Vitreo Retinal Surgery
Vitreo Retinal Services offer comprehensive medical and surgical management of all Vitreo Retinal diseases with cutting edge technology and at an affordable cost. Common diseases like diabetic retinopathy, vascular blocks, age related macular degeneration and retinal detachment are seen in specialized clinics of retina. Close collaboration with key departments like endocrinology, nephrology, neonatology and intern al medicine helps the patient get appropriate, timely and personalized retinal as well as medical management services, the same day.The right mix of clinical services, clinical research, education and community services are provided by the vitreo retina services. Daily OPD and procedure facilities reduce the waiting time of patients from long distances.
Why see a Retina Specialist ?
- Diabetes more than 10 years
- Hypertensives more than 10 years
- Age over 60
- Chronic renal failure
- Vascular blocks
- Sudden dimness of vision
- Sudden visual field loss
- Ocular injuries
- Intraocular tumors
- Retinal detachments
- Age related macular degenerations
- ROP and failure to fix eyes on objects properly
- Collagen vascular disorders
- Systemic vasculitis
- Posterior uveitis
- Chronic CSR
- Cataract surgery complications
- Systemic diseases of vessels or nerves
- Kerala’s first Anti VEGF monoclonal antibody treatment to the eye.
- No injection, sutureless retinal surgery on OPD basis with 25 guage high speed vitrectomy system
- Complete Retinal imaging and evaluation facility with FFA, USG, UBM, OCT and electrodiagnosis
- Laser therapy for ARMD, diabetic retinopathy, vascular blocks and other diseases Wide angle viewing system for vitreous surgery
- Diabetic retinopathy clinic – Daily
- Paediatric retina clinic – Wednesday and Friday
- Surgical retina clinic – Thursday
- ARMD and macula clinic – Monday
Procedures and Equipments
The frequently done procedures are OPD procedures and Surgical Retina procedures.
- Indirect Ophthalmoscopy- To have a detailed 3 dimensional view of the retina till the periphery. The patient is asked to lie down and with an indirect ophthalmoscope, we look at the periphery of the retina. Sometimes, it may ne needed to press on the lids to see the extreme periphery. It is painless, but may cause slight discomfort as bright light is shone into the eyes. We use the Heine Indirect ophthalmoscpe from Germany for this purpose
- Contact and noncontact stereo biomicroscopy- This is done for a detailed 3 D examination of the macula and optic nerve and to look at the vitreo retinal interface. The 90 D lenses for noncontact biomicroscopy and the superquad and transequator are from VOLK.
- Digital fundus camera and imaging – We can take serial pictures to evaluate any subtle changes that may occur with time. A key for all diseases in which we may require observation. We use Zeiss FF 450 plus camera for this purpose.
- Fundus Fluorescein angiography- The corner stone of medical retinal diagnosis. Here a dye is injected into the veins of the hand and serial pictures are taken with the fundus camera. The patient will sit with the chin and forehead apposed against the machine. We use Zeiss FF 450 plus camera for this purpose.
- Optical coherence tomography- A revolution that has improved our understanding of all retinal diseases. This offers an anatomic diagnosis at tissue level and is also nicknamed, bloodless histopathology. This machine gives us anatomic details of the microscopic retina with a resolution of 7 microns. We use a Zeiss OCT 4 machine.
- Ultrasonography and ultrasound biomicroscopy- Standard care for retinal diagnosis in hazy media like cataract and vitreous hemorrhage. An ultrasound biomicroscopy offers view to the extereme periphery of the retina like pars plana and ora serrata as well as the anterior segment and angle structures. We use an Appaswamy machine for USG.
- Humphrey visual field examination- This method of examination is automated visual fields which can offer great help in the functional quantification of the defects in visual function caused by macular pathologies.
- Short wavelength automated perimetry- Blue on yellow perimetry can have more accuracy than white on white fields in the diagnosis of specific conditions.
- Green laser photocoagulation – We use 532 double frequency YAG laser to treat the retina using a Zeiss Visulas machine.
- Laser indirect Ophthalmoscopy- Is used when we want to laser the extreme periphery, ROP, recent post operative cases etc.
- Photodynamic therapy- Special laser therapy for ARMD and CNVM.
- Visual evoked potentials- Electrophysiology will help us determine whether vision is there in infants, in cases with neurological illnesses etc.
Surgical Retina Procedures
- Scleral buckling surgery
- Pars plana vitrectomy
- Vitreo retinal surgeries for PVR and RD
- Diabetic vitrectomies
- Macular hole surgery
- Epiretinal membrane peeling
- Endophthalmitis vitrectomy
- Dropped nucleus and IOLs
- Retained intraocular foreign body removal
- Subretinal bleed removal
- Silicone oil removal
- Submacular surgery
- Intravitreal device insertion
- Intravitreal injections
Common Retinal Symptoms
- Sudden loss of vision
- Sudden loss of visual field
- Dimness of vision
- Central dark spot in front of the eye
- Flashes of light
- Black floats in front of eye
- Distortion of letters on reading
- Transient loss of vision
- Failure to improve vision after cataract surgery
- Difficulty to read
- Seeing things smaller
- Seeing things larger
- Diminished vision from childhood
- Day blindness
- Constriction of visual fields
- Trauma to the eye
- Severe pain in the eye
- White reflex in the eye