Vitreoretinal & Vitreous Disorders Treatments in Delhi

Your retina and vitreous are essential parts of your eye that play a crucial role in clear vision. When these structures are affected by diseases or injuries, timely and advanced treatments are necessary. You can consult our retina specialist, Dr. Rajeev Jain, for all your retinal problems and treatments.

Let’s discuss the retinal problems that might affect your eye health.

Vitreoretinal Treatment In Delhi

Retinal Detachment

Retinal detachment is a serious condition where the retina separates from its supportive layers. It requires immediate attention to prevent permanent vision loss.

The retina, a thin layer of tissue at the back of your eye, is vital for converting light into visual signals. When it detaches, it loses access to the oxygen and nutrients supplied by its underlying layers.

Symptoms

  • Sudden flashes of light.
  • A significant increase in floaters (tiny specks in your vision).
  • A shadow or curtain-like effect over your vision.
Retinal Detachment

Treatment Options for Retinal Detachment

1. Scleral Buckling

Scleral buckling is a traditional and effective surgery for retinal detachment. It involves:

  • Placing a silicone band or sponge around the outer layer of the eye (sclera).
  • The buckle pushes the sclera inward, reducing tension on the retina and helping it reattach.
  • A cryotherapy (freezing treatment) or laser is used to seal the retinal tear.

Best for: Rhegmatogenous retinal detachment (caused by a retinal tear)

2. Pneumatic Retinopexy

Pneumatic Retinopexy is a minimally invasive procedure used for smaller retinal detachments. It involves:

  • Injecting a gas bubble (SF6 or C3F8) into the eye.
  • The bubble pushes the detached retina back into place.
  • A laser or freezing treatment (cryotherapy) seals the tear.

Best for: Simple and upper (superior) retinal tears

3. Vitrectomy

Vitrectomy is a highly effective surgery for complex retinal detachments. It involves:

  • Removing the vitreous gel that is pulling on the retina.
  • Using a laser or cryotherapy to seal the tear.
  • Filling the eye with a tamponading agent (gas or silicone oil) to hold the retina in place.

Best for: Complicated cases, giant retinal tears, tractional detachments (due to diabetes), or recurrent detachments.

4. Combination of Scleral Buckling and Vitrectomy

In some cases, both scleral buckling and vitrectomy are needed for better results.

  • The scleral buckle provides external support.
  • The vitrectomy removes internal traction from the vitreous gel.

Best for: Severe or recurrent retinal detachments, cases with multiple retinal breaks.

5. Tamponading Agents Used

To keep the retina attached after surgery, the eye is filled with a tamponading agent:

  • Gas (SF6, C3F8) - Absorbs naturally over weeks, requiring strict head positioning.
  • Silicone Oil - Used in complex cases, must be removed later via surgery.
  • Perfluorocarbon Liquid (PFCL) - Temporarily used during surgery to flatten the retina.

Selection depends on the severity and type of detachment.

Each treatment is chosen based on the type, location, and severity of the retinal detachment. Early diagnosis and surgery are key to preserving vision and preventing blindness. If you notice sudden flashes, floaters, or vision loss, consult an eye specialist immediately.

Know More About Retinal Detachment

Diabetic Retinopathy

This condition develops in people with diabetes when uncontrolled sugar levels damages the retina’s blood vessels. The severity depends on how long you’ve had diabetes and how well it’s managed.

Symptoms

  • Blurry or fluctuating vision or Distorted Vision
  • Dark spots or “floaters.”
  • Difficulty seeing at night.
Diabetic Retinopathy Treatment

Stages of Diabetic Retinopathy

Non-Proliferative Diabetic Retinopathy (NPDR)

In this early stage, blood vessels may swell and leak fluid. Vision might remain unaffected initially.

Proliferative Diabetic Retinopathy (PDR)

This advanced stage involves the growth of abnormal blood vessels that can bleed and cause scarring.

Problems associated with Diabetic Retinopathy

  • Macular Edema

    Swelling in the macula (the central part of the retina) leads to blurred vision.

  • Vitreous Hemorrhage

    Bleeding into the gel-like vitreous can result in sudden and severe vision loss.

  • Clinically Significant Macular Edema (CSME)

    This condition requires urgent treatment due to significant swelling in the macula.

  • Tractional Retinal Detachment (TRD)

    Scar tissue from long-term damage pulls on the retina, causing detachment.

Know More About Diabetic Retinopathy

Epiretinal Membrane (ERM)

An epiretinal membrane is a thin layer of scar tissue that forms on the retina, causing vision to become blurry or distorted.

Symptoms of ERM

  • Straight lines appearing wavy.
  • Difficulty reading or focusing on fine details.

Treatment for ERM

The primary treatment is a vitrectomy, where the scar tissue is carefully removed to restore normal vision.

Epiretinal Membrane (ERM) Treatment

Age-Related Macular Degeneration (AMD or ARMD)

AMD is a common eye condition in older adults that damages the macula, the part of the eye responsible for sharp central vision.

Types of AMD

Dry AMD

This slower-progressing form is characterized by the build-up of yellow deposits (drusens) in the macula.

Wet AMD

This more severe type is caused by abnormal blood vessels leaking fluid or blood into the macula, leading to rapid vision loss.

Geographic Atrophy

This advanced form of dry AMD causes significant loss of central vision due to cell degeneration in the macula.

Symptoms of AMD

  • Blurred or distorted central vision.
  • Difficulty reading or recognizing faces.
Age-Related Macular Degeneration

Amsler Charting or Grid

The Amsler Grid is a simple test that helps detect changes in your macula.

How to Use It

  • Cover one eye and focus on the center dot of the grid.
  • Check for distortions, wavy lines, or missing areas.
Amsler Grid Chart

Vascular Occlusion

When blood flow is blocked in the retina, it can cause sudden vision loss. Early treatment is crucial to save vision.

Types of Vascular Occlusion

Central Retinal Vein Occlusion (CRVO)

Blockage in the main retinal vein causes swelling and bleeding.

Branch Retinal Vein Occlusion (BRVO)

Blockage in smaller retinal veins leads to localized damage.


Treatment Options for Vitreoretinal Problems

Intravitreal Injections

Medications are injected directly into the eye to treat conditions like AMD, diabetic retinopathy, and macular edema.

Anti-VEGF Medications

  • Avastin, Razumab, Eylea: Prevent abnormal blood vessel growth.
  • Vabysmo, Pagenx: Offer advanced solutions for retinal diseases.
  • Accentrix: Specifically targets wet AMD.

Steroid Injections

  • Ozurdex, IVTA: Help reduce swelling and inflammation.
Treatment Options for Vitreoretinal Problems

Laser Therapy

  • PRP Laser: Reduces abnormal blood vessel growth.
  • Focal Laser: Targets specific leaks in the retina.

Vitrectomy

This surgical procedure removes blood, scar tissue, or other debris to restore vision.


Why Choose Save Sight Centre?

  • Highly experienced retina specialist Dr. Rajeev Jain.
  • Cutting-edge diagnostic tools.
  • Comprehensive care tailored to individual needs.

If you notice any changes in your vision, such as blurriness, flashes of light, or dark spots, consult our retina surgeon immediately. Early diagnosis and advanced treatment options can preserve your vision and improve your quality of life.

Best Retina Specialist In Delhi

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