Our Specialties

The current addition of OCTA has improved the diagnosing ability of a lot of retinal conditions. The OCTA or Optical Coherence Tomography Angiogram is a new non-contact, non-invasive imaging technique that generates volumetric angiography images in a matter of seconds. It delineate the blood vessels across all the layers of the retina and the choroid, so new blood vessels and ischemic areas are seen.
This makes it easier to analyze and gives a better understanding of the pathology and hastens decision making.
FFA is used in select situations of retinal vascular conditions, it involves injecting a dye in the forearm followed by taking of photos of the retina in all gazes.
The Fundus imaging equipment can take images of the central 40 degrees of the retina and the optic nerve as well as front of the eye without dilatation, which helps in quick screening for conditions like diabetic retinopathy. It also helps in planimetry.
The Retina (green) laser is used in the treatment of many retinal conditions and this equipment has all 3 modalities of laser delivery system
Many retinal conditions warrant injections to be given in the eye and they are given in the operation room as it requires stringent sterilized areas, the Centre has a state of the art operating room with ambulatory beds which makes the entire experience comfortable for the patient especially since multiple injections are given in most conditions.

Age Related Macular Degeneration(ARMD) -

The Macula is in the centre of the retina, the light-sensitive layer of tissue at the back of the eye. As you read, light is focused onto your macula. There, millions of cells change the light into nerve signals that tell the brain what you are seeing. This is called central vision. With it, one is able to read, drive, and perform other activities that require fine, sharp, straight-ahead vi-sion.

Macular degeneration is the deterioration of the macula (the central area of the reti-na responsible for detail vision). Central vision becomes blurred and distorted, and results in lost detail vision, difficulty in reading, increased need for light and reduced colour vision. There are two types of this disease: dry and wet. Dry is more common (90%). Due to blood vessel growth in or under the retina, the wet type results in severe vision loss, which occurs more rapidly than in cases of dry macular degeneration.
Although Macular Degeneration can occur during middle age, the risk increases, as a person gets older. Results of a large study show that people in their 50s have about a two percent chance of getting this problem. This risk rises to nearly 30 percent in those over age 75. Certain studies have shown that it ranks second after diabetic retinopathy as the leading cause of blindness in the 45 to 64 year age group. Besides age, other risk factors include
Neither dry nor wet AMD causes any pain. The most common symptom of dry AMD is slightly blurred vision. You may need more light for reading and other tasks. Also, you may find it hard to recognize faces until you are very close to them.
People with the dry type in one eye often do not notice any changes in their vision. With one eye seeing clearly, they can still drive, read, and see fine details. Some people may notice changes in their vision only if the condition affects both of their eyes.
An early symptom of the wet type is that straight lines appear wavy. This happens be-cause the newly formed blood vessels leak fluid under the macula. The fluid raises the macula from its normal place at the back of the eye and distorts the vision. Another sign of the wet type is rapid loss of central vision. This is different from the dry type in which loss of central vision occurs slow-ly.
The investigations required are OCT, OCT Angiography (OCTA), Fluoroscein Angiography (FFA) and ICG Angiograohy (ICGA). OCT and OCTA are non contact scans of the layers of the central retina which scan at 2 microns depth and show any changes in the retina. Repeated scans are required to diagnose and assess treatment response.
The treatment of this condition is with injections in the eye. There are 4 types of injections some FDA approved and one which is not. Various scientifically done studies have described the efficacy of the injections. Visual gain and arrest of progression can be achieved if treatment is started early. Recurrences may occur and constant follow up is required.
Recently studies have shown high levels of antioxidants and zinc significantly reduces the risk of advanced age-related macular degeneration (AMD) by about 25 percent. They do not prevent macular degeneration from occurring in normal eyes, but prevent progression in eyes where degeneration has already begun.
Many of the risk factors causing or worsening various eye conditions are in our hands to control. Timely detection and treatment is rewarding. For those who already suffer from this condition, normal use of the eyes will not cause further damage to vision. Even if one has lost sight to AMD, one should not be afraid to use the eyes for reading, watching TV, and other usual activities.
Low vision aids are available to help one make the most of remaining vision. Low vision aids are special lenses or electronic systems that make images appear larger. If you need low vision aids, we can test and prescribe them.
This Centre has all the required technology and expertise required to assess and treat all stages of macular degeneration.