Retinal detachment is separation retinal layer from the underlying choroid. Most commonly this disease occurs in myopic patients with retinal breaks or lattices. Other conditions like diabetes, injury and chronic inflammation can also cause retinal detachment. This condition is considered to be a medical emergency. It is diagnosed clinically and by tests like ultrasonic B scan of the eye.
Vitreous haemorrhage is bleeding inside the eye. It typically looks like a dark cloud in your vision. Common causes for this R retinal, vasculitis, diabetic, retinopathy, injury and other inflammatory ai diseases. Initial cases are self-limiting and resolving but they will still need medical attention. Cases, not responding to medical therapy will require vitrectomy surgery as well
This eye condition typically occurs in middle aged adults. Symptoms are blurry vision in the centre of visual field and fluctuations in vision. The risk factors include smoking and alcohol intake. This disease requires specialised OCT scans for evaluation. If left untreated, this condition can permanently reduce your quality and quantity of vision.
Macular hole is a hole in the centre of the retina (Macula). Because of its strategic location. This can reduce your vision significantly. Risk factors for this disease are age and injury. Almost all such cases will require immediate eye examination and macular whole surgery. Specialised eye scans like OCT are required to diagnose this disease.
Diabetes can severely affect your eyesight. Long-standing diabetic patients may develop retinal bleeding, haemorrhage, detachment and risk of complete visual loss. All diabetic patients are advised to undergo retinal exam every year. This disease can easily be managed by proper diabetic control. Retinal lasers and Anti-VEGF injections in early stages, surgery may be required in later stages of the disease.
Cystoid macular edema or CME, is a painless disorder which affects the central retina or macula. When this condition is present, multiple cyst-like (cystoid) areas of fluid appear in the macula and cause retinal swelling or edema. Treatment of this condition includes Anti-VEGF injections and retinal lasers.
Dr Ruchir Tewari is an expert in the field of cataract and vitreoretinal surgeries. His key area of interest is complex vitreo-retinal surgery, (ROP) Retinopathy of prematurity, diabetic eye disease and macular degeneration.
He completed his under graduation from Maulana Azad Medical college, New Delhi in 2009 that was followed by post-graduation in Ophthalmology at Dr RP Centre for Ophthalmic Sciences (RPC), AIIMS (New Delhi), He later joined as a senior resident at RPC, AIIMS specializing in the diseases of retina, uvea and ROP. He is a Fellow of International council of Ophthalmology (ICO) and was awarded the ICO Fellowship in vitreo-retinal surgery After completing his training at AIIMS, he went to Leipzig, Germany for further training in surgery under Prof. Peter Wiedemann, an international stalwart in the field.
He is a fellow of Royal College of surgeons (FRCS Part 1), Glasgow. Apart from excellent diagnostic and surgical skills he is a keen researcher with more than 30 publications in indexed national and international journals and many book chapters to his name. He has presented his research work at various national and international conferences, won international awards and has been invited to speak at various venues.
He established the vitreoretinal surgery division at Tewari Eye Centre with the aim of providing the same state of the art facilities found at AIIMS, New Delhi. In a short span of two and half years after joining TEC, he has performed more than 500 retinal surgeries with one of the highest success rates. He is also credited with performing some of the most complex cases, with good outcome, in patients deferred by other surgeons.
As an early adopter of technology, he is one of the very few surgeons in the region performing 27 Gauge minimally invasive Vitreo-retinal surgery (MIVS) for macular disorders (macular hole, Epiretinal membrane, VMT etc), retinal detachment and complex diabetic cases. This requires the latest surgical equipment and great surgical skill, and, provides faster post-operative recovery and minimal discomfort to the patient, greatly enhancing the overall patient satisfaction.
Dr Ruchir believes in personalized care. Every patient is different and every eye responds in a unique manner to the standard treatment. He examines every patient in detail, discusses all the possible treatment options and formulates a treatment plan with the aim of keeping the interventions to a minimum. With him at the helm of affairs, rest assured that your eyes are in the safest of hands.
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