Vitreo-Retina Diseases and Management

At Mahajan Eye Centre, we offer comprehensive vitreo-retina services, leveraging the latest technology and expertise to diagnose and treat complex retinal diseases. Our state-of-the-art facilities, combined with the experience of our retina specialist make us a trusted choice for managing retinal conditions.

    The eye is a complex organ that converts light into visual signals for the brain. Two critical components of the eye are the vitreous and the retina:

  • Vitreous: A clear, gel-like substance that fills the space between the lens and the retina, maintaining the eye’s shape and allowing light to pass through to the retina.
  • Retina: A thin, light-sensitive layer of tissue at the back of the eye. The retina contains specialized cells that detect light and color, converting them into electrical signals sent to the brain via the optic nerve. The central part of the retina, called the macula, is responsible for sharp central vision.
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    Functions of the Vitreous and Retina

  • The vitreous acts as a medium to transmit light and protect the retina from trauma.
  • The retina processes visual information, enabling us to see clearly and distinguish details, colours, and shapes.

A thorough examination of the retina is essential to detect and diagnose vitreoretinal diseases. Here’s what to expect during a retinal evaluation:

1. Pupil Dilation

  • Why is Dilation Necessary? Pupil dilation allows the doctor to examine the back of the eye, including the retina and optic nerve, for any abnormalities.
  • Process: Dilating eye drops are administered, which take 20-30 minutes to enlarge the pupils.
  • Cautions for Patients:

    • Dilation may cause temporary blurred vision and sensitivity to light, lasting 4-6 hours.
    • Patients are advised to avoid driving immediately after the appointment and to bring sunglasses to reduce light sensitivity.
    • Rarely, dilating drops may cause allergy
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    2. Tests for Retina Examination

  • Indirect Ophthalmoscopy: A handheld light and lens are used to examine the retina in detail.
  • Slit-Lamp Examination with Lens: Provides a magnified view of the retina and vitreous.

1. Optical Coherence Tomography (OCT)

  • What It Is: A non-invasive imaging test that provides detailed cross-sectional images of the retina.
  • Uses: Detects macular diseases (like macular degeneration or edema) and monitors treatment progress.
  • Advantages: Quick, painless, and highly detailed.
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2. Fundus Fluorescein Angiography (FFA)

  • What It Is: A diagnostic procedure where a fluorescent dye is injected into a vein, and a special camera captures images of the retina’s blood vessels.
  • Uses: Identifies blood vessel abnormalities, such as leakage or blockages, commonly seen in diabetic retinopathy or vein occlusions.
  • Preparation and Caution:

    • Patients may experience a temporary yellowing of the skin or urine due to the dye.
    • Allergic reactions are rare but possible.
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3. Fundus Photography

  • What It Is: High-resolution imaging of the retina to document and monitor changes over time.
  • Uses: Often used to track the progression of diabetic retinopathy, macular degeneration, or glaucoma.
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4. B-Scan Ultrasound

  • What It Is: An ultrasound test used to visualize the retina and vitreous when the view is obscured by cataracts, hemorrhages, or other opacities.
  • Uses: Helps detect retinal detachment, vitreous hemorrhage, or tumors.
  • Advantages: Safe and effective for diagnosing posterior segment abnormalities.
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Effective treatment for vitreoretinal diseases often depends on early diagnosis and the specific condition. There are multiple options for treatment in vitreoretinal diseases including medical, laser, and surgical depending on diagnosis and stage of diseases.

  • Intravitreal Injections: Medications like anti-VEGF agents or steroids are injected directly into the eye to manage conditions such as diabetic macular edema, retinal vein occlusions, and age-related macular degeneration.
  • Retinal Laser Therapy: Used to seal retinal tears, reduce abnormal blood vessel growth, or manage diabetic retinopathy.
  • Scleral Buckling: A surgical technique for repairing retinal detachment by indenting the sclera to support the retina.
  • Pneumatic Retinopexy: A less invasive method for retinal detachment where a gas bubble is injected into the eye to push the retina back into place.
  • Vitrectomy Surgery: A minimally invasive procedure to remove the vitreous gel and address conditions like retinal detachment, vitreous hemorrhage, or macular hole.
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At our centre, we treat a wide range of retinal diseases, each requiring specialized care. Here are some of the common retinal conditions we manage:

  • Diabetic Retinopathy: Damage to the blood vessels in the retina due to diabetes. It is one of the leading causes of blindness, and we provide comprehensive treatment, including laser therapy and anti-VEGF injections.
  • Age-Related Macular Degeneration (AMD): A condition that affects the central vision, AMD is treated with anti-VEGF injections and other advanced therapies at our centre.
  • Retinal Detachment: A serious condition that requires urgent surgery, often managed with vitrectomy surgery and laser treatment to reattach the retina.
  • Macular Hole: A small defect in the macula, which is treated with vitrectomy and membrane peeling procedures.
  • Retinal Vein Occlusion: Blockage of the retinal veins can lead to swelling and vision loss, often treated with anti-VEGF injections and laser therapy.

At Mahajan Eye Centre, we specialize in diagnosing and treating a wide range of vitreoretinal diseases. Our advanced technology and expert care ensure optimal outcomes for every patient.

Advanced Diagnostics for Retinal Diseases

We understand that early and accurate diagnosis is crucial for effective treatment of retinal diseases. That’s why we’ve invested in world-class diagnostic equipment, ensuring precise assessment of retinal conditions:

Zeiss Cirrus OCT (Optical Coherence Tomography)

Provides high-resolution cross-sectional images of the retina, essential for diagnosing macular degeneration, diabetic retinopathy, and other retinal diseases.

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Kowa Fundus Photography/ Angiography System

A cutting-edge imaging technique that captures detailed images of retinal blood vessels, helping in the diagnosis of vascular conditions such as retinal vein occlusions and diabetic retinopathy.


Zeiss Humphrey Visual Fields

Essential for assessing visual field defects, particularly in conditions such as glaucoma and retinal degenerations.

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Appasamy Marvel Ultrasound B-Scan

Provides detailed images of the retina and vitreous when the view is obscured, making it invaluable in diagnosing retinal detachments, tumors, or vitreous hemorrhage.


Advanced Vitreo-Retinal Surgeries and Treatments

Our centre is equipped with ultra-modern technology to perform the most intricate vitreo-retinal surgeries with precision and safety.

High-Speed Microincision Vitrectomy Machine:

At Mahajan Eye Centre, we use the state-of-the-art Retikare Vitrectomy Machine, capable of performing vitrectomy at an impressive 7500 cuts per minute. This high-speed precision tool allows for safer and more efficient surgical procedures by minimizing traction on the retina, reducing the risk of complications, and improving surgical outcomes. The machine's advanced fluidics ensure stable intraocular pressure throughout the procedure, providing a smoother experience for both the surgeon and the patient. This technology enables us to handle complex retinal cases with confidence and deliver superior results.

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Zeiss Visulas 532 Green Laser – Efficient Retinal Laser

This state-of-the-art laser machine is used for retinal laser treatments, including panretinal photocoagulation for diabetic retinopathy and focal laser for macular edema. The laser isalso used for treating retinal hole and tears. The precision of the 532 nm green laser ensures effective treatment while minimizing damage to surrounding tissues.


Zeiss Lumera Microscope – Enhanced Surgical Visualization

The Zeiss Lumera Microscope used during surgery provides unparalleled visual clarity, essential for performing intricate procedures like vitreoretinal surgery.High-definition optics allow the surgeon to see even the smallest details, ensuring the highest level of accuracy during surgery. Its depth of field and contrast capabilities are particularly beneficial for complex vitreoretinal cases, enhancing both safety and visual outcomes for patients.

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At the helm of our retina services is Dr. Deepankur Mahajan, a highly respected retina specialist with extensive experience in treating all types of retinal diseases since 2006. Dr. Mahajan completed his training at the prestigious Dr. Rajendra Prasad Centre for Ophthalmic Sciences, AIIMS, New Delhi, India’s apex institution for ophthalmology.

With over a decade of experience in managing complex retinal conditions, Dr. Mahajan is dedicated to providing the highest level of care to our patients.

At Mahajan Eye Centre, we offer comprehensive vitreo-retina services, leveraging the latest technology and expertise to diagnose and treat complex retinal diseases. Our state-of-the-art facilities, combined with the experience of our retina specialist make us a trusted choice for managing retinal conditions.

Why Mahajan Eye Centre?

Expertise and Experience

With our team’s extensive training and experience, combined with our advanced technology, you can trust that you’re in expert hands.

Advanced Technology

We are equipped with the latest diagnostic and surgical tools, ensuring precise treatment for the most complex retinal diseases.

Personalized Care

Every patient is unique, and we develop individualized treatment plans to ensure the best possible outcomes.

Comprehensive Post-Op Care

Complete care from early diagnosis to advanced surgical treatments and post-operative care.

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