Advanced Retina Care
Vitreo-retina Services
The retina is one of the most important parts of the eye for clear vision. Disorders affecting this delicate layer need timely diagnosis and appropriate care to reduce the risk of vision loss.
At NAMAH, retina care is built on detailed clinical examination, imaging-based diagnosis, careful counselling and stage-wise treatment planning. We understand that retinal care often need precision, patience and close monitoring — where timely follow-up can be just as important as the first consultation.
What is the Retina?
The retina is the delicate nerve layer at the back of the eye. It receives light and sends visual signals to the brain via the optic nerve.
Retinal diseases can result in blurred, distorted, patchy or sudden decrease in vision
Some retinal diseases are silent in the early stages. Others need urgent treatment to prevent permanent damage.
That is why a retina evaluation is not just a routine eye check - it is a detailed examination of the most sensitive part of the eye that actually captures vision.
When should you see a retina specialist ?
Emergency evaluation in case of sudden increase in floaters or black spots, flashes of light, a curtain/shadow in vision, sudden drop in vision, severe eye pain and redness.
Patients with gradual decrease in vision, distorted lines, dark central patch
Diabetic patients for Diabetic retinopathy screening
Elderly patients (ideally over 50 years of age) for Age related macular degeneration screening
High myopes for baseline and follow up screening for peripheral retinal degenerations
Premature baby needing ROP screening
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URGENT EVALUATION by a Retina specialist
Flashes of light
Curtain/shadow in visual field
Sudden drop in vision
Severe eye pain and redness
Retina Evaluation at Namah
From Symptom to Management Plan - A Detailed Retina Care Pathway
symptoms, ocular history and relevant systemic history noted
Vision testing & intraocular pressure measurement
Anterior segment evaluation
Dilating eye drops instilled (20-30 mins waiting period)
Dilated retina examination by a retina specialist
Retinal Imaging done in required cases to understand the disease depth, activity and progression better
Management options and follow up schedule explained in a detailed manner
Namah is well-equipped with Advanced Diagnostics for Retinal Imaging
Spectral Domain-Optical Coherence Tomography (SD-OCT) Huvitz OCTavius
SD-OCT technology is used for fast and detailed retinal layer imaging
Fast
Non-invasive
High resolution 3D imaging
High sensitivity for detection of subtle changes in the retinal layers
Monitoring of disease progression and treatment response
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Optical Coherence Tomography- Angiography (OCTA) Huvitz OCTavius
OCTA technology allows for non- invasive (NO dye injection used) imaging of retinal and choroidal blood vessels
Fast
Non- invasive (No dye injection)
Early detection of abnormal vascular changes
Monitoring for disease progression and treatment response
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Fundus imaging
Colour retinal images optimised with high resolution and contrast are useful for clinical diagnosis
Better visualisation and documentation of abnormalities
Monitor the progression or regression of lesions on follow up
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Common Retinal Conditions
Diabetic Retinopathy and Diabetic Macular Edema
Diabetes can damage the small blood vessels of the retina. Diabetic retinopathy is one of the most important reasons for regular retinal screening. In early stages, a person may see well and still have retinal changes. As the disease progresses, it can cause bleeding, swelling in the central retina, new abnormal blood vessels, vitreous hemorrhage or traction on the retina. Timely diagnosis thus, becomes very important in order to prevent severe complications.
At NAMAH, diabetic retina care focuses on early detection, OCT-based evaluation, retinal imaging, stage-wise treatment planning and follow-up documentation. Depending on the stage, treatment may include observation, better systemic control, retinal laser, intravitreal injections or surgery.
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Age-Related Macular Degeneration (ARMD)
The macula is the central, most sensitive part of the retina responsible for reading, recognizing faces and fine detail. Age-Related Macular Degeneration affects central vision, reading and face recognition in elderly individuals. Clinical and OCT evaluation helps to identify dry or wet forms which requires treatment in the form of medication or intravitreal injections.
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Retinal vascular occlusion
A blockage in retinal veins can cause sudden blurred vision or bleeding/swelling in the retina. More common in individuals with hypertension.
Retinal arterial occlusions result in sudden, painless loss of vision and require URGENT evaluation by an eye specialist.
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Retinal Tears and Holes
Small breaks in the retina may need timely Barrage laser treatment to reduce the risk of retinal detachment.
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Retinal Detachment
A serious condition where the retina separates from its underlying supporting layer resulting in fluid accumulation under the retina. Sudden floaters, flashes or a curtain-like shadow may be precursor symptoms which need urgent attention. Early surgical intervention can help restore the retina back in its place and improve the vision.
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Vitreous Hemorrhage
Bleeding inside the eye can cause sudden hazy vision or black floaters and often needs detailed retinal evaluation to determine the underlying cause of the bleeding.
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Myopic Retinal Degeneration
High myopia can stretch the retina and increase risk of peripheral retinal weakness and macular changes including atrophy and choroidal neovascular membrane formation (CNVM) which may require intravitreal injection treatment.
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Macular hole
A defect in the central retina that can cause distortion or loss of central vision. This can be restored by surgery to close the hole.
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Pediatric Retinal Evaluation and Inherited Retinal Conditions
Assessment for abnormal retinal reflex, poor visual response, prematurity-related retinal disease and inherited retinal conditions. We also provide referral support for genetic counselling and management in genetic eye diseases.
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ROP Screening and management
Retinal examination for premature infants with necessary management strategy such as retinal laser, intravitreal injections or timely referral for surgical intervention in advanced cases to prevent vision threatening complications including blindness.
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Treatment Modalities at Namah
Vitrectomy Surgery
Advanced Minimally Invasive Vitrectomy Surgery (MIVS) is performed for vitreoretinal problems such as Retinal detachment, non-clearing vitreous hemorrhage, macular hole and diabetes complications, offering precise and usually sutureless surgery for complex conditions while ensuring optimal results and faster patient recovery. In some cases, silicone oil or gas is placed inside the eye during surgery to support the retina. Silicone oil removal may then be required after a few months. Need for special post- operative care in the form of head positioning may be needed in certain cases
In some cases, silicone oil or gas is placed inside the eye during surgery to support the retina. Silicone oil removal may then be required after a few months.
Need for special post- operative care in the form of head positioning may be needed in certain cases.
RETINAL LASER AT NAMAH
Non-invasive LASER retinal treatment is a fast and safe OPD procedure done under topical anesthesia (using eye drops)
Several retinal diseases such as diabetic retinopathy, vein occlusions, proliferative vascular conditions or certain inflammatory conditions and ROP require retinal LASER treatment
At Namah, multi-spot green laser (AEON meditech) is used to deliver multiple laser spots at one time, ensuring quick laser procedure completion with minimal pain for the patient.
INTRAVITREAL INJECTION AT NAMAH
It is a minimally invasive procedure to deliver potent medicines inside the eye for maximum benefit to the patient.
Procedure is quick, safe and is performed under topical anesthesia (using eye drops).
It is given for retinal swelling or due to presence of abnormal new blood vessels in retinal conditions like diabetic macular edema, wet AMD, vein occlusion-related swelling, proliferative vascular diseases and selected inflammatory conditions.
At Namah, this procedure is performed in the modular operation theatre under aseptic precautions to ensure maximum safety for the patient.
Pneumatic retinopexy (PNR)
Pneumatic Retinopexy (PNR) is a minimally invasive procedure done in selected cases of retinal detachment.
It involves the injection of a gas bubble inside the eye which is followed by LASER or cryotherapy to seal the breaks for retinal re-attachment.
The patient is then advised appropriate head positioning at home.
At Namah, this procedure is performed in the modular operation theatre under aseptic precautions to ensure maximum safety for the patient.
In cases with successful retinal re-attachment, there may be no further need for a vitrectomy surgery.
Scleral buckling
Scleral buckle is done in selected cases of retinal detachment for retinal reattachment and support.
In this procedure, a soft silicone band is placed around the eye from outside to give support to the retina.
Additional procedures to drain the fluid and seal the breaks by LASER or cryotherapy is then performed.
Oertli OS 4 vitrectomy platform
An advanced surgical platform is used for vitrectomy surgery at Namah
High speed vitrectomy with precise and controlled surgical environment
Highly stable ocular dynamics ensuring improved surgical safety
Minimally invasive procedure- MIVS incisions are very small and usually do not require any sutures
Faster healing
Better visual outcomes
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Frequently Asked Questions
I have diabetes but my vision is normal. Do I still need a retina check?
Yes. Diabetic retinopathy can begin before vision changes. A dilated retinal examination and imaging, when needed, can detect early disease and guide follow-up.
How often should diabetic patients get retina evaluation?
Most diabetic patients need at least yearly retinal evaluation, but the interval may be shorter if retinopathy, macular edema, pregnancy, kidney disease, uncontrolled sugar or previous treatment is present.
Are eye injections painful?
The eye is numbed before an intravitreal injection. Most patients feel pressure or mild discomfort rather than significant pain. Sterile precautions and aftercare instructions are important.
Are floaters dangerous?
Occasional long-standing floaters may be harmless, but a sudden increase in floaters, flashes or a shadow in vision can indicate a retinal tear or detachment and should be checked urgently.
What symptoms suggest retinal detachment?
Sudden floaters, flashes of light, a curtain-like shadow, side vision loss or sudden drop in vision are warning symptoms that need urgent retina evaluation.
What is ROP?
ROP is Retinopathy of Prematurity, a retinal condition seen in premature babies where retinal blood vessels may grow abnormally. Screening is important because parents may not notice symptoms early.
When should premature babies be screened for ROP?
ROP screening timing depends on birth weight, gestational age and neonatal risk factors. In India, babies born at or before 34 weeks, weighing 2000 grams or less, or clinically unstable babies are commonly considered for screening. The first screening should be scheduled as advised by the neonatologist/ROP specialist and should not be delayed.
What is OCT?
OCT is a non-invasive scan that gives cross-sectional images of the retinal layers. It helps detect swelling, fluid, macular disease and treatment response.
Is retinal laser painful?
Many patients tolerate retinal laser well with numbing drops. Some may feel mild pricking, brightness or discomfort depending on the area treated.
Can retina diseases be treated without surgery?
Many retina conditions can be managed with observation, medicines, laser or injections. Some conditions such as retinal detachment, macular hole, advanced diabetic traction or non-clearing bleeding may need surgery.
When should I seek emergency retina care?
Sudden flashes, many new floaters, curtain-like shadow, sudden vision loss or eye trauma should be treated as urgent.