabetic Retinopathy?

Diabetic Retinopathy is a vascular disease occurring in the retinal vessels due to long standing & uncontrolled diabetes. If left untreated, it may lead to severe loss of vision. With timely diagnosis and proper treatment the vision can be saved.

Symptoms

sudden and total loss of vision
blurred vision
floaters, or spots and dark strings that float in the patient’s field of vision
patches or streaks that block the person’s vision

Causes and risk factors

Long standing diabetes
Uncontrolled blood sugar levels
Coexisting Hypertension
Deranged lipid profile
Smoking

Management

Diagnosis of diabetic retinopathy can be made on routine fundus examination. However certain investigations are done periodically to assess the severity and grade of disease. These include :

Fluorescein angiography
OCT (macular scan)

Treatment depends on the grade of retinopathy and includes :

Strict control of blood sugar and BP
Intravitreal injections of anti-VEGFs
Laser photocoagulation
In advanced cases with complications surgery in form of Pars plana Vitrectomy maybe required.

What Is ARMD?

Age related macular degeneration is one of the leading cause of blindness worldwide. It is a disease of elderly age group seen usually after 60 years. There are 2 types of ARMD :

Dry type – characterized by drusens and usually leads to gradually progressive mild to moderate loss of vision
Wet type -characterized by development of CNVM (choroidal neovascularization) and may lead to sudden and severe loss of vision.

Clinical presentation and diagnosis

Diagnosis of ARMD is usually clinical. The affected patients are elderly, with gradual or sudden decrease in vision in one or both eyes. After dilated fundus examination the typical findings suggestive of the type of ARMD can be seen.

Few investigations required to assess the severity and grade of disease and also the response to treatment are :

Fundus photography
Fluorescein angiography
OCT (macular scan)

Treatment of ARMD

The treatment depends on the type of ARMD.

For DRY type the only option is multivitamin antioxidant capsules. These are prescribed according to the recommendations of AREDS study, which suggest their long term use prevents progression of disease.
For WET type disease we have intravitreal injections of anti-VEGFs like Bevacizumab (Avastin), Ranibizumab (Lucentis, Razumab). These injections have to be given every month for atleast 3 months and may need to be continues even further depending on response. The success of treatment is assessed by improvement in vision and also on OCT analysis.

FACILITIES AVAILABLE

Topcon fundus camera for digital photography and FFA

Green laser

B scan

SD OCT for Macular studies

Diabetic retinopathy screening and laser treatment

Intravitreal injections of anti - VEGFs (lucentis, razumab) for various pathologies like ARMD

Sutureless 23G pars plana vitrectomy for various conditions like vitreous haemorrhage

Retinal diseases often are the most serious and challenging eye problems to correctly diagnose and manage. We at Hi-tech eye Care & Laser Center are committed to offering our patients the best care for their retinal problems. We offer laser treatment for various vascular disorders like Diabetic retinopathy, intravitreal injections of anti-VEGFs for various conditions like wet ARMD. We also have diagnostic & surgical facilities to manage common retinal diseases.