Treatments

Cataract Treatment and Cataract Surgery In Pune Cataract Treatment In Pune The opacification of the normal transparent lens is called cataract. The Latin word ‘cataracta’ means ‘waterfall’. Imagine trying to peer through a sheet of falling water or through a frosted or fogged-up window. Development of Cataract varies from person to person but as a general rule, most cataracts develop slowly over a period of time. A cataract can take months or even years to reach a point where it adversely affects vision. Causes of cataract Age-related cataract The cataract occurs as a result of the natural aging process of lens fibres which become opaque over a period of time. Traumatic cataract Due to a direct penetrating injury.Concussion- Electric shock and lightning.Ionizing radiation done as treatment for ocular tumors.Surgical trauma Metabolic cataract: Defect in body metabolism DiabetesGalactosaemia -inborn error of metabolismCalcium disorders Steroid-induced cataract This occurs as a result of excess intake of oral steroid or putting steroid drops in the eye. Secondary cataract Here, cataract develops as a result of some other primary ocular disease such as chronic eye inflammation or glaucoma. History of Cataract treatment The earliest surgery treatment was started in India, by Maharshi Sushruta. It was known as ‘couching’, where the cataractous lens was dislocated backward into the bottom of the eye and out of visual axis. This procedure was performed for more than two thousand years until the mid-eighteenth century. Great progress in cataract surgery has been made in recent years with the introduction of micro-surgical instruments, microscope and modern surgical techniques like phacoemulsification, which has made couching obsolete. In the early stages of cataract development, all that is needed to correct your vision with glasses is a change in prescription. As the cataract develops and begins to affect your lifestyle, it needs to be removed. Cataract surgery, the most commonly performed operation, is safe and effective in 95% patients with enhancement in vision. Methods of evaluation of cataracts: Visual acuity: Checking vision of both eyes unaided and aided with glasses and pin-hole vision to know the improvement as well as to get the general idea about the macular function of the eyes. This will help in prognostic evaluation of visual recovery after cataract surgery. Intra ocular pressure: If intra-ocular pressure increases as a secondary to cataract surgery is needed to prevent further complications. Slit-lamp examination: To know the type of cataract along with its opacity, morphology and etiology or any associated ocular pathology. Direct and indirect ophthalmoscopy: for complete retinal evaluation. Dense cataract will prevent retinal evaluation and such cases need B-scan for retinal evaluation. A-scan biometry: To calculate the AL and IOL power for implantation in cases of mature cataract the posterior segment of the eye is evaluated. Optical biometry: this is an advanced non contact method to measure IOL power. It is patient friendly and highly precise Treatment Options Available For Cataract Extra Capsular Cataract Extraction (ECCE): is a conventional technique. ECCE requires an incision of 10-12mmThe doctor removes the clouded lens in one piece.Multiple stitches are required.Doctor implants a non-foldable lens Phacoemulsification – A Micro Incision Cataract Surgery Cataract Surgery Explain By Dr Niteen Dedhia Cataract surgery in Pune Phacoemulsification is latest technology in Cataract surgery. It is a micro-incisional stitch less operation where cataract is emulsified by ultra sound energy, liquefied & sucked through the phacoemulsifier probe. A foldable intra- ocular lens is then implanted in the eye permanently. Vision restoration is possible in a short period of time & is least traumatic with early rehabilitation & recuperation. Advantages It is Stitchless. Hence healing is very fast. It is done under Topical anaesthesia (by putting drops.) So no need to patch the eye except in special circumstances Vision correction for far & near is possible Patient can get back to work in the shortest possible time Lens implants Lens implants in Pune During cataract surgery, the natural lens of the eye that has turned opaque is removed, resulting in loss of focusing power of the eye. This situation would be parallel to clicking a photograph without a camera lens–the picture would be extremely blurred. When the natural lens of the eye is removed an artificial implant is placed in the eye. Intraocular Lens An intraocular lens (IOL) implant is a synthetic, artificial lens placed inside the eye that replaces the natural lens which is surgically removed usually as a part of cataract surgery. Monofocal intraocular lens can be used to give clear point focus either at a distance or close up, but one can choose only one focal point. Multifocal IOLs are popular as they allow correction of vision for both far & near distance. Trifocal IOLs provides excellent vision not only for near and far, but also for intermediate distances, especially for people who have routine usage of computers. Apodized Diffractive Multifocal IOL Gradual diffractive steps on the IOL implant that create a smooth transition between focal points. The IOL bends incoming light to the multiple focal points to increase vision in differing light situations. Accomodative IOL Crystalens and Trulign Toric currently are the only US-FDA -approved intraocular lenses (IOLs) that use a method called accommodation, enabling sharper vision at multiple distances for people who have undergone cataract surgery. An accommodating IOL shifts position with the action of eye muscles and movement to improve eyesight. Toric IOL for astigmatism This is a monofocal IOL with astigmatism correction built into the lens. Astigmatism: This eye condition distorts or blurs the ability to see both near and distant objects. With astigmatism the cornea (the clear front window of the eye) is not round and smooth (like a basketball), but instead is curved like a football. People with significant degrees of astigmatism are usually most satisfied with toric IOLs. People who want to reduce (or possibly eliminate) the need for eyeglasses may opt for an additional treatment called limbal relaxing incisions, which may be done at the same time as cataract surgery or separately. These small incisions allow the cornea’s shape to be rounder or more symmetrical. Protective IOL filters IOLs include filters to protect the eye’s retina from exposure to UV and other potentially damaging light radiation. The eye doctor selects the filters that will provide appropriate protection for the patient’s specific needs. Other important cataract lens replacement considerations In some cases, after healing completely from the cataract lens surgery, some people may need further correction to achieve the best vision possible. Their ophthalmologist may recommend additional surgery to exchange an IOL for another type, implant an additional IOL, or make limbal relaxing incisions in the cornea. Other laser refractive surgery may be recommended in some cases. People who have had refractive surgery such as LASIK need to be carefully evaluated before getting IOLs because the ability to calculate the correct IOL prescription may be affected by the previous refractive surgery. Refractive Laser-Assisted Cataract Surgery (ReLACS) Refractive Laser-Assisted Cataract Surgery in Pune Laser-assisted cataract surgery is now available to our cataract patients. The Femtosecond Laser applies laser energy in an extremely short period of time, one trillionth of a second, so no significant heat is generated (therefore, it is a “cool” laser). The laser, guided by an advanced imaging system known as OCT, creates precise incisions, automating steps of cataract surgery that have traditionally been done manually with a surgical blade. The laser can also make corneal incisions to treat astigmatism. The computer-driven incisions are more precise and reproducible than what can be done manually by hand. In laser cataract surgery, an advanced Femtosecond Laser replaces or assists use of a hand-held surgical tool for the following steps in cataract surgery: The corneal incisionThe anterior capsulotomyLens and cataract fragmentation Use of a laser can improve the precision, accuracy and reproducibility of each of these steps, potentially reducing risks and improving visual outcomes of cataract surgery. In laser cataract surgery, the surgeon creates a precise surgical plan for the corneal incision with a sophisticated 3-D image of the eye called an OCT (optical coherence tomography). An incision with a specific location, depth and length in all planes with the OCT image and a femtosecond laser can be performed exactly without the variable of surgeon experience.

Retina Treatment In Pune Retina is like the film in a camera. Retina is the third and inner coat of the eye which is a light-sensitive layer of tissue. When the focused light hits the retina, a picture is created and sent to the brain through the optic nerve (the nerve of the eye), thus giving us vision. Sometimes part of the retina either tears, pulls away or detaches from the back of the eye; when this occurs that part of the retina cannot gather light ans results in vision loss. Retinal Tears Explain By Dr Vimal Parmar @ Mahaveer Eye Hospital Diseases and conditions of the retina Age-Related Macular DegenerationDiabetic RetinopathyRetinal tearRetinal Detachment Age-Related Macular Degeneration What causes in AMD? During normal aging, yellowish deposits, called drusen, form under the retina, which is the light-sensitive layer of tissue at the back of the eye that provides clear, sharp images. As drusen increase in size and number, they can interfere with proper functioning of the retina, damaging or killing the light-sensitive cells of the macula. Because the macula’s light-sensitive cells provide the ability to have sharp, detailed vision, the results can be blurring of central vision and a devastating impact on the ability to enjoy activities of daily life, such as reading, driving, or even recognizing the face of a friend or family member. This form of age-related macular degeneration is called dry AMD. Dry AMD can be a precursor to wet AMD. Dry AMD can be a precursor to wet AMD Wet AMD occurs when abnormal blood vessels behind the retina start to grow under the macula. These blood vessels often leak blood and fluid, damaging or killing light-sensitive cells—loss of vision occurs quickly. Although approximately 80 percent of patients with age-related macular degeneration have dry AMD, wet AMD is responsible for 80 to 90 percent of severe loss of vision with this disease. Life with AMD : what you should know but din’t AMD may be a difficult condition, but it is not as devastating as people fear when they are diagnosed and only rarely leads to complete blindness. Millions of people actually live healthy, independent lives, despite having age-related macular degeneration. It is important to learn about the disease and work with a retina specialist, who will put a treatment plan in place. These physicians have the ability, training, and experience to treat all medical and surgical aspects of AMD and other diseases of the retina. A retina specialist can also suggest access to rehabilitation options like low vision aids which includes a variety of tools and resources that can make everyday living with AMD a little bit easier. Symptoms The earliest signs of AMD in the retina can be detected by a retina specialist before you have any vision loss, but those who have had the disease for some time may notice changes in vision which are symptomatic of dry and wet AMD. Dry AMD symptoms Need for brighter light when reading Difficulty adapting to low light levels Increased blurriness of printed words Decrease in brightness of colors Blurred spot in the center of the field of vision Blank or black spot in the field of vision (spot will start small and grow over time, possibly leading to blindness Wet AMD Early stage wet AMD Early stage wet AMDEnd stage wet AMD with scarring End stage wet AMD with scarring Wet AMD Symptoms Sudden painless decline in central vision Visual distortions, such as straight lines appearing wavy, or objects appearing larger or smaller than they are Well-defined blind spot in the center of vision It is important to pay close attention to any decline in central vision—both near and distant. If you notice any of these signs or symptoms, schedule an examination with a retina specialist. Risk factors Many people ask if age-related macular degeneration can be prevented. Like most things in life, there is no easy answer. The primary risk factor for AMD is age—the older you are, the greater your risk. Also, people with a family history of AMD are at higher risk, as are women and people of European descent. Some lifestyle factors are also known to increase your risk for AMD: Cigarette smokingObesityHypertension (high blood pressure)Excessive sun exposureDiet deficient in fruits and vegetables Diagnostic tests The best way to detect AMD is an examination by a retina specialist. The following are some typical methods he/she will use to check for AMD. Dilated eye exam In this examination, a physician uses eye drops to dilate, or widen, the pupil to examine the retina. Regular dilated eye exams are important, especially for those who are at a higher risk for developing AMD. If you are over age of 50, it is a good idea to schedule an periodic eye examination to look for the earliest signs of AMD before any vision loss has occurred. Ocular coherence tomography The physician may suggest an optical coherence tomography (OCT) exam. This test provides cross-sectional images of the retina that show its thickness, helping determine whether fluid has leaked into retinal tissue and other changes that happen with AMD. Amsler grid Amsler grid Another way to detect AMD is by using an Amsler grid test. In this test, the patient covers one eye at a time and stares at the black dot at the center of the grid. If the straight lines appear broken, crooked, wavy, bent, or distorted, the patient may have AMD. It is important to note that this test is hardly sufficient to rule out the possibility of AMD, as many people with the disease may see no abnormalities on an Amsler grid. Visual acuity test Because AMD affects visual acuity, an eye chart can also be an indicator of the development of AMD. Treatment and drugs There is no known cure for AMD, but early detection and proper treatment can protect vision from further deterioration. Dry AMD treatments Currently, no medical treatments exist for dry AMD, but the retina specialist will suggest strategies to slow its progression—taking vitamin or mineral supplements, for example. If you have Dry AMD, it is extremely important to follow your retina specialist’s eye examination schedule. Biweekly Amsler’s grid self examination Also, if you experience new symptoms or your notice any deterioration in vision, see your retina specialist right away. Wet AMD treatments There is a variety of medical treatments that can help stop further vision loss caused by wet AMD: Laser surgery – These procedures can eliminate abnormal blood vessels and prevent additional leakage, bleeding, or growth. Photodynamic therapy – In this treatment, the patient is injected in the arm with a medicine that is triggered by a laser to destroy abnormal blood vessels. Eye injections – These medicines destroy abnormal blood vessels in the eye and prevent them from leaking. Intravitreal Injections Pegaptanib (Macugen) Bevacizumab (Avastin) Ranibizumab (Lucentis): Is the newest and most effective anti-VEGF agent approved by the FDA for the treatment of wet age-related macular degeneration (AMD). Retinal Tear / Detachment Tears or detachment results from aging, an eye-injury, or another eye problem. A retinal detachment occurs when fluid leaks through the tear and separates the retina from the back of the eye. Symptoms of Retinal Tear: Retinal Tear / Detachment Floaters (specks or threads in your vision). Flashes (lights, stars or streaks in your vision). Sudden blurry vision. Treatment of Retinal Tear is mainly surgical this involves : Pneumatic retinopexy- Sealing a tear: This procedure can be used to treat retinal detachment if the tear is small and easy to close. A small gas bubble is injected into the eye (specifically into the clear, gel-like substance between the lens and the retina), where it then rises and presses against the retina, closing the tear. A laser or cryopexy can then be used to seal the tear. Each of these treatments seals the retina to the back of the eye, and prevents progressive deterioration of the tear. Symptoms of Retinal Detachment: Flashes of lightSeeing “floaters” (small flecks or threads)Darkening of your peripheral (side) vision Treatment for Retinal Detachment : Treatment for Retinal Detachment Laser Treatment of the Retina : Laser is usually performed to decrease leakage in the retina, treat abnormal blood vessel growth, or create a beneficial scarring effect that can help prevent a retinal detachment. It is a non invasive procedure . Scleral Buckle : This treatment for retinal detachment involves surgically sewing a silicone band (buckle) around the white of the eye (called the sclera) to push the sclera toward the tear until the tear heals. This band is not visible and remains permanently attached. Laser or cryo treatment may then be necessary to seal the tear. Vitrectomy : A sophisticated microsurgical technique in which the vitreous gel is removed from inside the eye with a small, specialized cutting device, an operating microscope to look into the eye, and microsurgical instruments. Depending on the complexity of the retinal detachment, various combinations of vitrectomy, buckle, laser and gas bubble may be used to repair the retina. Diabetic Retinopathy Diabetic Retinopathy Diabetic retinopathy is a diabetes complication that affects eyes. It’s caused by damage to the blood vessels of the light-sensitive tissue at the back of the eye (retina). The cells in persons with diabetes mellitus have difficulty using and storing sugar properly. When blood sugar gets too high, it can damage the blood vessels in the rear of the eyes. This damage may lead to diabetic retinopathy. It can lead to vision loss or blindness. You already may have diabetic retinopathy, or be at risk for it. But you can take steps to reduce your risk of vision loss from this condition. Symptoms Spots or dark strings floating in your vision (floaters)Blurred visionFluctuating visionImpaired color visionDark or empty areas in your visionVision loss Diabetic retinopathy usually affects both eyes Causes The primary cause of diabetic retinopathy is diabetes—a condition in which the levels of glucose (sugar) in the blood are too high. Elevated sugar levels from diabetes can damage the small blood vessels that nourish the retina and may in some cases block them completely. As a result, the blood supply to the retina from these damaged blood vessels is cut off and vision is affected. In response to the lack of blood supply, the eye may create growth factors that lead to diabetic macular edema, which can lead to decreased vision, or proliferative diabetic retinopathy, which can lead to retinal detachment and vision loss. Risk factors Causes The primary cause of diabetic retinopathy is diabetes—a condition in which the levels of glucose (sugar) in the blood are too high. Elevated sugar levels from diabetes can damage the small blood vessels that nourish the retina and may in some cases block them completely. As a result, the blood supply to the retina from these damaged blood vessels is cut off and vision is affected. In response to the lack of blood supply, the eye may create growth factors that lead to diabetic macular edema, which can lead to decreased vision, or proliferative diabetic retinopathy, which can lead to retinal detachment and vision loss. Risk of developing diabetic retinopathy can increase as a result of: Duration of diabetes — the longer you have diabetes, the greater your risk of developing diabetic retinopathy Poor control of your blood sugar level High blood pressure High cholesterol Pregnancy Tobacco use Being black, Hispanic or Native American Complications Complications can lead to serious vision problems: Vitreous hemorrhage : The new blood vessels may bleed into the clear, jelly-like substance that fills the center of your eye. If the amount of bleeding is small, you might see only a few dark spots (floaters). In more-severe cases, blood can fill the vitreous cavity and completely block your vision. Vitreous hemorrhage by itself usually doesn’t cause permanent vision loss. The blood often clears from the eye within a few weeks or months. Unless your retina is damaged, your vision may return to its previous clarity. Retinal detachment.The abnormal blood vessels associated with diabetic retinopathy stimulate the growth of scar tissue, which can pull the retina away from the back of the eye. This may cause spots floating in your vision, flashes of light or severe vision loss. New blood vessels may grow in the front part of your eye and interfere with the normal flow of fluid out of the eye, causing pressure in the eye to build up (glaucoma). This pressure can damage the nerve that carries images from your eye to your brain (optic nerve). Eventually, diabetic retinopathy, glaucoma or both can lead to complete vision loss. Development & Types Of Diabetic Retinopathy Diabetes damages the blood vessels of the Retina & as a result, they may leak fluid, proteins or fats or they may rupture & cause haemorrhage (bleeding) or they may get blocked. This is seen in Background Diabetic Retinopathy. In the more severe cases, as the blood vessels get blocked, the subsequent loss of nutrition & oxygen to the retina promotes the growth, i.e. proliferation of new, fragile abnormal vessels on the optic disc or elsewhere which easily rupture & use cause large haemorrhage & severe visual loss or blindness. This is seen in Proliferative Diabetic Retinopathy. When there is involvement of the central vision with difficulty in near vision affecting the most part of the retina called Macula it is known as Diabetic maculopathy. Detection & Prevention Of Vision Loss The problem with diabetic retinopathy is that there are no symptoms in the early stages. During the time when retinopathy is most easily treated, the diabetic will not notice visual changes. In fact, more than 50% of patients with proliferative retinpathy may have good vision for 5 years or more. When visual symptoms start, it is often too late. Therefore, consider the following steps: Routine eye examination – Eyes should be checked periodically as advised by your eye doctor Diabetes Control Control of blood pressure (hypertension) and cholestrol Stop smoking & alcohol intake. Investigations Diabetic retinopathy is best diagnosed with a dilated eye exam. During the exam, the eye doctor looks for: Abnormal blood vessels Swelling, blood or fatty deposits in the retina Growth of new blood vessels and scar tissue Bleeding in the clear, jelly-like substance that fills the center of the eye (vitreous) Retinal detachment Abnormalities in optic nerve In addition to this exam, there are 3 other diagnostic tools eye specialist use to detect and manage diabetic retinopathy: Fundus Photograph : This involves taking images of retina using a specialized non contact fundus camera. Fundus Fluorescein Angiography (FFA): By injecting dye into one of the peripheral veins, severity of retinopathy can be picked up for treatment depending on the pattern of dye leakage. Optical Coherence Tomography (OCT): is non-invasive as compared to FFA (no needle) & with fundus photography, it provides accurate screening for diabetic retinopathy severity. We have installed the latest 3D OCT at Ojas for enhanced imaging quality. In addition, the eye doctor may: Check visionMeasure eye pressure to test for glaucomaLook for evidence of cataracts Treatment Laser photo-coagulation: Diabetic retinopathy is a treatable condition by laser photocoagulation. The Laser beam energy is absorbed by the ocular tissues/retina where it is directed & it is then changed to heat energy which coagulates the tissue by burning. Thus the Laser is used to spot weld the leaking point in the retina. We can prevent the complications of retinopathy such as haemorrhage, fibrous scar tissue formation & retinal detachment. Intravitreal injections : these are the more recent means of treating diabetic retinopathy. Like Lasers they are not particularly painful, can be more effective than laser itself in most cases. Surgery : with Microincisional (keyhole) Stitchless Vitrectomy surgery, diabetic retinopathy complications like bleeding & retinal detachment can be easily treated without opening up tissues of the eye or taking stitches.

Refractive Surgery or Lasik Treatment In Pune What is LASIK Lasik Treatment In Pune, Camp. Refractive Surgery or Lasik Treatment LASIK or ‘Laser-Assisted In Situ Keratomileusis’ is one of the most trusted laser eye surgeries for the treatment lasikasaof Myopia (near-sightedness), Hyperopia (far-sightedness), and Astigmatism (blurred vision). This laser vision correction technique is performed on the cornea so that light entering the eye can be focused on the retina for clearer vision. LASIK will completely eliminate your dependence on spectacles or contact lenses in a short 15 minute surgery. What Is Custom Lasik? Custom LASIK is a procedure that involves the use of a wavefront analyzer which helps the surgeon to customize the LASIK procedure to every individual eye. Customized procedure enables a person to see clearer and shaper than before and thus improves the quality of vision. Custom LASIK uses an equipment called the wavefront analyzer (aberrometer) to accurately measure the way light travels through the eye.The resulting map of the eye is then programmed into the laser, which then treats the eye, based on the personalized 3Dmap. Custom LASIK helps to treat “higher order” aberrations,which are tiny imperfections in the optical system of the eye. They have a significant impact on the quality of vision especially at night . In fact, higher order aberrations are not treatable with contact lenses, glasses or conventional LASIK. Is Custom Lasik Procedure Same As Conventional Lasik ? The procedure for both custom LASIK and Conventional is the same but the pre assessment tests differ greatly. The wavefront analyer used with custom LASIK brings a whole new level of knowledge and accuracy for the surgeon to perform this advanced procedure. This treatment has a significant impact on quality of vision and eliminates the problem of glare and halos at night. Topography, Aberrometry and Pachymetry are pre-operative tests required. Topography TopographyAberrometry Aberrometry Opti Lasik Opti Lasik combines today’s advanced surgical technologies into a procedure optimized for individual vision needs with minimum tissue ablation. Many measurements are taken to determine the unique shape of the eye The Laser reshapes the cornea using energy pulses based on the individual unique correction profile This allows incoming light to be precisely focused on the retina. Advantages Smooth treatmentsHigh level of comfortExcellent accuracyProven safety EPI-LASIK Epi-LASIK is a newer laser eye surgery procedure that was developed to solve some of the potential problems with LASIK and LASEK. It’s somewhat of a cross between the two, but differs in a few key areas. With advent of Intralase Bladfree technique Epi-lasik is now obsolete. Presbyopic Lasik Presbyopic Lasik Presbyopia-test1PreLEX treatment (Presbyopic Refractive Lens Exchange) is a lens replacement procedure wherein the natural lens is replaced with a multi-focal intra-ocular lens implant. This is done to improve vision for those generally above the age of 40, as it is after this age that one’s eye sight begins to naturally become weak—causing blurred near vision while reading or working at the computer, or blurred far vision when looking at something from a distance. ICL (implantable collamer lenses) ICL (implantable collamer lenses) ICL are an alternative to LASIK and PRK eye surgery for severe myopia (nearsightedness)or high hypermetropia ( far sightedness) or in cases with very thin cornea where LASIK is contraindicated, and in some cases produce better and more predictable vision outcomes than laser refractive surgery. ICLs are clear implantable lenses that are surgically placed either between the the iris and natural lens without removing the natural lens. ICLs enable light to focus properly on the retina for clearer vision without corrective eyewear. Surgery is minimally invasive day care procedure which is very safe. ICL Vs Contact lenses ICL Vs Contact lenses Implantable lenses function like contact lenses to correct the eye power. The difference is that ICLs work from within your eye instead of sitting on the surface of your eye. ICLs offer a permanent correction , where as contact lenses are temporary and need daily wear and removal. Unlike contact lenses, you can’t feel a phakic intraocular lens in your eye (much like you don’t feel a dental filling for a cavity) and, apart from regular eye exams, ICLs typically do not require any maintenance. ICLs vs. LASIK Eye Surgery LASIK, which uses a computer-controlled laser to reshape the cornea, is the most popular refractive surgery to correct myopia, hyperopia and astigmatism, in part due to continual technological advancements such as wavefront custom LASIK and femtosecond laser technology. Not everyone is a candidate for LASIK, though. Contraindications to LASIK surgery include: a very high degree of myopia having a cornea that is too thin or irregular in shape; eye conditions such as keratoconus; and chronic dry eyes. In these cases surgery gives excellent results. ICL is an additive procedure whereas LASIK is an subtractive procedure

Glaucoma Treatment In Pune Glaucoma is a condition where the intra-ocular pressure of the eye is sufficiently high to cause damage to the optic nerve. Blindness from glaucoma is one of the leading causes of blindness, common in adults over the age of forty. It can be prevented if the condition is diagnosed at an early stage. Glaucoma Disease & Treatment Explain By Dr. Vimal Parmar- Ojas Eye Hospital In Pune In a normal eye, a clear transparent fluid called ‘aqueous humor’ is secreted and continuously drained out via microscopic channels inside the eye and then into the blood vessels. If these vessels are blocked due to any reason, the fluid starts accumulating within the eye and pressure starts building up. If this pressure is not controlled, it causes damage to the optic nerve of the eye, leading to blindness. Glaucoma can be broadly divided into two main categories: “open-angle” and “closed-angle” (or “angle closure”) glaucoma. Open-angle chronic glaucoma is the most common type where the loss of vision is gradual and painless. Usually it is detected when patients come to the eye doctor for a routine eye check up. Symptoms Gradual diminution of vision with blurred or foggy vision. Frequent change of eye-glass with no significant improvement in vision. Mild chronic headache, scotomas in peripheral visual field. Coloured halos around lights. Acute / Closed Angle Glaucoma : in certain individuals, the angle from where fluid drains from the eye is genetically narrow. It can be blocked suddenly due to many reasons resulting in sudden increase in eye pressure. Symptoms Severe pain in the eye with headache and facial pain. Sudden blurring of vision. Cloudy vision with halos around the lights. Redness in the eye with nausea and vomiting. Glaucoma treatment The aim is to reduce the eye pressure to a level that will not cause damage to the optic nerve. This prevents further loss of vision but the damage already done cannot be reversed. The modalities of treatment are Instilling eye drops regularly as prescribed by the eye doctor to reduce and control intra-ocular fluid pressure. Using tablets over a short span of time to decrease the pressure during acute attacks or to help in bringing down the pressure when eye drops alone are not sufficient Laser treatment – two types: Laser iridotmy This procedure is done for acute or narrow angle glaucoma with laser. A ‘hole’ or opening is made in the iris to relieve the blockage of the drainage channels. Laser trabeculoplasty This is useful in open angle glaucoma cases. Here the laser is used to open the blocked passages in the eye, thereby facilitating the aqueous fluid from within to reach the outside of the eye. Surgery for Glaucoma or Trabeculectomy It is a surgery where an additional channel is created surgically to drain the excess fluid bypassing the abnormally blocked channels. It is useful for most types of glaucoma. Iridotomy trabeculectomy The best defense against glaucoma is a regular eye check–up, especially after the age of forty. All adults should have a regular eye checkup especially if they belong to families with a history of glaucoma. Glaucoma drainage devices Glaucomahese are typically reserved for patients with severe uncontrolled glaucoma who have failed previous glaucoma surgery. In addition, the devices appear to be advantageous as a primary procedure in pa¬tients with a high likelihood of trabeculectomy failure, including neovascular and uveitic glaucomas . They are commonly used in the management of congenital and developmental glaucomas Additional indications include traumatic glaucoma, aphakic and pseudophakic glaucoma, post-keratoplasty glaucoma, and other secondary glaucomas. Recently, interest has increased in using these devices as a primary surgical procedure for uncontrolled primary open-angle glaucoma. Your eye surgeon will be the best to guide on these devices.

Cornea or Keratoconus Treatment In Pune Cornea or Keratoconus Treatment Cornea is the first coat of eye which is transparent circular structure. Functionally it acts as a lens responsible for focusing rays inside the eye. It is an important optical structure through which rays of light enter the eye. Any damage or injury to this delicate structure can lead to permanent loss of corneal transparency or in other words cause clouding and opacification. Loss of corneal transparency prevents the entry of light rays into the eye and reduces vision. In cases of severe of damage, this can cause total loss of vision making the person visually handicapped. There are other conditions also such as malnutrition, Vitamin A deficiency, infection, certain corneal diseases such as ‘keratoconus’ and ‘corneal degeneration’, which can cause corneal blindness. Corneal disease is third largest cause of blindness or low vision in Indian population. Corneal disorders encompass a wide spectrum of diseases most common of these are pterygium, Keratoconus, corneal dystrophy, corneal tears, corneal oedema, infective keratitis, contact lens related keratitis, allergic keratoconjunctivitis, each of these diseases need methodical approach and specialized care. Pterygium Pterygium Pterygium is a veil like lesion that usually occurs in exposed part of white of the eye. This grows slowly over the cornea (the central black portion) and can obstruct vision or deteriorate vision by inducing cylindrical power. Symptoms of pterygium may include: BurningGritty feelingItchingSensation of a foreign body in the eyeBlurred vision Causes of Pterygium : significant risk factors include: Prolonged exposure to ultraviolet lightDry eyeIrritants such as dust and wind Treatment of Pterygium Pterygium is not only cosmetically disfiguring but can affect the vision also. In view of this it is advisable to surgically excise it at the earliest. Surgical excision of pterygium is a simple day care procedure with no adverse effects. Latest surgery method involves removing the pterygium tissue and placing a healthy tissue on bare area which prevents recurrence and is cosmetically very rewarding. Surgery for pterygium is minimally invasive, sutureless and is very safe. Pterygium does not respond to medical treatment of any kind be it in form of eye drops or ointment and surgical excision is the treatment of choice Keratoconous Treatment In Pune Keratoconus Eye Specialist : Best Eye Surgeon in India Dr. Niteen Dedhia, Eye Clinic in India Keratoconus is a progressive disease of the outer transparent layer of the eyeball (cornea) affecting young adults mostly in their twenties. It is characterized by progressive thinning of the normally round cornea causing it to bulge forward & assume a cone like shape. This irregularity in the cornea results in the formation of a distorted image of objects on the retina & gives rise to blurred vision. Symptoms & signs of Keratoconus Symptoms & signs of Keratoconus Keratoconus causes myopia or nearsightedness & astigmatism. Frequent change in glasses prescription with fluctuation in vision. Glare & sensitivity to light especially during night. In advanced stage of Keratoconus corrective prescription glasses do not help patient to see clearly & they have to switch to using hard or semi-soft contact lenses. Keratoconus can be diagnosed at an early stage with detailed eye examination which includes Retinoscopy, Slit lamp examination & sophisticated tests like Topography to check the shape & curvature of cornea & Pachymetry to determine the thickness of the cornea. Causes Exact causes of Keratoconus is not known but latest research suggests that the cornea becomes weakened due to an imbalance of enzymes within the corneal tissue. Young patients produce high levels of free radicals which cause oxidative damage to the cornea in absence of protective enzymes causing thinning & bulging of the cornea. Keratoconus also shows some genetic predisposition. It may transmit from parent to children & affect more than one family member. It is also associated with excessive rubbing as it is more common in allergic conjunctivitis patients who have itching & tend to rub their eyes more frequently. Other risk factors are overexposure to ultra violet rays, chronic eye irritation & improperly fitting contact lenses. Treatment Options In early stages, when the cornea is still regular, corrective prescription glasses or soft contact lenses can help the patient. As keratoconus advances, the corneal surface becomes increasingly irregular & these options do not help adequately. In intermediate & advanced stage, various other treatment options & different types of contact lenses are available. Rigid Gas permeable contact lenses : provide a smooth refractive surface replacing the irregular cone like surface of the cornea, thus enabling the patient to see clearly. Lens fitting in Keratoconus can be demanding & time consuming process. RGP lenses are not as comfortable as soft contact lenses. Piggybacking Contact Lenses : a soft contact lens is first placed on cornea to give it a cushion like effect & RGP lens is fitted over it. Best features of both lenses are combined – makes the wearer comfortable & at the same time gives crisp & clear vision. The fitting should be perfect to ensure good oxygen permeability to the cornea as the patient will be wearing two lenses. However, with newer high oxygen permeable lenses this is not a problem. Hybrid Contact lenses : uniquely designed wherein the central visual portion is made up of high oxygen permeable rigid material & peripheral anchoring portion is of soft hydrogel material. Maximizes the best features of both lenses & improves wearers comfort as well as visual performance in keratoconic eyes. New Vistas In Surgical Treatment Of Keratoconous :Intacs (Intra Corneal Ring Segments) New Vistas In Surgical Treatment Of Keratoconous : Intacs (Intra Corneal Ring Segments) Patients with moderate non progressive keratoconus who are intolerant to contact lenses are good candidates for INTACS. Use of INTACS not only improves the visual outcome it also reduces the dependency of patient on glasses or contact lenses. INTACS are rings made of inert material that are implanted in mid periphery of cornea . These rings significantly flatten the curvature of keratoconic cornea thus improving vision. Benefits Treatment Of Keratoconou Simple 10 minute outpatient procedure Marked improvement in vision Removable & exchangeable Minimally invasive as compared to corneal transplantation Delays the progression of keratoconus C3 – R (CORNEAL COLLAGEN CROSSLINKING) Corneal collagen crosslinking with riboflavin is the latest addition to treatment options for early progressive keratoconus. This is minimally invasive day care procedure that stabilizes the keratoconus and prevents further deterioration of vision. With newer corneal topography equipments it is easy to pick up early keratoconus and C3R in such cases further progression of keratoconus and thus reduces visual morbidity. C3R is a safe procedure for early progressive keratoconus. Penetrating Keratoplasty This involves full thickness corneal transplantation, where the entire recipient cornea is replaced with full thickness donor cornea. This type of penetrating surgery is usually indicated for full thickness corneal opacity, failed grafts and macular corneal dystrophy. This type of surgery gives very good visual outcome but have along recovery period. DALK (Deep anterior lamellar Keratoplasty) DALK (Deep anterior lamellar Keratoplasty) This is one of the recent modification of keratoplasty where full thickness transplantation is not done. This type of transplantation involves replacing only the superior three diseased layers of cornea with healthy donor tissue .This procedure has faster recovery period and minimal risk of rejection. Also visual outcome is better. This surgery is indicated in cases with advanced Keratoconus, superficial scar. Keratoplasty (Corneal Transplantation) What is ‘Corneal Transplantation’? Corneal transplantation / keratoplasty / corneal grafting is the surgical procedure that restores sight in patients suffering from corneal blindness. In this surgical procedure, the diseased opaque cornea is replaced by a clear healthy donor corneal tissue which restores sight by allowing the light rays to enter the eye through transplanted clear cornea. This procedure of corneal grafting is possible only on the availability of donor cornea by process of eye donation. By donating eyes after death a human being can restore sight to a blind person. This gift of sight is invaluable for these visually handicapped persons. Who can donate eyes? Eye donation is possible only after death. Any person of any age, sex, caste or religion, people who wear glasses or have undergone an eye surgery can donate. People of any age group can pledge to donate his/ her eyes after death. Even if one has not pledged their eyes themselves, the relatives can give their consent for the donation of the eyes of the deceased. Eye tissue procurement is performed within six hours of death. Families may proceed with funeral arrangements without delay or interruption. Great care is taken to preserve the donor’s appearance. The donor’s body is treated with respect at all times. Funeral arrangements, including a viewing, if desired, may proceed as scheduled. Precautions after pledging eyes of deceased: Switch off fans and switch on Air conditioner (if available). Raise the head of the deceased slightly by placing a pillow underneath. Place wet clean cloth over the closed eye lids. Please ensure that the eyelids are properly closed. Keep a copy of the death certificate ready (if available). Contact the nearest eye bank as quickly as possible. Give the correct address with specific landmarks or famous name of our area and mobile and residence number to enable the team of eye bank for locating the house easily.Give alternate cell number of any available relatives also. The eye bank team, which would have a trained technician and/or a registered medical practitioner, would remove the eyes after taking consent on a printed form in the presence of two witnesses and also take A small quantity of blood sample will be drawn to rule out communicable diseases. Different Techniques of Keratoplasty Penetrating keratoplasty (Corneal Transplantation): Different Techniques of Keratoplasty Penetrating keratoplasty (Corneal Transplantation): This involves full thickness corneal transplantation, where the entire recipient cornea is replaced with full thickness donor cornea. This type of penetrating surgery is usually indicated for full thickness corneal opacity, failed grafts and macular corneal dystrophy. This type of surgery gives very good visual outcome but have a long recovery period. DALK (Deep anterior lamellar Keratoplasty) DALK (Deep anterior lamellar Keratoplasty) This is one of the recent modification of keratoplasty where full thickness transplantation is not done. This type of transplantation involves replacing only the superior three diseased layers of cornea with healthy donor tissue . This procedure has faster recovery period and minimal risk of rejection. Also visual outcome is better. This surgery is indicated in cases with advanced Keratoconus, superficial scar. DSEK (Descemets stripping endothelial keratoplasty) DSEK (Descemets stripping endothelial keratoplasty) DSEK is the most recent addition to the armamentarium to treat endothelial disease of cornea. This modification in keratoplasty replaces the diseased descemets and endothelium with healthy donor endothelium , descemets’ membrane and posterior stroma and requires no sutures. As this procedure is sutureless it has several advantages like faster recovery, better visual outcome and less risk of suture infection. Descemet’s Membrane Endothelial Keratoplasty (DMEK) Descemet’s Membrane Endothelial Keratoplasty (DMEK) Descemet membrane endothelial keratoplasty (DMEK) is the most recent solution to treat the decreased vision due to corneal oedema seen in Fuchs dystrophy, bullous keratopathy, and other causes of poor corneal endothelial function. There are three generations in the evolution of corneal transplantation and DMEK is the third and latest. In DMEK the diseased innermost layer of the cornea is removed surgically and the corresponding thin layer from a healthy donor cornea is put in its place. The thin delicate transplant is secured with only an air bubble. The surgery can be combined with cataract surgery for patients who require both. DMEK provides quick improvement in vision with reduced risk of rejection making it keratoplasty of choice in patients with corneal oedema. Benefits of DMEK 2.8 mm or smaller corneal incision No increase in corneal thickness Quick visual recovery so patients can resume daily activities early Better visual outcomes compared to other keratoplasty methods Reduced risk of vision threatening graft rejection episodes Cornea or Keratoconus Treatment In Pune Cornea or Keratoconus Treatment Cornea is the first coat of eye which is transparent circular structure. Functionally it acts as a lens responsible for focusing rays inside the eye. It is an important optical structure through which rays of light enter the eye. Any damage or injury to this delicate structure can lead to permanent loss of corneal transparency or in other words cause clouding and opacification. Loss of corneal transparency prevents the entry of light rays into the eye and reduces vision. In cases of severe of damage, this can cause total loss of vision making the person visually handicapped. There are other conditions also such as malnutrition, Vitamin A deficiency, infection, certain corneal diseases such as ‘keratoconus’ and ‘corneal degeneration’, which can cause corneal blindness. Corneal disease is third largest cause of blindness or low vision in Indian population. Corneal disorders encompass a wide spectrum of diseases most common of these are pterygium, Keratoconus, corneal dystrophy, corneal tears, corneal oedema, infective keratitis, contact lens related keratitis, allergic keratoconjunctivitis, each of these diseases need methodical approach and specialized care. Pterygium Pterygium Pterygium is a veil like lesion that usually occurs in exposed part of white of the eye. This grows slowly over the cornea (the central black portion) and can obstruct vision or deteriorate vision by inducing cylindrical power. Symptoms of pterygium may include: BurningGritty feelingItchingSensation of a foreign body in the eyeBlurred vision Causes of Pterygium : significant risk factors include: Prolonged exposure to ultraviolet lightDry eyeIrritants such as dust and wind Treatment of Pterygium Pterygium is not only cosmetically disfiguring but can affect the vision also. In view of this it is advisable to surgically excise it at the earliest. Surgical excision of pterygium is a simple day care procedure with no adverse effects. Latest surgery method involves removing the pterygium tissue and placing a healthy tissue on bare area which prevents recurrence and is cosmetically very rewarding. Surgery for pterygium is minimally invasive, sutureless and is very safe. Pterygium does not respond to medical treatment of any kind be it in form of eye drops or ointment and surgical excision is the treatment of choice Keratoconous Treatment In Pune Keratoconus Eye Specialist : Best Eye Surgeon in India Dr. Niteen Dedhia, Eye Clinic in India Keratoconus is a progressive disease of the outer transparent layer of the eyeball (cornea) affecting young adults mostly in their twenties. It is characterized by progressive thinning of the normally round cornea causing it to bulge forward & assume a cone like shape. This irregularity in the cornea results in the formation of a distorted image of objects on the retina & gives rise to blurred vision. Symptoms & signs of Keratoconus Symptoms & signs of Keratoconus Keratoconus causes myopia or nearsightedness & astigmatism. Frequent change in glasses prescription with fluctuation in vision. Glare & sensitivity to light especially during night. In advanced stage of Keratoconus corrective prescription glasses do not help patient to see clearly & they have to switch to using hard or semi-soft contact lenses. Keratoconus can be diagnosed at an early stage with detailed eye examination which includes Retinoscopy, Slit lamp examination & sophisticated tests like Topography to check the shape & curvature of cornea & Pachymetry to determine the thickness of the cornea. Causes Exact causes of Keratoconus is not known but latest research suggests that the cornea becomes weakened due to an imbalance of enzymes within the corneal tissue. Young patients produce high levels of free radicals which cause oxidative damage to the cornea in absence of protective enzymes causing thinning & bulging of the cornea. Keratoconus also shows some genetic predisposition. It may transmit from parent to children & affect more than one family member. It is also associated with excessive rubbing as it is more common in allergic conjunctivitis patients who have itching & tend to rub their eyes more frequently. Other risk factors are overexposure to ultra violet rays, chronic eye irritation & improperly fitting contact lenses. Treatment Options In early stages, when the cornea is still regular, corrective prescription glasses or soft contact lenses can help the patient. As keratoconus advances, the corneal surface becomes increasingly irregular & these options do not help adequately. In intermediate & advanced stage, various other treatment options & different types of contact lenses are available. Rigid Gas permeable contact lenses : provide a smooth refractive surface replacing the irregular cone like surface of the cornea, thus enabling the patient to see clearly. Lens fitting in Keratoconus can be demanding & time consuming process. RGP lenses are not as comfortable as soft contact lenses. Piggybacking Contact Lenses : a soft contact lens is first placed on cornea to give it a cushion like effect & RGP lens is fitted over it. Best features of both lenses are combined – makes the wearer comfortable & at the same time gives crisp & clear vision. The fitting should be perfect to ensure good oxygen permeability to the cornea as the patient will be wearing two lenses. However, with newer high oxygen permeable lenses this is not a problem. Hybrid Contact lenses : uniquely designed wherein the central visual portion is made up of high oxygen permeable rigid material & peripheral anchoring portion is of soft hydrogel material. Maximizes the best features of both lenses & improves wearers comfort as well as visual performance in keratoconic eyes. New Vistas In Surgical Treatment Of Keratoconous :Intacs (Intra Corneal Ring Segments) New Vistas In Surgical Treatment Of Keratoconous : Intacs (Intra Corneal Ring Segments) Patients with moderate non progressive keratoconus who are intolerant to contact lenses are good candidates for INTACS. Use of INTACS not only improves the visual outcome it also reduces the dependency of patient on glasses or contact lenses. INTACS are rings made of inert material that are implanted in mid periphery of cornea . These rings significantly flatten the curvature of keratoconic cornea thus improving vision. Benefits Treatment Of Keratoconou Simple 10 minute outpatient procedure Marked improvement in vision Removable & exchangeable Minimally invasive as compared to corneal transplantation Delays the progression of keratoconus C3 – R (CORNEAL COLLAGEN CROSSLINKING) Corneal collagen crosslinking with riboflavin is the latest addition to treatment options for early progressive keratoconus. This is minimally invasive day care procedure that stabilizes the keratoconus and prevents further deterioration of vision. With newer corneal topography equipments it is easy to pick up early keratoconus and C3R in such cases further progression of keratoconus and thus reduces visual morbidity. C3R is a safe procedure for early progressive keratoconus. Penetrating Keratoplasty This involves full thickness corneal transplantation, where the entire recipient cornea is replaced with full thickness donor cornea. This type of penetrating surgery is usually indicated for full thickness corneal opacity, failed grafts and macular corneal dystrophy. This type of surgery gives very good visual outcome but have along recovery period. DALK (Deep anterior lamellar Keratoplasty) DALK (Deep anterior lamellar Keratoplasty) This is one of the recent modification of keratoplasty where full thickness transplantation is not done. This type of transplantation involves replacing only the superior three diseased layers of cornea with healthy donor tissue .This procedure has faster recovery period and minimal risk of rejection. Also visual outcome is better. This surgery is indicated in cases with advanced Keratoconus, superficial scar. Keratoplasty (Corneal Transplantation) What is ‘Corneal Transplantation’? Corneal transplantation / keratoplasty / corneal grafting is the surgical procedure that restores sight in patients suffering from corneal blindness. In this surgical procedure, the diseased opaque cornea is replaced by a clear healthy donor corneal tissue which restores sight by allowing the light rays to enter the eye through transplanted clear cornea. This procedure of corneal grafting is possible only on the availability of donor cornea by process of eye donation. By donating eyes after death a human being can restore sight to a blind person. This gift of sight is invaluable for these visually handicapped persons. Who can donate eyes? Eye donation is possible only after death. Any person of any age, sex, caste or religion, people who wear glasses or have undergone an eye surgery can donate. People of any age group can pledge to donate his/ her eyes after death. Even if one has not pledged their eyes themselves, the relatives can give their consent for the donation of the eyes of the deceased. Eye tissue procurement is performed within six hours of death. Families may proceed with funeral arrangements without delay or interruption. Great care is taken to preserve the donor’s appearance. The donor’s body is treated with respect at all times. Funeral arrangements, including a viewing, if desired, may proceed as scheduled. Precautions after pledging eyes of deceased: Switch off fans and switch on Air conditioner (if available). Raise the head of the deceased slightly by placing a pillow underneath. Place wet clean cloth over the closed eye lids. Please ensure that the eyelids are properly closed. Keep a copy of the death certificate ready (if available). Contact the nearest eye bank as quickly as possible. Give the correct address with specific landmarks or famous name of our area and mobile and residence number to enable the team of eye bank for locating the house easily.Give alternate cell number of any available relatives also. The eye bank team, which would have a trained technician and/or a registered medical practitioner, would remove the eyes after taking consent on a printed form in the presence of two witnesses and also take A small quantity of blood sample will be drawn to rule out communicable diseases. Different Techniques of Keratoplasty Penetrating keratoplasty (Corneal Transplantation): Different Techniques of Keratoplasty Penetrating keratoplasty (Corneal Transplantation): This involves full thickness corneal transplantation, where the entire recipient cornea is replaced with full thickness donor cornea. This type of penetrating surgery is usually indicated for full thickness corneal opacity, failed grafts and macular corneal dystrophy. This type of surgery gives very good visual outcome but have a long recovery period. DALK (Deep anterior lamellar Keratoplasty) DALK (Deep anterior lamellar Keratoplasty) This is one of the recent modification of keratoplasty where full thickness transplantation is not done. This type of transplantation involves replacing only the superior three diseased layers of cornea with healthy donor tissue . This procedure has faster recovery period and minimal risk of rejection. Also visual outcome is better. This surgery is indicated in cases with advanced Keratoconus, superficial scar. DSEK (Descemets stripping endothelial keratoplasty) DSEK (Descemets stripping endothelial keratoplasty) DSEK is the most recent addition to the armamentarium to treat endothelial disease of cornea. This modification in keratoplasty replaces the diseased descemets and endothelium with healthy donor endothelium , descemets’ membrane and posterior stroma and requires no sutures. As this procedure is sutureless it has several advantages like faster recovery, better visual outcome and less risk of suture infection. Descemet’s Membrane Endothelial Keratoplasty (DMEK) Descemet’s Membrane Endothelial Keratoplasty (DMEK) Descemet membrane endothelial keratoplasty (DMEK) is the most recent solution to treat the decreased vision due to corneal oedema seen in Fuchs dystrophy, bullous keratopathy, and other causes of poor corneal endothelial function. There are three generations in the evolution of corneal transplantation and DMEK is the third and latest. In DMEK the diseased innermost layer of the cornea is removed surgically and the corresponding thin layer from a healthy donor cornea is put in its place. The thin delicate transplant is secured with only an air bubble. The surgery can be combined with cataract surgery for patients who require both. DMEK provides quick improvement in vision with reduced risk of rejection making it keratoplasty of choice in patients with corneal oedema. Benefits of DMEK 2.8 mm or smaller corneal incision No increase in corneal thickness Quick visual recovery so patients can resume daily activities early Better visual outcomes compared to other keratoplasty methods Reduced risk of vision threatening graft rejection episodes

Dry Eye Treatment In Mahaveer Eye Hospital Pune M22 OPT™ Treatment for Dry eye Dry eye syndrome is caused by a chronic lack of sufficient lubrication and moisture on the surface of the eye. Consequences of dry eyes range from subtle but constant eye irritation to significant inflammation and even scarring of the front surface of the eye. Dry eyes are very common, and dry eye syndrome is a major reason for visits to the eye doctor. Symptoms tend to affect both eyes, and can include: Burning and red eyes Feelings of soreness, grittiness or dryness, which get worse as the day goes on Eyelids that are often stuck together when you wake up in a morning Blurred vision, which is better after you’ve blinked Periods of excess tears, which follows a dry spell Heavy eyelids Uncomfortable sensations when wearing your contact lenses Struggling to read or carry out tasks that require extended periods of concentration with your eyes Stringy discharge Have you been frustrated with the need for frequent eye drop use in your attempt to control your symptoms? Dry Eye Treatment In Mahaveer Eye Hospital Pune At Ojas Eye Hospital, we offer a revolutionary treatment using Optimal Pulse Technology (OPT) to get rid of the root cause of your dry, red, fatigued and burning eyes and help your eyes feel calm and clear – while reducing your dependency on eye drops. How does it work? Optimal Pulse Technology is an excellent technology for treating eye lid inflammation. OPT is selectively absorbed in the hemoglobin of abnormal blood vessels, and destroys them by thrombolysis. A major source of inflammation threatening the eyelids is then removed. During the procedure, a strategic level of light pulses is administered to penetrate your skin and target the root cause of the inflammation. As the OPT treatment treats your overall skin appearance, your eyelid inflammation is treated and improved as well. OPT procedures are highly effective, gentle and safe. Benefits of M22 OPT Treatments for Dry Eye: Treats the root cause of the problem, not just the symptoms Provides long-term relief The procedure is safe, comfortable and quick, with no downtime Reduces your dependency on eye drops This treatment is safe, with no discomfort or downtime, and will improve the comfort of your eyes and the clarity of your vision. During the Procedure After the Procedure You might experience a warm sensation as the light is applied to your skin, but the treatment is gentle and you should not feel uncomfortable. Each session lasts approximately 15 minutes. Depending upon the severity of your condition, an additional procedure to remove a portion of your Meibomian glands, to accelerate your skin and eyelid healing process, may be recommended. During the Procedure After the Procedure Immediately following treatment, you may experience some redness and discomfort in the treated areas, which usually disappears within a few hours. Most patients resume their daily activities the same day. Sunlight should be avoided for a few days following the treatment and sun screen should be used. For optimal results, 5 sessions are typically recommended, with 3-4 weeks in between. Maintenance treatments, usually once every 6-12 months, are also recommended for optimal long-term results