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HelloMD.com: OPHTHALMOLOGY

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Eye, no wonder is the most
important square-inch of the body - it may reflect happenings
inside the body and can get affected in most diseases like
diabetes, hypertension, thyroid, arthritis etc. and prolonged
medication like anti -T.B. and steroids etc. |
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Treatment of eye diseases- medical, surgical and by lasers has
undergone a sea-change; and these latest methods are being done
by us for all eye problems.
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CATARACT
| Q. |
What is a Cataract? |
| A. |
A Cataract is clouding of the human lens that
blocks the vision and makes it blurry. |
| Q. |
What are its causes? |
| A. |
Most important is ageing - it can occur at 50-55 yrs. or
thereabout cataract can also occur because of injury, other
diseases of the eye like uveitis or of the body like
diabetes and prolonged use of drugs like steroids.
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| Q. |
How does a patient come to know
about cataract? |
| A. |
Hazy or dim vision, glare / haloes around lights, difficulty
in driving, changing visual performance during day and
night, double vision and frequent change in glasses can all
point towards presence of a cataract.
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CATARACT
| Q. |
What is the treatment? |
| A. |
Cataract can only be treated surgically. However, the surgical
treatment has come of age and improved tremendously that has
helped that patient. Previously on intra ocular lens (IOL) was
used and stitches were applied. Now a days, cataract is
surgically treated by phacoemulsification where in no stitches
are applied and patient's recovery is rapid. No hospitalisation
is required. The surgery lasts for 20-25 minutes; the patients
can resume work the next day. Outstation patients can travel.
Some eye drops need to be put after operation for a couple of
weeks.
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| Q. |
What's the life of an IOL? |
| A. |
Unlimited. Good for lifetime. |
| Q. |
What should be the time interval
between the two catract surgeries? |
| A. |
There should preferably be a gap of
one week. |
| Q. |
Are glasses required after Cataract
surgery ? |
| A. |
Usually one can do without them. but
sometimes glasses for for the distance or near vision or both
might be required. |
GLAUCOMA
| Q. |
What is Glaucoma? |
| A. |
In this the intra-ocular pressure of the eye increases, which
can be heralded with or without (symptom-less) pain, severely
jeopardising the vision permanently. Usually the common age for
this is 40 years or above but it can be there earlier as well.
Careful eye check-up can help in diagnosis. Some of the symptoms
are common with Cataract
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| Q. |
What's treatment of Glaucoma? |
| A. |
Depending upon its type, the treatment
can be with eye drops, lasers or surgery or a combination of
these. The treatment should not be delayed. |
| LASIK
LASER |
| Q. |
What is Lasik Laser? |
| A. |
Lasik laser is the latest and world's
best treatment for removal of glasses. Usually all types of
glasses can be removed. |
| Q. |
How is this performed ? |
| A. |
Both the eyes are treated in the same sitting. A detailed
pre-laser checkup is done. No injection is required, the
procedure takes about 10-15 minutes. The patient will be
relieved to go home immediately. Visual stabilisation takes 2-10
days. The patient can resume work as soon as he is comfortable.
Eye drops are required for some time.
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| Q. |
Is there any difference between
different Lasik machines? |
| A. |
Yes, the lasik laser which customises the correction according
to the patient is the best although this can be a little
expensive than the standard.
|
| Q. |
Is the treatment painful ? |
| A. |
No |
| Q. |
Does are achieve 6/6 vision ? |
| A. |
More or less - you can see well
without glasses even if it s 6/9 or thereabout. |
| Q. |
Is the spectacle correction permanent?
|
| A. |
Yes |
| Q. |
Can lasik laser be repeated if
required? |
| A. |
Yes |
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DIABETIC RETINOPATHY
|
| Q. |
What is diabetic retinopathy? |
| A. |
Effects of diabetes on retina of the eye giving rise to bleeding
and other complications seriously decreasing vision.
Regular careful eye checkup for such changes is mandatory for
all diabetics, Early diagnosis and early treatment with laser,
whenever required, goes a long way in preventing serious
complications that are a rule in later stages/where no treatment
has been done before.
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| Q. |
Is this laser for diabetes same as
lasik laser? |
| A. |
No. Infact different types of lasers
are used for different eye diseases. |
| Q. |
What happens after laser treatment for
diabetes? |
| A. |
Control of diabetes is still important..laser treatment for
diabetes may have to be given in repeated sittings. Some times
the diabetic disease is severe and it might require aggressive
intervention.
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CORNEAL TRANPLANTATION
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| Q. |
What is Corneal transplantation?
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| A. |
The central transparent part of the eye, called cornea when
diseased can be transplanted with another received by means
of eye donations following death. This is a major surgery
and takes about an hour or so. The success rate is over 90%,
which is considered good in any organ transplantation. The
rehabilitation process takes2-3 weeks and is completed in
about three months. Glasses are usually required after this.
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| Q. |
What are other eye treatments
being done? |
| A. |
Mostly everything; you can enquire
other details of other things if required. |

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NOTE: SINCE
OPHTHALMOLOGY IS A VERY VAST FIELD, IT IS NOT WITHIN THE SCOPE OF
THIS WEBSITE TO DISCUSS EACH AND EVERY PROCEDURE IN DETAIL, SO A
BRIEF OUTLINE OF VARIOUS PROCEDURES IS GIVEN BELOW. IT MAY BE
STATED THAT ALMOST EVERY KIND OF PROCEDURE IS BEING SUCCESSFULLY
UNDERTAKEN BY THE TEAM OF DOCTOR OF AMS. PLEASE LET US KNOW IF
YOU HAVE ANY SPECIFIC QUERY.
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