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Diabetic Retinopathy

About the Disease

Diabetic retinopathy (die-uh-BET-ik ret-ih-NOP-uh-thee) is a diabetes complication that affects eyes. It's caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). At first, diabetic retinopathy may cause no symptoms or only mild vision problems. Eventually, it can cause blindness. The condition can develop in anyone who has type 1 or type 2 diabetes. The longer you have diabetes and the less controlled your blood sugar is, the more likely you are to develop this eye complication.

You might not have symptoms in the early stages of diabetic retinopathy. As the condition progresses, diabetic retinopathy symptoms may include:

  • Spots or dark strings floating in your vision (floaters)
  • Blurred vision
  • Fluctuating vision
  • Impaired color vision
  • Dark or empty areas in your vision
  • Vision loss

Diabetic retinopathy usually affects both eyes.

When to see a doctor?

Careful management of your diabetes is the best way to prevent vision loss. If you have diabetes, see your eye doctor for a yearly eye exam with dilation — even if your vision seems fine. Pregnancy may worsen diabetic retinopathy, so if you're pregnant, your eye doctor may recommend additional eye exams throughout your pregnancy. Contact your eye doctor right away if your vision changes suddenly or becomes blurry, spotty or hazy.

Over time, too much sugar in your blood can lead to the blockage of the tiny blood vessels that nourish the retina, cutting off its blood supply. As a result, the eye attempts to grow new blood vessels. But these new blood vessels don't develop properly and can leak easily. There are two types of diabetic retinopathy:

  • Early diabetic retinopathy - In this more common form — called nonproliferative diabetic retinopathy (NPDR) — new blood vessels aren't growing (proliferating). When you have NPDR, the walls of the blood vessels in your retina weaken. Tiny bulges (microaneurysms) protrude from the vessel walls of the smaller vessels, sometimes leaking fluid and blood into the retina. Larger retinal vessels can begin to dilate and become irregular in diameter, as well. NPDR can progress from mild to severe, as more blood vessels become blocked.
  • Nerve fibers in the retina may begin to swell - Sometimes the central part of the retina (macula) begins to swell (macular edema), a condition that requires treatment.
  • Advanced diabetic retinopathy - Diabetic retinopathy can progress to this more severe type, known as proliferative diabetic retinopathy. In this type, damaged blood vessels close off, causing the growth of new, abnormal blood vessels in the retina, and can leak into the clear, jelly-like substance that fills the center of your eye (vitreous). Eventually, scar tissue stimulated by the growth of new blood vessels may cause the retina to detach from the back of your eye. If the new blood vessels interfere with the normal flow of fluid out of the eye, pressure may build up in the eyeball. This can damage the nerve that carries images from your eye to your brain (optic nerve), resulting in glaucoma.

Anyone who has diabetes can develop diabetic retinopathy. Risk of developing the eye condition can increase as a result of:

  • Duration of diabetes — the longer you have diabetes, the greater your risk of developing diabetic retinopathy
  • Poor control of your blood sugar level
  • High blood pressure
  • High cholesterol
  • Pregnancy
  • Tobacco use
  • Being black, Hispanic or Native American

Diabetic retinopathy involves the abnormal growth of blood vessels in the retina. Complications can lead to serious vision problems:

  • Vitreous hemorrhage - The new blood vessels may bleed into the clear, jelly-like substance that fills the center of your eye. If the amount of bleeding is small, you might see only a few dark spots (floaters). In more-severe cases, blood can fill the vitreous cavity and completely block your vision. Vitreous hemorrhage by itself usually doesn't cause permanent vision loss. The blood often clears from the eye within a few weeks or months. Unless your retina is damaged, your vision may return to its previous clarity.
  • Retinal detachment - The abnormal blood vessels associated with diabetic retinopathy stimulate the growth of scar tissue, which can pull the retina away from the back of the eye. This may cause spots floating in your vision, flashes of light or severe vision loss.
  • Glaucoma - New blood vessels may grow in the front part of your eye and interfere with the normal flow of fluid out of the eye, causing pressure in the eye to build up (glaucoma). This pressure can damage the nerve that carries images from your eye to your brain (optic nerve).
  • Blindness - Eventually, diabetic retinopathy, glaucoma or both can lead to complete vision loss.

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    Paras Hospital, Gurgaon

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    Artemis Hospital, Gurgaon

    Dr. Batriti Shympliang Wallang

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    Dr. Anita  Sethi

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    Dr. Varun Gogia

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    Medanta The Medicity, Gurgaon

    Dr. Sudipto Pakrasi

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    Senior Consultant

    Max Super Speciality Hospital, Saket, New Delhi

    Dr. Sonika Gupta

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    HOD

    Max Super Speciality Hospital, Saket, New Delhi

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    Consultant

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    Dr. Meeta Joshi

    Dr. Meeta Joshi

    Senior Consultant

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    Dr. Rakesh Kumar

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    Consultant

    Max Super Speciality Hospital, Saket, New Delhi

    Dr. Parul Sharma

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    HOD & Coordinator

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    Dr. Sanjiv Gupta

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    Consultant

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    Dr. Sirish Kumar V

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    Consultant - Ophthalmology

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    Dr. Deepali Garg Mathur

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    Dr. Ajay Arora

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    Consultant

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    Dr. Prakash Kumar

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    Consultant - Ophthalmology

    Apollo Hospitals, Secunderabad, Telangana

    Dr. Anand Subodh Palimkar

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    Apollo Jehangir Hospital, Pune

    Dr. Neeta Gadkari

    Dr. Neeta Gadkari

    Senior Consultant - Ophthalmology

    Apollo Jehangir Hospital, Pune

    Dr. Meenakshi Pande

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    Consultant - Ophthalmology

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    Dr. Major V Raghavan

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    Consultant - Ophthalmology

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    Dr. Manikuntala Sengupta

    Dr. Manikuntala Sengupta

    Ophthalmologist - Ophthalmology

    B M Birla Heart Research Centre, Kolkata

    Dr. Keiki R Mehta

    Dr. Keiki R Mehta

    Consultant and Head - Ophthalmology

    Breach Candy Hospital Trust, Mumbai

    Dr. Sumanth Kumar Am

    Dr. Sumanth Kumar Am

    Consultant - Ophthalmology

    Cloudnine Hospital, Jayanagar, Bangalore

    Dr. Kavitha S Rao

    Dr. Kavitha S Rao

    Consultant - Ophthalmology

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    Dr. Anant Vir Jain

    Dr. Anant Vir Jain

    Consultant - Ophthalmology

    Columbia Asia Hospital, Ghaziabad

    Dr. Kinshuk Biswas

    Dr. Kinshuk Biswas

    Consultant - Ophthalmology

    Columbia Asia Hospital, Palam Vihar, Gurgaon

    Dr. M K Gupta

    Dr. M K Gupta

    Consultant - Ophthalmology

    Columbia Asia Hospital, Palam Vihar, Gurgaon

    Dr. Elankumaran P

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    Columbia Asia Hospital, Hebbal, Bangalore

    Dr. Jignesh Baichand Taswala

    Dr. Jignesh Baichand Taswala

    Consultant - Ophthalmology

    Columbia Asia Hosptial, Pune

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    Consultant - Ophthalmology

    Columbia Asia Hosptial, Pune

    Dr. Piyush R Bansal

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    Consultant - Ophthalmology

    Columbia Asia Hosptial, Pune

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    Dr. Anita Joseph

    Consultant - Ophthalmology

    Columbia Asia Hosptial, Pune

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    Consultant - Ophthalmology

    Columbia Asia Hosptial, Pune

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    Consultant - Ophthalmology

    Columbia Asia Hospital, Salt Lake City, Kolkata

    Dr. Kakoli Saha

    Dr. Kakoli Saha

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    Consultant - Ophthalmology

    Columbia Asia Hospital, Whitefield, Bangalore

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    Columbia Asia Hospital, Whitefield, Bangalore

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    Consultant - Ophthalmology

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    Dr. Aruna Nandyala

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    Consultant - Ophthalmology

    Continental Hospitals, Gachibowli, Hyderabad

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    Consultant - Ophthalmology

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    Dr. Varshav S Gore

    Dr. Varshav S Gore

    Consultant - Ophthalmology

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    Dr. Dinesh P N

    Dr. Dinesh P N

    Consultant - Ophthalmology

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    Dr. Mohan R Mithare

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    Consultant - Ophthalmology

    Fortis Hospital, Bannerghatta Road, Bangalore

    Dr. Usha Sridhar

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    Consultant - Ophthalmology

    Fortis Hospital, Bannerghatta Road, Bangalore

    Dr. Girija Suresh

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    Consultant - Ophthalmology

    Fortis Hospital, Mulund, Mumbai

    Dr. Anand Subramanyam

    Dr. Anand Subramanyam

    Consultant - Ophthalmology

    Fortis Hospital, Mulund, Mumbai

    Dr. P Suresh

    Dr. P Suresh

    Chief of the Ophthalmic Surgery department in

    Fortis Hospital, Mulund, Mumbai

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    HOD - Ophthalmology

    Fortis Hospital, Noida

    Dr. Rajesh Khanna

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    Consultant - Ophthalmology

    Fortis Hospital, Noida

    Dr. Upasana Upasani

    Dr. Upasana Upasani

    Senior Consultant - Ophthalmology

    Fortis Hospital, Noida

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    Senior Consultant - Ophthalmology

    Fortis Hospital, Noida

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    Senior Consultant - Ophthalmology

    Fortis Hospital, Shalimar Bagh, New Delhi

    Dr. Suraj Munjal

    Dr. Suraj Munjal

    HOD and Senior Consultant - Ophthalmology

    Fortis Hospital, Shalimar Bagh, New Delhi

    Dr. Radhimalar Anand

    Dr. Radhimalar Anand

    Consultant - Ophthalmology.

    Fortis Malar Hospital, Adyar, Chennai

    Dr. Nandini Roy

    Dr. Nandini Roy

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. Somnath Majumdar

    Dr. Somnath Majumdar

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. Anshuman Das

    Dr. Anshuman Das

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. Pratik Ranjan Sen

    Dr. Pratik Ranjan Sen

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. Zahir Abbas

    Dr. Zahir Abbas

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. A R Banerjee

    Dr. A R Banerjee

    Consultant - Ophthalmology

    Fortis Medical Centre, Kolkata

    Dr. Rajesh M Chowdhury

    Dr. Rajesh M Chowdhury

    Consultant - Ophthalmology

    Fortis Hospital, Anandapur, Kolkata

    Dr. Ravindramohan E

    Dr. Ravindramohan E

    Visiting Senior Consultant - Ophthalmology

    Global Hospital, Chennai

    Dr. Purnima Sahni Sood

    Dr. Purnima Sahni Sood

    Associate Director - Ophthalmology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Rituraj Baruah

    Dr. Rituraj Baruah

    Executive Consultant - Ophthalmology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Mahendra Singh

    Dr. Mahendra Singh

    Associate Consultant - Ophthalmology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Anshu Arora

    Dr. Anshu Arora

    Senior Consultant - Ophthalmology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Vikas Thukral

    Dr. Vikas Thukral

    Senior Consultant - Ophthalmology

    Jaypee Hospital, Gautam Buddh Nagar, Noida

    Dr. Ashish Jain

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    Senior Consultant - Ophthalmology

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    Dr. Sanjiv Gupta

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    Dr. B Sujani

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    Consultant - Ophthalmology

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    Dr. Candace Mary D Souza

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    Dr. Ajanta Chakravarty

    Dr. Ajanta Chakravarty

    Consultant - Ophthalmology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Suzanne John

    Dr. Suzanne John

    Consultant - Ophthalmology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Anil R Wani

    Dr. Anil R Wani

    Consultant - Ophthalmology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Nitin S Shetty

    Dr. Nitin S Shetty

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    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Sujatha B

    Dr. Sujatha B

    Consultant - Ophthalmology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Geetha S

    Dr. Geetha S

    Visiting Consultant - Ophthalmology

    Manipal Hospital, HAL Airport Road, Bangalore

    Dr. Lakshmi Mahesh

    Dr. Lakshmi Mahesh

    Consultant - Ophthalmology

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    Dr. Muninanjappa J S

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    Dr. K P Manjunath

    Dr. K P Manjunath

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    Dr. Neeraj Chadha

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    Senior Consultant - Opthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Ankur Agarwal

    Dr. Ankur Agarwal

    Consultant - Ophthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Ram Saran Sachdeva

    Dr. Ram Saran Sachdeva

    Senior Consultant - Opthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Sanjeev Taneja

    Dr. Sanjeev Taneja

    Senior Consultant - Ophthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Sudhir Kumar Garg

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    Consultant - Ophthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Gyan Goyal

    Dr. Gyan Goyal

    Senior Consultant - Ophthalmology

    Max Hospital, Pitampura, New Delhi

    Dr. Deepti Govila

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    Consultant - Ophthalmology

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    Dr. Anchal Gupta

    Dr. Anchal Gupta

    Consultant - Ophthalmology

    Max Medcentre, Panchsheel, New Delhi

    Dr. Tarun Kapur

    Dr. Tarun Kapur

    Senior Consultant - Ophthalmology

    Max Medcentre, Panchsheel, New Delhi

    Dr. Sanjay Dhawan

    Dr. Sanjay Dhawan

    Senior Consultant - Ophthalmology

    Max Medcentre, Panchsheel, New Delhi

    Dr. Parul Sharma

    Dr. Parul Sharma

    HOD & Coordinator - Ophthlamology

    Max Hospital, Gurgaon

    Dr. Rakesh Kumar

    Dr. Rakesh Kumar

    Consultant - Ophthalmology

    Max Super Speciality Hospital, Saket, New Delhi

    Dr. Maneesh Kumar

    Dr. Maneesh Kumar

    Senior Consultant - Ophthalmology

    Max Medcentre, Panchsheel, New Delhi

    Dr. Suman Lal

    Dr. Suman Lal

    Consultant - Ophthalmology

    Max Hospital, Gurgaon

    Dr. Sonika Gupta

    Dr. Sonika Gupta

    HOD - Ophthalmology

    Max Super Speciality Hospital, Saket, New Delhi

    Dr. Daraius Shroff

    Dr. Daraius Shroff

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Ritu Chaudhuri

    Dr. Ritu Chaudhuri

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Noshir M Shroff

    Dr. Noshir M Shroff

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Shalini Gupta

    Dr. Shalini Gupta

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Manish Aggarwal

    Dr. Manish Aggarwal

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Deepender Chauhan

    Dr. Deepender Chauhan

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. L D Sota

    Dr. L D Sota

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Simple Babra

    Dr. Simple Babra

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Pavan Kumar Johri

    Dr. Pavan Kumar Johri

    Consultant - Ophthalmology

    Max Super Speciality Hospital (Pushpanjali Crosslay), Vaishali, Ghaziabad

    Dr. Subrata Guhathakurta

    Dr. Subrata Guhathakurta

    Consultant - Ophthalmology

    Narayana Multispeciality Hospital, Howrah, Kolkata

    Dr. Somdutta Prasad

    Dr. Somdutta Prasad

    Consultant - Ophthalmology

    Rabindranath Tagore International Institute of Cardiac Sciences, E M Bypass Mukundapur

    Dr. Sudipta Ghosh

    Dr. Sudipta Ghosh

    Consultant - Ophthalmology

    Rabindranath Tagore International Institute of Cardiac Sciences, E M Bypass Mukundapur

    Dr. Pankaj Rupauliha

    Dr. Pankaj Rupauliha

    Consultant - Ophthalmology

    Rabindranath Tagore International Institute of Cardiac Sciences, E M Bypass Mukundapur

    Dr. Mridula Mehta

    Dr. Mridula Mehta

    Consultant - Opthalmology

    Primus Super Speciality Hospital, New Delhi

    Dr. Vandana Khullar

    Dr. Vandana Khullar

    Consultant - Ophthalmology

    Pushpawati Singhania Research Institute (PSRI), New Delhi

    Dr. Neelam Srivastava

    Dr. Neelam Srivastava

    Consultant - Ophthalmology

    Rockland Hospitals, Manesar, Gurgaon

    Dr. Sandeep Suresh Patil

    Dr. Sandeep Suresh Patil

    Attending Consultant - Ophthalmology

    Sakra World Hospital, Varthur Hobli, Bangalore

    Dr. Swagata Sarkar

    Dr. Swagata Sarkar

    Consultant - Ophthalmology

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Satpal Pannu

    Dr. Satpal Pannu

    Consultant - Ophthalmology

    Seven Hills Hospital, Andheri East, Mumbai

    Dr. Kiran K Vallam

    Dr. Kiran K Vallam

    Consultant - Ophthalmology

    Yashoda Hospitals, Somajiguda, Hyderabad

    Dr. Indumathy Ramachandran

    Dr. Indumathy Ramachandran

    Consultant, Ophthalmology

    Apollo Cradle For Women & Children, Jubilee Hills

    Dr. Shalini Shetty

    Dr. Shalini Shetty

    Senior Consultant, Ophthalmology

    Apollo Hospitals, Bannerghatta Road

    Dr. Bharath Kumar

    Dr. Bharath Kumar

    Senior Consultant, Ophthalmology

    Apollo Hospitals, Bannerghatta Road

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