Lybrate.com has a number of highly qualified Homeopaths in India. You will find Homeopaths with more than 44 years of experience on Lybrate.com. You can find Homeopaths online in Bangalore and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.
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Treatment Of Erectile Dysfunction
Skin Care Treatment
Treatment of Migraine Treatment
Treatment of Neurological Problems
Weight Management Treatment
Piles Treatment (Non Surgical)
Sexually Transmitted Disease (Std) Treatment
Cysts Removal Procedure
Treatment Of Pregnancy Problems
Well Woman Healthcheck
Thyroid Problems Treatment
Corn Removal Procedure
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Any patient who needs to undergo cataract surgery must be evaluated in a thorough manner so as to establish the requirement, appropriateness, expected surgical problems, expected benefits and co-morbid conditions having an influence on cataract surgery.
The preoperative assessment consists of--
A test for your existing glasses prescription:
It is useful for your cataract surgeon to know your existing glasses prescription in cases where there is a high refractive error (people who are very short or long sighted), in order to plan to correct this error after cataract surgery.
A full ocular examination: This includes looking at-
- The eyelid anatomy and inflammation.
- The state of the tear film, dry eye changes could make surgery difficult
- The presence of abnormalities in the cornea that could make visualisation of the cataract difficult during surgery.
- The amount of dilation the iris undergoes with dilating drops.
The type of cataract. Soft cataracts can be aspirated. Hard cataracts need more ultra-sound energy and surgical time to break up and remove. White cataracts may need trypan blue staining to visualize the capsule.
The measurement of intra-ocular pressure. With this test, we aim to exclude glaucoma and ensure optimal control of immediate pre-operative and intra-operative eye pressures often with extra eye drops that temporarily lower eye pressure.
This is a simple pre-operative measurement. It calculates the correct power of artificial intra-ocular lens. They will be implanted into your eye once your cataract is removed.
This is a test to map out the corneal curvature in greater detail. It is used prior to premium IOL Implantation like Toric IOLS either monofocal or multifocal , to ensure avoid postoperative refractive errors. This extra test is only required if the biometry readings show larger than normal differences in keratometry readings.
Optical Coherence Tomography (OCT)
This test allows detailed visualisation of the macula (the central sensitive part of the retina used for fine vision). If the ophthalmologist suspects any macula changes that may prevent a patient from visual improvement after cataract surgery, he always suggest optical coherence tomography.
Blood Pressure Measurements
It is very important to know your blood pressure measurements before your cataract operation. The risk of having a bleed at the back of your eye during cataract surgery (supra-choroidal haemorrhage) is very small (1 in 10000). But is higher if you have uncontrolled blood pressure.
Blood Sugar Measurements in Diabetic Patients
Cataract surgery itself does not affect your blood sugar measurements if you are diabetic. A routine checkup of blood sugars in diabetics before cataract surgery is done and the surgery if often delayed if the levels were greater than 20mmol/L as the risk of post-operative infection is higher. In case you have a concern or query you can always consult an expert & get answers to your questions!
I haven't been able to sleep since 2 days and I am having a severe headache, what to do? Please help me!
Piles, fistula and fissures are the most common problems affecting the rectum and the anus. Both the rectum as well as the anus has a very rich vascular supply. There could be swelling of these blood vessels or tearing which can lead to the above conditions. Read on to know additional details about each of these conditions.
Piles: In simple words, swollen blood vessels of the anal region are called piles. It can be internal or external, depending on how far it is from the anal canal. If it is located farther inside the anal canal, it is called internal piles.
- Chronic constipation, where the person has to strain to pass stools
- Smoking and genetics can also lead to piles.
Symptoms: Starts off as painless bleeding, which happens in drops after bowel movement; the swelling happens much later. They can continue to grow and develop blood clots.
- In the early stages, once identified, simple topical medications for symptom relief are sufficient.
- Diet should be rich in fiber, with fruits and vegetables
- Increased water consumption
- Surgery if the disease has reached the stage of blood clots
- Prevention is advised if there is a family history by consuming a fiber-rich diet and maintaining hydration
Fistula: When an infected anal gland bursts into the anal canal, it constantly discharges pus into the anal canal and becomes a fistula. Hygienic toilet habits can help in preventing fistulas.
- A constant wet feeling in the anal area, due to pus discharge.
- This would be intermittent, and there would be periods with no discharge.
- There could be a foul smell due to pus discharge.
Diagnosis and Treatment:
- Identifying the exact location is important as surgery may be required.
- An ultrasound scan or an MRI is usually done.
- Newer techniques like Video Assisted Anal Fistula Treatment (VAAFT) are used. This locates the piles accurately and uses electric current to seal it with staples and surgical glue.
- Conventional surgery is also used for economic or accessibility reasons.
- Fissures: These cracks anywhere in the length of the anal canal are extremely common.
- Very painful and the person may not want to go to the toilet
- Rarely bleeding is also seen, maybe in very small amounts
- Over 90% of the fissures do not require surgery
- Switching to a high-fiber diet and improving hydration will help in managing these symptoms.
- Topical relief can be provided by medications.
- When they are recurrent, a procedure known as lateral sphincterotomy is done. This is an outpatient procedure and provides immediate relief.
Though one condition can lead to another, in most people, there is a strong genetic component, and working towards prevention is highly recommended. In case you have a concern or query you can always consult an expert & get answers to your questions!