Suspected retinal detachment
Flashes, new numerous floaters, a shadow or curtain in the visual field.
About the service
A vitreoretinal surgeon assesses retinal and vitreous disease and determines urgency. Examination findings guide recommendations for monitoring, laser treatment, injections or surgery.
Who the service is for
Vitreous hemorrhage
Blood in the vitreous, especially with diabetes, trauma or after surgery.
Diabetic retinopathy
Traction, vitreous hemorrhage, suspected tractional detachment or complex surgical planning.
Macular disease
Epiretinal membrane, macular hole, vitreomacular traction or significant distortion.
Trauma and postoperative complications
Possible intraocular foreign body, lens/IOL dislocation, endophthalmitis or other complex posterior-segment problems.
Benefits and risks
A referral to a surgeon is not an automatic indication for surgery; the decision follows assessment of benefits, risks and alternatives.
Second opinion
Review of a proposed operation, observation strategy or difficult diagnosis using existing studies.
The macular area
Visual prognosis cannot be guaranteed before assessing the macula, ischemia, duration and coexisting disease.
Visual field
Normal visual acuity does not exclude a peripheral retinal tear or localized detachment. OCT does not replace peripheral retinal examination; B-scan does not replace macular OCT; tonometry measures IOP, not retinal status.
Macular region
An epiretinal membrane, floaters or VMT do not automatically mean vitrectomy is required.
Results and documents
Bring previous OCT, fluorescein angiography, OCT-A and ultrasound results, medical summaries and operative reports.
Travel after the appointment
If pupil dilation is expected, do not plan to drive yourself immediately after the visit.
Symptoms and history
Symptoms, their onset and progression, diabetes, trauma, previous operations and treatment.
Ophthalmic examination
Visual acuity, anterior segment, IOP when indicated, dilated vitreous and retinal examination.
Reduced vision
Do not wait for a routine appointment if new flashes, a sudden shower of floaters, a dark curtain or sudden visual loss develops.
Realistic expectations
Suspected retinal detachment requires urgent assessment rather than waiting for a routine comprehensive workup.
Limitations and safety
Suspected retinal detachment requires urgent assessment rather than waiting for a routine comprehensive workup.
Book a consultation
Stages
Stage 1
Symptoms and history
Symptoms, their onset and progression, diabetes, trauma, previous operations and treatment.
Stage 2
Ophthalmic examination
Visual acuity, anterior segment, IOP when indicated, dilated vitreous and retinal examination.
Stage 3
Targeted diagnostics
OCT, B-scan, FA, OCTA or other tests only when they answer the clinical question.
Stage 4
Surgeon’s assessment
The surgeon integrates symptoms, examination and imaging.
Stage 5
Management choice
Observation, laser, injections, surgery or a combination.
Stage 6
Next-step plan
Urgency, additional testing, preoperative workup or follow-up interval.
Service benefits
Assessment by a specialist surgeon
The consultation helps clarify vitreous and retinal conditions that require a specialist approach.
Understanding treatment urgency
The doctor assesses how quickly action is needed and whether observation is appropriate in the individual case.
An informed choice of treatment
Based on examination findings, the doctor explains when observation, laser, injections or surgery are needed.
A realistic understanding of the outcome
Discussing the diagnosis helps clarify treatment goals, limits to visual recovery and the need for further follow-up.
Consultation formats: purpose and output
Criterion
Primary consultation
Urgent VR assessment
Second opinion
Preoperative consultation
Postoperative review
Main goal
Clarify diagnosis and strategy
Confirm/exclude a vision-threatening condition
Review diagnosis and proposed plan
Confirm indication and plan surgery
Assess healing, retina and complications
When used
New or complex diagnosis
Flashes, curtain, sudden vision loss, trauma
Existing report/plan from another center
Surgery is being considered
After vitrectomy or another posterior-segment procedure
Output
Testing and treatment plan
Urgent treatment versus observation decision
Independent comparison of options
Surgical plan and preparation
Adjustment of restrictions and follow-up
Vitrectomy discussion
Only if indicated
If urgent surgery is plausible
As one option
In detail if surgery is selected
As a completed procedure
Primary consultation
Main goal
When used
Output
Vitrectomy discussion
Clarify diagnosis and strategy
New or complex diagnosis
Testing and treatment plan
Only if indicated
Confirm/exclude a vision-threatening condition
Flashes, curtain, sudden vision loss, trauma
Urgent treatment versus observation decision
If urgent surgery is plausible
Review diagnosis and proposed plan
Existing report/plan from another center
Independent comparison of options
As one option
Confirm indication and plan surgery
Surgery is being considered
Surgical plan and preparation
In detail if surgery is selected
Assess healing, retina and complications
After vitrectomy or another posterior-segment procedure
Adjustment of restrictions and follow-up
As a completed procedure
Diagnostics during consultation: methods are complementary
Method
Dilated peripheral retinal examination
Macular OCT
B-scan ultrasound
What it assesses
Tears, detachment, peripheral retina, vitreous
Layered macular anatomy, ERM, VMT, hole
Posterior structures through opaque media
Strength
Broad clinical view of periphery
High-resolution central retinal structure
Works with vitreous hemorrhage/dense cataract
Key limitation
Depends on media clarity and examination
Does not cover the entire periphery
Less macular detail than OCT
Contrast/contact
No IV dye; contact depends on lens
No dye, noncontact
Contact through the eyelid with gel or according to the protocol
Especially useful for
Flashes, floaters, suspected tear/detachment
ERM, VMT, macular hole, edema
Vitreous hemorrhage, obscured fundus
Dilated peripheral retinal examination
What it assesses
Strength
Key limitation
Contrast/contact
Especially useful for
Tears, detachment, peripheral retina, vitreous
Broad clinical view of periphery
Depends on media clarity and examination
No IV dye; contact depends on lens
Flashes, floaters, suspected tear/detachment
Layered macular anatomy, ERM, VMT, hole
High-resolution central retinal structure
Does not cover the entire periphery
No dye, noncontact
ERM, VMT, macular hole, edema
Posterior structures through opaque media
Works with vitreous hemorrhage/dense cataract
Less macular detail than OCT
Contact through the eyelid with gel or according to the protocol
Vitreous hemorrhage, obscured fundus
Diagnostics during consultation: methods are complementary (continued)
Method
Fluorescein angiography
OCT angiography
Tonometry
What it assesses
Fluorescein transit, leakage and ischaemic or vascular patterns
Vascular architecture and motion-related flow signal
Intraocular pressure
Strength
Shows leakage and temporal phases
Dye-free, depth-resolved
Important global ocular context
Key limitation
IV dye and systemic adverse-reaction risk
No leakage information; artifacts/slow-flow limits
Does not evaluate retina or vitreous
Contrast/contact
IV fluorescein
No dye
Depends on method
Especially useful for
Diabetic, vascular and inflammatory disease
Macular microvasculature and neovascularization
Coexisting glaucoma and postoperative monitoring
Fluorescein angiography
What it assesses
Strength
Key limitation
Contrast/contact
Especially useful for
Fluorescein transit, leakage and ischaemic or vascular patterns
Shows leakage and temporal phases
IV dye and systemic adverse-reaction risk
IV fluorescein
Diabetic, vascular and inflammatory disease
Vascular architecture and motion-related flow signal
Dye-free, depth-resolved
No leakage information; artifacts/slow-flow limits
No dye
Macular microvasculature and neovascularization
Intraocular pressure
Important global ocular context
Does not evaluate retina or vitreous
Depends on method
Coexisting glaucoma and postoperative monitoring
Book an appointment
When booking, state the diagnosis or symptoms and any urgent warning signs. If you already have imaging or a proposed surgery, request a vitreoretinal surgeon consultation or second opinion.
Procedure prices
Service name
Price
Vitreoretinal surgeon consultation (per consultation)
from 14 500 ₸
Our doctors
A team of experienced doctors across specialties.
Experience: 34 years
Head Doctor
Kanafyanova Elmira Gazizovna
Doctor of Medical Sciences; Highest-category ophthalmologist
Experience: 22 years
Head
Orazbekov Lukpan Nurlanovich
Candidate of Medical Sciences, Associate Professor; Highest-category ophthalmologist
Experience: 31 years
Head
Zhurgumbaeva Gulnar Kayratovna
Candidate of Medical Sciences; Highest-category ophthalmologist
Experience: 8 years
Head
Ruslanuly Qayrat
Doctor of Philosophy (PhD)
Experience: 12 years
Ophthalmologist
Tadzhimetov Murat Mikhaylovich
Highest-category ophthalmologist
Experience: 9 years
Ophthalmologist
Dautalieva Aqbala Zhomartqyzy
First-category ophthalmologist
Experience: 10 years
Ophthalmologist
Qyryqbaev Dastan Rakhmetollauly
First-category ophthalmologist
Experience: 7 years
Ophthalmologist
Oteulieva Marfugha Amanzhanqyzy
Second-category ophthalmologist; PhD Degree Candidate
Experience: 14 years
Ophthalmologist
Botabekov Rustem Makhamadalievich
Experience: 10 years
Ophthalmologist
Kazankapov Gumarzhan Kuanyshevich
Consultation with a vitreoretinal surgeon
A consultation with a vitreoretinal surgeon helps determine the next steps in care.
The surgeon assesses the retina and vitreous, reviews symptoms alongside examination findings and imaging, determines the urgency, and recommends the next step.
Vitrectomy may be one treatment option. However, many patients need monitoring, laser treatment, or injections rather than surgery.
Additional advice and situations
Symptoms requiring urgent care
Urgent pathway if a retinal tear or detachment is identified.
Laser stage
Laser, intravitreal treatment or vitrectomy if indicated.
Assessment before treatment
Preoperative assessment when surgery is chosen.
Comparable follow-up tests
Serial observation with comparable OCT/examinations when the condition is stable.
Further information
A KazRIED vitreoretinal surgeon consultation helps determine whether retinal or vitreous disease requires urgent intervention, planned treatment or observation. The surgeon reviews available studies, orders targeted testing when necessary and explains the next evidence-based step for the individual case.
Facts and offers
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Kazakhstan’s first specialized ophthalmology institute, operating since 1933.
Modern diagnostics and surgery using world-class equipment.
Leading ophthalmologists in Kazakhstan, scientists and experienced surgeons.
More than 30,000 operations and around 270,000 consultations annually.
Related services
Frequently asked questions
What does a vitreoretinal surgeon do?
A vitreoretinal surgeon is an ophthalmic surgeon specializing in diseases of the retina, vitreous and posterior segment. The surgeon determines whether observation, laser treatment, injections or surgery may be required.
How is a vitreoretinal surgeon consultation different from a routine eye examination?
Its main purpose is specialist assessment of retinal, vitreous and posterior-segment disease, including urgency and the most appropriate management strategy.
Which symptoms require urgent assessment?
New flashes of light, a sudden increase in floaters, a dark curtain or shadow in the visual field, sudden vision loss and eye trauma require urgent ophthalmic assessment.
Do I need a consultation for suspected retinal detachment?
Yes. Suspected retinal detachment requires urgent specialist assessment. The timing and type of treatment are determined after examination.
Do I need a consultation for vitreous haemorrhage?
Yes. Vitreous haemorrhage can have different causes. The surgeon assesses its source, retinal status and whether observation, laser treatment, injections or vitrectomy may be needed.
When is vitreoretinal consultation useful in diabetic retinopathy?
It is particularly important in advanced diabetic retinopathy, vitreous haemorrhage, vitreoretinal traction, suspected tractional retinal detachment or when surgical assessment is required.
What is an epiretinal membrane?
It is a thin fibrocellular membrane that forms on the surface of the macula and may distort it. Treatment decisions depend on symptoms, OCT findings and the extent of anatomical changes.
Does every macular hole require surgery?
No. Management depends on the type and size of the hole, its duration, symptoms, macular anatomy and other factors. The decision is made after specialist assessment.
What is vitreomacular traction?
It is a condition in which the vitreous remains attached to the macula and exerts traction on it. Management may involve observation or treatment depending on anatomy and symptoms.
Can I get a second opinion?
Yes. Bring previous reports, OCT, angiography, ultrasound results, discharge summaries and details of previously proposed treatment whenever possible.