Retina Surgery

Retina surgery is a medical procedure that involves operating on the retina of the eye to treat various conditions such as retinal detachment, macular degeneration, and diabetic retinopathy. The duration of surgery can range from 30 minutes to several hours, depending on the complexity of the case. Hospitalization is usually not required, and patients can go home the same day. However, they may need to avoid strenuous activities and follow specific post-surgery care instructions, such as using eye drops and avoiding rubbing their eyes.

Average cost of treatment-

$1,500-$2,500

Retina surgery, also known as vitreoretinal surgery, is a specialized procedure performed to treat various conditions affecting the retina, a vital part of the eye responsible for vision. It is commonly used to address retinal detachment, macular holes, and diabetic retinopathy. The surgery involves intricate techniques and advanced tools to reattach the detached retina, remove scar tissue, repair damaged blood vessels, and restore optimal retinal function.

Performed by highly skilled ophthalmologists or retina specialists, retina surgery offers hope to patients experiencing vision-threatening conditions. With the help of cutting-edge surgical techniques and state-of-the-art equipment, these procedures have significantly improved the outcomes for patients, allowing them to regain or preserve their vision. Retina surgery plays a crucial role in preventing vision loss, preserving visual acuity, and improving the overall quality of life for individuals with retinal disorders. The specific approach and techniques used in retina surgery are tailored to each patient's unique condition, ensuring the best possible outcomes.

Fundus Examination: This is a comprehensive examination of the back of the eye, including the retina, optic nerve, and blood vessels. It is often performed using a specialized instrument called an ophthalmoscope.

Optical Coherence Tomography (OCT): This non-invasive imaging test uses light waves to create cross-sectional images of the retina. It provides detailed information about the thickness and integrity of different retinal layers.

Fluorescein Angiography: In this test, a dye called fluorescein is injected into a vein, and a series of photographs are taken as the dye circulates through the blood vessels in the retina. It helps identify any abnormalities, such as leaking blood vessels or blockages.

Indocyanine Green Angiography: Similar to fluorescein angiography, this test uses a different dye called indocyanine green to visualize blood flow in the deeper layers of the retina. It is particularly useful for evaluating conditions affecting the choroid, such as choroidal neovascularization.

Electroretinography (ERG): This test measures the electrical responses of the retina to light stimulation. It helps assess the overall functioning of the retina and is commonly used in the diagnosis of inherited retinal diseases.

Visual Field Test: This test evaluates the peripheral vision and detects any abnormalities or blind spots in the field of vision. It is particularly useful for conditions affecting the peripheral retina, such as retinitis pigmentosa or glaucoma.

Please note that the specific diagnostic tests recommended may vary depending on the suspected retinal condition and the judgment of the ophthalmologist or retinal specialist.

There are several reasons or causes that may lead to the need for retina surgery, including:

1. Age-related macular degeneration (AMD): This is a common eye disease that affects the macula, the part of the retina responsible for central vision. AMD can cause vision loss and may require surgery to prevent further damage.

2. Diabetic retinopathy: This is a complication of diabetes that affects the blood vessels in the retina. Surgery may be necessary to prevent vision loss or to treat complications such as retinal detachment.

3. Retinal detachment: This occurs when the retina separates from the underlying tissue, which can cause vision loss. Surgery is often necessary to reattach the retina and prevent further damage.

4. Macular hole: This is a small hole in the macula that can cause vision loss. Surgery may be necessary to repair the hole and restore vision.

5. Epiretinal membrane: This is a thin layer of scar tissue that can form on the surface of the retina, causing vision distortion. Surgery may be necessary to remove the membrane and restore vision.

6. Vitreous hemorrhage: This occurs when blood leaks into the vitreous, the gel-like substance that fills the eye. Surgery may be necessary to remove the blood and prevent further damage.

Overall, retina surgery is typically performed to treat conditions that affect the retina and can cause vision loss or other complications.

Here are some common symptoms that may indicate the need for retina surgery:

Flashes of light: Sudden or recurring flashes of light in your vision, similar to seeing a camera flash or lightning.
Floaters: Dark spots, specks, or cobweb-like shapes that appear to float across your field of vision.
Blurred or distorted vision: Vision that is blurry, hazy, or distorted, making it difficult to see fine details or read small print.
Loss of peripheral vision: Gradual or sudden loss of side or peripheral vision, resulting in a narrowed visual field.
Shadow or curtain in vision: The sensation of a shadow or curtain obstructing part of your vision, which may indicate a retinal detachment or tear.
Central vision loss: Progressive or sudden loss of central vision, which can affect activities such as reading, driving, or recognizing faces.
It's important to note that these symptoms can be associated with various retinal conditions, and a proper diagnosis by an ophthalmologist or retina specialist is crucial to determine the need for retina surgery. The specific type of retina surgery required will depend on the underlying condition, such as retinal detachment, macular hole, diabetic retinopathy, or retinal vascular diseases.

Vitrectomy

Treatment/Procedure: Vitrectomy is a surgical procedure to remove the vitreous gel from the eye and replace it with a saline solution.

How it is done: The surgeon makes small incisions in the eye and inserts tiny instruments to remove the vitreous gel. The saline solution is then injected to replace the gel.

Time it takes: The procedure usually takes 1-2 hours.

Risk associated: The risks associated with vitrectomy include bleeding, infection, retinal detachment, and cataract formation.

Cost of treatment: The average cost of vitrectomy in India is around USD 2,000-3,000 in good hospitals. However, the cost may vary depending on the hospital, location, and the severity of the condition.

Laser Photocoagulation

Treatment/Procedure: Laser Photocoagulation is a medical procedure used to treat various eye conditions such as diabetic retinopathy, macular degeneration, and retinal vein occlusion.

How it is done: During the procedure, a laser beam is directed at the affected area of the retina, which creates small burns that seal off leaking blood vessels and prevent further damage to the retina.

Time it takes: The procedure usually takes around 15-30 minutes per eye.

Risk associated: The risks associated with laser photocoagulation are minimal, but some patients may experience temporary vision loss, bleeding, or infection.

Cost of treatment: The average cost of laser photocoagulation in India ranges from $200 to $500 per eye, depending on the hospital and the severity of the condition. However, the cost may vary for different hospitals and cities.

Scleral Buckling

Treatment/Procedure: Scleral Buckling is a surgical procedure used to treat retinal detachment. It involves placing a silicone band or sponge around the eye to push the sclera (white part of the eye) towards the detached retina, allowing it to reattach.

How it is done: The procedure is performed under local or general anesthesia. The surgeon makes a small incision in the eye and places the silicone band or sponge around the eye. The band or sponge is then tightened to push the sclera towards the detached retina. The incision is then closed with sutures.

Time it takes: The procedure usually takes 1-2 hours.

Risk associated: The risks associated with scleral buckling include infection, bleeding, damage to the eye, and vision loss.

Cost of treatment: The average cost of scleral buckling in India for good hospitals is around USD 1,500-2,500. However, the cost may vary depending on the hospital, location, and the severity of the condition.

Pneumatic Retinopexy

Treatment/Procedure: Pneumatic Retinopexy is a surgical procedure used to treat retinal detachment. It involves injecting a gas bubble into the eye to push the detached retina back into place.

How it is done: The procedure is performed under local anesthesia. A small incision is made in the eye and the gas bubble is injected. The patient is then instructed to position their head in a specific way to help the gas bubble push the retina back into place. Laser or cryotherapy is then used to seal the retina in place.

How much time it takes: The procedure usually takes about 30 minutes to an hour.

How much risk is associated: There are some risks associated with Pneumatic Retinopexy, including infection, bleeding, and increased pressure in the eye. However, the risks are generally low.

Average cost of treatment (USD) in India for good hospitals: The average cost of Pneumatic Retinopexy in India is around $1,000 to $1,500 in good hospitals. However, the cost may vary depending on the hospital and the location.

Cost of treatment: The cost of Pneumatic Retinopexy in India ranges from $1,000 to $1,500.

Consultation: Schedule a consultation with a retina specialist to evaluate your condition and discuss the need for surgery.

Pre-operative evaluation: Undergo a comprehensive eye examination and diagnostic tests to assess the retinal condition and determine the appropriate surgical approach.

Surgical techniques: Retina surgery may involve procedures such as vitrectomy, retinal detachment repair, macular hole repair, or epiretinal membrane removal.

Anesthesia: Most retina surgeries are performed under local anesthesia, while general anesthesia may be used for complex cases or if needed.

Procedure: The surgeon makes small incisions in the eye and uses specialized instruments to address the retinal issue.

Post-operative care: Follow the surgeon's instructions for post-operative care, including the use of prescribed eye drops and attending follow-up appointments.

Recovery and outcomes: Recovery time varies depending on the procedure performed. It's essential to follow the recommended recovery timeline and report any concerns to the doctor.

Risks and complications: Retina surgery carries potential risks, such as infection, bleeding, retinal detachment, or changes in vision. Your surgeon will discuss these risks with you beforehand.

Follow-up: Regularly visit your ophthalmologist for follow-up examinations to monitor your progress and ensure optimal outcomes.

Please note that this is a general overview, and the specifics of your retina surgery will be discussed with your healthcare provider.

After undergoing retina surgery, proper post-treatment care is crucial to support healing and optimize visual outcomes. Here are key considerations;

Medication Use: Follow your ophthalmologist's instructions regarding the use of prescribed eye drops or medications. Use them as directed to prevent infection, reduce inflammation, and promote healing.

Eye Protection: Wear a protective shield or eye patch as recommended by your ophthalmologist, especially while sleeping or during activities that may pose a risk of eye injury.

Rest and Recovery: Take adequate rest and avoid strenuous activities that could strain the eyes. Follow any restrictions provided by your ophthalmologist.

Eye Care: Cleanse your eyes gently with a saline solution or as instructed by your ophthalmologist. Avoid rubbing or putting pressure on the operated eye.

Follow-up Appointments: Attend all scheduled follow-up visits with your ophthalmologist. These visits are crucial for monitoring the healing process and evaluating the success of the surgery.

Vision Care: Follow your ophthalmologist's recommendations regarding vision care. This may include using prescribed eye drops, wearing sunglasses outdoors, and avoiding activities that strain the eyes.

Report Any Symptoms: If you experience severe pain, sudden vision changes, increased redness, discharge, or any other concerning symptoms, contact your ophthalmologist promptly.

It is important to consult with your ophthalmologist for personalized post-treatment care instructions specific to your condition. By following these guidelines and staying in close communication with your ophthalmologist, you can support the success of your retina surgery and promote optimal healing of the eye.

The success rate of retina surgery in India varies depending on the specific procedure and the individual patient's condition. However, overall, retina surgery in India has a high success rate, with many patients experiencing improved vision and reduced symptoms after the procedure. It is important to consult with a qualified and experienced retina surgeon to determine the best course of treatment and expected outcomes for your specific case.

1. Dr. Mahipal Sachdev - Centre for Sight, New Delhi
2. Dr. Amar Agarwal - Dr. Agarwal's Eye Hospital, Chennai
3. Dr. S. Natarajan - Aditya Jyot Eye Hospital, Mumbai
4. Dr. Rajesh Sinha - All India Institute of Medical Sciences (AIIMS), New Delhi
5. Dr. Cyres Mehta - Jaslok Hospital, Mumbai
6. Dr. S. Natrajan - Aravind Eye Hospital, Madurai
7. Dr. Rishi Swarup - Eye-Q Super Speciality Eye Hospitals, Gurgaon
8. Dr. Anand Balasubramaniam - Sankara Nethralaya, Chennai
9. Dr. S. Bhattacharjee - LV Prasad Eye Institute, Hyderabad
10. Dr. Rupal Shah - Rupal Eye Hospital, Mumbai
11. Dr. R. Parikh - Nanavati Hospital, Mumbai
12. Dr. Sanjay Dhawan - Max Super Speciality Hospital, New Delhi
13. Dr. Rajat Nangia - Fortis Hospital, Mohali
14. Dr. S. Natarajan - Vasan Eye Care, Chennai
15. Dr. S. Natrajan - Shankar Netralaya, Chennai
16. Dr. S. Natrajan - Apollo Hospitals, Chennai
17. Dr. Rajesh Sinha - Medanta - The Medicity, Gurgaon
18. Dr. Rajesh Sinha - Fortis Memorial Research Institute, Gurgaon
19. Dr. Rajesh Sinha - Artemis Hospital, Gurgaon
20. Dr. Rajesh Sinha - Max Hospital, New Delhi

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Medanta - The Medicity, Gurgaon
Lilavati Hospital and Research Centre - Mumbai
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