Vitreoretinal & Vitreous Disorders Treatments in Delhi



Your retina and vitreous are essential parts of your eye that play a crucial role in clear vision. When these structures are affected by diseases or injuries, timely and advanced treatments are necessary. You can consult our retina specialist, Dr. Rajeev Jain, for all your retinal problems and treatments.


Let’s discuss the retinal problems that might affect your eye health.


Retinal Detachment

Retinal detachment is a serious condition where the retina separates from its supportive layers. It requires immediate attention to prevent permanent vision loss.


The retina, a thin layer of tissue at the back of your eye, is vital for converting light into visual signals. When it detaches, it loses access to the oxygen and nutrients supplied by its underlying layers.


Symptoms

Sudden flashes of light.

A significant increase in floaters (tiny specks in your vision).

A shadow or curtain-like effect over your vision.

Retinal Detachment

Treatment Options for Retinal Detachment

1. Scleral Buckling

Scleral buckling is a traditional and effective surgery for retinal detachment. It involves:


Placing a silicone band or sponge around the outer layer of the eye (sclera).

The buckle pushes the sclera inward, reducing tension on the retina and helping it reattach.

A cryotherapy (freezing treatment) or laser is used to seal the retinal tear.

Best for: Rhegmatogenous retinal detachment (caused by a retinal tear)


2. Pneumatic Retinopexy

Pneumatic Retinopexy is a minimally invasive procedure used for smaller retinal detachments. It involves:


Injecting a gas bubble (SF6 or C3F8) into the eye.

The bubble pushes the detached retina back into place.

A laser or freezing treatment (cryotherapy) seals the tear.

Best for: Simple and upper (superior) retinal tears


3. Vitrectomy

Vitrectomy is a highly effective surgery for complex retinal detachments. It involves:


Removing the vitreous gel that is pulling on the retina.

Using a laser or cryotherapy to seal the tear.

Filling the eye with a tamponading agent (gas or silicone oil) to hold the retina in place.

Best for: Complicated cases, giant retinal tears, tractional detachments (due to diabetes), or recurrent detachments.


4. Combination of Scleral Buckling and Vitrectomy

In some cases, both scleral buckling and vitrectomy are needed for better results.


The scleral buckle provides external support.

The vitrectomy removes internal traction from the vitreous gel.

Best for: Severe or recurrent retinal detachments, cases with multiple retinal breaks.


5. Tamponading Agents Used

To keep the retina attached after surgery, the eye is filled with a tamponading agent:


Gas (SF6, C3F8) - Absorbs naturally over weeks, requiring strict head positioning.

Silicone Oil - Used in complex cases, must be removed later via surgery.

Perfluorocarbon Liquid (PFCL) - Temporarily used during surgery to flatten the retina.

Selection depends on the severity and type of detachment.


Each treatment is chosen based on the type, location, and severity of the retinal detachment. Early diagnosis and surgery are key to preserving vision and preventing blindness. If you notice sudden flashes, floaters, or vision loss, consult an eye specialist immediately.

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