Diabetic Retinopathy Treatment In Ghatkopar
Diabetic retinopathy is a form of eye disease caused by chronically high or variable blood sugar that is associated with diabetes. If left untreated, diabetic retinopathy can lead to vision loss and blindness. The condition develops slowly throughout many years; therefore, it is essential to undergo regular eye tests when you have Diabetes. Retinopathy is basically impaired blood vessels in the retina which is the thin inner light-sensitive layer situated in the back of the eyes. In some cases, these vessels will swell up (macular oedema) and leak fluid into the rear of the eye. In other cases, abnormal blood vessels will grow on the surface of the retina.

Diabetic retinopathy occurs in three stages:
Background retinopathy - Background retinopathy is said to occur if you have developed microaneurysms on your retina. Microaneurysms are when there is a swelling of the capillaries (very small blood vessels) that feed the retina. It is an early warning sign that your diabetes has lead to some damage of the small blood vessels of your retina.
Diabetic maculopathy - The macula is the part of the eye that helps to provide us with our central vision. Diabetic maculopathy is when the macula sustains some form of damage. One such cause of macular damage is from diabetic macular oedema whereby blood vessels near to the macula leak fluid or protein onto the macula.
Proliferative retinopathy - If a significant number of blood vessels on the retina become damaged, your body will respond by releasing a growth hormone known as Vascular Endothelial Cell Growth Factor (VEGF). The growth hormone stimulates the growth of new blood vessels. However, these new blood vessels are particularly weak and prone to leaking. Proliferative retinopathy is the body’s attempt to save its retina but it can often lead scarring of the retina and can cause the retina to detach, leading to blindness.
Symptoms
You might not have any signs of diabetic retinopathy until it becomes serious. When you do have symptoms, you might notice:

Loss of central vision, which is used when you read or drive
Not being able to see colors
Blurry vision
Holes or black spots in your vision
Floaters, or small spots in your vision caused by bleeding
Poor night vision
Risk factors
Anyone who has diabetes can develop diabetic retinopathy. Risk of developing the eye condition 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 African-American, Hispanic or Native American
Detection and diagnosis of diabetic retinopathy
Diabetic retinopathy can be detected by undergoing a comprehensive eye examination that emphasizes on the evaluation of specifically the retina and macula. Such a test may include:

Visual acuity measurements – measuring a patient’s ability to see at different distances.
Patient history – to determine the presence of diabetes, vision impairments and other general health issues that may affect vision.
Tonometry – Measuring pressure within the eye.
Refraction – to establish whether a prescription for new glasses is required.
Pupil dilation – evaluation of eye structures, including assessment of the retina and optic nerve through a dilated pupil.
Supplementary testing may be required which include:
Retinal tomography or photography – In this test retina’s current status is documented.
Fluorescein angiography test - During this test, your doctor will inject a dye into your arm, allowing them to track how the blood flows in your eye. They’ll take pictures of the dye circulating inside of your eye to determine which vessels are blocked, leaking, or broken.
An optical coherence tomography (OCT) exam - It is an imaging test that uses light waves to produce images of the retina. These images allow your doctor to determine your retina’s thickness. OCT exams help determine how much fluid, if any, has accumulated in the retina.
Treatment
Treatment of diabetic retinopathy depends on the extent of the disease.

Eye Injections - Eye Medications called vascular endothelial growth factor (VEGF) inhibitors can be used to help stop the growth of new blood vessels and improve vision. Most people who receive these injections will need to get them for at least three months. Over time, some people may need to get them less often or may no longer need them at all, but others will need to continue in order to protect their vision.
Focal laser surgery - This surgery attempts to stop or reduce the leaking of blood or fluid into the eye by burning and sealing the damaged blood vessels.
Photocoagulation - This is usually done in your doctor’s office as an outpatient procedure during a single session. The procedure may or may not restore your vision to normal, but it should prevent your condition from worsening.
Scatter laser surgery - This surgery uses lasers to burn the damaged blood vessels so that they shrink. This procedure may require more than one application, and your vision may be blurry for a day or more after each session. You may also experience loss of peripheral vision or night vision after the procedure.
Vitrectomy - This surgery is done under general anesthesia and involves making a tiny incision in the eye to remove blood from the vitreous fluid, as well as any scar tissue that may cause retinal detachment.
Complications
Diabetic retinopathy involves the abnormal growth of blood vessels in the retina. 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.
Glaucoma - 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).
Blindness - Eventually, diabetic retinopathy, glaucoma or both can lead to complete vision loss.
How can I reduce my risk of Retinopathy?
You can reduce your risk of developing diabetic retinopathy, or help prevent it getting worse, by:

Controlling your blood sugar, blood pressure and cholesterol levels
Taking your diabetes medication as prescribed
Attending all your screening appointments
Getting medical advice quickly if you notice any changes to your vision
Maintaining a healthy weight, eating a healthy, balanced diet, exercising regularly and stopping smoking
Important Reminder: This information is only intended to provide guidance, not a definitive medical advice. Please consult eye doctor about your specific condition. Only a trained, experienced board certified eye doctor can determine an accurate diagnosis and proper treatment.

Cataract Surgery In Ghatkopar

Cataract surgery is replacing the faulty lens with an artificial lens. It’s a common and safe procedure done by ophthalmologist when you are having cloudy vision. Decision to undergo cataract surgery depends on the level of difficulty; a patient is facing on daily routine activities.

What is Cataract?
Cataract is progressive in nature and develops with time you grow older. Cataract affects most of people and becomes prominent with age. It can be described as blurry, cloudy or opaque vision. Natural eye lens focuses light on the retina to form clear and undistorted image. Clouding of this lens results in blurred and distorted image. It commonly affects both eyes but in few cases one eye cataract might advances rapidly. If not treated on time, may result is complete loss of sight.

Causes of Cataract
Cataract can be seen in children as a hereditary defect, while eye trauma, smoking, diabetes, excessive use of alcohol, prolonged exposure of sunlight or ultraviolet rays, extended use of corticosteroids are few causes of cataract occurring in elderly people.

Eye Examination
Cataracts can be diagnosed with simple eye exam. The eye exam contains a vision test and an examination of your eyes using a slit lamp microscope. The pupils are dilated with special eye drops to provide a better view of the back of the eye, where the retina and optic nerve are located.

Symptoms of cataract
Ask yourself few questions

Do you feel difficulty in seeing at night?

Is reading or watching television becoming difficult for you?

Driving at night or seeing in bright light has become difficult?

Do you need assistance for finding ways while walking, cooking, shopping or daily activities of your visi

Are you opting for alternate ways to substitute your vision problems?

Glare or sensitivity to light is another symptom of cataract. Diplopia or double vision is also seen in cataract patients. It also affects color vision, leading to yellowish or brownish tint to your eyesight. Patients often need frequent changes in their eyeglasses.

Cataract Treatment in Ghatkopar
Cataract develops as a result of thickened eye lens and treatment is to replace faulty lens with a new lens. Cataract removal is a routine treatment procedure at opthalomogist clinic and carried out across the globe with rarely any accompanying complications.

To prepare you for surgery, your doctor calls you for eye checkup (a week before), to choose which eye lens is best for you.

On the day of surgery, it’s recommended not to eat for 12 hours before surgery.

Recovery
Usually it is a complication free procedure, but it is recommended to be in contact with your surgeon after the surgery. Initially, an eye drop is given to reduce inflammation and prevent infection. You will need frequent visits to the doctor to monitor any complications. Cataract removal procedure doesn’t need night stay, as it’s a small daycare surgery. Most people observe an improvement in their visual function within few days of the surgery, enabling them to restart most of their daily activities including work.

Majority of people regain full activity after a few days of getting the procedure. Your doctor might fit you with a pair of glasses (if needed) once your vision is stabilized. This also depends upon the type of intraocular lens implanted in your eye.

For more information = https://www.mumbaieyecare.com/

Cerebral Venous Sinus Thrombosis In Pediatric Nephrotic Syndrome



A 2-year-old girl presented to the emergency room with recurrent seizures. The child had been diagnosed with nephrotic syndrome in the previous 2 weeks (serum albumin, 1.5 g/dl; serum creatinine, 0.4 mg/dl) and had been convulsing on and off since the week before presentation. Oral prednisolone (2 mg/kg per day) had been started for 2 weeks with no response. There was no metabolic cause of seizures with normal serum ammonia, blood gas, and serum electrolyte levels.
About Dr.

Dr. Sidharth Kumar Sethi
Kidney & Urology Institute
He was trained as a Fellow (International Pediatric Nephrology Association Fellowship) and Senior Resident in Pediatric Nephrology at All India Institute of Medical Sciences and Division of Pediatric Nephrology and Transplant Immunology, Cedars Sinai Medical Centre, Los Angeles, California. He has been actively involved in the care of children with all kinds of complex renal disorders, including nephrotic syndrome, tubular disorders, urinary tract infections, hypertension, chronic kidney disease, and renal transplantation. He has been a part of 8-member writing committee for the guidelines of Steroid Sensitive Nephrotic Syndrome and Expert committee involved in the formulation of guidelines of Pediatric Renal Disorders including Steroid Resistant Nephrotic Syndrome and urinary tract infections. He has more than 30 indexed publications in Pediatric Nephrology and chapters in reputed textbooks including Essential Pediatrics (Editors O.P. Ghai) and “Pediatric Nephrology� (Editors A Bagga, RN Srivastava). He is a part of Editorial Board of “World Journal of Nephrology� and “eAJKD- Web version of American Journal of Kidney Diseases�. He is a reviewer for Pediatric Nephrology related content for various Pediatric and Nephrology journals.


For more information = http://www.pediatricnephrologyindia.com/

LASIK Technology - Lasik Surgery In Delhi
Any LASIK procedure consists of two steps:

CREATING A CORNEAL FLAP

TREATING THE UNDERLYING CORNEA WITH A LASER

now we shall discuss the above two points in detail…
creating a corneal flap.

Corneal flap can be created either using a blade or using a laser called femtosecond laser. We at BAJAJ EYE CARE CENTRE use the best of technologies for both of the techniques. In BLADE LASIK we create a flap using not a surgical blade but an instrument called automated computerized microkeratome. For flap creation with microkeratome we use the world’s best and trusted MORIA ONE USE PLUS SBK microkeratome which has a capability of producing very thin flaps measuring equivalent to 90 microns. This technique is called SBK LASIK (sub bowmans keratomileusis ). The thinner flap in the range of 90 microns ( 1 mm is equivalent to 1000 microns ) has obvious advantages.

More residual cornea is left behind thus leaving a thicker residual cornea for a lifelong normal functioning.

Since the flap is cut at a superficial level it results in a lesser dry eyes postoperatively allowing the patient to resume all his activities no sonnertha the next day onwards.

Moria one use plus microkeratome produces very smooth flaps almost equivalent to a femto second laser, thus the post operative vision is very good.

Thinner flaps settle down very quickly with no corneal folds and swelling thus the patient recovers vision almost immediately that is within 15 to 20 minutes postoperatively… a wow factor for SBK lasik. In BLADELESS or BLADEFREE LASIK we are using the most advanced ZEISS VISUMAX FEMTOSECOND laser machine and we take pride in having the first installation in whole of north Delhi for this.

Advantages of FEMTO FLAP on ZEISS machine… hundred percent blade free lasik. Painfree. Very precise and accurate flaps. Fast… IT takes only a few seconds to make a flap. Least expected complications which may occur on other technologies besides Zeiss platform. Flap related complications associated with microkeratomes are minimized or absent with the femtolasik, as it is more precise and more accurate. Femto flaps are more stronger in nature and fit more snugly to the base cornea comparatively.

THE SECOND STEP: TREATING THE CORNEA BENEATH THE FLAP WITH EXCIMER LASER

Here the cornea is reshaped according to the refractive status of the patient. various profiles currently in use are…

Planolasik it is the basic correction which corrects the spherical and cylindrical components of the refractive errors. The disadvantages include post operative glares and haloes especially in higher numbers, the advantage being it is cheaper.

Customised lasik ( clasik ) here a customization is attempted to be done according to patients corneal and total irregularities called abberations ( higher order abberations …HOA’S). however the drawback in most of the systems is that they are unable to pick up the abberations accurately and after treating them may land up in further abberations and problems caused by them.

Wavefront optimized aspheric lasik….this is supposedly the best technology, here the normal prolate shape of the cornea is maintained even postoperatively which mimics the preoperative shape. Advantages include absence or minimal postoperative glare and haloes which are a part of standard lasik. At BAJAJ EYE CARE CENTRE we use an advanced profile of aspheric wavefront optimized lasik at ZEISS MEL 80 platform, a GERMAN technology which are the world leaders in opto electronics.

Contoura lasik: this is just a form of topography guided correction lasik and not much different from conventional lasik.

Cochlear And Hearing Implants In India

How does a cochlear implant function?
In instances of sensorineural deafness, the hair cells are absent / damaged even though the hearing nerve might be in place. These nerve do not conduct sound as a result of hair cell damage. However, these nerves can convey electrical impulses to the brain on electrical stimulation. Cochlear implants bypass the damaged hair cells and convert natural sounds into electrical signals and send these signs through the hearing nerve to the brain. Easy availability of latest Cochlear and Hearing implants In India has now made it possible to have them. We have the Best Cochlear Implant Surgeon and Audiologist team in the region to help you get expert care .

Cochlear Implants (CI)
An electronic device surgically implanted in the cochlea (inner ear) that is used to provide sensation of sound in individuals who have a severe to profound hearing loss and do not benefit from hearing aids. Cochlear has conveyed the endowment of sound to more than quarter of a million people over the world. The world's best cochlear innovation is presently accessible in India. Accessible in a scope of item offerings, you can now easily have latest Cochlear and Hearing implants In India.

Bone Anchored Hearing Devices (BAHA and Bonebridge)
These are surgically implanted hearing devices that are designed to help persons with certain types of hearing losses. They work through the principle of bone conduction where sound is transferred to the inner ear by vibration of the skull bone. Preclinical outcomes suggest that the BB has practical execution like the BAHA and could be productive to patients enduring with conductive and hearing losses and additionally for those with one-sided hearing loss.

Vibrant Soundbridge middle ear implant (VSB)
This is an electronic device implanted in the middle ear in those individauls with certain types of hearing loss, who are dissatisfied with hearing aids or cannot wear conventional hearing aids. Rather than a hearing aid - which can just make sounds entering the ear louder - the Vibrant Soundbridge changes over the signals into mechanical vibrations. This mechanical vitality specifically animates the structures of the middle ear and permits even sharp tones to be heard extraordinarily well.

Auditory Brainstem Implant (ABI)
This is a surgically implanted electronic device that delivers sound directly to the hearing centre in the brainstem. It is an opton for individuals with severe to profound hearing loss where a cochlear implant cannot be used due to damage or absence of the cochlea or the hearing nerve

Cochlear Implant Surgery with Cochlear and Hearing implants In India
The Implant Surgery is performed under general anesthesia and takes only an hour. A cut is made behind the ear to open the mastoid bone and access the middle ear. After that the internal ear (cochlea) is opened and electrodes are inserted. The method requires a stay in the doctor's facility for 1 to 2 days.