The retina is the light-sensing tissue that present in the back of eye. Many conditions affects to the retina which leads to retinal disease or disorder. Retinal disease can cause vision blindness.
Get treatment options for all kind of retinal disease in India from top eye specialist.
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3. What is Retinal Disease
Retinal diseases vary widely, but most of them
cause visual symptoms. Retinal diseases can affect
any part of your retina i.e a thin layer of tissue on
the inside back wall of your eye.
The retina contains millions of light-sensitive cells
(rods and cones) and other nerve cells that receive
and organize visual information.The retina sends
this information to your brain through your optic
nerve, enabling you to see.
Treatment is available for some retinal diseases.
Depending on your condition,Treatment goals may
be to stop or slow the disease and preserve or
restore your vision. If left untreated,some retinal
diseases can cause severe vision loss or blindness.
4. Types of Retinal Disease
Retinal Tear - A retinal tear occurs when the clear, gel-like substance in the center of your eye (vitreous) shrinks and tugs on the thin layer
of tissue lining the back of your eye (retina) with enough traction to cause a break in the tissue. It's often accompanied by the sudden
onset of symptoms such as floaters and flashing lights.
Retinal Detachment - A retinal detachment is defined by the presence of fluid under the retina. This usually occurs when fluid passes
through a retinal tear, causing the retina to lift away from the underlying tissue layers.
Diabetic Retinopathy - If you have diabetes, the tiny blood vessels (capillaries) in the back of your eye can deteriorate and leak fluid into
and under the retina. This causes the retina to swell, which may blur or distort your vision. Or you may develop new, abnormal capillaries
that break and bleed. This also worsens your vision.
Macular Hole - A macular hole is a small defect in the center of the retina at the back of your eye (macula). The hole may develop from
abnormal traction between the retina and the vitreous, or it may follow an injury to the eye.
Macular Degeneration - In macular degeneration, the center of your retina begins to deteriorate. This causes symptoms such as blurred
central vision or a blind spot in the center of the visual field. There are two types — wet macular degeneration and dry macular
degeneration. Many people will first have the dry form, which can progress to the wet form in one or both eyes.
Retinitis Pigmentosa - Retinitis pigmentosa is an inherited degenerative disease. It slowly affects the retina and causes loss of night and
side vision.
5. Diagnosis for Retinal Diseases
Optical Coherence Tomography (OCT) - This test is an excellent technique for
capturing precise images of the retina to diagnose epiretinal membranes,
macular holes and macular swelling (edema), to monitor the extent of age-
related wet macular degeneration, and to monitor responses to treatment.
Fundus Autofluorescence (FAF) - FAF may be used to determine the
advancement of retinal diseases, including macular degeneration. FAF highlights a
retinal pigment (lipofuscin) that increases with retinal damage or dysfunction.
Indocyanine Green Angiography - This test uses a dye that lights up when
exposed to infrared light. The resulting images show retinal blood vessels and the
deeper, harder-to-see blood vessels behind the retina in a tissue called the
choroid.
Ultrasound - This test uses high-frequency sound waves (ultrasonography) to
help view the retina and other structures in the eye. It can also identify certain
tissue characteristics that can help in the diagnosis and treatment of eye tumors.
CT and MRI - In rare instances, these imaging methods can be used to help
evaluate eye injuries or tumors.
6. Retinal Disease Treatments
Uveitis Is usually associated by a variety of circumstances, which lead the middle layer of
the eye, uvea and adjacent tissues to become inflamed. The uvea provides the retina with
blood. The retina is that portion of the eye which focuses and directs the images to the
brain. It is light sensitive. It is usually red because of its uvea blood supply.
The first goal is to decrease the inflammation in the eye in a way that balances the
potential risk of treatment.
Treatments of Uveitis may include:
Prescription eye drops in combination with anti-inflammatory medications - Eye drops
may not penetrate well to the back of the eye, so this type of treatment may not work in
posterior uveitis.
Ocular anti-inflammatory injections - Injections may be to the outside or inside of the
eye. This treatment may be uncomfortable, yet very effective in acute episodes of uveitis.
Surgical Procedures – This may be needed to replace the vitreous (or gel-like area) or to
implant a device in the eye for slow-release of corticosteroid medication.
Uveitis
7. Retinal Disease Treatments
Macular degeneration is an eye disease that may get worse over time. It’s the leading cause of severe, permanent vision loss in people
over age 60.It happens when the small central portion of your retina, called the macula, wears down. The retina is the light-sensing nerve
tissue at the back of your eye. Because the disease happens as you get older, it’s often called age-related macular degeneration. It usually
doesn’t cause blindness but might cause severe vision problems.
Treatments of Macular Degeneration may include:
Anti-angiogenesis Drugs - These medications -aflibercept (Eylea), bevacizumab (Avastin), pegaptanib (Macugen), and ranibizumab
(Lucentis) -- block the creation of blood vessels and leaking from the vessels in your eye that cause wet macular degeneration. Many
people who’ve taken these drugs got back vision that was lost. You might need to have this treatment multiple times.
Laser therapy - High-energy laser light can destroy abnormal blood vessels growing in your eye.
Photodynamic laser Therapy - The doctor injects a light-sensitive drug -- verteporfin (Visudyne) -- into your bloodstream, and it’s absorbed
by the abnormal blood vessels.The doctor then shines a laser into your eye to trigger the medication to damage those blood vessels.
Low Vision Aids - These are devices that have special lenses or electronic systems to create larger images of nearby things. They help
people who have vision loss from macular degeneration make the most of their remaining vision.
Macular Degeneration
8. Retinal Disease Treatments
Keratoconus occurs when your cornea thins and gradually bulges outward into a cone shape. A cone-shaped cornea causes blurred vision
and may cause sensitivity to light and glare. Keratoconus usually affects both eyes and generally begins to first affect people ages 10 to 25.
The condition may progress slowly for 10 years or longer. In the early stages of keratoconus, you can correct vision problems with glasses
or soft contact lenses. Later, you may have to be fitted with rigid, gas permeable contact lenses or other types of lenses
Treatments of Keratoconus may include:
Lenses
Eyeglasses or Soft Contact Lenses - Glasses or soft contact lenses can correct blurry or distorted vision in early keratoconus. But people
frequently need to change their prescription for eyeglasses or contacts as the shape of their corneas change.
Hard Contact Lenses - Hard (rigid, gas permeable) contact lenses are often the next step in treating progressing keratoconus. Hard lenses
may feel uncomfortable at first, but many people adjust to wearing them and they can provide excellent vision. This type of lens can be
made to fit your corneas.
Hybrid lenses - These contact lenses have a rigid center with a softer ring around the outside for increased comfort. People who can't
tolerate hard contact lenses may prefer hybrid lenses.
Piggyback lenses - If rigid lenses are uncomfortable, your doctor may recommend "piggybacking" a hard contact lens on top of a soft one.
Keratoconus
9. Retinal Disease Treatments
Surgical Treatments of Keratoconus may include:
Corneal Inserts - During this surgery, your doctor places tiny, clear, crescent-shaped plastic inserts
into your cornea to flatten the cone, support the cornea's shape and improve vision.
Corneal inserts can restore a more normal corneal shape, slow progress of keratoconus and reduce
the need for a cornea transplant. This surgery may also make it easier to fit and tolerate contact
lenses. The corneal inserts can be removed, so the procedure can be considered a temporary
measure.
Cornea Transplant - If you have corneal scarring or extreme thinning, you'll likely need a cornea
transplant (keratoplasty).
Penetrating keratoplasty is a full-cornea transplant. In this procedure, doctors remove a full-
thickness portion of your central cornea and replace it with donor tissue.
A deep anterior lamellar keratoplasty (DALK) preserves the inside lining of the cornea. It helps avoid
the rejection of this critical inside lining that can occur with a full-thickness transplant.
Cornea transplant for keratoconus generally is very successful, but possible complications include
graft rejection, poor vision, astigmatism, inability to wear contact lenses and infection.
Keratoconus
10. Retinal Disease Treatments
Glaucoma is a group of eye conditions that damage the optic nerve, the health of which is vital for good vision. This damage is often caused
by an abnormally high pressure in your eye. Many forms of glaucoma have no warning signs. The effect is so gradual that you may not notice
a change in vision until the condition is at an advanced stage. Because vision loss due to glaucoma can't be recovered, it's important to have
regular eye exams that include measurements of your eye pressure so a diagnosis can be made in its early stages and treated appropriately
Treatments of Keratoconus may include:
Laser Therapy - Laser trabeculoplasty is an option if you have open-angle glaucoma. The doctor uses a small laser beam to open clogged
channels in the trabecular meshwork. It may take a few weeks before the full effect of this procedure becomes apparent.
Filtering Surgery. - With a surgical procedure called a trabeculectomy ,your surgeon creates an opening in the white of the eye (sclera) and
removes part of the trabecular meshwork.
Drainage Tubes - In this procedure, your eye surgeon inserts a small tube shunt in your eye to drain away excess fluid to lower your eye
pressure.
Minimally Invasive Glaucoma Surgery (MIGS) – The doctor may suggest a MIGS procedure to lower your eye pressure. These procedures
generally require less immediate postoperative care and have less risk than trabeculectomy or installing a drainage device. They are often
combined with cataract surgery. There are a number of MIGS techniques available, and your doctor will discuss which procedure may be right
for you.
Glaucoma
11. Retinal Disease Treatments
A cataract is a clouding of the normally clear lens of your eye. Most cataracts develop slowly and don't disturb your
eyesight early on. But with time, cataracts will eventually interfere with your vision. At first, stronger lighting and
eyeglasses can help you deal with cataracts. But if impaired vision interferes with your usual activities, you might need
cataract surgery.
Surgical Treatments of Cataract may include:
Using an ultrasound probe to break up the lens for removal - During a procedure called phacoemulsification, your
surgeon makes a tiny incision in the front of your eye (cornea) and inserts a needle-thin probe into the lens substance
where the cataract has formed.
Your surgeon then uses the probe, which transmits ultrasound waves, to break up (emulsify) the cataract and suction out
the fragments. The very back of your lens (the lens capsule) is left intact to serve as a place for the artificial lens to rest.
Stitches may be used to close the tiny incision in your cornea at the completion of the procedure.
Making an incision in the eye and removing the lens in one piece - A less frequently used procedure called extracapsular
cataract extraction requires a larger incision than that used for phacoemulsification. Through this larger incision your
surgeon uses surgical tools to remove the front capsule of the lens and the cloudy lens comprising the cataract. The very
back capsule of your lens is left in place to serve as a place for the artificial lens to rest. This procedure may be performed
if you have certain eye complications.
Cataract Surgery
12. HOSPITALS AND TOP DOCTORS FOR RETINAL DISEASE TREATMENT
BLK hospital -A passion for healing BLK super specialty hospital has a
unique combination of the class technology and provide world class
heath care of all the patients. They have 300 eminent consultants 17
Operation Theatre, 650 beds and 125 critical bed care. BLK has
constantly ranked amongst the top 10 multi specialty hospitals in
Delhi NCR, India. For more information please click:
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Dr. Vivek Garg is an experienced eye specialist. He has extensively
trained in performing cataract surgery using most advanced state 0f
the art phacoemulsification technique. Dr Vivek Garg has experience
of more than 12 years in eye related problems. He has performed
more than 10000 cataract surgeries in his career. Kindly find out
more about the doctor by accessing the link -
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vivek-garg/
13. HOSPITALS AND TOP DOCTORS FOR RETINAL DISEASE TREATMENT
Jaypee hospital - The flagship hospital of the Jaypee group, which
heralds the group’s noble intention to enter the healthcare space.
This hospital has been planned and designed as a 1200 bedded
tertiary care multi-specialty facility and has commissioned 525
beds in the first phase. For more information please visit:
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Dr. Satya Karna became Consultant Ophthalmologist at Sankara
Nethralaya, Chennai in 1997, and later on trained to become a
Neuro-ophthalmologist at the same institute & worked as Consultant
Ophthalmologist there till 2003. Dr. Karna has many lectures and
presentations at National level conferences and was the Organizing
Secretary of the Update in Neuro-ophthalmology in October 2002 at
Chennai.For more information please visit:
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karna/
14. HOSPITALS AND TOP DOCTORS FOR RETINAL DISEASE TREATMENT
Artemis Hospital was established in July 2007 by Apollo Tyres Ltd, one of
the leading tyre manufacturers in India. Artemis is a 380 bed; state-of-the-
art, super- speciality hospital located in Gurgaon. Artemis is the first
hospital in Gurgaon to be accredited by JCI and NABH. For more
information please visit:
https://hbgmedicalassistance.com/hospitals/artemis/
Dr. Sameer Kaushal is a qualified eye surgeon from the prestigious All India
Institute of Medical Sciences, New Delhi.After completion of his graduation
as well as post graduation from the prestigious institute, he spent a few
years in the Cornea, Cataract, and Refractive Surgery Unit of the institute
gaining For more information please visit:
https://hbgmedicalassistance.com/doctors/opthalmology/dr-sameer-
kaushal/
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