Treatments

"True love doesn't need proof, the eyes told what heart felt." When the clear crystaline lens in your eye becomes cloudy the light reaching the retina through this cloudy lens is blurred and distorted and your vision get affected. This clouded lens is called as cataract. To restore vision, this clouded leans must be removed by surgical procedure. Cataract can be cortical , nuclear or sub capsular. Depending upon the type of cataract a patient will experience different visual problems.But the most common cataract symptoms include. Blurred vision Sensitivity to light or glare Double vision in one eye Poor night vision Need brighter light to read Experience fading or yellowing of colors Age Related Cataract. : Aging is the most common cause of cataract. It may be nuclear , cortical or sub capsular cataract. Nuclear Cataract. : occur in the center of lens & may induce myopia Cortical Cataract. : begins in the outer portion of the lens and moves slowly towards center. Commonly occurs in diabetic patient. Sub Capsular Cataract : Develops under the capsule, often at the back of the lens. This type of cataract is common in diabetic, high myopia, retinitis pigmentosa and patients who take steroids Other Type of Cataract : These are not related with aging process. Traumatic Cataract: Develops as a result of eye injuries. Other can develop from metabolic blood disorders , eye infections and inflammations and certain types of medications e.g. steroids. Congenital Cataract: Occurs at birth, particularly if the mother has rubella infection during pregnancy. Treatments Cataract can be operated at any age and at any stage of cataract. In fact when Cataract interferes with your daily activities you should undergo Cataract removal surgery with intraocular lens implantation. Now a days Cataract surgery is a sutureless procedure. It can be done at any stages of Cataract. It takes only 15 minutes to complete surgery. No need to remain / stay admit in hospital. Patient can go home within hours, patient can join his routine work after fifth day. Very less spectacle number after surgery and it can be done under topical anaesthesia ( no injection ). Sutureless Cataract surgery is done by two techniques Phacoemulsification SICS- Small incision Cataract surgery also called as Nonphaco. Both techniques are equally good. Let the surgeon decide by which technique the patient will get good vision. Always remember that the aim of any surgical technique is to give good vision to the patient and satisfaction of the surgeon without giving any type of pain to both of them.

Uveal tract is the vascular middle coat of the eye ball. Inflammation of the uveal tract is called as uveitis. Usually occurs if there is associated systemic disease in the patient either an autoimmune disease or an infective disease . The uvea is made up of the iris , the ciliary body and the choroid. When any part of the uvea becomes inflamed then it is called uveitis. The inflammation in the uvea very often affects other parts of the eye also eg. Retina. Uveitis is also associated with systemic diseases like Behceti's disease , sarcoidosis and toxoplasmosis. Cause of Uveitis ? It may result from an infection such as a virus ( eg. Herpes ) or a fungus ( eg. Histoplasmosis ). It may be due to a parasite such as toxoplasmosis. It may be related to autoimmune disease with or without involvement of other part of body. Trauma to the eye even if it was in the past can lead to uveitis. But in many cases the causes it said to be unknown. The word idiopathic may often be used to describe this group. Type of Uveitis Anterior Uveitis This type affect the front of the eye normally the iris (iritis ) or the ciliary body ( iridocyclitis ). Iritis is the most common type of uveitis and also the most readily treated. Iritis is something that needs close monitering because complications such as raised intraocular pressure and cataract can occur. Intermediate Uveitis This type affects the area just behind the ciliary body ( pars plana) and also the most forward edge of retina. This is the next most common type of uveitis Posterior uveitis This type occurs when the inflammation affects the part of the uvea at the back of the eye, the choroid. Often the refina is affected much more in this group. The choroid is basically a layer rich in small blood vessels which supplies blood to the retina How is Uveitis treated ? The treatment aims to achieve the following Relief of pain and discomfort To prevent vision loss due to the disease or due to its complication To treat the cause of disease where possible. Like the diverse nature of uveitis, the treatment may differ from case to case quite considerably. Corticosteroids are often the main stray of treatment but newer drugs are also being administered usually along with the steroids. Uveitis as a disease should be regarded as incurable in the sense that it will never completely go away but can definitely be controlled

What is Lasik ? LASIK ( Laser in situ keratomileusis ) is an advanced laser surgery that permanently eliminates your dependence on corrective eye glasses ( Spectacle) and/ or contact lenses with the resultant life style advantage . It is a treatment that reshapes the cornea in Microns with the help of laser in order to produce clear vision. The reshaping of the cornea improves the eyes focusing power and enhances patient’s visual acuity. If you are planning / considering corneal refractive surgery you must : Be at left 18 year of age , with stable refraction for past 6 month Have healthy eyes that are free from any eye disease or corneal abnormalities ( E.g. Scar , infection ) Corneal thickness must be adequate ( more than 480 microns ) which will be evaluated by ophthalmologist (with the help of OCULYZER-II) A complete retinal evaluation RGP/ semi soft lenses must be discontinued 2 weeks prior to lasik Soft contact lenses must be discontinued one week prior to lasik When you should not undergo lasik? If you have any connective tissue disorder ( E.g. rheumatoid arthritis ), Autoimmune ( e.g. SLE) & immunodeficiency diseases. If you are pregnant or nursing Keratoconus or any sign of corneal thinning. When there are CONTRAINDICATION / LIMITATIONS for Lasik Limitations of Lasik Lasik can correct myopia up to -12,The higher the intended correction the thinner and flatter the cornea will be post-operatively.For LASIK one has to preserve a safe residual corneal stromal bed of at least 280 microns,preferably 300 micron.Beyond these limit there is an increased risk of developing corneal ectasia ( i,e corneal forword bulging ) due to thin residual cornea stromal bed bed which results in loss of visual quality.Therefore those who are having higher refractive error and thin corneal thickness,LASIK is contraindicated in such cases. PHAKIC LENSES as an alternative for LASIK Since yesteryear the only method for permanent vision correction was corrective laser eye surgery ( i.e LASIK,PRK ). With the advent of PHAKIC LENSE things have changed.Now you can enjoy a well defined vision correction that's sharper,cleaner,more vivid and has greater depth of dimension though your cornea is thin or though you have larger spectacle number. What is PHAKIC INTRAOCULAR LENS Phakic Intraocular lens is a special kind of intraocular lens that is implanted surgically in to the eye to correct myopia.They are called , 'PHAKIC' because the eye'snatural lens is left untouched.This is in contrast to intraocular lenses that are implanted in to eyes after the eye's natural lens has been removed during cataract surgery. Phakic intraocular lenses are indicated for patients with high refractive error when the usual laser option ( LASIK and PRK) for surgical correction are cotraindicated. At our centre,we use IPCL amongst many other type of Phakic lenses.Intraocular Phakic Contact Lens ( IPCL) is like a soft contact lens,single piece posterior chamber phakic iol which can be inserted in to the eye through sub 2.8 mm incision to correct vision of the eye. The lens is customized according to shape and size of each eye The IPCL lens is implanted inside the eye between the iris and the natural lens. It correct spherical. cylindrical or mixed spectacle numbers. Once implanted in the eye, the IPCL stays indefinitely .It can be replaced or removed from the eye if your vision changes over a period of time. Advantages of IPCL A Vision with a new horizone You will get a well defined vision correction that's sharper, cleaner, more vivid and has greater deapth and dimention Pleasant Surprise After a simple 15 minut OPD medical procedure, patient experience immediate improvement in the visual quality. In fact the the quality of vision achieved is the best among the other procedure available. Designed to be forever but removable It can be removed or replaced easily if necessary Corneal tissue is not removed or reshaped In IPCL medical intervention,procedure,no corneal tissue is removed or reshaped,unlike the corrective Lasik procedure whereby healthy corneal tissue is removed permanently. Minimum recovery time Recovery time is very less.with minimum discomfort Invisible and Unnoticeable IPCL is positioned between the iris and natural lens .It is invisible to patient and viewer.The fixed positioning of the IPCL allows it to work in complete harmony with your normal eye function. The only way that you or anyone else comes to know its there is the improvement in your eye sight.You will neither be able to see nor feel the IPCL,once it is inside your eye. Flexibility for future When time passes ,and we grow older,our vision changes,Everyone will need a cataract surgery.A significant benefit with the IPCL is that you will have future options avalable to you,when the time comes. The IPCL can be removed and replaced if your vision changes significantly.And you can have another procedure at any time. Frequently Asked Questions on Reactive Surgery (Lasik ) Will my vision improve immediately You should be able to see reasonably well within a few days after your procedure. If you have had a surface PRK procedure, Your vision may Fluctuate for next 1to 3 month . If you have had a lasik procedure, your vision is likely to stabilize around a month after the procedure. What are the possible side effects of the procedure Early side effect of any corneal procedure includes light sensitivity, glare & foreign body sensation in the eye. Sometimes procedure may result in undercorrection, or overcorrection may occur. Corneal haze can also occur in some patient How do I know if I am a good candidate for lasik Patient who are 18 years of age and older, having healthy eyes that are free from retinal problem, corneal scars and any eye disease. If the effect of lasik is permanent Yes, the effect of treatment is permanent. Will I need reading glasses after the treatment ? If you are 40 year of the age and more than that, then you will need presbyopic glasses for reading. The lasik treatment does not correct or prevent presbiopia. How soon after the treatment can I bath & take a shower? You should not shower for one week but you can take bath on next day. Avoid getting soap or water directly in to your eyes. Avoid rubbing your yees during the 1st month after surgery. When can I drive after the treatment ? Don’t drive on the same day . After that you can drive when you feel comfortable for safe driving. How soon can I use eye makeup ? You can make up your eyes 4 weeks after treatment but take care to avoid infection. How soon I can swim ? Don’t swim for at lease 2-4 wk after treatment What kind of anaesthesia is used during the treatment ? Topical anaesthesia i.e. numbing eye drops are used. Can both eye be treated at the same time? In lasik both eyes are treated at the same time Does lasik Hurt ? Lasik is the painless treatment . You will feel pressure on and around the eye during treatment. Some patient feel foreign body sensation for a day after treatment. Will my eyes be patched? No but clear protective eye shields or black goggles will be placed following treatment. Will I need to wear spectacles or contact lenses after procedure? Both surface PRK & Lasik are designed to allow you to discontinue the use of your corrective lenses. In some patient with high refractive errors and in those over 40 years of age corrective lenses may still be required. In some patient however , it may be possible to perform a second refractive procedure to correct a residual refractive error. Is the lasik procedure covered by insurance? Lasik is consider a elective / cosmatic surgery and it is not covered by many health insurance plans. However you can contact & ask about to your insurance agency for the same. When can I resume my normal activities ? If you have had a surface PRK , you will be able to return to work within three to four days of surgery . If you have had lasik procedure you can return to work on the following day. Eye medication should be continued during working hours as instructed by the surgeon. Direct eye contact with water or rubbing of the eye or any type of trauma should be avoided for at least one week following Lasik What is the criteria for Lasik surgery? Age of the patient should be over 18 year. Spectacle of the patient should be stable for at leans six month. Corneal thickness more than 480 microns which will be evaluated by us - with Oculyzer -II. A complete retinal evaluation RGP / Semi soft lens use discontinued 3 weeks prior to Lasik Soft contact lens use to be discontinued 2 weeks before Lasik. Is lasik a safe procedure ? Yes if the requisite tests and above criteria is followed If done after a through screening use of latest equipments Done under the care of expert hands It is an FDA approved procedure. Up to what number can lasik correct A wide range of refractive error can be corrected including near sightedness, far Sightedness & astigmatism. Near sightedness – minus 1 to minus 12 Far sightedness - plus 1 to plus 6 Astigmatism ( cylindrical ) – up to 6 diopter cylinder. Our center is equipped with worlds safest, fastest OptiLasik Ex 500 Machine and also by a Oculyzer 2 to precisely evaluate your precious eye.

Contact lenses are thin curved plastic disks designed to cover the cornea. Contact lenses provide a safe and effective way to correct vision when used with care and proper supervision. They can offer a good alternative to eyeglasses depending on your eyes and lifestyle. Contact lenses provide better vision than spectacles. Contact lenses provides wider fields of vision which is offen blocked, obstructed, or limited by spectacle frames. Contact lenses do not fog up with changes in temperature or from perspiration and the are unaffected by water or rain. Many people choose Contact lenses for personal or cosmetic reasons because they think glasses make them look less attractive or they find the weight of spectacles on there face annoying sports players and people involving in vigorous activities often find Contact lenses more convenient than spectacles. Soft Contact Lenses Soft Contact lenses are made of hydrophillic ( water loving ) plastic that absorb liquids . When this material soaks up liquid, it becomes soft & moulds to fit the eyeball Types of Soft Lenses: Daily wear soft lenses Disposable Contact lenses Extended wear Contact lenses Toric Contact lenses Cosmetic Contact lenses / prosthetic Contact lenses Color Contact lenses Take Care While Using Contact lenses Never wear lenses longer than prescribed. Do not wear daily lenses while sleeping. Do not wear daily lenses overnight unless recommended by your ophthalmologist. Always wash, rinse & dry your hands before handling lenses. Do not use saliva to wet you lenses or do not put lenses in your mouth. Use only approved contact lenses solution for lubricating or washing your lenses. Always use fresh solution in your case when disinfecting it. Lens cases should be cleaned, Rinsed & allowed to air dry each time the lenses are removed. If your eyes become red, irritated, painful, abnormally light sensitive or if your vision worsens while wearing lenses immediately remove the lens and consult your ophthalmologist. It is best to wear lenses before applying makeup & remove them before removing makeup water based & gel based cosmetics are less likely to damage lenses than oil based product. Do not apply eyeliner on the inside rim of the eyelids. You Should have regular eye examination as recommended by your ophthalmologist. Contact lenses wear out with time & should be replaced regularly . Disposable lenses should be thrown away after the recommended wearing period prescribed by your ophthalmologist. Daily disposable lenses should not be reused .

When the eyes of a person are not in alignment with each other it is known as squint or strabismus. Some patients with squint can be corrected by spectacles and eye exercises. But most of the patient requires operation. Squint operations are very safe and should be done as early as possible What is Squint? Squint is a misalignment of the two eyes where both eyes are not looking in the same direction. It may be constant of intermittent. Cause of squint Exact cause not known Loss of co-ordination between the muscles of two eyes High and unequal refractive error Paralysis of eye muscles Unequal vision in two eye because of other eye disease like cataract or retinal problems Why to go for squint surgery? To preserve or restore vision To straighten the eye To restore 3D vision Treatment option for squint: Glasses ( spectacle ) Patching Therapy Surgery

Glaucoma is often called as Silent Thief of Vision because people usually do not notice any sign of the disease until they have already lost significant vision. Once lost, vision cannot be restored. What is Glaucoma: Glaucoma is an eye disease that causes loss of vision by damaging the optic nerve. This nerve sends signal from your eye to the brain. This condition most of the time is associated with increased intraocular pressure. Initially peripheral vision gets affected. Over time as it advances central vision also get involved. You may not notice a loss of peripheral vision ( Side vision ) until you have a lost great deal of your sight. What are the different types of Glaucoma? Chronic ( Open angle ) Glaucoma: This is the most common type. Aqueous fluid drains too slowly and pressure inside the eye buildup. It usually result from aging of the drainage channel which does not work as well over time. However younger people can also get this type of Glaucoma. Acute Angle closure Glaucoma It is less common. It causes sudden rise in intraocular pressure requiring immediate emergency medical care. Patient suddenly experience blurred vision, severe headache, eye pain, nausea, vomiting or seeing rainbow like halos around lights. Occasionally the condition may be without symptoms. Normal Tension Glaucoma : This is a form of open angle Glaucoma not related to high pressure. These people may be unusually sensitive to normal intraocular pressure. Reduced blood circulation to the optic nerve may also play a role in normal tension Glaucoma. Secondary Glaucoma : Glaucoma that develops due to other conditions or diseases. These includes diabetes, leukemia & sickle cell anemia, arthritis, cataract, eye injuries, eye inflammations , steroids, growth of unhealthy blood vessels. Post Surgical Glaucoma Cataract surgery, Retinal surgery Risk Factor of Glaucoma Age : Older you are grater the risk Race : African, American have Glaucoma four to five times more often than other. They also likely to have Glaucoma at younger age Family History : You are more likely to get Glaucoma if your blood relations are suffering. If you have Glaucoma , your family members should get complete eye examination. Medical History : Diabeties, previous eye injury, eye surgery, long term use of steroids increases risk of Glaucoma. Three Major Signs of Glaucoma Optic nerve damage. Visual field loss. Increased intraocular pressure. How Does Glaucoma Damage Our Eye? For understanding Glaucoma and damage produced by it firstly we should know water fluid (aqueous humor) circulation in our eyes. Aqueous humor is produced by the ciliary body behind the iris . It flows through the pupil into anterior chamber. From anterior chamber it drains out into the bloodstream at the angle between iris and cornea. For some people , fluid cant drain properly because of a faulty drainage system . This drainage system may get slow down as your age advances. Because of this, aqueous humor (fluid) get accumulated inside the eye and the pressure inside the eye builds up. This increased intraocular pressure gradually damages the optic nerve fibers which are essential for vision. For others, glaucoma damages the optic nerve fibers without increased intraocular pressure. This is called as normal tension Glaucoma. These peoples may be unusually sensitive even to normal levels of pressure. Their Glaucoma may also be related to problem with blood flow in the eye. Usually Glaucoma affets side vision (peripheral ) first. Late in the disease, Glaucoma causes tunnel vision ( looking through a pipe ). In this condition the person can only see straight ahead. That’s why someone with Glaucoma can have good straight ahead ( central ) vision . However even central vision can be seriously damaged. Investigation : Tonometry : It measures pressure inside the eye Pachymetry : It measures thickness of cornea which may affect pressure reading and the risk of Glaucoma progression. Opthalmoscopy : It inspect the optic nerve at the back of the eye Gonioscopy : It inspect the angle between cornea and iris Perimetry : It eveluates your visual field. Photagraphy : Laser scanning. It shows appearance of the optic nerve Treatment Glaucoma can usually be treated & controlled using Medicines Laser Surgery Glaucoma surgery Combination of these treatments Medicines lower pressure inside the eye. Often people with Glaucoma have to take these medicines for life to control the pressure and to limit vision loss. Glaucoma surgery creates a new path through the eye tissue to let fluid drain from eye. Discuss with your ophthalmologist about treatment. Weather medicine will help you or you will have to undergo glaucoma surgery