RETINA

Best Retina Specialist In Chandigarh – Sharma Eye Care Hospital has the best retina specialist in Chandigarh. The retina is a thin layer of tissue present on the inside back wall of the eye. The retina of the eye can be damaged by the different retinal diseases like a retinal tear, diabetic retinopathy, retinal detachment, macular hole, and many more. If you have any of the retinal problems then connect immediately with Sharma Eye Care Hospital.

Best Retina Specialist In Chandigarh

Diabetic retinopathy is one of the most popular retinal diseases in most of the people. It is basically a diabetes complication which affects the eyes. If diabetic retinopathy does not treat well then it may lead to blindness. So if you are the one who has any problem with the eye and searching for the best retina specialist in Chandigarh then visit our hospital Sharma Eye Care Hospital. You can also contact us through our number 9814528495 or you can drop us a mail at ashok.cornea@gmail.com.

Diabetic Retinopathy

Blood Sugar Control

Controlling your blood sugar and blood pressure is most important in preserving vision. Patients should carefully follow the diet plan as per the dietician’s recommendation and should take the medicine as per the physician’s prescription. Controlling the blood pressure keeps the eye’s blood vessels healthy.

Treatment

ANTI-VEGF

This treatment includes Avastin, Lucentis, and Eylea which helps to reduce the swelling (edema) of the macula. This treatment slows the deterioration in vision and also improves the vision of the eye. This drug is given by the injections in the jelly of the eye (vitreous). This drug work by interfering with the chemicals which encourages the leakiness of the retinal blood vessels at the macula of the eye. It also helps in reducing the swelling of the macula and prevents from the further damage.

Diabetic Macular Edema (DME) Laser Treatment

In diabetic patients, the most common cause of loss of vision is Diabetic maculopathy. The two main types of diabetic maculopathy are macular ischemia and diabetic macular edema (DME).

In diabetic macular edema (DME), the retinal blood vessels leak fluid in the eye. This leakage cause swelling and thickening of the macula. This problem can be treated with the intravitreal injections and laser. In macular ischemia, the thin retinal capillaries of the macula will close and then macula will not receive sufficient blood supply. Unfortunately, there is no treatment for macular ischemia.

Focal/Grid Laser

For DME, the main laser treatment is a focal/grid laser. In this surgery, the laser seals the blood vessels that are leaking the blood and fluid in the retina of the eye. This treatment reduces the further leakage of blood and fluid. It also reduces the swelling of the macula. The retinal laser also stimulates the retinal cells to pump away the excess fluid from the macula.

This laser treatment is only required in those patients who have a bad vision of <20/40 and have macular edema (CSME). The main aim of this laser treatment is to prevent the vision from getting more worse and not to improve it. To improve the outcomes in vision, the intravitreal injections of either anti-VEGF or steroid are combined with the focal retinal laser treatment.

Proliferative Diabetic Retinopathy Laser Treatment

The most severe form of diabetic retinopathy is Proliferative diabetic retinopathy (PDR). It shows the growth of abnormal new blood vessels (which is called neovascularization) in the eye. This abnormal growth of new blood vessels occurs as the natural response to the oxygen and nutrients-saved blocked retinal cells.

These abnormal new blood vessels grow in the vitreous gel and on the surface of the retina. They can easily bleed into the vitreous cavity of the eye (known as vitreous hemorrhage). When these abnormal new blood vessels cause scar tissue formation then it will force the retina which then leads to detachment of the retina (which is known as Tractional Retinal Detachment/TRD).

Pan-Retinal Photocoagulation (PRP)

PRP or scatter photocoagulation is the first line of the proliferative diabetic retinopathy laser treatment. This treatment involves the application of laser on larger areas of the retina. This treatment has the aim of burning or coagulating the ischemic retinal cell in the periphery.

After this Pan-retinal photocoagulation, the ischemic cells of the retinal periphery are replaced by the scar tissue. This lowers the production of chemicals which encourages neovascularisation.

If this problem is treated at the early stages then the abnormal blood vessels may regress and then disappear completely by eliminating the risk of TRD or bleeding. If it is treated in the later stages then the formation of new abnormal blood vessels will prevent but the exciting blood vessels may not regress completely and the risk of TRD or vitreous haemorrhage is reduced but not eliminated completely.

PRP laser is also performed with the focal laser. It can be performed in the consulting OPD. In this treatment, a contact lens is placed on the eye after the dilating or numbing the eye (i.e. local anaesthesia). This contact lens is placed in order to stop blinking and to allow visualization./p>

This treatment can be quite uncomfortable due to the extensive nature of the laser. To reduce the discomfort you can take the anti-inflammatory or pain-relieving medications before this treatment. To reduce the intensity you can take PRP laser treatment in 2 or 3 sessions. If this treatment is still intolerable then you can take sub-tenon anaesthesia injection around the eyes to numb it completely.

To improve the visual outcomes, PRP can be combined with the anti-VEGFs.

Intra-VitrealSteroids

Intra-vitreal steroids are another option which reduces the macular swelling.

Laser Photocoagulation

The laser is the mainstay of treatment for many retina disorders like Diabetic Retinopathy (DR), Vascular Occlusions, Age-Related Macular Degeneration (ARMD) & vascular Malformations.

Pan-Retinal Photocoagulation (PRP)

PRP is a type of laser treatment which is used in the patients who have the problem of new abnormal blood vessels in their retina. This treatment prevents the formation of these new abnormal blood vessels and also encourages existing vessels to shrink and scar. This may lead in less bleeding into the vitreous (vitreous hemorrhage). It can also lead to painful high pressures within the eye (which is known as neovascular glaucoma).

Photo Dynamic Therapy (PDT)

PDT is the new treatment in those who have age-related macular degeneration problem. It is safe where therapy is needed close to the fine vision area i.e. fovea of the retina.

In research, it is found that the laser treatment will reduce the risk of vision loss. It also reduces the risk of the eye which develops painful high pressure.

To reduce the peripheral field of vision the laser treatment is the best option. You can ask your doctor about the possible effects of this treatment in the case if you are a drive and you have to undergo a driving license/renewal test. After this treatment, the night vision may be decreased and the color vision may also get altered in the eyes. Due to the accumulation of fluid in the retina (macular edema), by intended burn in the center of the retina, and by bleeding within the eyes (vitreous hemorrhage) your vision will get worse after the treatment.

Intravitreal Injections

Anti-VEGF is the injections which can be used to treat the swelling at macula (the fine vision area of the retina known as Macular Oedema). Patients are being treated with the injections with great results. These injections can treat problems like:

  • Venous Occlusive disease
  • Age Related Macular Degeneration (ARMD)
  • CNVM due to other pathologies
  • Diabetic Retinopathy
The anti-VEGF agents that have been used routinely are:
  • Aflibercept (Eylea)
  • Pegaptanib sodium (Macugen)
  • Ranibizumab (Lucentis)
  • Bevacizumab (Avastin)

Why Only Sharma Eye Care Hospital For Best Retina Specialist In Chandigarh?

Sharma Eye Care Hospital has a team of well-experienced and best retina specialist in Chandigarh. Dr Ashok Sharma who has done MS in ophthalmology from PGI Chandigarh is the founder and creator of this hospital. He with his team solves the different retina problems of the patients. So if you have any retina disease and your search is about the best retina specialist in Chandigarh then visit immediately Sharma Eye Care Hospital.

Contact Details

Name - Dr. Ashok Sharma's Cornea Centre
Address - Sco 2463-2464, Second Floor, Sector 22 C, Chandigarh - 160022, India
Phone Number - 9814528495

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