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Retinal treatment

The material has been prepared by

Dr. Elena Belikova, Ph.D.

Treatment of retinal diseases

The retina plays a crucial role in our vision. This is the thin inner lining of the eye adjacent to the vitreous body and the choroid of the eyeball. It is the object who forms the image that we see. Unfortunately, there are many types of retinal diseases. But for each of them today you can find a solution. In the Eye Clinic of Dr. Belikova, we offer a full range of modern treatment methods and we choose our own way to restore vision for each patient. 

The main diseases of the retina and their treatment

Retinal detachment is an eye condition in which the most important structure for vision is the retinal membrane is separated from the choroid (nutrient) membrane. This will require surgery - surgical or laser. The choice of methodology depends on the degree of neglect of the disease. Detachment is often the result of a retinal rupture - an insidious state that can be dormant for a long time and appears only in a neglected form when the fluid accumulated at the rupture exfoliates the retina. Timely surgical treatment completely restores the exfoliated retina and normalizes visual function. Modern methods of vitreoretinal surgery allow you to do this quickly and efficiently.

Laser surgery is indicated and helps in cases where the area of ​​exfoliation is small. Then it is enough to conduct laser coagulation (bonding) of the retina around the gap and local detachment in order to stop the development of a more serious condition.

In the most difficult cases, when the retinal detachment occurred over a large area, we carry out a combination of treatment - both surgical and laser. The most important condition for successful and effective treatment of retinal detachment is an urgent qualified surgical intervention.

Dystrophic diseases include those that develop against the background of improperly functioning cellular metabolism and malnutrition of the tissues of the eyeball. Such, for example, as age-related macular degeneration, central and peripheral dystrophy of the retina. Age-related macular dystrophy is characteristic of patients older than 50 years and, if untreated, leads to blindness.

But it is possible to stop its development and restore vision with the help of intravitreal injections of special drugs and the systematic administration of multivitamin complexes with lutein to improve retinal nutrition.

In difficult cases, doctors recommend surgical treatment. Retinal dystrophy often develops with myopia and farsightedness, but there are often cases when it appears with good vision. The nature of its appearance is a violation of blood supply or a congenital pathology. We treat peripheral retinal dystrophies with the laser coagulation method already mentioned. This is an outpatient procedure without cuts and punctures in the eyeball, which is performed under local drip anesthesia, therefore it is painless and the patient’s discomfort is minimal.

Vascular diseases include diabetic retinopathy and central retinal vein thrombosis:

  • Diabetic retinopathy is one of the possible eye complications of diabetes. In such cases, complex treatment with control of blood glucose levels is necessary. And this is a joint work of an ophthalmologist and an endocrinologist. According to individual indications, diabetic retinopathy can be treated by administering drugs to the eyeball or by laser coagulation. The laser destroys the newly formed vessels, which leads to the resorption of hemorrhages and stops the further growth of new vessels.
  • Central retinal vein thrombosis is an acute violation of the blood supply, which leads to hemorrhages and dystrophy, which are dangerous for vision. This process can be caused by systemic diseases of the body - diabetes, hypertension, atherosclerosis. Timely treatment of thrombosis allows for two to three months to fully restore vision. For this, we use intravitreal injections, and in complex cases, surgical and laser treatment. Intravitreal injections purposefully affect the internal structures of the eye and are more effective than drugs injected into the blood. The treatment of thrombosis is not very effective without treatment of the underlying disease, therefore, ophthalmological procedures should only be done with the agreement of your other doctor of specialization (cardiologist, hematologist, endocrinologist, etc.).

Pathological changes in the vitreous body 

Hemophthalmus or hemorrhage in the eye cavity can be treated both inpatient and outpatiently. The main thing in this matter is to normalize blood pressure, follow recommendations on the regimen and treatment of this condition, and limit physical activity and thermal procedures. In most cases, with primary partial hemophthalmus, the blood dissolves and vision is restored.

As a rule, it is possible to get rid of hemophthalmus therapeutically, but with concomitant diseases and relapses of hemophthalmus, ophthalmologists recommend surgical methods: vitrectomy (removal of the vitreous body) or injection of resorbable drugs.

Retinal treatment in the Eye Clinic of Dr. Belikova 

Do not despair, even if you have been given a serious diagnosis. Modern methods of ophthalmology can cure even those pathologies that a few years ago seemed incurable. Experienced doctors work in the eye clinic of Dr. Belikova and the best high-quality equipment has been assembled. We are always waiting for you at the reception.