RUSHABH EYE HOSPITAL AND LASER CENTER: 10/25/09 - 11/1/09


Friday, October 30, 2009

Doctors Panel


Dr. Jayant Shah, M.S.

On completing his MS Ophthalmology in 1990, from Grant Medical College, Mumbai, Dr. Jayant Shah has been in practice as one of the Directors of Rushabh Eye Hospital & Laser Centre. Dr Jayant Shah was one of the pioneers of Cataract Surgery by Phacoemulsification in Mumbai and has been on the panel for National Conferences for sharing his expertise. He is attached to Pramukh Swami Eye Hospital since 1992. Dr. Jayant Shah is an AMO (Advanced Medical Optics, USA) & VISX certified LASIK surgeon . He is amongst the few Eye Specialists certified for the use of BOTOX in Eye Conditions.

He is dedicatedly involved with Sharda Netralay, a full fledged Charitable Eye Institute in Dhule, Rural Maharashtra. Dr. Jayant Shah has performed over 60,000 Ophthalmic Surgeries. He has also been actively involved in being an Instructor & Teacher to other upcoming Ophthalmologists.


Dr. Savita Shah, M.S.

A joint director and an accomplished Phaco and Lasik surgeon, Dr. Savita Shah is an expert in Surgical Management of Squint and has performed more than 1000 squint surgeries.

She has completed her M.S. Ophthalmology from Grant Medical College – Mumbai. She was one of the pioneers in starting Phaco Surgeries in Mumbai. She undertook her Phaco fellowship at St Luke’s International Eye Hospital, Japan way back in 1995 and since then has performed thousands of Eye surgeries using this technique. She is attached to Hindu Sabha a charitable Hospital in Bombay. She is also actively involved in Sharda Netralay, a charitable organization fighting blindness in the rural areas.



Dr. Rekha Jhamnani, MBBS, DOMS



Dr. Rekha Jhamnani is a Glaucoma Consultant at Rushabh Eye hospital and Laser Centre. She specializes in diagnoses and management of various forms of Glaucoma. She has completed her Glaucoma fellowship from the world renowned Aravind Eye Institute – Madurai. Her Speciality also includes General Ophthalmology. She takes keen interest in Clinical research.


Dr. Sameer Sawant, MS, DNB, FVRS


Dr Sawant is a Vitreo Retinal Surgeon specializing in the management of Retinal eye conditions. Passed the course of MS Ophthalmology from Rajiv Gandhi University Of Health Sciences, Bangalore in November 2004. Cleared the exam of Diplomate Of National Board, New Delhi in 2005. Completed the Course in Ophthalmic Diagnostics
under Zeiss Academy for Advanced Ophthalmic Education, at L.V. Prasad Eye Institute, Hyderabad , India in 2004. Completed Vitreo-Retinal Fellowship at Shri Ganapati Netralaya, Jalna, Maharashtra – A multispecialty eye Institute run by the Mahyco Research Foundation Trust. Rendered voluntary services and performed surgeries aboard The Lifeline Express, promoted by UNDP, UNICEF and WHO in association with of government of India in May-June 2005. Participated in the disability reduction project under Impact India Foundation .

Have any quiries please feel free to leave a comment subsequent response is assured.

For more details please click on the link:
 
http://www.rushabheyehospital.com/

Tuesday, October 27, 2009

Pre and Post Operative Instructions

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Rushabh Eye Hospital



Pre-Operative Instructions:





  •      Put eye drops as advised.


Instruction on the day of Operation:

  • Please take headbath & clean the area around the eye thoroughly.
  • Take regular breakfast on the day of the operation.
  • Please put the eye drops as advised by the Doctor.
Post operative Instruction:
  • No diet restriction, except for Diabetes & Hypertensives.
  • Avoid all possible injuries to the operated eye, playing with children to be avoided.

  • Do not rub the operated eye with hand or any other unsterilised cloth for 1 month.
  • Head bath, shower & shave is permitted after 3 days, Bath below neck is permitted.
  • Wipe off discharge around operated eye with cotton & bolied water once in the morning.
  • Minimal watering and redness of eye is usually there upto 3 weeks.          
  • All activities at home are allowed, Evening walk or travelling in non crowded areas is allowed.
  • In case the vision decreases or if there is pain, then report to the doctor immediately.
  • Spectacles correction will be given after 2 weeks.Watching T.V. reading with old glasses or dark glasses is permitted.
  • 20% of patients, may develop thickening of capsule which can be removed by LASER.
  • Wash hands with soap & water before putting the eye drops.
  • Use eye drops as advised. Keep a gap of 2 minutes between two different eyedrops.
  • Put one drop at a time & after putting the drop, keep the eye closed for a minute.
  • To protect eyes at night, use shied for 5 nights, do not keep cotton or gauze beneath the shield.


Have any queries please feel free to leave a comment subsequent response is assured.

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For more details please click on the link:




Retinal Detachment

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Rushabh Eye Hospital



WHAT IS THE RETINA?

The retina is a nerve layer at the back of the eye that senses light and sends images to the brain.




 WHAT IS A RETINAL DETACHMENT?


The retina is attached to the inner back surface of the eye. Detachment is the pulling away of the retina from its normal position.The separation of the retina from the wall of the eye impairs its normal functioning, resulting in blurred vision.                                                           
                                                     Retinal Detachment







 WHAT CAUSES RETINAL DETACHMENT?

The vitreous is a clear gel that fills most of the space in the eye. It is located in front of the retina. With age, the vitreous pulls away from its attachments to the retina, usually without causing problems.

Sometimes the vitreous pulls hard enough to tear the retina. Fluid may then pass through the retinal tear and lift the retina off the wall of the eye.

Risk factors for retinal detachment:                                          
  • Myopia or near-sightedness.
  • Injury to the eye.
  • Previous retinal detachment in the other eye. 
  • Family history of retinal detachment. 
  • Areas of thin/weak retina. 
  • Complicated cataract surgery. 
    Warning symptoms of retinal detachment:

                                                                                                                    A gray curtain noticed in the field of vision.


      • Flashes of light.
      • New, or increase in, floaters [black dots in your vision]. 




       HOW IS RETINAL DETACHMENT DIAGNOSED?

      The retina is examined with an instrument called the indirect ophthalmoscope after dilating the pupil. Holes and tears are carefully looked for in the periphery of the retina.


      Treatment:
      • Retinal tears without detachment - Laser photocoagulation or cryotherapy is performed around the tear to seal the retina to the back wall of the eye.
      • Retinal tears with retinal detachment - Requires surgery as soon as possible to put the retina back in its proper position. The longer the retina stays detached, the less the visual improvement after surgery.
      • Scleral buckle surgery - A flexible silicone band is placed around the eye to counter the force pulling on the retina after removing the fluid under the detached retina. 
      •  Vitrectomy - The vitreous gel pulling the retina is removed from the eye and replaced with a special gas or silicone oil.


        Visual recovery:

        The more severe the retinal detachment and the longer its duration, the less is the visual improvement after surgery.

         For this reason it is very important to see an ophthalmologist at the first sign of any trouble. If the condition is left untreated it results in loss of useful vision.


        Have any queries please feel free to leave a comment subsequent response is assured.

        For videos please click the image:

        For more details please click on the link:


        http://www.rushabheyehospital.com/

        Glaucoma

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        Rushabh Eye Hospital



        WHAT IS GLAUCOMA?

        Glaucoma a leading cause of blindness in the world, especially for older people. However visual loss can be prevented or stabilized with early diagnosis and treatment. Glaucoma is a condition of the eye where the optic nerve is damaged. The optic nerve carries images from eye to the brain, which are then perceived as vision. Minute nerve fibres from various parts of the retina join to form the optic nerve.

        Glaucome eye diag.


        Glaucoma results when the pressure within the eye is high enough to be detrimental to the normal functioning of these nerve fibres, some of which stop functioning. Non-functional nerve fibres result in a loss of retinal function in the area from where they originate, leading to defects in the field of vision..



        The disease is called the `sneak thief of sight´ because it is painless, without symptoms and irreversible.
        Therefore, the person with glaucoma is usually unaware of it until much loss of vision has occurred. In fact, half of those suffering damage from glaucoma do not know it.


        Currently, damage from glaucoma cannot be reversed and if the entire nerve is damaged, blindness results. Early detection and regular treatment are the keys to preventing optic nerve damage and blindness from glaucoma.


        WHAT CAUSES GLAUCOMA?
                                                                                                                                                    Glaucome cupping        

        The aqueous humour is the clear fluid circulating within and nourishing some parts of the eye which have no blood supply. 'Normal' individuals have an equal production and drainage of this fluid resulting in a constant pressure within the eye. If the drainage is compromised due to any reason, there is a pressure build-up in the eye, which can damage the optic nerve.


        WHAT ARE THE DIFFERENT TYPES OF GLAUCOMA?

        A Chronic open-angle glaucoma most common type of glaucoma; damages vision gradually and painlessly. The pressure is rarely high enough to be symptomatic.

        Angle-closure glaucoma:

        An acute attack of glaucoma caused by sudden blockage of the drainage channels leading to a sharp rise in pressure within the eye.

        Symptoms:
        •  Blurred vision.              
        • Severe eye pain, nausea and vomiting.                                                           Vision in Glaucoma
        • Headache. 
        • Rainbow haloes around lights. 
        • Pain around your eyes after watching TV or after leaving a dark theatre.
        •  Red eyes. 
        An acute attack requires the immediate attention of an eye doctor.  


        HOW IS GLAUCOMA DETECTED?

        A Regular eye examinations by the ophthalmologist leads to detection.The complete and painless examination includes among other tests:

                         Tonometry - Measurement of the intraocular pressure [tension].
                         Gonioscopy - Inspection of the drainage angle of the eye
                         Ophthalmoscopy - Evaluation of optic nerve damage
                         Perimetry - Testing the visual field of each eye.


        WHO IS AT RISK FOR GLAUCOMA?
                                                        

        Everyone should be concerned about glaucoma and its effects.  It is important for each of us, from infants to senior citizens, to have our eyes checked regularly, because early detection and treatment of glaucoma are the only ways to prevent vision impairment and blindness. There are a few conditions related to this disease that tend to put some people at greater risk. This may apply to you if:
        • Someone in your family has a history of glaucoma. 
        • Age: If you are over 45 and have not had your eyes examined regularly . 
        • Near-sightedness [myopia] .
        • Any injury to your eyes.
        •  Secondary to other ocular conditions [cataract, inflammation, tumours etc.] .
        • Long-term medication [cortisone]. 
        HOW IS GLAUCOMA TREATED?

        The main treatment for chronic glaucoma aims at reducing the pressure in your eye. Damage already caused by glaucoma cannot be reversed. Eye drops, tablets, laser and surgical operations are used to prevent or slow further damage from occurring.

        Glaucoma treatment


        With any type of glaucoma periodic examinations are very important to prevent loss of vision. Because, glaucoma can irreversibly worsen without your being aware of it, your treatment may need to be changed from time to time during the periodic examination.

        Medical treatment:

        1.Eye drops :

        When taken regularly and continuously as prescribed, they control the eye pressure either by slowing the formation of aqueous fluid within the eye or by increasing the flow at the drainage area. The proper technique of using your medication is a key to successful treatment. Our glaucoma clinic doctor or assistant will teach you the technique.

        2.Tablets:
         
        These are sometimes combined with the eye drops to decrease higher levels of eye pressure. They are occasionally known to cause tingling of fingers and toes, bowel irregularities, and in the very long term, kidney stones.

        Laser surgery:

        Lasers are usually used in one of three ways:
        • In open-angle glaucoma the draining angle itself is enlarged to control eye pressure. 
        • In angle-closure glaucoma the laser creates a hole in the iris to open up and improve the flow of aqueous fluid to the drain.
        • In painful late-stage glaucoma medication or surgery do not control the pressure. The laser closes some aqueous fluid-producing areas in the eye and lowers the eye pressure. 
         Operative surgery:

        A new drainage channel is created for the aqueous fluid to leave the eye. Sometimes a tube drains the fluid in very resistant cases.

        Surgery is recommended when your doctor feels that it is safer to operate than to allow optic nerve damage to continue.The best treatment for you should be decided after a thorough examination and discussion with us.

        Our centres run Glaucoma Clinics for the special purpose of preserving sight in sight-threatening conditions such as glaucoma.
        •    The patient receives specialized care provided by our glaucoma specialists. 
        •   Glaucoma needs regular follow-up since the condition can cause asymptomatic and irreversible loss of  vision if poorly treated or neglected. 
        •   The effect of your treatment on the eye pressure may not always be constant and needs to be regularly measured by our glaucoma specialist. 
        •   At the clinic we record images and maintain records of your eye condition for comparison on following visits.  
        WHAT IS YOUR PART IN THE TREATMENT?

        • Treatment requires a team effort [by you and the doctor]:  
        • The prescription must never be altered or stopped without consulting your doctor.
        • Frequent eye examinations and tests are critical to monitor your eyes for any changes. 




        HOW DO I MINIMIZE THE RISK OF GETTING GLAUCOMA?

        You need an eye examination -
        • Every 18 - 24 months if you are age 39 years or over.
        • Every 12 months if a family member has glaucoma, if you have had a serious eye injury in the past, or if you are taking steroid medication [tablets or eye drops]. 
        • The Glaucoma Clinic has an early diagnosis centre keeping in mind the higher risk for glaucoma among family members .
         

        Have any queries please feel free to leave a comment subsequent response is assured.

        For videos please click the image:


        For more details please click on the link:

        http://www.rushabheyehospital.com/






        Monday, October 26, 2009

        Squint Surgery

        Click on image below to watch video


        Rushabh Eye Hospital


        Squint (Crossed Eyes) or Strabismus:


        Affects approximately 4 out of every 100 children . It is a visual defect in which the two eyes point in different directions. One eye may turn either in, or out while the other eye aims straight ahead. Due to this condition, both eyes do not always aim simultaneously at the same object. This results in a partial or total loss of stereo vision and binocular depth perception. The eye turns may be visible at all times or may come and go. In some cases, the eye misalignments are not obvious to the untrained observer.


        Most common types of Squint :

        Esotropia, where the eye turns inward, is the most common type of squint in infants.


        Hayden Panettiere



        Megan Fox



                             
        HealthyEye       


        Exotropia, or an outward turning of the eye, is another common type of squint . This occurs most often when a child is focusing on distant objects.


        How is Squint treated?

                           By wearing glasses or by surgery.

        Treatment for squint aims to:
        •  Preserve  vision;                                
        •  Straighten the eyes;  
        •  Restore binocular (two-eyed) vision.

        After a complete eye examination, an ophthalmologist can recommend appropriate treatment. In some cases, eyeglasses can be prescribed for your child. Other treatments may involve surgery to correct the unbalanced eye.


        Have any queries please feel free to leave a comment subsequent response is assured.


        For videos please click the image:


        For more details please click on the link:

        http://www.rushabheyehospital.com/
















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