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All about retina treatment

Detachment · blood in the eye · membrane · macular hole

Vitreoretinal surgery in Astana

Surgery inside the eye through three punctures thinner than a millimetre, under local anaesthesia. It’s done here in Astana — no need to fly to another city.

A curtain or shadow in front of your eye? Don’t wait until Monday — call today. At night and on Sunday the clinic is closed — call an ambulance on 103.

Call

What you have

Cross-section of the eye: cornea, lens, vitreous body and the retina lining the back wall
The retina has come away from the wall of the eye

Like wallpaper peeling off a damp wall: fluid seeps under it through a tear, and the curtain in front of the eye keeps growing.

The sooner the surgery, the more vision can be saved.

Before surgery · numbed, you’re awake

  1. Three punctures thinner than a millimetre. The eye is numbed, you’re awake. No incision — just punctures at the edge of the cornea.
  2. The cloudiness is cleared from inside. A fine instrument removes the vitreous gel along with blood and scar strands.
  3. The retina is repaired. It’s pressed back into place and the tear is sealed with a laser from inside, or a film or membrane is peeled off.
  4. The eye is filled. With silicone, gas or fluid — this holds the retina while it heals.
1,000,000 ₸per eye · vitrectomy with silicone

The silicone is later removed in a separate operation — 800,000 ₸ per eye. The whole path is 1,800,000 ₸ per eye, and we tell you upfront.

5.0 on Yandex Maps · 176 ratings
1,000,000 ₸ per eye: vitrectomy by the price list
800,000 ₸ per eye: silicone removal, if it was used
< 1 mm punctures instead of an incision, Alcon Constellation system
10,000 ₸ per visit: first back-of-the-eye exam
70,560+ eye and eyelid surgeries performed at the clinic

Days count

When you can’t wait: retinal detachment and other emergencies

The sooner a detachment is operated on, the more vision is saved. While the retina has come away only at the edge, the centre still sees. Once the detachment reaches the centre, you can only save what’s left. It’s like a leaking roof: fixing it after the first rain costs less than after the third.

1

A curtain, shadow or “veil” from the side or above

Part of your field of vision is blocked and the shadow is growing. This is often how retinal detachment begins. Call today.

2

Vision suddenly dropped or everything is in a red fog

It happens when blood gets into the eye, most often with diabetes or after an injury. Call today.

3

Flashes and a swarm of new floaters

The vitreous gel pulls on the retina, and a tear can form where it pulls. It’s sealed with a laser before it turns into a detachment. No later than tomorrow.

The clinic is open Mon–Sat 9:00–19:00. At night or on Sunday, if your vision suddenly gets worse, don’t wait until morning — call an ambulance on 103.

Tell the administrator you see a curtain or shadow: they’ll tell you when the surgeon can see you.

Not sure how urgent it is? Check your symptom

Dr. Bigeldiyev’s team

Who operates: Dr. Zhanysbayev

At RB CLINIC, vitrectomy on the price list is performed by Dr. Zhanysbayev — a surgeon for both cataract and retina. If during surgery it turns out that both the lens and the retina are affected, you aren’t handed to another surgeon or sent to another clinic. Like a mechanic who fixes both the engine and the wiring: your car doesn’t get passed around different garages.

Zhanysbayev Almat Zhuparbayevich, RB CLINIC cataract and retina surgeon

Zhanysbayev Almat Zhuparbayevich

Head of department · vitrectomy · cataract · complex eyes

  • Cataract and retina in the same hands. He implants the lens, and if the lens has shifted or the retina is affected, he performs the vitrectomy himself.
  • Surgery day — on video. He shows his work himself: the microscope, the operating room, patients straight after. Watch on the right.

1,000,000 ₸per eye · vitrectomy with silicone or membrane peeling

800,000 ₸per eye · silicone removal

About Dr. Zhanysbayev
Zhanysbayev

Bleeding in the eye from diabetes: Dr. Zhanysbayev replaced the lens and cleared the blood from the eye — he explains right after surgery

@dr.almat_zhanysbayev ↗
Bigeldiyev

Surgery day: while you wait in the lobby, the surgeon is at the microscope

@dr.bigeldiyev ↗
Zhukeyev

Floaters in front of your eyes? Dr. Zhukeyev on the laser that clears them

@dr.jukeev ↗

Swipe sideways

The surgeon answers

Retinal surgery on video: the surgeon explains it himself

A doctor explains1:27

Retinal surgery through three punctures thinner than a millimetre: Dr. Zhanysbayev explains what happens inside the eye

Vitreoretinal surgery · Dr. Zhanysbayev

@dr.bigeldiyev

“Every instrument is smaller than a millimetre. Just imagine how tiny they are”

What you’ll learn from the video

  • How the operation through three micro-punctures works
  • Why a detached retina stops seeing
  • How the retina is put back in place

Surgery day

How vitrectomy goes: one day at the clinic

You arrive in the morning and are usually home by evening. Vitrectomy is done under local anaesthesia: the eye is numbed, you’re awake and can tell the surgeon if anything bothers you. It takes from 30 minutes to several hours — depending on what needs to be done inside the eye.

Walk through the clinic — 8 rooms in a minuteStarting with the operating room
  1. RB CLINIC exam room: the slit lamp used to examine the eye before surgery
    1. Exam and OCT

    The doctor dilates the pupil and examines the retina. An OCT scan shows its layers: without it the surgeon can’t say exactly what needs repairing.

  2. The RB CLINIC operating suite corridor at 12 Orynbor St
    2. Preparation

    Drops, anaesthetic next to the eye — and you’re in the operating room. Everything is in one building: no need to travel anywhere.

  3. An RB CLINIC surgeon at a ZEISS operating microscope
    3. Surgery

    The surgeon works under a high-magnification microscope: three punctures, clearing, retinal repair, filling. There’s no pain; at most you may feel some pressure.

  4. RB CLINIC patients in the lobby after surgery receiving an aftercare leaflet and a bag
    4. Home with a patch

    After a few hours of observation you usually go home. In complex cases you may stay for 1–2 days. The next day — a check-up.

The surgeon decides on the method at the exam. The main one is vitrectomy: removing the vitreous gel and repairing the retina from inside. Alongside it — endolaser photocoagulation (a laser from inside the eye), and gas or silicone oil to hold the retina in place. For some detachments a buckle is placed on the outside of the eye.

Honestly, before you book

Vitrectomy and retinal surgery prices in Astana

The price is on the price list, and you see it before your first call. If the surgeon needs silicone, it’s removed later in a second operation — and you see that amount now, not three months later.

Vitrectomy with silicone oilfor retinal detachment: subtotal vitrectomy, the eye is filled with silicone1,000,000 ₸per eye
Vitrectomy with membrane peelingfor epiretinal membrane and macular hole: a film is peeled off the retina1,000,000 ₸per eye
Silicone oil removalsecond stage, once the retina has healed800,000 ₸per eye

The whole path with silicone

Vitrectomy with silicone1,000,000 ₸per eye
Silicone removal+ 800,000 ₸per eye
Total, two operations1,800,000 ₸per eye

The surgeon decides when to remove the silicone based on how well the retina has healed.

Where to start

Prices from the clinic’s price list: vitrectomy of 06.01.2026, exam and laser of 08.10.2025, injections of 15.05.2026. For blood in the eye and diabetes, the surgeon names the scope of surgery after the exam. You can pay for the surgery in Kaspi instalments with no overpayment over 12 months, up to 24 months with Kaspi Juma.

What families worry about most

After surgery: dos and don’ts

For the first days the eye sees blurrily — that’s how it should be. Vision returns gradually, over a few weeks to a few months. The retina is like fresh plaster: it needs time to set, and while it dries, it’s left alone.

The first days

Head in the right position

If there’s gas in the eye, the doctor will ask you to hold your head in a certain position for a few days — for example, looking down. The bubble floats up and presses the retina where it’s healing.

Weeks

No rubbing, no lifting, no gym

Don’t rub the eye, lift heavy things or do strenuous sport. How long for, the surgeon will tell you at the check-up.

While there’s gas in the eye

No flying

At altitude the gas bubble expands. Plan any trip to another city after your doctor gives the go-ahead: it’s simpler to have surgery in Astana and stay in Astana for that time.

Months

Vision clears, the silicone comes out

If the eye was filled with silicone, it’s removed in a second operation once the retina has healed — 800,000 ₸ per eye. The surgeon sets the timing.

Surgery stops the damage and most often preserves or improves vision. How much comes back depends on how long ago it started and how badly the retina is affected. That’s why the surgeon gives a prognosis after the exam, not over the phone.

Our own photos, not a single stock shot

RB CLINIC operating room and patients

This is where you’ll have surgery, and the people who have already left here with a patch. The exam, the operating suite and discharge are all in one building at 12 Orynbor St. Drag the strip or tap a photo.

In the operating room

Drag the strip or tap a photo

Tap a video and it opens right here, with sound.

Patient stories

Story1:12

“For the first time I saw my mum’s and dad’s faces”

Eye surgery

@dr.bigeldiyev
Story1:25

“When my daughter saw the colours of the world, I was so happy”

Eye surgery · Dr. Bigeldiyev · her mother, a medic herself

@dr.bigeldiyev
Story0:36

“The world is bright again, my vision is sharp”: a patient of Dr. Galiyev

Eye surgery · Dr. Galiyev

@rbclinic.kz
Story0:24

“I felt the care, and most importantly, an improvement in my health”

Eye surgery · Dr. Bigeldiyev

@dr.bigeldiyev
Story1:10

The right eye hadn’t seen for 60 years, after a childhood injury. Dr. Bigeldiyev performed the complex surgery (review in Kazakh)

Eye operations · Dr. Bigeldiyev · in Kazakh

@dr.bigeldiyev
Story0:42

“It’s so wonderful to feel that childhood sensation of seeing the world anew”

Eye surgery · Dr. Bigeldiyev

@dr.bigeldiyev

Recognise your diagnosis?

When vitreoretinal surgery is needed

Vitreoretinal surgery treats the retina and the vitreous — the back of the eye, where neither drops nor an external laser can reach. The vitreous is the clear gel that fills the eye. The retina is a thin layer on the back wall that “takes the picture” for the brain. These are the most common reasons people come.

Retinal detachment

A curtain that keeps growing

The retina comes away from the wall of the eye like wallpaper from a damp wall. Without surgery, sight in that eye can be lost.

1,000,000 ₸per eye · vitrectomy with silicone

Vitreous haemorrhage

Blood in the vitreous

Everything is in a red fog, or the eye barely sees. It happens with diabetes, injury or a burst vessel. The blood is removed and its source is sealed with a laser from inside.

After the examvitrectomy by the price list — 1,000,000 ₸ per eye

Macular hole

A spot in the centre

A spot in the middle of whatever you look at: letters disappear, faces are blurred. There’s a tiny gap in the centre of the retina.

1,000,000 ₸per eye · vitrectomy with membrane peeling

Epiretinal membrane

Wavy lines

The door frame looks wavy, as if through crumpled film. A thin membrane has grown over the centre of the retina and is pulling on it.

1,000,000 ₸per eye · vitrectomy with membrane peeling

Diabetes

Vessels that bleed and pull

Over the years diabetes changes the blood vessels of the retina. When injections and laser are no longer enough, the scar strands and blood are removed surgically.

After the examvitrectomy by the price list — 1,000,000 ₸ per eye

Surgery isn’t always needed

If you don’t need surgery: laser, injections and exams

Sometimes laser or injections are enough — and the surgeon will tell you so. All retina treatment is in one clinic: if the exam shows it’s too early for surgery or it isn’t needed, you won’t be sent to look for somewhere else.

First back-of-the-eye exam — 10,000 ₸ per visit

Karibayev Sayat Aralovich, RB CLINIC laser ophthalmologist
Karibayev Sayat Aralovichretinal laser, in ophthalmology since 1996
About the doctor
Zhukeyev Sagat Serikovich, RB CLINIC laser ophthalmic surgeon
Zhukeyev Sagat Serikovichretinal laser and laser vision correction
About the doctor
Zhanysbayev Almat Zhuparbayevich, RB CLINIC cataract and retina surgeon
Zhanysbayev Almat Zhuparbayevichif surgery has already been scheduled
About the doctor

The retina won’t wait

Book with a vitreoretinal surgeon

Write what your doctor said or send a photo of the report. The administrator will find the earliest time. A curtain in front of the eye — better to call.

  1. Exam and OCT
  2. The surgeon’s decision and the price
  3. Surgery, home the same day
  4. Check-up the next day
vitrectomy 1,000,000 ₸ per eyesilicone removal 800,000 ₸ per eyeexam 10,000 ₸ per visit

If you don’t need surgery, we’ll tell you so.

Call: +7 771 848 00 00 · +7 702 747 11 77

Questions

Questions about vitreoretinal surgery

How much does vitrectomy cost in Astana?

On the clinic’s price list, vitrectomy with silicone oil and vitrectomy with membrane peeling each cost 1,000,000 ₸ per eye. If silicone was placed in the eye, it’s later removed in a second operation for 800,000 ₸ per eye, so the whole path is 1,800,000 ₸ per eye. The first back-of-the-eye exam is 10,000 ₸ per visit.

Does it hurt?

Not during the surgery: it’s done under local anaesthesia, the eye is completely numb, and you’re awake. For a few days afterwards there may be mild discomfort or a gritty feeling — that’s normal and passes.

How can I tell if I need urgent surgery?

Warning signs are flashes or lightning in front of the eye, a sudden swarm of floaters, a curtain or shadow over part of your field of vision, and straight lines looking bent. With any of these, see an ophthalmologist the same day. A curtain or shadow — call today: +7 771 848 00 00. At night and on Sunday, when the clinic is closed, don’t wait until morning — call an ambulance on 103.

How long does the surgery take and do I need to stay in hospital?

From 30 minutes to several hours, depending on complexity. It’s usually all outpatient: you come in, have the surgery and go home after a few hours of observation. In complex cases you may be kept for 1–2 days.

Will my vision come back?

Surgery stops the damage and in most cases preserves or improves vision. By how much depends on how long ago it started and how badly the retina is affected. That’s why it’s important not to delay. Vision returns gradually, over a few weeks to a few months; for the first days everything is blurry — that’s how it should be.

Why silicone, and why a second operation?

Silicone oil holds the retina in place from inside while it heals. It isn’t left forever: once the retina has healed, the silicone is removed in a separate operation — 800,000 ₸ per eye. The surgeon decides when at your check-ups.

What should I avoid after surgery?

Rubbing the eye, lifting heavy things, strenuous sport and flying while there’s gas in the eye. Sometimes the doctor asks you to hold your head in a certain position for a few days — for example, looking down. This matters for proper healing.

Which methods are used?

The main one is vitrectomy: through punctures thinner than a millimetre the vitreous gel is removed and the retina is repaired from inside. Alongside it — endolaser photocoagulation, gas or silicone oil. For some detachments a silicone buckle is placed on the outside of the sclera. The surgeon will tell you what you need after the exam.

Who operates on the retina at RB CLINIC?

Vitrectomy on the clinic’s price list is performed by Dr. Zhanysbayev Almat Zhuparbayevich — a cataract and retina surgeon. The first back-of-the-eye exam is done by Dr. Karibayev and Dr. Zhukeyev.

All about retina treatment

RB CLINIC, 12 Orynbor St, Astana · +7 771 848 00 00 · +7 702 747 11 77

1,000,000 ₸ per eye Retinal detachment