Retina Department

Nandadeep Retina Clinic is famous for having extensive diagnostic set up with latest laser machines, world class operation theatre & experienced surgeons.The eye is like a camera with a lens in front and a film (retina) at the back.

Why is the retina important?

Your retina is an essential part of your vision as it's responsible for turning light rays into images through signals to the brain. When there's a problem with your retina due to eye disease, ocular trauma or other conditions, you run the risk of causing long-term damage to your eyesight.

What are the symptoms of a damaged retina?

blurred vision
Blurred Vision
flashes of light
Flashes Of Light
peripheral shadows
Peripheral shadows
Floaters
Floaters
black spots
Black Spots
distorted images
Distorted Images
reading difficulty
Reading Difficulty

Common Retinal Disorders which are exclusively treated at Nandadeep Retina Clinic

Macular scar
Macular scar
retinal vein occlusion
Retinal vein occlusion
pigmented epithelial detachment
Pigmented epithelial detachment
age related macular degeneration
Age related macular degeneration
Central serous retinopathy
Central serous retinopathy
Retinal haemorrhage
Retinal haemorrhage
Retinal detachment
Retinal detachment
Retinal artery occlusion
Retinal artery occlusion
Bulls eye maculopathy
Bulls eye maculopathy
Retinitis pigmentosa
Retinitis pigmentosa
Albinotic fundus
Albinotic fundus
Diabetic retinopathy
Diabetic retinopathy

Diabetic Retinopathy

People with diabetes can have an eye disease called diabetic retinopathy. This is when high blood sugar levels cause damage to blood vessels in the retina. These blood vessels can swell and leak. Or they can close, stopping blood from passing through. Sometimes abnormal new blood vessels grow on the retina. All of these changes can steal your vision.

Stages of Diabetic Eye Disease

There are two main stages of diabetic eye disease.

NPDR (non-proliferative diabetic retinopathy)

This is the early stage of diabetic eye disease. Many people with diabetes have it.

With NPDR, tiny blood vessels leak, making the retina swell. When the macula swells, it is called macular edema. This is the most common reason why people with diabetes lose their vision.

Also with NPDR, blood vessels in the retina can close off. This is called macular ischemia . When that happens, blood cannot reach the macula. Sometimes tiny particles called exudates can form in the retina. These can affect your vision too.

If you have NPDR, your vision can be blurry or even normal.

NPDR nandadeep

PDR (proliferative diabetic retinopathy)

PDR is the more advanced stage of diabetic eye disease. It happens when the retina starts growing new blood vessels. This is called neovascularization. These fragile new vessels often bleed into the vitreous. If they only bleed a little, you might see a few dark floaters. If they bleed a lot, it might block all vision.

These new blood vessels can form scar tissue. Scar tissue can cause problems with the macula or lead to a detached retina

PDR is very serious, and can steal both your central and peripheral (side) vision.

PDR nandadeep

Diabetic Retinopathy Symptoms

You can have diabetic retinopathy and not know it. This is because it often has no symptoms in its early stages. As diabetic retinopathy gets worse, you will notice symptoms such as

  • seeing an increasing number of floaters
  • having blurry vision
  • having vision that changes sometimes from blurry to clear
  • seeing blank or dark areas in your field of vision
  • having poor night vision, and
  • noticing colors appear faded or washed out
  • losing vision

Risk Factor

Anyone who has diabetes can develop diabetic retinopathy. Risk of developing the eye condition can increase as a result of :

  • Duration of diabetes — the longer you have diabetes, the greater your risk of developing diabetic retinopathy
  • Poor control of your blood sugar level
  • High blood pressure
  • High cholesterol
  • Pregnancy
  • Tobacco use

How frequently one should visit for Diabetic Retinopathy checkup?

DR Status Follow-up
No apparent DR Yearly depending upon risk factors
Mild NPDR Every 9 months
Moderate NPDR Every 6 months
Severe NPDR Every 3 months
Clinically Significant Macular Edema Every 2-4 months
Non-Clinically Significant Macular Edema Every 6 months
PDR Every 2-3 months

* Follow-up guidelines as per American Academy of Ophthalmology (AAO:2011)

Diagnostic Facilities at Nandadeep

What are treatment options at Nandadeep?

Vitreo-Retinal Surgical Services

  • World Class OT
  • Experienced vitreo-retinal surgeon
  • Various vitreo-retinal surgical techniques
  • Pars Plana Vitrectomy (Retinal Detachment surgery)
  • Silicone Oil Insertion & Removal
  • Endolaser
  • Scleral Buckling
  • ILM peeling (Macular Hole surgery)

Intravitreal Injections

Wide range of Intra vitreal Anti Vascular Endothelial Growth Factor (anti-VegF) injections available:

  • Avastin (Bevacizumab)
  • Zaltrap (ziv-aflibercept)
  • Razumab (Ranibizumab)
  • Accentrix (Ranibizumab)
  • Eylea (aflibercept)
  • IVTA (Intravitreal Triamcinolone Acetonide)

Laser Photocoagulation

  • Multispot laser has been designed to satisfy the needs of retinal photocoagulation, from proliferative diabetic retinopathy, macular edema to tears and detachments
  • Extensive safety features
  • Advance features help to speed up the treatment time and reduce patient chair time
  • Preferred wavelengths for painless treatment