Dr. Kanak Tyagi

Do you think the corporate spectacle sellers (including online) with a chain of shops the optician at the corner of your road can diagnose and treat you for your eye vision problem completely accurately (even a simple case like myopia)?

Think again. Once the damage is done, it is mostly irreversible.

Signs of near sightedness (myopia)- include blurring of vision, genetic predisposition if mothers and fathers are myopic, squinting (bhengapan), eye strain headache, feeling fatigued when driving or playing sports, malignant myopia where the vision loss can be rapid due to elongation of eyeball and is irreversible. Similarly there are various reasons for presbyopia, astigmatism.

The people with high myopia may suffer from retinal detachment (laser is required for its correction).

An optometrist is incompetent/not trained to look behind your lens. If he misses the retinal detachment and does not refer you to the eye surgeon, you will have to face the consequence.

In case of compound power, it is purely the competence of optometrist which will help in determining the power of lens. Many cases are coming up with wrong power calculation. It is advisable to consult an eye surgeon before going to a spectacle shop. Once the eye power has increased, it cannot be lowered without surgical intervention.

It's for the patient to decide whether he considers optometrist (guys with degree in power calculation sitting in corporate and local eye shops, authorized to calculate eye power, competent enough to diagnose even these condition completely and afford to miss the retinal detachment and silent diseases like glaucoma or other associated eye pathology if they are present in eyes.

The patient's power will increase through incorrect or incomplete diagnosis and harm his eyes. It's your eyes, always consult an experienced eye surgeon before you go to any spectacle shop to buy your spectacles?

There are silent and irreversible disease in family like glaucoma/kala motia which have a family history, it is the duty of the doctor to ask history of such disease.

Can you expect your local optician to ask such history? if he misses your glaucoma by not checking your eye pressure, you vision loss is irreversible.

The guy sitting in spectacle shop may sell you a branded eyeglasses, give a very good deal and pamper you with snacks but what purpose it serves if the some part of your diagnosis is missed and causes irreversible loss of vision.

The optometrist is trained just in power calculation and dispensing of contact lenses. He is not trained to diagnose and treat any eye disease, look behind the lens through indirect opthalmoscope, use instruments like slit lamp.

He is incompetent to treat any eye disease like amblyopia/lazy eye.

If he is giving medicine/drugs along with dispensing of spectacles, he is most probably committing a crime.

If you are going to optometrist first, it purely depends on his training and expertise whether he is able to suspect any associated pathology or not and refers you the eye surgeon and if he misses it or makes a wrong diagnosis, the loss is yours and only yours. Lastly the optometrist will be never held responsible for wrong diagnosis.

The doctor's prescription caries a legal value and he will always advice in patient's best interest.

Regards

Dr Arjun Kumar Singh

Email- drarjun53@gmail.com

The eyes are very delicate and highly vulnerable to injuries from outside environment. Eye care is very important, as some eye problems can lead to complete loss of vision. Ayurveda believes that optimal eye health is a balance between the tridoshas namely, Vata, pitta, and Kapha. An imbalance between these three can lead to eye diseases, triggered by the following:

1. Prolonged straining of the eyes
2. Daytime sleeping and prolonged nighttime awakening
3. Exposure to environmental pollutants and dust
4. Head injuries
5. A cold water bath after extreme stressful exercise or being in the hot weather
6. Alcoholism

Some of the common eye problems include:

1. Dry eyes
2. Dark circles
3. Tired eyes
4. Eye infections

Dry eyes: Though there is no constant flow of tears, the eyes are always covered by a thin layer of tears which covers the eyes. These reduces irritation, lubricates the eyes, and keeps it free of dirt. Reduced amounts of tears can lead to eye irritation and increased chances of infection.

Ayurvedic remedies:
- Two spoons of triphala powder can be added to water, boiled, and once cool, honey can be added before consuming it. This can be consumed on a daily basis to improve eye health.
- Castor leaves can be boiled in water, and once cooled, a cotton ball can be dipped in this and then applied on the eyes.

Tired eyes: Prolonged straining, allergies, fatigue, and reduced oxygen supply to the eyes can cause tired eyes.

Allergic remedies:
- Try washing the eyes with plain water as much as possible
- Try yoga asanas which will improve the blood flow to the eyes (standing on the head, for instance)
- Freshly cut slice of cucumber can be placed on the eyes
- Cotton dipped in rose water can be used on the eyes to provide a soothing effect
- Rest the eyes well by providing 7 to 8 hours of rest

Dark circles: Caused by sun exposure, age, allergies, lack of sleep, hereditary, fatigue, asthma, etc.

Ayurvedic remedies:
- Avoid use of bleach as they do not help in removing dark circles
- Include a well-balanced diet
- Use a light moisturiser and use light motion to improve the blood circulation
- Avoid scratching under the eye region
- Remove the cause of allergies, fatigue, etc.

Pink eye: Most common infection caused by viruses, bacteria, dust, or pollen.

Ayurvedic Remedies:
- Avoid repeatedly touching the eyes with hands
- Frequently wash hands with plain water
- Avoid sharing eye cosmetics with others
- Frequently change pillow covers and wash them in warm water with salt or soda
- Learn to take care of contact lenses.

In case you have a concern or query you can always consult an expert & get answers to your questions!