Retina Service

The Vitreoretinal Service at Sood Eye Care Centre offers expertise in diagnostic, medical and surgical retina. Diagnostics forming the backbone of every successful treatment, we provide a very advanced small pupil fundus camera for Fundus Fluorescein Angiography, and a precise Optical Coherence Tomography system. Treatment of all retinopathies affecting the eye due to diabetes, hypertension, vascular malformations and age related macular degeneration is possible with laser and anti-VEGF injections depending on the requirement.

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The Vitreoretinal Service at Sood Eye Care Centre offers expertise in diagnostic, medical and surgical retina. Diagnostics forming the backbone of every successful treatment, we provide a very advanced small pupil fundus camera for Fundus Fluorescein Angiography, and a precise Optical Coherence Tomography system. Treatment of all retinopathies affecting the eye due to diabetes, hypertension, vascular malformations and age related macular degeneration is possible with laser and anti-VEGF injections depending on the requirement.

The Retina

The Retina is an extremely crucial structure for vision. It is located in the posterior segment (back of our eye). In lay terms it is called the curtain of the eye. The retina can be divided into two regions: the central (macula) and the peripheral. The macula is a very small area in the centre of the retina upon which light rays are focused by the cornea and the lens of the eye. The macula being the most sensitive portion of the retina is responsible for acute (sharp) vision, – that is for reading, writing, threading a needle and other fine tasks. The periphery of the retina gives us vision to the side, which is called “peripheral vision”. This is what we refer to when we say, “I saw something from the corner of my eye.” Common Retinal Disoders include- DIABETIC RETINOPATHY AGE RELATED MACULAR DEGENERATION VASCULAR OCCLUSIONS RETINAL DETACHMENT

OCT, Fundus Camera

Imaging Modalities

Fluorescein Angiography (FA) A special dye (Sodium Fluorescein) is injected into your vein and serial photographs of the retina are taken. The photographs may reveal leaking new vessels (choroidal neovascular membrane), define its location in reference to the centre point and determine any associated finding i.e. hemorrhage, exudates. Fluorescein angiography is an important tool in planning treatment and a recent angiogram is essential at the time of treatment. Repeat angiograms after treatment are indicated to confirm the status of the lesion.

Optical Coherence Tomography (OCT) This is a newer noninvasive test, which gives an accurate structural analysis of the retina. It is a non contact scan which provides very high resolution imaging without the need for any injection of any dye etc.

Fundus Imaging (small pupil) - Technique to take photograph of retina in non diluted pupil in order to identify the status of retina and to know the progression of the retinal disease.

Medical Treatment Modalities

Laser Photocoagulation Laser for long has been the mainstay of treatment for many retina disorders as Diabetic Retinopathy, Vascular Occlusion, Age Related Macular Degeneration, Vascular Malformations and as a prophylaxis treatment for Retina Tears and Lattice Degenerations.

Intravitreal Injections Oedema or swelling at the macula (The central fine vision area of the retina) known as Macular Oedema can be well treated with Anti-VEGF injections of Lucentis and Triamcinolone Acetate. For years our patients have and are being treated with these injections at regular intervals with improvement in vision and decrease in oedema. AntiVEGF injections also play a very important role in the treatment of wet AMD and have been used at our centre for years with appreciable and significant treatment results .

OZURDEX A novel intravitreal drug delivery system has been developed that gradually releases the steroid dexamethasone after it has been inserted into the eye through a small puncture. It is composed of biodegradable copolymers. As dexamethasone is released, the polymer slowly degrades into carbon dioxide and water. Since the implant eventually dissolves completely, sequential implants can be placed into the eye over time without the need for surgical removal. It has shown great benefit in treatment of macular oedema due to retinal vein occlusions.