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Read our latest news from the ASG ophthalmology news. Feel free to ask questions in comments for any news you find interesting.
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21/Mar/2022

 

Many of us wear eyeglasses or contact lenses to see clearly or to correct our vision. But sometimes people fail to take care of our eyes. Like going off to bed with specs on, or mistakenly splashing water on the face while wearing the lens. In both cases, you are at harm. To not have such bad experiences, you can look out for a permanent solution to your visibility problem, i.e. Lasik Eye Surgery

Q-Lasik

What is Lasik Eye Surgery?

In simple terms, Lasik surgery is undertaken to correct several eyesight conditions. A normal person can see everything. But people with nearsightedness or farsightedness cannot see the outside world’s images very clearly. It happens because outside world images don’t fall exactly on the retina, which thereby causes a refractive error. The light rays of the outside world do not get focused on the retina causing blurred images.
In a broader outlook, the outer layer of the eye is the cornea, and people’s cornea shape can be changed which leads to vision issues that call for Lasik Eye Surgery Treatment.
This surgery reshapes the cornea depending upon the vision condition that this particular treatment aims to fix. It corrects vision issues like nearsightedness & farsightedness.
The surgery doesn’t require much time. It takes nearly around 15 minutes and people remain awake during the whole procedure of the surgery. It is not painful. Right before going under the procedure, the surgeon will put numbing eye drops in both eyes. But you might experience a little pressure during the surgery.

Know the procedure of the surgery..

  1. Firstly, a mechanical surgical tool named microkeratome or a femtosecond laser is used to make a thin & circular flap in the cornea. The Lasik Specialist then folds back this turned flap to approach the underlying cornea (or stroma).
  2. Secondly, to bring back the cornea (corneal stroma) in shape, an excimer laser is used. This highly modernized laser tool uses a cool UV light beam to remove microscopic amounts of tissue from the cornea. The process reshapes the cornea accurately and the light now perfectly reaches the retina thereby enhancing improved and clear vision.
  3. At last, the corneal flap is placed back in place, where it adheres to the corneal stroma without stitches. 

Things to keep in mind after surgery:

after-lasik-surgery

  • After the surgery, the doctor will give you a brief post-op eye exam. Once the doctor/ eye specialist confirms that the surgery was successful, he or she will be discharged & allowed to go home.
  • The person cannot self drive the car or any other vehicle to home after discharge. He or she must be driven by a family member or a friend. He/ She is not allowed to drive until the doctor says after a follow-up visit. During the follow-up meets, the doctor will discuss & confirm that the vision is within the legal standard for driving.
  • The doctor will call after a week of the surgery to have a look at the healing process. At that visit, they will determine whether more follow-up visits are required or not.
  • Refrain from doing any heavy exercise for the week after surgery, as it can disturb the healing process.
  • Avoid wearing eye makeup for a week. When you resume, use new products to avoid any kind of infection. Doctors prescribe eye drops & artificial tears that help to speed up the healing process, fight against bacteria & infection and combat the eye from drying. 

When can a person expect the results of Lasik Eye Surgery?

The person undergoing the eye surgery can immediately see the result. He or she begins to see things from a distance that they were not able to see before. While a person may feel a little irritation & haziness initially, it will be stabilized and day by day it gets improved after surgery. It is common for eyes to feel a little powdery or dusty or sensitive to light. 

lasik-surgery-result

Doctors always ask the patients to keep their eyes closed for a few hours. After at least 6-7 hours, patients feel comparably comfortable with their vision. In some cases, patients may feel comfortable the very next day of surgery. However, this depends on the intensity of the patient’s eyesight before the eye surgery. 

Every surgery has some risks involved. With this surgery, you may struggle with the Dry eyes which can be handled through lubricating eye drops. 

Know some benefits: 

  • Don’t have to wear eyeglasses and contact lenses
  • Can undertake activities like sports comfortably after surgery.
  • Having whole comfort & convenience of not wearing corrective eyewear

 

Dr.Shilpi GangDr. Shilpi Gang
MBBS (Gold Medalist), MD (AIIMS, NEW DELHI), Fellow of Royal College of Physicians and Surgeons, Glasgow, U.K.
PHACO, CORNEA, FEMTO, GLAUCOMA & REFRACTIVE (Q-LASIK, ICL & BIOPTICS)

 

Dr. Shilpi Gang is the co-founder and CEO of ASG EYE HOSPITALS. ASG Eye Hospital has a network of 44 eye Hospitals across 33 cities of India.


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17/Feb/2022

आँखों में दवाई डालने का सही तरीका

अधिकतर लोग समझते हैं कि आँखों में ड्रॉप डालना दवाई खाने जैसा होता है, लेकिन इसका एक तरीका होता है जिससे कि इसकी Active pharmacological Molecule सही मात्रा में आपके Target area तक, जिसको कि आँख का Anterior Chamber कहा जाता है वहां तक पहुँच पाता है।

आज हम आपको बताएंगे कि आई ड्रॉप डालने का सही तरीका क्या है –

अपनी नीचे वाली पलक को तर्जनी से नीचे की ओर खींचें ताकि Lower Lid एक थैली कि तरह बन जाए और उसमें एक बूँद जरूरत के हिसाब से ढालें, उसके बाद बस 3-4 सेकंड तक आँखें बंद रख कर खोल लें। लंबे समय तक आँख को बंद रखने की जरूरत नहीं है। बूँद डालते ही वो आँख कि कॉर्निया पर फैल जाती है और सोख जाती है। 2 अलग अलग आई ड्राप के बीच तीन – चार मिनट का अंतराल रखें, इसमें ज्यादा फर्क रखने की जरूरत नहीं है।

उपर की पलक खींच कर आय ड्रॉप कभी ना डाले थोड़ी प्रैक्टिस के बाद अपनी आई ड्रॉप आप खुद डाल पाएंगे, किसी की मदद की जरूरत नहीं रहेंगी

करने योग्य
1. हमेशा निचली पलक को खींचकर आई ड्रॉप लगाएं
2. आई ड्रॉप डालने से पहले अपने हाथ धोएं
3. आई ड्रॉप के नोजल को कभी न छुएं
4. बूंदों को फ्रिज के निचले डिब्बे में रखें

नहीं करें
1. ऊपरी पलक को खींचकर आई ड्रॉप नहीं डालें
2. आई ड्रॉप को गर्म स्थान पर नहीं रखें
3. आई ड्रॉप्स को फ्रीजर में नहीं रखें
4. नोजल खोलने के एक महीने बाद आई ड्रॉप का इस्तेमाल न करें

Dr. Shilpi Gang

 

Dr. Shilpi Gang

MBBS (GOLD MEDALIST), MD (AIIMS, NEW DELHI),
FELLOW OF ROYAL COLLEGE OF PHYSICIANS AND SURGEONS, GLASGOW, U.K.

PHACO, CORNEA, FEMTO, GLAUCOMA & REFRACTIVE (Q-LASIK, ICL & BIOPTICS)


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12/Nov/2021

Amblyopia which is commonly known as Lazy eye is a condition when vision in one or both eyes is poorly developed. Typically, it just affects one eye. Bilateral amblyopia is also seen in few patients. It usually starts early in childhood.

Adults with this condition usually experience diminished vision that isn’t correctable with glasses or contact lenses. Ordinarily, the visual difficulty is because of how the brain treats input from the amblyopic eye. Rather than accurately recognising the visual inputs, the brain does not process them completely. While the eye may point inwards or outward, the actual misalignment of eye isn’t the source of the visual diminution.

Symptoms of Amblyopia

Manifestations of amblyopia range from abnormal positioning of one or both eyes or the two eyes may not appear to be cooperating giving a cross eyed appearance. An individual with amblyopia might squint or close one eye to accomplish some amount of visual sharpness. Head shifting while looking at anything is likewise another potential sign, alongside constant eye strain, eye weakness or migraines.

Common Causes of Amblyopia

One of the well-known reasons for amblyopia is strabismus, a condition where one eye is deviated, obstructing true alignment between the two eyes. One more possible source of lazy eye is anisometropia, where each eye has various degrees of spectacle power. Injury and mechanical blockage of vision (like a droopy eyelid) may likewise cause amblyopia.

The reason these conditions can lead to amblyopia is the difference in visual capacity of both eyes. If one eye is able to see clearly and the other isn’t, the brain suppresses the image that is coming from the weaker eye and depends on only stronger eye image.

Treatment for Amblyopia

Many individuals believe that amblyopia is just treatable in young age, frequently the people who are 12 years old or younger. However, this isn’t really the situation. While each case is unique, some adults can also get beneficial results from amblyopia therapy.

Usually only eye surgery or drops aren’t sufficient. While this might support the visual development of the amblyopic eye, the methodology isn’t ensured to bring about better binocular vision and depth perception. Without preparing to figure out how to consolidate visuals from the two eyes all the time, the general outcomes will in general be poor.

Fortunately, there are other treatment choices available to us. Optometric vision treatment can help patients by drawing in their eyes during exercises that require binocular vision thus incorporating and improving far, intermediate and near vision.

There isn’t in fact a full proof medical procedure to address amblyopia. In any case, if predisposing treatable condition is involved, like strabismus, timely correction of that condition might be helpful in improving vision.

In the event that someone has amblyopia and are looking for therapy choices, schedule an appointment at your closest ASG Hospital today. Our gifted group works perseveringly to guarantee your eye health and well being, performing careful tests to recognise any issues that might require treatment. We can plan treatment choices to meet your requirements, giving the most ideal result.

For the best management and treatment of Amblyopia, you can contact ASG Eye Hospital.

150+* Eye Specialists of All Sub Specialties of Ophthalmology out of which 50+* Trained from AIIMS, New Delhi I Presence over 33+* Cities across India I 40+* Super specialty Eye Hospital’s

www.asgeyehospital.com, Call – 18001200111


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12/Nov/2021

What is Contoura Vision?

Contoura Vision TopoGuided LASIK is a new technology designed to enhance the effects of LASIK. It corrects the vision based on the corneal topography (corneal curvature maps) as against the correction of vision in a standard LASIK surgery which is only based on glasses or contact lens prescription.
Contoura Vision TopoGuided LASIK involves the use of a separate diagnostic device called topolyser which provides measurement of 22,000 points on the cornea capturing the imperfections in both the curvature and the optics of the cornea. These topographic measurements are then combined with the patient’s eyeglass prescription and a customized treatment profile is created and programmed into the state of the art laser. The final laser ablation is performed by the WaveLight EX 500 Excimer laser system. Thus this technology works to optimize the corneal surface during LASIK procedure.

What makes Contoura Vision so unique?

The Topolyser has unparalleled diagnostic capabilities to record even the minutest imperfections in the curvature of the cornea. It provides an incredible measurement of 22,000 points as compared to the currently available wave front-guided LASIK that measures around 200 points. The topography measurements are so accurate that it is impossible for any two treatments to be the same. Hence this technology is remarkable as it corrects the refractive errors with higher precision than ever before.

How does it help?

Since Contoura Vision combines refractive prescription with corneal topography maps it provides improved quality of vision to the patients. Food and Drug Administration (FDA) results reveal that the patients who opted for this technology had a significant improvement and were able to see even more clearly without corrective eyewear. As per the clinical trials statistics, almost 99% of patients post-operatively saw as well or better without glasses than they ever did with glasses.

  • Specifically suitable for patients with Astigmatism > 1D
  • Decrease in difficulty during night driving
  • Lesser sensitivity towards light, less glare
  • Better quality of vision

How is it done?

  • Preparation
  • During Treatment
  • Post Treatment

A complete preoperative screening is done by clinical examination and corneal topography (Pentacam) to assess the eligibility and safety of LASIK procedure for the patient.

What are the benefits of this technology?

Contoura Vision technology is a boon for patients suffering from different refractive errors. It has many benefits, but a few risks too.

Benefits

  • Reduced or absent dependence on glasses
  • Decrease in difficulty during night driving
  • Lesser sensitivity towards light, less glare
  • Better quality of vision

Let’s find out by comparing every significant aspect of a laser vision correction procedure.

For the best Contoura Vision Treatment, you can contact ASG Eye Hospital.

150+* Eye Specialists of All Sub Specialties of Ophthalmology out of which 50+* Trained from AIIMS, New Delhi I Presence over 31+* Cities across India I 38+* Super specialty Eye Hospital’s

www.asgeyehospital.com, Call – 18001200111 & 8875020326 & 7849903663


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30/Sep/2021

Glaucoma is the main source of permanent visual blindness around the world, and the second leading cause for permanent visual blindness in India. Almost three million individuals in India have glaucoma, and the number is expected to increase to 6.3 million in the following 30 years. In spite of the fact that glaucoma is more common in adults ageing 60 and above, it can happen at any stage in life. At present there is no definite cure for glaucoma, vision loss can be slowed down or stopped if the disease is diagnosed timely and treated early.

What is Glaucoma?

Glaucoma is a group of disorders that harm the optic nerve of the eye, which conveys visual signs from the retina to the cerebrum, permitting us to see. In glaucoma, the optic nerve is gradually impaired, causing progressive loss of vision and eventually permanent vision loss. Since the damage happens gradually it usually goes unrecognised until it is too late. As it advances, glaucoma can prompt to decreased quality of life, trouble with driving, increased risks of falls and diminished mobility.

Glaucoma is often linked to increased pressure in the eye. Healthy eyes produce a fluid known as aqueous, which courses through and exits the eye. In glaucoma, this cycle is disrupted, bringing about increased pressure in the eye which in turn causes harm to the optic nerve. The two main varieties of glaucoma — open-angle glaucoma and angle closure glaucoma — are determined by the structure of the drainage pathway in the front of the eye (known as the angle), through which aqueous fluid outflows.

In open-angle glaucoma, the angle seems open, however various elements — including drainage issues —results in poor pressure regulation. In this type of glaucoma optic nerve damage can happen at both high and normal eye pressures (normal tension glaucoma). Both subtypes can lead in vision loss and optic nerve damage.

In angle-closure glaucoma the angle is narrow, and the subsequent underlying issues can cause an abrupt closure of the drainage pathway, leading to high eye pressures. This condition is known as acute angle closure. Although uncommon, acute angle-closure glaucoma is an ophthalmological emergency, and requires immediate treatment with proper medication, laser, or surgery, as it can cause higher amount of optic nerve damage and can cause irreversible vision loss. Angle-closure glaucoma also exists in a chronic form where the increase in eye pressure occurs more slowly, often without symptoms, but still requires evaluation and treatment.

Who is at Risk of Developing Glaucoma?

Glaucoma is a perplexing disease, and while many associated genes have been identified, many underlying causes are still unclear.

However, a number of important risk factors have been identified, which include

  • Age older than 60
  • A first-degree relative with glaucoma
  • East and Southeast Asian descent (for angle-closure glaucoma)
  • History of eye trauma or multiple eye surgeries
  • Chronic eye conditions, such as diabetic eye disease
  • Highly near-sighted or far-sightedness •Use of steroid medications

What are the Symptoms of Glaucoma?

The population with glaucoma, especially those with open-angle glaucoma or normal-tension glaucoma, may have no or very minimal symptoms for quite a long time. It is shocking but half of the expected glaucoma cases are undiscovered, hence underlining the requirement for regular eye checkups, starting at age 40. An eye care professional will be able to detect the signs of glaucoma before you can, and timely medication and treatment is critical to forestall the disease from spreading and to prevent permanent vision loss.

Early indications of glaucoma incorporates trouble with low contrast, and some deficiency of fringe vision. In further developed stages, patients foster loss of their visual field, or blind spots, that at last lead to focal vision loss.

Acute angle-closure glaucoma causes symptoms of pain, blurred vision, and nausea, and is a medical emergency.

What Treatment Alternatives are Accessible?

In spite of the fact that there is as of now no permanent remedy for glaucoma, treatment can help slow or stop the speed of vision loss. Depending upon many elements, including your age and the sort and seriousness of your glaucoma, treatment may include medications and/or surgery directed at lowering eye pressure.

Medications include pressure-lowering eye drops that work to increase fluid drainage or decrease fluid production. Laser can also be used to increase drainage (in the angle) or to make an opening in the iris in case of angleclosure glaucoma. Various surgical techniques may be used to create an alternate fluid outflow pathway in the eye, so-called filtering surgery and tube-shunt surgery. Recent surgical innovations called minimally invasive glaucoma surgery, or MIGS, help in fluid drainage using microscopic-sized implants in the eye.

The future of Glaucoma Care

Researches in glaucoma are mostly focused on working on the reasons for the disease development and progression and foster more designated and customised medicines. There are various other subtypes of glaucoma, apart from the types portrayed here, that many believe will benefit from various medicines. Later on, hereditary testing might assume a part in assessing individual susceptibility for inheriting glaucoma over the long haul. Additionally, newer treatments to stop loss of nerve cells (of the retina and optic nerve), called neuroprotection, show guarantee. Analysts are now concentrating on new medications, drug conveyance frameworks, and advancements to make medical procedures more protected and compelling.

Early Discovery is Vital

In case you are stressed over glaucoma, and particularly if you have a family history of it then the best approach is to visit your eye specialist regularly. Every adult should have a standard eye examination at age 40, regardless of whether your vision is normal. Vision loss from glaucoma can be minimised with treatment, so early diagnosis and treatment of this disease is vital.

For the best Glaucoma Treatment, you can contact ASG Eye Hospital.

150+* Eye Specialists of All Sub Specialties of Ophthalmology out of which 50+* Trained from AIIMS, New Delhi I Presence over 31+* Cities across India I 38+* Super specialty Eye Hospital’s

www.asgeyehospital.com, Call – 18001200111


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30/Sep/2021

It is estimated that more than 30 million individuals in the India live with diabetes, and roughly 7.7 million of them have diabetic retinopathy, making it the most widely recognised reason for vision impairment in adults. The predominance of diabetic retinopathy has expanded essentially in the course of recent years, because of the ascent in the quantity of individuals determined to have diabetes.

How does Diabetes Influence the Retina?

The retina is the light-detecting part situated in rear of the eye. It consists of nerve cells (neurons), specific cells called photo receptors that are associated with directly detecting light and blood vessels. The ability of retina to detect the light requires energy, which is subject to the oxygen provided by blood flowing through the vessels.

In diabetes, increased glucose levels harm the vessels of the retina. These harmed vessels release fluid, leak blood and don’t provide sufficient oxygen to the retina, prompting retinal ischemia. Subsequently, retinal cells start to die and the retina doesn’t work as expected.

Moreover, diabetes additionally harms the neuron of the retina directly. Together, these impacts cause diabetic retinopathy.

Vision impairment related with diabetic retinopathy may at first influence focal vision because of a condition called diabetic macular edema. This fluid collection on the macula, a part of the retina responsible for sharp, focal vision, can prompt foggy vision and contortion of pictures.

Progressed diabetic retinopathy is described by the arrangement of sporadic vessels that can bleed inside the eye, causing a sudden loss of vision. This results in an abrupt, drape like vision impairment as blood collects within the eye. Further deterioration of advance diabetic retinopathy can prompt retinal detachment, which requires critical careful mediation and can bring about long-lasting, irreversible vision impairment if not expeditiously treated.

How Can You Forestall Diabetic Retinopathy?

The Indian Diabetes Association suggests that people with diabetes should keep their HbA1c level (a proportion of normal glucose levels over the past few months) beneath 7% to forestall the danger of complexities. As blood glucose straight forwardly harms retinal vessels, there is a solid epidemiological proof that glucose control means diminished occurrence and seriousness of diabetic retinopathy.

To lessen the cardiovascular and microvascular complications of diabetes, which incorporate retinopathy, nephropathy (kidney disease), and neuropathy (nerve damage), it is suggested that individuals should maintain a normal blood pressure. Pulse decrease can defer the beginning of diabetic retinopathy, yet it is unclear if controlling blood pressure can modify the direction of set up of diabetic retinopathy. Also, keeping the cholesterol-controlled helps in overall diabetes management, yet it isn’t evident whether doing so diminishes the danger of diabetic retinopathy.

How Can I Figure Out If I Have Diabetic Retinopathy?

An ophthalmologist can analyse and start to treat diabetic retinopathy before sight is affected. It is recommended that individuals with type 1 diabetes should see an ophthalmologist one time per year, starting five years after the diagnosis of diabetes. Individuals with type 2 diabetes should see an ophthalmologist for a retinal assessment before as early as possible after the diagnosis of diabetes, and afterward plan yearly tests. You might have to see an ophthalmologist all the more as often as possible in case you are pregnant or have further developed diabetic retinopathy.

What can I Do to Prevent or Slow Down Vision Loss if I have Diabetic Retinopathy?

As referenced above, harm to the vessels deprives the retina of oxygen. Deficiency of oxygen leads to creation of a signal protein called vascular endothelial growth factor (VEGF). Right now, there are medications that can bind VEGF and accordingly work on preventing the harmful effects of VEGF causing diabetic retinopathy. These “anti-VEGF” specialists are infused straightforwardly into the eye and can improve diabetic macular edema, and can even decrease the seriousness of diabetic retinopathy. In certain individuals, steroids infused straightforwardly into the eye may likewise improve diabetic macular edema. In some high-level instances of proliferative diabetic retinopathy (the most progressive type of diabetic retinopathy), patients might require retinal laser treatment or retinal medical procedure to stop or slow bleeding and spillage, to recoil harmed vessels and to eliminate blood and scar tissue helping in vision restoration.

Regular eye check ups and strict blood sugar level control are monumental in preventing the development and progression of diabetic retinopathy.

For the best Diabetic Retinopathy Hospital in India, you can contact ASG Eye Hospital.

150+* Eye Specialists of All Sub Specialties of Ophthalmology out of which 50+* Trained from AIIMS, New Delhi I Presence over 31+* Cities across India I 38+* Super specialty Eye Hospital’s

www.asgeyehospital.com, Call – 18001200111


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