Retinal Surgery
Retinal Surgery encompasses a suite of precise microsurgical interventions aimed at treating disorders of the retina — the light-sensitive tissue that converts images into vision. These procedures are designed to repair retinal detachments, remove scar tissue, treat macular conditions and manage vision-threatening complications of diseases such as diabetic retinopathy.
Under the care of Dr. Uday Tekchandani, patients receive evidence-based, state-of-the-art retinal surgery using advanced micro-incision techniques and modern intraocular tamponades to maximise visual recovery and minimise downtime.
Symptoms That May Indicate Retinal Disease
Recognising early symptoms is critical. Seek urgent evaluation for:
- Sudden or marked decrease in vision
- New onset of floaters or flashes of light
- A curtain or shadow progressing across your field of vision
- Distorted central vision or straight lines appearing wavy
- Repeated episodes of vitreous hemorrhage (blood in the eye)
Common Causes & Conditions Requiring Retinal Surgery
Retinal surgery addresses a range of sight-threatening problems, such as:
- Rhegmatogenous Retinal Detachment
- Tractional Retinal Detachment (commonly due to diabetic retinopathy)
- Macular Hole and Epiretinal Membrane
- Vitreous Hemorrhage
- Posterior segment trauma and intraocular foreign bodies
- Complications of Retinopathy of Prematurity and ocular tumors requiring vitreoretinal intervention
Treatment: Surgical Options & What to Expect
Treatment strategy is tailored to the underlying condition and the eye’s specific anatomy. Dr. Tekchandani utilises modern microsurgical platforms and precision instrumentation to deliver the best possible outcomes. Common retinal procedures include:
- Pars Plana Vitrectomy (PPV): Removal of vitreous gel to clear hemorrhage, relieve traction and access the retina for repair.
- Scleral Buckling: External support for selected retinal detachments to re-appose the retina.
- Endolaser & Barrage Laser: To seal retinal breaks and treat ischemic retina.
- Internal Tamponade: Use of gas or silicone oil to support retinal reattachment while healing occurs.
- Membrane Peeling & Macular Surgery: For macular holes, epiretinal membranes and vitreomacular interface disorders.
Perioperative comfort: Wherever appropriate, procedures are performed using micro-incision, minimally invasive techniques that prioritise patient comfort — often described as No Stitch, No Patch, No Injection for suitable cases — enabling faster recovery and reduced postoperative hassles.
Recovery & follow-up: Typical recovery varies with the surgery type and tamponade used. Dr. Tekchandani provides a structured post-operative plan with timely reviews, imaging and rehabilitation to optimise visual recovery.
Prevention & Practical Tips
While not all retinal conditions are preventable, early detection and proactive management reduce the risk of permanent vision loss:
- Urgent evaluation for any sudden symptoms such as flashes, floaters or vision loss.
- Regular retinal screenings for high-risk groups — diabetics, high myopes and those with family history.
- Maintain good systemic control of diabetes and hypertension.
- Wear protective eyewear during sports or high-risk activities to prevent traumatic retinal injury.
- Adopt a healthy lifestyle and attend periodic comprehensive eye exams.
Why Choose Dr. Uday Tekchandani for Retinal Surgery
- Fellowship-trained vitreoretinal surgeon with M.Ch credentials and extensive tertiary centre experience.
- Expertise in complex retinal detachments, diabetic vitrectomies and macular surgery.
- Use of advanced micro-incision techniques, high-resolution intraoperative imaging and modern tamponades for predictable outcomes.
- Patient-centred care with clear communication, evidence-based planning and meticulous post-operative follow-up.
- Proven academic and research background — contributing to improved surgical strategies and patient safety.
- Amongst the Youngest surgeons internationally to perform a Live Surgery on a Diabetic Patient with Retinal Detachment at an International conference in Budapest, Hungary.