SMILE

SMILE is an advanced surgery for enhancing vision and is less invasive as compared to LASIK. It is a one-step procedure and provides enhanced and clear vision.

What is the procedure of SMILE surgery?
SMILE, also known as Small Incision Lenticule Extraction which is significantly less invasive than LASIK surgery but provides the results like this surgery. Through a focused, computer-guided LASER, the surgeon makes a small incision on the cornea. With the help of this incision, a small corneal tissue is removed which results in reshaping of the cornea. With the help of highly-focused light, the surgery is done with high precision.

The procedure ends within a minute and the patient starts feeling better within 24 hours after surgery.

What are the benefits of SMILE?
Minimally Invasive Procedure:
As compared to PRK and LASIK surgery, the SMILE is less invasive. During the LASIK surgery, a corneal flap of 20 mm is created while in PRK, an incision of 8-mm is created. In the SMILE, the vision is corrected by creating only a 3 mm incision.

No formation of flap:
Although LASIK surgery is a highly safe procedure complication may arise in a few patients because of the flap creation. SMILE does not cause flap formation and thus, is safer, as compared to LASIK.

Odorless Procedure:
Due to the corneal ablations in LASIK surgery through excimer laser, the patient may smell an odor. As SMILE does not use an excimer laser, the procedure is completely free from the odor.

Fast recovery:
As the SMILE procedure is minimally invasive, the patient may recover fast and the vision is enhanced within a day after surgery. The results of the SMILE procedure are like that of LASIK surgery.

Fewer complications:
The patients undergoing SMILE procedure have fewer chances of complications as compared to LASIK surgery. There is less risk of halos or glare complications and have less incidence of dry eye syndrome.

Who are good candidates for the SMILE procedure?
SMILE procedure is effective in those patients who do not meet the criteria for LASIK surgery. These candidates include patients with a thin cornea, suffering from dry eye syndrome, and are involved in contact sports.

What is the difference between LASIK and SMILE?
Both procedures are used to correct the eye vision and to remove the spectacles and contact lenses. However, SMILE is safer as compared to LASIK surgery. The recovery period in the SMILE procedure is also less as compared to LASIK. SMILE surgery is less invasive and there is no creation of a flap in SMILE procedure.

SMILE is developed by using the traditional system of vision correction with the advancement in reducing the side effects. Experienced ophthalmologists should do SMILE surgery.

Neck Pain Treatment in Gurgaon

Neck Pain is a pain posteriorly anywhere between the skull base and thoracic spine. It is the largest cause of musculoskeletal disability after low back pain. Approximately two-thirds of the population will suffer from neck pain at some time in their life with high prevalence in middle ages. Fortunately for most people the acute pain resolves within days or weeks although in some it may reoccur or become chronic.

Neck pain may be a result of...

Local pathology
Whiplash (flexion-extension) injuries/ trauma
Be a part of a more widespread systemic problem such as ankylosing spondylitis, rheumatoid arthritis, fibromyalgia etc.
Be a result of referred pain from neighboring areas for example the shoulder joint

Neck pain usually has a multifactorial etiology -poor posture, neck strain/injuries, anxiety, depression and stress can play a role in magnifying the perceived pain. Quite often the diagnosis of simple or nonspecific neck pain is used implying postural and mechanical causes; this is contrary to other serious causes of neck pain such as fracture, tumour, infection etc.

Pain from upper neck can radiate towards the head leading to frequent headaches and that from the lower part of the neck can radiate to the shoulder, arm, chest wall and the scapula. Reduced neck movement along with localized areas of muscle tenderness known as trigger points are commonly observed along with pain.

Developing an addiction is not a character flaw. It shouldn’t be associated with weakness. Anyone, regardless of how strong they are, might develop an addiction. You can get addicted to a substance or alcohol. Or, you might develop an addiction to repetitive behavior, such as impulsive shopping, overspending, overthinking, etc. Some people develop an addiction to prescription drugs. If you know someone suffering from addiction or you are an addict yourself, join a rehab center to get the best de-addiction treatment in Kharghar. In the meantime, here are some tips for dealing with addiction.

Can You Recover from Drug Addiction?

Recovery from any type of addiction can be very challenging. You can’t do it without professional help. The recovery goes beyond your commitment to avoid the substance. Many addicts have tried quitting addiction only to disappoint themselves over and over again. It isn’t because you are weak, but your body and mind get too addicted to the substance that you find it hard to resist the urge to take drugs.

That doesn’t mean recovery is impossible. Many people have recovered from drug addiction successfully with the help of the best psychiatrist in Colaba, South Mumbai. The biggest challenge for an addict (during their recovery period) is dealing with the relapse.
Every addict is bound to continue their addictive behavior at some point in their recovery journey. They turn back to addiction after the failure, as they lose the hope that they will get rid of the addictive behavior. What they don’t know is that relapse is normal during the recovery phase. Not once, but it can happen a couple of times. That’s why it is important to stay in touch with your psychiatrist throughout your recovery journey. Keep them informed about your progress and relapse so they can establish a better plan for your recovery.

How a Psychiatrist can Help?

Addiction often indicates a serious underlying mental health condition. In most cases, people with depression and anxiety turn to drugs to feel temporary relief from the pain. Before they know it, their body gets so addicted to the substance that it doesn’t function without it. You need to feed your body drugs every few hours. Treating the addiction alone won’t help people with mental health diseases. If depression or bipolar disorder was the reason you started doing drugs, you need to recover from these issues first.
A psychiatrist will identify the underlying cause of addiction to develop an effective de-addiction treatment plan. Depending on your mental and physical health, your journey to de-addiction starts with full-body detoxification. The psychiatrist eliminates the substance from your body completely and starts medication and therapies to help you manage the withdrawal symptoms. Once the substance is eliminated from your body and you stop using it, you will experience physical and psychological inconvenience. These are called withdrawal symptoms. Your psychiatrist will recommend medication and other treatment options to help you recover faster. They will also give you tips for dealing with relapse.

Map Location Colaba: https://goo.gl/maps/y5jv9tPm6w6mf7E67

Address: Indu Clinic No. 58, Ground Floor, Royal Terrace, Wodehouse Rd, near Corporation Bank, Colaba, Mumbai, Maharashtra 400005, India

Map Location for Kharghar : https://goo.gl/maps/BhArqK82hfgjfLNAA

Address: Niramaya Hospital, Plot No. 5A, Sector 4, Kharghar, Navi Mumbai, Maharashtra 410210, India

Website: https://calidarehab.com/dr-prashant-dasud-psychiatrist-in-mumbai/

Phone Number: 9764044079

Hair Treatment in Vasundhara

Alopecia (Baldness/ Hairfall)
This problem is becoming more and more common and at early ages. Our suggestion is to treat it at the earliest for better results. Treatment options range from medicines to most advance Laser, PRP, hair transplant.

Unwanted Hairs
Premature Graying
Dandruff
Along with laser hair reduction we address to the underlying hormonal disturbances if any.

Dr. Megha Modi - Dermatologist
Dr. Megha Modi is a practicing Dermatologist in Delhi and received her medical degree from Baroda Medical College. She went on to specialize in dermatology and attained her MD in Skin–VD from the same college. She has to her credit the enviable distinction of being a gold medalist at both the undergraduate as well as post graduate levels.

Professionally Dr. Megha Modi has been a consultant at the Dermatech Clinic in North Delhi and brings to the table a rich experience in the field of Cosmetology and Dermatology. On an academic front, she has won numerous accolades and citations for her stellar contributions for her paper presentations at State and National Level conferences. Concurrently Dr. Modi has numerous publications in indexed journals which are standing evidence of her prowess in the specialty.

Some of her most significant contributions are to textbooks on topics like ‘Clinical Approach to Homosexuals with STDs’ in Sexually Transmitted Diseases and HIV/AIDS’. Dr. Modi has even done some extensive editorial work for IJSTD in the recent past and is unarguably an authority when it comes to Cosmetology and Dermatology.

Corneal Arcus
Corneal Arcus or Arcus senilis appears as a white, gray, or blue ring or arc around the cornea of the eye. The condition is usually seen in older adults but can affect people of all ages, even appearing at birth. Arcus senilis is generally harmless, and an involutional change modified by genetic factors. However, arcus is sometimes indicative of hyperlipidoproteinemia (involving low-density lipoproteins) with elevated serum cholesterol, especially in patients under 40 years of the age.

Causes of corneal arcus
Arcus is a deposition of lipid in the peripheral corneal stroma. Cholesterol and triglycerides are two types of fats in your blood. Some of the lipids in your blood come from foods you eat, such as meat and dairy products. Your liver produces the rest. Lipid deposition starts at the inferior and superior poles of the cornea and in the late stages encircle the entire circumstances. Arcus senilis is more common in men than in women. In people under age 40, arcus senilis is often due to an inherited condition and in rare cases, children are born with arcus senilis ( arcus juvenilis).

Arcus senilis can also appear in people with Schnyder central crystalline dystrophy. This rare, inherited condition causes cholesterol crystals to deposit on the cornea.

Symptoms
A person with arcus senilis may develop:

A white, gray, or blue circle around the cornea of the eye.
The circle or arc will have a sharp outer border but a blurred inner border.
If someone has an arc, the lines could grow to form a complete circle in front of the iris.
The presence of corneal arcus in patients younger than 40 year-old warrants evaluation for systemic lipid abnormalities.
Unilateral arcus is a rare condition associated with contra lateral artery disease or ocular hypotony. Usually it is an asymptomatic condition and does not affect your vision.

Diagnosis
Eye examination performed by eye doctor can diagnose arcus senilis. A slit lamp microscope is a very helpful tool to evaluate eye thoroughly. A special eye drop is used to widen the pupil of the patient. Once the eye drops works, ophthalmologist can inspect all parts of the eye with back of the eye as well for any disease. In arcus, thickness of the vessels increases due to fat deposition. Surgeon has to look for signs of atherosclerosis also, which is a condition where arteries become clogged with fatty substances.

A blood test will determine whether someone has high cholesterol. If they do, they may be prescribed medicine or advised on a suitable diet and exercise program to lower the cholesterol in their blood.

How corneal arcus is managed?
The good news is, you don’t need to treat arcus senilis. It typically affects both eyes, but in some cases only one eye has a grayish arc around the cornea, which may be a sign of poor blood circulation.

Eating healthy foods and exercising regularly are some good ways to keep your eyes healthy. We recommend wearing sunglasses with 100% UV protection when outdoors and safety goggles when doing hazardous tasks as well.

If arcus senilis is a sign of high cholesterol, a doctor may recommend a diet that is low in saturated fats and high in fruit, vegetables, and fiber.

If lipid levels are not controlled by diet and exercise are not enough, several medications can help lower your lipid levels:

Statin drugs block a substance your liver uses to make cholesterol. These drugs include atorvastatin, fluvastatin, pravastatin and rosuvastatin.
Bile acid binding resins force your liver to use more cholesterol to produce digestive substances called bile acids. This leaves less cholesterol in your blood. These drugs include cholestyramine, colesevelam and colestipol.
Cholesterol absorption inhibitors like ezetimibe reduce your body’s absorption of cholesterol.
Drugs may be used to lower triglyceride levels:
Fibrates reduce production of lipids in your liver and increase the removal of triglycerides from your blood.
Niacin reduces the production of lipids by your liver.
Increased exercise and quitting smoking can also help.
Possible complications
Arcus senilis alone is not known to have any complications unless it is a sign of high cholesterol. High levels of cholesterol in a person’s blood can cause significant problems, such as coronary artery disease or cardiovascular disease.

Follow-Up
Arcus senilis may sometimes appear as a white ring around the iris due to calcium deposits on the circumference of the cornea, where the white section of your eye (the sclera) and the colored part (the iris) meet (called the limbus). When the deposits consist of calcium, the limbus appears milky and may indicate tissue damage that needs correction.

The blue (or sometimes gray) ring around the iris often is associated with high cholesterol and triglycerides. In turn, this may be an indicator of heart condition that yor are more prone to heart attacks and strokes. When this condition appears in people younger than 60 years old, regular blood tests are normally recommended to monitor elevated lipid levels.

In few other cases, when corneas become opaque, due to genetic mutation it could be from a lowered high-density lipoprotein (HDL) cholesterol level. This condition can result in other eye problems. Principally, this opacification may be related to deficient levels of lecithin cholesterol acyl transferase (LCAT). LCAT is an enzymatic protein responsible for converting free cholesterol into cholesteryl ester.

Cholesterol ester, is then separated into the nucleus of the lipoproteins to produce a synthetic high-density lipoprotein (HDL) chain. This reaction is forced one way, since the deposits are removed from the exterior. So the enzyme is attached to both HDLs and low-density lipoproteins (LDLs) in blood plasma.

This process can result in the manifestation of fish eyes, and it is actually called “fish eye disease.� Corneal opacification can also result from mutations in another HDL protein, the adenosine triphosphate-binding protein ABCA1.

Just because you are younger than 40 and have arcus does not mean you absolutely have elevated lipid levels, but at a very minimum, it is recommended that you have them checked.

Unilateral corneal arcus may be associated with vascular or inflammatory etiologies.

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.