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Retinal Exam

In order to examine the retina, first it is necessary to obtain a full medical and ocular history. Afterward, the patient's vision is checked using the eye chart. The pupils are examined. The eye pressure is taken, then the eye is dilated with short-acting, pupil-dilating eye drops. Dilation of the pupils is necessary for the doctor to examine the entire anatomy of the inner part of the eye. At this point, the patient is brought into the exam room and the physician begins his examination. The exam includes a complete ophthalmic assessment from the front of the eye to the back of the eye. The retinal exam includes a full inspection of the vitreous cavity and examination of the optic nerve, macula, retinal blood vessels and extreme peripheral retina. Once this is done, your doctor will make the decision whether or not to perform various retinal tests to further clarify the vitreous, macula, retina or choroidal diagnosis


Vitreoretinal

Vitreoretinal clinic is for the treatment of conditions at the back of the eye which require surgical intervention, especially retinal detachment. Vitreoretinal surgery refers to any operation to treat eye problems involving the retina, macula, and vitreous fluid. These include retinal detachment, macular hole, epiretinal membrane and complications related to diabetic retinopathy.


DIAGNOSTIC SERVICES

HEIDELBERG SPECTRAL DOMAIN OCT

Optical Coherent Tomography (OCT) is a method used to image the retina and quantitatively track changes that occur. OCT analysis takes only seconds to perform and uses advanced optics and physics in order to measure retinal thickness, volume and area. Subtle retinal defects can easily be seen by your doctor.

ANGIOGRAPHY - -FUNDEN FLUORESCEIN ANGIOGRAPHY

Fluorescein Angiography (FA)

Fluorescein angiography is a diagnostic test used to evaluate the retina and the retinal blood vessels with the help of a contrast dye (fluorescein). These pictures help the doctor evaluate the retina and diagnose and track problems such as diabetic retinopathy, macular degeneration, abnormal blood vessel growth, retinal swelling, retinal detachment, cancer and retinal tumors.

INDOCYANINE GREEN ANGIOGRAPHY

Indocyanine Green (ICG) angiography is of particular value in studying choroidal circulation while investigating macular disease. It is an investigation where a series of scans are taken prior to and following an injection of green dye into a vein in your arm.
COMBINED FLUOROSCEIN AND INDOCYANINE GREEN ANGIOGRAPHY- for better understanding of the disease.

Ophthalmic Ultrasound

Ophthalmic ultrasound uses simple sound waves that reflect off different tissues in the eye to form an image.This test is used to determine the extent of a retinal detachment, evaluate the retina and vitreous behind an advanced cataract or hemorrhage and determine the thickness of an intraocular tumor.

Fundus Autofluorescence

A new technique called fundus autofluorescence (FAF) allows for imaging of the retina and identification of retinal diseases that might not be readily apparent. It can determine metabolic changes within the deep retina that are not able to be seen during a routine examination. This approach can be especially helpful to analyze patients with vision loss of undetermined origins or those with a family history of hereditary retinal diseases.

Retinal Photography 

Photographs can be taken of the retina to track changes over time.

Color Vision Testing

Color vision tests are important to determine the diagnosis of various retinal diseases.

Ophthalmologic Electrophysiology

Electrophysiology testing includes a battery of tests which can be used to provide information about the visual system beyond the standard clinical examination of the eye. The primary objective of the electrophysiologic examination is to assess the function of the visual pathway from the photoreceptors of the retina to the visual cortex of the brain. Information obtained from these diagnostic tests helps establish the correct diagnosis or may rule out related ophthalmic diseases.
Various tests available are

  • ELECTRORETINOGRAM
  • VISUALLY EVOKED POTENTIAL
  • ELECTROOCULOGRAM
  • MULTIFOCAL ERG

TREATMENTS

LASER PHOTOCOAGULATION

Laser treatment of the retina - A laser is a pure, high-intensity beam of light energy. The laser light can be precisely focused onto the retina, selectively treating the desired area while leaving the surrounding tissues untouched. Laser surgery is usually painless; at the most it may cause temporary discomfort. Laser treatment advised for patients with the following diseases:-

  • Diabetic Retinopathy
  • Retinal Vein Occlusion
  • Retinal Breaks and Retinal Detachment
  • Central Serous Chorioretinopathy (CSCR)
  • Ocular Tumors

PHOTODYNAMIC THERAPY

Photodynamic therapy, traditionally used for treating macular bleeding (choroidal neovascularization) inage-related macular degeneration and ocular histoplasmosis, has emerged as an effective treatment for some eyes with CSC. The outpatient procedure is painless and performed in our office.

INTRAVITREAL INJECTION

An intravitreal injection is a shot of medicine into the eye. The inside of the eye is filled with a jelly-like fluid (vitreous).
You may have this procedure if you have:
Macular degeneration : An eye disorder that slowly destroys sharp, central vision
Macular edema : Swelling or thickening of the macula, the part of your eye that provides sharp, central vision
Diabetic retinopathy : Which can cause new, abnormal blood vessels to grow in the retina, the back part of your eye Swelling and inflammation within the eyeball (uveitis)
Retinal vein occlusion : A blockage of the veins that carry blood away from the retina and out of the eye Infections in the inside of the eye (endophthalmitis)

4) Other Treatments

Repair of retinal detachments
Surgical management of various vitreoretinal diseases.

Our Doctors

Dr. FAZIL M A GAFFOOR

.
MBBS, MS, Fellow in Medical Retina
Retina Services (Full - Fledged),Vitreo Retinal

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Dr. Latha Iyoob

Consultant
MBBS, MS, FGO
Vitreo Retinal

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Dr. MANOJ. S

Senior Consultant
MBBS, DNB, MNAMS, FRCS, FVRS
Neuro Ophthalmology,Vitreo Retinal

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Dr. PADMANABHAN MELETH

Consultant
MBBS, MS, Fellow in GO & Medical Retina
Vitreo Retinal

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Dr. PRIYA NAIR

Medical Retina & General Ophthalmology
MBBS, MS, DO, ICO, DNB
Vitreo Retinal

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Dr. SHANE MATHEW OONNUKALLIL

Medical Superintendent, Senior Consultant
MBBS, DO, FRCS, DNB, ICO
Uvea Clinic,Vitreo Retinal

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Dr. Sreelekha S

Consultant
MBBS, MS, DO, DNB, FRCS (Glasg)
Uvea Clinic,Vitreo Retinal

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Dr. UNNIKRISHNAN NAIR

Senior Consultant
MBBS, MS, DO, FMRF, FRCS, FVRS
Uvea Clinic,Vitreo Retinal,Retina Services (Full - Fledged)

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