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Vitreoretinal

A dedicated camera utilizing a high intensity flash coupled to a Digital (16 megapixel) camera takes large and very detailed pictures of the retina. (Video digital system). Image Net (Topcon Japan) Coupled to the camera upper end graphic card enables the images captured to be analysed, enhanced, and literally blown up digitally to a 1000X for examination in detail.

Specialized Retina & Vitreous Investigative and Surgical equipment

Retina Topcon JapanRetina (Fundus Camera) Topcon Japan

A dedicated camera utilizing a high intensity flash coupled to a Digital (8 megapixel) camera takes large and very detailed pictures of the retina. (Video digital system). Image Net (Topcon Japan) Coupled to the camera upper end graphic card enables the images captured to be analysed, enhanced, and literally blown up digitally to a 1000X for examination in detail. He data can be transferred to anywhere in the world for a second opinion.

Laser Application & Doubled FreqFrench made QUANTEL laser Used for retinal laser. As compared to a Diode laser which is used in the operation theatre, the Freqdoubled Yag is painless and gives an exceeding good reaction, ideal for diabetic retinopathy patients and macular lesions. It has a dual delivery system and the laser can be delivered via a headmount ophthalmoscope.

Hig speed QUANTEL B scan (France) For scanning the retina to look for retinal detachment, distortions in the retina pattern and blood, exudates, foreign bodies in the vitreous.

Surgical Equipment
WE HAVE THE BEST RETINA MACHINE IN THE WORLD TODAY THE VISALIS ZIESS 500 AND THE OPTIKON REVOLUTION

WE CAN DO 25 GAUGE VITRECTOMY FOR DIABETIC EYE DISEASE AND RETINAL DETACHMENTS.HERE THE SURGERY IS SUTURELESS AND THE PATIENTS RECOVERY IS VERY FAST

Diode Laser with laser ophthalmoscopeRed Diode laser with endo laser capability: Utilized to seal all the breaks and imperfections in the retina. A surgical toll par excellence.

Age Related Macular Degeneration (Armd)
The Retina is the light sensitive membrane of the eye which is somewhat like a film in a camera.Light falls on it and is converted into electrical energy.This travels down the optic nerves as impulses and the brain decodes this into what we know as vision.

Save it to say that the retina is the most delicate structure in the human eye.

The center of the retina is called the “Macula”.Whe we read a book,or look at a vision chart or gaze at anything, we are using the macula to look at it.The rest of the retina is for peripheral vision.For example when we drive down the street and are looking at the car in front of us ,it is the macula which enables us to read the license plate of the car in front,but the cars on the sides are seen by the peripheral retina.

The macula is affected by disease like any other part of the body.and most importantly it is affected by Age Related Macular Degeneration.

Typically the elderly lady or gentleman has had their cataracts out a few years ago.While reading a novel ,watching TV or looking at the faces of his or her grown children realizes that all is not right.There is a grayish haze in the center of the vision that refuses to go away and seems to be getting worse as the months pass.

On reaching the eye doctor who performs a retinal exam,the patient is confronted with the diagnosis of ARMD.

Who is general is affected by ARMD
ARMD is quite the public health problem today.Many small communities like ours are overly affected by this due to our small genetic pool as well as our propensity to live long..

Everyone knows someone a friend, a spouse or a a parent with this condition

In general its been found that

20% of people age 65-74

40% of people age over 75

have macular degeneration.

Age-Related Macular Degeneration is a true public health issue even in the west, 14 million had Macular Degeneration in 1996 in the USA alone

So now what to do if I have ARMD

Ask the doctor if it is wet or dry.In Dry macular degeneration yellow spots called drusen appear in the macula .Ten to 15% of these patients progress to wet type

In the wet type a collection of blood vessels leaks fluid and blood into the retina.This reduces vision severly.

Tests: The doctor will advise you 2 tests which will analyse the retina.Flourescein Angiography will detect leaks and OCT test will determine swelling.These tests are simple but give a lot of information on the disease.

Treatment: The dry type has no treatment! Usually a powerful vitamin tablet with minerals is prescribed.

Basically treatment is for the wet type.

More recently a new drug called AVASTIN or LUCENTIS is injected into the eye which makes the membrane shrink.Many patients have had useful vision improvement with this medicine.Sometimes this medicine is combined with PDT for better results.

A new telescope implant is implanted in the eye with a procedure similar to cataract surgery.In cases usually dry type,this has yielded good results in practice.

A new microchip has been invented which when implanted into the retina will amplify the vision. Only your eye doctor can judge in your case which mode is appropriate.

Lately a new device the ARGUS 2 is available which in trials has been shown to boost vision in nearly blind people.

Prevention: Studies performed in UK showed that if the diet was rich in vitamins like Vitamin A, C, K etc and trace elements like selenium,the persons had 25 % less chance of developing ARMD,So regularly take a good vitamin and mineral supplement.Its a good idea to from middle age itself have a diet rich in red,yellow and green vegetables as they contain special compounds which may prevent the disease.

UV light and sun exposure is a major cause so please wear dark glasses in the sun as a rule.

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