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Department Of VitreoRetina

Overview

We understand the critical role the retina plays in vision, and we are committed to providing top-notch care for patients with retinal conditions. We are equipped to treat all kinds of retinal diseases with medical, laser and surgical approach. We also provide guidance for treatment of comorbidities which affect the retina like diabetes, Coronary artery diseases and ocular cancers.

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Who We Are

The Vitreoretina service at SCEH is a modern well-equipped department with cutting edge technology to manage all complex medical and surgical patients of various vitreoretinal diseases. The department serves as a tertiary referral base for many patients from many other states.

At SCEH, our team of doctors in the department manage patients of all age groups including babies of retinopathy of prematurity (ROP) to geriatric patients suffering from age related macular degeneration (AMD) and diabetic retinopathy. Vitreoretina department has world-class infrastructure comprising all facilities for medical and surgical retina including micro incision vitrectomy surgery (MIVS) and complex bimanual surgery for proliferative diabetic retinopathy. Our department won the prestigious Americare award for our services delivered to patients with diabetic retinopathy.

We are actively involved in clinical research and various clinical trials are conducted to test the efficacy and safety of new drugs which would help us manage our patients better in future.

Key Facts & Figures for year 2022

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Our Experts

Dr. Akash Chaudhary
Adjunct Consultant, Vitreoretina

Diagnosis & Treatment

Our Retina Department is dedicated to diagnosing, treating, and managing a wide range of retinal diseases that can lead to vision impairment and blindness.

Conditions We Treat

Diabetic retinopathy is an eye condition that can cause vision loss and blindness in people who have diabetes. It affects blood vessels in the retina (the light-sensitive layer of tissue in the back of your eye). If you have diabetes, it’s important to get a comprehensive dilated eye exam at least once a year. Diabetic retinopathy may not have any symptoms at first — but finding it early can help you take steps to protect your vision.

Age-related macular degeneration (AMD) is an eye disease that can blur your central vision. It can make harder to see faces, read, drive, or do close-up work like cooking or fixing things around the house It happens when aging causes damage to the macula — the part of the eye that controls sharp, straight-ahead vision.
AMD is a common condition — it’s a leading cause of vision loss for older adults.
AMD happens very slowly in some people and faster in others. If you have early AMD, you may not notice vision loss for a long time. That’s why it’s important to get regular eye exams to find out if you have AMD.

Retinopathy of prematurity (ROP) is an eye disease that can happen in babies who are premature (born before 37 weeks) — or who weigh less than 2.5 kg at birth. It needs screening at 4 weeks of life, and immediate management if needed.

Central retinal vein occlusion (CRVO) is an eye condition, when a blood clot blocks the main vein where blood flows out of the retina. Some people don’t have any symptoms, but many people with CRVO have blurry vision.

Retinal detachment is an eye problem that happens when your retina is pulled away from its normal position at the back of your eye. If your retina is detached, you may not be able to see as clearly as normal, and you may notice other sudden symptoms, including:

  • A lot of new floaters (small dark spots or squiggly lines that float across your vision
  • Flashes of light in one eye or both eyes
  • A dark shadow or “curtain” on the sides or in the middle of your field of vision

Retinal detachment is a medical emergency. If you have symptoms of a detached retina, it’s important to go to your eye doctor or the emergency room right away.
The symptoms of retinal detachment often come on quickly. If the retinal detachment isn’t treated right away, more of the retina can detach — which increases the risk of permanent vision loss or blindness.

Vitreous haemorrhage is bleeding into the jelly-like filling of the back part of your eye.
Vitreous haemorrhage varies in degree from mild, with ‘floaters’ and haziness in the vision, to complete loss of vision.

Cystoid macular edema or CME, is a painless disorder which affects the central retina or macula. When this condition is present, multiple cyst-like (cystoid) areas of fluid appear in the macula and cause retinal swelling or edema.

A macular hole is a rare eye condition that can blur the central vision you use to do everyday tasks like driving or reading. Macular holes happen when an opening forms in the macula — usually after being stretched or pulled. Most macular holes form because of changes in the eye that happen as you age.

Retinitis pigmentosa (RP) is a group of rare eye diseases. RP makes cells in the retina break down slowly over time, causing vision loss. RP is a genetic disease that people are born with. Symptoms usually start in childhood, and most people eventually lose most of their sight. There’s no cure for RP. But vision aids and rehabilitation (training) programs can help people with RP make the most of their vision.

Eye injuries are common Eye trauma should always be fully assessed, as penetrating eye injuries are otherwise easily missed but can rapidly lead to sight-threatening infections.

Central serous choroidopathy is a disease that causes fluid to build up under the retina. Symptoms may include:

        •        Dim and blurred blind spot in the center of vision
        •        Distortion of straight lines with the affected eye
        •        Objects appearing smaller or farther away with the affected eye

Hereditary macular dystrophies are a large group of inherited eye disorders resulting in irreversible visual loss. They develop due to mutations in one or more genes that lead to the death of the retinal photoreceptor cells.

Routinely performed procedures

  • Fundus fluorescein angiography (FFA)
  • Indocyanine angiography (ICG)
  • Optical coherence tomography (OCT)
  • Optical coherence angiography (OCT-A)
  • Auto-fluorescence(AF)
  • Ultrasound B-scan
  • Ultrasound biomicroscopy (UBM)
  • Transpupillary Thermotherapy
  • Laser photocoagulation
  • Intravitreal injections
Routinely Performed Procedures

Patient Stories

Our Premature fighter

In a small village, 30 Km south of Rewari in Haryana, a precious pregnancy brought newfound hope to a lady...

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Education

Long term retina fellowship

Short term retina fellowship

RESEARCH

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MAJOR PUBLICATIONS

  • Adjunctive Intravitreal Anti-vascular Endothelial Growth Factor and Moxifloxacin Therapy in Management of Intraocular Tubercular Granulomas.

    Agarwal M, Gupta C, Mohan KV, Upadhyay PK, Dhawan A, Jha V. Ocul Immunol Inflamm. 2023 Jan;31(1):158-167. doi: 10.1080/09273948.2021.2002367. Epub 2021 Dec 17. PMID: 34919497.
  • Using deep learning to detect diabetic retinopathy on handheld non-mydriatic retinal images acquired by field workers in community settings.

    Rio, Joan & Nderitu, Paul & Raman, Rajiv & Rajalakshmi, Ramachandran & Kim, Ramasamy & Rani, Padmaja Kumari & Sivaprasad, Sobha & Bergeles, Christos & Bhende, Pramod & Surya, Janani & Gopal, Lingam & Ramakrishnan, Radha & Roy, Rupak & Das, Supita & Manayath, George & T P, Vignesh & Anantharaman, Giridhar & Gopalakrishnan, Mahesh & Natarajan, Sundaram & Kulkarni, Sucheta. Agarwal,M.(2023). Scientific Reports. 13. 1392. 10.1038/s41598-023-28347-z.
  • The role of a multicentre data repository in ocular inflammation: The Ocular Autoimmune Systemic Inflammatory Infectious Study (OASIS).

    Ng SMS, Low R, Pak C, Lai S, Lee B, McCluskey P, Symes R, Invernizzi A, Tsui E, Sitaula RK, Kharel M, Khatri A, Utami AN, La Distia Nora R, Putera I, Sen A, Agarwal M, Mahendradas P, Biswas J, Pavesio C, Cimino L, Sobrin L, Kempen JH, Gupta V, Agrawal R; OASIS Study Group. Eye (Lond). 2023 Mar 14. doi: 10.1038/s41433-023-02472-5. Epub ahead of print. PMID: 36918629.

Why SCEH

At SCEH we offer specialized expertise in diagnosing and treating retinal conditions. We are a team of highly trained professionals with advanced diagnostic imaging technology and equipments.

We provide comprehensive treatment options with wide range of treatment options for retinal conditions, including medical treatments, laser therapies, and surgical interventions. We have well established collaborative care with dialectologists, Pediatricians in NICU and other specialties for a multidisciplinary approach. The hospitals with dedicated retina services are well-prepared to handle emergency situations like retinal detachment and trauma promptly and efficiently.

Keeping abreast with latest research and clinical trials, we have access to cutting-edge treatments and emerging therapies that are not widely available.

For more queries regarding retina services contact 011-43524444 email: sceh@sceh.net