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Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; a......more
Hello and thank you for visiting my Lybrate profile! I want to let you know that here at my office my staff and I will do our best to make you comfortable. I strongly believe in ethics; as a health provider being ethical is not just a remembered value, but a strongly observed one.

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Hello Everyone! <br/><br/>I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery spec...

Hello Everyone!

I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery specialist at Delhi Eye Centre and sir Ganga Ram Hospital. So, today we will talk about keratoconus. Ye bimari kafi common hai lekin logon ko iska pta nhi chalta. Keratoconus means conical shape of cornea. It is the front layer of the eye and in Hindi kali putli. Iske kya symptoms hain. Patient ka prescription of glasses badhta hai. And glasses ke sath bhi unko clear nazar nhi aata. Ghost images and double image dikhta hai. Cylindrical power glasses ka badhta hai and fluctuation rehta hai. To keratoconus konse patient ko ho skta hai? Ye problem genetic bhi hai. 2nd chronic eye rubbers. Hume jor se aankh rub nhi krni chaiye. Eye rub krne ka cause allergy bhi ho skta hai. Ye bimari young patient ko jyada effect krti hai. Mostly teenagers me payi jati hai. How doctor will access? Doctor pehle powers dekhega jisse use early sign ka pta chal jata hai. Slit lamp examination ke through bhi doctor ko pta chal jata hai ki keratoconus ki bimari hai ya nhi. Early stage me is problem ko detect krne ke lia test hai corneal topography test.

Isme cornea ki shape and thickness measure ki jati hai. Another symptom is steepness and thinning of the cornea. Ye test treatment plan krne me bhi help krta hai. First and foremost step is to stop the progression of the disease. Agar ye problem badh rhi hai to hum collagen cross-linking treatment dete hain. UV light and riboflavin ke interaction se cornea ko strong kia jata hai. Uske baad healing ke lia eyes pe contact lens lgaya jata hai jisko 4-5 days me hum hta dete hain. Starting ke kuch din painful hote hain but iska success rate kafi acha hai. The 2nd aspect of the treatment is to improve the vision. Glasses ke through acha treatment dia jata hai. Iske lia routine check-up ki jrurat pdti hai dekhne ke lia ki bimari aage progress to nhi kar rhi hai.

Thode advance cases me vision glasses se acha nhi hota hai to contact lenses fit kia jate hain. Ise hard contact lenses or rigid gas permeable (RGP), ROSE K lenses bhi kehte hain. Ye cornea ke upar lgte hain or vision ko bhut acha krte hain. Lekin iske sath hi handling bhut achi honi chaiye. Next treatment me hai jhan intax ko laser se ankhon me fit kia jata hai. Is se patient ka vision improve hota hai. Next is correction and decrease in power with laser. Isme cornea ko reshape kia jata hai or unki cylindrical power ko bhi kam kia ja skta hai.

Agar in sab treatment me se koi treatment kam nhi krta hai to hume in patients ka corneal transplant krna pdta hai. Iske results bhut ache hain. Success rate is more than 90%. Suregry advance hai islia hume pura cornea replace krne ki jrurat nhi pdti hai. Hum cornea ki aage ki layer ko hi replace krte hain. Ise technical language me deep lamellar endothelial keratoplasty (DLEK) kehte hain. Isme rejection ke chances kam ho jate hain. Isme eye ball ki strength jyada rehti hai. Ye last stage ka treatment hai jo patient ko kafi fayedemand rehta hai. Agar apki jaan pehlchan me koi hai jise ye problem hai to unka corneal specialist se aaj hi test krayein or time pe bimari detect kr ke uska treatment krayein.

Thank You!

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Hello Everyone!<br/><br/>I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery speci...

Hello Everyone!

I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery specialist at Delhi Eye Centre and Sir Ganga Ram Hospital. Today we will talk about how to get freedom from glasses and contact lenses. Glasses are not only cosmetic concern but also affect our lifestyle. More for swimmers and sports people. And there are certain jobs which require to have perfect vision like army. So, how to correct refractive errors. Refractive is the term which we use to remove glasses. So, who is the ideal candidate for these procedures? The minimum age limit to undergo refractive surgery is 18 years. Our vision gets stable between the age of 18-21 so, we can plan for the surgery. In case of the woman, we do not any surgery in pregnancy or lactating or not taking any hormonal supplements cases. So, there are multiple surgeries. The most common is LASIK. It is the laser-based surgery which is performed on cornea.

It is a transparent section and does not have any blood supply. We remove the flap, correct the vision and we put the flap back in position. This is the most popular procedure. It is a safe procedure and for us, it only takes 15 mins to treat both the eyes. How do we know if the patient is suitable for LASIK? We need to make sure that the patient's cornea is normal in shape and thickness. This is checked by a test called corneal topography. If patients corneal is not as normal as told than we can plan PRK or advanced surface ablation. In this procedure, we deliver the laser energy directly onto the corneal surface. In this, we remove the topmost layer of the cornea which is called the epithelium and we deliver lasr energy directly to the corneal surface. And we put special contact lenses which help in healing topmost layer on top of the eye at the end of the procedure. This is good procedure who are unsuitable for LASIK.

Perfect clarity in patients is achieved in 1 month duration. And it takes 4-5 days for surface to heal. And it is also little painful for the patient. In few cases, LASIK and PRK is not an option. These are the patients who have very thin cornea or the patient has high refractive error or keratoconus. So, these patients can be planned for ICL. It is the special contact lens which is implanted in the eye. So, it stands for implantable compatible lenses. These are the lenses which are highly customized. These are extremely safe to use and have a very good visual outcome. We operate one eye at a time and we wait for a couple of days to treat another eye. After ICL, patient needs to avoid eye rubbing for 1-week duration because this is the time when the eye is at the healing stage. Direct contact with water should be avoided for 1 week after the procedure. But patient can get back to work even after the day of the procedure. So, all are good procedure but proper evaluation is must and it should be done by a corneal specialist and suitable procedure should be chosen for every individual patient.

 

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Delhi Eye Centre

3/24, Old Rajinder Nagar, Shankar Road, Landmark : Opposite To Post OfficeDelhi Get Directions
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Doctor in Delhi Eye Centre

Dr. Ikeda Lal

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist
89%  (29 ratings)
10 Years experience
1500 at clinic
₹300 online
Available today
06:00 PM - 08:00 PM

Dr. Harbansh Lal

MBBS, MS - Ophthalmology
Ophthalmologist
39 Years experience
2000 at clinic
₹1500 online
Available today
04:00 PM - 06:00 PM
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Ophthalmology

Concerns itself with the treatment of diseases related to the eye
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Keratoconus

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Play video

Hello Everyone!

I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery specialist at Delhi Eye Centre and sir Ganga Ram Hospital. So, today we will talk about keratoconus. Ye bimari kafi common hai lekin logon ko iska pta nhi chalta. Keratoconus means conical shape of cornea. It is the front layer of the eye and in Hindi kali putli. Iske kya symptoms hain. Patient ka prescription of glasses badhta hai. And glasses ke sath bhi unko clear nazar nhi aata. Ghost images and double image dikhta hai. Cylindrical power glasses ka badhta hai and fluctuation rehta hai. To keratoconus konse patient ko ho skta hai? Ye problem genetic bhi hai. 2nd chronic eye rubbers. Hume jor se aankh rub nhi krni chaiye. Eye rub krne ka cause allergy bhi ho skta hai. Ye bimari young patient ko jyada effect krti hai. Mostly teenagers me payi jati hai. How doctor will access? Doctor pehle powers dekhega jisse use early sign ka pta chal jata hai. Slit lamp examination ke through bhi doctor ko pta chal jata hai ki keratoconus ki bimari hai ya nhi. Early stage me is problem ko detect krne ke lia test hai corneal topography test.

Isme cornea ki shape and thickness measure ki jati hai. Another symptom is steepness and thinning of the cornea. Ye test treatment plan krne me bhi help krta hai. First and foremost step is to stop the progression of the disease. Agar ye problem badh rhi hai to hum collagen cross-linking treatment dete hain. UV light and riboflavin ke interaction se cornea ko strong kia jata hai. Uske baad healing ke lia eyes pe contact lens lgaya jata hai jisko 4-5 days me hum hta dete hain. Starting ke kuch din painful hote hain but iska success rate kafi acha hai. The 2nd aspect of the treatment is to improve the vision. Glasses ke through acha treatment dia jata hai. Iske lia routine check-up ki jrurat pdti hai dekhne ke lia ki bimari aage progress to nhi kar rhi hai.

Thode advance cases me vision glasses se acha nhi hota hai to contact lenses fit kia jate hain. Ise hard contact lenses or rigid gas permeable (RGP), ROSE K lenses bhi kehte hain. Ye cornea ke upar lgte hain or vision ko bhut acha krte hain. Lekin iske sath hi handling bhut achi honi chaiye. Next treatment me hai jhan intax ko laser se ankhon me fit kia jata hai. Is se patient ka vision improve hota hai. Next is correction and decrease in power with laser. Isme cornea ko reshape kia jata hai or unki cylindrical power ko bhi kam kia ja skta hai.

Agar in sab treatment me se koi treatment kam nhi krta hai to hume in patients ka corneal transplant krna pdta hai. Iske results bhut ache hain. Success rate is more than 90%. Suregry advance hai islia hume pura cornea replace krne ki jrurat nhi pdti hai. Hum cornea ki aage ki layer ko hi replace krte hain. Ise technical language me deep lamellar endothelial keratoplasty (DLEK) kehte hain. Isme rejection ke chances kam ho jate hain. Isme eye ball ki strength jyada rehti hai. Ye last stage ka treatment hai jo patient ko kafi fayedemand rehta hai. Agar apki jaan pehlchan me koi hai jise ye problem hai to unka corneal specialist se aaj hi test krayein or time pe bimari detect kr ke uska treatment krayein.

Thank You!

4500 people found this helpful

Get Rid Of Contact Lenses And Glasses

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Play video

Hello Everyone!

I am Dr. Ikeda Lal. I am a cornea, cataract and refractive surgery specialist at Delhi Eye Centre and Sir Ganga Ram Hospital. Today we will talk about how to get freedom from glasses and contact lenses. Glasses are not only cosmetic concern but also affect our lifestyle. More for swimmers and sports people. And there are certain jobs which require to have perfect vision like army. So, how to correct refractive errors. Refractive is the term which we use to remove glasses. So, who is the ideal candidate for these procedures? The minimum age limit to undergo refractive surgery is 18 years. Our vision gets stable between the age of 18-21 so, we can plan for the surgery. In case of the woman, we do not any surgery in pregnancy or lactating or not taking any hormonal supplements cases. So, there are multiple surgeries. The most common is LASIK. It is the laser-based surgery which is performed on cornea.

It is a transparent section and does not have any blood supply. We remove the flap, correct the vision and we put the flap back in position. This is the most popular procedure. It is a safe procedure and for us, it only takes 15 mins to treat both the eyes. How do we know if the patient is suitable for LASIK? We need to make sure that the patient's cornea is normal in shape and thickness. This is checked by a test called corneal topography. If patients corneal is not as normal as told than we can plan PRK or advanced surface ablation. In this procedure, we deliver the laser energy directly onto the corneal surface. In this, we remove the topmost layer of the cornea which is called the epithelium and we deliver lasr energy directly to the corneal surface. And we put special contact lenses which help in healing topmost layer on top of the eye at the end of the procedure. This is good procedure who are unsuitable for LASIK.

Perfect clarity in patients is achieved in 1 month duration. And it takes 4-5 days for surface to heal. And it is also little painful for the patient. In few cases, LASIK and PRK is not an option. These are the patients who have very thin cornea or the patient has high refractive error or keratoconus. So, these patients can be planned for ICL. It is the special contact lens which is implanted in the eye. So, it stands for implantable compatible lenses. These are the lenses which are highly customized. These are extremely safe to use and have a very good visual outcome. We operate one eye at a time and we wait for a couple of days to treat another eye. After ICL, patient needs to avoid eye rubbing for 1-week duration because this is the time when the eye is at the healing stage. Direct contact with water should be avoided for 1 week after the procedure. But patient can get back to work even after the day of the procedure. So, all are good procedure but proper evaluation is must and it should be done by a corneal specialist and suitable procedure should be chosen for every individual patient.

 

4456 people found this helpful

Know Keratoconus!

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Know Keratoconus!

Keratoconus leads to distortion of visionand ghost images. There is increase in cylindrical power, frequent change of glasses prescription with absence of sharp clear vision inspite of glases.

3 people found this helpful

Sir ji LASIK Leger surgery ke ba da me Army navy medical test me eyes test me pass to ho skte hai. LASIK ke kya side effects hai and fess. LASIK ke ba da me eyes kb tak perfect rhte hai.

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Sir ji LASIK Leger surgery ke ba da me Army navy medical test me eyes test me pass to ho skte hai. LASIK ke kya side ...
LASIK is approved by the Indian army. That's how accurate it is. The few common side effects can be dryness and glare which subsided with drops in most cases.
13 people found this helpful
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Macular Degeneration- Is Sun Exposure The Leading Cause For It?

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Macular Degeneration- Is Sun Exposure The Leading Cause For It?

We spend so much time out in the sun every single day, going about our usual routine, heading for work, mostly preoccupied with our own thoughts that it hardly comes to our mind how our health is getting affected. Of course, most people take necessary precautions to avoid tanning, skin problems and other common conditions. But how often do we think of the damage caused to our eyes?

Research studies show that people who spend a considerable amount of time outdoors and are exposed to sun light almost all the time, are likely to develop severe eye problems such as macular degeneration.
Macular degeneration affects the retina, the layer present at the back of your eyeball. This layer consists of light-sensitive cells that help you see the world around. The tissues of your eyes become affected and dry out due to over exposure to sun’s UV rays. Macular degeneration can cause you to lose your central vision, which means your vision gets obstructed when you look straight ahead.

Types of Macular Degeneration-
Macular degeneration can be of two types-

  1. Dry macular degeneration- This is the most common form of macular degeneration. This condition occurs when yellow-coloured small deposits (known as drusen) start to develop beneath the macula. This leads to retinal damage and loss of vision. Nearly 85-90% of people are affected by dry macular degeneration.
  2. Wet macular degeneration- This eye condition is not that common, and only affects about 10-15% of people. Wet macular degeneration develops when abnormal blood vessels are formed beneath the macula and retina. You may observe a dark spot right at the center of the vision due to bleeding or leakage of the blood vessels.

Symptoms of Macular Degeneration-
Macular degeneration is a progressive disorder, meaning the condition will worsen over time. Recognizing the symptoms of this condition at an early stage is crucial. So watch out for the following signs-

  • Blurred vision
  • Difficulty adjusting to low light
  • Inability to recognize faces
  • Reduction in central vision
  • A curvature of straight lines in the field of your vision
  • Need for brighter lights

Macular degeneration prevents you from looking at things that are placed directly in front of you. It does not, however, cause complete blindness.

How is the condition treated?
Macular degeneration cannot be cured completely. But there are a number of ways to manage the severity of this condition.
High dose of zinc and antioxidant vitamins are prescribed to slow down the progression of Dry Macular Degeneration-

  • 500mg of Vitamin-C
  • 400 IU of Vitamin-E
  • 2mg of copper as cupric oxide
  • 80mg of zinc as zinc oxide

Laser surgery is performed to destroy the permeable blood vessels at the back of the retina.

Eye injections are given to block the growth factors responsible for development of abnormal blood vessels.

Photodynamic therapy involves injecting a light-activated drug into your bloodstream. After injecting the drug, your eyes are exposed to light for about 90 seconds. This allows the therapy to improve your vision. You may have to undergo multiple sessions of this procedure.

Photocoagulation therapy is primarily directed towards treating Wet Macular Degeneration. High-energy laser beams are used in this procedure to destroy the abnormal blood vessels. The objective of the treatment is to prevent bleeding, thereby reducing further damage to the macula. Nevertheless, the laser can leave you scarred or leave behind a spot on the eyes.

Apart from the aforementioned treatment methods, one must adopt certain lifestyle changes to protect their eyes. These include- wearing sun glasses and magnifying lenses, adjusting the font size and brightness level on your computer, including lots of green veggies etc. In case you have a concern or query you can always consult an expert & get answers to your questions!

4774 people found this helpful

ICL (Implantable Contact Lens)

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
ICL (Implantable Contact Lens)

Icl or implantable contact lens is an excellent option for people with high powers. It is an imported lens which is custom made according to your eye power and size. It is also a reversible procedure.

Who are the ideal candidates for icl?
The age if the patient must be over 18 years. People who have very high powers, usually more than -8.00 or people with thin corneas where lasik is not possible are ideal candidates. 

How long does the procedure take? is it painful?
It is a painless procedure since numbing eye drops are used. There is no injection, suture or pad required and it takes around 15 minutes. The oatiebt can get back to work even the next day after surgery. But we operate one eye at a time and the other eye 2-3 days later. 

How long does this lens last?
This lens lasts forever and doesnt get spoilt. If later on a patient debelops cataract, this lens can be removed and cataract surgery performed without any problem.

3 people found this helpful

ophthalmologist Hi Dr. I want to tell you I have both hypermetropia and myopia and I am unable to focus the notebook sometime it becomes blur and sometime headache feeling vomiting not able to focus as much as when I was 17 Is there. Any way to restore vision and get back to normal please help.

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
Hello, sounds like you have mixed astigmatism where there is a combination of hypermetropia and myopia with cylinder. The glasses power needs to be accurate in your case with good centration which means that the centre of the eyes should match the centre of the glasses. LASIK or laser vision correction can also be an option for you if you don’t like wearing glasses. Hope this helps. Regards, Ikeda.
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I am a consistent patient of a disease called stye and it's so painful. How can I get rid of this disease?

MBBS, MS - Ophthalmology, Fellowship in Cornea and Anterior Segment
Ophthalmologist, Delhi
I am a consistent patient of a disease called stye and it's so painful. How can I get rid of this disease?
Recurrent stye can be a symptom of diabetes. Please get your blood sugar levels checked. Also get your glasses power checked. For now, use antibiotic drops or ointment as prescribed by your ophthalmologist and do hot fomentation 2 times per day. Regards.
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